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Plication Sleeve



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I'm 54, female, 66", bmi 42. I scheduled my surgery for the first week in April with Dr. Mario Almanza for the plication sleeve, Jerusalem hospital in Tijuana. I am waiting on my passport or else I would of made the appointment sooner. My first question is obvious, anyone have this done at this place and with this doctor? Does anyone have any tips, do's and don'ts? I will be bringing my 30 year old daughter with me and I'd like some advice on what she'll be expected to do and where she'll be while I'm at the hospital? She will be going to the recovery house with me, is this a private house or a group place with other patients sharing? Is there food for everyone or just liquid food for me? Where does the driver take you when you want to get out and do you need to reserve the driver for a specific time? What is a good tip for the driver at the end of your stay? When staying in San Diego, where's the best hotel to stay under $150.00 a night bay/beach or town? I'm literally coming from coast to coast, so I'm very excited to see as much of California and Mexico that I can. My kids are having reservations about me having surgery in another country, I am too, but also very excited. Thanks for all your help.

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I had the sleeve with Dr. Almanza on 01/10/2011 and I am doing great. Don't know anyone who's had the plication with him, there was a patient who was scheduled for one the day after my surgery but after meeting with the doctor he changed over to the sleeve and did great afterward too. The clinic you will be in the first 24 hours after surgery is very small and in a strip mall setting, and I would think you daughter would have too hangout in the upstairs lobby where there are couches if she stays becasue there did look to be any extra space other than patient beds. I was in a room with another patient and we had a small walking path between the beds and a recliner at foot of bed so she could crash there. If the recovery house isn't full she would be very comfortable there if you are okay without her for that one night. She coud stay unitl you wakeup from surgery and then the driver would take her to the house and you would join her the following morning. The recovery house is a small condo/house in a gated community that has a total of ten beds in four bed rooms, three bathrooms, a kitchen, dining area, and small sitting area, outside there is a small uphill street with a small patio off side of house. The beds are for patients first and if there is room the family members get one, if it were a busy week she might not even have a bed but a place on a couch, there are two small ones in the sitting area and another in the four bed suite. Everyone was like a big happy family when I was there, and the housekeeper/cook fixes big meals and will fix anything you like if you send out to buy things you like by one of the employees. The only time I was out in the car was when I went to have my leak test xrays done, we were scheduled to go out later that evening to shop but plans fell through, the drivers are very busy shuffling patients to and from San Diego and to and from the clinic and test. I only tipped the driver who returned me to the airport for an early departure, he picked me up at 4:30am. Either location of the hampton inn is great because they offer the most hours of free shuttle service to and from the airport at around $90 night. Everyone associated with Dr. Almanza was great, very friendly with huge smiles, and everyone works very hard for the job they each have. Hope this helps, if you have more questions feel free to send me a private message. Good Luck.

I'm 54, female, 66", bmi 42. I scheduled my surgery for the first week in April with Dr. Mario Almanza for the plication sleeve, Jerusalem hospital in Tijuana. I am waiting on my passport or else I would of made the appointment sooner. My first question is obvious, anyone have this done at this place and with this doctor? Does anyone have any tips, do's and don'ts? I will be bringing my 30 year old daughter with me and I'd like some advice on what she'll be expected to do and where she'll be while I'm at the hospital? She will be going to the recovery house with me, is this a private house or a group place with other patients sharing? Is there food for everyone or just liquid food for me? Where does the driver take you when you want to get out and do you need to reserve the driver for a specific time? What is a good tip for the driver at the end of your stay? When staying in San Diego, where's the best hotel to stay under $150.00 a night bay/beach or town? I'm literally coming from coast to coast, so I'm very excited to see as much of California and Mexico that I can. My kids are having reservations about me having surgery in another country, I am too, but also very excited. Thanks for all your help.

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I had the sleeve with Dr. Almanza on 01/10/2011 and I am doing great. Don't know anyone who's had the plication with him, there was a patient who was scheduled for one the day after my surgery but after meeting with the doctor he changed over to the sleeve and did great afterward too. The clinic you will be in the first 24 hours after surgery is very small and in a strip mall setting, and I would think you daughter would have too hangout in the upstairs lobby where there are couches if she stays becasue there did look to be any extra space other than patient beds. I was in a room with another patient and we had a small walking path between the beds and a recliner at foot of bed so she could crash there. If the recovery house isn't full she would be very comfortable there if you are okay without her for that one night. She coud stay unitl you wakeup from surgery and then the driver would take her to the house and you would join her the following morning. The recovery house is a small condo/house in a gated community that has a total of ten beds in four bed rooms, three bathrooms, a kitchen, dining area, and small sitting area, outside there is a small uphill street with a small patio off side of house. The beds are for patients first and if there is room the family members get one, if it were a busy week she might not even have a bed but a place on a couch, there are two small ones in the sitting area and another in the four bed suite. Everyone was like a big happy family when I was there, and the housekeeper/cook fixes big meals and will fix anything you like if you send out to buy things you like by one of the employees. The only time I was out in the car was when I went to have my leak test xrays done, we were scheduled to go out later that evening to shop but plans fell through, the drivers are very busy shuffling patients to and from San Diego and to and from the clinic and test. I only tipped the driver who returned me to the airport for an early departure, he picked me up at 4:30am. Either location of the hampton inn is great because they offer the most hours of free shuttle service to and from the airport at around $90 night. Everyone associated with Dr. Almanza was great, very friendly with huge smiles, and everyone works very hard for the job they each have. Hope this helps, if you have more questions feel free to send me a private message. Good Luck.

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Thank you so much for all the information. You've answered some of my concerns. Thanks for your input about the doctor as well as the staff of the hospital and it's location. At least now I can prepare myself as well as my daughter about the location of the hospital. That would be a bit of surprise to drive up and see coming from the States, like a take out restaurant. lol.. I wish you luck and success in your weight loss. Thanks again.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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💪
      · 0 replies
      1. This update has no replies.
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