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Questions you wish you asked before surgery?



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I have my second to last weigh in tomorrow morning. I have few basic questions... are they any questions you wish you would have asked before surgery?

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Hi there

I asked the following - compiled from a list that I got from Tiffykins and various others and also some I thought of myself thru sheer curiosity. Some they answered during their talk about the procedure, and the rest I asked afterwards.

You can never have too much information - its a big decision to make.

Pre Op /The Op

If self pay - What does your fee involve?

Is there some follow up care thrown in there, like labs at 3,6,9 and 12 months?

Pre op diet – what to eat/drink and how long for?

Do I get a nutritionist/psychologist?

What size bougie is used?

Do you oversew the staple line?

How many incisions do you make?

Do you go in thru previous scars?

How many nights in the hospital – is there facility for someone else to stay in my room as well?

How many leak tests do you do?

How many sleeves have been performed?

Complication/leak stats? How many if any deaths?

Is the hospital equipped an ICU and blood bank in case of complications?

If complications do happen to occur, are these complications/additional surgery/days in hospital covered by the original quoted price of the surgery?

Would you remove my gall bladder at the same time if needed?

Can you give me some patient testimonials or do you have any before/after pictures of your patients that I could read/look at?

Is it standard operation procedure, ie: no nail polish, no body jewellery?

Do I need to stop taking any particular medication pre op? (Take a list of what you take and dosage)

Post Op

How often are the post op check ups?

Where are they? – is price included?

What supplements/anti acid drug would I need to take?

Do I need labs done post op?

Post op diet?

How much weight would I loose?

What if I loose too much, how to maintain?

Do you use heparin?

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Thank you Sparkle! I have my first consultation with the surgeon tomorrow and this is a great list!

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Thank you so much Sparkle!! Dr. Podkameni was very easy to talk to and willing to answer all of my questions. He uses a 40 oz bougie. He also oversews on the staples and has 0% leakage. It was really helpful to have these questions, I realized when reading them that I had wanted to ask several of them but in the month between weigh-ins they slipped my mind. B)

Oh I also found out that I will get to speak to the Anethesiologist 2 1/2 weeks before the surgery. I am going to talk to him/her about using a smaller tube if possible to lessen the amount of friction on my vocal cords. :)

Edited by Papillon

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Bougie is french for "candle" and my surgeon just calls it a French. I'm really glad I asked how many VSG's my surgeon has done, I was shy to ask it like I was questioning his abilities, but I'm glad I did it. Turns out he's done 900, sounds good to me!

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LOL! Don't fear- no candles used in surgery! A Bougie is: bou?gie / ˈboōjē; -zhē/ • n. (pl. -gies) Med. a thin, flexible surgical instrument for exploring or dilating a passage of the body. (some think the term is related to the French term, "bourgiosie," don't know why)The word French is used with many medical devices that are straw-like, with an internal lumen (opening). The number correlates with it's size, ie: a "32 French" is larger than a "28 French." I'm glad they're using a 32 for my VSG, although I hear some surgeons are using 28. I hope to God that my urinary catheter (Foley) is no larger than a 16!There's an answer from a nurse. Good luck!

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Trust your CRNA/ Anesthesiologist. There usually isn't a lot of friction on the vocal cords (but if you're a singer, just let them know). Remember, the larger the ETT (endotracheal tube), the easier it is to ventilate you. Most sore throat or hoarseness is temporary (if you have any at all), but having brain tissue well perfused and oxygenated trumps all...

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Great question list, Sparkle!

Thanks - I just kept making notes of things I wanted to know, and questions from this board as well when I was researching it all....

:001_tongue:

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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