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Postponed again

Penny was up to going to get her biopsy done today, but the transport cab didn't get here by the required time, so we're re-scheduling.

This is just as well. She's stronger, yes, but not quite yet enough stronger to get through this process without some serious effort.
The re-schedule doesn't look like it will be this week. Probably next week, at earliest. We'll see. Very very frustrating. The scheduler is trying to find out information when everyone's gone.

In some ways this is for the best, as she's getting stronger and will be able to do more. Her legs are a LOT stronger today than yesterday, and were much stronger yesterday than the day before. I think we'll stop with the muscle relaxants as much as possible, because they make her too weak to move, but it's up to her for if she's in pain or not. She'll be using some light free-weights for her arms too.

Edit: Rescheduled for Thursday morning at 9:30, and we just ate our celebratory boxing day KFC/A&W. She was able to drink about a half-cup of A&W float, about a quarter-cup of coleslaw and a quarter-cup of mashed potato and gravy, and a few bites of chicken. Then she got that familiar 'almost too full' feeling. If anyone thinks that asinine operation where they staple your stomach is a good idea? Well, she's basically been dealing with that very thing for the last 6 weeks, and it is NOT a good idea, ever.

Comments

( 11 comments — Leave a comment )
icaro
Dec. 27th, 2005 12:15 am (UTC)
Gastric bypass surgery is a terrible, terrible freaking idea. In addition, it's -irreversible-, and you will forever be doomed to eating your meals in thimbles. Frankly, I can't fathom why anyone would want to do it.

There are -reversible- alternatives to gastric bypass, that once the morbidly-obese individual has endured the process long enough to no longer be in medical danger, you can return to a normal (or at least very close to it) life; I just can't comprehend why anyone would intentionally remove an important internal organ just because they feel like it's crimping their lifestyle. You evolved the damn tissue bag for a /reason/ people...if you didn't need it, your gullet would just empty into your intestine and be done with it.

This is just yet another sort of cosmetic surgery fad; in 20 years, I'm waiting for all the grotesque long term effects to come out and there to be an awful lot of lawsuits that will go nowhere at all.

Incidentally, I'm glad to hear Penny's doing better.
foomf
Dec. 27th, 2005 02:25 am (UTC)
Thanks!

I knew three people who had gastric bypass. Two of them died from it, in one way or another. One got thin, in a rather sick, horrid way, and came out of it really rather unhealthy.

It's supposed to be allowed only for someone who is obese to a life-threatening extent, but frankly, it's got such a high failure rate and such a high fatality rate that I think it should be an automatic manslaughter sentence for the surgeon who performs it and the patient dies... UNLESS they can prove that the victim was guaranteed of dying due to obesity, within six months. And obesity doesn't kill directly.
drath
Dec. 29th, 2005 06:21 pm (UTC)
I really want to ask this out of curiosity but am struggling with not being inappropriate given the circumstances. I think I'll just come right out and ask it... what was the procedure Al Roker had? I'm confused as to if gastric bypass and stomach stapling are the same thing. I thought a staple could be removed... at any rate, is Roker predicted to show any ill effects from whichever his procedure was?
foomf
Dec. 30th, 2005 01:16 am (UTC)
They are the same thing. Roker had side-effects, which they covered up fairly well, but one of them hospitalized him for a while.
staxxy
Dec. 28th, 2005 09:47 am (UTC)
as I understand it, the point of gastric bypass surgery is to make sure that you eat *small* meals instead.

I have known a few people that have gone this route. Quite a few of them have been *wildly* successful with it.

From what I have seen and heard you are supposed to eat about that much food 4 or so times a day.

It's not a surgery for everyone. That doesn't mean it is a bad idea for everyone either.
foomf
Dec. 28th, 2005 07:18 pm (UTC)
There is no medical justification for it except for people who could be expected to die within months, or who are immobilized, by their fat.

The death rate due directly to the surgery is an unacceptably high 2.5% - three people in every 300 die from the surgery itself. Add to that the frequent complications (around 80% of people who have the surgery have one or more complications of varying kinds, most commonly a form of gangrene in the stomach, and those complications are what killed the two people I knew), and the catastrophic side effects on the liver and kidneys from the forced fast weight loss... They have PULLED drugs from the market which were much less damaging and destructive, and much more effective.
They removed the highly effective ephedra/Phen-Fen/Aspirin/caffiene stack from the market because OMG five women of the MILLIONS who were using it, died of heart attacks. Because they weren't getting proper medical care while they did it. Yet this surgery, which kills at a much, much higher rate, is not only allowed, but lauded and praised?

The ONLY reason this nonsense is permitted is because of the utter horror that the medical community has of someone being fat, frankly.

If it's supposed to ensure you eat small meals? Well, then for a hell of a lot less money and risk, you can get your jaw wired shut, or get a balloon inserted in the stomach that can then be removed later (although it doesn't work as dramatically), or even, god forbid, get counseling and training.

There are a very, very, very small number of people for whom gastric bypass surgery is appropriate. In California, you have to be over 300 pounds and obese and feel that you cannot lose the weight if you don't get the surgery. What an amazingly LOOSE requirement, and this procedure has been built up by the bariatric plastic surgery industry as an 'easy' fix, sold to desperate people.

ANY time someone dies from the direct or indirect effects of an unnecessary bariatric surgery, the entire surgical team should be jailed for murder. ANY time someone who gets this surgery for purely cosmetic reasons is crippled, suffers kidney failure, brain damage from stroke, necrosis, any of the major and common side effects, the entire surgical team should be jailed for attempted murder.
staxxy
Dec. 28th, 2005 07:39 pm (UTC)
I have never believed this should be an elective surgery. It should *only* be used in cases of complusive over-eatting when the person is in extreme danger of immenient death if they do not lose weight fast.

However, I am also a very firm believer in self control.

That said, if you are so dead set against this surgery, why did Penny have it done?
foomf
Dec. 28th, 2005 08:36 pm (UTC)
She did not. The swelling in her abdomen, due to the stuff that's going on, has caused sufficient pressure on her stomach that she has, in effect, the same kind of thing going on.

Worse, actually. She's lying in bed. When she wants to sip water, or eat something, she has to swallow. When she tries to swallow, the lower esophogeal sphincter has to open to allow the food or drink to pass into her stomach.

The pressure from the position and from the swelling causes pepsin and stomach acid to push out into her esophagus, causing excruciating pain.

Sitting up on a bed-wedge reduces this somewhat, as does taking mylanta, ranitidine (acid reducer), and Prilosec (another acid reducer), all of which have been suggested by her doctor.

Still, even when she does manage to eat, she's only able to eat a small amount before feeling uncomfortably full - typical amounts: a 4 ounce bottle of 'boost' or 'ensure', half a piece of toast, five tablespoons of applesauce.

These ridiculously small amounts of food are why she's lost so much weight (unfortunately, more muscle than fat) and why she's been feeling so weak. And this is typical of the tiny servings that people who have gastric bypass surgery are able to tolerate.
staxxy
Dec. 29th, 2005 12:59 am (UTC)
ah ha. that makes a difference. I have no idea what her history is, so I did not know what the situation was. thanks.

That sounds dreadful. :(

and the people that I know that have had the gastric bypass have taken to eating the "suggested" amount 5 times a day, so they get all of the calories, carbs, and protiens they *need* to stay healthy but still lose the weight. One of them would eat a half container of yogurt and drink juice or water with that, and then finish the container 3 hours later with more juice or water.

For reasons I shall not elaborate on here, I am pretty familiar with the foods that will swell after eaten. I can give you a list if you like. It might help to avoid them.
foomf
Dec. 30th, 2005 01:10 am (UTC)
The list might be a good idea.
staxxy
Dec. 30th, 2005 02:27 am (UTC)
The list:

-cooked grains. Rice, barley, oats, etc.
-yeast breads
-soda
-stew (oddly enough
-chili or any sort of beans
-wheat flour (go for corn breads, or gluten free stuff)

also avoid gas producers:
-onions
-cabbage
-beans
-carbonated beverages
-curry

those are my best suggestions.
( 11 comments — Leave a comment )