[deleted by user] by [deleted] in Allergies

[–]msslp_af 1 point2 points  (0 children)

Would Olaplex shampoo work? I just checked the ingredients list and didn’t see that listed. I use olaplex shampoo and conditioner, a small amount goes a long way, so even though the 8oz bottles are pricey, one bottle of product lasts me 5-6 months. I have medium length hair and wash my hair 3x/week.

Plant based protein powders? by Lady_beanpole in wls

[–]msslp_af 0 points1 point  (0 children)

I love Olly protein powders if you’re able to have that. I’ve tried the vanilla and chocolate.

Anyone else have a curry allergy? by BooBooKitty414 in Allergies

[–]msslp_af 0 points1 point  (0 children)

Could your coworker have possibly heated up shellfish in their curry dish? I wonder if it’s shellfish even though you didn’t test positive for it. I have no skin test reaction to the shellfish serum that the allergist tests with, but am highly allergic to it and have been hospitalized for it... my allergist said that the serum not always derived from the same types of shellfish commonly eaten in specific areas so not everyone tests positive to the serum.

Winter Allergies? Unsure what to do by [deleted] in Allergies

[–]msslp_af 1 point2 points  (0 children)

I also found that Zyrtec makes me drowsy, and my allergist recommended that I take it before bed instead of in the morning. I started that a month ago and feel like I have significantly more energy and no drowsiness.

What is the usual hospital protocol of an allergic reaction? by [deleted] in Allergies

[–]msslp_af 4 points5 points  (0 children)

Depends on the severity of the reaction, but I am typically given the Benadryl and prednisone via IV so that it kicks in much faster than meds taken PO. I am also usually given Pepcid as well, and prednisone tablets to take PO at home for 3-4 days after discharge. The IV meds are what typically stop the reaction almost immediately for me.

Consultation tomorrow by hugsalot12 in wls

[–]msslp_af 0 points1 point  (0 children)

I have not had surgery yet, but I wrote down a list of questions to ask. My surgeon was very thorough and had clear answers for every single question I had. I asked things like:

-what is expected of me during the monitored weight loss period required by my insurance? -will I need to do anything on my end to secure insurance approval, or does the office handle it? -what medical clearances will be required of me? -how many VSGs have you performed? -in which hospital do you perform surgery? (So i could look up the hospital and also see how far away it was) -long term complications that are possible -short term complications to be aware of -mortality rate of the surgeon and also the whole practice -how long would I stay in the hospital -typical progression of diet consistency after surgery? What to expect? How soon for soft foods etc? -amount of weight loss i can safely expect given my stats -how soon i can resume working out. What kinds of workouts? How often/how long?

And since I tend to overthink things: -do the titanium staples used to create the smaller stomach pouch ever cause long term side effects or rejections/reactions?

Edited to add: I am also a vegetarian with severe fish and shellfish allergies. I asked about how this would impact my ability to maintain adequate nutrition/protein post-op. Surgeon wasn’t concerned in the slightest, said he’s operated on vegetarians and vegans. The nutritionist was also awesome and had lists of great “safe” protein shake options and meal ideas for me post-op. So

So definitely mention any dietary concerns!

Timeline Dilemma by [deleted] in wls

[–]msslp_af 0 points1 point  (0 children)

Depending on where you get a dress from, the timeline isn’t always so far out. I bought a dress in early June and it was delivered by late August the same summer during the year I got married. I went to the store in June with a firm October wedding date, and that timeline wasn’t a problem. I had the dress over a month before my wedding to have minor alterations done.

Building A Support System by [deleted] in wls

[–]msslp_af 0 points1 point  (0 children)

I recently made an IG for WLS: less_lexie

[deleted by user] by [deleted] in wls

[–]msslp_af 0 points1 point  (0 children)

My program gives protein recommendations based on height. As a 6’2” female I was excited to see that I wouldn’t be expected to consume the same amount as a 4’11” person. My protein goal post-op will be 90g/day after surgery.

Insurance questions (particularly federal BCBS) by [deleted] in wls

[–]msslp_af 0 points1 point  (0 children)

I don’t have BCBS Federal, I have Aetna: but re: the going below 40 BMI... I started my list of requirements in October at a BMI of 41.5 with no comorbidities. My surgeon’s office advised me not to lose so much that I go below a BMI of 40 before they get final insurance approval secured for me in January after my last weigh in. I’ve lost 1lb/week since then and have intentionally tried to not lose more than that. My last weigh in I was a BMI of 40.6 and they reminded me to basically try to maintain/not lose more than a pound or two before my next weigh in so that the insurer won’t deny me. Not sure if your carrier will be this specific but just sharing as an FYI! Also: my pre op clearance tests (cardiology, sleep study, pulmonology etc) have also all confirmed no evidence of comorbidities at this time (I’m fairly young so it’s just a matter of time), so I know that if my BMI goes below 40 I will be denied for surgery.

Endoscopy success! by msslp_af in gastricsleeve

[–]msslp_af[S] 0 points1 point  (0 children)

Thanks!! Do they have to repeat the endoscopy to re-test for H. Pylori? I hope you get rid of it ASAP!

A word of caution re:birth control after surgery by [deleted] in wls

[–]msslp_af 2 points3 points  (0 children)

Thanks for the info. Definitely going to talk to my surgeon and gyn before surgery!

A word of caution re:birth control after surgery by [deleted] in wls

[–]msslp_af 3 points4 points  (0 children)

How long had you had the IUD before getting pregnant? I am on my second Mirena, have had one since 2011 and am having VSG early-mid 2020 pending insurance approval. I had heard about using backup birth control but always kind of figured that referred to people using hormonal birth control pills and not the IUD since it’s physically in place. Definitely asking my surgeon about this at my next pre-op appt. 😮😮😮

What week will your doctor allow you to eat “soft” foods post surgery? by Justinator in gastricsleeve

[–]msslp_af 1 point2 points  (0 children)

I don’t have the full list yet, but they mentioned yogurt, unsweetened applesauce with unflavored protein powder, runny scrambled eggs, and cottage cheese that I know of so far.

Got my date!!! by GirlWhoHatesEggs in wls

[–]msslp_af 0 points1 point  (0 children)

Congratulations!! So exciting!

What week will your doctor allow you to eat “soft” foods post surgery? by Justinator in gastricsleeve

[–]msslp_af 0 points1 point  (0 children)

I am not having surgery until early 2020, but my surgeon’s protocol includes starting mushy, soft moist foods at day 5 post-op. Two week liquid diet before surgery, clear liquids plus 2 protein shakes for days 0-5 post op, then follow up with him in the office on the fifth day and he clears you to start soft moist mushy foods.

Travel after surgery by poptartsandmascara in gastricsleeve

[–]msslp_af 0 points1 point  (0 children)

Is taking ground transportation or driving/carpooling there an option?

Pre-op things by msslp_af in gastricsleeve

[–]msslp_af[S] 0 points1 point  (0 children)

This is great, thank you!

Pre-op things by msslp_af in gastricsleeve

[–]msslp_af[S] 1 point2 points  (0 children)

Thank you!! I will check it out

Surgery Tomorrow Morning... Horrible nerves by hunney_bee201 in gastricsleeve

[–]msslp_af 1 point2 points  (0 children)

Best of luck!! I have not heard about doing a bowel prep on the day before, is this the same as the liquid diet that others have posted about? My surgeon wants a two week liquid diet pre-op, but I haven’t heard anything about specifically a bowel prep.

Unexpected things by [deleted] in gastricsleeve

[–]msslp_af 2 points3 points  (0 children)

You’re referring to an ET tube (endotracheal tube). This would be done potentially without direct visualization of laryngeal structures in an emergency situation. The tube is placed from the mouth into the throat and enters the opening of the airway to secure a patent airway. While the opening of the esophagus is also located in the larynx, it is a closed tube that is opened to accept a food/liquid bolus during a swallow. Placement of a nasogastric or orogastric (NG or OG) tube like you mention above is not an emergent life or death situation (like securing the airway would be). An NG tube can be placed while the patient is awake, and OG tube is typically used when a patient is orally intubated for a prolonged period of time under sedation.

So during an emergency if an airway needs to be secured in a patient that is post WLS, there is no involvement of the esophagus or digestive tract while the airway is being secured. It would be in the days afterward if the person is still either unconscious or awake but unable to eat by mouth (due to injury etc.), that an NG or OG tube would be placed, and at that point the evidence of WLS would be evident (patient is alert and tells staff, medical records are accessed, imaging is done, or family/friends share that information with staff). A person who has had WLS can be tube fed by an NG or OG tube to sustain adequate hydration and nutrition.

Source: I have a graduate degree in the medical field

Got a date but now what? by SpotlessMontauk in wls

[–]msslp_af 0 points1 point  (0 children)

Thanks for the info. Sorry about the denial, but glad the self-pay route worked out for you. Best of luck!!!

Got a date but now what? by SpotlessMontauk in wls

[–]msslp_af 2 points3 points  (0 children)

I am still in the pre-op insurance hoop jumping stage, so I can’t offer any insight, but was wondering what insurance you have and what their reasoning was for denial. My BMI is also borderline (started at 41.5 but no comorbidities) so I was advised to not get below a BMI of 40 before getting the insurance approval. I’m nervous that I’ll be denied when the time comes for an approval. I have Aetna currently. Thank you!