RNY - Post Op 3 Years - Revision Needed?
I am 3 years post-op, and have gained around 20 lbs since last October. I feel like I am getting back into some of my "old habits"!! I can eat things now that I wasn't able to before, and I feel hungrier. I'm almost positive I've stretched my pouch.
Has anyone had a "Revision"? I don't even know what types of "Revisions" there are. What is the process, and how long is recovery time?
Did your surgeon give you a hard time about getting one (mine is @ Temple Hospital) and I'm planning on making an appointment today to discuss my issues with him
Thanks
Many surgeons are reluctant to do a revision and from what I have heard insurance companies rarely pay for it.
I would suggest getting back to basics and stop "testing" your pouch! Maybe try the 5 day pouch test. I would also suggest getting bak to documenting what you eat and drink. Are you exercising? Also be accountable. We post a daily menu and exercise thread here.
Good luck!
Remember - more then likely your tool is still working, you just need to work it!
(I am almost 4 years out just FYI)
I would suggest getting back to basics and stop "testing" your pouch! Maybe try the 5 day pouch test. I would also suggest getting bak to documenting what you eat and drink. Are you exercising? Also be accountable. We post a daily menu and exercise thread here.
Good luck!
Remember - more then likely your tool is still working, you just need to work it!
(I am almost 4 years out just FYI)
Disclaimer: This is only my opinion and my personal observation.
Our pouches do stretch. They are elastic. We stretch them. I am also 3 years post-op and have gained some weight back. This is normal, according to the statistics. I can definitely eat things I could not (and would not have even tried) right after surgery. I can absolutely eat more than the recommended amount of food. Fortunately, for me, I do not really get "hungry".
I don't need a revision. I need to re-commit to a healthy eating plan. I need support. I need therapy to continue dealing with the core issues of why I use food as a buffer between me and the world.
I, too, find myself returning to "old habits". They are comfortable and familiar. I find myself in my old mindsets, as I contemplate which "diet" might work for me now, or beat myself up when I fail to eat precisely what I planned to.
I know NOTHING about revisions. I am of the belief that we were given a gift, and it is a tool that needs to be used correctly in order to work. I mis-use mine all the time, and I pay the consequences for that. Maybe I am wrong, but I don't think another surgery would change my thinking or my habits. I would be afraid that after another short period of time, I'd be right back where I was, with a stretched out pouch and a mind full of obsessive food/diet thoughts. I would be interested in hearing what your doctor has to say though!
Whatever you and your doctor decide to do, I hope it goes the way you want it to and that you have success and happiness in your journey.
Our pouches do stretch. They are elastic. We stretch them. I am also 3 years post-op and have gained some weight back. This is normal, according to the statistics. I can definitely eat things I could not (and would not have even tried) right after surgery. I can absolutely eat more than the recommended amount of food. Fortunately, for me, I do not really get "hungry".
I don't need a revision. I need to re-commit to a healthy eating plan. I need support. I need therapy to continue dealing with the core issues of why I use food as a buffer between me and the world.
I, too, find myself returning to "old habits". They are comfortable and familiar. I find myself in my old mindsets, as I contemplate which "diet" might work for me now, or beat myself up when I fail to eat precisely what I planned to.
I know NOTHING about revisions. I am of the belief that we were given a gift, and it is a tool that needs to be used correctly in order to work. I mis-use mine all the time, and I pay the consequences for that. Maybe I am wrong, but I don't think another surgery would change my thinking or my habits. I would be afraid that after another short period of time, I'd be right back where I was, with a stretched out pouch and a mind full of obsessive food/diet thoughts. I would be interested in hearing what your doctor has to say though!
Whatever you and your doctor decide to do, I hope it goes the way you want it to and that you have success and happiness in your journey.
Blessings, Jill
WLS 5/31/07. Maintaining a weight loss of 141 pounds and feeling amazing!
Revisions are only necessary if a patient is doing everything that they are supposed to, following all the rules as well as eating the measured amount of food allowed, not what we are able to eat. The old saying is just because you can eat it does not mean you should.
I think that you should give a good trial run of 3 mos of back to basic eating as if you were a new post op and see what happens before you go to the extreme of another surgery.
There is some rebound weight gain for everyone just do to the logistics of the surgery.
I think that you should give a good trial run of 3 mos of back to basic eating as if you were a new post op and see what happens before you go to the extreme of another surgery.
There is some rebound weight gain for everyone just do to the logistics of the surgery.
I struggled with weight loss, plateauing & stalling and some gaining and loss of motivation for a long time. The answer is comittment. Make yourself and your desire to achieve your goal the number priority in your life and it will come together. Pay attention to moods and atmospheres that hinder your progress. You can make it happen with the tool you have.
Some days your the dog and some days your the hydrant.
Eileen,
You've gotten lots of feedback here and all good. . .
My opinion and it is only my opinion based on what I've experienced and I also say this to reiterate what I need to hear and am also 3 years post-op. . .
We had surgery which gave us a window of opportunity to change the habits of a lifetime, beyond that window, the ability to eat more does occur and that is where our work comes into play, what I mean by that is to say, just as someone else did, we need to recommit daily to making choices that we know are beneficial to our overall health and well being. I can eat pretty much anything, so I've found, I do have issues if I have too much fat or sugar, but that alone does not keep me from having it, what keeps me in check is the fear of ever being "obese" again, technically I am still overweight at my current weight, but I'll be very happy if I can, a day at a time maintain where I stand today, without giving up on achieving the personal goal I set for myself (150 lbs.). It is not a number on a scale that determines success, it is the changes we incorporate to maintain living healthy and being proactive in that process.
Nan is a living example of what can be accomplished by staying with it, long after the window of opportunity (they say the first 18 months). She has achieved a measure of success that was hard won and she is an inspiration to many of us because she has lost more than some weighed at the outset of their journey.
What I suggest is first, make that appointment with your surgeon to discuss how to get back on track, have you had your bloodwork done recently? If not, do that as well. Google the 5-day pouch test and see if it does not help get you back to where you were post-surgery, it is about resetting your pouch, purging your system of the things that have helped you regain and then taking it as it comes from that point. If you are not doing so already, do some form of physical activity. Also, participate in some sort of support, whether on here or through participation in a group. There are a great number of them to attend and you will find it beneficial in the long run.
The problem too many of us have over time, I speak for myself here, but others have expressed similar thoughts, is that the further away we get from our surgery, we begin returning to the old mindset of our previous "dieter" selves, we are not normal, we are specially gifted with reworked innards and used properly they will keep us where we want to be, but the work beyond that day of surgery is all about us and the choices we make daily.
Yes weight regain is a constant in this journey, they operated on our anatomy, not our minds and that takes constant retooling to stay on the "successing" track.
Bottom line here is not to think, it's ok, I'm still better than I was. . . NOT GOOD THINKING. . . don't think normal, think special and use your tool, I'll bet it still works. . .
Best wishes and keep coming back. Laureen
P.S.
Barix in Langhorne has great support groups that meet a couple of times a month (3rd Wed of each month is post-op, 7 p.m., 1st Saturday of each month 11:00 to 1:30) They are open to anyone, no matter who or where you had surgery. They have a nutritionist in attendance as well for questions.
You've gotten lots of feedback here and all good. . .
My opinion and it is only my opinion based on what I've experienced and I also say this to reiterate what I need to hear and am also 3 years post-op. . .
We had surgery which gave us a window of opportunity to change the habits of a lifetime, beyond that window, the ability to eat more does occur and that is where our work comes into play, what I mean by that is to say, just as someone else did, we need to recommit daily to making choices that we know are beneficial to our overall health and well being. I can eat pretty much anything, so I've found, I do have issues if I have too much fat or sugar, but that alone does not keep me from having it, what keeps me in check is the fear of ever being "obese" again, technically I am still overweight at my current weight, but I'll be very happy if I can, a day at a time maintain where I stand today, without giving up on achieving the personal goal I set for myself (150 lbs.). It is not a number on a scale that determines success, it is the changes we incorporate to maintain living healthy and being proactive in that process.
Nan is a living example of what can be accomplished by staying with it, long after the window of opportunity (they say the first 18 months). She has achieved a measure of success that was hard won and she is an inspiration to many of us because she has lost more than some weighed at the outset of their journey.
What I suggest is first, make that appointment with your surgeon to discuss how to get back on track, have you had your bloodwork done recently? If not, do that as well. Google the 5-day pouch test and see if it does not help get you back to where you were post-surgery, it is about resetting your pouch, purging your system of the things that have helped you regain and then taking it as it comes from that point. If you are not doing so already, do some form of physical activity. Also, participate in some sort of support, whether on here or through participation in a group. There are a great number of them to attend and you will find it beneficial in the long run.
The problem too many of us have over time, I speak for myself here, but others have expressed similar thoughts, is that the further away we get from our surgery, we begin returning to the old mindset of our previous "dieter" selves, we are not normal, we are specially gifted with reworked innards and used properly they will keep us where we want to be, but the work beyond that day of surgery is all about us and the choices we make daily.
Yes weight regain is a constant in this journey, they operated on our anatomy, not our minds and that takes constant retooling to stay on the "successing" track.
Bottom line here is not to think, it's ok, I'm still better than I was. . . NOT GOOD THINKING. . . don't think normal, think special and use your tool, I'll bet it still works. . .
Best wishes and keep coming back. Laureen
P.S.
Barix in Langhorne has great support groups that meet a couple of times a month (3rd Wed of each month is post-op, 7 p.m., 1st Saturday of each month 11:00 to 1:30) They are open to anyone, no matter who or where you had surgery. They have a nutritionist in attendance as well for questions.
My Mantra is that I do not determine my success by the number hanging in my closet, nor will I let the scale determine that success either. . . It is through trial and error I will continue to grow and succeed. . . Laureen
"Success is a journey, not a destination." Ben Sweetland
Thanks Laureen!
I made the appt w/ doc! I have googled the "5 day pouch test".. I have also posted about it as well.. i've gotten pros/cons about it... i had a hard time w/ the protein drinks right out of surgery, and i don't know how well i'll do with them now? I was going to talk to doc/nut about it and see what they think.
I know I just have to re-think what I'm eating (carbs are my downfall).. and portion size!
I made the appt w/ doc! I have googled the "5 day pouch test".. I have also posted about it as well.. i've gotten pros/cons about it... i had a hard time w/ the protein drinks right out of surgery, and i don't know how well i'll do with them now? I was going to talk to doc/nut about it and see what they think.
I know I just have to re-think what I'm eating (carbs are my downfall).. and portion size!
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