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One port, two ports, three ports, four....

I just lost my new port. Dr. Billy took it from me. This just in: IF YOU HAVE A LEAKING, WEEPING WOUND THAT WON'T CLOSE, THIS IS A BAD THING.

The surgery I had two weeks ago in Mexico has been undone. The "mystery fluid" that has been oozing out of me for 8 months was infected (this time cultures were done.) It wasn't rejection, it was infection. It baffles me that not one of the other docs I've seen since May were interested enough to do a culture. Disturbing. No matter how deep they clean an infected wound, some bacteria will stay behind. When Lopez passed the brand new port through the old wound, the new port became surrounded by infectious bacteria. Also, even though my port was placed away from the incision, he left part of the long tube laying across the infected area under the surface of the incision. Dr. Billy has identical cases, and a wound simply will not close when the tube has bacteria and is so close to the surface. Maybe I'm not explaining this exactly, but gimme a break cuz drugs have me, well, drugged.

With the last surgery, Dr. Lopez said an endoscopy wasn't necessary at that moment, but he would watch my progress and do one down the road, either in a couple weeks or later depending on how I was doing. Let this be a lesson to all of us that we have to be aggressive in our own care because I'm sure if I tried harder, Lopez would have done the scope for me. The reason the scope was so important is that Dr. Billy found the beginnings of an ulcer in my stomach, and we have all heard that ulcers can lead to erosion. So, if I kept waiting for time to pass, the ulcer could have gotten much bigger. Billy was fab, I mean it. He reinforced the importance of not taking NSAIDs, which can cause ulcers, and he prescribed 6 months of Pepcid to hopefully cure the ulcer-looking-thing. It's not a true ulcer yet, but it's the beginning, and only the Angels know how long before it became a monster.

Penni is just now telling me that Billy also found some plastic sutures that were left inside me, but he didn't know why they were still in there. Yes, Billy is all they say he is and much much more. He spent all morning with me, sitting by my side with Penni answering so many questions and counseling us both on getting back to Band basics... he even gave us homework that we are not looking forward to doing. However, he is right, that if we want our Bands to work, we have to work our Bands.

To top it off, he threw in a laparoscopy (sp?) which meant he opened 2 of my old incisions plus made a tiny new one in my belly button to look inside my stomach with a camera. He covered me from all angles, and I made a complete ass out of myself upon awakening in the recovery room. According to Dr. Billy, I was hugging everyone in the room and I begged for asthma medicine, even though I'm not asthmatic. He had me and Penni in absolute stitches. Kind, caring, knowledgeable, experienced, and not too hard on the eyes, ahem!

As far as Lopez goes, even Billy agrees he's an excellent surgeon. However, Mexico doesn't carry the same accountabily that US doctors are forced to face due to litigation proceedings. I still have a lot of respect for Lopez because he did what doctors do... he "practiced" medicine, and since there is no exact science, he followed his standards of practice.

If you don't read anything else, please read this. I have an entire new outlook on getting surgery in Mexico. If you do not have a doctor lined up for aftercare, do NOT get a band in Mexico. Get your ducks in a row first. Don't rely on what people tell you, but instead call and speak directly to a local Band surgeon to ensure you are taken well care of throughout your entire journey. Peace.

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Goll Lisa, I feel so bad for you with all the problems you've had. But, finally you've gotten the answers need to heal and go on with your lap band journey. I've probably never told you this, but your posts here have been such an inspiration to me, and on days when I'm down and out, you bring a smile to my face ( your sick humor reminds me so much of myself it's scary!) So, hang in there, and "happy healing.

Lisa -

You know I have no words to express how grateful I am that you are finally correctly diagnosed, and that erosion is NOT a foregone conclusion for you. Thanks so much for your call - xxoooxxoooxxoo

Penni, in case Lisa (in her drugged stupor) forget to tell you, hugs and kisses for being such a saint and taking good care of our girl. You're the best! Happy b-day, Mr. Penni!! :D

Some more NSAID info:

<TABLE cellSpacing=0 cellPadding=1 width=640 border=0><TBODY><TR bgColor=#ffffff><TD>http://arthritis.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.coreynahman.com%2Farthritis_drugs_database_nsaids.html

Arthritis Drugs Database

What is a Nonsteroidal Anti-Inflammatory Drug?

As their name implies, nonsteroidal anti-inflammatory drugs (or NSAIDs, as they are commonly called) are medicines that block or inhibit the body's inflammation process without the use of cortisone or other steroid drugs. The most commonly used NSAID's are aspirin, ibuprofen and naproxen.

What is a COX II inhibitor?

COX II inhibitors are a relatively new family of nonsteroidal anti-inflammatory drugs ( NSAIDS). Though not necessarily more effective at reducing inflammation and pain than older, traditional nonsteroidal anti-inflammatory drugs, they represent an advance over the older drugs because they are believed to cause less stomach irritation. However, they are still classified as NSAIDS. Some doctors recommend that you not take them on an empty stomach.

There is a controversy surrounding the use of COX II inhibitors. Some scientists believe that their use is associated with an increased risk of cardiovascular events such as heart attack. However, this is still just a theory. If you have concerns regarding COX II inhibitors, discuss them with your doctor.

Nonsteroidal Anti-Inflammatory Drug Precautions

All NSAID drugs (even the newer ones like Vioxx and Celebrex) have the potential to cause irritation, ulceration, bleeding and perforation of the lining of the stomach.

For this reason, it is important that you never take any NSAID drug on an empty stomach. NSAID's should be taken with food, preferably after a meal.

Mixing Coumadin (Warfarin Sodium) with NSAID drugs such as aspirin or ibuprofen can cause serious complications.

Do not mix any NSAID drug with blood-thinners such as Coumadin (Warfarin Sodium) unless your doctor gives you specific instructions on how to do so.

Some NSAID drugs have been known to cause drowsiness. Ask your doctor or pharmacist for their opinion and recommendations regarding this matter.

What about Drug Interactions?

NSAID drugs are known to have few clinically significant drug interactions.

Some researchers feel that NSAIDS can weaken the effect of certain blood-pressure medications, but this data needs more extensive corroboration. Ask your doctor or pharmacist for their opinion and recommendations regarding this matter.

This database is arranged alphabetically by brand-name since that is how most doctors and pharmacists know them.

Anaprox (Naproxen Sodium) Generic Available

Drug Family = Arylacetic Acid; Roche

Prescribing Information

General Information

Medline

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Anaprox DS (Naproxen Sodium) Generic Available

Drug Family = Arylacetic Acid; Roche

Prescribing Information

General Information

Medline

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Ansaid (Flurbiprofen) Generic Available

Drug Family = Phenylalkanoic Acid Derivative; Pharmacia

Prescribing Information

General Information

Medline

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Arthrotec (Diclofenac Sodium + Misoprostil)

Drug Family = Benzeneacetic acid Derivative plus Syntheric Prostaglandin E1 Analogue; Searle

Note: Known to cause severe fetal harm; must not be taken by pregnant women

Prescribing Information

General Information

Medline

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Bextra ( valdecoxib; pharmacia)

Drug Family = Cox II

Official Website

General Information

Prescribing Information

Medline

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Cataflam also Voltaren (Diclofenac Potassium) Generic Available

Drug Family = Benzeneacetic acid Derivative; Novartis

Prescribing Information

General Information

Medline

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Celebrex (Celecoxib)

Drug Family = COXII Inhibitors; Pharmacia

Prescribing Information

General Information

Medline

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Clinoril (Sulindac) Generic Available

Drug Family = Indene Derivative; Merck

Merck PI - PDF; PDF File - you need Adobe Acrobat to open this file;

[ Click Here to Download Adobe Acrobat Software for Free]

General Information

Medline

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Daypro (Oxaprozin) Generic Available

Drug Family = Propionic Acid Derivative; Pharmacia

Prescribing Information

Medline

General Information

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Disalcid (Salsalate) Generic Available

Drug Family = Salicylate; 3M

Prescribing Information

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Medline

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Dolobid (Diflunisal) Generic Available

Drug Family = Salicylate; Merck

Prescribing Information

General Information

Medline

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EC Naprosyn (Naproxen Sodium) Generic Available

Same active ingredient as Naprosyn; tablet has a special coating

To protect the stomach.

Drug Family = Arylacetic Acid Derivative; Roche

Prescribing Information

General Information (for Naprosyn)

Medline

Feldene (Piroxicam) Generic Available

Very Strong; Never take on empty stomach; take with food.

Drug Family = Oxicam; Pfizer

Prescribing Information

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Medline

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Indocin, Indocin SR (Indomethacin) Generic Available

Very Strong; Never take on empty stomach; take with food

Indocin SR is a sustained release version of Indocin.

Drug Family = Indole Derivative; Merck

Prescribing Information

Merck PI - PDF ; PDF File - you need Adobe Acrobat to open this file;

[ Click Here to Download Adobe Acrobat Software for Free]

General Information

Medline

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Lodine , Lodine XL (Etodolac) Generic Available

Lodine XL is a long acting version of Lodine.

Drug Family = Pyranocarboxylic Acid Deriv; Wyeth

Prescribing Information

General Information

Medline

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Mobic (Meloxicam)

Drug Family = Oxicam Derivatine; Boehringer Ingelheim

Prescribing Information - PDF ; PDF File - you need Adobe Acrobat to open this file; [ Click Here to Download Adobe Acrobat Software for Free]

General Information

Medline

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Motrin (Ibuprofen) Generic Available

Drug Family = Propionic Acid Derivative; Pharmacia

Prescribing Information

General Information

Medline

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Compare Prices For Generic Ibuprofen

Naprelan (Naproxen) Generic Available

Same active ingredient as Naprosyn; tablet has a special delivery system.

Drug Family = Arylacetic Acid Derivative; Elan

Prescribing Information

General Information

Medline

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Naprosyn (Naproxen) Generic Available

Drug Family = Arylacetic Acid Derivative; Roche

Prescribing Information

General Information

Medline

Compare Price for Naprosyn

Orudis, (Ketoprofen) Generic Available

Drug Family = Propionic Acid Derivative; Wyeth

Prescribing Information

General Information

Medline

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Oruvail (Ketoprofen) Generic Available

Drug Family = Propionic Acid Derivative; Wyeth

Prescribing Information

General Information

Medline

Compare Price for Orudis

Compare Price for Ketoprofen

Relafen (Nabumetone)

Drug Family = Naphthyalkanone; SmithKline

Prescribing Information; PDF File - you need Adobe Acrobat to open this file; [ Click Here to Download Adobe Acrobat Software for Free

General Information

Medline

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Tolectin, (Tolmetin Sodium) Generic Available

Drug Family = Pyrroleacetic Acid; McNeil

McNeil PI- PDF ; PDF File - you need Adobe Acrobat to open this file;

[ Click Here to Download Adobe Acrobat Software for Free]

General Information

Medline

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Trilisate (Choline Magnesium Trisalicylate) Generic Available

Drug Family = Salicylate; Purdue Fredrick

Prescribing Information

General Information

Medline

Vioxx (Rofecoxib)

Drug Family = COX II Inhibitors; Merck

Vioxx.com - official website; prescribing info, etc

Prescribing Information

General Information

Medline

Compare Prices (Source A) | Compare Prices(Source B) </TD></TR></TBODY></TABLE>

Penni rules! And Dr. Billy's giving you the real answers you desperately needed. He sounds like a dream doc.

Let's all send Lisa/DeLarla lots of healing vibes, prayers, thoughts, and hopes -- whatever religious, spiritual, or humanist impulses we might have -- toward her rapid healing and triumph with the band. Ommmm....

Well, thank God you have finally found proper medical attention!! Nobody should ever have to go through what you've been through. Hope your healing is fast and painless!!!

Miss Penni, you are truly an angel!

HI Lisa,

I go away for a few days and you start creating havoc all over again! LOL I am so glad that you went to see a competent doc and that you are in good hands. Sorry I wasnt here to hold yours, but I have been out of town since mid last week. Just checking messages. Hugs from Texas and I am glad you are doing better.

Babs in TX

334/185/170

-149

6/23/03

Lisa,

I'm glad to hear that you're doing better now! Thank you for keeping us all informed about possible complications.

Gosh, see what happens when I've not been lurking and actually working. Penni, you are Lisa's angel. She is so blessed to have a friend like you. Dr. Billy sounds like a caring, concerned surgeon and I am glad that Lisa finally connected with him.

Therefore Lisa, I expect you to be a good bandster, heal quickly, and do exactly as Dr. Billy suggests. You will be at goal before you know it.

I can't wait to see you both again.

  • Author

I snuck on John's computer but he needs it back... but quickly, Billy was pleased with the wound after removing 6 feet of packed gauze. I'll write more later.

By the way, he told me to avoid aspirin as well, because plain ol' aspirin is also a stomach irritant. He said we need to stick with Tylenol. Will write later, thanks again!

Dr. Rumbaut gave me paracetemol, which worked OK -- but I don't think it's available in the US without a prescription. Glad the wound passed inspection. Hope you have more good news soon.

EVERY bandster should know that ASPIRIN is the #1 NSAID!

NO aspirin, guys, without your doc's express instructions, and make sure he follows you. NSAIDs cause stomach problems in NON-banded people!

What is a Nonsteroidal Anti-Inflammatory Drug?

As their name implies, nonsteroidal anti-inflammatory drugs (or NSAIDs, as they are commonly called) are medicines that block or inhibit the body's inflammation process without the use of cortisone or other steroid drugs. The most commonly used NSAID's are aspirin, ibuprofen and naproxen.

  • Author

Becky, please let me know what your doc says about ulcers leading to erosion. I'm almost sure that I've seen warnings about ulcers on several occasions. Billy asked and answered so many questions that I'm overwhelmed with information. Plus, I had quite a bit of anesthesia, morhphine and pain meds in me that a lot is still fuzzy.

Thanks to everyone for being here. I really do have big alligator tears running down my cheeks right now. I have not seen the wound. It is too disturbing to me. Every time I think about it, I get goose bumps and queazy. My friend will be here this afternoon to do her first unpacking and repacking. I wish I had half the stomach as her.

By the way, I have made my own diagnosis as to how my ulcer-type-bruise got inside my stomach. I might be wrong, but it occurred to me that I often take pills dry. I often forget to take my meds, so I just swallow and run out the door. It's really important that drugs don't sit inside the pouch or stomach like that. So from now on, I'll be sure to wash them down with a lot of Water.

Lisa, Billy did tell us that Ulcers can sometimes lead to erosion and that is why we should be careful with stomach irritants. I agree with you that the pills should not just lie in the stomach like that. Most medications suggest you drink at least 8oz of water with each pill.

it is interesting about what you sat about ulcers because according to my surgeon and I quote him "Even though medication has been know to cause stomach ulcers, it has not been related to band erosions into the stomach". so many different theories, i gues we all tend to believe our own surgeon though

  • Author

I don't agree that we should believe our own surgeon. I think we need to collect as much data as possible from all the surgeons, and then make our best choices. It seems pretty reasonable that we should avoid stomach irritants considering the size of our new pouch is so small. I obviously don't know enough about erosion to make opinions! But there are just too many opinions on the topic to listen to only one doctor. Better safe then sorry till more studies prove the theory either way.

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