Mhy12784

Understandably, but I would think it's a legal thing too. And wouldn't they need to have biomedical (or whatever the hospital calls them) check out the equipment to ensure they it's safe and properly functioning? I mean RT could make sure that the therapy is working but they're surely not qualified to make sure the machine itself is safe and properly functioning

Weird how some hospitals let you bring your machine. Where I work they don't let you even bring in your own mask, since the hospital would need to liable for any of your equipment and anything that happens from you using it. Not to mention the staff would need to be trained on it as well

Assuming youre a male (from your username and the fact that youre 6'1) but I would recommend talking to your PCP (or dermatologist, or WLS) about finesteride. It makes you loss less hair/lose hair more slowly, ive been taking it for about 3 years (prior to WLS) and have noticed a substantial difference (of course ive been taking it for years). Yes its a real medicine you get from the pharmacist and actually has literature to support it being useful for hair loss (unlike peppermint oil) And the generic crap (finesteride) is the same as the name brand (propceia) so save your money and ask for the generic its MUCH cheaper. Peppermint oil isnt going to do anything except smell nice. Naturopathic medicine "could" work when it comes placebo effect stuff (pain management, relaxation, stress) but it wont do anything about your hair. Except maybe make you trick yourself into thinking you have more hair if thats your cup of tea, or make your hair smell nice and pepperminty

Doesnt help women at all. But for men I strongly recommend talking to your PCP (or dermatologist, or you could even try your luck with your WLS) about finesteride for hair loss. Basically makes you lose less hair/lose hair slower. Outside of Rogaine its the most popular hair loss medication. Personally I think its far more effective than Rogaine, and it has the added benefit of being a tiny tiny pill that you have to take once a day, instead of the mess of crap that is Rogaine. Honestly im surprised WLS dont mention it to their male patients considering how prevalent hairloss is. (and I mention Male patients because its a hormone thing, and im pretty sure female patients cant take it)

I mean sleep Apnea could surely make you gain weight, but not be responsible for you being over 130+ pounds overweight. Not really sure why a PCP would think that unless theyre vehemently against WLS for some reason. Regardless if you do have sleep apnea you would feel much better using CPAP for a few days. If insurance will cover a sleep study it wouldnt be a bad idea to get checked out. I wouldnt want it to hold up my surgery but I would be curious

The difference counting net carbs or just regular carbs is going to be pretty negligible (unless you're a diabetic then you have your own set of rules). Assuming you're eating around the average of 20-30g of fiber a day you're really talking about a 40-60 calorie a day difference. Which is only a 4-5 pounds a year difference (which isn't much when you're talking about bariatric sized people)

I've seen a decent number of patients in their 60s get sleeved, even the rare patient in their 70s (never old than that) I'm curious why the surgeon recommended the sleeve though. Did you not have success with the band?

If you have bad GERD and are on medication for it I'm sure surgeons will encourage you to do the bypass instead. The sleeve is statistically likely to make GERD worse while the bypass improves it significantly. The balloon is a gimmick. Get tested for hypertension sleep apnea and diabetes, otherwise it'll be a struggle to qualify

Doing a quick Google search the requirements for bariatric surgery with medicaid seems to be a bmi of 35 with a comorbidity (no mention of bmi over 40) May just be a medicaid thing to control costs or whatever. I know people keep mentioning the bmi of 40 thing but medicaid typically has more strict criteria than commercial insurance Of course I didn't see this on the official medicaid website as it's a pain to navigate , but it would explain why the OP may not be qualified without a cormorbidity And if the OP doesn't have hypertension I have to imagine it being relatively unlikely that they suffer from severe OSA although if insurance covers the sleep study it's worth a shot.

No but they usually do liver enzyme tests which would be out of wack if youre an alcoholic. I would be completely upfront about any issues with alcohol with my surgeon. If you have surgery (especially a bypass) and are frequently drinking alcohol you have pretty a high chance of ruining your life . Perforated mariginal ulcers are no joke and could result in a plethora of complications and future painful surgeries.

It is virtually unimaginable for surgery to be canceled because of low vitamin D levels. That said 6 weeks is plenty of time to get it back up, unless you have a health problem causing it to be critically low (which is a whole different story because the Vitamin D isnt the problem this ailment is) Not to mention Vitamin D is a fat soluable vitamin, so you can just take a crap ton of it and your body will absorb it over time.

Jf you mixed it with a lot of lean meat its fine as long as it doesnt upset your tummy. But its still mostly empty calories/carbs. I think something like this would be much better http://www3.netrition.com/josephs_bakery_pita_bread.html?gclid=CjwKCAjwranNBRBhEiwASu908J38iE64ZDSubMMp81hdaeqaJPbAMe3ILftsIlkH4PDOBBx7UEK5LRoCNC0QAvD_BwE (they sell this at BJ's wholesale) Less than half the calories, and serves the same purpose

The sleeve is great, there's a reason why it's the fastest growing and most frequently performed bariatric surgery. If I didn't have severe GERD it would 100% be my choice

Did your surgeon recommend the sleeve or was that entirely your decision? Just curious

I would make sure to have a thorough discussion with your surgeon, cardiologist and anesthesia in advance. While it's not normal to speak to your anesthesia provider in advanced of an ambulatory elective procedure, I think its a legitimate concern. And I don't think it's unreasonable to discuss that concern with them in advanced. I guess my biggest concern is what kind of place are you having your surgery at? Is it a small community hospital with limited resources that might not even have a cardiac (or at least cardiac surgeon on standby) Or is it a state of the art medical center with a fully staffed trauma ward and open heart program?

If youre taking your own blood pressure make sure youre doing it correctly (google it) its very easy to do it wrong and have wrong readings (moving before, not positioning correctly etc) Its a marathon not a race. I would just make sure its trending down over time. If its still high/increasing after a few months id be very concerned, relatively close to surgery I wouldnt be unless its dangerously high or something is going on with your medication

Where did they do a robotic sleeve? Robotic bypasses I know are fairly common because surgeons enjoy the precision when suturing the anastamosis. But for a sleeve it makes very little sense, since there's no critical suturing involved and the da Vinci doesn't make 60mm staples for the robot

i think the trick is finding a balance and healthy substitutions. I mean if you REALLY REALLY want Chinese food then torturing yourself isnt going to make quality of life the greatest. But instead find something relatively healthy (or less unhealthy) on the menu and keep the portions from being completely insane. Then just balance it out by making sure you stick to your plan at least the next couple of days. Eating crap a few times a week isnt ideal, but once in a while is ok. And regardless of which you do, the key to success is balancing it out over the long haul. If you eat crap from a restaurant monday, but eat well tuesday-friday well thats not so bad.

Surgeons get paid more for the bypass than a sleeve. So you're suggesting that they're doing something immoral that's not in the best interest of the patient, so that they can make less money? I'm sorry but now you're in ridiculous conspiracy theory territory. And the lap band was innovative and important in its time, but now there's better options.

https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers Sleeves just the fastest growing bariatric procedure by far, and outnumbers bypasses by at least 2:1 But I guess you know better than all the bariatric surgeons in the United States.

Well during laparscopic surgery they use CO2 to insufflate your body so they can perform the surgery (basically they fill you up with gas to make space). And the gas needs to leave your body somehow so its not just normal, but expected to burp (or fart) excessively in the postoperative period. I dont know how long it lasts after surgery, but your surgery was recent enough that I would not be surprised that you still have lots of burping going on.

I will add that with the bypass you can always get a band over a bypass down the road as an option, though I dont know if I would classify that as a revision or not. But i probably see more band over bypasses done than I do lap bands for people who have never had surgery before.

I 100% agree with you there. I think if youre diabetic, have GERD, or are more than 100 pounds overweight the bypass is very highly probably the best option, and I would personally want a bypass if I had diabetes

Of course, I agree completely. I think both procedures have their advantages and are both terrific procedures and everybody's circumstances are different . And thats why its important to remain open minded going into the process. I had originally gone to my surgeon wanting a sleeve because of my lower BMI and risk aversion, but my surgeon convinced me that the bypass was a better option. That was kind of the only point I was really wanted to make.

Pretty sure you confused me and JohnnyCakes as I was only speaking politely and having a intelligent discussion on a message board as it is intended. All the ranting/raving/cursing/insults above was entirely him responding to a quote from me, thus he typed those words in red. Sorry I dont act like a deranged lunatic on the internet and start flipping out cursing and throwing insults. His ignorance in suggesting that the Bypass is a 100% superior operation than the Sleeve and is better in everyway is incorrect and dangerous, and has no place on a message board where people are trying to inform themselves about a life altering surgery. Both surgerys have advantages and disadvantages that is a fact. Labeling one as "clearly superior" is not proper or correct Unless I did/said something otherwise that I missed...