Weight loss although has risks, can be a benefits including curing diabetes, lowering blood pressure, lowering cholesterol, easy joints and arthritis pain, digestive issues. Asthma and lung disease, sleep apnea, pre diabetes, Hepatic Steatosis, non alcohol related cirrhosis, PCOS for infertility, Joint disease, pseudotumor cerebri, uniary incontinense, venous stasis disease which causes swelling and varicose veins, Depression and mental illness, Quality of life. Longer life.
The Lap Band, adjustable Banding System. Placement of a flexible silicone band around the upper part of the stomach. the result is your not as hungry, feels fuller faster and eats less. there is a port left under the skin, so the Doctor can tighten the band or make it looser.
LRYGB, Laparoscopic Roux-en-Y gastric Bypass, t in involves the creation of a small capacity stomach pouch and a small outlet from the pouch directly into the small intestine, where nutrients are absorbed. The pouch will hold less then the previous stomach, can fee satisfied sooner, eats, Hormonal issues make a difference in your calories being burned.
LSG, Laparoscopic sleeve gastrectomy, This removes a large portion of the stomach, the remaining portion of the stomach is formed into a long tube that is unable to enlarge or balloon up with food. The restriction reduces the amount a person can eat and causes satiety with less food.
MGB, Mini-Gastric Bypass or loop Gastric Bypass is a laparoscopic gastric bypass the involves connecting a loop of the small intestine to a small stomach ouch, creating the same sense of satiety and reduced hunger This procedure tissue connection instead of two and can be performed out patient.
The Duodenal Switch, This procedure involves a more complex re-routing of the intestines, that results in reduced stomach capacity and reduced nutrient absorption, It is the most invasive of the procedures and has the most risks but it may still have a role as a revisional procedure of for people with severe diabetes and very high BM!.
Band with imbringcation, This procedure which adds an imbrication or surgical in -folding and tightening of the stomach, to the placement of any adjustable gastric band. this is also out patient procedure it may improve weight loss produce faster results over LAGB Alone.
The laparoscopic improvement allow surgeons to spend less time in operating room and usually can go home that day.
In order the Qualify you must have a approval from a bariatric surgeon, the surgery center, BMI over 55. No history of Pulmonary hypertension, anesthia approval, sleep apnea under control
If you are over 65 most likely you won’t qualify.
You may want to keep your decision to have bariatric surgery to your self, the last thing you need is others opinions, it just between you and your Dr. You can even go under another name in the hospital to protect your privacy, but if you want to share your decision, make sure its with positive people that will support you in your journey and help you in your recovery.
A fantastic Book to read which gives you the in’s and outs, pro’s and con’s to any Gastric surgery. It is called A Sasse Guide, Outpatient Weight loss surgery, Dr Sasse is a highly experienced and accomplished bariatric surgeon, author expert and featured speaker national in the field of Weight reduction, bariatric medicine, remission of diabetes and surgery.
I have met him personally and just felt comfortable with his knowledge, He has refused patients because they don’t qualify, which I think is good, instead of just making the money. His office staff is incredible, kind and not judgmental. You can order the book off Amazon.com
If you would like to contact his office for their information conferences or a consultation the phone number is 775-7999. He resides in Reno, NV
IVIG therapy also known as a normal human immunoglobulin, the use of a mixture of antibodies to treat a number of health conditions. This treatment can treatment many diseases such as mine autonomic neuropathy, autonomic small cell neuropathy, autonomic dysfunction but is used for so many other treatments and everyone has their own idea of what the treatment is like I can only explain how it makes me feel. Everyone’s experience is different. I was told you may be cold, or fluish, fatigue and painful joints.
My particular treatment plan is 5 days on and 3 weeks off. I was ready to go, positive thinking, I am not going to have any site effects, I am thinking positive. So it can be done by injection or IV. Mine is IV. One particular thing we noticed The faster the IV the more sick I felt, so a 2-3 hour treatment turned into 5 hours. This is done in a infusion center. and all around you are cancer patients, infectious disease all receiving some sort of treatment. That alone makes the entire situation more surreal. Other than the poke in the vein, it was nothing, I had planned on writing reading, but a part me needed to watch, learn and listen to what was happening, not out of disrespect for other patients but one reality of what I was enduring and 2 how lucky I was I was alive, tears for the people that were so sick, its really a difficult place to say Yeah I get to go to treatment today. So I dressed up, I was raised if you felt bad, dress up and you’ll feel better. I was the only one not in pjs, sweats etc.. I wanted to ward off all evils. I didn’t know what to expect,
The headache began, wow! I had never had a headache like this, took Tylenol, no relief, my legs hurt but that was normal but usually heat helps, not this time. I was nauseated, well I was use to that but I could conquer this, these people are fighting for their life, I can do this, I found myself tired, warn out, barley wanting to make it to the car, but tomorrow was going to be better. I came home no appetite and just slept until the tornado began, it was building and I was doing guided imagery to stop it, wasn’t working, I am getting a warmer and warmer stomach, head felt hot, didn’t even want to watch TV. I had so many things planned that I would get done during treatment.
Day 2 a little worse, Day 3 little worse, still forcing myself t dress up, said screw bringing the computer or writing or reading, I knew now, my fight was just beginning. I kept thinking just 2 more days, then sleep for a month. little did I know the days following made me sicker and sicker, found myself sleeping on the bathroom floor, can’t eat, can’t drink, my taste buds were leaving before the treatment but now gone, I was so sick I spent Christmas in the hospital, I didn’t even care that it was Christmas, my veins were giving out, and find a vein that worked was getting difficult, but I was so use to it, it didn’t hurt, my arms trashed, my hands are trashed so I had to have a port put in. This allows the treatment to have access with out having to stick me 6 times. It put me over the edge. The Doctor said it was normal for people to have this reaction after the first 5 days. Thanks for the information. I start again on the 25th, my taste buds are gone, I’m nauseated to the point the meds don’t work anymore, I will crave something like fruit and I pay after. I always thought food was suppose to be good for you, now its just a necessity to stay alive, I can even hold that down, my chest hurts, my esophagus hurts and burns like its on fire. My smell has changed and sounds, its like effecting every aspect of my life and with out food I have no energy, I guess because my body is loosing wt slowly it doesn’t matter, but when you can’t get out of bed your not going to burn a lot of calories.
So for me I pray my second treatment I will handle better and get through this easier. I have home health to do it at the house because with out a immune system, I can’t be around infectious disease. I feel so blessed, I can be in my pjs and no one will think lesser of me because it will just be me and the nurse. So I know I have along road, but it’s a road worth fighting. sometimes I feel so sick Ipray I don’t wake up, and peoples responses still blow me away, Until you try it, you don’t know how you will feel during and after treatment. so I will pray each treatment gets better and I will start to feel better, my dream to get my life back. I am willing to do anything to live. But IVIG is no picnic. But if you are starting this treatment your reaction may be different, you may have no symptoms, I pray that for you and myself.
Positron Emission Tomography, uses radioactive traces in die that injected and circulated through out your oody and brain to reveal details about the blood flow, glucose, metabolism and more, it works at the cellular level, for a great view of seizures and memory disorders and to tract the progression/regression of cancer over time.
EEG: Electroencephalography monitors the brain’s electrical activity through electrodes on and occasionally in the scalp. It’s high temporal resolution, great for diagnosis in Epilepsy, sleep disorders or whether or not some one is in a coma.
MRI: Functional Magnetic Resonance imaging, monitors brain activity due to changes in blood oxygenation, useful for mapping which brain region are activated in the course of various activities. but th e
CT Computed Tomography: x Rays and digital processing to create 3-D images by stacking cross-section views. Its low resolution is powerful enough to detect tumor itself create
Well the time has come for my treatment, I am blessed it’s all coming together, but never the less scary, a friend just reminded me not to be the victim but the fighter, so that is who I have to be. My treatment protocol is coming from Washington research institute, and national institution of health and Stanford. I.will be receiving ivig treatments that go between 3_4 hours per visit
My scheduleis 5 days on 5 days off. If i can tolerate the treatment, they will be surgically putting in a port, so i dont have to destroy my already calcified veins. Then we are back on 5 and off 5. There are risks but I have to say I am not getting them. Ihe first week will be the hardest , we are trying to get the home health to come do it at my home wich is 100 percent covered and keep me out of areas where people are being treated for infectious disease. That’s the goal. I was not aware this treatment will continue for a year if not longer. I will.have regular blood work and biopsys to see if the treatment is working. Each vial is $6,000.00 so making sure it working is important information and will be done at Stanford. Although this day should have been done years ago, the technology wasn’t there and reno can’t even perform my biopsys. Seriously!!!stanford does not trust the equipment or Doctors in reno because for one they do a echocardiogram and told my MVP has healed and My heart was fine, only to find out my MVP is worse and I had a heart attack and surgery done there. The simple step of turning the loop recorder down so it can read your hearts activity is pretty embarrassing, mind you the Dr did it with out any surgical attire in a Operating Room and had to be reminded by the tech he had no sterile clothing on. So many stories like that. I simply can not believe a Doctor in Reno can not do skin biopsy’s. 2017 why will no one do them, Every Dr said they can’t be done in Reno. My trust level has diminished in this town and the 49 Doctors that mis diagnosed me, but no one was willing to look outside the box, they choose to not keep up on the latest papers, journals ect. There a few good ones left in town but soon to retire, the only gynecologist my insurance covers, I wouldn’t take my guinea pig to. But there are a lot of new Doctors in town, one is my Electrophysiologist, He’s suppose to be like the best in the US, a little odd but I don’t Care, Dr Ogara, Dr Fairmond, Dr West, Dr Backman, but again none of them are treating me, it is going through Stanford and that is fine with me. One thing I have noticed about the new generation of Doctors coming into Reno, Is a lot of Indian decent and so kind, smart, empathy, and truly in medicine for the right reason, So Reno hopefully will be changing. So there r two things I’m asking any of my close friends, I might need help time to time or someone to come just sit with me, I’m also asking that please donate blood, blood is used and things removed that cure others, not just today, but on a regular basis, since I am the guinea pig for this I pray it not only works but can help all the other people that aren’t even being tested for this antibody, but I had a Dr at Stanford that went beyond the call of duty in researching who was researching my first disease the autonomic dysfunction didn’t just land off mars and pick me, I carried the antibody that causes it. So that being said I have volunteered to be part of the research team, I’m not going through just for me but the people diagnosed behind me, so I wanted to give you a update and to tell you how its going.
This is my personal story of why you need to be your own advocate. Its hard when you sick, weak, tired, nauseated what ever your symptoms may be, but I have learned the largest lessons is Stand up for yours self. When you go to your Dr. Question the medications they are giving you, I have started asking my Doctors to write down their instructions for my treatment, you get so many instructions, prescription refills, so that helps a lot, ask what is the best way of communication, I have one Doctor I had to get a app on my phone and can only correspond with him, another they have different charts online for different Doctors or Doctors that are not on electronics they usually prefer calling leaving a message. I make sure my next appointment is set up. Before leaving. Always have your ID and insurance card at every visit and expect to fill out new paperwork every year, I have only come across that with one office. Pain Management Doctors require a agreement to receive pain meds and you can not get pain meds through same Doctor. Write your list of questions. and get to know your insurance inside and out. Most information is on line. But If you leave it to Doctors they get to you when they can . Well You must speak up for your self even if that means you speak to the office manager. Call daily if you have to. If you don’t your at the bottom of the pile. I am not rude disrespectful, I explain what I am going through and its amazing how that gets things going. Your doctors office may tell you a Dr they are trying to get you into will take 6 weeks, I called got in 4 days, they told me my home health is 500.00 per visit. I found out I have 100 percent home health coverage. So my point is be your own advocate, or if your truly not well enough appoint one, ask, tell them you need one to step up on your behalf, My contact at my insurance has done so much for me, I can’t believe it. Also make sure that people you want to receive information have written permission and those you don’t you have a letter stating that. Hospitals at least one that I go to is going to a code, If I am in the hospital and someone comes in without a code, no info is given. so make sure what your hospitals policy’s are and your Doctors office, such as if you have a child that goes from pediatrician to gynecologist, the gynecologist can’t break Hippa and give you information unless your daughter wants them to, a husband has no writes unless written consent. So when a Dr’s office says check in is 15 minutes a head of time, that means arrive 15 minutes ahead of time. We are getting less and less Dr’s in the Reno area and specialist are booking out 6-12 months in advance so I always ask for reminder card or call or make the appointment. If you stay regular and are on top of your appointments, there more likely to squeeze you in if there is a problem. Don’t wait until you have a problem to keep up on visits. I went to every Doctor and asked How many times do I have to see you to be compliant with your policy’s, my one Dr said 1 1/2 years, I ask another one every 6 months another one every 4 so if you let your health care go. you will be put on a list that could take a year. If your Dr calls to get into another Dr’s office, the Dr can possibly get you in sooner. So I hope some of these ideas can help with your Doctors and there is online medication lists or phone apps for medication list and allergies. That Is so important. Well that’s all for today. You can get a little not book that you can tape or keep somewhere it won’t get lost that reminds you of Dr’s how often to see them, what they require to remain a patient ect. Kelly
“As I walked out the door toward the gate that would lead to my freedom, I knew if I didn’t leave my bitterness and hatred behind, I’d still be in prison.” Nelson Mandela
Nelson Mandela’s words are a poignant reminder that even when we have earned the right to have negative feelings about someone who has mistreated us, if we choose to hold on to those feelings, we are imprisoned right along with whoever it is we are condemning.
When we have been wronged it can be so hard to let go of the natural feelings that arise. Letting go of our anger makes us feel vulnerable, and although letting go is the most powerful thing we can do, we often worry that it will make us weak and small…. And if we let go of our bitterness, doesn’t it somehow send the message that the wrong against us was acceptable?
No. Wrong actions are wrong actions- and the only thing that truly makes them acceptable is when the party at fault takes responsibility. Far too often, the ones who wield the weapons against others lack the ability to come forward and take responsibility for the bad blood they have spilled. You can choose to spend your life waiting for an apology that may never come, but while you wait, something inside of you will die. Let go of your hope that they will do better. Maybe someday they will… but you can’t live your life for someday. What you have is today…. So live there.
Go on with your days in the best way that you know how. Remember that you do not have to love those who have hurt you. You do not have to condone what they have done. You do not have to protect them from the natural consequences of wrong action- and although it may take time, these consequences, they always come.
Remember that the one’s who have wronged you, do not require your punishment. The debt they will pay is the fact that you will no longer be a presence in their life…. And whoever you are, and however small they may have made you feel…. Remember this; You are a child of this universe… you are perfect whole and complete. Because they do not value you, this does not make you without value.
It can be the work of a lifetime to rise above the things and people that have hurt you. Bolster your ability to do this by keeping company with people and things that bring you joy. Surround yourself with those who want your good and see your good. Keep your life free of those who fan the embers of negativity in your world. When love is no longer being served, get up from the table and leave. This is how you begin to emerge from prison….
Walking all the way out of that prison of anger is something that often takes time, and that’s okay. When someone hurts you, give yourself some time with the pain. Talk about it, share it, and express all of the ugly emotions that are a natural reaction to pain. Don’t be afraid to dance with the bitterness…. But do not stay there too long… there is an old saying that if you chase monsters long enough…. Eventually you become a monster too.
Once the pain has made its path through you and you have screamed and cried and found your own way to get it out…. then you will be ready to walk out the same gate Nelson Mandela speaks of….
And when you walk through that gate without the burden of anger weighing you down, you will not be weak, and you will not be small. You will be free.