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In a message dated 8/7/01 1:46:07 PM, duodenalswitch writes:

<< Dr. A now gives cards

for us to cary with info for other health care providers.

If anyone on this list has signs of a blockage get to the hospital

and make sure they phone your surgeon! This can be serious stuff.

>>

Chris: Is there any way I could get ahold of one of these cards? I would

really, really like to see it. We have a card at Mt. Sinai that lists

blockage as a possible complication (along with other stuff) and has a

diagram of the surgery, etc. Is this what you are referring to or is there

something with instructions on how to handle a potential blockage situation?

My curiosity is greatly piqued! :)

I think blockages are some of the scariest post-op things because there

really isn't anything one can do to predict them or preven them!

all the best,

lap ds with gallbladder removal

January 25, 2001

six months post-op and still feelin' fabu! :)

pre-op: 307 lbs/bmi 45 (5' 9 1/2 " )

now: 228

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<<<<< Yes, the blockage can happen even

months after surgery. The bilo limb is the scary one, as it is not

as easy to pick up. If you alimentary limb is blocked you will throw

up and stop pooping. But if the bilo limb is blocked you will get

some abdominal pain and get very sick, but it won't be nearly as

obvious what is wrong.>>>>

Hi, Chris: I almost always forget you are a pre-op because you are so

informative, man! :) I mean, people dubbed me 'encyclopedia brittanica' on

this list but you top the cake! I'm not being ironic, either. I mean it.

:)

The cards are probably similar. Yes, the Mt. Sinai cards have contact

information. They are invaluable. The bilio limb blockage is really scary

--- every time I get an ache or pain I'm thinking 'oh, God- this is it'....

because I know it is always a possibility. I'm only six months out, after

all!

I recall reading about someone having a bilio-blockage but I can't remember

if it was on this list or somewhere else...

All the best,

lap Ds with gallbladder removal

January 25, 2001

Six months post-op and still feelin' fabu! :)

pre-op: 307 lbs/bmi 45 (5' 9 1/2 " )

now: 228

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> What causes intestinal blockages after surgery? Is it not chewing

good

> enough, Too much fiber, too much meat??????

> --

> Shelia Ellis

> Premiere Shetland Sheepdogs and Parrots

> Champion Shelties,all colors,testing done

> http://www.geocities.com/premierepets

> White Shetland Sheepdog Association

> http://www.geocities.com/colorheadedwhite

Shelia,

I believe that the answer is D) None of the above. Blockages are

caused by adhesions that form in the intestine. They are a direct

(though often delayed) result of the surgery. I have seen no

scientific that suggest that the patients eating habits have anything

to do with it.

Fortunately blockages are rare, but they can be potentially fatal -

particularly if they occur in the bilo limb. They may require

surgery to correct. One of Dr. Anthone's patients died at a hospital

more than 24 hours from admission. They didn't understand the

seriousness of a bilo limb blockage and took a wait and see attitude.

This approach works for most people, but not post-ops. The hospitals

ignorance killed an otherwise health person. Dr. A now gives cards

for us to cary with info for other health care providers.

If anyone on this list has signs of a blockage get to the hospital

and make sure they phone your suregon! This can be serious stuff.

Hull

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Hi Shelia -

Long time, no see. How's thingz?

I believe that the majority, at least, of the blockages occur from adhesions

formed from scar tissue. I had to have an emergency bowel obstruction

surgery at 8 months post-op. And, while the blockages are rare, they do

happen. He had to take down several adhesions when he did the surgery. He

also did a hernia repair at the same time.

Kris G

Cincinnati, Ohio

5'7 " , 40 years old

8/22 - 283 - BMI 44.3

7/22 - 141 - BMI 22.1

Reached goal set by Dr. of 147 at 9 months/3 wks.

ciao to 142 lbs. & 149.75 inches in 11 months

Open BPD/DS 08/22/00

Bowel obstruction surgery 4/21/01

Dr. Maguire, Kettering OH

HumanaFreedom Plus Plan

iwillbefit@...

http://www.newlifeteams.org

blockages

| What causes intestinal blockages after surgery? Is it not chewing good

| enough, Too much fiber, too much meat??????

| --

| Shelia Ellis

| Premiere Shetland Sheepdogs and Parrots

| Champion Shelties,all colors,testing done

| http://www.geocities.com/premierepets

| White Shetland Sheepdog Association

| http://www.geocities.com/colorheadedwhite

|

| ----------------------------------------------------------------------

|

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Chris/Sheila,

Hi .. this is Donna. I am just beginning the WLS journey myself, and I

must say that talk of obstructions

really really scares me. I had some abdominal surgery last year (ovary

removal) and a week post-op,

I was taken to the emergency room with a bowel obstruction .... and *ouch*

.... do they hurt !! With an

obstruction (bilo track or otherwise), would the symptoms be the same so

that there would be adequate

warning ?? If you have any info that would put my mind at ease, I'd

really appreciate it. I want a normal

life ... but that includes staying alive :-)

Bye,

Donna

Donna C. Joostema

(T/L) 444-7949

WES Build Support

email: joostema@...

chull1@....

com To: duodenalswitch

cc:

08/07/01 01:42 Subject: Re:

blockages

PM

Please respond

to

duodenalswitch

> What causes intestinal blockages after surgery? Is it not chewing

good

> enough, Too much fiber, too much meat??????

> --

> Shelia Ellis

> Premiere Shetland Sheepdogs and Parrots

> Champion Shelties,all colors,testing done

> http://www.geocities.com/premierepets

> White Shetland Sheepdog Association

> http://www.geocities.com/colorheadedwhite

Shelia,

I believe that the answer is D) None of the above. Blockages are

caused by adhesions that form in the intestine. They are a direct

(though often delayed) result of the surgery. I have seen no

scientific that suggest that the patients eating habits have anything

to do with it.

Fortunately blockages are rare, but they can be potentially fatal -

particularly if they occur in the bilo limb. They may require

surgery to correct. One of Dr. Anthone's patients died at a hospital

more than 24 hours from admission. They didn't understand the

seriousness of a bilo limb blockage and took a wait and see attitude.

This approach works for most people, but not post-ops. The hospitals

ignorance killed an otherwise health person. Dr. A now gives cards

for us to cary with info for other health care providers.

If anyone on this list has signs of a blockage get to the hospital

and make sure they phone your suregon! This can be serious stuff.

Hull

----------------------------------------------------------------------

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>

> Chris: Is there any way I could get ahold of one of these cards?

I would

> really, really like to see it. We have a card at Mt. Sinai that

lists

> blockage as a possible complication (along with other stuff) and

has a

> diagram of the surgery, etc. Is this what you are referring to or

is there

> something with instructions on how to handle a potential blockage

situation?

> My curiosity is greatly piqued! :)

>

> I think blockages are some of the scariest post-op things because

there

> really isn't anything one can do to predict them or preven them!

>

> all the best,

,

I am pre-op, so I don't have the card yet. I think that what you

card has is similar. The most important thing is, does it have

contact information for your suregon. As I understand it, Dr. A's

cards give a diagram and information to contact him in case of a

blockage or other emergency. Yes, the blockage can happen even

months after surgery. The bilo limb is the scary one, as it is not

as easy to pick up. If you alimentary limb is blocked you will throw

up and stop pooping. But if the bilo limb is blocked you will get

some abdominal pain and get very sick, but it won't be nearly as

obvious what is wrong.

Is there anyone on the list that has experienced a blockage in the

bilo limb? I would be interested in hearing what the experinece is

like.

Hull

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Donna,

I just posted about the problems with the bilo limb obstruction. On

the other hand an obstuction in the alimentary (food) limb will be

rather similar to what you experienced. I have no doubt that it is

not fun. Keep in mind that this happens in only about 1% of the

cases. Talk to you surgeon regarding you past experinece. I don't

know if this makes you more likely or not to have a problem.

Hull

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is there a way for those of us who dont have these little cards to get

them??

Judie

Re: Re: blockages

>

> In a message dated 8/7/01 1:46:07 PM, duodenalswitch

writes:

>

> << Dr. A now gives cards

>

> for us to cary with info for other health care providers.

>

>

> If anyone on this list has signs of a blockage get to the hospital

>

> and make sure they phone your surgeon! This can be serious stuff.

>

> >>

>

> Chris: Is there any way I could get ahold of one of these cards? I would

> really, really like to see it. We have a card at Mt. Sinai that lists

> blockage as a possible complication (along with other stuff) and has a

> diagram of the surgery, etc. Is this what you are referring to or is

there

> something with instructions on how to handle a potential blockage

situation?

> My curiosity is greatly piqued! :)

>

> I think blockages are some of the scariest post-op things because there

> really isn't anything one can do to predict them or preven them!

>

> all the best,

>

> lap ds with gallbladder removal

> January 25, 2001

>

> six months post-op and still feelin' fabu! :)

>

> pre-op: 307 lbs/bmi 45 (5' 9 1/2 " )

> now: 228

>

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

>

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In a message dated 8/9/01 6:25:58 PM Eastern Daylight Time,

nurseru@... writes:

> I will be trained in the O.R. for C-sec. I am worried that I will have to

> literally " run " out of the O.R if I get a case of gas,(can you imagine how

> well *that* would go over in the O.R.???? there is no-where to hide!!!) or

> worse, diarrhea. Thats not gonna sit too well with anyone involved.

>

> I am worried that I won't be able to work/stand right after surgery as well

> as I will need to, for the O.R.

>

>

Hi Ru,

I had surgery in June and I work in SICU. I was out for 6 weeks. When I

returned I have had some episodes of urgency and " gas. " When my body wants to

have a bm I can only suppress it for so long then I literally have to fly out

of the unit. I use a bathroom outside of our unit. There is one in our unit

but it is like a closet. I carry my matches and spray with me. I have had to

expel some gas in the unit but try to go to a corner....lol. You can't always

supress it. I have been using beano without success and am ordering devrom. I

would hate to be stuck in an OR. You will have to plan carefully...maybe

someone who has been postop longer can offer both of us some good advice.

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I must chime in on this subject, although not post-op or pre-op. I just had

an intestinal blockage, so says the ER.....I was in severe...and I do mean

some big time pain!! Just incase anyone would like to know what it feels

like, they even said that I have Diverticulitis. The pain is similar to

apendix trouble. Just a heads up!

blockages

> What causes intestinal blockages after surgery? Is it not chewing good

> enough, Too much fiber, too much meat??????

> --

> Shelia Ellis

> Premiere Shetland Sheepdogs and Parrots

> Champion Shelties,all colors,testing done

> http://www.geocities.com/premierepets

> White Shetland Sheepdog Association

> http://www.geocities.com/colorheadedwhite

>

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

>

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I have a question for the nurses in the group. I am an RN, and have the

opportunity to transfer to L & D. This has been my dream job (ok, except that

it will be 7p-7a--I hate nights,but I work 'em now as it is) since nursing

school.

My question is this: Do you think that the surgery will inhibit my job

performance????

I know that after the surgery I will be out for about 4 weeks.(eek,or more!)

The L & D training lasts 4 months, but I can pick up what I miss during the

February training.

I will be trained in the O.R. for C-sec. I am worried that I will have to

literally " run " out of the O.R if I get a case of gas,(can you imagine how

well *that* would go over in the O.R.???? there is no-where to hide!!!) or

worse, diarrhea. Thats not gonna sit too well with anyone involved.

I am worried that I won't be able to work/stand right after surgery as well

as I will need to, for the O.R.

The floor nursing, delivery and triage I think I will be ok with, but being

trapped in O.R with a bad case of gut rumbles is worrying me.

In your opinion, should I take the transfer, knowing I will *probably* be

having surgery this Nov or Dec----the slow season in L & D, and try to avoid

embarrassing moments?

Or should I wait until next Feb, or possible next August? (these are the

dates for L & D training), and endure the job I have now (can you tell I am

not overly fond of it?)

I am so enmeshed in the middle of this , I need an outside , informed view.

Thanks!

(º·.¸(¨*·.¸ ¸.·*¨)¸.·º)

«.·°· * Ru *.·°·.»

(¸.·º(¸.·¨ * *¨·.¸)º·.¸)

Web page: http://home.earthlink.net/~nurseru/index.html

Web page: http://profiles.yahoo.com/rumerybast

~~ Walking in the PawPrints of Bast, Listening to the Wisdom in Her Purr~~

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> In a message dated 8/9/01 6:25:58 PM Eastern Daylight Time,

> nurseru@e... writes:

>

>

> > I will be trained in the O.R. for C-sec. I am worried that I will

have to

> > literally " run " out of the O.R if I get a case of gas,(can you

imagine how

> > well *that* would go over in the O.R.???? there is no-where to

hide!!!) or

> > worse, diarrhea. Thats not gonna sit too well with anyone

involved.

> >

> > I am worried that I won't be able to work/stand right after

surgery as well

> > as I will need to, for the O.R.

> >

> >

> Thanks girls I am 4 weeks post op and have been wondering the same

things myself , as I work In a NICU, neonatal intensive care unit LOL

Does anyone have any suggestions for a good air freshner to use ?

Thanks

Dr Anthone DS 7/11/01

> Hi Ru,

> I had surgery in June and I work in SICU. I was out for 6 weeks.

When I

> returned I have had some episodes of urgency and " gas. " When my

body wants to

> have a bm I can only suppress it for so long then I literally have

to fly out

> of the unit. I use a bathroom outside of our unit. There is one in

our unit

> but it is like a closet. I carry my matches and spray with me. I

have had to

> expel some gas in the unit but try to go to a corner....lol. You

can't always

> supress it. I have been using beano without success and am ordering

devrom. I

> would hate to be stuck in an OR. You will have to plan

carefully...maybe

> someone who has been postop longer can offer both of us some good

advice.

>

>

>

>

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RU, I'm an ER nurse, and also have situations where I cant leave.

My suggestion to you is that four weeks is NOT nearly enough time

off. I'm seven weeks out, and finally getting the hang of working

with new digestive plumbing. You will need the time to figure out

food intloerances, etc. Then, you will be better adjusted and have

more of an idea how this surgery will affect you.

Also, dont put off your life or your goals anymore. Thats what MO

people do, waiting till theyre thin or whatever. Take the job and

run with it. Best of luck, Meli

-- In duodenalswitch@y..., " Ru " <nurseru@e...> wrote:

> I have a question for the nurses in the group. I am an RN, and have

the

> opportunity to transfer to L & D. This has been my dream job (ok,

except that

> it will be 7p-7a--I hate nights,but I work 'em now as it is) since

nursing

> school.

>

> My question is this: Do you think that the surgery will inhibit my

job

> performance????

>

> I know that after the surgery I will be out for about 4 weeks.

(eek,or more!)

> The L & D training lasts 4 months, but I can pick up what I miss

during the

> February training.

>

> I will be trained in the O.R. for C-sec. I am worried that I will

have to

> literally " run " out of the O.R if I get a case of gas,(can you

imagine how

> well *that* would go over in the O.R.???? there is no-where to

hide!!!) or

> worse, diarrhea. Thats not gonna sit too well with anyone involved.

>

> I am worried that I won't be able to work/stand right after surgery

as well

> as I will need to, for the O.R.

>

> The floor nursing, delivery and triage I think I will be ok with,

but being

> trapped in O.R with a bad case of gut rumbles is worrying me.

>

> In your opinion, should I take the transfer, knowing I will

*probably* be

> having surgery this Nov or Dec----the slow season in L & D, and try

to avoid

> embarrassing moments?

>

> Or should I wait until next Feb, or possible next August? (these

are the

> dates for L & D training), and endure the job I have now (can you

tell I am

> not overly fond of it?)

>

> I am so enmeshed in the middle of this , I need an outside ,

informed view.

>

> Thanks!

>

> (º·.¸(¨*·.¸ ¸.·*¨)¸.·º)

> «.·°· * Ru *.·°·.»

> (¸.·º(¸.·¨ * *¨·.¸)º·.¸)

>

> Web page: http://home.earthlink.net/~nurseru/index.html

> Web page: http://profiles.yahoo.com/rumerybast

>

> ~~ Walking in the PawPrints of Bast, Listening to the Wisdom in Her

Purr~~

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At 5:38 AM +0000 8/10/01, HONEYB4@... wrote:

>... Thanks girls I am 4 weeks post op and have been wondering the same

>things myself , as I work In a NICU, neonatal intensive care unit LOL

>Does anyone have any suggestions for a good air freshner to use ?

You're already covered. Just blame the neonates!

Seriously, I would question the safety for the little ones of

introducing anything more that they might breathe into their fragile

lungs. " L'aire du DS " is bad enough; I wouldn't embellish it.

--Steve

--

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At 5:38 AM +0000 8/10/01, HONEYB4@... wrote:

>... Thanks girls I am 4 weeks post op and have been wondering the same

>things myself , as I work In a NICU, neonatal intensive care unit LOL

>Does anyone have any suggestions for a good air freshner to use ?

You're already covered. Just blame the neonates!

Seriously, I would question the safety for the little ones of

introducing anything more that they might breathe into their fragile

lungs. " L'aire du DS " is bad enough; I wouldn't embellish it.

--Steve

--

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