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mrsdaniel2013

Gastric Sleeve Patients
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Posts posted by mrsdaniel2013


  1. I was sleeved on June 1st at florence Direct Care in Tijuana Mexico and it was not a good experience. My doctor was Dr. Carmelo and he had good reviews from the research that I looked up. His medical staff assisted with providing me the information as far as what the surgery would detail, pre and post-op information, and time frame that I would be down there for surgery and after. The surgery cost itself was only $3,800 and I had to pay a $250 deposit which is counted in the cost. Sounds great right? Well, not everything that sounds good is good.
    When I arrived at the airport I was quickly picked up by the driver and wisked to the border to be taken to the hospital. Upon crossing the border I went from feeling I was in the year 2017 to the year 1950. The areas and buildings leading to and surrounding the hospital were delpitated, run down, and trashy. The hospital itself was just as bad, the rooms were semi-clean, the hospital bed was old and creaky, and sounded like it was going to explode everytime I adjusted. The bed for my friend that traveled with me was in better condition. This was supposedly the "new bariatric wing" that was built last year. Nothing about the room or the objects in it were new.
    I was given a gown and taken away for "testing" that consisted of an EKG, an X-ray, and blood test, nothing more. I did not speak with a nutritionist, psychologist, or anyone else.
    An hour after my surgery was supposed to be, my surgeon came in, I was able to ask a few questions then I was taken to another floor to be prepped and proceed with the surgery.
    So, moving on to after surgery, I woke up feeling groggy as expected and with no one to explain to me how well the surgery went. There was a nurse that was there periodically glancing at me, who did not speak English, and I basically did not find out how the surgery went until I got back in the room and my friend advised me what they told her. The doctor popped in probably three to four hours later to let me know and to ask if I seen the picture of my stomach that he showed my friend. Now just to advise you, after recovery you not be hooked up to a blood pressure monitor, you will not be hooked up to a heart monitor, and the IV system that they use is not automatic. They use a vein finder to try to find veins in your arms and hands and still managed to blow out two of my veins in the time that I was there for aftercare to a point that my IV had to be removed my last nighy in the hospital and I took the risk of becoming dehydrated because I was not able to sip enough fluids.
    In regards to the recovery, the nursing staff was absolutely terrible and only two out of the probably 10 to 15 people that kept coming in my room actually spoke English. When you had requests very simple ones such as, "Can I have a wash cloth for the bathroom", you will be advised they don't have any available. If you requested pain medicine that wasn't in a syringe you weren't guaranteed to actually get it. Also when they come to give you the medicine and antibiotics, the syringes they come with a tray that was lined up with numerous syringes and after they use they put them back on the tray. You have no idea whether or not they were actually disposing of the needles or actually just reusing them again. The reason I question whether or not they were reusing them because they had a habit of reusing other things for example the bowl that you're supposed to have to be able to vomit I misplaced mine and when I asked for another one they brought me one that was dirty that had either some dried blood or something in the bottom of it. And as far as attending to your care, there is none, the nurses did not help me out the bed, to the bathroom, or anything else that's in a nurses job description. They will actually sit and watch while your companion helps you, if you ask for assistance 9 times out of 10, they'll claim they don't understand.
    (Side note: don't allow your companion to purchase bottles of soda that they don't​ see being open because they reuse these also in the cafes, your better off buying cans.)
    The very last day of my stay in the hospital, one of the nurses pissed me off to the point I started calling hotels to go to verses staying in that torture chamber any longer. Remember I said they had blown two IVs in both of my hands previously, so at this time I had been all night without any fluids being administered to me nor was anyone really coming in to check to see if I needed anything. This also meant I had been all night without pain medication as well. When I asked the nurse that morning for pain medicine, she had the audacity to say, "it's not candy you know" and chuckle as if was I was a drug seeker. This was reported to the doctor on duty, Dr. Reyas, the medical director, patient coordinator, and head nurse. They claimed the nurse would be reprimanded and my friend requested for the duration of my stay for that nurse to not care for me. They apologized and agreed and this turned into be not receiving any further care at all. So from 8 am that morning until I left for the hotel close to 3 pm....not one nurse checked on me...not one. Also my friend later requested pain meds before we left for the hotel and they sent that same nurse in who had insulted me earlier. And no, she wasn't the only nurse available because like I said they have 10 to 15 people who pretend to be nurses that are on the unit pretty much all day and night.
    Long story short, I believe Dr. Carmelo did a good job, at least the copy of my x-rays showing my sleeve look like it, of course I won't be able to verify that for awhile down the road. I recommend going elsewhere if your considering getting bariatric surgery in Tijuana. Hopefully somewhere where the facilities are clean and up to date and​ the nurses are actually nurses who care.
    Sent from my SM-N920P using BariatricPal mobile app

    Wow. I am glad you are sharing this because people need honest reviews. I went with Dr. Garcia in Tijuana and my experience at CER Hospital sounds almost opposite! I hope you recover well and reach your goals. Again, thank you for sharing. I think that it is important.

    HW 420
    SW 347
    CW 300
    Sleeved April 10, 2017


  2. My surgeons office has a generic calorie guide of about 600 calories for my stage (3 months post op). I struggle to go that low- I generally end up around 800-900. I am still losing... Should I be limiting myself more? I am eating healthy- non starchy, high Protein, low fat. Thoughts?

    I just want to make sure I am making the most of my honeymoon period.

    HW 420

    SW 347

    CW 310

    Sleeved April 10, 2017


  3. What was your start weight? This is a good reminder of expectations as well. Many programs suggest eliminating Protein Shakes once you are on your normal diet cause they are high calorie. Don't be discouraged - it's a marathon, not a race.

    IMG_0925.JPG.2f57f8245f0e430ae88beeb2fc4c9f0f.JPG





    Thank you!!! I am 58 days PO and feeling discouraged but I am right on schedule according to this!

    HW 420
    SW 347
    CW 318
    Sleeved April 10, 2017


  4. Pre surgery (about 2 years ago) I did low carb and went Water walking/jogging daily... Lost 100lbs. Didnt keep up the low carb or the jogging and thus the surgery... But I did find the water jogging to be awesome for my bad knees... So much so that over time my knees are fine now! It helps build muscle too! I park myself in water just up to my chest and jog back and forth. I love it!

    HW 420
    SW 347
    CW 319
    Sleeved April 10, 2017


  5. I have been on this low-carb high-protein diet for about a week. But I am still not sure, do I count all carbs or just carbs from sugar? Is fiber counted in the carbohydrate intake?
    Sent from my Moto G (4) using BariatricPal mobile app


    I would count what is called "net carbs" which is total carbs minus fiber. There can be carbs in fiber but since we can't digest it, it doesnt count.

    HW 420
    SW 347
    CW 321
    Sleeved April 10, 2017


  6. If there is anything this site has taught me, it's that literally every single surgeon and nutritionist has a different plan The no carbonation thing I can see making some sense. I don't think it would stretch your sleeve, but I can see how it could cause gas and be uncomfortable, so more of an "as tolerated" sort of thing. I also think a lot of nutritionists tell people to avoid carbonation just to keep them from drinking soda, which is a bad habit to have whether you're sleeved or not. The sleeve just gives them a way of putting the fear of God in us about drinking it. Luckily I gave up soda many years before I was sleeved, so that's been a really easy rule for me to stick to.
    I think you are right that not eating and drinking at the same time is one of the real keys to success. I noticed early on that as soon as I felt "full" my very first instinct was to reach for a drink. That's when it REALLY sank in that all those years that I had been eating an entire pizza in one sitting or whatever, what I was doing was washing food out of my stomach to empty it faster so I could eat even more. I used to go through 4 glasses of Water during a meal at a restaurant. Sure it was great for getting all my Water in, but it was also great for getting POUNDS of extra food in. Not drinking while eating lets me get the full benefit of my restriction and it is something I definitely plan to stick to forever.
    I have found that I can take NSAIDS occasionally with food, but I wouldn't want to take them daily for any period of time. I usually only ever take anything if I have a Migraine. A couple of times I've had some sore muscles or strains and it's been tough to resist taking naproxin, but I've managed so far.
    That potato thing is weird. I don't eat potatoes or an anything starchy post-op just because it takes up so much space and makes it harder to get my Protein in. But I can't imagine a valid medical reason for not have potatoes occasionally.

    Ive never heard it explained like that. I knew I was using diet coke to wash stuff down but I hadnt made the connection to not eating/drinking after my sleeve. Now that I know WHY I am going to totally up my game there!

    HW 420
    SW 347
    CW 321
    Sleeved April 10, 2017


  7. I can't imagine not having restriction. Honestly, I think that if you lose restriction, your doctor made a surgical error. I am going to be very honest here. No reason for me to lie. I have totally "tested" this sleeve. In those bad times, I have tried to eat more than I should so it's not like I've been perfect with it and it still stays tight as a drum. It is about learning to eat quality food, and pass on the junk. Because your sleeve will always control your quantity. Do NOT allow yourself to fall into the habit of grazing. That is the only thing that will defeat the sleeve. But the good news is that you can fix that and the sleeve will still be there to help you control your weight.


    Thank you. I needed to hear that.

    HW 420
    SW 347
    CW 321
    Sleeved April 10, 2017


  8. This surgery is one of the reasons I had this surgery. No period for over a year unless medically induced. I was hoping I woulf get one this month because I hate having to take pills for it to come. Alas nothing. I guess I should justvtake my progesterone and carry one.

    HW 420
    SW 347
    CW 327
    Sleeved April 10, 2017

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