Do I really need to find another surgeon?

Wanda1118
on 7/23/15 7:05 am
VSG on 07/09/14

Hi everyone...I hope someone can answer this for me with a reason as to why I need one? I am 1 year post op...my surgeon moved out of state last week, so I am either left trying to find another surgeon on just continuing on my own. I have contacted 2 so far...1 doesn't take my insurance and the other isn't taking new patients...The rest of the surgeons are about 45 minutes to 1 hour from me...What would you do?...Thanks!

    
Sheilarae
on 7/23/15 7:15 am

Hi Wanda. The surgeon I saw has been out of the picture since 3 weeks post-op. My follow up is with Endocrinology, Dietary, Psyche, and bariatric coordinator for the first year and then care reverts to my primary care provider.  Did you have a VSG? If so I would ask your primary how to follow up. I think Endocrinology is a great resource.

Sheila

Sheilarae  VSG 12/16/14 by Dr T. Kellogg  Mayo Clinic

HW 352, SW 317,  CW 298.5 (1/4/15)

Wanda1118
on 7/23/15 7:22 am
VSG on 07/09/14

Thanks Sheila..I guess I should make an appt with my PCP and see what he has to say..I had an Endocrinologist because my PTH or something like that is high but she to has moved..I am not having very good luck with doctors lately..lol..in the meantime I guess I will just keep plugging along!

    
Grim_Traveller
on 7/23/15 8:11 am
RNY on 08/21/12

PTH is one of the few things you want LOW, not high. High PTH means you aren't getting enough calcium, and your body is leaching it from your bones. I would increase calcium and get a bone density scan (DEXA scan) to check on bone loss.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

SATXVSG
on 7/23/15 7:38 am - Selma(San Antonio), TX
VSG on 04/22/14

I think you will be fine.  Just make sure the PCP knows about your VSG and checks your vitamin levels yearly.  That is basically all my surgeon's office will do.  In fact, I have not seen my surgeon since 1 week post op.  All the follow ups have been with a PA or another MD on their staff.

Surgery Date 04-22-14 HW 2011 388(lost 60lbs on WW, regained 40) Surgery Consult Weight 1/10/14 - 367 SW 357 - CW 9/15 210.

Stalls are your body's way of telling you not to get too cocky.

5K - 1st 59:00(9/14) PR 33:45(9/15)

10K - 1:14(10/15) 1/2 - 1st 3/20/16

Wanda1118
on 7/23/15 9:46 am
VSG on 07/09/14

Hi SATXVSG! My surgeon would weigh me and talk to me but not much else..I will call my PCP and tell him to brush up on the VSG that I am coming. He knows I had it done, I saw him for 6 months every month prior to having my surgery and he also gave me the recommendation. Thank You for your response

    
Grim_Traveller
on 7/23/15 8:06 am
RNY on 08/21/12

Some surgeons have programs with dietitians, etc, that can be helpful. But really, if you don't have a surgical issue, you don't need a surgeon. What you really need is a doctor willing to keep close tabs on ALL your vitamin levels, and possibly to make adjustments in PPIs long term for sleevers. If you have a PCP able and willing to do those things, you may not need a surgeon again.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

Wanda1118
on 7/23/15 9:41 am
VSG on 07/09/14

Thank you Grim_Traveller..Yes I just had a bone scan and it was just a tad off...as was my blood work for the PTH..I have that rechecked in September but I will take your advice and double up on the calcium...it can't hurt and can only help!

    
happyteacher
on 7/23/15 12:11 pm

I have not seen my surgeon since my 1 year follow up. Blood work is done at the bariatric center and I work with the docs and nuts there as needed. The surgeon is just the cutter :)

Surgeon: Chengelis  Surgery on 12/19/2011  A little less carb eating compared to my weight loss phase loose sleever here!

1Mo: -21  2Mo: -16  3Mo: -12  4MO - 13  5MO: -11 6MO: -10 7MO: -10.3 8MO: -6  Goal in 8 months 4 days!!   6' 2''  EWL 103%  Starting size 28 or 4x (tight) now size 12 or large, shoe size 12 w to 10.5   150+ pounds lost  

Join the Instant Pot Pressure Cooker group for recipes and tips! Click here to join!

Sparklekitty, Science-Loving Derby Hag
on 7/23/15 12:55 pm
RNY on 08/05/19

It couldn't hurt to establish a relationship with a surgeon, even if it's 45 minutes away, in case of emergency. You may end up doing annual check-ups, and it would be helpful for him/her to have your case notes and such in advance.

Otherwise, as others have noted, you can find a GP or internist familiar with bariatric patients and he/she can handle regular bloodwork and such.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

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