Crystal Ann Keister

For a Duodenal Switch my doctor told me 80 to 100 grams a day Sent from my XT1080 using the BariatricPal App

I did taste test pre surgery, but taking a few sips is good but two weeks straight of that same thing and it gets rough. I had chicken broth tonight and that helped but I cheated a little and had an ounce of finely shredded chicken in it and I chews alot to ground it up Sent from my XT1080 using the BariatricPal App

Where can you buy it, other then online? Is there a store I can physically go to? Sent from my XT1080 using the BariatricPal App

I am 1 week post op, and I am so over the liquid diet. Luckily I only had to do the one week rapid liver reduction diet prior to surgery. But that makes 2 weeks of nothing but Protein shakes for meals. i try to add broth in, but its not enough protein to get in my daily requirements so Im still having to fill in with shakes. How am I gonna make it another week, and then a semi-liquid the third week. My stomach is continuously rubbling for food. And I feel like an over filled Water balloon all day with no solids. I am meeting my water and protein goals so thats great but its not filling at all. Sent from my XT1080 using the BariatricPal App

Thank you, Im not constipated and my Water and Protein intake is on track. I just have this continues fear of messing my insides up if I do anything other then sit still. Mental I know just mind is crazy right now and when I do try to push out a gas bubble or bm I think I might break something. Sent from my XT1080 using the BariatricPal App

Duodenal Switch patients, did anyone else have this continues fear that they were going to pull apart their new plumbing when using the bathroom, pushing out a toot, or even stretching? I can not stop thinking Ive pulled something loose. Sent from my XT1080 using the BariatricPal App

Im feeling better but still worried. I have to start a new job on Monday 8/22 a weeks recovery was all I could pull off financial. I hope my brain will sharping if I get off the pain meds. I feel alot of brain fog, memory and hard to focus. And Im still sleepy so Im gonna try to not take pain meds much today. I was able to get all my liquids and Protein in yesterday, but it really was sipping all day full or not. Thanks for all the support Sent from my XT1080 using the BariatricPal App

Thank you all, Im just scared I m ade a mistake Sent from my XT1080 using the BariatricPal App

My Duodenal Switch with a hyhatal hernia repair was on Monday 8/15/16. So far things are not going well, I hurt, I can't get enough clear fluids in because I feel so full after one oz. I'm up and walking but not much gas is coming out. And peeing has been hard to do. So far I am regretting this choice more and more. What have I done, I feel a continuous knife in my chest right at the sternum all the time. Im afraid as of now. Sent from my XT1080 using the BariatricPal App

Dr. Jin Yoo at DukeOh wow! I thought about him, but I decided on Dr. Tyner at Bariatric Specialist. Sent from my SAMSUNG-SM-J120AZ using the BariatricPal App My surgery is Monday at REX in Raleigh, NC with Dr Enochs at Baratric Specialist of NC Sent from my XT1080 using the BariatricPal App

Honestly its all mental, Im on day 3 of the stray liquid liver reduction diet because my surgery is Monday and when Im "hungry" I stop an think am I hungry or bored or think its time to eat. The Protein shakes fill the real hunger for me so far. Sent from my XT1080 using the BariatricPal App

OMG, My surgery has just been scheduled for Monday 8/15/16 at 3:30pm. I can't wait!!! Duodenal Switch with a 400 Common Channel

I am using Dr. Paul Enochs with Bariatric Specialists of NC. They are good, but if my insurance would have allowed it REX Bariatric was my #1 choice for office. I'm having the DS in the next few weeks. I get my surgery date today after my Final results visit at noon.

I watched in a youtube blog to bring a child sippy cup with you, because it helps teach you how to take the sip sip sip swallows. It prevents you from taking to big of sips while you are learning how to use your new stomach. I love this tip, I'm bring one to the Hospital with me.

Youtube Laura Vento Is your loved one considering weight loss surgery? Great video to help explain your desirer to have Weight Loss Surgery.

I have United Healthcare Gold Compass HSA 1600, paperwork was submitted Friday 7/29/16 goy my approval on Tuesday 8/2/16. It was way faster then I expected Sent from my XT1080 using the BariatricPal App

Bariatric Timer, and Bariatric App are the two I use Sent from my XT1080 using the BariatricPal App

Dub My surgeon has suggested I am a good candidate for either The Sleeve or the Duodenal Switch. Because my BMI is a 43.4 he and my PCP suggested I not try to lose any weight on my own during the 6 months insurance weight management wait period because if I lost to much weight I would not longer be a candidate. So they had me stick to a management program rather then a weight loss.

shelbys mom Duodenal Switch The duodenal switch is a weight loss operation that has been done for over 20 years but has increased in frequency significantly in the last several years. It has the greatest weight loss potential of all the operations available. It works by creating a sleeve gastrectomy for restriction and hunger control. Then after the sleeve the intestines are rerouted similar to a gastric bypass. The principle measured length with a duodenal switch is the common channel. This is the distance from where bile and food meet to the end of the intestines and determines the amount of malabsorption. This common channel distance is an important number and has changed significantly over time. Originally this number was 50-100 cm and while it provided excellent weight loss, it left patients with nutritional deficiencies and diarrhea. We currently do a common channel length of 300 cm for most procedures. Deviations from this number are dependent on thepatient’s needs and this appears to be the sweet spot where weight loss is still excellent with fewer downsides. Vitamin supplementation is important and patients may have some increase in the number of bowel movements. Surgery takes about an hour and a half and patients have a similar recovery to the other procedures. The dietary progression is the same. Food enters the sleeve and is held there with the pylorus just like a sleeve. Because of this the dumping syndrome does not occur unlike the gastric bypass. The ideal patient for a duodenal switch is a patient who has more weight to lose. We know that patients will lose more weight than the other surgical options. Particularly patients with a BMI over 50 will have better and more sustained weight loss than with other procedures. Additional benefits are a lower incidence of ulcers than a gastric bypass operation. This is particularly helpful for patients that need to take NSAIDs such as aspirin, ibuprofen etc. Patients can expect to lose 80-90% of excess weight in the first year after a duodenal switch operation.

https://www.youtube.com/user/LifeCoachLaurenVento/videos?sort=da&view=0&flow=grid Lauren Vento The Happiest Women Alive I have been watch Lauren's Videos all day and am really enjoying her. Just wanted to share

I was just approved for surgery by my insurance, now I am waiting to schedule my Results Visit to pick my surgery and schedule. I have been approved for the Sleeve Gastrectomy with Single-Anastomosis Duodenal Switch by my insurance, but original was planning on the Sleeve Gastrectomy when I started this process 7 months ago. What are your thoughts between the two? My thinking is since this is a once in a lifetime chance for me, why not go for the Cadillac of WLS and get the most out of my surgery. I think the Sleeve would be perfectly efficient also, but don't want to leave anything to chance. How did you choose which surgery to have?

OMG, My Surgery was just approved by insurance! I'm soooo excited and happy.

I have United Healthcare Gold Compass HSA 1600. I took my Online Seminar at Bariatric Specialist of NC on 1/19/16 Initial Consultation 2/18/16 Started my 6 month supervised weight program 2/4/16 - 7/18/16 Worked with my case manager to get all required documentation 7/18/16 - 8/26/16 Documentation will be submitted to Insurance for approval on 7/28/16 The Dr. office is tell me its a 7 to 30 day approval process. But on average they get a response back in 15 Business days. We will see. I'm soooo nervous. Then I have to wait for the final results consultation appointment. Then they say it will probably take 3 weeks to get on the table. If your just starting now, and trying to get it for 2016 out of pocket with insurance. I don't think you will meet it. I'm sorry I know how stressfull this is. I am so ready for my surgery. I really pray I get approved and fast. These are the requirements my case manager says my insurance requires. A referral from your PCP BMI above 35 with obesity-related health problems (or BMI above 40 without health problems) Participation in consecutive 6 month "clinically supervised" weight management program Letter of Medical Necessity from your PCP Medical clearance (Psychological Clearance for surgery from a mental health physician, Nutritional evaluation from a Registered Dietitian, Gastroenterology, Blood Labs, Pulmonary, sleep Study) 5 Year weight history I hope this helps, CK