VSG Maintenance Group
Daily Maintenance Weigh In - TGI Friday Aug 23, 2013
on 8/23/13 12:57 am - CA
I'm glad it's Friday, but a part of feels like it should really only be Thursday. Work-wise, I have so much to achieve by next week, I don't know how I'm going to make it all work!
102.6 lbs today.
f
Sleeved 12/15/11, 5'1", HW 185, SW 164, CW102
120 and feeling fine. went grocery shopping yesterday. my husband commented that for people who don't eat much we sure have a full refrigerator. but it has all these bags of veggies, chicken breasts in the costco size, loads of greek yogurt since its so much cheaper at costco, eggs, turkey bacon , and a bunch of stuff in the back that should be ditched. plus blueberries and raspberries, condiments and on and on. who else has a stuffed refrigerator? d
106.3 lbs today. Had my 3 year follow up today and everyone was thrilled that I have been maintaining within a few pounds. Labs were great, except my ferritin is half of what it was last year, so I was instructed to start iron. The big issue is what to do, about the worsening GERD, which is complicated by a hiatal hernia and a loose lower esophageal sphincter . Of course, the definitive treatment is conversion to a bypass, but I am not ready to do that. The surgeon said that he could fix the hiatal hernia, but they often times come back due to the high pressure system of the stomach. He is going to discuss the situation with his colleagues and will get back to me. The dietitian said that many sleeve folks seem to be struggling with weight gain. Sounds like many people return to former eating habits. Sobering day.
gail
I really don't think that I will do the bypass. I take baby aspirin for A-Fib and with the bypass, I cannot take non-steroidal anti-inflammatories. I don't want to take Coumadin, since that would impact my life even more. I think the docs need to come up with something else. The hernia can be repaired, even though they do come back sometimes. The loose lower esophageal sphincter is the real problem. The way to repair it, is to wrap the top part of the stomach around the lower esophagus. With a sleeve, I don't have enough tissue to do this. I only found one journal article dealing with this issue in a post-sleeve patient. There are some newer procedures that use different techniques, but they may be too new for my HMO.
gail
I wonder, would a second opinion be worthwhile? Not really a second opinion on what needs to happen, but maybe see another surgeon to see what kind of ideas they might have to fix the problem. Maybe there is another surgeon near you that has run into this problem and has a better solution than bypass.