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Things I asked my surgeon at my pre-op appointment today



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Just thought I'd throw out there the questions I asked my surgeon today. Surgery is Saturday!

Q: What size bougie do you usually use?

A: (laughing) why does that matter?

Me: It doesn't; on the forum I hang out on, I've seen people talk about the size of the bougie the surgeon uses, and I figured I would ask!

Doc: 34

Q: Do you suture over the staples on the sleeve?

A: Yes and sometimes over the sutures I also use (dang, I can't read my notes. Can't remember if he said a surgical mesh or a surgical glue or what).

Q: Do you close with staples? sutures? glue?

A: Usually I used sutures and/or steristrips, but since you have trouble with tape (it gives me welts), I'm going to use surgical glue and sutures where necessary.

Q: Do you do a leak test before discharge?
A: I do the leak test while you're under anesthesia, by endoscopy. I do everything I can while you're out and I don't see any reason to wait to do a leak test until you're awake (shaking his head).

Q: Do you routinely use catheters on your patients?

A: Sometimes, and I think we will for you.

Me: Good!

Doc: (laughing) Why "good"?? Not having one is an incentive to get up and walk!

Me: Because when I have to pee, especially in the middle of the night, I have to go RIGHT NOW. So I'm picturing me struggling to get out of the bed, not making it, and leaving a pee trail to the bathroom.

Doc: (still laughing) that's why we have linoleum floors.

Me: And then I slip and fall in the pee and break a leg or my hip or something and then you have to operate on THAT!

Doc: Yep, a catheter it is!

Q: Do you usually leave in a drain?

A: No, not routinely. Not usually.

Q: Is anyone else going to be working on me or is it just you?

A: I have assistants and residents, and if a resident is near the end of their training, they'll do much more than if they are at the beginning. I'll be there the whole time.

Me: So I'll always be in your talented hands?

Doc: Yes, until I go to Starbucks for a coffee halfway through! (this is in reference to a local cardiac surgeon who got into serious trouble for leaving patients in the middle of surgery and telling his PA to finish up the surgery - clearly out of the scope of practice for the PA).

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LOL I love that you noted *shaking his head* etc haha makes me laugh ????

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GREAT questions!! I have my first appointment with my surgeon on September 9th and am hoping that other people may share some of the questions they asked during their first couple of appointments too!!

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Thank you for sharing!

I'm much earlier in my journey (I still have to meet my surgeon - but next week!). However, I've been compiling a list of questions. I'll share these, even though they are for folks a little earlier in the process, as it might help someone when prepping. Some, I know the answer to, others, were just things I was contemplating, but I'll add them all, just in case it might help someone...

Which surgery (sleeve or RNY?), based on current medical issues?

How long will I be in the hospital?

How long will I need to be off of work?

What tests/prep will I need before surgery (ie. other doctors)?

What Vitamins will I need to take post-op? Long-term/short-term?

What can I expect in regards to hair loss?

Is there a specific type of Protein product you require/prefer your patients to use?

What type of pre-op diet do you require?

What type of post-op diet can I expect?

(by the way - I have on my list, as well, about the catheter, drainage tube, etc., lol)

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Wow, a 34 bougie seems smaller than usual.

Lucky.

;)

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And THAT's how conversations with surgeons should go. Good job!

Babbs, re bougie sizes, my surgeon uses a 36 for most patients.

I've heard of a Mexican surgeon who uses a 32 for all patients.

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This was HILARIOUS!! Definitely a great way to start my morning off! Felt like I was watching this all happen on TV! LOL!????

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

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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