Hi and congrats on taking the steps to a healthier and better you.
The sleeve is a wonderful and I absolutely love life post-op.
As for your questions, I'll answer honestly and openly as I can.
1) I am a smoker. Smoking inhibits healing, and can cause ulcers. Not only that, it increases your risk of a leak due to hindering healing of the staple line. My surgeon knew my smoking status, but I didn't quit pre-op. Could it have contributed to the fact that I did have a leak, yes, but the biggest issue in my recovery and leak issues was because I had a band first that destroyed my stomach tissue. Smoking also complicates anesthesia recovery. Your abdomen is sore, causes more coughing and I had to use a spirometer to help prevent pneumonia. That really sucked because coughing caused major discomfort. I have quit twice since surgery, and am now trying to quit again. I actually went on Wellbutrin to help with the withdraws of nicotine as the patch, gum and cold turkey make life with me pure hell.
2) I had a huge panel of labs, a chest xray, psych eval, and consult with a nutritionist. Some surgeons require an upper gi and sleep study.
3) I didn't have a drain initially. A lot of surgeons use drains to make sure there is no leak, and some pull it before discharge, some require it stay in for about a week. I only had drains due to the leak repair surgery, and they stayed in for over 2 weeks.
4) I was not catheterized for my revision. I urinated before surgery, and was dry when I came out.
5) hair loss can happen to anyone that goes through surgery. It's a pretty normal occurrence. There is absolutely nothing you can do to stop it. It's a combination of anesthesia, surgical stress, and rapid weight loss. I lost hair for about 3 months, and I lost half of my hair. Luckily, I had super thick, coarse hair and no one that didn't know me before never guessed that I had lost all of my hair. The only thing you can do pre-op and during your recovery is to take hair/nail/skin supplements to help with regrowth. Biotin is usually the one most people choose. I didn't do anything to help with regrowth until I started losing. I used Folicure extra care shampoo. I started having new growth pop in while I was still losing. Currently, I look like a chia pet, and have chopped my hair off, layered it and bleached the top to help hide some of the new growth. I kept the back and underneath dark to help give the illusion of depth and volume. Unfortunately, hair loss seems pretty inevitable. There's several patients on this board that got in there Protein and extra protein, and they lost more hair and lost it for a longer period of time than I did, and I didn't get in my protein until I was on soft solids when I could eat chicken and other meat.
My main advice is make sure you can handle the mental and emotional aspect of this surgery. It's a huge change, and no matter how much you read or talk to people will you really grasp it all until you go through it. I truly believe going in positive, and upbeat helps. Find strength within yourself, and know that you are doing something absolutely fabulous for yourself and your family. Know that recovery can be difficult, you'll be tested, you'll be exhausted, you might be mad at yourself especially during the post-op diet, but all of that is just temporary.
Questions to ask your surgeon:
What size bougie do you use to make the sleeve?
What are your leak/complication stats?
What are your expectations of my weight loss?
Do you provide follow up care, labs, access to a nutritionist and psych if needed post-op (especially since you'll be self-pay find out what all is included in that cost)?
Do you prescribe an acid reducer such as Prilosec, Prevacid, Nexium to protect the sleeve, how long should I be on it?
Post-op diet instructions?
Pre-op diet instructions?
How many sleeves have you performed?
How many bariatric procedures have you performed?
How long is the hospital stay?
Leak tests, how many and when are they performed?
That's all I can think of right now.
Best wishes on your consult, and if you need anything ask away. We'll all be here for you through this journey.