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Post by nursemelanie on Feb 26, 2014 2:21:16 GMT -5
My consult with Dr Boyce in Knoxville 4 hrs away, (crossing fingers it's not cancelled again ) is Thursday 2-27-14. I am really nervously excited! To say the least, there is a lot going in in my life right now...family illnesses, financial strains, etc...but my desire and need to have the DS is SO important to my future health,which as you all know directly impacts every area of your life. That being said...for everything to work out in the window of time I have left before I must relocate our family and obtain employment (thus losing my current insurance), I need them to approve the surgery without me jumping through anymore hoops. I ask that any who can or will, say a prayer or send positive vibes, whatever your beliefs, that I will be approved for surgery on our first submission to insurance. I thank you, in advance. VSG 3-2010/ consult for DS with Dr Boyce 2-27-14/Age 41/5'8"/HW 287/CW 279
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Post by Taterweight on Feb 26, 2014 4:57:03 GMT -5
You are certainly in my thoughts and prayers! A few Hail Mary's that all aligns the way way you need it to!
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Post by Girlrocker on Feb 26, 2014 5:46:56 GMT -5
Melanie! I'm so glad you posted and definitely sending you positive thoughts and vibes that you can make this happen. Wishing you well and will be looking for a positive update, thoughts are with you.
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Post by goodkel on Feb 26, 2014 10:40:03 GMT -5
Be sure to tell your surgeon about your time constraints.
Ask him if his office has any prior experience with your plan. If so, they might be able to give you a good idea about how to follow up with the insurance company, who to contact, how long to expect it to take, etc.
Your BMI is a 42.4 so you should qualify as long as they don't have one of those ridiculous 50+ BMI restrictions, but you've confirmed that already, right?
What other hoops do they require you to jump through?
If it isn't submitted until after your consultation, maybe we can nip and tuck any area that concerns you.
Have a positive attitude. You don't just need this, you deserve it.
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Post by bboop on Feb 26, 2014 10:49:26 GMT -5
Sending positive vibes to you - like Kelly said you deserve this.
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Post by nursemelanie on Feb 26, 2014 18:06:14 GMT -5
Be sure to tell your surgeon about your time constraints. Ask him if his office has any prior experience with your plan. If so, they might be able to give you a good idea about how to follow up with the insurance company, who to contact, how long to expect it to take, etc. Your BMI is a 42.4 so you should qualify as long as they don't have one of those ridiculous 50+ BMI restrictions, but you've confirmed that already, right? What other hoops do they require you to jump through? If it isn't submitted until after your consultation, maybe we can nip and tuck any area that concerns you. Have a positive attitude. You don't just need this, you deserve it. Since I have a child with disabilities and I was a student up until I graduated in December, I have United Healthcare (Tenncare) state insurance. As I did twice a couple months ago, I spoke with my insurance today and verified that the only thing they require for the Bariatric Surgery is a pre-authorization and the Dr to say it is medically necessary. She said they DO NOT require a medically supervised diet, weight loss, >50 BMI or anything else. She said your Dr may require those things, but we do not. Back in 2010 when I had the VSG, all of those things plus some, were required by insurance, but they have since changed. In Dr Boyce's packet it says they need a clearance letter from my Dr., and medical documentation regarding my weight, weight loss attempts, etc for the past 5 yrs, and lastly a psych eval. I am not sure since I am what they(Dr boyce's staff) call a revision, what they will require in regards to documentation and diets attempted....since the paperwork seems geared towards a brand new bariatric pt. I tried to talk to staff on phone about this but the kept saying that all if those questions would be better answered during my consult. I am confident the letter from my PCP and a psych eval will be needed this time, but I am really hoping that will be all. I do have a lot of co-morbidities....high bp, high cholesterol, gerd, pcos and a couple others. Sooooooo....I am going to discuss the window of time and insurance with him and hope that we are all on the same page. After chatting with several of his pts, I feel confident that he as a surgeon is a good choice. VSG 3-2010/ consult for DS with Dr Boyce 2-27-14/Age 41/5'8"/HW 287/CW 279
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Post by goodkel on Feb 26, 2014 18:17:04 GMT -5
Do you have the doctor's letter (with clearance and your weight loss attempts and history noted) and your psyche eval ready to hand over to Dr. Boyce at your consultation? Since your insurance requires it, he will need them to submit your case for approval. Make sure you have copies of absolutely everything. I think that it is looking good for you.
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Post by nursemelanie on Mar 2, 2014 4:20:18 GMT -5
Had my consult with Dr Boyce in Knoxville on Thursday, 2-27-14. I really liked him. He took plenty of time to answer all questions and was pleased with how knowledgeable I was;) ( I gave all the credit to this awesome forum)! I feel I will be well taken care of. Office staff was good. He thinks DS is definitely the way to go. His plan would be to NOT adjust my sleeve...just leave it as is and do a CC of 80-100cm. He said my current sleeve is probably the size he would have wanted it had I been a virgin DS. He wants to do the short CC to assure I get the adequate benefits for WL since it's my 2nd WLS. He has ordered a ultrasound of my gallbladder to check for stones...if I have any, he will remove gallbladder during DS and if I don't, the gallbladder will stay put. He also ordered a barium swallow with food, YUCK....to ck out my sleeve and assure food is passing through properly since I suffer with a LOT of nausea.
The only semi-negative was his nurse(he didn't mention a word about it) said I need to start a 1200 calorie diet now and then they want you on a 800 calorie/6 protein shake diet starting 2 wks before surgery date. As many on here have stated, I don't see the use in such a restricted 1200 diet right now, but their thinking is it gets you into a weight loss pattern...shrinks the liver (which since they're not reducing my stomach, not sure if that's necessary), etc.Honestly, at this point, I would probably stand on my head 12 hrs a day if they asked me to...in order to "qualify" for the DS. I feel like that stupid commercial for people who have a structured settlement and this company says they'll get you the lump sum payment....the slogan is "It's my money, and I want it now!" ........ Well, "IT'S MY SURGERY, AND I WANT IT NOW!" Lol ;D
After multiple talks with all of them that day about my insurance stating that now they don't require the normal 6 month diet, weight loss before surgery, yada yada (they did when I had the VSG)...the woman who handles the billing finally had a lightbulb moment (the 3rd time I said it...lol) and said that she doesn't think they will require all of that since I have the same insurance I had for VSG and they will consider it a revision. Sooooo, I have to get a psych eval (which is office policy regardless of insurance) and then they will submit pre-authorization to my insurance. *crossing fingers, toes, and everything else* that it will go through without a hitch!!
VSG 3-2010/ Waiting for insurance approval for DS/Age 41/5'8"/HW 287/CW 280.5
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Post by Girlrocker on Mar 2, 2014 18:06:12 GMT -5
Melanie, WOW, this sounds encouraging! I'm so glad that after you got canceled on so abruptly that you liked Dr. Boyce, and props to you for being well educated (and letting him know about our wonderful place here!) His plan for you sounds good, and I'm sure if he sees anything differently once he gets in there, if he thinks your sleeve does need any adjusting, he'll do it. Oy, except that 1200 calorie program...*sighs* Ha, smart nurse leaving to him to break the news I never know how much truth there is about the liver actually shrinking. And as my surgeon has said, if we could lose weight this way on our own we wouldn't need him/them....right?! That said, it's not the worst thing to get into the best physical shape for surgery as possible, which is what I've suggested to others who have had to go through this, or worse, yikes, extended liquid diets (like two weeks' worth). So maybe approaching it from a 'training' perspective instead of a diet perspective will help. Though you are also highly motivated which is a great thing. Maybe even start Atkins style now, it's the closest to how we eat as DS people, and it's good and satisfying. As for the insurance....also sounding goooood, I'm crossing everything I can for you, keep us posted! And also, I love that your blogging, and keep doing it! If at any time through this you have a specific question pre-op (and post of course), also continue to break it out into a separate post so people see it, you get the most replies. Sidebar, I was so stressed out for my first surgery, my RNY, I actually gained a few pounds, I was terrified my surgeon wouldn't do the surgery. He wasn't happy but he he was similar in mindset to my revision surgeon in this regard. When I did have my revision, I totally reigned it in, wasn't asked to, but I was so shocked and relieved my revision was approved, I wanted to be in the best shape possible, do everything right immediately. I actually lost 7 lbs on my own, which was a side benefit and felt good about myself heading into surgery. When I wasn't bawling like a baby on the gurney
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Post by nursemelanie on Mar 3, 2014 3:08:51 GMT -5
Thank you for the encouragement. You are a great cheerleader! ;D
As you suggested, I'm posting for a personal "record" of this journey, even if I don't necessarily get responses. Although, they are always welcome and appreciated.
Dr Boyce(who is quite GQ) has a very good bedside manner, unlike my 1st surgeon. I felt comfortable enough to talk to him about what I struggled with in the past without the worry that he would judge or question doing my surgery.
I am quite curious about how not having anything done to my sleeve will affect my recovery. And btw, his other reason for not resizing it was he said reports showed a lot of risk with resizing and he didn't think the benefits would outway the risks. I'm not 100% sold on that.
But what I am wondering is: 1. Will I still have to progress my intake as slowly with surgery not involving my sleeve? 2. If I do have to progress with foods very slowly, will I be really hungry and not be able to feel full at all?
Just a few random questions bouncing around my head.
VSG 3-2010/ Waiting for insurance approval for DS/Age 41/5'8"/HW 287/CW 280.5
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Post by goodkel on Mar 3, 2014 15:16:58 GMT -5
Congtratulations! This sounds like great news!
A 100cm common channel is not short. It is pretty much the average.
Do you know what size your sleeve is now?
If he goes down to 80cm, a larger sleeve is preferable to help you get in all your nutrients in the long run.
You will still have had major surgery on your intestines and I am sure your post op diet will reflect this.
As I wasn't a revision, I can't tell you about the hunger, but I am sure someone who has had your revision will address that.
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Post by Girlrocker on Mar 3, 2014 15:39:37 GMT -5
Melanie! Well you DESERVE some good news and to feel encouraged, not been an easy road for you to say the least, with all you are juggling. Now, the GQ tidbit, niiiice, I don't know that I've ever heard that before It's also good to hear of another surgeon with a great bedside manner. Bariatric surgery is so different than other surgeries, really takes a skill set, so this is cool. And yes, you will be very glad you are blogging, it's just as great to me as taking before/after pics. I think your sleeve questions are valid and important, and I encourage you to open this discussion up to the community in a separate thread so you can get some good feedback. It's just the nature of the beast in online forums, rhythm, traffic, etc; and I recommend this to any/all folks who are blogging, to do this too. Tfulmer particularly just went through a similar issue with her sleeve, she had her DS revised, and originally was told that her sleeve wouldn't be touched, but that changed once the surgeon could see everything (happens to be my same surgeon, Dr. Keshishian).
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Post by PrettyGirlBounce on Mar 4, 2014 16:06:14 GMT -5
Wow Melanie...sounds like things are really coming along for you after that initial period of general frustration (which can be enough to drive you up the wall!!). I am loving the way you speak of your surgeon. It sounds like you are extremely comfortable with him and I can't stress enough just HOW important that is in this process. As you have read, while you will usually maintain some level of post-op care and communication with your surgeon and his/her staff, his performance on the operating table and your confidence in that must be a seamless fit. We hire excellent 'cutters' because those are the ones that keep us alive, especially during a revision surgery which is obviously more challenging than a virgin DS. The fact that you actually *like* him and his bedside manner is an added bonus! LOL I really enjoy reading your updates. I wish I would have blogged my journey too but I'd have to say that this forum has heard from me enough in the last year that it feels somewhat like a diary. My thoughts and feelings are memorialized via my threads and posts on other threads. In any event, thank you for continuing to share your journey with us. No doubt it will help others who may be looking into a similar revision.
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Post by nursemelanie on May 16, 2014 10:29:49 GMT -5
So as I posted on May 6th, I was approved for my VSG to DS w/ gallbladder removal. And I am NOW scheduled for July 1st @7:30am! If they get a cancellation, they will move it sooner.....but finally a day to focus on.;D
Life is a lil crazy because I have to relocate so my daughter can start her freshmen yr of high school in Nashville. Looking now for another short-term private duty position to afford the move. AND her new orthopedic surgeon wants to do a femoral shortening on her left leg, along with straightening her toes on right and a heel cord release. Somehow it will all work out!!
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by Taterweight on May 16, 2014 12:01:17 GMT -5
Wow! Summer of change for you and your family! Congrats on the date, too! Keeping you in thoughts and prayers that everything works out the way you need it too.
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Post by nursemelanie on May 16, 2014 13:07:47 GMT -5
Just wanted to add that I'm 99.9% sure they will also be doing an iron infusion while I'm inpatient post-op. My labs were very low last month(h&h and iron saturation) and I will have new results June 18th that will be the deciding factor.
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by Girlrocker on May 17, 2014 11:20:18 GMT -5
Melanie!!! Wow and WOW, talk about your plate being full! I'm so thrilled for you that you have a date, what a summer of change indeed, as Taterweight said. And I love your profile pic, so nice to see you both! I'm sorry I"m a little late here, been a long work schedule the last two weeks, but I am thinking of you and so rooting for you. Yes, you'll likely get an iron infusion,around your surgery time, might even be pre-op when they are loading you up with everything else. Looking forward to your updates on all fronts. and positive thoughts for your daughter too!
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Post by nursemelanie on May 24, 2014 2:30:49 GMT -5
37 more days!! This forum has been a life changer for me. I had zero lifelines and a much less than helpful surgeon/staff with my VSG in 2010. I feel so much more equipped and prepared for this DS journey. I have been educating my spouse and myself with the vast knowledge I have gained here.
Although I know the road to recovery and enormous changes will not be easy, I am so excited to embrace this new chapter of my life. I have been slowly letting go of poor food choices and habits. Replacing sugars with fresh veggies and fruit. Actually fantasizing and then preparing and consuming dishes that will be good for my new DS body. It is probably my subconscious, but I have been craving meats and cheeses. Just today I went to get some bacon to make bacon wrapped shrimp for tomorrow! Yummy.
As corny as it sounds( which is soooo not me), I intend to have a love affair with my DS! I may despise it some days (especially in new recovery) and love it the next.... but I have spent the last 10 yrs of my life as a morbidly obese person....hating my body...sometimes hating myself for being obese...and if I can spend all of those days and years hating the fat, I can CHOOSE to spend ample time loving what will release me from this prison. I am so thankful for this opportunity to regain my health and live a life that is no longer burdened by obesity.
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by Girlrocker on May 24, 2014 15:10:52 GMT -5
37 more days!! This forum has been a life changer for me. I had zero lifelines and a much less than helpful surgeon/staff with my VSG in 2010. I feel so much more equipped and prepared for this DS journey. I have been educating my spouse and myself with the vast knowledge I have gained here. Although I know the road to recovery and enormous changes will not be easy, I am so excited to embrace this new chapter of my life. I have been slowly letting go of poor food choices and habits. Replacing sugars with fresh veggies and fruit. Actually fantasizing and then preparing and consuming dishes that will be good for my new DS body. It is probably my subconscious, but I have been craving meats and cheeses. Just today I went to get some bacon to make bacon wrapped shrimp for tomorrow! Yummy. As corny as it sounds( which is soooo not me), I intend to have a love affair with my DS! I may despise it some days (especially in new recovery) and love it the next.... but I have spent the last 10 yrs of my life as a morbidly obese person....hating my body...sometimes hating myself for being obese...and if I can spend all of those days and years hating the fat, I can CHOOSE to spend ample time loving what will release me from this prison. I am so thankful for this opportunity to regain my health and live a life that is no longer burdened by obesity. VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282 I don't even know where to start in how MUCH you I love what you have said here, I'm alternately jumping up and down and tearing up. Your attitude is exactly how I felt going into both my bariatric surgeries, especially my revision. I know how big of a change and adjustment this all is, but nothing could compare to misery of living my life as an obese person. I also never belittle for one moment how others struggle, have to work with coming to terms, its different for all of us. You are going to be a huge success on all fronts of your life, embracing these next steps as you are. I'm so excited for you, so glad you found us here and glad to be part of your cheering squad!
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Post by melanie74 on May 24, 2014 19:05:00 GMT -5
...and if I can spend all of those days and years hating the fat, I can CHOOSE to spend ample time loving what will release me from this prison. I am so thankful for this opportunity to regain my health and live a life that is no longer burdened by obesity. What an awesome and inspiring way to look at the DS ... I need to think like this more. Can't wait to see your journey continue!!!
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Post by nursemelanie on May 24, 2014 20:09:52 GMT -5
Thank you Sharyl and Melanie! You are all such a huge blessing to me. The great inspiring post and maybe even more important the posts that express the struggle. I never judge a negative post because through it you are helping us all!
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by nursemelanie on Jun 4, 2014 23:35:49 GMT -5
I am laying in bed at my sleep study and swear this has got to be one of THE most strange and uncomfortable things I have done thus far in my WL journey. I am hot wired!! I'm really hoping my sleep meds kick in soon. In other news my sweet daughter Payton auditioned Monday and was accepted in to the Nashville School of the Arts! She has dreamed of attending this high school since 3rd grade. She will begin her freshmen year August 6th. It is the perfect place for my peculiar, good hearted child to blossom. She has climbed so many hurdles to get to where she is today day and I am so proud of her for chasing her dreams! I so look forward to starting my transformation. This caterpillar is ready to get her butterfly wings. VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by goodkel on Jun 5, 2014 2:37:09 GMT -5
WONDERFUL new beginnings for you and your family!
Congratulations!
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Post by Girlrocker on Jun 5, 2014 11:43:32 GMT -5
I am laying in bed at my sleep study and swear this has got to be one of THE most strange and uncomfortable things I have done thus far in my WL journey. I am hot wired!! I'm really hoping my sleep meds kick in soon. In other news my sweet daughter Payton auditioned Monday and was accepted in to the Nashville School of the Arts! She has dreamed of attending this high school since 3rd grade. She will begin her freshmen year August 6th. It is the perfect place for my peculiar, good hearted child to blossom. She has climbed so many hurdles to get to where she is today day and I am so proud of her for chasing her dreams! I so look forward to starting my transformation. This caterpillar is ready to get her butterfly wings. VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282 HOORAY for Payton. And can I say, what an exceptional mom you are, this touched my heart, Payton is a very lucky young lady! Counting down along with you, and, if you would like angel support, PM or email me!
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Post by nursemelanie on Jun 6, 2014 1:02:53 GMT -5
Thank you Kelly and Sharyl. You see Payton is my miracle baby that the doctors insisted I abort at 18wks saying she would never survive (lost her twin earlier in the pregnancy). My girl not only survived pregnancy with NO amniotic fluid, 28 weeker preemie, NICU, lifetime of painful therapies, 9 surgeries(so far), braces galore, leg casts, body casts, can run when they said she would never walk, being looked over, teased, bullied, even tossed aside by her own father....but yet she faces life with a smile for everyone, exudes compassion, gives her all, is a honor roll student despite a LD in math, wants to share her faith with others, and never lets a day pass without having loving words for me and my spouse.
I asked God to allow my child to live, that she might make an difference and help change the world for the better. Not knowing then that it was me that she would change. I am not an exceptional mother in my mind. I am a blessed mother of an exceptional gift of a child. Who would I be not to help her light shine brighter.
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by Girlrocker on Jun 6, 2014 15:31:43 GMT -5
Thank you Kelly and Sharyl. You see Payton is my miracle baby that the doctors insisted I abort at 18wks saying she would never survive (lost her twin earlier in the pregnancy). My girl not only survived pregnancy with NO amniotic fluid, 28 weeker preemie, NICU, lifetime of painful therapies, 9 surgeries(so far), braces galore, leg casts, body casts, can run when they said she would never walk, being looked over, teased, bullied, even tossed aside by her own father....but yet she faces life with a smile for everyone, exudes compassion, gives her all, is a honor roll student despite a LD in math, wants to share her faith with others, and never lets a day pass without having loving words for me and my spouse. I asked God to allow my child to live, that she might make an difference and help change the world for the better. Not knowing then that it was me that she would change. I am not an exceptional mother in my mind. I am a blessed mother of an exceptional gift of a child. Who would I be not to help her light shine brighter. VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282 I beg to differ This is truly beautiful and inspiring, as are you!
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Post by nursemelanie on Jun 8, 2014 14:58:46 GMT -5
Goodbye soda, cold cereal, white flour, white sugar, candy, french fries, regular pizza and pecan pie. You were never my friends, just substitutes that temporarily made me feel comfort and enjoyment... only to leave me with guilt, resentment and usually nausea. I know I will think of you from time to time with a fleeting desire, but I intend to replace you with things more substantial, fulfilling and healthy.
I am beginning a journey that only I can lead. I will have help along the way, but it is still MY path and MY responsibility. I miss my healthy self. I haven't seen her in so long. Instead of trying to duplicate what I once had 10-15 years ago, I'm just going to wipe my slate clean and start new. I look forward to so many things. My list would be a mile long. So I will sum it up as...a life no longer hindered by or decisions based on my weight. My surgery will be my biggest tool. I must use it and not abuse it's power. Surgery is July 1st with a possible discharge of July 4th. Regardless, this is my new independence day.
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by illinids2 on Jun 8, 2014 15:09:21 GMT -5
Thank you Kelly and Sharyl. You see Payton is my miracle baby that the doctors insisted I abort at 18wks saying she would never survive (lost her twin earlier in the pregnancy). My girl not only survived pregnancy with NO amniotic fluid, 28 weeker preemie, NICU, lifetime of painful therapies, 9 surgeries(so far), braces galore, leg casts, body casts, can run when they said she would never walk, being looked over, teased, bullied, even tossed aside by her own father....but yet she faces life with a smile for everyone, exudes compassion, gives her all, is a honor roll student despite a LD in math, wants to share her faith with others, and never lets a day pass without having loving words for me and my spouse. I asked God to allow my child to live, that she might make an difference and help change the world for the better. Not knowing then that it was me that she would change. I am not an exceptional mother in my mind. I am a blessed mother of an exceptional gift of a child. Who would I be not to help her light shine brighter. VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282 Wow, what an inspiring story. Good for you and your sweet dsughter. You are obviously a wonderful mother.
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Post by nursemelanie on Jun 8, 2014 15:51:54 GMT -5
Thank you for the kind words. She inspires me daily. I thank God for giving me the strength to endure the pregnancy. How much the world and I would have missed out on if all the dr's orders were followed.
VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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Post by nursemelanie on Jun 11, 2014 21:32:49 GMT -5
Wow, less than 3 wks away! I went to my 4 hr "NUT" class today. Followed by tons of blood work and a urine specimen. The guidelines given were 60-80 grams of protein, <60 grams carbs, <30 grams fat. They mentioned specifically that we actually had NO need to eat ANY fat at all but definitely not more than 30grams. At 6 months they will recalculate our protein need to 1 gram per lb of BMI weight... they were kind of hushhush about it... not 100% on understanding their calculations, 8but I got them to tell me at 5'8" mine would be 175 grams of protein. They were very specific about following "their" plan for success. Not to mention the one size fits all vitamin powder! So I waited for hours to get squeezed in to make sure my Dr and I were on the same page after I had many different tests. He said he wanted to do a 120cm CC. And when I brought up that we originally talked about an 80-100cm cc, he said he was only comfortable with a 100cm common channel for me. And when I ask how he measured, he said he doesn't stretch out the intestines....so do you think that will leave me with more like a 110-120cm cc? He will be removing my GB. And do to ongoing nausea and other issues with the barium swallow(barium covered chicken didn't move down my sleeve without drinking fluid), he is going to check for a hiatal hernia and look at the top of my stomach to make sure it was formed properly when my sleeve was originally done. If he doesn't find any abnormality, my sleeve will stay as is...and if he finds a hiatal hernia or other issue, he will repair it right then. I also learned today that they did find sleep apnea at my study last week, so I am scheduled for a second one to fit me with a cpap next week (the day before I have final meeting with nurse practitioner and get EKG and chest xray). So I am good with all the plans. I am gonna stay on top of the sleep study peeps and make sure that doesnt hang up my date, but we talked today and I emphasized that. I will smile and nod with the "nuts" and play a very active roll in my appropriate diet and vites. So any thoughts or imput? ;D VSG to DS 7-01-14/ Dr Boyce in Knoxville /Age 40/5'8"/HW 287/CW 282
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