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mrsbull

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    Gastric Bypass and then working in the EMS field

    in Archives

    Posted

    I realize this is an older topic. I however have had the gastric bypass. I actually had it 2 weeks after the last post in this topic.

    I feel that I am educated enough on this topic now to make a contribution.

    There are a lot of things to consider the surgery.

    #1 do your M/O risks out weigh your surgical risks. In my case yes they did. I decided to have to so I could be healthier. I have had knee surgeries (3 to be exact) so I COULD be able to excercise I still had a difficult time doing so.

    #2 what is your "goal" is it reasonable? Well I am 35 lbs from my goal at this time. I have since lost 90 lbs. I am healthier. I feel better I am physically able to walk further and I have more energy and I smile more. I have not done that in years. However I have now a med id bracelet because of it. It is embarrassing but it saves me from a procedure that could kill me. ie no blind intubation.

    #3 expect problems. I did and do have them. I have been hospitalized 3 times. 1 from dehydration due to not being physically able to get fluids in and keep them in. That subsequently led to blood work (the hospitalization) and my pancreatic enzymes were elevated. Thus leading to a Choly not a month post op from the by pass.

    I have to make damn sure I take my vitamins or I will/can loose my hair. If I do not get enough protein I will loose muscle mass and my hair as well. I have to do this daily FOREVER. I have to eat several meals daily. Plenty of water. I cannot have sugar. I have had it on occasion but I fear dumping. I do get ill from foods it is always a hit and miss. I can no longer have lactose or I am hurting. I need to buy stock in immodium because that is a daily problem.

    I do on occasion eat more than I should and I pay for it. It is not intentional but it happens. My eyes are bigger than my stomach still. Well even so more now post op. hell everything is bigger. I still catch myself serving myself the "old" portions.

    That said, being an emt-b. I was NOT told that bypass pts should not have sugar. This is on my bracelet as well. The reason for this IS the dumping. I was told that the sugar cannot digest like before because of the change of anatomy. The stomach is smaller and has less "juices" to assist in digestion and absorption

    I was explained "dumping" is your body is not able to chemically digest all of the things it could before. ie fats,sugars,and proteins. Dumping comes from your body getting too much of these things and it will attack itself thinking sugars and fats are intruders. Thus the rest of your cells running to fight off the intruder making you get "rid" of whatever is causing you to dump.

    Some ppl have dumping episodes starting off as pallor,diaphretic, nausea, chills, then vomiting, diarrhea, and general crappy feeling that can last for hours. Essentially your body will produce signs of shock. However it is a digestion thing and it will pass. I have been told to think of it as the flu feeling and add in being drunk but add the trots into it and that is dumping.

    As far as going back to work. Well If i worked for a svc here locally I would be back to work now but not 2 months ago. The stage eating blows. But it is for a reason.

    The hardest part is the pureed stage. If I HAD to eat out at that time it would have been soups or mashed potatoes. NOT from KFC tho that is begging for a dumping episode. I also could not lift more than 5 lbs for 6 weeks. I can lift what I want to now. However if you life and pop your staples or herniate an opening. Well then that is your fault. Be SURE this is what YOU want to do. It is hell recovery is TERRIBLE. However it will prolong your life and you in the end will be happier. I know my hubby is :D I can do tons more activities now. OK fingers are getting sore time to end this post.

    Stupid things you've said on calls

    in Funny Stuff

    Posted

    Ok I have 2 the first I said

    I was doing my ER rotation and got to go into the Cath lab and watch it being done. after 11 hrs of being there ( I stayed late to watch this )

    Cath tech: ma'am are you OK ( I guess I was a lil pale)

    me : I'm fine just wondering what some of these instruments are for

    tech: Well this is for this, this is the balloon this is saline ect

    me:(thinking DUH) Well I know what those are for after all it isn't brain surgery

    tech just looked @ me so did the cardiologist I was RED !

    me thinking OMG did I JUST say that NO dumb ass it IS heart surgery!! :oops:

    The second one was during practicals for a medical

    me thinking DAMMIT I forgot my watch (I obviously was on vitals)

    ME: hey dave gimme your watch

    dave :what

    me : your watch NOW

    Dave : ok

    he HANDS me his GLOVE :lol:

    me: no dumbass your watch

    dave yells @ me: HERE

    me :dave look at your hand

    dave looks

    RED as can be he then could not get his watch off !!

    WOW needless to say we had to redo that one

    That was still funny tho

    oh I just thought of #3

    seconds before finals the inst says OK you will have 2:05 min for your final

    you will have 1 min per question

    a gal in class says WE HAVE 205 questions ( she passed ) :roll:

    heres your sign !!!

    Military "medics"

    in Tactical & Military Medicine

    Posted

    Just a quick Question . As a military spouse . I am having trouble figuring out what the definition of a medic is .

    I have met many people who are "medics" some have only skills that resemble a CNA,Techs,LPN others that come close to an RN or paramedic level some SF ,some field medics and so on , I am trying to figure out if it is one particular MOS as a medic or if it is just a general term given to most enlisted service members in a medical mos .

    I hope this makes sense I am finding it difficult to relay just what I'm getting at here. Hell I'm not sure it came out right. :?:

    If you don't get what I'm saying please pm me and I will try to clarify. TIA

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