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  1. #1
    Gastric Sleeve Member Shirl's Avatar
    I have had a gastric sleeve.
    Name
    Shirl
    Surgery date
    05/17/2016
    Surgeon
    Dr. Sergey Lyass
    Join Date
    Mar 2016
    Location
    SoCal and Central Texas
    Posts
    1,310
    Said "Thanks" 976 Times
    Was Thanked 1,063 Times in 667 Posts
    Said "Welcome to Gastric Sleeve" 1,909 Times
    Blog Entries
    57

    Default You have to be your own best advocate...

    I had Gastric Sleeve surgery May 17th after almost six months of pre op requirements and waiting. In the middle of it I was ready to go to a different surgeon because my surgeon's staff were not responsive for some questions and concerns I had, after I told them I was going to transfer my case they shaped up, but in my heart of hearts I knew it was an illusion.

    I liked my surgeon, he was very patient and responsive and answered all my questions. He did an amazing job, I had zero complications. I have no complaints about him. The follow up nurse was a gem, answered all my silly concerns and questions sometimes within minutes of me sending her a text. Eventually my texts were farther apart and her response slower.

    Since I moved out of state they closed my case. My surgeon told his staff to provide me with medical records so I could take them to next surgeon or doctor for follow up care, which they did, but after my move I found a surgeon and they requested my complete records including aftercare which was one week post op visit, and my three months post visit.

    The new patient advocate at the Bariatric center that I'm trying to get established with called me to apologize for the delay, and shared her experience trying to get my surgeon's staff to fax her the correct paperwork. She told me that my new surgeon would take me on as a patient because he felt badly that I have not proper after care. He personally sees all his post op patients on a weekly basis the first month, then once a month there after for the next year, and even longer on some. She told his post op care includes three key success components nutrition, exercise, and mental health.

    I'm glad that I found this new support team, I finally get to see him next Wednesday.

    For those of you that don't have the post op care that should be provided to all bari patients because of distance of surgery or you ended up with "sleeve 'em and leave 'em" facility keep searching for a post op support team. I truly believe that some of us really need that extra support for optimal success.

    I started a structured exercise and nutrition program on my own, and they are very happy that I had already done that, and now they have connected me with a therapist that specializes in emotional eating related to trauma which has been my personal weight issue.

    I'm excited that I am turning another page in the WLS journey.

    It's a new dawn! a new day!

    A new path I have carved for myself!

    I'm deeply grateful.
    HW: 245lbs (11/15); SW: 226lbs (5/17/16) - Height: 5'6"

    Post-Op Weight:
    M1: 211.3 (-14.7)
    M2: 203 (-8.3)
    M3: 196.5 (-6.5)
    M4: 191.5 (-5)
    M5: 186.3 (-5.2)
    M6: (?)
    M7: (?)
    M8: 179.4 (-6.9)
    M9: 177.1 (-2.3)
    M10: 174 (-3.1)
    M11: 171.5 (-2.5)
    M12: 171 (-.5)
    Y1.1: 170 (-1)

    "Today is another day to get it right!"







  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member WANAGL's Avatar
    I have had a gastric sleeve.
    Name
    Cyndi
    Surgery date
    12/30/2015
    Surgeon
    Dr. Robert Marema
    Join Date
    Mar 2016
    Last Activity
    01-09-2020 06:15 PM
    Location
    Hampton Beach, FL
    Posts
    1,640
    Said "Thanks" 1,143 Times
    Was Thanked 908 Times in 689 Posts
    Said "Welcome to Gastric Sleeve" 2,250 Times

    Default Re: You have to be your own best advocate...

    You ARE your best advocate, Shirl! You kept looking for a solution until you found it. I'm so happy for you!

    I'm blessed to have had this kind of support from my "team" from the start.




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  5. #3
    Gastric Sleeve Member Sandra3's Avatar
    I have had a gastric sleeve.
    Name
    Sandra
    Surgery date
    01/20/2016
    Surgeon
    Dr W
    Join Date
    Dec 2015
    Last Activity
    06-25-2020 09:15 AM
    Location
    France
    Posts
    1,363
    Said "Thanks" 290 Times
    Was Thanked 1,067 Times in 752 Posts
    Said "Welcome to Gastric Sleeve" 480 Times
    Blog Entries
    62

    Default Re: You have to be your own best advocate...

    I do feel the same, having a good team is important and I'm lucky I found one.
    But I'm surprised your surgeon "closed your case". My surgeon knew since day one that I would move one or two year after the surgery. He told me he wants me to email him all my blood test results and my weight once or twice a year....for life.
    But look, may be your move is for the best and now you have a great team!
    Moving back to France next Spring/Summer we will work in Paris but we mainly live in the countryside so there's no bariatric surgeon near by. I found a nice GP this Summer not far from our house so I'm planning to do all follow up with him (his wife had bariatric surgery as well so he is really interested in the question). We won't stay more than two years in France so I'm not sure it's worth it to look for an other team. I might change my mind if things don't go the way I want....because like you Shirl I do believe that follow up are very important.


    HW : 150 kgs
    09/02/2014 : 142 /1st apt
    01/20/2016 : 134 /surgery
    01/30/2016 : 130 /1st post-op
    02/27/2016 : 126 /2nd
    04/23/2016 : 118 /3rd
    07/16/2016 : 109 / 4th
    10/01/2016 : 103 /5th
    01/21/2017 : 98 /1 year post-op
    February 2017 : 100 lbs lost
    07/22/2017 : 96
    10/21/2017 : 93
    12/22/2017 : 91
    01/02/2018 : 96!! regain (medication)

  6. #4
    Gastric Sleeve Member Pam G's Avatar
    I have had a gastric sleeve.
    Name
    Pam
    Surgery date
    05/27/2016
    Surgeon
    Dr Ponce de Leon
    Join Date
    Feb 2016
    Last Activity
    02-22-2024 08:48 AM
    Location
    Sugar Land, TX
    Posts
    1,543
    Said "Thanks" 679 Times
    Was Thanked 771 Times in 544 Posts
    Said "Welcome to Gastric Sleeve" 57 Times
    Blog Entries
    12

    Default Re: You have to be your own best advocate...

    I saw my surgeon one week post op.....and only because my husband asked to see him. It was originally going to be his PA.

    Haven't seen or talked to them since.




    HW: 275
    PreOp: 268 5/12/16

    SW: 258. 5/27/2016
    10 w: 225. Goal 1
    12 w: 222.
    14 w: 216.
    4 m: 215
    5 m: 205
    22: 199.4 10/30 Goal 2
    24: 196
    6 mo: 191
    7 m: 193
    8 m: 184
    9 m: 180 2/3/17. Goal 3
    10 m: 179
    11 m: 171
    48: 170
    1 yr: 166.6. 5/27/17
    13 m: 165.8
    5 y,10 m: 215
    7 yrs: 230


    Revised Goal : 200
    "Bonus" Goal: 180

  7. Said thanks:


  8. #5
    Gastric Sleeve Member Sandra3's Avatar
    I have had a gastric sleeve.
    Name
    Sandra
    Surgery date
    01/20/2016
    Surgeon
    Dr W
    Join Date
    Dec 2015
    Last Activity
    06-25-2020 09:15 AM
    Location
    France
    Posts
    1,363
    Said "Thanks" 290 Times
    Was Thanked 1,067 Times in 752 Posts
    Said "Welcome to Gastric Sleeve" 480 Times
    Blog Entries
    62

    Default Re: You have to be your own best advocate...

    Quote Originally Posted by Pam G View Post
    I saw my surgeon one week post op.....and only because my husband asked to see him. It was originally going to be his PA.

    Haven't seen or talked to them since.
    That's weird, they didn't even call you? But most important, did you have regular blood test since surgery? because if not and you have deficiencies that could explain the cravings....when my iron was really really low in May I did have very bad cravings...


    HW : 150 kgs
    09/02/2014 : 142 /1st apt
    01/20/2016 : 134 /surgery
    01/30/2016 : 130 /1st post-op
    02/27/2016 : 126 /2nd
    04/23/2016 : 118 /3rd
    07/16/2016 : 109 / 4th
    10/01/2016 : 103 /5th
    01/21/2017 : 98 /1 year post-op
    February 2017 : 100 lbs lost
    07/22/2017 : 96
    10/21/2017 : 93
    12/22/2017 : 91
    01/02/2018 : 96!! regain (medication)

  9. Gastric Sleeve Surgery With Weight Loss Agents
  10. #6
    Gastric Sleeve Member Pam G's Avatar
    I have had a gastric sleeve.
    Name
    Pam
    Surgery date
    05/27/2016
    Surgeon
    Dr Ponce de Leon
    Join Date
    Feb 2016
    Last Activity
    02-22-2024 08:48 AM
    Location
    Sugar Land, TX
    Posts
    1,543
    Said "Thanks" 679 Times
    Was Thanked 771 Times in 544 Posts
    Said "Welcome to Gastric Sleeve" 57 Times
    Blog Entries
    12

    Default Re: You have to be your own best advocate...

    I had blood drawn at about 2 months post op by my reg doc....all was fine except for a b-12 in the lower end of the normal range, which I'm working on.

    I imagine I'll get more blood work around 6 months out




    HW: 275
    PreOp: 268 5/12/16

    SW: 258. 5/27/2016
    10 w: 225. Goal 1
    12 w: 222.
    14 w: 216.
    4 m: 215
    5 m: 205
    22: 199.4 10/30 Goal 2
    24: 196
    6 mo: 191
    7 m: 193
    8 m: 184
    9 m: 180 2/3/17. Goal 3
    10 m: 179
    11 m: 171
    48: 170
    1 yr: 166.6. 5/27/17
    13 m: 165.8
    5 y,10 m: 215
    7 yrs: 230


    Revised Goal : 200
    "Bonus" Goal: 180

  11. #7
    Gastric Sleeve Member
    I have had a gastric sleeve.
    Join Date
    Jul 2016
    Last Activity
    07-12-2018 10:43 PM
    Location
    New England
    Posts
    55
    Said "Thanks" 110 Times
    Was Thanked 20 Times in 17 Posts
    Said "Welcome to Gastric Sleeve" 4 Times
    Blog Entries
    10

    Default Re: You have to be your own best advocate...

    Interesting read. I only have one place that insurance covers. I find them distant and they are definately a sleeve em and leave em. They say they care but you meet the surgeon in a group setting once before surgery and once afterwards. Other then that you see a nurse twice and the one I have doesn't listen, is argumentative, misinformed, misreads reports and quite frankly I would never agree to having her be in charge of my care but I can't have surgery otherwise. You have to see her. I envy people who had great teams, felt supportive and in the hands of a family of cargivers. This is a mojor decision and you would assume they would care about this. I also makes me feel better to read that other people had to be their own advocate. It makes me feel stronger to be my own.


  12. #8
    Gastric Sleeve Member ghost_ryder's Avatar
    I have had a gastric sleeve.
    Name
    Greg
    Surgery date
    08/23/2016
    Surgeon
    Dr Doyle
    Join Date
    Jun 2016
    Last Activity
    11-26-2018 07:18 AM
    Location
    Maryland
    Posts
    1,008
    Said "Thanks" 186 Times
    Was Thanked 855 Times in 568 Posts
    Said "Welcome to Gastric Sleeve" 677 Times

    Default Re: You have to be your own best advocate...

    Absolutely, after my surgery I had a feeling in my stomach that something was wrong. No one took me seriously and thought I was just high from the narcs. I kept telling everyone it felt like I had to go number two constantly. A week later I was readmitted in the hospital from dehydration because I could literally get nothing down without retching. Turned out I had an Ileus from the anesthetia during surgery. I paralyzed my colon so nothing was passing except what was literally being pushed out from the pressure above that part of my colon.

    I wish I had been more vocal about the off feeling I had in my intestines. Sometimes everyone gets blinders on when they have a regular outcome. Since then, my doctor introduces me to all her students and people on her staff as the ONLY person she ever did the procedure on that had an Ileus as an outcome. So I am fresh in her brain still too.



    HW - 341 - June 1
    SW - 319 - 8/23 (-22)
    1mn - 286 - Sept 23 (-33) -total 55
    2mn - 274 - Oct 23 (-12) -total 67
    3mn - 263 - Nov 23 (-11) -total 78
    6mn - 238 - Feb 23(-25) - total 103
    9mn - 230 - May 23 (-8) - Total 111
    10mn - 226 - June 23 (-4) Total 115
    11mn - 226 - July 23 (0) Total 115

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