Everything posted by RestlessMonkey
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Questions you wish you had known to ask prior to surgery?
How long on average is it for your patients to feel good restriction? AND Do you put some "fill" in the band during surgery? I would've gone with my very conservative doc anyway but asking that would've saved me a few months of confusion! And the fill question...often people who get fills during the initial surgery have problems with getting liquids down etc. Mine didn't fill during surgery and I'm glad. AND Will you remove most of the gas before you close me up? Because...surgeons can, but not all bother. Removed gas=less pain for you.
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Newly Banded! Caloric Restriction & Amounts
I drank easily from recovery on. I had no fill in my band (except some primer) during surgery. Many who have issues post op find their surgeon filled their bands some. And yes the first 6 weeks or so are for healing. Your body was traumatized even if you don't realize it and is using calories etc to heal. Now is not a time to lose. My doc recommended a specific shake for me and that's the one I used. AND I didn't even GET Protein week 1! Don't worry about caloric intake, loss, gain, etc right now. Just heal and get that 64 oz of Water in each day.
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New Self Pay
Welcome and good luck. I agree, ask your surgeon about lifting restriction. Odds are, depending on how heavy your 5-month old is, you'll need help. My restriction was 15 pounds for 3 weeks but each surgeon is different. I had planned to be self pay but insurance covered it and from seminar to OR was just at a month. Honestly? by the time I got the band I was so ready!!! (I'd wanted it since 2003 when a friend's aunt went to a neighboring city and got it! back in the wild early days of banding) so NONE of it was hard. Sure I was hungry pre and post op but that was no big deal; I'd done liquid diets before to try to lose. Then they were awful because I knew I couldn't keep them up; for the diet they were easier because I knew they were finite. I'd had lots of time to be pro/con/pro/con so I was 10000% pro. Even then I did my "own" preop diet and didn't get the band the first try. But that was my foolishness. So I guess for me the hardest part was making up my mind over the 5 years I waited. Once I decided to go and self pay, ins came through. I took that as a sign and never looked back. But I'd gladly have paid for it, and had planned to. It's been worth it.
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Pre surgery surgeries
Your wait will depend on many things; your general health, your banding surgeon, how well you do post op, etc. Emergency surgeries are different from elective ones so your doc may want to put off the band for a bit, or not. Once you get your approval you can call and see. If there is a delay, as long as you don't have any issues, it shouldn't be a long one.
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Slipped Band
I'm really sorry you're going through this. I remember you from when I got my band...I think you're the lady who chewed gum and got it stuck? Anyway I don't mean this to be "finger-pointy" or playing a blame game. But I was digging around trying to find the gum post and I "found" a couple things. 1 You did generally follow your post op diet but your doc was very aggressive in that you were allowed yogurt consistency foods from the start. That's not common...many say Clear liquids for at least a week. I wonder if that, while "docs orders" didn't set you up for a slip? AND 2. I found a post by you at just under 3 weeks out where you'd eaten prime rib etc...and you were supposed to be on the full liquids for a month. So you ate ahead of your already fairly lax diet. I KNOW you didn't do this to hurt yourself and I'm not implying you willfully screwed up! BUT since my doc says most slips are caused by advancing a diet too quickly, for newbies who might read this, I wonder if that didn't set you up for problems down the line? Again chicaman1 I am not meaning this to be pissy to you; that totally isn't my point. However while some slips do just "happen", many are caused by something ... some action on our part or the part of the doc. And some people just don't get along with the band (or vice versa, either) But for those reading this...it is better to stick to your post op diet to the letter, find the best surgeon you can, starve before you eat food ahead of time. Like chicaman1 back in Sept of last year, you want to do right and be a success...don't let hunger get the best of you. It could come back to bite you later on, if you do. (again, I do NOT know that eating prime rib 3 weeks out, or having thinned chile 1 week out caused this. But we don't know that it didn't, either. A loosened stitch or two over time...can precipitate a slip)
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hard time drinking liquids after eating?
I agree. At 2-3 hours post op you should be able to drink (unless you're drinking something carbonated?) By then it should trickle around and past the food (like a stream and rocks) and go on through, even if you still had some/most of your meal sitting there. You need to call your surgeon; you might have a slip or some other issue that, the sooner it's caught, the less problematic it will be!
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I am so confused!
PB is a nice little term for something very Un-fun, isn't it?
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I found THREEdom...
Contratulations! I know how you feel. I hit threedom fast, and then my 1st 10%...now I am CLAWING my way to Twoterville! I haven't been there for any length of time since I was 40! (even tho I'm not an april 09 bandster I just had to tell you congrats!)
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I am so confused!
Can you say...denial? LOL I take the boards 8/19 and after a summer of angst, self searching, praying, meditating, mulling etc I'm going into psychiatric nursing if I can find a job. I love it...the people motivate me the most in nursing, and so many other disciplines don't give you a chance to really interact, you know? What do you do with your degree if you don't mind me asking? (and I guess I should've PM'd this so as not to hijack the thread...)
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I am so confused!
Thanks Jennifer! Gotta practice that "patient teaching" you know!
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Denied
Maybe too you should think about getting a different surgeon? If yours won't make a phone call for you, well...how will he be there in other emergencies? I seriously would switch if it were me. There's more to the band than just getting it placed...aftercare is VITAL. Maybe this is karma or something trying to help you switch NOW!
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Hello
Welcome and good luck. I really enjoyed the seminar; I had researched a lot beforehand but still my surgeon had more to offer !
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hello, new to the site..
Welcome and good luck! I love my band and hope you love yours too!
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I am so confused!
Noahsmom...think of, say, a zip loc baggie. (stomach isn't shaped like that, but it'll do). Now, imagine putting a big rubber band around the middle of it..so it's kind of split into 2 sections (make the top section smaller). Ok? NOW...start tightening the rubber band. The top and bottom sections are still the same size. The zip loc baggie is still intact (no new baggie and old baggie, just 1 zip loc baggie) but the opening between the 2 sections gets smaller. In fact, you made an "artificial" opening between the 2 sections by putting the BIG rubber band around the bag, and tightening the band makes that opening smaller. IF that hole is TOO small, what you put in the top of the baggie comes back out the top...because that's the path of least resistance. rather than go through the tiny hole, UP it comes! If that hole is TOO BIG..the stuff flows on into the lower part of the baggie and you have "room" to eat more. The goal is to make that hole a good size so that what you put in the top hangs around there a while and then flows on through. We are "tricking' our bodies into thinking the stomach is full by keeping the food up in the upper portion of the stomach longer. Therefore, rather than eat a pot of macaroni and cheese to fill the stomach, you eat a cup (or less). It sits in the top, goes on through the hole to the rest, and you think "wow I'm satisfied on that cup". Your body, the hormones, the triggers for hunger...all think "wow I got a lot of food!" The stomach is intact. it isn't "old" and "new". The band just creates a road block, if you want, up close to the top, so food hits there and SLOOOWS down. So your body has time to think "WOW SATED NOW! GROOVY" and you don't eat too much. Because our bodies are living and not machines, they don't always immediately register things. Some systems take days to respond, some don't. For many, that tightened band isn't perceived right away. Now..the goal is for the pouch to remain small. HOWEVER it isn't really a baggie, it's stomach. And stomach is ELASTIC! So consistent overeating once you have restriction can stretch the pouch out (called pouch packing) and make it bigger. you don't want that but an occasional overindulgence won't cause it. Your goal (as is the goal of all of us!) is to get that band tightened enough so that you feel full on less food, can eat whatever you want to, stay full for a good long while, and lose weight. Because we aren't all the same, and because our bodies change (again, we aren't steel and plastic, we're a machine of living biomechanisms!) sometimes finding and keeping that optimum fill level is hard. But when you hit it , it's almost miraculous. Did that help, I hope?
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Have you had a leak in your port/tubing and had to have it replaced?
Your doc can share with you his experiences, but from what I've read the band rarely leaks. (it happens but very seldom) it is usually the port or more often the tubing running from the port to the band.
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How do you know when you are at the "Sweet Spot"?
The goal of the band is "the green zone" (what's called sweet spot here) so yes, everyone should reach it. And honestly if you have a surgeon who is inaccessible, who doesn't (or whose staff doesn't) give you direction, FIND ANOTHER!!! The aftercare is VITAL to this thing working. On a scale of 1 to 10 with 1 not mattering, getting the band is about a 3, aftercare about a 7!
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Scared!
May I reiterate here that it is very important to do as your own doc tells you, and not what you read here? Surgeons are different; different educations, different styles, different skills, different experiences, different outcomes, different client bases. Patients are different, too. Just like you shouldn't treat your sinus headache with your neighbor's migraine medicine, you shouldn't do someone else's post op (or pre op) diet. Do what your surgeon tells you. All this "anecdotal evidence" is interesting in it's variety; but it doesn't pertain. Each one of us needs to do what WE are prescribed by OUR doc.
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Starting New Life and Terrified
Then the only thing that will help is just getting through it!
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Seriously curious
HH It would be best if you just walk away and start a new life someplace else.
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Band issues, curious.
I really do hope it works out for you; maybe they'll find something like a hernia or something that is fixable and not band related. I don't remember how old you are (if you posted it) but I know as we get older, "life" happens and some things just go wrong (like the gall bladder; that's common with good weight loss. THe other issue with the tubing isn't so common!) Is there any way you can go to Nevada and your original doc (if you trust him and think he could pin point things for you?)
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Band issues, curious.
Thanks for taking the time to explain your situation; I asked because I hoped I could help but it sounds like, short of changing your insurance and giving you access to another surgeon and a 2nd opinion, not much will help you right now! You probably know, then, that your best recourse is to contact your insurance company and if it's a medical necessity, make sure they'll pay to have your band removed, and get your "dispensation" to have that done. It isn't for everyone; I'm sorry the experience wasn't what you'd expected or could even live with, but we have pain for a reason and you are right; living in constant pain is no way to be, especially if you can help it. Good luck!
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Slider Foods. What to avoid?
I honestly think it's different for everyone. For example for me something like a bean burrito is a slider, but for others it's not because of the tortilla. Same with cheese enchiladas...for me a slider. Crackers are sliders for me. Cheese is a slider. Peanut Butter is a slider. Pie is a slider as are all Soups. And yes I have really great restriction, so it's not that. I think you'll just have to see what goes down "too easy" for you and generally avoid it.
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Seriously curious
Why thank you KC. But you're still a Beotch!
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Hello, I am Mike and I am pleased to be here.
Have you picked a surgeon, have a date etc yet? Or are you still in the "info gathering" stage?
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Seriously curious
Oh and KC you are a beotch. Own it, woman. Own it.