March 4, 2002 I had my original Roux-en-Y Gastric Bypass (OPEN they didn't have laparoscopic then). I just turned 27 years old. My starting weight was 268 pounds and I lost 136 pounds â€“ a little more than half my starting weight. I hit 132 pounds February 1, 2003 â€“ it took a mere 11 months. I didnâ€™t have any real follow up care after my staples were removed so I just exercised a lot and tried to eat right (and totally got full of myself by the way..).
Slowly between moving twice out of state, getting a divorce and coming out as a lesbian to my family and trying to figure it out for myself â€“ some of my bad habits like grazing returned. Since I couldnâ€™t handle much food I also turned to alcohol as my â€œcomfortâ€ so to speak. I really donâ€™t know why it didnâ€™t â€œclickâ€ that a chocolate martini has about 500 calories EACH with no nutritional value and 3-4 of those a night 4+ days a week did me no favors. I had also pretty much quit exercising.
January 2013 I decided to get my **** together and I was 208 pounds (gasp!) so I had regained 76 pounds. I started eating better, joined the gym and even spent $5,500 on hiring a personal trainer. I was seriously invested. I lost and gained the last 15 pounds several times over 7 months. It seemed no matter how hard I worked the weight just stayedâ€¦ so again I gave up and decided to just eat & do whatever I wanted too (great idea right?)â€¦
November 2015 I quit drinking â€“ yes totally itâ€™s just not worth itâ€¦ by now Iâ€™m sitting right at 204 pounds. I had been really having issues eating. I could eat â€œinsert any food hereâ€ one day and be fine; two days later Iâ€™d warm up the leftovers and dump like crazy so my digestion was/is totally unpredictable and Iâ€™m hungry practically all the timeâ€¦ so I went to google and typed in WLS revision. Thatâ€™s when I found Dr. Snow. I called his office and made an appointment to find out if I had totally screwed up my original surgery.
December 1, 2015 My first appointment with Dr. Snow. I provided the story as Iâ€™ve written it above. So during this exam we did a barium swallow test right there in the office. It was fairly fascinating to watch it on the monitor. What Dr. Snow determined was my pouch still looked great and wasnâ€™t stretched but my stoma reduction didn't hold from the original surgery. He scheduled me for an Endoscopy to go in and confirm the stoma was enlarged. I weighed in at 204.0 in the office.
December 18, 2015 Endoscopy day â€“ fun times! I was put under light anesthesia & Dr. Snow went in with a camera and checked out my guts. Once I started to wake up he conformed the enlarged stoma and said he would do a Endoscopic Soft Tissue Re-approximation to reduce the size of my stoma which would keep food in my pouch longer helping me feel full longer and to prevent so much dumping since the food I was consuming was falling right out of my pouch into my intestinesâ€¦ his office staff was to contact me with the details.
January 15, 2016 After all the holiday madness I realized the staff hadnâ€™t reached out to me so I called the office. Dr. Snow had moved to his own practice so I was given his new contact information. I called and left a message which was returned the next day. The staff was fantastic. We talked about where I was in the process (insurance coverage) and I was told Iâ€™d get a call back once my coverage was determined.
February 2, 2016 I received a call that although my insurance does covers bariatric services they would not cover a â€œrepeat procedureâ€. I was then told that if self-pay was an option it would be $4,900 for everything and my insurance would cover my follow up careâ€¦ I scheduled surgery February 9, 2016. Dr. Snow called me later that afternoon and went over expectations and risks. He said I should expect to lose about 60% of what I had regained so he estimated 40-45 pounds. That would put me right about 155 and I would be very happy with that.
February 3, 2016 I started a clear liquid diet & went in for my pre-op testing (Blood draw & EKG).
February 9, 2016 I went into the hospital @ 6:30am for outpatient surgery. Dr. Snow cinched my stoma down to 1mm (yes really 1mm according to the surgery notes in my chart) and added several pleats to the inside of my pouch to make it a bit smaller since he was already in there. I didnâ€™t find out about making the pouch smaller until the next day when I got a follow up call from a nurse who went over the surgery notes with me. I was home by 1:30pm â€“the hospital was a 30 minute drive one way from my house. Oh and the hospital scale said I was 196.0.
Food: Basically 3 weeks later Iâ€™m on soft/moist foods. I can usually eat between 1/3c-1/2c of food and Iâ€™m happily full but not bursting at the seams. I do try and eat on the schedule otherwise I forget to eat, like today (2/29) I forgot to eat until it was 11:30 so Iâ€™ll be playing catch up all day to get in my Protein. But knowing thereâ€™s a 1/2c serving of protein ice cream I can have tonight with 20g protein Iâ€™m not freaking out. I use MyFitnessPal to track everything I eat/drink always getting protein in first. I average about 80-85 grams of protein & roughly 700-800 calories per day.
Weight: I have dropped a little over 18 pounds.
Follow up care: I was Dr. Snow Feb 18th and he was happy with my progress at the time. He would like me to lose 9 pounds before our next appointment March 24th. He also approved of me finding a local bariatric nutritionist I can work with to keep me on track.
Insurance coverage: The office staff is going to file a claim with my insurance for the surgery on 2/9. Iâ€™m fully expecting a denial letter but that will give me a starting point to appeal and fight them on it. This wasnâ€™t a repeat procedure it was a repair and as such should be covered so time will tell. My total out of pocket thus far including co-pays for office visits and the endoscopy is $5,161.72â€¦
Height: 5 feet 2 inches
Starting Weight: 268 lbs
Weight on Day of Surgery: 196 lbs
Current Weight: 147 lbs
Goal Weight: 155 lbs
Weight Lost: 121 lbs
Surgery: Gastric Bypass
Surgery Status: Post Surgery
First Dr. Visit: 12/11/2015
Surgery Date: 02/09/2016
Hospital Stay: Outpatient
Surgery Funding: Self Paid
Insurance Outcome: 1st Letter Approval
MxKitty's Bariatric Surgeon
10007 Kennerly Road
St. Louis, Missouri 63128