Well this will be it my journey with the sleeve. I know my insurance will cover the surgery and i have 4 appointments in the next 2 weeks. Everything at once im excited nervous and scared. Am i mentally ready.... Very scared to go under since i have never ever had surgery before and Iam 37 but iam so excited to finally make a change in my life after being over weight for so long !! Any advice or help with calming the nervousness wouls help since i have Anxiety..

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Education and mental preparation. Read everything you can about peoples' experiences with the surgery, what they went through and what they continue to struggle with. This is 80% mental, and 20% physical...taking care of the size of your stomach will help, but if your mind isn't right, you WILL find a way to eat around the smaller stomach. So just really start focusing on your mental process, disciplining your mind and bringing it under control, so that you are able to control your behavior and choices.

Surgery is no sweat. I've had a bunch of them...three abdominal (including this one) by laparascopy. Basically, here's what'll happen...you'll go check in at the hospital. They'll call you into the recovery room to get ready, you'll get naked and wear their thick paper gown (unless you're at a hospital that still does cloth), and then lay down on your gurney. A nurse will eventually come by to set you up with your IV tap (needle in the top of your hand most likely), put a blood pressure cuff on your arm and a pulse rate monitor on your finger. Take your vitals (they'll do that constantly while you're in the hospital). The anesthesiologist will drop by to introduce themselves, talk a little about whether you have any drug allergies that you know of, make sure you didn't eat or drink anything since midnight. They'll explain that when you wake up, your throat will probably be sore and you'll be very dry in the mouth and throat. This will be due to intubation, which helps keep your airways open while you are operated on. And he'll be right, as you'll discover when you wake up. The surgeon may or may not show up to talk to you - depends on whether he runs a high volume practice or not, or whether he cares at all about bedside manner

Then the time will come after a while of waiting, and they'll wheel you down the hall to the operating room. You'll go in, they'll line your gurney up with the operating table and have you help get yourself aligned in the middle, with your head in the right spot, etc... They'll have you reach your arms out to the sides and start securing them, because the nervous system has a bad habit of forcing your hands to clutch at your abdomen when they start operating on you. While you're getting your arms situated and you're seeing the various people buzzing around you...

...you'll hear a voice from what seems like far, far away - and you'll feel like your head is full of molasses. Slowly but surely, the voices will start to sound sharper and clearer, and closer, and your eyes will open...and you'll realize that you're in the recovery room, and surgery is over. You may feel a slightly "pinchy" sensation in your belly. Your throat will definitely be sore and dry, but you won't be able to drink anything for a bit...all of your liquids will be coming from the IV for at least an hour or so after you wake up. Then they may let you have a tiny bit of ice to suck on, to help moisten your mouth and throat. You're going to be seriously groggy...but the fact is, you will realize that you slept through the hard part, and it's over. You're officially on the other side of the entire ordeal, and it's time to start recovering.

When you get to your room, they'll encourage you to start walking. Do it...do it as much as you can, because your peritoneal cavity (the space between your abdominal wall and organs) is full of surgical gas. The only way it will pass through your intestinal tissues and out of your body is through movement...walking. So walk a lot, you will feel a lot better a lot faster, if you do. Eventually the nurses will probably give you little tiny cups and tell you how much you can drink per hour. You'll probably start with one little shot glass of Water. Then a couple, then three, etc... Eventually, they will try to get you going on some really horrible Protein shake, but do your best on it. They'll remove the IV fluids and then expect you to start trying to get liquids orally, so you'll have to try to stay on top of it. That means drinking often. This is important, because for weeks to come you are going to find that your sips have to be TINY to go down comfortably, and to get the water you need will require sipping every couple minutes, all day long.

Then, if there are no complications, you're getting around good and your pain is well-managed, after a one night stay they'll probably discharge you and send you home. And then, you'll have to get yourself on a schedule with drinking and walking. It'll come together, just stay on top of things and focus on the process. Prepare yourself mentally for a bit of a "mourning period" where your brain struggles with the fact that you just robbed it of a major coping mechanism. You may obsess about food. You may find yourself preoccupied about WHEN you will be able to eat good things again, or what those things will be. It's all in your mind. This is the little voice you haven't been hearing, that has been dominating your behavior. Now it's time to shut the voice up and take back control.

This is an approximation of the experience and your mileage may vary, but I hope it helps calm your nerves a bit. Trust me, you'll be in and out before you know it, and moving on with your new life.

Please remember something, pain is the 5th vital sign. Your patient right is to have your pain treated. If your pain is at level 6 and climbing, ask for a stronger pain medication. I'm a nurse and sometimes some nurses forget this part of their education. Not trying to scare you, I just want you to be able to advocate for yourself.

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Education and mental preparation. Read everything you can about peoples' experiences with the surgery, what they went through and what they continue to struggle with. This is 80% mental, and 20% physical...taking care of the size of your stomach will help, but if your mind isn't right, you WILL find a way to eat around the smaller stomach. So just really start focusing on your mental process, disciplining your mind and bringing it under control, so that you are able to control your behavior and choices.

Surgery is no sweat. I've had a bunch of them...three abdominal (including this one) by laparascopy. Basically, here's what'll happen...you'll go check in at the hospital. They'll call you into the recovery room to get ready, you'll get naked and wear their thick paper gown (unless you're at a hospital that still does cloth), and then lay down on your gurney. A nurse will eventually come by to set you up with your IV tap (needle in the top of your hand most likely), put a blood pressure cuff on your arm and a pulse rate monitor on your finger. Take your vitals (they'll do that constantly while you're in the hospital). The anesthesiologist will drop by to introduce themselves, talk a little about whether you have any drug allergies that you know of, make sure you didn't eat or drink anything since midnight. They'll explain that when you wake up, your throat will probably be sore and you'll be very dry in the mouth and throat. This will be due to intubation, which helps keep your airways open while you are operated on. And he'll be right, as you'll discover when you wake up. The surgeon may or may not show up to talk to you - depends on whether he runs a high volume practice or not, or whether he cares at all about bedside manner

Then the time will come after a while of waiting, and they'll wheel you down the hall to the operating room. You'll go in, they'll line your gurney up with the operating table and have you help get yourself aligned in the middle, with your head in the right spot, etc... They'll have you reach your arms out to the sides and start securing them, because the nervous system has a bad habit of forcing your hands to clutch at your abdomen when they start operating on you. While you're getting your arms situated and you're seeing the various people buzzing around you...

...you'll hear a voice from what seems like far, far away - and you'll feel like your head is full of molasses. Slowly but surely, the voices will start to sound sharper and clearer, and closer, and your eyes will open...and you'll realize that you're in the recovery room, and surgery is over. You may feel a slightly "pinchy" sensation in your belly. Your throat will definitely be sore and dry, but you won't be able to drink anything for a bit...all of your liquids will be coming from the IV for at least an hour or so after you wake up. Then they may let you have a tiny bit of ice to suck on, to help moisten your mouth and throat. You're going to be seriously groggy...but the fact is, you will realize that you slept through the hard part, and it's over. You're officially on the other side of the entire ordeal, and it's time to start recovering.

When you get to your room, they'll encourage you to start walking. Do it...do it as much as you can, because your peritoneal cavity (the space between your abdominal wall and organs) is full of surgical gas. The only way it will pass through your intestinal tissues and out of your body is through movement...walking. So walk a lot, you will feel a lot better a lot faster, if you do. Eventually the nurses will probably give you little tiny cups and tell you how much you can drink per hour. You'll probably start with one little shot glass of Water. Then a couple, then three, etc... Eventually, they will try to get you going on some really horrible Protein shake, but do your best on it. They'll remove the IV fluids and then expect you to start trying to get liquids orally, so you'll have to try to stay on top of it. That means drinking often. This is important, because for weeks to come you are going to find that your sips have to be TINY to go down comfortably, and to get the water you need will require sipping every couple minutes, all day long.

Then, if there are no complications, you're getting around good and your pain is well-managed, after a one night stay they'll probably discharge you and send you home. And then, you'll have to get yourself on a schedule with drinking and walking. It'll come together, just stay on top of things and focus on the process. Prepare yourself mentally for a bit of a "mourning period" where your brain struggles with the fact that you just robbed it of a major coping mechanism. You may obsess about food. You may find yourself preoccupied about WHEN you will be able to eat good things again, or what those things will be. It's all in your mind. This is the little voice you haven't been hearing, that has been dominating your behavior. Now it's time to shut the voice up and take back control.

This is an approximation of the experience and your mileage may vary, but I hope it helps calm your nerves a bit. Trust me, you'll be in and out before you know it, and moving on with your new life.

Oh my you make it sound so relaxing

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Surgery of any type is daunting. Like Porkchopexpress, I've been sliced and diced under the knife a few times...... Ok 11 including the sleeve job :-)

Firstly. Everyone you deal with will be there to help you

Secondly, You'll be out of it so no worries

Thirdly, there will be discomfort and self doubt after. As long as you are ready for this you will be ok. If you struggle ask for help! There's no shame in asking.

I was in for a total of 3 nights but I had to be different and had a few breathing complications but to be honest I never felt scared.

I will say that of all the operations I've had this was the most challenging mentally

I know the system in the UK is different but we are all the same when it comes to pain, worry and the need for support.

You will be fine and withing a week you'll be cursing the fact that you're running out of ideas for Soups then purees or like me you'll be cooking too much and filling your freezer

Enjoy the journey

@@morningangel79 It's really not as bad as people think it's going to be, usually. The recovery isn't the most fun thing in the world, but the actual surgery, you aren't even aware of.

I'm also 37 and about to start this journey! Very excited!

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Thank you Porkchopexpress for what I would say is the best account for what I went through. I looked around a lot on the forum for someone who went through the depression and mourning stage that I went through. I felt a lot remorse post surgery because I felt like I lost a dear close friend. After about six days I began to feel empowered by the decision that I made and have since realized that I have been given a new lease on life. Physically, apart from horrible constipation, I have blown through the surgery in text book fashion. I have been able to eat what I need without any discomfort and get my 63-80 ounces of Water in me daily. I am 10 days post op and have lost 25 pounds . My diabetes is now all but gone and apart from some energy level issues I feel great. I found for me, the worst of this whole thing to be the little voice in my head that told me I made a mistake getting rid of my old fickle friend, insatiable appetite stomach. You are 100 percent correct in saying it is 80 percent mental and 20 percent physical. Well said!!

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