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I am getting sleeved on the 21st of April. I am self pay in mexico. I have kaiser insurance but don't qualify for the sleeve. Does anyone know if I get home and have complications are they likely to cover it? What about follow up visits with my regular US doc. I am afraid to call and ask because I don't want them to know if they don't have too. thanks stacey

I choose the Lap Band because of all the positive information I found on it. I love my band, I have been banded now since 3/31/09 I can not see my port nor can i barely feel it... I really think what the previous poster said refers more per persons body... and im a size 10/12 so thats pretty good. My port also has never hurt a lot of people complain of that... and i have had no complications, no PBing and i can eat what i want in moderation... It really is a personal decision.. i have heard the realize band is a newer band??? In my opinion they all do the same job so pick whatever:D

I'm 8 months post op 85 lbs gone total. No complications...not even nausea. I just felt like I had done hundreds of sit up the first few days after surgery. Word of advice. Stay away from slider/bad for you foods!

I was a train wreak. Took an ambien the night before and still couldn't sleep so got up and cleaned the house in slow-motion. The next morning waiting for the procedure I really wanted to leave. I'd had surgery before in situations when I had no choice. Back surgery and a c-section. This felt so different in that I didn't have to do it. I could continue living - a crappy life - but I could. In the end my sister said the most simple and beautiful thing, "You need your power back." She's right, I've given up so much being overweight and unhealthy. What will you get back? Hang onto that as you prepare for surgery. Keep the biggest possible picture in mind. I had a rough start with a couple of random - not gonna happen to you - complications and even with that it was all okay. I'm only a week post-op so I don't want to come across as a vet when I'm not. Just trying to let you know your feelings are normal and show you have the good sense to be worried. Chances are very very slim that you will have complications - and even if you do you and your medical team will get you through them. Is someone with you to keep you from dwelling? Hope this helps. I'm on pain killers still so I may sound a little nutty. PM me if you need support!

I would love to find others on FB that has had the surgery, my only problem is, only a small handful of people know about my surgery, and I cant risk it getting out to some family members on FB, so i have not spoke openely on FB about it, some day i hope i will be able to do that..its just complicated in why i can not speak about my surgery to some family..

Just an update for my wife phoenix79, all is well and she had a textbook sleeve operation. The Dr said she had the perfect anatomy for a sleeve surgery which I think translates into a successful post op experience. I think we will get to go home from hospital tomorrow. This is a much better experience then my sleeve, exactly 1 year ago. Two days in ICU and the 2 more days recovery from small complications before allowed to go home. Thanks for wishing my wife well.

I had surgery on the 27 of May, and came home from hospital 8lbs heavier! But, I know that was do to the fluids they were giving me. I am sticking to everything by the book and I lost the 8lbs and now from my preop weight I am down 3 lbs. Not the numbers I want to See either. I just feel that this is the easy part, when I actually start eating semi solids it's going to be even harder. I have been jounaling my food/liquid intake and I barely hit 500 cal. A day. Barely get 60 g of Protein. I get my first restriction on the 7/8 . So far so good, haven't had any complications. It is fustration to know I have been on liquids for 14 days and only be down 3 lbs. I know, I know...We just need to use patience, and heal and not worry if it is not on our own timetable. Still new to website, so I am looking for some friends....:-) Chrissy

My doctor here in the States agreed to do the followup labs and referred me to a dietician (who was very little help). I had no sutures or staples to remove so no real post-op care. I had no complications but would have gone to the ER if I had. I asked trivial questions on this forum (like when does burping stop) and for more serious questions I emailed my surgeon's office and got an answer the same day.

if you don't have any complications, and if you have a desk job you may be ready to go back after that first week. but have a plan in place just in case. you know the saying - plan for the worst, hope for the best? I took 4 weeks of FMLA with the understanding that if everything went well I would go back to work after my one week appointment. I ended up taking until my one month check up of shorter days, just to make it easier to adapt to the new diet and changes.

Starting weight: 283 Height: 5'8" Starting BMI: 43 Goal: 150ish. I'd be happy with higher if I thought I looked and felt good. I guess it depends on where my body feels comfortable. I have been overweight all of my adult life and really, as long as I can remember. I feel like I've been on some sort of diet forever. The first diet I can remember is at the age of 16, my mother sent me to Weight Watchers. I've been on Jenny Craig, Richard Simmons. I've taken Redux and just about any over the counter "dietary supplement" known to man. I've been able to lose weight with these things but I've never been able to keep the weight off and the pounds usually bring a few friends back with them. It's really amazing when I look in the mirror. I don't think I look that bad, but when I see photos of myself I am shocked at how big I look. I'm ashamed of what I look like. I am looking foreward to the day when I have the lap band as a tool to help me keep on track. I was born with a condition known as congenital hip dysplasia (my hips weren't formed right and were dislocated). I'm told that I'm lucky to be able to walk, but I had a good doctor as a child and with many surgeries, I'm whole again. It's hard for me to participate in high impact exercise, but I walk, ride bicyle, swim and try to keep active. I enjoy reading and music. My favorite author is Stephen King. My husband and I own a travel trailer and do a lot of camping in the summer time. That keeps me active with walking and bicycling. I had my surgical consult on 1/14/05 and am currently waiting for insurance approval for adjustable gastric banding. 2/3/05 I got word that my insurance approved me for the lap band. Hooray!. 2/9/05 I've scheduled all my pre-op testing and dietician appointments. They tell me my surgery is scheduled for 4/4/05!. WOW. This is happening faster than I thought. The nurse from the office had told me yesterday that 4/4/05 was a possible date but didn't tell me they were going to schedule it. 02/11/05 I got a letter from my doctor's office and from the hospital advising me that my surgery has been scheduled for 4/4/05. What a way to notify someone. Well, at least it's official. Now the waiting game begins. I'm trying to follow the post banding diet so it won't come as such a shock for me post operatively. I'm "in training" so to speak. I think I find the no drinking with my meals and trying to time my fluid intake around my meals the hardest. 2/23/05 I had my first appointment with the office nurse who does most of the follow ups. She was doing my lap band teaching. All the pre-op, actual operative and post op advice I understood and was prepared for except for one thing. She told me to start eating with a baby spoon and a pickle fork so that I could get accustomed to small bites. I don't even know what a pickle fork is!. Is this something I'll have to do forever? I can't find anywhere on the forums where anyone has been advised this except for other patients of Dr. Duckett. I guess this will just become part of my "in training" whether I feel good about it or not. How am I gonna explain those utensils to my co-workers since I've tried to keep the whole surgery from them to begin with? 2/26/05 Had my consultation with the dietician today. It took 2 hours! Who knew it would take 2 hours to go over food? She made me feel very comfortable and she gave me a lot of hand-outs on the different types of diets should I ever stray. There's even examples of menu's. Although, that's exactly what I've been researching ever since I decided the lap band was for me. I felt very informed going in and very confidant going out. OH, and one more thing. I weighed myself today. I'm down to 272.5!. That's 9lbs gone since I've started trying to follow the lap band diet after my consultation with Dr. Duckett. WooHoo! 3/2/05 I found this on a post tonight and thought that it spoke volumes for my situation. I wanted to save it in case I forgot all the reasons I chose lap band. Once in awhile, someone will come around asking for the reasons why I chose the Band, so I'll compile my reasons here: More natural rate of weight loss: * Minimal sagging skin * No "window of opportunity" * Plenty of time to develop better eating/living habits, including exercise Least invasive surgery: * Lower rate of complications or death * Complications are easier to manage * Quicker recovery time; less painful * No cutting/rearranging of body parts * No changing the natural digestive process * No necessity of taking vitamins or supplements; I can get all I need from food Most innovative technique: * Adjustable for permanent weight-loss aid * Removable, should something more effective become available * "Cool" factor Generous but effective learning curve: * Better eating habits must be adopted from day one - no coasting * Has been labeled as "thinking person's WLS" * No punitive "dumping syndrome"; may eat like a normal person * Ability to drink normally and get in enough water * Safety-net effect; may put weight loss on hold to concentrate on other matters without gaining I never seriously considered RNY. When I heard about the Band, it was like a light bulb going on for me. By the way, I weighed myself again. 270.5! Another 2lbs gone. I don't want to get in the habit of weighing myself more than once a week, but I couldn't help myself, and I stepped on. 3/18/05 I had the upper GI and venous doppler studies today. Man, I felt like I was playing twister on that x-ray table for the upper GI. It was like, "turn left, more left, turn right, more right, now on your stomach, bend your knee, roll over." Venous doppler was a piece of cake other than the goo they use for the ultrasound. It was kind of hard to get all of it off. I haven't lost any more weight, but on the bright side, I haven't gained either. Once I'm banded, my portions will be significantly less and with the liquid diet required, I'm sure I'll get moving again. 4/2/05 I've been on the full liquid diet since 3/30/05. Sometimes I feel like I'm being tortured. I dream about food. Is that sick or what? I feel really sorry for those individuals who have to do this for longer than the 5 days I'm required to follow it. 4/6/05 I'm home and banded. I read about this gas pain, but geez it really is the worst. I'm not nauseated or anything. But the pressure in my chest and upper abdomen feels like I'm having a heart attack sometimes. I try to walk it off, but last night it was even hard to breathe. I'm trying to sip my water and eat a little at a time, but really I'm not hungry. I'm only eating out of fear that I'll get run down and not feel well if I don't. 4/8/05 Feeling better today. I've been up and about the house. The only discomfort I've had is from moving too quickly. I do have an odd sensation of bloatedness. It seems like I have it all the time. I'm trying to learn the language of the band but it's hard when everything feels like different levels of full at this point, even when I'm only consuming liquids. 4/16/05 Feeling back to my old self for the most part. I'm up and around, even starting to feel hungry. I have 2 more days of full liquids then I can move onto pureed. I can honestly say I'm really looking foreward to that as I'm getting tired of soup! I plan on going back to work on 4/18/05 and although I am physically ready, I would like more time off. Who doesn't like being home and relaxing? 4/25/05 Gee, the last week has gone by so fast, I haven't had time to blink let alone update or post. My husband's grandmother passed away on 4/18/05 so, we had to leave for Texas on very short notice. I've been on mushies and let me tell you, traveling on mushies is a difficult task. Especially to Texas where there is GREAT Tex-Mex food available. My husband's family doesn't know I had surgery, so I had to make do. I had some cold cuts, chewed really well and some very well cooked roast beef (also very well chewed). I didn't have any problems with them, other than some extra gas, but I didn't push it and tried to stay with very soft, mushy or even foods that boardered on liquids for the duration of the trip. I got on the scale today, and I've lost 3 more pounds! WOW! I never thought I would because truthfully, I didn't think I was getting enough calories in and I definately wasn't drinking enough. I've also been fortunate enough to have some sort of cold or bronchitis and haven't been feeling up to eating or drinking. I guess, I must have done something right! This journey is so unique. 5/3/05 I had read other member's NSV's but I didn't really realize the significance of them until this morning. I had dressed for work in slacks that zipped on the side. They were loose, but I didn't realize how loose they were until...I had to tinkle and when I went into the bathroom I pulled my pants down. I had absentmindedly thought that I was wearing elastic waistband pants! They came down without any problem and as I sat there, I started laughing, my husband thought I was crazy laughing there on the toilet. This has been on my mind all day and I had to share it because I've read everyone's weight loss in the first few weeks and I felt that my own weight loss was a little slower than others. (I know, we're not supposed to compare ourselves, but it's hard not to) I had resigned myself to being a slow loser. I must be losing inches and because I hadn't measured myself, I'll never know exactly how many inches I've lost. Oh well, I can feel it in my clothes and the way I move. 5/23/05 Just a quick update. Feeling good. The weight is slowly going down. 250.5 today. I think it's been 2 years since I've weighed that. Over the weekend, I cheated a little and had some Doritos. Not a lot, just maybe an ounce or 2. Just the same, shouldn't have had them. Well it's just 1 day along the road. "one day at a time" 6/5/05 I've been 248 for about a week now, just didn't update. Hope to see some more loss soon. I haven't had a fill, so I don't really have much restriction. I follow the diet and I do feel satisfied for about 3 hours. I can't say that I'm hungry a lot or "starving" or anything. Still trying hard to get all my water in every day. 6/10/05 I weighed myself today. 244.5! I've been out of town for work and I've been eating all my meals out. I feel I've made mostly good choices, a lot of grilled chicken salads though. I do log everything I eat in a program I have for my PDA, it's called Balancelog. It's O.K., although I'm sure no program's perfect. I've been staying about 1200 cal or less. :-P once in a great while I'm over, but not by much. I've also been doing better with the water because it's been so hot here. 7/18/05 I haven't updated in a while because I've been stuck for about a month. In fact, after my last post, I gained 4 lbs and had to lose them again. I've been more active with exercising and I've been doing well with my eating habits, but still I was stuck. So...I scheduled a fill. I had to convince the doctor's office nurse first, but I did it. Today was my first fill. It wasn't so bad. The doctor did it under fluoro at the hospital where I had my surgery. BUT, I'm filled to 2.8 or "just under 2.8" according to the doctor. That seems like a lot. I watched the passage of barium through the band and it went through, albeit slowly. The doctor reminded me several times to take it slow and to call anytime, day or night if I have spitting or problems. I'm a little scared. I've been on clear liquids since the fill this morning and haven't had any problems getting those down. I guess I'm just nervous. I've never had a PB and I don't want to. 7/29/05 Oh my God! Yesterday I thought I was going to die. Or at least I wished I had for a time. I've still been on mushies. The doctor told me to take it slow after that fill and I've been ever faithful to those orders mostly out of fear. I had very finely shredded tuna salad and one of those breakstone's creamed cottage cheese with fruit for lunch. It went down fine and I took my time. I had eaten both of those items before and wasn't worried. About an hour and a half afterwards, the pain started. It felt like something was stuck. I started to walk around. I even took a couple sips of water, which I know doesn't usually help but I have found it's kind of instinct. When that didn't work, I kept walking. I walked for nearly a half hour straight, sometimes leaning over a sink hoping and wishing I'd vomit for the pain to go away. I finished my work and got in my car. By this time, an hour had passed and the pain was so bad I could hardly breathe. I called my DH who called the surgeon and told me to get to the ER to be checked. The ER is an hour from my home and I was more than a half hour from my home! That drive home was the most painful torture I have ever experienced. The pain only seemed to get worse and worse. Then, about 2 miles from my house, I felt a "pop" and suddenly the pain and pressure was gone. When I got home, DH and I decided to go to the ER anyway mostly because we were scared. I had never experienced anything this extreme (nor do I again, thank you). The doc checked my band under fluoro and to my amazement, the 2.8cc he said he put in is now down to 2cc and everything is moving just fine, band has not moved. What happened to the 0.8cc? And, what the hell was all that pain? 8/13/05 Gosh how time flies. I didn't really realize that I hadn't updated my profile since "BLACK THURSDAY". I've come to the conclusion that the pain on 7/28 was probably some solid food that I hadn't chewed well enough that had gotten stuck. My Dr. thought maybe I had eaten too fast or swallowed too much air in the process, both viable possibilities. No matter what the cause, I WILL be chewing better and eating slower. I did mushies for a day or 2 after that then continued on soft foods for another week before going back to regular food. I'm doing fine now. I was amazed to find that I can still eat bread, rice, red meat, etc. I really haven't found anything that doesn't go down...yet. I haven't lost any more weight. I'm still at 234.5, but that's o.k. I feel great. I've been kind of bad at getting my water in the last couple of weeks, my work schedule has been weird. I'll get back on track and I'm sure my weight will get moving again. 8/22/05 Been doing O.K. Weighed on Friday. I'm at 232 lbs. I'm doing about a pound a week. I'm very happy with that. I'm in a size 18 comfortably right now. Today, I had to try three pairs of pants to find one that fit well enough to wear to work. The others were so big I looked bad. What can I say, I'm too cheap to buy all new just yet. I think I'm going to have to break down and buy a couple of outfits. I've been telling myself that as I got fat, I also gathered plenty of clothes that got me there. Well, I think I skipped a size or two because I can't find many in size 18 in my closet. Darn, shopping will be such a pain I'm sure. I look back and remember that when I started this journey in January and in the pic below I was in a size 24. In January that size 24 was rather snug. 9/13/05 Feeling pretty good about my weight loss. Still doing the 1-1.5lb loss per week. Went to my monthly support group meeting last night. I realized how lucky I am to be losing steady and to be going along so well. I haven't PB'd, just that "stuck" episode. I tolerate any food I put into my mouth and I have followed my rules pretty well. I try to make good choices most of the time, but I do allow myself treats. I think that's what keeps me happy and on track. I am satisfied with smaller amounts of the things I love. This is exactly what I wanted. I can eat what I want, in moderation and still lose weight. I do track my nutritional and caloric intake nearly daily (I may take a day or 2 off on a weekend, but rarely). And, I don't cheat on that log...I track everything the best that I can. I admit I could be doing better with my exercise. 228lbs. 9/22/05 Although, I generally weigh myself on Friday or Saturday I thought I'd post today because I have plans for the weekend and thought maybe I'd be too busy to post later. The last time I weighed myself I was 225lbs. That's a total of 57lbs gone. I can't say it enough...I am so pleased with my surgery and my weight loss so far. I can't even remember the last time I weighed that. I think it was more than 10 years ago to be honest. I don't feel deprived. I have more energy. My self confidance has gone up. How could it not? So many people have noticed the loss and are making comments. Lap band was the best thing I have ever done for myself and I would do it again in an instant. 10/5/05 Well, I can no longer boast that I have never PB'd. I am not proud of that fact, but here goes...Today at work I started to have that now familiar epigastric pain. I had clam chowder for lunch with a small salad and a breadstick. None of those items were new to me, so I had no fears whatsoever. About an hour after I ate, the pain started. This time I even started to sweat. I figured that I wasn't going to put up with this so...(bulemics beware) I went to the bathroom and put my finger down my throat in hopes to feel better. I only brought up mucous. This only temporarily relieved my pain, so I did this same routine 3 more times. One of those, I did bring up some undigested food. This has not been a pleasant banded day. I'm still uncomfortable, but unless I can't stand the pain I'm not doing it again. I guess it's a jello night. 10/24/05 After the last update, I went to the ER and was kept overnight for dehydration because I couldn't keep anything down. Dr. Duckett took out 1cc from my band the next day. I've been really careful ever since mostly staying with soft foods. I did have a salad over the weekend and felt pretty confidant about it. Today I PB'd again. It was the best PB I've had if that's possible. The pain started, I walked, up it came. All in all it lasted about 10 or 15 minutes. If they were all like that, I would consider it a blessing. Not that I really want them. But that torture of 7/28/05 and 10/5/05 made me want to die. I'm gonna cut this update short because I'm a little sore. I'm down to 223 lbs which is good considering my band is looser than before. 11/24/05. Wow, I forgot to check my profile and hadn't realized how llong it had been. I can remember that time like it was yesterday. I feel like the whole month of October and most of November has been brutal torture for me. I had to keep going back to liquids for one thing or another and I sincerely developed a fear of food. On 11/14/05 when it felt like I was gonna get that pain again I called the doctor's office. I didn't go into a full blown attack, but it was distracting to say the least. I felt like I was eating papaya enzyme tabs like candy in hopes to help digest whatever was the problem (although really how could tomato soup and a bit of tuna salad do that?) Dr. Duckett insisted on seeing me. On 11/17/05 I saw him and he felt that what I was having was esophogeal spasms. I suppose they may have originally been started by something getting stuck, but he felt they were caused by increased stress in my life (which I've been having A LOT of). He gave me a prescription for Valium to help calm those muscles down which I'm only supposed to take when I feel the spasms coming. So far, no more really intense ones since 10/24/05 and 10/25/05 but I fear that and would avoid that with everything in me. I've been doing much better ever since. I do have a little bit of reflux, but I think that may be from eating too late at night. I'm down to 216.5 lbs and very happy with that. I cleaned out my closet and got rid of all of the clothes that were hanging on me. That's a good feeling. 12/28/05 Well, I didn't make it to my unofficial goal of "onederland" by the end of the year but that's O.K. I've lost 69 pounds and am very happy with that. Especially considering the last three months worth of trials I've had, I'm very very happy. October started with a hospitalization for pain and inability to keep liquids down that turned out to be esophageal spasms. November was more of the same then turned into reflux that went on and on which convinced me that my band was slipped. After a long struggle with that reflux, I finally called the doctor who (I think mostly to ease my mind) checked my band under fluoro. All was well. I think he thinks I'm a nervous freak-he told my husband that once my mind was eased I should be just fine. Now, my struggle is HOLIDAY TREATS. I haven't really gained any, but I'm truly shocked. Those darn cookies will be the death of me. 2006 will be good for me. My band is in place, once I'm away from the posessed cookies that call my name I'll be fine with my choices and "onederland" here I come. Only 14 lbs to go. 1/20/05 I've been hesitant to update. Not because I'm not losing weight or anything. I've just been down in the dumps about banding. There have even been times I wish I had the damn thing out of my body. I am SICK and TIRED of having these episodes where I have pain and pressure that goes on and on. I'm not exaggerating when I say I've had it for a whole day in varying degrees. I don't have a clue what causes it. I keep track of everything I eat and NOTHING, absolutely NOTHING that I eat is consistent enough to figure out what causes this. Because the pain comes about an hour to an hour and a half AFTER I've eaten I can't say whether it's because I've eaten too fast or not chewed well enough. All I can say is that I try to pay attention at each meal, mostly out of fear. I'm averaging one of these "spasms" about once every two weeks. The doctor says it's consistent with esophageal spasms. Well, FIX IT! I'm tired of having them. I'm losing weight, but not necessarily the right way. Basically I'm starving. I'll eat normally for a week or two, then WHAMO! smasm and then it's nothing to eat for a day (or 2) but maybe tea then slowly work back up to solid foods again. 211lbs 1/30/06 Here I am, still suffering to a certain extent. A couple days after that last entry, I got fed up with the poor answer from my band surgeon to "seek counseling". I started considering the possibility that maybe these attacks were not related to my band. I saw a doctor for a second opinion and found out that I have gall stones. All of these months, at least since October, I have been suffering with gall bladder attacks. I am scheduled to have my gall bladder removed on 2/2/06. These last few weeks I have not felt well, I constantly have a sick taste in my mouth. It's kind of what I thought was reflux before. Now, I'm wondering if I had reflux at all and not some weird bile overload or even infection from the gall bladder. Who knows? I sincerely hope this gall bladder surgery solves my problems. If not, I may just have the band removed. I am tired of being sick and I'm tired of being in pain. 207 lbs 2/5/06 Well, where do I begin? I had the gall bladder surgery. They say that part went fine. Somehow during the surgery they dislocated my artificial hip. Yes, they dislocated my hip. My abdomen is sore from the gall bladder surgery. Generally, I feel better than I did before although I really don't have much of an appetite. The problem is my hip. I am not to bear any weight on it. It's been 3 years since I've dislocated it. I was doing so well. I feel really low, as if I've started all over again with my hip. I hobble around with my walker and my a$$ is really sore from sitting all the time. Weight loss is really not a priority right now, but it's amazing that when you feel so bad or are in pain it really doesn't matter. 3/24/06 Well, I'm fully recovered from the gall bladder surgery. I'm still in physical therapy for my hip. They tell me that the muscles are really weak. I'm planning on going back to work on 3/27, so I hope they're strong enough for that. Other than a little bit of pain that comes and goes, I guess I'll have to go on. I've come to the realization that all of the problems I've had since October, probably even the "black Thursday" mentioned in July 2005 was a gall bladder attack. All of those experiences were variations of the same. Any vomiting I had was only mucous and came as a last resort to relieve the pressure associated with the pain. Although I couldn't testify, I believe I have NEVER had a true PB. Is that possible? At almost 1 year out, to never PB? I would have taken a PB or 2 over the torture of those months. OH Well. Now that I can eat, I do. I'm stuck at 211lbs. Yes, I gained a couple since the gall bladder surgery, but I'm not terribly sad about it. Not happy, but not really depressed or anything. I can eat, Happy. I gained, sad. I think it's also because I'm working out with weights to strengthen muscle. Muscle weighs more than fat. It's only 4lbs. I'll eventually get it off. I hope. 4/9/06 I know this is a LONG first entry for a journal, but I wanted to put my entire OH profile on here. I'm told that there's a possibility I may lose it. So...I figured I'd have it on 2 sites. What's the chances of both of them losing it? Anyway, I'm still bouncing between 210 and 211 lbs. I'm thinking that I may be experiencing my first ever real plateau. Even when I've dieted whenever my weight even slowed down I'd give up and return to my prior eating. I've been exercising more, trying to strengthen those weak hip muscles. I have had a bit of Easter candy, but I don't think enough to stall me this long. I'm sure with patience I'll break it, eventually.

I'm an ex-smoker of cigarettes, and I encourage you to quit. I'm sure you've heard plenty of lectures, so I'll spare you. As Mickey said, lots of surgeons will test you for nicotine to make sure you've quit. It will slow down your recovery and make you way more susceptible to post-op complications, like blood clots - which could easily kill you, even MONTHS after surgery. Try to embrace this change for a new, healthy lifestyle by giving it up completely. But if you can't do that long-term, you simply HAVE to give it up in the short term for this surgery. Try the e-cigs if you reallllly have to have a cigar a month (or much longer, if you can) post-op. You'll really do yourself a favor if you quit, tho. (maybe this did turn into a QUIT SMOKING lecture, after all. sorry bout that! lol) They do make nicotine-free e-cigs. The testing they do to make sure you've quit is looking for nicotine, so that might work if you absolutely have to have something to puff on. Good luck!

I like that last statement. So true! Congratulations on your weight loss!! That's amazing. My negative side always seems to take over. I'm not scared of the surgery. I've had several before. I know it is more the complications after if they happen because I'm self pay and I think. "oh Lord, what is something happens and no one will take care of me because I can't afford it and insurance won't pay because they didn't pay for the surgery to begin with.??"... That kind of thinking consumes me. Thank you though. Getting these positive comments helps me so much!! I love this forum and love reading all of the success stories of the people who have made it. God Bless!

Imagine for a moment that someone handed you a plan. Their promise - "If you follow this plan for twelve to eighteen months, it will change your life." Not maybe. Not possibly. It will, beyond any shadow of a doubt, change your life. The laws of science and the universe simply cannot be denied. That was the basis of my decision to have RNY. I had done endless research. I read everything I could find. Without exception, the most prestigious medical organizations in the world all said the same thing - follow this plan and in the absence of rare and unpredictable complications, you cannot fail. The science is irrefutable. The science is conclusive. The results are well documented. This line of thinking does three things: It gives you a tremendous boost in your confidence that you are making the right decision. It places the responsibility for success (or failure) squarely on your shoulders. It forces you to examine the strength of your commitment. How bad do you want it? When you believe, truly believe, if I follow my plan I cannot fail, there are very few challenges that cannot be overcome. When you want it bad enough, failure is not an option. I followed my plan. And it changed my life. Follow your plan. And it will change yours. You're gonna love the new you!

Current thread from a poster with complications, surgery done in Mexico. http://www.bariatricpal.com/topic/297213-i-had-a-small-leak-now-all-hell-has-broken-loose/ Her surgeon, who has done a lot of folks on this board, is in touch with her and is trying to mitigate things, but what a mess when you have different teams in different countries trying to sort things out. This is the atypical scenario for Mexico sleeves, but, it is a real possibility that complications will happen, and the ability to deal with the complications is hampered when the original doctor is in another country. Just something to think about and frustrating for everyone all around. I feel for this woman.

Are you planning on going out of the country? Is the insurance offered through the doctor or something you found on your own? I know there are a couple of Mexico doctors who offer insurance for post-op...you might get more information on the Self-Pay Mexico forum. I had surgery in Mexico but haven't needed anything other than my regular medical insurance post-op. I also checked prior to surgery and my medical insurance does cover any complications, should I have any, from the VSG done out of the country. ~Kat

Do you know if your surgeon requires a one week or a two-week liquid diet? I don't think you're doing it for "no reason". The fact that you're willing to jumpstart the process shows how serious and committed you are. You'd be surprised by how many people aren't as motivated as you are. That's a good sign that you are going to be a big success story! My surgery was tentatively scheduled before I was approved, too. Insurance companies often say they take weeks to approve you, but often the turnaround is much, much quicker. It only makes sense for them to be conservative with their approval timeframe. At times, there may actually be a backlog of paperwork awaiting evaluation. My paperwork was sent in on a Friday, and I was approved on Tuesday of the following week. The doctor's insurance person/staff tends to know which carriers take longer and which don't. I have UnitedHealthCare, PPO. I think it's great that your doctor's office got you locked into for that date. How disappointed you would have been if they had required approval first. What if the approval had been received in time, but your surgery date had been given to someone else. On my surgery date, my surgeon had two other patients. I was number three in his queue. Ask if you'll be his/her number 1, 2, 3, etc. The smaller the number, the earlier you have to show up for surgery. The first two cases ahead of me turned out to be complicated cases. I was tentatively scheduled for 12:30pm, but ended up on the table at 5pm. I was slightly disappointed, until I asked myself, "Hey, would you want Dr. S to rush his surgery with you just because someone else was anxious for their surgery to begin?" My answer was, "No."

I understand your concerns. I talked with my surgeon, because after reading lots of information, I had decided that I did not want the smaller bougie sizes. I was anxious about an increased risk of strictures, possible osteoporosis from overly rapid weight loss, GERD, and difficulty eating some foods. He laughed when I told him that I did not want a stomach the size of a Bic pen. (He had not seen the photos comparing bougie sizes to pens and markers until I brought them to my appointment.) Anyway, my surgeon said that he typically uses a 40f to reduce the risk of those problems (although he was willing to change that if I wanted him to)--but what he also explained to me in a diagram, is that the bougie is used to determine the size of the upper portion of the sleeve, but that you still have a small "pouch" type area at the bottom that is larger than the bougie size itself. He said that there is a lot of surgeon judgement that affects how this area at the bottom of the sleeve is measured/shaped, and the amount of food it will contain. So even though the bougie size is important and causes you to feel restriction when you eat, the bougie size alone is not the only thing that determines the stomach's capacity. Some surgeons use the smaller bougie sizes in hopes of improving weight loss/reducing the risk of regain. Those things are important to me and I would love to be thin, but at 54, I am equally concerned with overall quality of life issues. For me, a 40f was a reasonable choice that would reduce my anxiety about possible problems. It's possible that at some point, I could wish he had gone smaller, but at 10 weeks, I am satisfied that my surgeon did a good job. I am eating small, but satisfying amounts of food. I haven't had any problems with reflux/acid (and I'm not taking a PPI). I'm losing satisfactorily--and would lose more if I were exercising more. I advanced my diet slowly, and thankfully, I haven't found any foods that I can't eat comfortably. I don't think it is unreasonable to be concerned about aging issues. For me to get adequate Fluid intake, I have to pay attention/work diligently to drink 64 oz a day. Alzheimer's runs in my family--and watching my mother last week made me very much aware that she would not be able to "sip sip sip" all day. At this point, she's doing well to know when she needs to go to the bathroom. It may be that some aging people with gastrectomies do very well, but I don't think there is enough research for us to know how this may affect those of us who develop problems with dementia/Alzheimer's. I had to make a judgement call. Is it better for me to be slim and be able to enjoy the years immediately before me, while taking the real risk that it may complicate nutrition/hydration problems if I develop Alzheimer's as I age...or is it better for me to stay fat and miserable now, so that I can insure my ability to eat and drink at some point when I am older and may not even know my name? For me, it was an easy choice. Let me LIVE now, and if I have to be rehydrated with IV fluids when I'm older because I can't remember to drink fluids, then so be it.

Hi-- I have read a little bit about some WLS being done robotically and wondered if they do lap bands with robots-- or just the more complicated surgeries? Has anyone had a robot performed surgery instead of the more traditional surgeon hands on surgery? And if so, would you kindly share your experiences. Thanks

I don't see why your insurance wouldn't cover the stricture even though you self paid. That's like not covering a broken leg from a roller skating issue. You self paid for the roller skates, the break is a possible complication, it gets repaired. Or a more medical example, you take a new Vitamin and have a reaction. The vitamin wasn't prescribed or covered by the insurance company and the fall out is. Stricture is life threatening. GET. IT. CHECKED.

​I am a bypass patient but I had a stricture that developed same time frame. It was awful. By the time we figured it out, it was because I hadn't held ANYTHING in for 4 days. When they did the first procedure, I had only a tiny pin hole left open so nothing was going down. As the day went on, food / Fluid built up in to my esophagus and it had to come back up. I had 2 balloon dilations about a week apart and I feel so much better now! Do you have any insurance at all? I was always told any "Complications" would be considered covered by insurance. I wonder if you go to a GI specialist, if the insurance would consider it differently than procedure from bariatric surgeon? As far as losing weight faster, clearly that person did not have a stricture. it is horrible and being malnourished is a real possibility and awful.

Thanks for all the prayers and positive vibes. Got home safe and sound last night. All is well so far. Praise be to God. Dr. Rodriguez and his team are awesome! Anyone choosing to use Belite and/ or Dr. Rodriguez, you will have an awesome experience. Honestly felt like I was in the US having surgery at a top notch hospital. Would do it again in a heart beat. Most of the nurses spoke some English so communication was not an issue. Surgery went on without any complications. I am very excited to be on the losers bench thanks to Dr. Rodriguez, Ishi with Belite Weight, my wonderful husband and my great Vertical Sleeve family! Attached is pic of Juarez from my room. And no didn't hear any gun shots. It is just like any other dangerous US city. Star Medica is located in an upscale neighbor right by the American Embassy. Good luck to everyone !

Oh and another thing lolI do understand the frustration, my mom was not supportive of the surgery. I just didn't talk about it with her until I was approved. She did support me even though she didn't agree with what I was doing. The women in my family are traditionally big. I watchedy gram struggle with being morbidly obese all my life before she passed from complications post knee replacement (2nd replacement) and complications of being obese. She was only 68. It was heartbreaking. My mom is obese and about the,size I was in February. She believes that she is okay since there are no other issues with her. I respect that. She tries to cook healthier. It's tough. I also understand how much you (we) want to loose without intervention. Or the frustration of trying so hard and not loosing weight. Ive tried so many diets and failed long term. I looked into the surgery in 2012 but the surgeon Office I contacted was an ass so I let it go. Looking back I probably wasn't ready anyways. In 2015, i cut out most sugar, breads, most dairy, all soda and most processed foods. I gained 20 pounds. I went into a deep depression and stopped doing anything. I'd see my kids off to school sleep til 10. Do the bare minimum of work sleep from 12 -3. Straighten up the house. Cooked dinner sit on couch then rest of the night. My SIL saved me and help me see a therapist and find a supportive pcp. In January after my diabetes went worse and a huge talk with my pcp I decided to talk to a bariatric surgeon and other professionals and post surgery people. I went to my informative meeting and began the process. That's my story and I'm sticking to it. Ha! Every one has a tipping point when surgery was the best chance at being healthy. Don't rush into. Go at your pace I'm totally with you on this. I feel the same way. I'm at a point where nothing else has worked for years and every doctor I have been to has recommend this... from my OB to my endocrinologist and everyone in between. I feel like I'm all out of options and this is my last resort. I guess that's why it feels forced, but at the same time I feel like this is what I need. I just hate the idea that everyth8ng I ever knew about dieting is basically a lie after I met with the nutritionist yesterday. Sent from my SM-G920T using the BariatricPal App

The best piece of advice I can give is to go in positive. Don't assume you'll have complications. Yes we hear from the people who have issues and are in pain, tired, etc. But that's because they're feeling bad and want help and support. What we tend not to see is the other 98% of us where everything went off without a hitch. I walked and walked and drank a ton of fluids and was home from RNY within one day and in no pain within 4-5 days. At 5 weeks out I am jogging, light weight training, and basically back to or better than normal. Go in thinking you're going to rock this and nothing is going to stop you and you're going to walk and sip fluids and kick the surgery's ass. And do it. Move. Drink. Repeat. Also, hydrate like a camel the day before surgery. Literally like a gallon or more. My surgeon swears by this because people who go on hydrated tend to do better. Sent from my Pixel 3 using Tapatalk

So, based on what I can tell, best case scenario for me is getting surgery in November or early December. We've just booked a Disney Cruise for February 13th (with friends plus a good discount, so date non-negotiable). In my head, I'm at that point where the food part of the cruise isn't one of the big draws for me anymore - at least that's what I tell myself since I haven't been faced with the sleeve reality yet. Anyhoo, for those of you who've already been sleeved, would you have gone on a cruise 2-3 months post op? I'm not so worried about what to eat, I know that there are always options available, but I'm nervous about eating in front of friends every night! Ack! Of course, I do know that there are always possibilities of complications post surgery, but that's not part of this post/equation... I'm happy to hear what you would have done...

I'm so sorry that your progress has slowed! I know how frustrating it has to be but look on the bright side, they are just trying to get you into the best shape so you will have fewer complications after! I know it's just another delay in an already lengthy process and I'm sorry. I just hope that it will go away after the first treatment so you can keep moving and get your surgery date!! Keep us posted and know I'm sending you good energy for speedy healing!!