Mhy12784

If your weight increases one week its not the end of the world. Theres all kinds of stuff happening with your body (water, glycogen, stool, undigested food). You look at the numbers over time. If its 3-4 weeks with a problem with the numbers then something could be wrong. Otherwise dont make yourself crazy, when theres a fairly good chance its nothing (assuming youre doing all the things youre supposed to be doing)

Has your surgeon cleared you to resume all normal activity exercise etc ? Theyre the ones who will know you best

Also everything is relative. And again they remove 75%-85% of your stomach. Even if for some reason they "accidentally" made it bigger, youre still looking at a stomach thats drastically smaller no matter what, meaning the surgery would still work and youd lose a ton of weight. But forget that line of thinking, it wont help you or do you any favors Presumably your wife isnt a 6'1 man with a large frame. So it would make sense for her stomach to be different from yours, and her daily caloric intake should be much smaller than yours as well. I think getting the diet in order should be your #1 goal though. Maybe talk to the therapist as well, but I think you need to be making better food choices and developing strong habits while the surgery is fresh. Also I dont remember seeing it, but hows your protein intake ? Because not all greek yogurts are protein rich, and I know tomato soup sure aint. Its a learning process and youre going through a ton of change I get that. But you also have a rare and golden opportunity to make lifelong changes to help make your life better. Give it all you got while its fresh, this is the best time to do it

Sorry about your pain. Why the hell a surgeon would use skin staples on a laparscopic patient is beyond me. Also doctors frequently use a clip applier inside, which are relatively similarish to staples.

At the very least I would load up on RTD protein drinks (the ones that come in a can bottle etc). They dont need to be refrigerated, easily portable, and will be a solid source of calories hydration and protein.

If you're talking blood work, there's no reason you couldn't do it the day of surgery and be fine. It literally takes 30 seconds to look at the results and maybe an hour ish for the lab to process it. The issue becomes if something is extremely off (ie your potassium is really low) in which case there's not enough time to correct it and your surgery gets canceled If you're talking different kinds of lab work (ultrasounds, MRI etc) then I'm not quite how sure how that process works

I'd say there's little to no chance the two are correlated

Those won't get in the way of your surgery. Those are reasons why they would do the surgery (specifically the hiatal hernia repair during the bariatric procedure). At the very most If the reflux/damage was bad enough they might have a conversation with you about having a bypass instead of a sleeve but that's it. And even that they would likely just leave it up to you to decide and probably just do whatever you decided on

Oral NSAIDS is the problem because of the redesigned digestive track. With IV advil you're bypassing all that and going directly to the blood stream

IV Tylenol and advil are staples for bariatrics where I work. Every patient gets them (OFIRMEV and CALDOLOR) Im surprised they're not more commonly used tbh

Yes its pretty much standard for any woman who is pre menopausal or has not had a total hysterectomy to have a pregnancy test within one week of surgery for obvious reasons. And surgeries have been certainly been canceled because of unexpected surprises

I would prefer that honestly. Comfort of my own bed clean peace quite and relaxing Hospitals arent fun places to hang around

I noticed you mention you have chronic reflux, any chance the coughs from that ? Because I have a chronic cough that comes and goes which is definitely attributable to bad reflux. Regardless I think its always a wise idea to give your surgeons office a call, and let them know youre concerned because you dont want this to affect your surgery. This way they could always do something (like send you to a referral, give you an antibiotic etc) so that this isnt a "surprise" issue on the date of surgery resulting in a last minute delay/cancellation. It honestly doesnt sound like something that would cancel your surgery, but this close why risk it. Cover your ass and just give them a call

Is there any data or scientific publishings that suggest that this is a real thing ? It sounds like a gimmicky nonsense to sell books or get people to view a website. What is the metabolic rationale for eating 5 different types of protein in 5 days ? Post operatively the progression is so you can get adequate protein intake while on an extremely calorie restricted diet to fend of muscle catabolism, progressing from soft/easy to eat protein sources to tougher to eat/digest ones. Somehow suggesting that this will magically work to fix or tighten your pouch doesnt make sense to me. Although I could understand it being beneficial in the sense that it encourages patients to eat lean healthy protein sources, which is always a good thing, and something you should be doing everyday regardless.

Says they are made from whey protein concentrate, which is made from milk not plants.

Just want to point out that the UNC med school website doesnt exactly address the same thing as a hiatal hernia with a sleeve. One these people are having hiatal hernias repaired specifically so they are usually worse (even in the article it mentions paraesophageal hiatal hernia repairs) and they are typically paired with a Nissen Fundoplication which really is a large part if not the bulk of the procedure. And again a lot of the pain comes from the trocars/incision sites as well. Many of the people with bariatric surgery (especially sleeves) are just having them repaired as to prevent them from getting GERD due to the surgery itself or having GERD worsen itself. So a lot of these people have very small ones or none at all

While I cant say first hand (yet) , I doubt the hiatal hernia repair is going to make a substantial difference post op, unless maybe your hiatal hernia was extremely bad (which isnt most people). The hiatal hernia is usually one or two sutures and thats it, nothing crazy. Very insignificant in the scheme of things. Most post op pain is related to the incision sites (which the hiatal hernia has no impact on as it doesnt involve more trocars or larger trocars) or gas/bloating and of course the significant stapling and dividing of the stomach. Purely speculating here but I would wager if they did a study on post operative pain on Sleeve patients vs Sleeve patients with a Hiatal Hernia that their would be absolutely no difference whatsoever between the two groups (except maybe if the Hiatal Hernia is a paraesophagael hiatial hernia which is rare and you would know about)

Just spellchecker on my phone going wacky. Supposed to day sleeve gastrectomy. I'm having a gastric bypass since I have really bad reflux and the bypass is one of the better ways to resolve it

Trust me that's normal I imagine almost everybody who has bariatric surgery deals with the same problems, and having a borderline bmi makes it easier to doubt yourself . I've been torturing myself going back and forth for weeks and I'm a bariatric surgical nurse. I've literally assisted with hundreds if not thousands of bariatric surgeries and I still get doubts all the time. If I could have a sleeve gastrectomy it would be a no brainer for me as I think that's the ideal WLS. Ultimately I'm definitely going to go through with it, but because of health related issues(in my case specifically it'll help with bad reflux) but we all have doubts. Just means you're thinking everything through!

It's normal to need cardiovascular and pulmonary clearance for bariatric surgery, has nothing to do with your insurance. Every bariatric patient where I work needs medical cardiac pulmonary psych nutrition clearances for surgery. I would say that's relatively standard And remember the risks for cardiac and pulmonary problems with being obese is a large part of why insurance companies cover bariatric surgery to begin with.

I'm not saying whether you should or shouldn't have surgery as you need to figure that out. But when somebody tells you how big of a mistake surgery is just think how much or what do they know about bariatric surgery? If they had it before maybe they know what they're talking about and you should listen closely. But the odds are they know absolutely nothing whatsoever about it, and are just speaking out of complete ignorance. In which case do you really want that to influence your decision?

Have you talked with your surgeon ? I mean its still less than a year after surgery so you should still be losing weight. But surgeon should know your history and the plan youve been following better than anybody, and hopefully should be able to keep you on track.

I havent used them in years But Da Vinci sugar free syrups are a godsend. 54 sugar free flavors to fix all your needs. And its much simpler to just add a sugar free syrup, than many of these crazy recipes youll see online https://www.kerryfoodservice.com/kerry/en/Shop-Our-Brands/DaVinci-Gourmet/Shop-DaVinci-Gourmet-Products/c/shopdavincigourmetproduct_davincigourmet?q=%3AfixedRelevance%3Acategory%3Asugarfreesyrups_flavoringsyrups%26sauces&text=

Considering the time until surgery it might be a good idea to figure out the allergies. Have you had a preoperative endoscopy (will you?) if so that's a perfect time for them to check for celiacs disease (though it doesn't sound like that). Sounds like you should figure out if you're lactose intolerant or have something else going on. I mean no hives/swelling and stuff with the milk right? If it's just upset stomach diarrhea bloating that kind of thing then lactose intolerance is easy to work around. I think figuring out what you can and can't eat preoperativly will go a long way to making the post operative transition much easier

What kind of reaction are you having to shellfish gluten dairy and soy?