11 wks-2.75 yrs post op RNY--weak, fatigued...

[Guest guest]

Hello i am 11 wks and over 2 yrs post op i have been so weak and so

very fatigued. My ob found i am low on b12, going to have shots.

EVERYONE thinks i am a freak to be pregnant and " so sick. " My ob even

said, " oh i guess you will just be tired this pregnancy. " (When i was

obese i had a daughter, that was almost 7 yrs ago--and i am now going

to be 35 in sept.)

I dont know where to turn for resources. I am on my last leg at work.

I work for the local phone company and if i miss one more time i am

fired. (I have missed alot since my gastric bypass--complications and

surgeries afterwards.) I can barely work--and i am an operator.

Basically, i am very weak, very tired, if i stand too long or walk i:

get the feeling like i have an elephant on my chest, breathing is a

bit difficult, i get sweaty, my vision gets blurry, i get light

headed and dizzy, and when its VERY BAD my tounge gets numb (like i

had been at the dentist office for a filling) and if its REALLY VERY

BAD my lips get numb too. My primary care docs office said something

like vaso vagil response. My ob doesnt seem to concerned. BUT i can

barely stand w/o this happening. He sent me to ER and they did TON

of tests and i was OK. The only thing i read was i had high

Eosonophils (spelling.)

I appreciate any feedback. Thanks.

Yvonne

Kuljey@...

[Guest guest]

yvonne...just my opinion...that's pretty excessive symptoms, i say change obs,

or demand your ob eem more concerned. if you go to him enough, he'll get sick

of ya and do something. let him know you are on the verge of getting fired and

this can't go on. good luck...

aka mom2ben99 (jennilee75@...)

Kay Independent Beauty Consultant

http://www.marykay.com/koopmans

I have all your summer care needs...tanning lotion, sunblock, even sunblock for

your lips, get yours today!

11 wks-2.75 yrs post op RNY--weak, fatigued...

Hello i am 11 wks and over 2 yrs post op i have been so weak and so

very fatigued. My ob found i am low on b12, going to have shots.

EVERYONE thinks i am a freak to be pregnant and " so sick. " My ob even

said, " oh i guess you will just be tired this pregnancy. " (When i was

obese i had a daughter, that was almost 7 yrs ago--and i am now going

to be 35 in sept.)

I dont know where to turn for resources. I am on my last leg at work.

I work for the local phone company and if i miss one more time i am

fired. (I have missed alot since my gastric bypass--complications and

surgeries afterwards.) I can barely work--and i am an operator.

Basically, i am very weak, very tired, if i stand too long or walk i:

get the feeling like i have an elephant on my chest, breathing is a

bit difficult, i get sweaty, my vision gets blurry, i get light

headed and dizzy, and when its VERY BAD my tounge gets numb (like i

had been at the dentist office for a filling) and if its REALLY VERY

BAD my lips get numb too. My primary care docs office said something

like vaso vagil response. My ob doesnt seem to concerned. BUT i can

barely stand w/o this happening. He sent me to ER and they did TON

of tests and i was OK. The only thing i read was i had high

Eosonophils (spelling.)

I appreciate any feedback. Thanks.

Yvonne

Kuljey@...

Children are a blessing, and a gift from the Lord. -Psalm 127:3

[Guest guest]

If your ob doesn't help...get a second opinion. Sounds very serious. I had

alot of those symptoms, severe..but not my tongue and lips getting numb.

If it continues, check out your work disability plan. Some cover for

pregnancy. Your ob or other drs involved will have to fil out reasons and sign

though.

good luck

Sharonn in Ga

[Guest guest]

In a message dated 8/1/2004 7:52:34 AM Central Daylight Time, Kuljey@...

writes:

> My ob found i am low on b12, going to have shots.

> EVERYONE thinks i am a freak to be pregnant and " so sick. " My ob even

> said, " oh i guess you will just be tired this pregnancy. " (When i was

> obese i had a daughter, that was almost 7 yrs ago--and i am now going

> to be 35 in sept.)

>

Yvonne,

I know that every pregnancy is different, but you may bounce back after you

get some B12 in you and get out of the first trimester.

The SAME exact thing happened to me. I was literally so tired that I would

come home from work at 5pm and go to bed. My OB said pretty much the same

thing, that I'm older (in my 30's now) and after having two other children, I

should be more tired than I was the first two times around. My Mom kept

reminding

me that she didn't have any problems with fatigue during her pregnancies,

which I politely reminded her that she also didn't have WLS and have a B12

deficiency!

Anyway, after being on the B12 shots for about a month, and after I made it

to the second trimester, around 13-14 weeks pregnant, I began feeling MUCH

better. Now that I'm in my third trimester, I'm taking it easy, but the fatigue

is nothing like it was those first few months.

Hang in there!

Mommy to Duel 5/28/97, Caitlin 1/13/99, and Baby Girl 10/11ish/04

12/11/01 Open RNY

[Guest guest]

Yvonne,

I suspect you are in a crisis of malnutrition. When is the last time

you had the COMPLETE set of recommended lab work done? The complete

list that's required by my surgeon and most of the other surgeons in

my area (including nationally-known revision surgeon Dr. Ki Oh) is

listed below.

B-12 deficiency can cause a particularly difficult type of anemia

called pernicious anemia that can be quite treatment-resistant.

http://www.nlm.nih.gov/medlineplus/ency/article/000569.htm Many of us

have found that weekly doses of Vitamin B-12 via IM injection and up

to THREE Chromagen Fortes (an Rx iron) are needed each day to bring us

back to normal, with that " normal " result sometimes taking 3-6 months

to achieve. B-12 deficiency can also cause some of the symptoms you

describe, and unfortunately, if your neurologic system has been

damaged, the damage is permanent.

High eosonophils suggest an acute allergic reaction. Do you take

allergy medicine at all? Were you having an allergic reaction when you

had your blood tested? Are you allergic to latex? (This causes some

people's blood work to show high eos because they are reacting to the

latex tourniquet and gloves used to draw the blood!)

You need to fire your OB NOW. This person doesn't get it and could

literally cost you your life. I would never tolerate a doctor who

spoke to me in such a callous way! Your PCP doesn't sound like the

sharpest knife in the drawer either. Did neither of them pull a CBC

and electrolytes panel when you were going through this? That's so

basic that NOT doing this bloodwork is akin to malpractice IMO.

As for your work situation, consider taking FMLA time. They CAN'T fire

you then. They also can't fire you when on short-term disability.

Please keep us posted. If they didn't run all this lab work, and you

get them to run it, make sure that you get a copy of the results faxed

to you (they will not give you a hard time about this; they have to

provide it to you BY LAW if you request it). Then enter the stuff

here, make sure you give us the brief test name, the normal range

values, and of course, your number. I and probably some of the other

people here have quite a bit of experience interpreting lab test

results.

============

Lab Tests recommended for Gastric Bypass patients

Regularly (every 3-6 months depending on your previous results)

Keep track of any levels that are declining from one set of tests to

the next, even if not yet in the low range. Make any corrections

necessary in your diet and vitamin regimen before the levels get too

low.

CPT Code

Test

Description

85025 CBC w/diff

Complete Blood Count with Differential

Test includes: Hematocrit; hemoglobin; mean corpuscular volume (MCV);

mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin

concentration (MCHC); red cell distribution width (RDW); percentage

and absolute differential counts; platelet count; red cell count;

white blood cell count

80053 CMP

Comprehensive Metabolic Panel

Test includes: A:G ratio; albumin, serum; alkaline phosphatase, serum;

ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio;

calcium, serum; carbon dioxide, total; chloride, serum; creatinine,

serum; globulin, total; glucose, serum; potassium, serum; protein,

total, serum; sodium, serum

80061 LP

Lipid Panel With Total Cholesterol:HDL Ratio

Test includes: Cholesterol, total; high-density lipoprotein (HDL)

cholesterol; low-density lipoprotein (LDL) cholesterol (calculation);

triglycerides; very low-density lipoprotein (VLDL) cholesterol

(calculation); Total cholesterol:HDL ratio

82977 GGT

Gamma Glutamyl Transpeptidase (GGT).

Use: A biliary enzyme that is especially useful in the diagnosis of

obstructive jaundice, intrahepatic cholestasis, and pancreatitis. GGT

is more responsive

to biliary obstruction than are aspartate aminotransferase (AST)

(SGOT) and alanine aminotransferase (ALT) (SGPT).

83615 LD or LDH

Lactic Acid Dehydrogenase.

Use: diagnosing anemias, hypothyrodism, liver diseases.

84100 PO4

Inorganic Phosphate, Blood.

Use: parathyroid issues, liver disease, malnourishment, vitamin

deficiencies, osteomalacia,

84550 UA

Uric Acid, Serum.

Use: gout, dehydration, anemias, low protein intake

82607; 82746 B12 & Folate

Vitamin B12 and Folates levels.

83540; 83550 Fe & TIBC

Iron and Total Iron Binding Capacity (TIBC).

Test includes: Percent of saturation; serum iron; total iron binding

capacity; unsaturated iron binding capacity

82728 Ferritin

Ferritin, Serum

The serum ferritin is, other than a bone marrow examination, the most

reliable indicator of total body iron stores.

84446; 84590

Vitamins A & E

Vitamins A & E. Requires patient to fast for 48 hours prior to

collection, Specimen must be protected from light and frozen. Use:

check for vitamin deficiency. Not recommended during pregnancy

(excessive fast required).

82306 Vitamin D

Vitamin D, 25-Hydroxy (Cholecalciferol Metabolite;

25-Hydroxycalciferol; 25-OH-D; Vitamin D3 Metabolite).

84436; 84443; 84479; 84480

Thyroid Panel

Thyroid Profile II (Comprehensive)

Test includes: Free thyroxine index (FTI); T3 uptake (THBR);

thyroid-stimulating hormone (TSH); thyroxine (T4); tri-iodothyronine

(T3)

84630 Zinc

Zinc, Serum.

Use: monitor nutritional deficiency Note: do this test at 1 year

post-op, 3 years post-op, and then eliminate if you are paying for

your own labs (no insurance). This is an expensive test and zinc is

often fairly steady over time.

83970 PTH

Intact Parathyroid Hormone

(PTH), Intact. Requires overnight fast. Use: Diagnosis of parathyroid disease

and other diseases of calcium homeostasis. PTH is secreted in response

to decrease in serum calcium levels by increasing the renal

reabsorption of calcium and lowering reabsorption of phosphorus.

83735 Mg, RBC

Magnesium, RBC. Use: evaluate magnesium deficiency

83036 Hgb A1c

Hemoglobin (Hgb) A1c With MBG Estimation. Used to estimate mean

glucose levels over time.

*YEARLY - DEXA SCAN for bone density.

Diagnosis codes:

579.3 post-surgical malabsorption

268 vitamin D deficiency

269.2 hypovitaminosis

268.2 metabolic bone disease

244.9 hypothyroidism

250.0 diabetes

579.3 short bowel syndrome

401.9 hypertension

--

Ziobro

Open RNY 09/17/01

Nous sommes desoles que notre president soit un idiot. Nous n'avons

pas vote pour lui.

> Hello i am 11 wks and over 2 yrs post op i have been so weak and so

> very fatigued. My ob found i am low on b12, going to have shots.

> EVERYONE thinks i am a freak to be pregnant and " so sick. " My ob even

> said, " oh i guess you will just be tired this pregnancy. " (When i was

> obese i had a daughter, that was almost 7 yrs ago--and i am now going

> to be 35 in sept.)

>

> I dont know where to turn for resources. I am on my last leg at work.

> I work for the local phone company and if i miss one more time i am

> fired. (I have missed alot since my gastric bypass--complications and

> surgeries afterwards.) I can barely work--and i am an operator.

>

> Basically, i am very weak, very tired, if i stand too long or walk i:

> get the feeling like i have an elephant on my chest, breathing is a

> bit difficult, i get sweaty, my vision gets blurry, i get light

> headed and dizzy, and when its VERY BAD my tounge gets numb (like i

> had been at the dentist office for a filling) and if its REALLY VERY

> BAD my lips get numb too. My primary care docs office said something

> like vaso vagil response. My ob doesnt seem to concerned. BUT i can

> barely stand w/o this happening. He sent me to ER and they did TON

> of tests and i was OK. The only thing i read was i had high

> Eosonophils (spelling.)

>

> I appreciate any feedback. Thanks.

> Yvonne

> Kuljey@...

[Guest guest]

Hi Yvonne, did they also check your iron? Be sure & follow-up with

the B12. Your OB seems beyond dispassionate, he's unconcerned that

you're barely about to function?....

WlsMomma

> 11 wks-2.75 yrs post op RNY--weak,

fatigued...

> Hello i am 11 wks and over 2 yrs post op i have been so weak and so

> very fatigued. My ob found i am low on b12, going to have shots.

> EVERYONE thinks i am a freak to be pregnant and " so sick. " My ob even

> said, " oh i guess you will just be tired this pregnancy. " (When i was

> obese i had a daughter, that was almost 7 yrs ago--and i am now going

> to be 35 in sept.)

>

> I dont know where to turn for resources. I am on my last leg at work.

> I work for the local phone company and if i miss one more time i am

> fired. (I have missed alot since my gastric bypass--complications and

> surgeries afterwards.) I can barely work--and i am an operator.

>

> Basically, i am very weak, very tired, if i stand too long or walk i:

> get the feeling like i have an elephant on my chest, breathing is a

> bit difficult, i get sweaty, my vision gets blurry, i get light

> headed and dizzy, and when its VERY BAD my tounge gets numb (like i

> had been at the dentist office for a filling) and if its REALLY VERY

> BAD my lips get numb too. My primary care docs office said something

> like vaso vagil response. My ob doesnt seem to concerned. BUT i can

> barely stand w/o this happening. He sent me to ER and they did TON

> of tests and i was OK. The only thing i read was i had high

> Eosonophils (spelling.)

>

> I appreciate any feedback. Thanks.

> Yvonne

> Kuljey@a...