gastric bypass or walmart? NO and NO?
there is a very simple explanation why nurses in our unit, even if they want to, will never ever think of having gastric bypass.
our hospital doesn’t do gastric bypass but post bypass patients with problems beyond comfortable reasons always seem to end up in our unit.
we steadily have one or two patients who had gastric bypass either a few months ago, or a few years ago. for one reason or another, most of them are messed up. some physically, some psychologically, mostly, both.
i had one patient a couple of weeks ago who had it done about three years ago. she lost over 250 pounds, and at approximately 100 pounds, with a height of 5 feet 4 inches, she was seriously messed up. she was admitted because she was severely dehydrated and said she has hasn’t gone to the bathroom for number 2 for almost a month. i guess one doesn’t have to be that smart to figure out why. even she knew why, but she said she just can’t make herself eat. she hasn’t eaten anything reasonable for days or even weeks. she told me she just didn’t have the appetite. no nausea or anything, just no appetite.
when i weighed her and she found out that she gained almost three pounds in the two weeks that she was in our unit, she was so upset her blood pressure went up to the 170s.
we had patients who have fistula everywhere, nonhealing dehisced wounds, all sorts of surgery complications, all of them depressed. and they keep on coming. one lady, who was so sick a few months after the surgery cried out to me once: “why do i have to be so stupid and suffer?”
there is an endless list of stories about messed up post gastric bypass patients. they all break our heart. and also, what happened to them scare the guts out of anybody who ever even thought or thinks about it.
it is an unreasonable fear i guess, because we all know there are more people who had successful, positive experiences after losing weight with gastric bypass. the thing is, we never get to see those happy, slim, smiling, patients whose surgeries and recoveries went so well, they all get to recommend gastric bypass with full confidence.
are there gastric bypass patients who end up happy and satisfied after their surgery? i bet you there are thousands of them out there. we sometimes see them on tv, in the magazines, or we hear about them. unfortunately, in our unit, we never get to see, touch, or feel them, like we do everytime we get to see the other side. we don’t get to hear their success stories that often, but what we always see are faces of pains, emotionally and physically scarred by the same surgery that lifted others up.
it is true that there is a risk with ANY kind of surgery. to be afraid to go under the knife is a normal reasonable response. to be terrified of it is a result of seeing all the risks happening like they are very common. nurses see all those things, and sometimes, it makes us irrationally scared. such close encounters with reality obviously leads to undeniable fear.
that’s why i don’t think those nurses in our unit who have been talking about having it done for years now, will never have it done. they will keep talking about it, yes. but they will never have the guts. scared, like little kids. terrified, that’s what they are. but that’s just my opinion.
it could also be the reason why i didn’t get the flu shot. but that’s another story. for another time.
now, on to a totally unrelated topic…i am reading the book “The United States of Walmart”. this was published in 2005. i am so behind. i know. that’s because i’m lazy and random, and i just pick any available book from the library. i pick anything with a title that can potentially keep me awake on a slow night at work, like last night.
i’ve only done a few chapters, and already, i cannot settle down.
i mean, what do you do with informations like that?
do you keep buying from walmart because you think it is stupid to buy the same stuff from another store for a higher price? who cares about a store’s story?
or do you stop buying from walmart because you believe there is something wrong with it all and you will make a difference by not patronizing it? why shouldn’t you care about a store’s story?
what do you do with informations like that? it rankles in your soul, but it doesn’t reason with your brain.


One of my classmates got a Lap Band last semester, that seems to have done alright by her. Similar result without a permamant change to the body, and the aperature size can be adjusted by injecting or withdrawing saline like an anchor balloon. Why do people still get bypasses? Do the surgeons get paid more for them or something?
One of my optometrists told me this was the way vision correction was going. Not with an inflatable ring, but with an implantable wire, to bend the sclera into the proper shape instead of shaving bits of it off with lasers. Pretty interesting. The guy specialized in laser eye surgery and convinced me not to go through with it, citing this just-around-the-corner development as the reason why.
What’s next? Reversable arthroplasty?!
Comment by PM, SN — January 8, 2008 @ 1:49 pm
My nurse friend even has a nickname for it: GBGB, or gastric bypass gone bad.
Comment by Kaliki — January 8, 2008 @ 5:13 pm
i think there has to be better psychological assessment for people who want to have elective gastric bypass
Comment by Rygel — January 8, 2008 @ 8:08 pm
I’ve probably worked with a couple hundred post Roux-en-Y gastric bypass patients. All but a few have done remarkably well, but the GBGB’s have been just awful.
Pancreatitis, open fistulas, wacky colostomies, multiple second surgeries for adhesions… messes all. The worst ones seemed to be re-do’s; they’d had some other stapling or whatever years ago and required refinement.
The GB surgeons I worked with were some of the best ones ever. Devoted, well into medical management, and very skilled. But I have heard of others who are not so good.
The program I worked with had pretty severe psych eval, education, diet training, etc., before the actual surgery, and programmed follow-up sfterwards. Carnie Wilson was the poster-girl for the program (now in Chapter 11) that I worked with at a regional hospital here in the Valley.
Personally, I’m a believer. When I see a morbidly obese person
Comment by shrimplate — January 9, 2008 @ 7:47 pm
And I HATE WalMart.
They’re just awful. They are psychopathological to the extreme. I NEVER shop there, ever.
Comment by shrimplate — January 9, 2008 @ 8:01 pm
“When I see a morbidly obese person I think *there’s a surgical problem.*”
Comment by shrimplate — January 9, 2008 @ 8:02 pm
May…Keep writing..love your information. I actually learn A LOT from you and your stories! Seriously!
I am eager for you to write your thoughts on the Flu shot…I recieved my first one this season. (after the employee health nurse basically made me feel silly and stupid for NOT having one…that it “was the responsible thing to do since I am a healthcare providor.” Hmmm..well a day after wards I felt so fatigued and achy…just not well…who knows if it was the shot or not? Have heard from a few Nurse friends that the first time they have ever gotten influenza was the years they got the shot…hmmm??? Please put your stories/thoughts out there…thanks!
Comment by KRN — January 10, 2008 @ 12:05 am
As someone whose 2 years plus post gastric bypass my initial reaction is that those people didn’t follow the rules. I have had no problems what so ever, and that’s because I followed the rules from day 1 to now.
I worry though at times even if I do follow something might happen, but thankfully I’ve had no issues.
Comment by kimmyk — January 10, 2008 @ 4:04 pm
I liked your post about GB. I did not know how common the problem is. You might remember, my daughter had it done right after her 18th birthday. She has paid a high price for her life as a thinner person. She had two adhesions that caused an upper and lower obstruction that went without correction for 4 days, and lost 5 feet of small bowel to gangrene. We are the ” cant get a diagnosis ” family.haha . They hooked her back with a brand new rouen y , so she did the getting used to GB induction all over again. I have not asked her if she would do it all over again. Since she HATES the idea of being on coumadin for the next year,I wonder what the answer would be.
Comment by Bobby — January 10, 2008 @ 5:57 pm
I worked in a Family Practice for 10+ years and 1 of the Dr.’s wives was the first GB patient we had back in 2000. Yes, she lost 120 pounds; but she is severely anemic, has Restless Leg Syndrome, thinning scalp, poor absorbtion of vitamins, tired all the time, back on anti-depressants, etc. Even had the body redo (sagging pannus and droopy breasts) and STILL is not SATISFIED! Wants her arms and thighs and back done. I honestly think pandora’s box is opened with these people…most of the people who I know that have had this are REAL HAPPY in the beginning because they feel so much better about themselves, but then reality sets in. I would like to know what the future holds for these patients (some even put the weight back on or find another addiction like alcohol). More emphasis should be placed on WHY they got so BIG in the first place. A quick fix but at what price? Loved your website.
Comment by Lisa — February 8, 2008 @ 12:11 pm
“When I see a morbidly obese person I think *there’s a surgical problem.*” ???
You are kidding me? I didn’t realize there were still people living in the dark ages. Do you see someone with no hair fighting cancer and judge them negatively too? Not all overweight people are fat b/c of eating gallons of ice cream. Wake up and don’t be so judgemental. I cannot believe people still think that way in this day and age. It’s archaeic.
Comment by Kim — March 20, 2008 @ 2:25 pm