wannyday

I was sleeved on 11/27/13 and had one of the best medical experiences ever, the nurses were great they were able to speak English fairly well if they could not understand they got someone that could, the hospital was clean beyond clean and the Doctor (Jacqueline Osuna) was exceptional even coming to my hotel to check on my incision's and then another Dr. came in the evening to remove my drain. A friend that came with me asked Dr. Osuna if she knew a plastic surgeon as she wants a nose job, Dr. Osuna sent the plastic surgeon to our room that evening to see my friend. I feel that we in Canada could learn a lot from the Mexican's not only with the hospital care and every one that works at the hospitals but as well the hotel staff, I had a driver that picked me up at the airport he told me that he was there for me and he would be at my beck and call through out my stay, Raul Conti he was fantastic could not ask for a better driver he took us gals everywhere we wanted to go, I am just so pleases with my experience I trip over myself trying to say how pleased I am with everything.
down 19.3 lbs. sense this journey started
no matter where you have your surgery take your GAS-X STRIPS you can not get them in Mexico if you have these I believe your pain is less than half I refused all pain meds on the day after my surgery I did not need them as long as I had my gas-x.
good luck to you all

For me, other than I just have never talked about my medical history, year after year when yoyo dieting, losing and regaining the same 30 pounds, I just got tired about talking about it years ago. I realized that my weight, whatever it is, is NOT what I am about so it doesn't need to be the topic of conversation any longer. I do not tell people how much I have lost other than "a bunch." I do not discuss how I am losing it other than "I'm working very hard." This has been my response for years and it served well then and continues to. People can think whatever they want. I just am not going to discuss it any longer. Ever. Subject is burned out beyond belief. I think we can ALL relate to that!
People have their reasons for telling or not telling what or how they are doing it. I, for one, don't have an issue or annoyance of what other people say. If for them, they feel better saying they are losing weight by standing on one foot and rubbing their tummy, I'm not going to judge it and I don't think anyone else should either. They have their reasons and who am I to judge them on those reasons? Who really cares? Who is ANY of us to judge them?
Everyone's journey is hard enough without judgements from people who should understand the most.

October 2013
Sleeved at Mi hospital with Dr. Lopez through A lighter Me ($4750)
Day 1 - travel to Mexico (Ottawa-Washington-San Diego-Tijuana)
My companion and I arrived at the San Diego airport around 3:15 pm. Once we were outside we called our driver Abraham from A lighter me on his cell. He knows the airport extremely well. We told him the number of the nearest pick up station from us and he came to us. I was glad that my companion was wearing an orange top. It helped us stand out from the others around us making it easier for Abraham to identify us. He already had 2 passengers with him. Once we picked up two other passengers, we headed for the hospital. Crossing the border into Mexico was almost a joke. It was nothing like back home. We simply went in a lane, slowly driving forward past the customs agent standing on the side. They did not even stop us to ask questions. And that was it, we were in Mexico! Be prepared for an interesting driving experience! The driving in Mexico is kind of crazy. People just drive where they want on the road. Abraham, whose English is very good, told us to close our eyes if we were too nervous. He is extremely personable and really cares about giving A Lighter Me's clients a pleasant experience. Abraham's wife was sleeved about 5 months ago and is doing great. He showed us pictures. We first went to the Mi hospital where we filled out forms, got weighed, take our pulse and did blood tests and an EKG. It is a small hospital, only 4 stories high. I was happy to see they have Wifi at the hospital with free access for everyone. You also get a safe in your room and a TV. There are 2 places to eat at the Mi hospital. There is a coffee shop on the 1st floor and the hospital cafeteria on the 4th floor. I know people who ate at both places. Everyone said the food was really good. Once all 3 future sleevers were done, all 6 of us left for the Marriott. The Marriott Hotel is quite nice. My room was very spacious. There are restaurants walking distance from the Marriott Hotel, as well as a store like the 7 eleven. There is a bar fridge in the hotel room and a safe. You can also request a room with a microwave. You also get free wifi and TV. Most of the TV channels however are Spanish. So bring something to occupy yourself. It was a long day. I was glad to go to bed. The bed was sooooo comfortable!
Day 2 - day of surgery
My companion had Breakfast at the Marriot. She was very impressed with their brunch. Lots of selection and great food. It is served until noon. Since I was only being picked up by our driver at 2 pm and I was fasting, I slept in as long as I could (until noon). Eduardo, another driver, picked us up right on time to go to the hospital. I got a room within 20 minutes once we arrived.I met with the generalist doctor who told me about the results of my previous day's tests. He listened to my heart and lungs and I was cleared for surgery. I also met with the anesthesiologist Doctor Garcia and Doctor Lopez individually prior to the surgery. I was given the opportunity to ask as many questions as I wanted. I was also told what to expect. This was very much appreciated. The nurse, who also had been sleeved two months prior, also put in my iv and helped me to put on my compression socks to help prevent blood clots. My companion was very impressed with this as they do not do this back home. I had my surgery at 5 pm. About two hours after surgery, I was back in my room. Within a couple of hours after that I was up walking around. Everyone at the hospital (nurses and doctors) told me how important walking is to prevent pain from the anesthesia. It was a bit hard getting in and out of bed after surgery, but it was manageable. I was also given ice chips to sip on. This was very appreciated as my mouth was dry from the surgery. The beds at the hospital are very comfortable. They also gave me something to help me sleep that night. So, I had a pretty good first night at the hospital.
Day 3 - day after surgery - leak test
The nurse gave me this blue liquid to drink. The liquid would show up in my drain if I had a leak. Nothing. Good news! My companion went to the coffee shop on the 1st floor for Breakfast. She was very pleased with her meal. I took a shower before my leak test. The nurse then came by to change my bandages. The leak test was nothing like what I was expecting. It literally took about 3 minutes. They give you liquid. You take one sip and you can see the liquid going down in your body from the machine. In all I probably took 3 separate sips for the attendant to watch if any was leaking each time I took a sip. Again all good. Great news! I had heard so many horror stories about the taste that I was expecting something really bad. It is not something that I would order as a drink in a restaurant, but it was not that bad. Just bitter. After the leak test was over, I walked around talking to other patient sleevers comparing notes. It was nice to chat with the other two who I had been picked up with on the first day. One of the girls was doing extremely well. The other was not so lucky. She had been throwing up most of the night as a result of the anesthesia. I felt really bad for her. But by the afternoon, she was doing much much better. All of the nurses were very pleasant many calling me honey, sweetie, etc. It was a nice atmosphere. They even greet each other with kisses during the shift change. They checked my pulse several times that day and took my temperature. They also emptied my drain 3 or 4 times. Most of the nurses only know some basic English. So a conversation with them is difficult. However, there are a few who are pretty fluent. I walked again several times. I still had no pain (other than when getting in and out of bed). The TV here has mostly Spanish channels. Bring something to occupy yourself when in the hospital. In the afternoon, they gave me Gatorade to start my liquid diet. It tasted so good after having fasted for so long (almost 2 days - 10 pm the night before the surgery until today 1:45 pm). Janese, my patient coordinator, came by in the evening to introduce herself. It was so nice to meet her in person. The driver Abraham also came by to say hi.
Day 4 - first day at hotel - shopping and ice cream day
Abraham picked up a small group of new sleevers at the hospital around 12:30 to go back to the hotel. When I got to the hotel, my companion was in the lobby talking with this woman who was a doctor from the U.S. She had been sleeved in TJ a few years ago and was back to accompany her sister in law who was having the same procedure done. When I got back to my room, I had a shower and a nap. Abraham came back to the hotel around 3:00 pm to bring a group of 9 (all sleevers and their companion) to go shopping. It was a fun experience to be with a bigger group and meet new people to compare stories and have a few laughs. I also though it was very clever of A Ligther Me to bring their customers shopping to ensure they get the walking they need! I did not do much shopping. I mostly went for the sightseeing, which I enjoyed tremendously. After shopping, Abraham took everyone for some ice cream. He also stopped at a store for a few of us to get Gatorade, Jello and other items. I was given a paper copy of the results of my blood and EKG tests and a CD showing my leak test. I was also provided with a care package to go back home with (liquid antacid (aka Malox), antibiotics, pain killers (to take if needed), gauss, chap stick and little travel pack). I thought that it was very thoughtful of A Lighter me to do so. A nice personal touch on their part. I emailed my husband to ask him to buy me some Malox since I knew I could not bring it accross security at the airport (I only had a carry on) and would need some when I got back home. Everyone raves about the broth at hotel. For me, it seemed to be different depending on the day. I thought it was just ok.
Day 5 - second day at hotel - when drain comes out
Dr. Sanchez came by my room and removed my drain in the morning. Coming out, it felt like a light pinch. Not painful, just weird. I was soooo glad it was out. I emailed my coordinator Janese for a doctor's note to get time off work. I received the document by email a few hours later. My that woman is efficient! That evening, Abraham called to let me know what time he would be picking us up tomorrow to go back home the next morning.
Day 6 - flight back home
My companion and I were lucky. We were the only ones picked up to go back to the airport at 10:30 that morning. The earlier group had left at 8:30. Our very own private chauffeur! Going accross the border to the U.S. was a different experience than when entering TJ. There were hundreds of cars lined up at the border (yikes). However, A Lighter Me had a medical pass for me. Abraham showed the pass to the border officer who then let us through the express lane. We were the only one in this lane! We by passed ALL of those cars. The next stop was the customs officer. We gave him our passports, he asked me if I had anything to declare. I said no. And that was it. We were on our way. In about 5-10 minutes we were in the U.S. Again ! I am not certain how long it took to get the the San Diego Airport (25 minutes?). We also got slowed down a bit because of an accident. It is mostly highway driving so the trip is pretty short. At the airport, the walk from the check-in counter, through security to our gate was very short since there are not many airlines to go back to Canada. I therefore did not need any assistance to board the plane at the San Diego airport. But, because it is such a long distance to travel in Toronto, I asked the airline for assistance. I had not booked ahead. We therefore had to wait a bit. If you are travelling through a large busy airport, you definitely would do well to pre-book for assistance right away when making your travel plans. I was SOOOO glad I listened to A Lighter Me and packed light! It made the trip back home so much easier. I gave both Eduardo and Abraham a tip.
What you will need to bring
- a little bit of cash (I brought just enough for tips and to buy other things like Gatorade, etc. Make certain you have small denominations for those smaller tips)
- house coat (came in handy when I had to walk around with that hospital gown...)
- a safety pin (to secure my drain)
- medical dressing and medical tape (if you don't need it travelling, you will definitely need some for when you get back home for the incision where the drain)
- slippers/shoes with hard sole and that are easy to put on/take off to walk around the hospital
- hot pad (in case you have pain in your shoulders due to the anesthesia)
- OXO bouillon (came in VERY handy for the trip back home)
- Gas X strips
- a small container to put a little liquid antacid if travelling by plane for more than 12 hours to take your meds while travelling
Final thoughts
I expected my surgery to go well and it did. What I did not expect though was meeting great people, laughing and making friends while I was there because of the extra outings that A Lighter Me organizes for its customers. I have been home one week now without complications or pain and feel good (20 lbs lost so far). I would not hesitate to do this again. It was a great experience. I should have done this a long time ago. Now the fun part starts, loosing the weight!
Hope this post has been helpful.

DISCLAIMER: This FAQ is in no way intended to replace or undermine the advice of your physician. Every person is different, every surgeon has different guidelines, and no two situations are identical. Therefore if any of the answers below are unclear or contradict your physicians’ instructions, always follow your physicians’ instructions. The responses given are a compilation from multiple sources and references.
How do I embed the weight loss ticker? Click on the liquid stage? During your clear liquid stage you can have anything that you can sip through a straw that is translucent, meaning see through. For instance: Water, juice, broth, sugar free popsicles, sugar free Jello, Isopure Protein Drinks, Gatorade, Powerade, Decaf tea just to name a few. Once you move on to full liquids you may add liquids that are not translucent. For instance: creamed Soups, soups with the chunks strained out, milk, Protein shakes etc…
When do I start mushies/purees? Every surgeon has different guidelines for the progression of your post-op diet. The majority of post-op diets progress as follows:
Day 1-7 Clear Liquids
Day 8-14 Full liquids
Day 15-21 Purees
Day 22-50 Mushies
What’s the difference between mushies and purees? The major difference is that purees are anything that has been blenderized/pureed to a baby food consistency and has no chunks. These should not be watery, but instead a thicker pudding like consistency. Mushies are soft foods that have not been pureed.< /p>
Should I be counting calories or carbs or both? Both. Again, every surgeon is different, but the majority of sleevers will be on a 600-1000 calorie/day diet with carbs kept at 60-80g or less. The general guideline is this: When eating, protein is always first, veggies are second, and if you have room carbs/starch last. The majority will rarely have room for the carbs.
How much protein should I be getting per day? The recommended protein intake may vary from 55 to 100g per day, depending on your individual needs and the bariatric diet provided by your surgeon or dietitian. The generally accepted minimum protein requirement for women is about 50 to 60g per day and men need at least 60 to 70g of protein per day.
How much liquid do i need for the day? About 60-80oz
When can I eat salad? Once you reach the point where you’re on normal solids you can try salad. Start with a small amount and see how your sleeve tolerates it as it can be difficult to digest.
Best Protein Shakes? This one depends on your particular tastes, however most seem to enjoy powders? utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury.

What else counts as a liquid? Anything that can be sipped through a straw or that will reduce back to a liquid. For example: Jello, sugar free popsicles, frozen yogurt/ice cream (these are generally no no foods)
How long will my surgery last? Typically about 45mins assuming there are no complications or other procedures (ie: hernia repairs) being done at the time of your surgery. Every surgeon is different so for a more accurate answer you should consult your respective surgeon.
Why can't I tolerate plain water, is this normal? It’s called water nausea and it is completely normal. This is very common during the first few weeks following surgery and should eventually subside.
What is sliming/slimes? Sliming or slimes occur when you eat or drink something and then regurgitate a slimy, foamy, saliva like substance, usually when belching.
What is grazing? Grazing is when instead of consuming your standard 3 small meals and 2 small Snacks per day, you simply munch all day grabbing a handful here or a bite there. The rule is that your meals should take you 20-30 minutes to eat and should be about 3 hours apart with only fluids in between.
What do all these acronyms mean?
In no particular order:
WLS – Weight Loss Surgery
NSV – Non scale Victory (ie: smaller clothes, compliments, climbing a flight of stairs etc…)
NUT – Nutritionist
PCP – Primary Care Physician
VSG – Vertical Sleeve Gastrectomy
TOM – Time of the Month
SF – Sugar Free
WFL/WFD – What’s for Lunch/Dinner
How much did you lose at 1 month etc.? How much can I expect to lose in what time frame? Everyone’s body is different and so is everyone’s journey. There is no set amount you should expect lose in a set amount of time, and you should never compare your journey or your progress to someone elses. As long as you’re sticking with the program and following your surgeons guidelines, the weight will come off.
What is a stall? How long does it last and how do I break it? A stall is a point at which the scale stops moving for a period of time. The length of the stall varies from a few days to a few weeks and sometimes a few months. Non VSG’ers typically call it a plateau. Stalls are perfectly normal and to be expected. As we lose weight so dramatically, our bodies need time to catch up physically - this typically happens during a stall. While the scale may not be moving, you may notice an increase in compliments. This is because while the number on the scale isn’t getting any smaller, you are physically getting smaller. There are many tips and tricks for breaking a stall (increase your fluids and protein, increase your activity, up your calories…) but the reality is it will break on its own.
When can I have sex? When you’re ready. Keep it simple for the first few weeks post-op and don’t attempt any tricky positions. Be careful until you’ve been cleared by your surgeon for strenuous activity.
When can I start exercising? Typically right away, though the types of exercises you can do will be limited. Most surgeons restrict weight training/resistance training for about 3-4 weeks after surgery, but you should be walking/speed walking at least 30-45min daily starting from the day you get home.
What do I do with flabby skin? What's the best exercise etc.? The severity of the flab will vary based on many different factors. While there’s no way to tell how bad it will be or whether it will even be bad, there are a couple of proactive measures you can take. Make sure you’re using a moisturizing lotion with Vitamin E and Keratin several times daily. The vitamin E will help add elasticity back to your skin and the keratin will add moisture, both of which may help your skin bounce back as the weight falls off. The best exercises to target your problem areas are resistance and strength training in order to tone and build muscle to replace the fat. Lastly, be patient. Just as your weight stalls while your waist catches up to it, your skin will sag until it gets the signal to shrink. While it probably won’t ever be as tight as you’d like, it will shrink.
Will I lose hair? How much? What causes it? When does it return? Do Vitamins help? The truth is, yes, you probably will lose hair. Because of the drastic changes going on that are caused by the extreme reduction in protein and vitamins coming in as well as the hormonal fluctuations caused by the rapid weight loss, it takes our bodies a while to adjust. Don’t worry, as our hormones level out and our bodies get used to the new us, it will come back. There is no set time frame for it to do so however.
I’m constipated - what is it okay to take, especially in the beginning when newly sleeved? Will it get better? Worse? In the beginning a simple stool softener like Colace should do the trick. You don’t want to take a laxative or anything that may irritate your new sleeve. While you’re in the liquid/puree stage, Constipation shouldn’t be an issue, but as you reintroduce solids you may have to go back to your stool softeners. If you do find that stool softners are only offering temporary relief, try increasing your fluids and Fiber and decreasing your cheeses.
I’m having very loose bowel movements, is this normal? Totally. You do need to monitor stools of this consistency to ensure they contain no blood, but very loose stools, even watery stools, are completely normal for a few weeks post-op. When in doubt – ask your surgeon.
Will I feel fatigue? Will fatigue go away? Yes and yes. Your body has just undergone major surgery and it needs to heal. While it’s healing you will feel more fatigued than normal. Subsequent to having such a large portion of your stomach removed is the fact that you can no longer take in as much food (read: fuel) and therefore your body has to adjust and find a new fuel source. Your body will eventually begin to burn fat for fuel and some of the fatigue will subside. Your surgeon should also prescribe a B12 supplement which will also help with energy.
When can I go back to work? How much time should I take off? That will be entirely up to your surgeon. Most return to work within 2-3 weeks.
How many days in the hospital? Your hospital stay will depend on your recovery. When you are able to keep down liquids, are up and about and walking as directed, and your surgeon and nursing staff are confident there are no complications, you’ll be released. Your surgeon should be able to give you an expectation of the length of your stay.
Do the staples dissolve? No. The staples used to close the stomach are titanium and do not dissolve. The stomach tissue will eventually grow over the staple line. Your staples do not make metal detectors go off or make you ineligible for an MRI. They are completely benign.
Why am I always hungry? The most likely culprit is either head hunger or reflux/heartburn. Head hunger is a false sense of hunger triggered by boredom/emotions/the clock or any number of things which make you think you’re hungry when you’re really not. Heartburn is the most common culprit of constant hunger. Even though you may not feel as though you have heartburn, you may find that a simple antacid will eliminate that constant hungry feeling.
What is a stricture? A stricture is what happens when scar tissue builds up in your esophagus (sometimes caused by reflux) that causes your esophagus to narrow and makes swallowing difficult.
What is a leak and what are the symptoms? A leak is an opening along the suture line of your sleeve that allows bile and other digestive fluids to leak into your abdominal cavity. The symptoms of a leak vary but the most common symptoms are pain radiating across the abdomen, fever, rapid heart rate, shortness of breath, dizziness, vomiting, nausea, fatigue, and abdominal cramping. It is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Can you get a leak any time after surgery? Or is it just immediate? Most leaks happen very soon after surgery, but there is still a risk for about 4-6 weeks after. Again, it is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Some of my incisions are oozing - is this normal? If they’re oozing a green or yellowish Fluid, absolutely not. Green and yellow are the colors of infection and should be reported to your surgeon immediately. If your incisions are oozing a pinkish or clear watery fluid it’s your body’s way of keeping your incisions clean and isn’t usually a concern. When in doubt, ask your surgeon.