I met with the dietitian yesterday. She said she was surprised when she first saw me on her schedule because I just saw her a few weeks ago for the annual visit, but then she saw my surgeon's notes. We talked a bit about how I felt about going through this process again, then we got down to business of talking about the post op diet progression. Things have changed since my sleeve 7 years ago, the diet progression is slower, which I think is a good thing. Last time the progression of full liquid to soft was rather abrupt in my opinion, but this time I'll be gradually thickening the texture of food over a few months. She mentioned baby food as an option and that got me thinking, they sell small blenders for this purpose. I found one that was used only once on Facebook Marketplace. I got it for $20, it's $60 on Amazon.

My surgeon drew me a picture of the surgery and so did my dietitian who went into a lot more detail about a few specifics of how food passes through a RNY pouch vs a sleeve and how/why dumping happens. Her drawing and explanation made so many things click. I'm more determined than ever to make the most of this opportunity. Yes, I'm doing it for severe GERD, but I'd love to lose another 20-30 pounds too. I know most of the weight loss will come during the first few months when food is very limited.

I called my insurance company and the rep I talked to was super nice and answered all my questions. She confirmed they got the request for preauthorization from my clinic. I'll know before Christmas!!! My insurance is generally super speedy so I'm thinking I'll know about approval in the next week or so. It can't come fast enough. Despite meds and better eating, I've had a few rather nasty attacks of reflux.

So happy you’ve been having a positive experience through this & have such a supportive team behind you. So many don’t unfortunately. My bariatric surgeon also drew pictures. The GP I had years ago was the first I encountered who drew pictures & diagrams to explain things better. The best. Taught me how to ask the right questions of all my subsequent doctors & surgeons.

All the best for your revision surgery.