| Subject | Date Asked | Expert |
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| Post Incisional Hernia Surgery | 7/24/2008 | Karla K. |
Q: I had an Incisional Hernia repair 5 days ago and there is a know under the incision the Dr made to ...
A: You need to have a surgeon or at least your primary care physician examine the knot to figure out ...
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| 1 month post op rny | 7/21/2008 | John Pilcher, MD |
Q: i am following all orders, but i am losing weight very slowly. 2 lbs. a wk. is this 'normal'. i am ...
A: Jennifer, In my experience, 2 pounds per week is a really good pace in the long run, but it is a bit ...
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| 1 month post op rny | 7/21/2008 | John Pilcher, MD |
Q: i am following all orders, but i am losing weight very slowly. 2 lbs. a wk. is this 'normal'. i am ...
A: Jennifer, It is not typical in my experience to have a weight loss this small. You will need fairly ...
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| Life as a surgeon | 7/20/2008 | John Pilcher, MD |
Q: Dr. Pilcher, Can you please tell me how much free time you have during the week? I am reapplying ...
A: Amanda, This is a really interesting line of questions, but it is hard to answer adequately by ...
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| lapband | 7/16/2008 | John Pilcher, MD |
Q: i have had my lapband for almost 2 years. i have lost 124 lbs. i have had great success. however, ...
A: I'm not sure what you meant about the "race against your son," maybe the Band was tightened quickly ...
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| Rou n Y Reversal | 7/14/2008 | John Pilcher, MD |
Q: I was wondering if you can tell me if there has ever been a reversal to a roux n y procedure?
A: Robin, There have been many cases of a Roux-en-Y gastric bypass being "reversed" by connecting the ...
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| Bariatric Revision Surgery | 7/11/2008 | John Pilcher, MD |
Q: Twenty-six years ago, I had a gastroplasty surgery. After losing 110 lbs., I had a complete ...
A: Linda, My opinion is that revision surgery would be fairly risky because of the old scar and the ...
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| BYPASS SURGERY !!!! | 7/8/2008 | Karla K. |
Q: I HAVE TRIED EVERYTHING TO LOSS WEIGHT AND HAVE NOT HAD ANY RESULT. THIS HAS BEEN FOR A LONG TIME, ...
A: You can appeal your insurance's decision, as long as they don't have an exclusion for bariatric ...
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| blockage in esophagus? | 7/4/2008 | John Pilcher, MD |
Q: I'm 58 yrs. old, had lap band surgery in Mexico in September, 2008. I lost 20 lbs in the month ...
A: Patti, You are in urgent need of experienced attention for you and your Band. You should contact ...
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| Gastric bypas vs sleeve | 7/2/2008 | John Pilcher, MD |
Q: I am scheduled for bypass on July 28th which my insurance "was" going to cover. During my office ...
A: LaShon, There are a lot of factors in this decision that can't really be captured in an email, so ...
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| is AchievOne protein ok for me? | 6/29/2008 | Jacqueline Jacques, ND |
Q: I have heard great things about AchievOne protein, and have found great prices at ...
A: Most bariatric surgeons would really prefer that you stay away from caffeine - especially early on ...
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| fullness in esophagus | 6/20/2008 | Karla K. |
Q: I am 2 1/2 weeks post op from gatric sleeve surgery. I stop all liquids 30 min. before/after eating ...
A: Usually, that fullness in your esophagus feeling means that you've eating a little bit too much. ...
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| Gastric band question | 6/19/2008 | John Pilcher, MD |
Q: I have had a band for about a year - about 30 lbs lost and 40 to go. The slow weight loss more from ...
A: Leigh, An upper scope (EGD) can show if there's any persistent inflammation from reflux, or if ...
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| STAPLES MISSFIRE | 6/17/2008 | John Pilcher, MD |
Q: I'M LOOKING FOR THE BEST OF THE BEST TOP IN THE COUNTRY FOR GASTRIC BYPASS REVISION SURGEON... MY ...
A: Yazmin, I'm truly sorry to hear of your husband's difficulties. My input is that there IS a valid ...
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| Possible revision | 6/12/2008 | Karla K. |
Q: I had gasric by-pass abou 6 years ago. I was 488 and got down to 200, but I'm back up to 300. I have ...
A: Are you interested in having your RNY made more distal (bypass more intestines) or are you ...
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| gastric ulcer post roux-en-y | 6/10/2008 | John Pilcher, MD |
Q: I had a RNYGB 4.5 years ago and have been doing fine until last Nov(07) Now I have intense pain ...
A: Norma, The only thing I can think of is to check for some partial bowel obstruction - a CT or ...
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| SLEEVE BARIATRIC | 5/27/2008 | Karla K. |
Q: 4 weeks made me THAT THIS CIRUJIA but almost can not eat everything is ME returns and I am nauseated ...
A: So, you had your sleeve four weeks ago and are having a lot of nausea? Are you also feeling ...
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| Frequent Burping after GB - 4 Years PO | 5/23/2008 | John Pilcher, MD |
Q: I'm nearly 4 years postop from an open RNY. Lately, no matter what I'm eating or drinking, or even ...
A: Cathy, This is an interesting question that I've not encountered before. I'm presuming that you've ...
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| had by-pass now want lap band | 5/20/2008 | Jacqueline Jacques, ND |
Q: my name is andrea.on may of 2000 i had gastric bypass surgery. i lost 157lbs total. oves the years i ...
A: There are some surgeons who will put a gastric band over a gastric bypass, but usually before this ...
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| one kidney, GERD, & PCOS | 5/11/2008 | John Pilcher, MD |
Q: I have one kidney, GERD, and was recently diagnosed with PCOS. I am 75 pounds overweight and can ...
A: Brenda, It is quite likely the weight is causing medical harm in your case, as you appear to know ...
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| revision | 5/7/2008 | Karla K. |
Q: I am a 41 year old female who had the roux-en-y gastric bypass in 1999. I did loose 180 lbs, but I ...
A: I agree that part of the problem is that you saw a doctor with very little revision experience. It ...
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| questions about mgb | 5/5/2008 | John Pilcher, MD |
Q: I amintrested in having the mgb but I have a few questions as I have a husband and a 12 year old son ...
A: Mrs. Johnson, You asked about the "mgb" and I think you are referring to the Mini Gastric Bypass. I ...
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| PAIN | 5/2/2008 | John Pilcher, MD |
Q: I had a lap band placed 10-2007. I am miserable & in constant pain. I found out this week I have a ...
A: Lori, It sounds like you are having problems with your esophagus so that it can't work with the ...
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| Removal of lapband | 4/27/2008 | John Pilcher, MD |
Q: I had lap band surgery in July 2006 but, have not lost anyway even with the fills. After a while I ...
A: Dawn, I'm really sorry you have not had success with your Band. I am going to assume that you've ...
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| thyroid removed contemplating bariatric surgery | 4/26/2008 | John Pilcher, MD |
Q: 3 years ago I had my thyroid removed after being diagnosed with thyroid cancer and have been on ...
A: Rachel, There should be no problem with bariatric surgery, in the context of your having your ...
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| Can Weight Watchers work for post gastric bypass patients? | 4/22/2008 | Jacqueline Jacques, ND |
Q: Dr. Jacques: I am 4 1/2 years post gastric bypass roux n y, I have lost 95 pounds and was ...
A: Jill, Anything that teaches you good habits can be beneficial. But first, let me back up and say ...
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| Gastric Bypass | 4/19/2008 | Karla K. |
Q: I had a Gastric Bypass operation 4 years ago. I did loose only 4 stone in that time and have put ...
A: Yes, you could definitely have an Adjustable Gastric Band placed over your pouch. That has been ...
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| animia low iron | 4/18/2008 | Jacqueline Jacques, ND |
Q: i'm 5 yrs from having a Roux-en Y no problem untill recently. my iron level is 9 and i have tred ...
A: It is not at all uncommon for iron levels to plunge around 5 years post-op from a gastric bypass. ...
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| VSG | 4/14/2008 | John Pilcher, MD |
Q: I am considering bariatric surgery. I have been told I am not a candidate for lap band due to a ...
A: Barb, I can see that you've done your homework, so you understand that the impact of Crohn's disease ...
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| Vagus nerve injury due to gastic bypass | 4/14/2008 | John Pilcher, MD |
Q: I have had many episodes of eating just to vomit about 10 to 20 minutes later and having food come ...
A: Charmaine, I will answer your last question first: I would certainly expect that after treatment ...
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| FOOD BLOCKAGE | 4/12/2008 | Karla K. |
Q: I have been having pain under my left ribs the past 2 days after I eat I'm eating semi solds, ...
A: I'm not sure which type of surgery you had, as you don't mention it. A lot of people do get pain in ...
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| Which WLS? | 4/11/2008 | John Pilcher, MD |
Q: JP, I am planning to have weight loss surgery, that is not in question--I have fought my waistline ...
A: Ms. Kilpatrick, I think it's great that you are researching this thoroughly before jumping in. I ...
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| bypass surgery approval by AMA | 4/10/2008 | Jacqueline Jacques, ND |
Q: We have a patient that is being denied any bariatric surgery (gastric bypass) because of it being ...
A: There has not been an approval of bariatric surgery by the AMA, but it was granted Medicare ...
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| Lap Band and Blood disorder | 4/10/2008 | John Pilcher, MD |
Q: I am a 58 year old female. I am in generally good health except being 100 lbs overweight. I have ...
A: Angela, It's unfortunate if your hematologist is not "on board." I recommend you go ahead and meet a ...
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| bodyfat percentages | 4/9/2008 | Jacqueline Jacques, ND |
Q: I am a 55 year old man. On those bodyfat percentage scales I see on the internet, can you tell me ...
A: You raise a really great question - one that health professionals have long disagreed on. Many ...
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| Lap Band and Blood disorder | 4/9/2008 | John Pilcher, MD |
Q: I am a 58 year old female. I am in generally good health except being 100 lbs overweight. I have ...
A: Angela, Personally, I would not exclude you from consideration for gastric banding from what you ...
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| eating post VSG | 4/4/2008 | Karla K. |
Q: I just attended my pre-op seminar(I'm scheduled for April 15th,08), and am aware that post-operative ...
A: I haven't heard of any VSGers having trouble with spicy foods. As for a taco or enchilada...the ...
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| gastric bypass | 3/30/2008 | Karla K. |
Q: i had gastric bypass jan6,05 i weighed 353,i now weigh 235 i had a baby a year ago,i eat everything ...
A: First off, congratulations on your new baby, as well as keeping off 100 pounds through a pregnancy. ...
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| I hate my body! | 3/29/2008 | Jacqueline Jacques, ND |
Q: I am 16 yrs old and a mother of two I am 5 ft tall and weigh 285lbs I am so tired of all this weight ...
A: I think you are both brave and smart to be thinking about weight loss surgery at such a young age. ...
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| help | 3/24/2008 | John Pilcher, MD |
Q: I AM 30 WITH 2 KIDS I'M 5'4" I WEIGH 245lbs.I HAVE BEEN ON EVERY DIET I DO TRY TO EXERCISE BUT MY ...
A: Rose, At the height and weight you've outlined, you have a Body Mass Index of 42. This does meet ...
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