Everything posted by Mistie
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History of DVT/hematology clearance
Nothing they can find. They cannot find anything genetic (my mother has had clots, but hers were due to taking birth control in the 60s for medical purposes) or otherwise. But, he feels it is safer to stay on the blood thinners considering how serious the clots were.
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History of DVT/hematology clearance
I did. He did blood work, but it was no big deal. Four years ago I started having clots that went undiagnosed for about two months - by the time I was diagnosed, my lungs were over 50% filled and I had 3 in my legs. So, the only precaution I had to take was to come off blood thinners and do Lovenox injections for 5 days. It's really no big deal - they just want to know you're ok. Will probably check your inr/pt, and may prescribe injections pre/post op as a precaution, even if you're not on blood thinners-some surgeons do.
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Valentine's Day Weight Loss Challenge
350.2 yesterday ugh
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Not Eating Well (6 weeks - post op)
Regarding hunger - I think there's a difference. I do not feel 'hunger,' as in a desire to eat. However, there are times my stomach is empty and wants to be fed. The prob is, I don't want the food - it's a strange predicament! I am just over 3 months (hit Tuesday). The first two months, I hated food. It was a chore to eat. Then it got better. The last week it has been bad again - I simply have no desire to even put food in my mouth, even when my stomach is empty. So I am really having to focus on a schedule of intake and on consuming Protein first before I cannot eat. It is a challenge, but we HAVE to get the calories/protein in, want it or not. It's for our health. Just pace yourself and keep at it!
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Dr. Just recommended
Pills were given here, too. My insurance required 3 months of supervised weight management. I met with surgeon, she gave me an amount to lose. My monthly visits were to be with a doctor in her clinic (a Center of Excellence). My first appointment after just a little medical history, the doctor started describing a variety of pills. I almost fell out of my chair! Apparently they allow patients the option when on supervised visits to start the weight loss. I politely declined and said I was doing well enough on my own, which she agreed with.
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Valentine's Day Weight Loss Challenge
349.6
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Has anyone lost 100+ pounds?
I'm at 104ish from highest. I lost 15 or so before meeting with doctor. During preop I lost another 36 or so. I had surgery 10/26 (almost 3 months ago), and have lost another 52.2 - for a total of 103.8 (89.2 since meeting surgeon 8/12, 52.2 since surgery 10/26).
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Hair loss...does it ever come back?
It's very possible. Now I didn't start having this problem until four years ago, and many people have the loss with wls when not noticing it otherwise, but there are still many others who do not experience it or it is very minimal!
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Hair loss...does it ever come back?
Every time I have a surgical procedure involving anesthesia- hair falls out. So it's not just this surgery or the weight loss. And my body usually waits 2.5-3 months to do it. So yup, I'm right on track *picks up another stray hair*
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I was forced into the gastric sleeve.
In reference to this section, just to clarify, clinicians, regardless of field, can only report on what they know (ie. What clients tell). And what can be reported is VERY specific. A practical joke, so to speak, even such a large one, is not reportable. Nor are most actual crimes as per most ethical guidelines. Clinicians can only break the confidentiality of the counseling session if there is concern the client will be harmed, the client intends to harm another (physically), if there is child or vulnerable adult abuse or neglect, if permission is given, or by court order. There are a few other extenuating circumstances (ie. Medical emergency, client sues, etc.), otherwise, that's it. Breaking confidentiality could result in the loss of licensure and being sued. That said, having been unable to read the original post, the words personable responsibility really stand out. Play chicken, face the consequences. In this case, a potentially life saving consequence. Congrats.
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Reflux
I've been on Nexium 40mg for probably 15 years. My reflux can get so bad water can make me sick. I was sleeved 10/26/15. My reflux is better! While the vsg can increase reflux, weight loss can decrease it. So time will tell.
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Valentine's Day Weight Loss Challenge
353.8
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what to expect
Most doctors send you home with a weight lifting restriction of 10 pounds, and I have heard of 5. So I think it will depend upon how complicated the process and how cooperative your furbaby, as well as how your recovery progresses. Some people feel just fine when they get home, others need a little more time. I had a difficult recovery, but I think I could have managed periodic puppy pottying!
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Let's talk about Vomit
I agree with OKCPirate. It's hard to capture how truly agonizing it can be - so much worse than pre-op. For me, it happens if I drink too soon after I eat, and the water is too cold. Every time it will make everything come right back up, in the most painful way possible. I try not to do so, but sometimes I feel like I'm dying of thirst OR I forget OR my body is not ready when the clock is! Either way, it's rough!
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Major complications--sleeved 12/21
I haven't with the sleeve, though 4 years ago I had so many issues it was almost comical. I was sick for almost two months, and I went to the doctor 5 times. Kept being told different things, yet I was having more and more trouble breathing. I finally went to the ER one night, because I was to the point I knew I was going to die without help - I could not breath. Turns out my lungs were over 50% filled with blood clots and I had 3 active in my legs. I had been waking around like this for 2 months. They put me in the icu on bed rest to keep the clots from moving. They wanted to do surgery, but a card stopped them. Turns out I had picked up a virus while at a conference (I flew back and forth across the country with all these clots), and the receptors on my heart were similar enough to those on the virus that when my body started fighting the virus, it attacked my heart, as well-and I had been having mini heart attacks. They finally got that stabilized enough to do the surgery for the clots, but had to do it with me awake (I stopped breathing with the anesthesia. Guess my lungs were a mess!) - they went through my jugular into my lungs. That night, although on a morphine pump, I woke up because I felt something running down my neck. I thought it was iv Fluid since they put in a central line. Called the nurse and chaos ensued. Every time my heart would beat, blood would shoot out. They got it too thin. Nurses were running everywhere. One was on the bed compressing the jugular. Keep in mind, that's where they just did surgery, and this chick was choking me to death! I was not quiet! Her response? "We're not going to let you die!" Uhhhh... I didn't know that was an option! (I had not seen the blood etc, was too sore to move). Moral of the story? Take it one day at a time. One issue at a time. Things will get better. Don't focus on the big picture of what's going on, let yourself deal with your immediate needs to make it through the next day, the next hour, the next 10 minutes, so as not to be too overwhelmed. Good luck!
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Fruitcake (Yes You Read Right!)
Taste buds have definitely changed. In weird ways. Lol. Good luck with that one though!
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1 pound 2 ounces cost me $9,000 Seriously
To clarify, and correct me if I am wrong, this has nothing to do with insurance. The hospital has not said your insurance will/will not pay (and you have proof you are approved). They are saying it is HOSPITAL policy that all clients under x BMI must self-pay. That's a very strange policy, first off. Second, their own alterations to the schedule is what caused your problem. You were an adequate BMI upon entering the premises - it was their lack of prompt, adequate medical care (ie. Delayed) which resulted in a lowered BMI. In my estimation, that means the responsibility is theirs, not yours. And third, I think it could be argued that since you obviously have approval, they submitted to insurance in good faith with the intention of proceeding with the BMI listed in file - using an alternate BMI would seem to be fraud, as that is not what they represented to the insurance company. Again - contract with insurance company means they must accept it if a patient has it. They do not get to pick and choose. And no, I'm not a lawyer. I didn't even sleep at a Holiday Inn Express last night
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Valentine's Day Weight Loss Challenge
1/11:16: 356
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Water Help!
Preop I drank water with crystal lite or dasani drops. Post op, it felt like it was choking me. I finally upped my fluid intake work 20 oz of decaf u sweet tea, 10 oz fat free Fairlife milk(protein!), and 20 oz of water with orange slices. I now drink mostly regular water with orange slices, as the flavored water still is hard for me, but that combo is what I had to do to initially up my intake!
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Getting enough calories
I wish I could give you better information - I am only 2.5 months out, and struggle with getting calories in most days. Yesterday I was around 350 (of 800). I tend to either get busy and forget to eat, or even if my stomach feels empty, nothing is terribly appealing so I have no interest in having to go to the trouble of eating. My goal is to plan my meals ahead of time and be prepared. This means I'm going to be dragging food around with me at all times, but, otherwise, when my calories are so low, I STOP losing weight - it seems you are having the opposite problem. If you are trying to eat and not neglecting your food, aside from some minor slippage, I would check into potential medical causes, as has been suggested. There may be some testing which needs to be completed. As has also been suggested, re-entering counseling would also be beneficial. Not only for disordered eating, but managing the distress of weight loss, which can in, and of itself, increase weight loss.
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WLS and IBD (UC or Crohns)
Hello there! I was diagnosed with Crohn's at the age of 8. It has been in remission for a VERY long time, for which I am very blessed. I have continued to have ongoing related issues, however (ie. nausea and upset stomach). I have also had to take prescription medication for reflux for probably 15 years. My PCP encouraged me to have the surgery. I was very leery, concerned it would make my Crohn's symptoms worse. He said that it could really only make things better - my diet would change, there would be less weight to complicate things, etc. I have found he was right! Aside from the nausea related to the surgery, there has been a big improvement. I continue to take medication for reflux, but the reflux is now non-existent (it was overpowering my medication most days preop). I continue to have the upset stomach, which is no big deal at this point, but not as often - probably because I eat less! LOL. Overall, I would say it has not had a negative, rather, a positive impact on my Crohn's symptoms.
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Success is the best revenge
Give her a big hug. Tell her you almost didn't recognize her she's changed so much! She was always so PRETTY in high school! ????
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Eight days away from surgery and insurance may not approve!
Congrats!!!
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Discomfort When Eating
A few things. My surgeon said take ONE bite and wait 10 minutes. Otherwise, we get a logjam, so to speak, up our esophagus, and it hurts! That one bite allows our tummy to slowly open up to food, it 'primes' it. More moist food. Otherwise, it's like going down a Water slide with no water! Finally, for me I've learned my tummy/esophagus has a timer. They do not like me trying to eat heavier food earlier in the day - they just do not go down. It's like it has to wake up. I think of it as it has been unused all night, so I have to gently get it use to food all over again every day.
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1 pound 2 ounces cost me $9,000 Seriously
Speaking as an insurance provider, the hospital and doctor are both in breach of a formal contract they have entered into with the insurance company. They have agreed to provide services and accept a fee from the insurance company. They breached the contract by demanding and accepting an out of pocket fee from you. It is not legal - they must file and accept the insurance fee (which will be lower than what you paid, due to insurance contracts - hence this tactic). As well, this bait and switch, while you are in the gown and prepped for for surgery, therefore vulnerable, is unethical and I would say bordering on illegal. It's a lawsuit waiting to happen. And I dare say something they have done before. They may have a required bmi, but making a patient sit without food and Water, then weighing is a deliberate attempt to force them below the bmi so they can get an out of pocket fee. Go to your insurance company. Explain what they did to you and the circumstances. The doctor and hospital need to lose provider status.