Mhy12784

To take it a step further you could discuss a combined surgery to get insurance to pay for a chunk of it. For example if you're getting a bypass a gallbladder is sometimes taken out. Insurance could cover the gallbladder leaving you with a reduced cash price for the WLS. There's options, just talk to your surgeon

Anything implantable is opening the door to all kinds of issues complications and infections. Theres a reason that the lap band is going instinct, and this looks eerily similar to one

Generally I think Diabetes, GERD, or being extremely obese you should lean towards the bypass. If youre on the lower bmi without gerd, or a younger female a sleeve is probable the better option.

You probably had this done. Almost every single laparscopic surgeon uses some kind of local anesthesia during their procedure. They don't all give it a fancy name like a transverse abdominal nerve plane block, but it's a borderline universal thing.

Purely asking out of curiousity, but how many people had their Gastric Bypass done with the Da Vinci robot ? And did you care about having it done robtically, or did that make no difference to you as a patient ?

Ill preempt this by stating I have no interest in ever having surgery in Mexico. But I dont think any bariatric surgeon "guarentees" weight loss. Nothing is guaranteed about anything, its a tool not a magic bullet. As to them adding two feet of malabsorption, I have no idea what that is supposed to mean. Any chance you heard or understood something incorrectly ?

Speaking of loose skin, I don't believe in any of the alternative treatments for it (vitamin lotion etc) I think that's all gimmicky stuff without much evidence and impact. But what are the treatment options short of a full fledged tummy tuck (which doesn't look pleasurable)? Are there less involved surgical options for people who haven't lost incredible amounts of weight (ie 60-100 pounds) as these are less severe instances?

I mean post op meds are usually given interoperatively not post op (preventing pain rather than relieving it) so it's not unheard-of to not give pain meds in Pacu. Just IV Tylenol and IV advil plus a interoperative nerve block is what we do where I work and the patients rarely wake up or feel uncomfortable post operatively. Remember the gas pains or pain in your shoulder (from the gas) aren't going to really be treated from many pain meds.

uhh what ? They told you to take Ibuprofen after bariatric surgery ? Thats a big no no . With a sleeve its usually months until they will consider letting you take it again

Heating pad ?

Know this an old post. But this is very common. Id imagine every surgeon doing bariatrics using some kind of local block. From what ive seen the most common is a transverse abdominis plane block. Depending on how stingy the hospital is they could use some longer acting medication for this (lasting 48-72 hours) instead of the "basic" stuff that many use that lasts 6-12 hours. Regardless I always see pain medication given on top of this, as its easier to avoid/prevent pain than to fix it after the fact.

You should tell them you took it, but theyre not going care and its not going to make a difference. Especially if its just one dose

This is a patient insert on it (Dermabond) https://patienteducation.osumc.edu/Documents/Dermabond.pdf

It doesnt sound like youre draining a ton But not knowing where the drains connected to or what its draining limits any help youll get. Ive rarely seen them used on bariatric cases but theyre no big deal and you shouldnt be concerned

I mean if you want to regain weight you need to make a plan (preferably with your surgeon/nutritionist) You are certainly capable of putting on weight even postoperatively. But you want to do it in a way where youre gaining lean body mass and not fat, which means doing it slow while exercising and making smart decisions.

Just eat a huge meal immediately before your appointment. I had one appointment where I was sick and hadn't eaten or drank anything in over 24 hours and my BMI was like 0.3 too low. I then told the doctor I was sick and hadn't eaten or drank and they recommended I get some food and water in me as that wasn't my accurate weight. There's tons of things you can do before adding weights. Wear heavy boots, two pairs of pants, a hoody, eat lots of fluids and liquids etc

I don't know why people would try to cheat a nicotine test. Smoking after surgery just puts you at high or very high risks for complications, especially if you have a bypass. The only person you'd be screwing is yourself when you end up in the hospital with a perforated marginal ulcer and need emergency surgery

Why the hell would they do an ABG for somebody having bariatric surgery? The only time I've seen them is on thoracic patients or incredibly sick ones

It's not a scientific article though. There's no evidence he actually calculated how much muscle he gained (or was it muscle vs lbm which is very different) and his before and after RMR. It's a lot of broscience and myth which is why it's so hard to get educated on the topic

We're there certain things that are more or less itchy? Whether steri strips bandaids dermabond (the goop)?

In my experience it's relatively rare for a patient to not be able to get the bypass done and band removal all in one shot unless other factors are in play (ie major abdominal trauma, major surgery like emergency splenectomy colon resections etc). The only thing I could think of is if the band was severely eroded or something. But band removals and bypasses are pretty frequent where I work we probably do like 3 a week or so and it's very rare for them to not be able to do it. Whether insurance pays for both in one shot is different or makes you wait but that's a different story The surgery definitely takes a bit longer though. I'd say instead of 2-2.5 hours you're looking at 3-4 but this depends on how things look Inside

There's a direct relationship between mass and BMR. Weight whether fat or muscle burns a comparable amount of calories although I don't think there's solid reliable numbers (the old myth that a pound of muscle burns 30-50 calories a day has been debunked its less) But putting on slabs of muscle just isn't feasible for many people except for the genetically gifted. While they can certainly get stronger and in better shape . Putting on say 10 pounds of muscle is an extraordinary feat for the majority of people. Gaining pounds of muscle is much more difficult than people think

There's a lot here but basically the math around the building muscle calories is significantly exaggerated. Muscle burns calories yes, but it's hard to add substantial pounds of muscle and it burns a lot less calories than one would think

Well its not a pure correlation (as again many people with hiatal hernias dont have GERD) so I cant say its the cause. But I would say that it generally makes it heart burn worse, and fixing it could make it better but neither is guaranteed. Sounds like you definitely have GERD though and theres a very real risk that it gets worse with a sleeve. Which is the ONLY reason I decided on getting a bypass over a sleeve because my reflux is pretty bad and a bypass will likely cure it for the rest of my life. The surgeon will ultimately do whichever surgery you want (even if they disagree) but its not a bad idea to just ask their opinion on the Sleeve vs Bypass for you because of GERD and see what they think. I mean they did your endoscopy so they have seen what kind of acid damage there is or isnt. And they are a well educated expert so they could tell you what kind of outcomes their patients similar to you have. It cant hurt to have a conversation. Its not like if you bring this up the surgeon will just force you to have a bypass, itll only benefit you imo

Well the hernia isn't a big deal If it's not causing you problems. Many people have them and they don't cause issues. The bottom line is if reflux is a problem for you and how much if an issue surgery making it better/worse would be. My journey hasn't started yet, hopefully will be having a bypass in November. But I've been working in bariatric surgery for years as a nurse, so I know a little