Hi everyone,

I'm really needing some input from you guys. I had a gastric bypass 2 weeks ago. Since the surgery I have noticed that I get full on less food but not incredibly less.

I can very easily eat 2,200 calories a day. Regarding quantity at one time I can eat 3 Lien Cuisines in a row before getting really full. After 2 I may start to have a light full feeling.

I have never felt nauseous. I am sticking with soft food but have had chicken chewed up real good, fish, beef, everything. Not a single thing made me feel sick or made me throw up.

I left a voicemail for my Nut and she left a message back that she was hoping that I made a mistake in saying 2,200 calories a day and she asked where is it all going on the voicemail. She was acting like that was impossible.

I can assure you that it isn't impossible. Because I can do it. Without any effort. She seemed very concerned about this. As did the surgeons assistant when I told her. She immediately called the Nut and told her to get ahold of me.

They say every pouch they make are all the exact same size. The Surgeon told my GF that he had difficulty in making my pouch but got it done. I have a lump and some pain still right around my left rib. They told me if I have no fever I don't need to be concerned with it even though sometimes it hurts and others it just aches a little.

My GF had the same surgery 3 weeks before me and she never could eat any where near as much as me. 3 bites of a hamburger and she is painfully full. Not me I can eat the whole thing.

My Nut said when freaking out on my voicemail that I must have meant 300, 600 or 800 calories or something like that because that is what she said she hears from most people who are 2 weeks out. Nope she heard me correctly 2,200 calories.

So Im 6'2 and I started out 2 weeks ago at 307 and a BMI of 40. Right now I'm 295. I seem to be doing fine with losing for now but I'm real concerned about this amount of food I can easily eat. And I'm wondering if I am the only person alive that has been able to do so. Or anyone else out there that had the same experience.

I have also read here that a person should be for sure under 1,000 calories a day in the initial weight loss stage and then higher when you go into the ongoing maintenance stage. By what the calorie counters say when I get to 225 I should be eating around 2,500 calories a day to maintain. Why less now? Or is that not true?

Thanks for your input!

I finally got caught up on this as I just had my gastric bypass on 12/9, but have been following this thread since it first started. Any updates from the appointment on the 8th?

Dr. Douchebag, LOL that's funny! Yea that's exactly the way I feel about him.

I had my meeting with him. I think he has been reading this thread. I told him the bariatric forum I go to is huge. He said yes it is big. Interesting considering the fact that not once did I ever tell him which bariatric forum I go to. Which lead me to believe that him or his assistant searched for it and found it.

He was wishy washy about it. He agreed that it was big. He then showed another still slide of it and said from this angle it looks like the normal size. I told him don't bother looking at that one because that is not a slide where my stomach was distended from the thing they make you drink. Those are the only slides that will accurately show how big it is. And he said yes those were big. I reminded him how he said my stomach was folded back in further clarification and that was why it was difficult to create the pouch. I said is that why it is much bigger because he wasn't able to see all of it. He said yes that may have been part of the problem. I could tell he really didn't want to give a firm answer on anything. Like he was trying to protect himself legally.

I also asked him about how the thickest stuff they gave me which was supposed to go down and stop for a while in the stomach before going into the intestine. This thickest stuff passed right through the stomach like it want even there. This is one of the things that Winklie had mentioned. How he is supposed to taper down the bottom of the stomach where it meets further down with the intestines. I questioned the surgeon about that.

His answer to that is we really don't know exactly how big to make that. I could taper it down so tight that food can't get through. We have tried that with lab band patients he says. We've constricted the band so tight that hardly anything gets through. And we don't like to do those anymore because they end up failing. The people are still hungry he says. They didn't get the part cut out like they do with the sleeve that creates the Ghrelin. So their hunger hormone is still raging and they want to eat. They end up eating low density high calorie foods like shakes. He then says how great the gastric sleeve is. They were pushing that sleeve from the start. Pushing it hard. I decided against it due to the research I did confirming that the bypass when done right is the gold standard.

So he wrapped it up saying he is still my doctor and he doesn't want to see me get hurt. He again talked about how terribly dangerous it was to have the revisional surgeries. And to beware of several different revisional surgeries that doctors are out there pushing. Like this laser one where they burn both sides of the bottom of the stomach to taper it off and make it smaller, and several others. He said they aren't tested well.

He then said he has no idea what will actually fix the problem. He repeated the problems of making the stomach smaller and still being hungry due to the old stomach being there producing Ghrelin. And tapering down the bottom more and repeated the lap band peoples problem. He said we could take out the old part of the stomach. And then said he didn't know.

I asked him if he calculated the actual size of the stomach from the measurements that the technician gave. The technician said the Dr. would calculate it. But he didn't. I told him that he advertises that he does them at 2 tablespoons or 30cc's. He said no he doesn't advertise that. He said that is just general education. I asked him why it's on Carilion paper in a Carilion binder. That's the name of the hospital. And if they have their logo stamped all over it it gives people the impression that that is the way they like to do them. He said he is going to change that.

I also asked him about he hernia at the top of the stomach and reminded him that I didn't have one before because he tested for that. He pulled back up the X Rays and he said yes he sees that he typed that but it doesnt' look like one to him. He said it's bulged a little but he doesn't think it's a hernia. But he doesn't know for sure.

He ended off with he will do whatever I want to do. If I want a referral to one of his fellow bariatric surgeons then he would give me one. Clearly that would be stupid to go to someone he very well could know to get their opinion.

I haven't done anything yet. I know now for sure this will be dragging into next year. He said it is very dangerous to redo the surgery within 3 months of having it anyways.

So I guess I'm going to Johns Hopkins, Duke or somewhere further away since he was talking about the referral he would send me to is at the University of Virginia.

My GF who had the botched surgery as well, not as bad as me but still bad, asked the surgeon for one of those upper GI X Ray tests that I had. Because she has been watching what she eats, is about 4 months post op and lost 50 lbs and stopped losing weight and has gained back 5. She can eat almost as much as me. The surgeon's blocker girl answered that it's her fault. That the stomach has not stretched out since the surgery. Because it takes 2 plus years to do that. So she said that it is the right size and it has to be that she is eating wrong. And that she needs to contact the nut. That's all these people do is talk about how it's your fault. I just found out one of my best friends had their lap band done by Dr. Lucktong. He's fatter than he has ever been and he was made to believe it's totally his fault and there is no surgery that could ever help him because he is a stress eater. So he feels like he is a failure. I'm trying to let him know that it's the surgery that's the failure not him.

Ugh, what a nightmare! This guy doesn't even deserve the title of doctor. Not only did he screw up monumentally but now he's trying to cover his ass from all angles instead of fixing his botched work. not only is he an awful doctor but he's an awful person. I hope you have much better luck and professionalism with your next surgeon!

dude i live in md i can tell you first hand go to hopkins they are the best they have the best doctors the best training and the best aftercare you will be treated awesome and not like a child that doesnt know anything because you happen to need surgery to fix an issue i highly recommend hopkins run dont walk

Again. So sorry this happened to you. Will your insurance pay for another surgery to correct? Will you get a by pass done like you originally wanted? Any lawsuit will take forever to resolve.

I don't understand their ad about making the tummy hold 2 tablespoons. With the original swelling it holds very little but long term should hold 1-1.5 cups. Down from the preservers 4-6 cup capacity. Two tablespoons would not sustain life ongoing. Your Dr is a piece of work. I hope your GF gets a second opinion and gets a test done too. 50 lbs is a size able weight loss Stalls happen. I hope she visits the nutritionist and gives her food plan a tweak. It might but her weight loss back on track. Please keep us posted.

@@Dallas Powell

I have been meaning to get around to replying to this post for like a week, sorry Dallas. However, the Doctor is W-R-O-N-G about revisional surgery. Here is a link to the North Shore University Hospital in Manhasset Long Island, they advertise two revisional procedures right on the website. Link here, Note the two bottom choices the StomaphyX procedure and the ROSE procedure. When I was in NY I lived about 3 miles from this Hospital, it is where both my children were born and I have been a guest several times, lol. Not sure where you are, or your resources, but the North Shore-LIJ Health system, is a world class hospital, they are cutting edge, while I had my surgery done here in NH where I live, if practical there is no where else on Earth I would rather be than the North Shore Hospital. Plugging for them was not my intent, my intent was to show you that there are very simple and low risk almost outpatient procedures to fix with is wrong with you. Your surgeon was correct, 10 years ago revision was a VERY big deal. Reducing stoma size was not so difficult, however reducing the size of the Antistomosis was a VERY big deal. Now it's done with an endoscope through your mouth with conscious sedation. So again, don't buy into that ass-wholes BS, look into the procedures listed and then comes the hard part. Getting your insurance to pay for it.

Best of luck and keep us posted!

Merry Christmas and lets all pray for Dallas to have a great new year!!

That is great updated info Winklie! Thanks for posting. Dallas please keep us posted about your progress in this matter. We are all rooting for you to have a very Happy and Healthy New Year.

I had written a long post and hadn't seen your update

Anyway, I hope you get all this sorted out and good luck to you.

Edited December 28, 201510 yr by laurah

Thanks Winklie! You know your stuff for sure. I'll definitely check their website out regarding those procedures. I greatly appreciate your help. Awesome info!

Thanks Winklie! You know your stuff for sure. I'll definitely check their website out regarding those procedures. I greatly appreciate your help. Awesome info!

we are all rooting for you Dallas. As you can, keep us posted. I hope this year is a very successful and prosperous year for you.

@@Dallas Powell

What really rubs my ass the wrong way is the way your surgeon keeps giving you at a minimum bad advice, at worst he is blatantly lying to you. I guess the whole "Do no harm" thing means little to this guy. It's possible he was trained in some third world shite hole and knows the bare minimum about surgery. I chose my surgeon as he was a 14 year Navy combat surgeon. He did four combat tours, combat surgery is about the most intense training a surgeon can get.

I have a good friend of mine in NY who is a GP. We used to golf together, have dinner and just sort of hung out. I have no idea why but we just clicked. Anyway, I was going on one night at dinner about how residents are treated horribly and work for near slave labor wages. He became VERY upset! He explained the whole process of being a resident is to work in the absolute worst possible conditions, and make the right choice every single time. He said the harder the residency the better the doctor. I had never thought of it like that, but he is right. If you can make split second decisions with imperfect information and save lives, the complete control and relaxed atmosphere of an surgical suite must seem like a vacation.

This brings me back to your surgeon, he made a decision or several when he was operating on you. Those choices were obviously not the right ones. It's time for him to man up and explain to you what he did wrong and pay the piper. What he is putting you through is ridiculous. I am a big guy and have no problems intimidating people. You are even bigger than I am. You must be very calm, if it were me, he would be scared shiteless when I saw him. Not that I advocate kicking his ass (although the personal satisfaction is hard to deny) but learning everything you can about the surgical procedure, and asking him technical questions. For example, "Doctor, what was the port size of my antistomosis?" "How long a Roux did you use" "Which surgical procedure did you use to route the alimentary limb?" Answers should be, 10mm, 150 cm and there are a number of routing techniques used to route the interior plumbing. Another interesting question, "How many staples did you use?" I personally have 3400 of them. I nearly fainted when my surgeon told me that. But he explained the logic and it made sense, he went way out of his way to seal off my old stomach to prevent a fissure. If you get some general, I have no idea how many staples I used answer, I would be alarmed. My surgeon, did not even think about it. It is his SOP.

Get out of town find a reputable Doctor at a reputable Center of Excellence and have him scope you and see what is going on inside. Revisions are becoming very common, why? Numbers. RNY GB was the most popular surgery for so long, millions of people have had it done now. Many are 20 even 30 years out, and need a bit of tightening up. It makes sense. Read the history of the RNY GB it is an amazing read, remember this started in the 1960's! Granted a lot of people died, but the surgery is so well known now, there are no variables. Every single one should yield the exact same results simply because of the level of refinement the procedure has gone through.

Lastly consider this, my surgeon explained to me that a RNY GB is, as far as severity, about a major a surgery as open heart surgery. It's major. Very major. Time to get answers, then a lawyer and sue. Sue him for two reasons, one to get money, that is how the legal system dishes out 'justice' second, if his insurance lets this get to court, you stand a good chance of ruining his career, not out of malice, but to save the countless future victims this tool is going to mess up.

If you have the means to get to Long Island, North Shore University Hospital is as good as it gets. Further, if there is ANY complications, some of the best hospitals in the world are within a 40 minute drive. North Shore is NY's ONLY Tier 1 trauma center, well fully ranked, they are tier 1 from neonatal, through all age/sex groups through very old people.

Best of luck to you my friend, please post back and let us know what your next move is.