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POSE Surgery

Talkes to leeds monday, very nice and positive, but when she heard my bmi was 30,5 she sad that i should be aware of their rules about that and it should be over 35 before they would do it on me.

but im wondering right now,, thought the doctor that was going to operate me had just a little experience with this surgery, but can read at stillbig's post that he dont have made a single one of these surgerys yet. must talk with them tomorrov... maybe the americans still are around the 19 ?

so dr james byrne and dr j.kelly from southhampton is the only one with experience ?
 
Hi Duffy,

Yes, the Southampton surgeons were the first and started last year. As far as I can make out, Leeds were next and had the Americans over to assist with this February and the March procedures.
I haven't been able to find any other hospitals in the UK that have been doing the procedures prior to this year.

This is why I was querying the number of cases already done in the UK as 80. Maybe they were all done at Southampton?
 
southhampton havent done that many, they said 12 to me since summer 2010, am a little confused now, but call them tomorrov. need to feel ekstra safe because im so far away from home, and comminicates in a foreign lanuage. my english is fine, but when it comes downs to little misunderstandings can have a big meaning for my surgery its not fun.

but really got the impression that it was done a bit more then a few times, and a lot more than.. no times :eek:

we should go togehter all of us and book an american and his team for a whole day :D that would save us for at lot of money.

but maybe i should call leeds again and se if there was a misunderstaning.
 
duffydk i dont know if mr agwunobi has done any, but i do know he has been to america and been trained to do it
 
Talkes to leeds monday, very nice and positive, but when she heard my bmi was 30,5 she sad that i should be aware of their rules about that and it should be over 35 before they would do it on me.

but im wondering right now,, thought the doctor that was going to operate me had just a little experience with this surgery, but can read at stillbig's post that he dont have made a single one of these surgerys yet. must talk with them tomorrov... maybe the americans still are around the 19 ?

so dr james byrne and dr j.kelly from southhampton is the only one with experience ?

I did a bit of research on which hospitals/surgeon's exactly are doing the POSE. Once I had the names I googled their names and found out about them. All of the surgeons doing the POSE in the UK have extensive experience in weight loss surgery, as the POSE was the least extreme, I wouldn't worry too much. If you're still worried, google their names!
 
Thanks for changing the pounds into dollars for me, StillBig and DuffyDK. Here in the US the hospital charges $10,000. for the OR, plus whatever the charges are for recovery room etc and whatever the surgeon fee is. So, it might be a little higher here.

I still have the belching and diarrhea, so have started a round of probiotics thinking that the antibiotics in the hospital probably killed off all my good ones.

One thing about the procedure that it might be wise to check out is what model of the EndoSurgical Operating System will be used on you. It is my understanding that there are 4 models with the Model 4 having the latest upgrades. It's manufactured by USGI Medical and here is a link to an informative page with an animated video of how the anchors work:

USGI Medical, Inc.
 
A message to wish STILLBIG the very best for tomorrow. I'll be thinking of you and look forward to hearing from you that everything went smoothly.
 
Good Luck StillBig - I am looking forward to hearing about your experience.
Yesterday I tried to post a message containing a link to the USGI Medical website - that is the manufacturer of the EOS device, but since I don't have 50 posts, it was rejected. Too bad, as it is very informative, with close ups of the anchors and animations of the POSE procedure.

According to my surgeon there are four models of the EOS device with Model #4 being the latest with up to date features etc. He said he would not use an early model for my surgery. So if I was scheduling the POSE, I would want to know which model was being used for me.

I started taking Probiotics yesterday and they have improved the diarrhea problem, although I still have an incredible amount of gas up into my chest.
If it weren't for the gas I would feel pretty good. Oh and if I could eat something beside broth/jello, that would nice too. :eat:
 
Last edited:
eastbruce said:
Good Luck StillBig - I am looking forward to hearing about your experience.
Yesterday I tried to post a message containing a link to the USGI Medical website - that is the manufacturer of the EOS device, but since I don't have 50 posts, it was rejected. Too bad, as it is very informative, with close ups of the anchors and animations of the POSE procedure.

According to my surgeon there are four models of the EOS device with Model #4 being the latest with up to date features etc. He said he would not use an early model for my surgery. So if I was scheduling the POSE, I would want to know which model was being used for me.

I started taking Probiotics yesterday and they have improved the diarrhea problem, although I still have an incredible amount of gas up into my chest.
If it weren't for the gas I would feel pretty good. Oh and if I could eat something beside broth/jello, that would nice too. :eat:

Hi,

My doc suggested to do exercise to get rid of the gas. And it did help considerably.

Are you having juices and other drinks?
 
Just wanted to give an update on how things are going for me.

Its now been 24 days since my surgery. I was on a liquid diet for the first 2 weeks and am currently on a soft food diet, which needs to last for about 4 weeks.

I'm still very worried the POSE will not give me the results I'm after (to loose about 3 or 4 stones). As a result I'm trying to stay away from the bad (good) stuff and fill myself with liquids throughout the day as well as try to make good food choices. But this is very difficult. As a result I'm staying away from supermarkets, watching cooking shows, avoiding watching others eating, etc. This may seem strange but it seems help. I still find myself hungry after about 3 or 4 hours after a meal but try to ignore this.

I believe I've lost about a stone, however, I put this down to mainly the liquid diet and the fact that I had lost my appetite which has slowly built up again.

I also find that the longer I take eating the better the chance I have in judging if I am actually full or not. Otherwise it takes about 10-15 minutes after a meal to realise I'm there. As such I'm consciously reducing my meal sizes by about 25-30%.

Anyway here's a sample of diet diary:

26/2/11
Shredded wheat cereal
Half tea
Banana
Rice with curry
Glass of milk
Cranberry juice
Small potato with cheese and beans
Ice cream

27/2/11
2 fried eggs and orange juice
Banana
Kids veg burger without the bread
Hot chocolate drink
Curry 1 1/2 bowls

28/2/11
Ras mali
Tea
Slim fast drink
Apple
Pear
Cannelloni meal
Yogurt half
Tea

1/3/11
Cereal
Tea
Slim fast drink
Apple
Pear
Ras mali
Tea

2/3/11
Cereal
Tea
Sweet rice
Grapes
Tea
Cheese & onion quiche with fries
Tea

3/3/11
Cereal
Half orange juice
Tea
Slim fast drink
Apple
Pear
Tortellini with mascarpone sauce
Tea
Banana
Tea
 
Eastbruce, thanks for the info on the EOS device. I shall certainly ask the question. Just hope this is what they are using as I don't know what I would do if they tell me it's a version 2 or 3!!!

Appparently swinging your arms windmill fashion is also supposed to help with gas. I hope it dispurses soon.

Thinkingman, thanks so much for the update. It's so useful to have an idea of what we shall be doing food wise soon after the procedure.

I feel for you as you are obviously a real foodie (aren't we all) and at this stage it must be quite hard to make good food choices when you are restricted to soft foods only.

I shall take on board your useful tip on eating slowly. It's something I once heard Paul Mckenna say as well. We are so busy eating that we don't know when we should stop.

The other tip I've gleaned off this forum is to eat more protein and less carbs. I know that I feel fuller for longer having eaten protein whereas carbs are quick to eat but I'm hungry again so quickly. I've been having cereal with low fat yoghurt as well as just a bit of milk and the protein in the yog seems to keep me going till lunchtime.

Take care both of you and keep posting.
 
Today is 7 days post-op and even though I am not 100% yet, I have to say I am much improved. The gas problem I am having no longer seems to be from the procedure, but something that is being produced by my body. That's why I started the Probiotics two days ago. And it seems to be working as the gas is not quite as severe as it was previously. I am walking every morning and doing my stretches, which helps too.

After 7 days on broth/jello I am feeling quite weak - I lost almost a stone (12 pounds) in those 7 days, which gives me some concern. So this morning I ate a scrambled egg with butter for breakfast - Wow, did that ever taste good! No reaction from my digestive system yet, maybe it will be tolerated. If it is, I will experiment further.

Von, your tip on the protein is exactly what my doctor told me before I left the hospital. He said to eat 70% protein, which seems a little extreme to me, although I do know that protein was keep you satisfied much longer than carbs. Another tip is to eat your protein first, than the carbs. The protein stays in your stomach and prevents the carbs from being absorbed immediately. That keeps the blood sugar stable and avoids the hunger pangs.

Thinkingman: your diet looks scrumptious! potato!
cereal! banana! I can't watch cooking shows either - everything looks so good. :p

I see that the administrator has posted my message with the link to USGI Medical in it. Thank You. It is worthwhile to take a look at, if you get the chance.

Stillbig is having the procedure done as we speak - hope it all goes well.
 
I've never really understood or really looked into what carbs and protein are. Would someone mind giving some examples of each.
 
hi everyone stillbig here, went to theatre on saturday morning but they couldnt perform pose as there was still food in my stomach despite me having fasted for over 12 hours, absolutely gutted ! to prevent this from happening to anyone else they are now going change the fasting recommendations to liquids day before surgery, they have learnt from me which is great but i wasnt participating in a clinical trial,so the upshot is i can go on the list for 19th march at no extra cost or forget the whole thing and lose about £4000 pounds, still undecided....i cant really go away for another weekend so soon without letting the cat out the bag,and time off work for me and hubby could be problem, will speak with someone tomorrow and let you all know what iv decided..
 
Oh how awful. You must be gutted. What a difficult decision to make. I had to go on liquids for three days before my banding - you think they would have learnt from other surgeries wouldn't you.

I hope you can go back and have the surgery on the 19th.
 
hi thinkingman, as a rough guide most things that are animals are protein, beef,chicken,eggs,fish, then you have your milk, butter ,cheese which are dairy, as for the rest your bread, cereals ,pasta , rice,processed stuff like cakes , choclates , sweets, crisps , fruit, are all carbohydrates, i hope this helps im not an expert but this should help..
 
Stillbig, I am truly shocked, and feel so sorry for you . As you say, gutted is too mild but what I want to know is how come they haven't had this problem before? You cannot possibly be the first this has happened to. I do hope that they are offering you more than just another date to suit them or the loss of so much money. Hopefully you will be able to come to a more reasonable agreement tomorrow which still doesn't help the way you must be feeling and all the inconvenience. It's such an emotional thing to decide to do in the first place and to have this happen is awful. (sending you a virtual hug)


Thinkingman, I don't want to steal Stillbig's thunder as her desriptions of proteins and carbs is spot on, so all I would add is the ones like fish (white fish is best) , meat (chicken and turkey are best), eggs (boiled and poached) are the one's to concentrate on. Then the dairy proteins you should have in moderation as of course they can be much higher in fats like cheese, cream full fat milk. It's similar with carbs, as brown rice, wholemeal pasta and bread are reasonable carbs but the more refined carbs like biscuits, cakes, chocolates and crisps are the one's you try to avoid if you want the weight to fall off quicker.

If you'd like some more info, please feel free to ask and hopefully between us, we can answer you.
 
How horrible for you stillbig - I would be very upset if that happened to me. I was told to fast after midnight, which I did. However, the surgery didn't take place until late afternoon, so I wonder if the same would have happened to me if they had tried to do it in the early morning.

I hope you are able to make arrangements so you can have it done on the 19th - hate for you to lose that opportunity and money! :(
 
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