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Oasis Brochure on the Lapband



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Hi All -

Just a heads up.

I picked up a brochure from Dr. Lopez's office once while I was there, and it had a color xerox cover with the Oasis Hospital logo on it. It was blue, and seemed to be intended to be from the Oasis Hospital. Inside were supposed guidelines for patients who had the lapband. I have to tell you, that article was taken WORD for WORD from an RnY doctor's article, which was written specifically for gastric bypass patients. The word "lapband" had been substituted everywhere the word gastric bypass appeared in the original article. The doctor was not credited. I started getting suspicious because it said that there would be no hunger for 6 months, at which time hunger would start to return. I knew that wasn't true for the lapband - no WAY, no HOW. But, having a sister who had the RnY, I knew it was true for her. Because the brochure was so long, I couldn't believe it was typed from scratch, so I took a key phrase and Googled it, and lo and behold, I found the original bypass article.

The post-op protocol for the RnY is drastically different from the post-op protocol for the lapband. The only thing they have in common is the liquid diet post op. But even that is shorter for lapbanders, and not restricted in quantity, like it is for the RnYers - there is no drinking a thimble-full of Protein shake every hour directly after post-op, like the RnYers are required to do.

The only other similarity between the two is the longterm strategy of how to use the pouch to its fullest advantage - eating solid food, not drinking with meals, waterloading prior to meals, and avoiding gastric irritants like Aspirin, Advil, and other NSAIDs.

There is no "window of opportunity" for weightloss with the band. With the RnY, it is expected that weightloss pretty much stops 18-24 months out. That's how long it takes the body to adjust and compensate for the malabsorptive part of the bypass. For Bandsters, our band will continue to be a tool in our weightloss journey - there are bandsters 4-5 years out who have continued to lose weight with the band.

Also, it is NOT expected that a bandster lose 30-45 pounds in the first month. That is a gastric bypass stat. The expected average weightloss with the band is 1-2 pounds a week.

I'm not sure how widely dispersed this pirated booklet is. But for anyone who has gotten a thick xerox brochure on the lapband while they were in Mexico, beware. It is unlikely that is it truly a lapband brochure, since there does not appear to BE one!! Which I imagine is why someone got the bright idea to create one in this manner.

Here is a link to the original article by Latham Flanagan, Jr., M.D., FACS :

http://obesitysurgery-info.com/understandingsmallgastricpouch.htm

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That is funny, Latham Flanagan is the renowned bypass surgeon in the Eugene area. I have met with him a couple of times. Interesting fellow. He is retiring this year from what I understand.

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Wow. It's really disturbing to think that a doctor who does the Lap-Band procedure would not know better than to treat it just like the band, never mind the plagiary. Great detective work, Donali. What did we ever do in the pre-google age?

Nancy

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Thanks for taking the time to do this, Donali! I think this is SO important to shine a light on. People are being told every day that all WLS surgeries are the same, and we all know that's not true.

Please let us know what Dr. Lopez says when you bring this to his attention. I'm very curious to know!

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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.

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    • KimBaxleyWilson

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