What To Expect After Bariatric Surgery by Dr. Matthew Weiner - Instructions After Surgery
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- Опубліковано 15 чер 2024
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Dr. Matthew Weiner is an author and bariatric surgeon who specializes in the treatment of obesity. His practice is located in Tucson Arizona.
Dr. Weiner graduated from the University of Michigan medical school in Ann Arbor, Michigan. He completed his general surgery residency at New York University Hospital in New York City. He practiced in suburban Detroit for 12 years before moving to Tucson in 2019 where he, together with Dr. Guillermo Higa, founded Tucson Weight Loss Surgery.
In addition to his surgical practice, Dr. Weiner is the Director of Bariatric Surgery and the Medical Director of Telemedicine at Tucson Medical Center. He is an active member of the American Society of Metabolic and Bariatric Surgeons (ASMBS) and is a past President of the Michigan State chapter a Bariatric Surgeons.
Dr. Weiner has performed more than 2000 bariatric surgeries since joining his first practice in 2006 and frequently does complicated revision surgery. He also performs general surgery with an interest in stomach and small intestine surgery along with complex hernia repair.
In his first book, A Pound of Cure, Dr. Weiner debunks the traditional understanding of calorie balance driving weight loss and offers a non-surgical solution to those suffering from obesity through nutritional stability.
His second book, How Weight Loss Surgery Really Works: And How to Make it Work for You, is now available on Amazon in paperback and kindle. In this book, Dr. Weiner describes how the hormonal changes that alter your brain, fat stores and hunger signals are the most important component of weight loss surgery, rather than the portion control effects that have been emphasized in the past.
A third publication called The Bariatric Diet Guide And Cookbook is a cookbook for bariatric patients that will offer recipes and guidance on the most effective post-surgical diet. It’s set to be published in May 2021 and is available for pre-order at most online bookstores.
On his website, www.poundofcureweightloss.com, he offers more than 150 videos on a wide array of nutritional and bariatric topics. Lesson plans range from, “Preparing for Weight Loss Surgery” to “The Metabolic Reset Diet” including recipes and meal plans.
Dr. Weiner is licensed to practice in both Arizona and Michigan and even offers Telemedicine appointments. For more information call his office at (520) 420-1000 or check out his many resources below. For more videos and Facebook Live events, subscribe to his UA-cam channel.
Tucson Weight Loss Surgery
6422 E. Speedway Blvd, Suite 150
Tucson, AZ 85710
Office: (520) 420-1000
Fax: (520) 420-1001
Websites:
www.poundofcureweightloss.com
www.tucsonwls.com
Social Media:
/ apoundofcure
/ drmatthewweiner
Books:
www.amazon.com/gp/product/168...
www.amazon.com/gp/product/148...
www.amazon.com/Bariatric-Diet...
Thank you for this Information! I am getting this surgery in January or February. I will be 34 years old , and now I’m regretting not getting this surgery years ago! I look forward to my new life. I weigh 281 pounds at 5’5, and my body is just tired at such a young age. Thank you 🙏🏼 doctor 👨⚕️🥰
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I had a hard time waking up, can't remember to much about my first day. And my blood pressure went very low. So they kept me a second night. I went home on the third day. Felt great after that. No pain.
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I'm learning so much more in your videos than the 12 classes my HMO in California is making me take pre op. Thank you so much for doing these videos.
You're welcome! Glad they help.
You're welcome, keep an eye out for my new book, How Weight Loss Surgery Really Works, coming September 2019!
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Everyone told me this, lol. This was not my experience at all. The day of surgery the before was fine, no nerves at all, the surgery team was super kool. My surgeon was super relaxed. Everyone was talking to me then I was out. I woke up when my daughters and granddaughters came to see me and were arguing about who was there first, lol. I was on pain meds up to my day going home. I couldn’t pee the first day and a half so I had surgery on Friday and went home Sunday evening. I had no upset tummy. I got up to walk 3 times a day, had my ice chips and liquids. I slept a lot from the pain meds, I had a pain push the first 2 days.
Walking did help a lot. I just couldn’t pee on my own even after walking. 10 laps, no but I walked with my girls, usually about 6 of they. I have a total of 11. Daughters, granddaughters and great granddaughters, no boys😿, lol.
The first week home I got dehydrated and had to be infused at my weight loss center on my scheduled 5th day visit and get vitamin B1 and B12 shots. I now make sure I get all in now. A B1 shoot is hell😱😱😱, seriously!!!!
The pain was gone around week 3, unless I did something stupid.
So far, so good!👍🏾
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Thank you Doctor!!! You have done a great job! very clarifying comments. Thank you again!!!
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Thank you, clear, concise and easy to understand information. Very helpful when planning to have the procedure.
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Thanks so much for this videos!
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love your video's lots of Info thanks
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Very informative! Thank You!
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All your videos are hands down the best most informative available on the net, thank you so much for making these!
You're welcome
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I'm trying to post more on my instagram account (@drmatthewweiner) too, please feel free to follow us for some more content there that you won't see here! Appreciate you all. - Dr. Weiner
your vudeos are so hepful! they really put me at ease because I don't have anything like this with my doctor. my surgery is in July and i am so excited. :)
+Tazbocat good luck!
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@@apoundofcure no i am not.
Very informative
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Great video
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Great Information. ThAnk you
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Dr. Weiner, I had my gastric bypass yesterday, small incisions were made but Surgeon decided to abort the operation due to thick visceral fats. I obeyed his instructions and lost 3 kilograms in 15 days. Initial weight was 136 kg Asian male and 5'4''
You should find a more experienced surgeon- I haven’t had to abort a case in my last 1500 cases.
@@apoundofcure he mentioned about my small intestines with adhesion, fatty liver and thick abdominal wall that his 6 inches trocar cannot reach my tummy pouch. Anyway thank you Dr. Weiner
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Thank you so much for the fine tuning in your with your details. FYI. There should be walking and lifting restrictions. 8 days out, went to the dentist, store to get broth and was so exhausted I could barely walk to make it to the register. My son had to help me, plus out to, in & out the car, up the stairs and in bed. Won't be doing that again. Plus it was 94 degrees in Arizona. 😫
i am due for this op next week in the uk, we get none of this i formation, its really useful to know what to expect, thankyou
Emma-Jane Phillips You're welcome
I am not getting much info either.
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Never thought of a med to help with the stress. I was very nervous and could have used that, lol. I did wake up very congested and it was hard to breath (at least in my confused state).
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Good imformation, , I'm having the gastry by-pass in Miami in may, with Dr Nestor de la cruz ,in UM hospital,
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I would like to thank you, Dr. Weiner for all the You Tube Sessions that you have created. I really did not have much to guide me after the Gastric Sleeve Surgery and your individual You Tube Sessions helped answer questions that I wanted answered. I am post op since November 5, 2015 and am at a plateau. I started out at 207 and now weigh 189 pounds. I seem to be holding this weight for almost three weeks. Is this normal? I do admit that I eat a sweet snack now and then at night time. I have been eating the prescribed foods and exercise. I am also a diabetic and 61 years old. Thank you, Judy Boris (Chicago).
+Judy Boris Judy, since you started out at a lower weight, you will lose weight more slowly then someone who starts out 100lbs more. You have lost 18 pounds in two months - this is within the range of normal weight loss after surgery for someone your size. Plateaus are common, be patient. Also, if you lost weight before surgery, often time this slows down weight loss after surgery.
Plateaus after surgery are common and not cause for concern, you will lose a lot more weight, be patient and focus on good nutrition and exercise
+Dr. Matthew Weiner, thank you so much for your response. I am still holding at 187, but it appears that my waistline is getting smaller. I do have more energy and recently enrolled in an aquatics class and I am looking forward to seeing some weight loss results. I still have a positive attitude and receiving support from you is very complimentary. Thank you for being so considerate for all of the information that you provide to bariatric patients.
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I have been watchung ur videos all day. I will definatly recomend u. I and 5 days post op n have so much gas, not sure if its something im doin ir what, my dr office is closed till monday so im scared im takin in to much at once. They said a sip every five min. But what is a sip. 1Oz?
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Curious about being given the Toradol. I was told by my Bariatric group that NSAID meds were to be stopped 2weeks prior to surgery and also never after surgery.
Maryann Stahl I believe the toradol is given intravenously so it will not hurt your stomach
Yes, interesting, right! Pretty standard practice to use Toradol postop. Taking NSAIDs for a short amount of time is pretty reasonable.
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Wow I wish you was doing my surgery. You have explained everything perfectly thank you so much. I’m have my surgery in 6 weeks. I’m in Australia I’m paying cash for mine
How did the operation turn out ? Im in Australia also..and having surgery 26th November ..so nervous 🤗
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I’m having gb in a weeks time. I’m on xarelto and solalto for af will these pain medications work with these medications?
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It’s definitely ALOT of pain after surgery!
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Dear nurses - but numb your patients hands before placing the IV, they will be happier and like you so much more. It’s a tiny thing that makes a huge difference. Binders - when I had my tummy tuck that was my best friend!
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Do you have to use Dilaudid or is Morphine a possible replacement? I had a very bad reaction to dilaudid and may have some sensitivity or allergy to it.
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Do you have anything specifically for family /support members for pre/post surgery?
+Angie Clark Sulzer we have support groups that family can come to. I always encourage family members to come to the appointments.
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Wish you could perform my surgery. But a drive back and forth from Alabama is a little to much.
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I think the sleeve has come a long way even since this video. My surgery was on 8-26-19 and my surgeon doesn’t believe in catheters. By the end of the first day they just made sure I was able to urinate on my own, which I was. Also, I have rheumatoid arthritis and one of my medications is rather large and I take two pills twice a day. They told me I could start taking my regular medications the day after I got home which was my second day post op and I was fine.
Matt Hardy I Agree, I don’t use catheters any more
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Dr Weiner, How about a video on the pre-op diets you recommend for your patients. What to expect during the pre-op diet.
Great idea - I'll film it tomorrow!
great!
I filmed it - I'll release it within the next few weeks.
great! cannot wait to watch.
Ojibway July ua-cam.com/video/MBqO-f6yhYw/v-deo.html
I live in Milwaukee, WI I am having my surgery in May 10th 2018 I'm not nervous and I just had a class with Froedtert Hospital last week about it's and I have to do this 2-week liquid diet and that's scary me part that I have to do cuz I'm so used to eating I went bought all the stuff today that I need to do with my liquid diet well I'm trying to say should I be worried on the surgery day.
I'm certain that you'll do great, the serious complication rate for most bariatric surgery patients is only 2-3%. The 2 week preop diet is tough, but often very important for safety.
How did your surgery go? How are you feeling now?
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Dr. Weiner I'm looking into the process of bariactric surgery, however I see that one can't have sugar drinks or limited to sips after surgery. How would this affect hypoglycemia? If you are a type 1 diabetic on a pump how do one go bout knowing how much base insulin is required after surgery? what are requirements for pre & post op care for Diabetics?
+Kym Bee I recommend apple sauce to treat hypoglycemia. Most patients can have a little sugar if necessary.
What surgery would be better for a type 1_diabetic? The sleeve seems to give type 1 diabetic high potassium due to less insulin intake for type 1 WLS patients...
Sleeve vs Gastric band?
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Dr. Weiner, something to ask you. I am going to have VSG in 2 weeks, and just RECENTLY was told by my Doctor at my last visit that I would not be allowed to take NSAID's after my procedure is done. This was new news to me, and am quite afraid because there is a strong history of Arthritis in my family. It just concerns me thinking that IF I do accumulate Arthiritis later in life or in old age (currently I'm 30), how effective will my treatment be in terms of the inflammation and pain? And what other alternatives are there? I would appreciate your knowledge on this subject.
Thank You!
I allow my VSG patients to take NSAIDs in limited amounts (most surgeons do). In 20-30 years, we may have better treatments for arthritis as well.
We usually suggest if you must take NSAIDs then take PPIs
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Is the birrh control pill not absorbed well with the sleeve? Or is that bypass?
It's absorbed fine after both
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does this include the lap band?
+Gaby Ortiz no, different kettle of fish
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What is your take on the vitamin patches?
+Veronica Ruth not strong enough
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I was sleeved 1/26/15 having spasms daily. All thru the night off and its like contractions. I know about the big sips pain, but why am in having it all the time. Any suggestions why this is happening or remedy to fix it
This is a tricky question to answer online and one that should be addressed by your surgeon. I have found Levsin (hycosamine) to be very helpful, but defer 100% to your operating surgeon who should be the one addressing this issue.
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What type of precautions are taken if the patient has a history of MRSA (but hasn't been active for years)?
+Internet Police none. Mrsa infections after batiatric surgery are exceptionally rare
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@@apoundofcure Thank you Dr. I'm old school I don't have any of these social media platforms, but since I had this surgery years ago now I can say now I had zero issues and have been MRSA infection free for the better part of a decade. I think they just gave me Mupiricon to use for 10 days before the surgery just as precaution.
10 days PO gastric bypass...didn’t have any nausea for the first 5 days. Once I started eating full liquids, now I’m getting bouts of nausea on and off. I’m having to take my anti nausea meds everyday. Is this normal?
It’s not uncommon. There are things that can be done. You should talk to your surgeon.
In the hospital now waiting for a gastric sleeve. Waiting...
Surgery at 1 pm.
Hope you are well.
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5 years after bariatric bypass without any problems, I havestarted last 8 weeks to be extremely blotting, many gasses andconstipated. could this be resulting from the bariatric bypass?
Hard to say, you should go see your surgeon
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I am considering gastric sleeve surgery. However, I have a condition called aclasia which means I have peristalsis of the throat muscles. I drink water to get the food down. How will that affect that surgery
Absolutely a critical point that must be discussed with your surgeon - I would encourage you to explore a gastric bypass, I fear a sleeve would worsen your achalasia symptoms
I appreciate your input. I do not have reflux like so many people. Mine is just the difficulty of swallowing. If I eat slowly with small sips of water I usually don 't have problems. That is why I am considering the sleeve.
I need to know what to expect if I do it. Thank you for your comments
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day 6 after surgery i still stomach pain really bad... still need my pain meds...
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How soon would I be able to return to work? I walk about 10 to 15 miles a day with my job.
+B. Lovely that's a lot of walking! Probably around 2-3 months
Dr. Matthew Weiner what? Really? Guy at work was back in a week
J G, She asked about a job where she walks 10-15 miles per day. Does the guy at your job do that?
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Does this all apply to laparoscopic surgery?
Yes
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Can you take stool softener after surgery?
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Why can eat eat a full can of chicken noodle soup 3 weeks after surgery? Yes that's with one can water added? Is this normal or did someone mess up my surgery?
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What is the stomach size after surgery.
Nilesh Shah it varies
@@apoundofcure thanks for the reply
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@@apoundofcure
I'd to follow
From your description....it appears Nursing Care is Sparce!
Not at all, our nursing care is excellent!
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This title is a little confusing, isn't it? I expected statements about life after bariatric surgery, not a guideline for patients that will have this surgery in your hospital.
Nevertheless, your channel is very exploratory. Thank you from Germany!
Glad you enjoy it. I have a new website (www.poundofcureweightloss.com) that has 150+ videos with everything you need to know about Weight Loss Surgery.
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Question, why the pain after surgery?? I always wanted to know, if your given meds for the surgery?? Why do people wake up in pain? 🤔
All surgery is painful, no way around it
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Peanut m & m or a regular m& m?
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not true about the pain it has lasted the 5 days after surgery.. i have to take pain pills every 4 or 5 hours....
What type of surgery you gone through. ???
@@MrShahnilesh1975 gastric sleeve...
@@roseforyoubabe I got my done on 31st May.
How are you feeling now ???
@@MrShahnilesh1975 still have a lot of pain have to take my pain meds every 5 hours can drink more but still am very constipated...
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