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New Draft of the ASBS paper

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Hi,

I have been working on my paper for the ASBS meeting and have just published

the latest draft.

Lots of new stuff.

Please check it out and give me you gentle feedback.

To get to it go to the home page http://clos.net and click on " read the

latest draft section "

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

************************************************

Please Visit our Web site: http://clos.net

************************************************

Durham Regional Hospital:

Also, Please consider joining the

Mini-Gastric Bypass Mailing List

at http://www.onelist.com

MiniGastricBypass is a general discussion of the Mini-Gastric Bypass

( http://www.onelist.com/community/MiniGastricBypass )

Talk with lots of other Pre and Post Op

patients and friends.

Keep up to date on the latest news about

the Mini-Gastric Bypass.

Re: Digest Number 1483

>

> > Explain to me how you feel differently physiologically.

>

> Your stomach is small and if you eat too much, first it hurts,

> then you barf. This doesn't kick in reliably until about the

> third or fourth week after surgery, but before that, you either

> are so worried about busting your new stomach, you don't eat much,

> or you are thinking " my stomach is too big, I can drink *all* this, "

> because you can drink more in the 2nd week than later. Scar tissue

> forms around the stomach and the hole into the intestine and makes

> it where you can *feel* your stomach size much better after that.

> Then, you either eat slowly and small amounts, or you barf. It

> does not take a rocket scientist to catch onto this pretty fast.

> :)

>

> >Should I expect

> > just to not feel hungry, or have no desire to eat.

>

> Some of both. You get full much sooner and you aren't hungry as

> often, *but* I had a *terrible* time with " head hunger " the

> third week (can you tell the third week is a big deal? That's

> when you first see real weight loss, it's when you first start

> to feel the true limits of your new stomach, and for me, it's

> when I had to fight " head hunger " like a demon. Good thing the

> barfing kicked in.) " Head hunger " is that habit of opening the

> cabinet or refrigerator, looking around, and grabbing whatever

> looks good, even though you aren't hungry (and in my case, even

> though I was *totally* full and would barf if I ate more). This,

> too, is passing, thankfully.

>

> > Some of the girls are

> > saying they don't feel full

>

> Those are the new post-ops, when you can't feel the limits of

> your stomach well, yet. Not to worry, that will change in a

> week or so.

>

> > and they are eating and apparently not

> > losing enough.

>

> It's not from eating, they are just in the first couple of weeks

> after surgery when you don't lose weight other than the initial

> water-weight loss weight. See my note below my name about that.

> We *all* think we're the only ones not losing weight, that we're

> " eating too much " (not true, you can't). I started keeping track

> of *every morsel* going into my mouth on dietwatch.com, for just

> that reason, and discovered I was eating between 350 and 600

> calories a day, virtually no fat. So there is no way I was

> " eating too much. " But I wasn't losing weight until the third

> week after my surgery (I lost 11 pounds the week of surgery),

> I finally dropped four pounds the third week and I can see I will

> likely do the same this week. My fat is shifting, changing shape,

> getting lose in a lot of places.

>

> >I feel so bad for them. I hope I lose this eating thing

> > asap. I am a Hershy girl too!!!!

> >I am sure you are right that it is not a piece of cake.

>

> But it *is* a piece of cake. Compared to *any* diet you ever went

> on, this is a dream, a coast downhill. You lose the weight, you

> do nothing to lose it, and it doesn't come back. How much easier

> can it get??!!

>

> >I had a hysterectomy a little over one year ago

> > and back surgery after that,, I made it thru both without

> >a problem, so I am hoping for the same with my MGB.

>

> I've had a hysterectomy and I couldn't function for weeks afterwards.

> It was very painful. Now, compared to that, let's say it's an " 8 "

> on the pain scale, the MGB is an easy " 2 " the first day, " 1 " the

> second day. And you don't have any loss of function or pain like

> with the hysterectomy.

>

> Best wishes in your journey!

>

> Kind regards,

>

> ( " the Barbie Wannabe " )

> email: lindat@f...

> website: http://www.fourlane.com/lindat

>

> Stats:

> 47 years old

> 5'4 " , 249 lbs., Waist 45

> Surgery date: May 18, 2000

> Wt. @ 1 week May 25, 2000: 238, Waist 45, Upper Arm 17

> Wt. @ 2 weeks, June 1, 2000: 238, Waist 45, Upper Arm 17

> Wt. @ 3 weeks, June 8, 2000: 234, Waist 42, Upper Arm 15

> Wt. @ 4 weeks, June 15, 2000:

>

> (And I am *not* sucking in my gut or stretching the

> measuring tape -- it's loose!)

>

> Note: Dr. Rutledge says that the initial weight you lose after the

> surgery in the first week or so is just water weight. I was

> concerned when I did not lose weight the second week. He explained

> this is because it takes the body longer to break down actual fat

> (and we come into the surgery " well nourished), so that true weight

> loss (fat loss) generally begins in the late second week to third

> week. He said a better measurement of actual fat loss than using a

> scale was to measure one's waist and upper arm. My abdomen was still

> slightly swollen the second week so that didn't help (so my waist

> was still 45) and since I had no prior measure for my upper arm, I

> can't tell you what it was before surgery, either). I mention this

> because it seems to be common for people to get very discouraged

> when they don't lose weight the second week. All of us are just

> sure we will be the only people to not lose weight with the MGB.

> Rest assured it is normal if you don't lose much or any weight the

> second week.

>

>

>

>

> ------------------------------------------------------------------------

> LOW RATE, NO WAIT!

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> http://click.egroups.com/1/5199/2/_/453517/_/960672096/

> ------------------------------------------------------------------------

>

> This message is from the Mini-Gastric Bypass Mailing List at Onelist.com

> Please visit our web site at http://clos.net

> Get the Patient Manual at http://clos.net/get_patient_manual.htm

>

>

>

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