Sue's whiny post about overprotective doctors.
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Okay, I'd like to complain here. Doctors. Not all, of course, but many. Have they all read the same instruction manual? Do they stay up late nights making stuff up?
A few issues:
*Pre-op diets--There are some surgeons who want their patients on liquid diets or yogurt and Water only for two or three weeks pre-op. They say that they are doing that to shrink the liver. Well, humbug! When I first read that claim, the doctors who were actually running a study (in New Zealand) to see if that even worked had no test results. And, I worried about that. So I asked my doctor post-op. He said that yeah, my liver was fatty, but it sat this-a-way, as opposed to that-a-way, so it didn't make any difference, because it wasn't in HIS way. I wonder how many patients who cannot do two weeks on yogurt and water are going mad and feeling like they are dishonest and how many doctors believe that people actually follow those orders. I'll bet (a substantial amount of money, if we can set up the testing correctly) it's WAY less than half.
*Post-op diets--Yes, we need to give the stomach time to heal. But we are individuals and we don't ALL need to go on a month of Clear liquids. Of course, we need to do a week on liquids, but ever-thickening liquids. IM-not-so-HO, we should be given instructions that include the caveat to go slowly, to try new consistencies for a few days at a time, and that any problem needs to be followed with a day of clear liquids, a day of full liquids, and a day of purees, and then resume the schedule, progressing carefully toward solids.
*Incremental fills--Almost nothing makes me crazier than reading about these doctors who fill patients according to a schedule, not according what each patient needs. "You're six weeks post-op, so you need 1cc of saline." Well, "big-boy-cow-poo-poo," as we say when the censors are watching. Some band patients NEVER need a full cc. And some need 3.2 before they have any restriction. Those doctors need to stop being so lazy, to pay attention to what their patients tell them and to fill under flouroscopy if they are afraid of over-filling. (Duh!)
*Not knowing how the band REALLY works--I went to one guy for a fill that never happened. He said that if there was ANY food I could not eat post-op, it meant I was over-filled. Can we say "Great big pony-poo," here? Many, if not MOST, band patients find it difficult or impossible to eat a few foods with the band in place, with or without any saline in the band. The most often mentioned foods are white meat chicken and poultry, breads (especially fresh, doughy, delicious, yummy brand-new--oh! sorry!--sourdough or other non-grainy types, rice and raisins and dried fruits and things that swell while in the stomach, that kind of stuff.
Well, then. That may be enough for right now, huh? Anybody else with favorites?
Sue