What's on your Tuesday Menu

Good morning QJB and menuers,

I've never been in a graduate program and because of life, I earned all of my degrees online. I don't remember a single lecture from any professor. Just links to articles, pdf textbooks, and if we were lucky, a video link for something. Maybe it's a failure of online school. Prpfessors only helped during office hours. But you're almost done with accounting, congratulations!

QOTD- 90 is the minimum I aim for. Should point out that due to the higher malabsorption of my surgery type, we're told 80-100. My bloodwork always has me on the very low threshold for protein or just below it, hence all of my protein food experiments.

Well, survived my eval. Got a raise coming, which is about all I could ask for. I'm hoping for a good year! Meetings today, of course. I was struggling after a full day in the office yesterday and in pain by the end, even with the compression garment. I stood for the last two hours and hobbled around for a while to prep for having to drive home. So, working from home today.

I did have lunch with a colleague yesterday and catch up with some folks I chat with. It becomes kind of interesting taking an inventory of who still has what organs, nodes, and glands, what their surgery and experience was, and how they recovered.

Accountability- Part of a small, personal-sized chocolate cake the team bought me since I wasn't in the office to celebrate my birthday. I took an entire hour to nibble a small piece. Made everyone happy. Braces and eating in the office though...whew. skipped quiche as a result.

Exercise- More walking. No lifting. Repeat.

Menu - Ratio yogurt, lamb slices, turkey taco casserole, quiche, seaweed, blueberries.

Cheers, everyone! Excited to say I have taco something in Tuesday!

Great job on your eval!

Thanks! No surprises, which is always a good thing!

Congrats on a good year and a raise!

Thanks! Almost wasn't expecting one given the state of the economy. Grateful every day I have a job. Layoffs are no joke!

I'm trying to remember - did you have a revision or is the SADI your first surgery? My surgeon is against DS but was talking about a modified DS - which she didn't call a SADI but I think that is what she meant. I wanted to think about it - would you recommend?

Hey! This was my first surgery of any kind. Context might help to answer your question.

From all the research and reading I've done in the last year, I've seen it called SADI/SAD/SIPS/loop switch, and modified duodenal switch. They're the same thing from everything I've read and all just mean that they're a single connection procedure (traditional has two) with a longer common channel (mine is 300cm) than the original DS. My surgeon does not offer the traditional switch because of the deficiencies, higher complications, and bowel issues possible with it.

My covered options were the sleeve, RNY, and the modified switch. Of them, the SADI was the most aggressive surgery for the potential results, and I knew I'd only get one chance. With my history, I wasn't convinced I'd be successful long-term with just a sleeve. Having known people who had RNY, I didn't want to swear off NSAIDS or have dumping in restaurants (my poor boss ate some carbs at Newk's and I will never forget the almost immediate effect). I also don't have a history of GERD, so SADI was a good choice.

It's exactly because of my decades long yo-yo history that I wanted the most aggressive option available to help keep me on track long-term. My body fights like crazy to put the weight back on and makes it so unsustainable to maintain.

It's working for me so far but obviously I'm still in the honeymoon phase. All of this to say that yes, I personally would recommend this surgery type for what I want to accomplish. There are definitely trade-offs between the surgery types. I'd just rather have the ones that come with this surgery if it means results! One person's opinion. :)

Thank you for sharing your history! I hear you on the body fighting part - I feel I've ruined my body with all the dieting since I was 12. I seem to have a a very conservative/efficient body that is not simply calories in/out. My body seems to hoard all the calories and fat. Originally I wanted the sleeve, but with Gerd that wasn't an option - so RNY it was. For revision - they are sleeving my RNY pouch for sure and discussed Modified DS/SADI type revision as well. Since my labs are great and I am compliant with vitamins they said I was a good candidate. They are against DS for the reasons you stated. Who wants to deal with that? Anyway I am leaning toward the Modified DS/SADI for best long term results. Even though this is round 2 for me, this will be my last.

Our bodies truly are marvels with what they can do. Even when it's hanging on to every. Single. Molecule. Because it thinks you're starving whenever you don't eat 3,000 calories.

Sounds like with a sleeve you'd be halfway there. The second half would give you bonus malabsorption to offset that super efficiency, which could be a great thing. Even on point with all the vitamins and such, it's taken me the six months to get just about everything in range. You're committed, so that would help!

I'd say that there are more bowel things than pre-surgery but not sure how dissimilar to RNY they'd be. For me it's been more gas, more constipation when following the right diet, and being careful in testing fat tolerance. :)

I believe the majority of RNY'ers are constipated. I've heard about fat issues,- maybe not a bad thing! I don't have a fat issue currently, even w/out a gallbladder but my sleeved sister w/out a gallbladder is VERY sensitive and has to be very careful especially away from home!