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1990 RNY revision at age 73



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5 hours ago, Niloofar said:

So u had intestine bypass in rny? The won't bypass more intestine this time?

The RNY is a gastric bypass, with the rerouting of the duodenum and small intestine (the "roux" in Roux-en-Y). The intestinal portion does not need to be shortened during my revision, but the anastomosis (the opening from the pouch to the small intestine) will be made smaller, along with making the pouch smaller, The stomach will be detached and a large portion of the fundus (the top of the stomach) will be excised. This is a much more complex surgery than I expected, The surgeon will schedule six hours for the surgery, but may be done in about four. Fortunately, he is very experienced with RNY revisions,

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Thanks Sunnyway! I will try again and screenshot your progress to her. I wish you only the best!

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Update: My surgeon asked for an abdominal CT (I assume to see what mess, if any, my prior WLS surgeries caused), which has been completed. Because my last two EKGs had some irregularities and because I have a pacemaker, he also wanted a cardiology evaluation. The cardiologies wants me to have a chemical stress test and an updated echocardiogram. Office visited completed, and I have to go to the hospital 90 miles away for the tests, perhaps in the next week or so. I am very happy with how thorough the surgeon and cardiologist are being, in stark contrast with my prior WLS surgeons.

If the cardiologist approves the surgery, the paperwork will go to Medicare. When Medicare approves the revision (apparently a slam-dunk with my comorbidities), I will finally get a surgery date.

I've been stalled, going up and down the same 2-4 lbs for since early September, reinforcing why I need this surgery.

Also, I finally got a call-back from the local psychologist-dietitian on whose waiting list I've been on since July. I'll hopefully get an appointment shortly. I did have an evaluation by the clinic's psychiatrist and a tele-visit consultation with another psychologist (who didn't think I needed therapy), but this one is local and I hope can help me develop coping strategies when the cravings appear. They have been an issue for the past few months and will be again after the surgery honeymoon period ends. I know from experience that I am going to need help to avoid regaining.

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    • Prdgrdma

      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 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      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?
      · 2 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..

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      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
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      · 0 replies
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