Recent Posts

cheapskate
on 2/5/22 1:48 pm
RNY on 03/30/15
Topic: RE: Surgery problems?

I agree you need to weigh and measure. I got to 400 pounds thinking "i didn't eat that much". Really 6 months out is still really early. There's a lot of behavior change that needs to happen. I'm 6 YEARS out and still have to fight my fat girl ways of eating.

califsleevin
on 2/5/22 8:32 am - CA
Topic: RE: Surgeon or PCP?

We still see our surgeon (it's done virtually as he is 400 miles away) but I think that it is less critical for me with my VSG than it is for her with her DS (or an RNY if she had that) as there can be more subtleties involved in evaluating the labs for the malabsorbing procedures. Our surgeon sometimes has different preferences for the reference ranges for the labs, like he may prefer the vit D levels to be on the higher side of the usual "normal" range than what the lab specifies, and that's his experience with his patient population talking.

I like think in terms that it is like keeping him on retainer in the event something odd happens (again, more likely with the malabsorbing procedures than with a VSG), the PCP can consult with him (is this a common thing with your patients, is this related to the WLS or just incidental, etc.)

Another thing to watch for, particularly if one is using their PCP for monitoring, is that the surgeons' lab sheet may change over time as they find new things that should be monitored.

1st support group/seminar - 8/03 (has it been that long?)  

Wife's DS - 5/05 w Dr. Robert Rabkin   VSG on 5/9/11 by Dr. John Rabkin

 

goodmanje
on 2/5/22 5:23 am
VSG on 07/01/21
Topic: RE: OMG! I should have weight loss Surgery a lot sooner

That's awesome that you've had such success and feel so much better. I had hoped for the same but now I personally wish I had never had the surgery. All the things I had to do prior to the surgery then six weeks to recover all resulted in zero weight loss. Makes me furious just thinking about it...

goodmanje
on 2/5/22 4:20 am
VSG on 07/01/21
Topic: RE: Surgery problems?

Nobody told me to have two protein shakes a day. It's just easy so that's what I've been doing. There is a dietician at the clinic that I saw once before the surgery. I can't remember most of what we talked about.... I cancelled my future appointments with the surgeon because they are pointless. I just go in, weigh, tell him I haven't lost any weight again, he reiterates the importance of staying at 800 calories or less per day and then I leave feeling like a stupid failure.... I don't see any reason to continue doing that.

I don't know much about food and nutrition. I eat things that I can grab and eat without having to prepare anything. I don't even care if it's heated up or just cold. So I'm sure there are things I could be eating that are better choices. I'm just not aware of them.

10 years ago I weighed 185lbs and worked out 5 days a week. I got out of that habit and started gaining weight. I'm never successful with diets and when I've tried to get back into working out the weight causes me all kinds of knee and hip pain that makes it prohibitive. I was hoping with this surgery I'd lose the weight and could start running and mountain biking again to stay in shape but no such luck. I guess I can go see the dietician again and tell her I'm an idiot and don't know what to eat...

Partlypollyanna
on 2/5/22 4:17 am
RNY on 02/14/18
Topic: RE: Surgery problems?

It sounds like your program only focused on the mechanics of the surgery not the head work that can help make it successful and you may be fooling yourself about what surgery will/won't do for you. I'd recommend tracking everything you put in your mouth for a week, no changes, just track everything, and then focus on where you can make changes to make sure you get protein needs met first and then you can focus on calories later. It seems like you are hung up on the calorie restriction so focus on the other needs - protein first plus hydration, and once you've met that then you can have what you want.

Find a way to do the work on your head as well - counselor, support group, etc -- the pieces I found the most useful from the 10 week behavioral modification class I had to take pre-op was the part that focused on understanding the different types of hunger (head (I just want to eat); eye (I see options and I want them); mouth (would like a different texture); nose (something smells good and I want it); heart (emotional eating) and how you can deflect each of them.

Good luck!

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150

Jen

RNY on 12/22/14
Topic: RE: Surgery problems?

More spec to the question you pose here:

Without surgery, 3-5% keep wt off long term. Are you one of them?

With surgery, roughly, 50% of the people keep off a substantial amt of wt long term.

You may be one of the few people that surgery does not help or you may have unrealistic expectations (it's not too late to understand what the surgery can and cannot do for you). It is truly not a magic bullet, but, see my other reply, the advice you are getting does not seem as helpful as the guidance I get from the support staff at my surg office. Also, because you say that you never eat out, I know that you are making many good decisions. That can come later, you are still in the 'training wheels' stage.

Before I had the surgery, I knew that I had 3 choices:

-Do nothing, which means a wt gain of 5-10 pounds a year on average

-Go on another diet for 1-2 yr and spend the next 2-3 gaining it back

-Try wt loss surgery

Keeping it off has not been easy, truly, on many days I feel as you do. Hang in there.

There are times that I think I was born at the wrong time. 150 years ago, my natural Rubenesque figure was the rage, 100 years from now, they will have a one-time pill. Oh, well. We hang in there, now.

Sharon

Sharon SW-267
GW-165 CW-167 S.

on 2/5/22 1:00 am, edited 2/4/22 5:48 pm - PA
RNY on 12/22/14
Topic: RE: Surgery problems?

I am 7 years post RNY, so my thoughts may not exactly apply, but here goes:

What you are eating/drinking is not making sense to me.

Fluids empty quite quickly (and so do many foods). You are 6 months post op, so I would think you should be on 3 small meals of protein and some vegs(small amounts), one snack. And for the snack, if I had to have something apple-ish, I would go for a solid piece of apple rather than applesauce. (Personally, my recommended snack is hi-protein yogurt, with some benefiber or some fiber one cereal, if you catch my drift. ) I have no clue why you would have applesauce for a snack - maybe not many calories, but no protein, and no 'staying power' in terms of satiety, IMHO. Also satiety comes from chewing also, and it gives you brain more time to know what is happening in your body.

Weigh and measure everything. You are still in the 'science experiment' phase - finding out what tastes OK and is filling. I would also write down the time you eat and how full you feel. I do not understand why you are having 2 protein shakes everyday at this far out from surgery, unless you are having post-surg healing issues or can not eat real protein (but you say you can eat seemingly without restriction.)

You may need to sit down with a dietician who helps post bari-surg patients. Is there one at your dr.'s office? If not, I would start to find one. Are you attending monthly support group meetings? There are some virtual ones now. Great way to ask questions.

With some help, 800 calories of the right food may help you to feel satisfied.

What I am trying to say is this:

Good job for reaching out!!

Despite your current difficulties, it is too soon to think that your surgery is a 'failure'.

Remember Science Lab from school - keep a notebook of what when how you feel before and after eating - this will help a pro help you.

If the best advice you can get from your drs office is 2 prt shakes and a meal each day (not just your dr/surgeon but other staff there - nuit, diet, counselors - I usually meet with the PA.) - find someone else. A great surgeon, is not necessarily the best person to assist long-term. If I was told to stay on 2 protein shakes and a small meal, as in FOREVER, I would prob feel as you do. Sometimes I have some salmon for breakfast (very Nordic) , and I am usually full. But it took awhile to find a meal plan that I could get through the day with . At 7 years out, the surgery makes me a little less hungry, but I have to be very careful and diet and exercise. And I still struggle with regain.

Here is a link to a standard post-bari plan. It may give you some questions to ask you dr next time. I did not use this, but i remember something like this to follow. https://www.brighamandwomens.org/assets/bwh/surgery/center-f or-metabolic-and-bariatric-surgery/pdfs/nutrition-guidelines -sleeve-gastrectomy-and-gastric-bypass.pdf

Sharon

Kathleen W.
on 2/4/22 6:01 pm - Lancaster, PA
Topic: RE: Surgeon or PCP?

I saw the surgeon for a year or two. Now, I go to my PCP. She orders exactly what the surgeon orders.

SW 327
GW 150
CW 126

                                      

Partlypollyanna
on 2/4/22 5:32 am
RNY on 02/14/18
Topic: RE: Surgeon or PCP?

I saw my surgeon the first year, I can see him as needed from now on; I use my PCP and I just tell her what labs i want. She's never questioned what I ask for but has added a few that she needed, lol.

I've decided this will be a litmus test for any future GPS, if they are not willing to let me be my own advocate and to follow my asks on labs, they are not the practice for me.

HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150

Jen

catwoman7
on 2/3/22 6:17 pm
RNY on 06/03/15
Topic: RE: Surgeon or PCP?

I still see my surgeon, but there are people on here who switched over to their regular PCP after a couple of years. As long as the PCP knows what labs to order, it should be fine.

RNY 06/03/15 by Michael Garren (Madison, WI)

HW: 373 SW: 316 GW: 150 LW: 138 CW: 163

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