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Feeling Anxious!!



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7 years ago, almost to the day, my Lap Band was placed. I have hated my band for a long time. I was in between my junior and senior year in college and my mom was very insistent that this is what I needed to be able to get a good job on the other side of my Senior year. She talked about it non-stop and eventually I decided to just go ahead and do it, because if I didn't I would have had to face her disappointment. I did alright with it for a couple months, and I lost a little weight but at one point I stopped making appointments with my surgeon and then I just didn't go back. About a year after my surgery, I got a call from them that I needed to come in and have it checked so I did, but then not even a month later the surgeon was fired. Next thing I knew, 3 years had gone by and I decided I wanted to actually do something about it so I found another surgeon that some people recommended and I went to see him but my esophagus was dilated so he said there was nothing he could really do for me. I spent years abusing it and then I felt like I was a failure. I wish when I was talking about my band, someone had tried harder to talk me into the bypass.

Jump forward another couple of years to this April, I was having severe upper abdominal pain and I was very scared that it was my band. I made an appointment to see the doctor that I had seen 3 years ago, just to look at the band, but the pain got too severe. I ended up going to the emergency room. Thankfully it wasn't my band that was the problem, but I did have a pretty severe case of pancreatitis caused by gallstones. The surgeon that took out my gallbladder is actually in the same practice as the other lap band doctor I was seeing. When I went to my 2 week follow up from surgery, Dr. Barker actually mentioned the idea of conversion, and I was very interested in it.

The most important part is that my mom was not with me at the time, so any discussion about it was between my doctor and me and I didn’t even tell my mom about it until I had decided that I actually wanted to do it. At first I wanted to do the sleeve, but my doctor told me I should just got straight to the bypass because of how much weight I need to lose.

For my insurance I have to do the 6 months of visits with my PCP, meet with a Psychologist, I had to have an upper endoscopy and an Upper GI, and meet with a dietician. My doctor also wants me to lose at least 50 lbs prior to surgery.

My upper GI showed that I have gastritis and esophagitis, so now I am in the process of getting my band out soon rather than waiting and doing both things at once. I hate my band so much I don’t want to wait 6 months to get it out. I met with the dietician today and I have to immediately go on the liver shrinking diet and I will be on it indefinitely. I have to lose 20 lbs in 3 weeks and then my MD will schedule the removal surgery and then I have to stay on the diet until my bypass, probably next January.

I am having a little anxiety because there is so much to do before I can actually have my bypass and I am only at the beginning. I know that the 6 months will be over before I know it and I’ll be happier on the other side, and that doing all this stuff beforehand will make things easier in the long run, but it seems so daunting. Any words of wisdom or encouragement would be greatly appreciated. 2 months ago I would have never thought I would be in this position, but now I am and I really don’t want to mess it up this time.

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Good luck on work your way towards surgery. There is a lot of steps to go through but it will be worth it in the end. Since you are at the beginning of this process, I would recommend three things.

1. Take a good before photograph of yourself, so that you have something to compare to after surgery. Many times we are blind to our obesity. We do not see ourselves. Therefore when the weight begins to drop off rather dramatically, we question if this is really happening. Photographs are a good visualization of our success. Many people carry a before and after photo with them, just to remind themselves of their success.
2. Walk 30 minutes each day, every day until surgery (or equivalent exercise). Walking helps the recovery process go smoothly and minimized the pain levels from surgery.
3. Wean yourself from caffeine and carbonated beverages now. After I gave up my 6 diet coke a day habit, I suffered from a week of severe withdrawal syndrome consisting of severe headaches and body aches. I was miserable. You don't want to combine the effects of caffeine withdrawal with the effects of surgery.

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      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

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      1. NickelChip

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      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

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      · 0 replies
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