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Pre Surgery Requirements for RA Patients



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Thank you! It sure does. Hope you get relief too.

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41 minutes ago, Plucky said:

I'm having the Gastric Sleeve but it is my Rheumatologist who recommended the surgery. I'm allergic to NSAIDs, so Prednisone is my only "painkiller," but the side effects are awful so I'm not taking them any longer. I take a DMARD and a biologic but still my RA hovers between low severe and high moderate. He's had a few patients that have gone into remission, or at the very least able to control the RA. I don't see it as any other choice at this point, I want my life back :)

Well with the sleeve you can take everything, nsaids included (unless you have allergies of course) . With the bypass you have to be really careful taking anything. And this played a huge role in why I decided on the sleeve over the bypass (as well as some surgeons in close with pushing me that direction as well)

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7 minutes ago, Mhy12784 said:

Well with the sleeve you can take everything, nsaids included (unless you have allergies of course) . With the bypass you have to be really careful taking anything. And this played a huge role in why I decided on the sleeve over the bypass (as well as some surgeons in close with pushing me that direction as well)

Because I'm allergic I guess I didn't research it completely. I thought NSAIDs were taboo for both. My surgeon stated that the prednisone would be an issue, as it would counteract the hormone benefits of the surgery.

I am scheduled to do an NSAID allergy challenge of one possible that may not cause a reaction, and I was considering canceling because I didn't think I could use it after the surgery. I guess it won't be a waste to go ahead.

I have enough chronic issues with the RA, I don't want to have to worry about long-term issues with the bypass so that is why I opted for the sleeve.

I see that you are below your goal - Congrats!! Do you have an autoimmune disease? If so did the surgery provide you with improvement in controlling it?

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13 minutes ago, Plucky said:

Because I'm allergic I guess I didn't research it completely. I thought NSAIDs were taboo for both. My surgeon stated that the prednisone would be an issue, as it would counteract the hormone benefits of the surgery.

I am scheduled to do an NSAID allergy challenge of one possible that may not cause a reaction, and I was considering canceling because I didn't think I could use it after the surgery. I guess it won't be a waste to go ahead.

I have enough chronic issues with the RA, I don't want to have to worry about long-term issues with the bypass so that is why I opted for the sleeve.

I see that you are below your goal - Congrats!! Do you have an autoimmune disease? If so did the surgery provide you with improvement in controlling it?

I mean some sleeve surgeons don't want their patients using nsaids, but it's not a universal thing (I've been taking celebrex daily since the 7 month mark)

Yeah the bypass carries some challenges. It's a more proven surgery totally and likely has greater benefits, but it's negatives and it's risks are sown thing always worth considering.

I'm not sure if I have autoimmune disease yet. I definitely have arthritis, but my lab work from my preop and during my sleeve has actually caused my team to identify some abnormalities that I have been getting worked up for several months. Autoimmune is suspected though. I've been on celebrex the last 2 to 3 months, and I think a DMARD trial is coming soon to see how that impacts my lab work as they don't want me on celebrex long term.

Can't say I've noticed a difference of anything physical since the surgery. Only differences have been in the mirror (and mental} but **** I'll take that

And yeah below my initial goal, but I still have such a long way to go. This is still the beginning of getting to where I wanna go!

Edited by Mhy12784

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Oh me also, there have been stories on here of osteoarthritis lessening or going into near remission but we seem to be the only 3 RA has marked as his own. FYI we have a,new anchor locally. who is a fellow sufferer, he has had both knees , both hips worked on, he and his wife wanted wanted the blessings of ch8ldren, he was on some major drugs for our friend. He had to go,off them for 6 mon5he before he and his Amy were allowed to conceive. They have a lovely little girl, can't remember what they named her, I think Emma, at this point she is an only child, don't know if they're planning another or not ,

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@Frustr8 so awesome they were able to have a little girl!

Got my date today! Surgery is scheduled for August 23.

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    • 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

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      1. Selina333

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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.
      · 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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