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Grrr..get it straight! Its Vertical Gastrectomy NOT bypass!



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There's this Jamaican man that I have known for a very long time. One time about 5 years after he had moved to the USA, he asked me a question. He wanted to know why in Jamaica they talk about the USA every night on the TV news, but in the USA, Jamaica was only mentioned in news programs a couple of times a year. He just didn't think it was fair.

To everyone who has been sleeved, or who is considering being sleeved, finding out everything we can about the procedure, restrictions, pitfalls, benefits, success factors, etc is life or death important. If you didn't find out all those things you are lowering your chances of success. To those of us on this forum, relentlessly seeking out information becomes something that drives us, and for some of us even an obsession. And because of the pursuit of knowledge, we increase our chances of successfully losing more weight and preventing regain. It's rational for us to become experts on the sleeve.

There are thousands of different surgical procedures. Every year there are thousands of advances across all medical fields. Doctors are only human and they can't possibly become an expert in every area, and it's unrealistic to expect them to unless this is their area of expertise.

By acknowledging this, you can take ownership of it and get the best possible outcome. Every time you talk to your doctor other than your surgeon, don't presume that he is an expert about this. Take the time to gently educate him about it. Patiently answer any questions without putting him down that he doesn't know. And don't be disappointed if he makes some incorrect assumptions. Instead gently educate.

As VSG becomes more common, doctors will learn more about it, and this will be less of a problem in the future.

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I would be much happier with a doc who said,"Let me do some research and I'll get back to you". Covering up a lack of knowledge to keep up the Marcus Welby image turns me off. It is lazy and dangerous. Someone who imagines they already know everything they need to know has no wiggle room for thinking, growth, or competence.

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I would be much happier with a doc who said,"Let me do some research and I'll get back to you". Covering up a lack of knowledge to keep up the Marcus Welby image turns me off. It is lazy and dangerous. Someone who imagines they already know everything they need to know has no wiggle room for thinking, growth, or competence.

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It gets even worse when you have both a by-pass and sleeve like I do....Everyone is confused including me...lol

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It gets even worse when you have both a by-pass and sleeve like I do....Everyone is confused including me...lol

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I would be much happier with a doc who said,"Let me do some research and I'll get back to you". Covering up a lack of knowledge to keep up the Marcus Welby image turns me off. It is lazy and dangerous. Someone who imagines they already know everything they need to know has no wiggle room for thinking, growth, or competence.

Agreed. Interestingly, when my surgeon saw something unusual on my barium swallow test, I asked him what it would mean for me. He gave me a refreshingly honest answer: "I don't know."

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I would be much happier with a doc who said,"Let me do some research and I'll get back to you". Covering up a lack of knowledge to keep up the Marcus Welby image turns me off. It is lazy and dangerous. Someone who imagines they already know everything they need to know has no wiggle room for thinking, growth, or competence.

Agreed. Interestingly, when my surgeon saw something unusual on my barium swallow test, I asked him what it would mean for me. He gave me a refreshingly honest answer: "I don't know."

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There's this Jamaican man that I have known for a very long time. One time about 5 years after he had moved to the USA, he asked me a question. He wanted to know why in Jamaica they talk about the USA every night on the TV news, but in the USA, Jamaica was only mentioned in news programs a couple of times a year. He just didn't think it was fair.

To everyone who has been sleeved, or who is considering being sleeved, finding out everything we can about the procedure, restrictions, pitfalls, benefits, success factors, etc is life or death important. If you didn't find out all those things you are lowering your chances of success. To those of us on this forum, relentlessly seeking out information becomes something that drives us, and for some of us even an obsession. And because of the pursuit of knowledge, we increase our chances of successfully losing more weight and preventing regain. It's rational for us to become experts on the sleeve.

There are thousands of different surgical procedures. Every year there are thousands of advances across all medical fields. Doctors are only human and they can't possibly become an expert in every area, and it's unrealistic to expect them to unless this is their area of expertise.

By acknowledging this, you can take ownership of it and get the best possible outcome. Every time you talk to your doctor other than your surgeon, don't presume that he is an expert about this. Take the time to gently educate him about it. Patiently answer any questions without putting him down that he doesn't know. And don't be disappointed if he makes some incorrect assumptions. Instead gently educate.

As VSG becomes more common, doctors will learn more about it, and this will be less of a problem in the future.

I was just about to post the same. Just as I would not expect an orthopedic Doc to know much about diabetes care, don't expect your regular doc to know the ins and outs of this surgery. As far as lumping all WLS together, I believe that is common. Until you are interested as a patient or support person, they all are the same.

I would be much happier with a doc who said,"Let me do some research and I'll get back to you". Covering up a lack of knowledge to keep up the Marcus Welby image turns me off. It is lazy and dangerous. Someone who imagines they already know everything they need to know has no wiggle room for thinking, growth, or competence.

The main issue with this, as we can all attest to, is that every surgeon seems to have their own after care protocols, so research is only as good as the info you find, and its super conflicting.

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There's this Jamaican man that I have known for a very long time. One time about 5 years after he had moved to the USA, he asked me a question. He wanted to know why in Jamaica they talk about the USA every night on the TV news, but in the USA, Jamaica was only mentioned in news programs a couple of times a year. He just didn't think it was fair.

To everyone who has been sleeved, or who is considering being sleeved, finding out everything we can about the procedure, restrictions, pitfalls, benefits, success factors, etc is life or death important. If you didn't find out all those things you are lowering your chances of success. To those of us on this forum, relentlessly seeking out information becomes something that drives us, and for some of us even an obsession. And because of the pursuit of knowledge, we increase our chances of successfully losing more weight and preventing regain. It's rational for us to become experts on the sleeve.

There are thousands of different surgical procedures. Every year there are thousands of advances across all medical fields. Doctors are only human and they can't possibly become an expert in every area, and it's unrealistic to expect them to unless this is their area of expertise.

By acknowledging this, you can take ownership of it and get the best possible outcome. Every time you talk to your doctor other than your surgeon, don't presume that he is an expert about this. Take the time to gently educate him about it. Patiently answer any questions without putting him down that he doesn't know. And don't be disappointed if he makes some incorrect assumptions. Instead gently educate.

As VSG becomes more common, doctors will learn more about it, and this will be less of a problem in the future.

I was just about to post the same. Just as I would not expect an orthopedic Doc to know much about diabetes care, don't expect your regular doc to know the ins and outs of this surgery. As far as lumping all WLS together, I believe that is common. Until you are interested as a patient or support person, they all are the same.

I would be much happier with a doc who said,"Let me do some research and I'll get back to you". Covering up a lack of knowledge to keep up the Marcus Welby image turns me off. It is lazy and dangerous. Someone who imagines they already know everything they need to know has no wiggle room for thinking, growth, or competence.

The main issue with this, as we can all attest to, is that every surgeon seems to have their own after care protocols, so research is only as good as the info you find, and its super conflicting.

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I dont know what the deal is but ever since i returned home from vsg surgery in Tijuana' date=' all the Drs ive dealt with so far here in Canada, dont have a flipping idea what VSG is. They keep lumping me together with Bypass. I saw my PCP for post op bloodwork and he asked how i was doing and i told him eating was a challenge and getting calories in for the day and he said " thats to be expected with bypass, we knew this would be a challenge for you" and i corrected him for the millionth time and said "sleeve gastrectomy" and he said.."well..bariatric surgery..whatever".

Because i had an incision infection I needed to go see a medical clinic GP and the DR was like " sorry..what did you have? "What is that??". When i said i had a infection in my incision, he got me to lift my shirt so he could see and said "oh..it was done laprascopically!" "I thought they sliced your stomach right across"

Seriously!!! What is the deal!!! How come I know more about the sleeve than any of the DRS that ive seen since i got back?? I mean i have seen 5 different Drs and they had no clue. I had to explain the procedure and how it works.

And another thing...i am sooo sick of people lumping me in with bypass patients. People keep asking me how my intestines are healing and im like "theyre great! They wernt even touched!"

One friend of mine looked at me and said " how much have you lost?" And i said im 2 pounds away from being 40 pounds lost in a month and one week out..and she said "i thought weight loss would be faster"...... and im thinking.. "for real?? " um...i think 40 pounds in 1 month and 1 week is pretty fast... Again...being lumped into the bypass world..people thinking im going to lose an instant amount of weight...

-end of rant[/quote']

I just had someone say something similar to me. She correctly guessed I had surgery then asked me how much I lost. I said 35 pounds at 5 weeks post op which is really 7 weeks bc of pre op diet. She said "I would think you would lose a lot more after surgery". I had to explain that the surgery doesn't remove POUNDS. just enough stomach to allow us to stay on low cal diet. And p.s I think my weight loss of 5 pounds per week on average is fast enough for me!

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I'm getting a written technical copy of the surgical procedure from my surgeon to give to my doctor so he can read about it for himself. I will even sit in his office with my ipad so he can watch a youtube video if it will help. He is an ER doctor, so I wouldn't expect him to be an expert in bariatric surgical procedures. But I want to help him know what complications might look like.

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We are not talking about a backyard mechanic fixing an old car, this is your body and your life. If your doc doesn't know what the heck he is talking about demand that he find out what he needs to know or look elsewhere. It is not up to us to give him an education. If so, I would charge him about $1000. an hour.

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I live in a small rural town with no doctors. My doctor is a friend who lives 20 minutes from me. He is an ER doc in another town about an hour away (the closest ER to where I live). The nearest facility with a bariatric surgeon is 3 hours away. But the nearest facility that I would trust going to if I had a major complication is 5 hours away. So helping to educate my doctor about this procedure and potential complications is going to be my first "line of defense" so I'm not wasting a whole day driving to a specialist for every little ache or pain I might have post-op. Not to mention the fact our town gets snowed in with no traffic in or out for several days every winter, so finding another doctor wouldnt do much good anyways.

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    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
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      1. This update has no replies.
    • 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!
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    • 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.

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