Sunday, August 22, 2010

I want to gain 100 pounds so I can be eligible for a gastric bypass surgery. Any advice as to how I can do it?

They say to be eligible, you have to be at least 100 pounds over weight. So, for health reasons I've decided to play their little game and go ahead and gain the weight so I can get it. But its going to take a while because I have the entire 100 pounds to go.I want to gain 100 pounds so I can be eligible for a gastric bypass surgery. Any advice as to how I can do it?
Please dont.


My friend was waiting to gain enough to do this, but he died due to sleep apnea


Just diet %26amp; exercise now, pleaseI want to gain 100 pounds so I can be eligible for a gastric bypass surgery. Any advice as to how I can do it?
don't be sily man... thats a stupid game to play with ur health and health service.





Being a hundred pounds overwight is going to render you succeptible to all sorts of heart and kidney problems. Not to mention the excessive skin (when u loose weight again) and the all too real probability that u might die on the operating table or from complications later on.








Besides... i'm sure you already knew that...





plus... you've probably seen or at least heard of ';Supersize me';... u know how easy it is to put those kilos on...


which begs the question of whether this post is actually genuine...





.... don't be an egg-head man...
i think you're pretty stupid if you want to damage your health so much etc.





but for some good ideas, watch the Simpson's episode season 7 episode 7 King size Homer.
You also have to pass a psychiatric evaluation to get that surgery, and I don't think you'll pass.
Gastric bypass surgery is not without hazards. A friend of mine who had it a year ago recently died from complications. Why don't you pick something else and give your family a break.
Beer, Donuts, Ice cream and bratwurst sausages. Have fun.
Then you'll fail the psychological evaluation before they even consider the surgery. And you'll be fatter than ever.
Are you mad? I have had gastric bypass surgery and I would only reccommend it if it was a life or death situation such as mine was. Have the band if you want to lose weight if you have tried everything else first. The risk and complications are not worth it .
THat is a very dangerous surgery with many ill side effects. I was seriously considering it, cause I was 380. I decided to do it on my own, and saved myself over $30,000





I lost 105 pounds in 6 months. Here is how I did it.


1. Every morning get up and walk for 45 minutes. You can start with less time, but you want to get up to 45 minutes, and it must be fast walk. You want your heart rate to go up. It must be in the morning, it kick starts your metabolism.


2. I cut out Red Meat, and fatty foods. Boneless skinnless chicken breast, baked, or grilled, rice and vegetables (steamed).


3. Eat half. Just eat half of what you normally eat. Put 1/2 on your plate, and put the rest away. Cook less. When you go to fast food, get salads only. Or grilled chicken. No fries, only diet soda. Or water.





It will work, once you get into a routine, you will get hooked on the results, and you will keep the routine. It has been over a year for me.





A sight with some really cool diet calculators and interesting calorie counting calculators is here. Check it out.


http://www.caloriesperhour.com/





Check out my before and after pic at my yahoo 360 page


http://profiles.yahoo.com/gorillamyke





Stay motivated, and get up and walk every day. I seriously lost all my weight starting off my day on my walk.





Good LUCK!
What is the point in seeking surgery? If you crave attention, hospitals are places that are busy and have ill little time to attend on wasted surgery for naught. You need to talk to a psychiatrist, not a surgeon. If I were your surgeon, you would be wiping your forehead instead of your butt. I have seen too many people that virtually force themselves on surgeons and relish their agonies. Not for me! When I scrub in, it is all business, not to give someone kicks and glory. By the Hippocratic Oath we vow to do no harm...and you are asking someone to do that. The surgeon would be guilty of malfeasance and malpractice if he didn't place you on a diet prior to surgery. We are not stupid.
Hmmmm. That's quite the interesitng question you ask but is it really a question to be asking considering the person.





What most people in here are wondering is why do you want to gain 100 pounds for? What could possible be going through your mind to want to put your own body at risk like that just to get a gastric bypass, which is for people who are typically fat or overweight, who get it to help them stop eating so much and to lose weight.





By doing what you ask I think you are making a mockery of the people who really do need it because they have a weight/eating problem and apparently you don't. Common snese would dictate that if you really want to loose weight at your age then just eat tiny portions of food and exercise. Go see a physician and get a second opinion for your condition, but hey, it's your money and your life and you'll do as you see fit with it but I wouldn't expect any sympathy from anyone should the worst happen to you.





I think you might have some self-esteem and low confidence issues because there's really no legit reason for you to what to get a gastric bypass and if there is I'm sure people are dying to know it since you didn't explain it when youasked this question.





Hope this helps in you in not making a mistake which could cost you everything a.k.a your life.
I agree with Frank. You need more psychological help than help to gain 100 Pd's. why would anyone want to do that to themselves or their family and friends. Stop being a self centred *** and get on the real life wagon like join a gym, meet people and get happy about it.
You are kidding. Here is more than you wanted to know..........





That is the silliest thing I have heard. Why would you want to cause your body the stress of the extra weight to have the stress of the on your organs just to have the bypass surgery that they may not give you anyway.????????????





There is more to it than just gaining 100 pounds. They go by your history. They have to decide what the person has done to try to lose weight, the family genetics history, etc.... etc..... etc.....They have many types they also have to decide which is best for each person.





Qualifying for Bariatric Surgery


The National Institutes of Health set minimum requirements for recommending bariatric surgery as a treatment option:1





100 pounds or more above ideal body weight or a BMI of 40 or greater


BMI of 35 or greater with one or more obesity-related health condition





Other qualifying factors may include:





History of documented dietary weight loss attempts


Lifelong commitment to dietary, exercise, and medical guidelines and follow-up care


Psychological evaluation





Together, you and your bariatric surgeon take steps to determine:





If surgery is the right treatment for you


Which type of procedure is right for you


If you are mentally and emotionally prepared to make lifelong lifestyle changes


That you have, or will have, the necessary support system around you


Expect the prequalification process to include a series of tests. You also will meet with a nutritionist, psychologist, and other support staff members in sessions leading up to surgery. Each healthcare professional will help you prepare for the changes and challenges that lie ahead.





How Will a Surgeon Determine If I Qualify for Surgery?


Your bariatric surgeon will do a complete assessment to see if you are right for bariatric surgery. This may include an application that describes your health and weight loss history. Most likely, your surgeon also will conduct other evaluations such as nutritional, psychological, and medical, look at your BMI, and discuss any obesity-related health conditions you may have. Often, surgeons require that the patient attend support-group meetings, as well as learn more about bariatric surgery.








What are the routine tests before bariatric surgery?


Certain basic tests are done before surgery: a Complete Blood Count (CBC), urinalysis, and a chemistry screen. Often, a blood glucose test is done for diabetes, which is very common in people suffering from obesity. Except for the very young, all patients get an electrocardiogram. Women may have a vaginal ultrasound. Many surgeons ask for a gallbladder ultrasound to look for gallstones. Other tests include pulmonary function testing, echocardiogram, sleep studies, GI evaluation, cardiology evaluation, and psychiatric evaluation.





Why do I need to have a GI evaluation?


Patients who have gastrointestinal symptoms, such as upper-abdominal pain, heartburn, belching sour fluid, etc., may have problems such as a hiatal hernia, gastroesophageal reflux, or peptic ulcer. For example, many patients have symptoms of reflux. Up to 15 percent of these patients may show early changes in the lining of the esophagus, which could be an early sign of esophageal cancer. It is important to identify these changes so that a treatment program can be planned.





Why do I need to have a sleep study?


The sleep study looks for abnormal stopping of breathing because of the airway being blocked when the muscles relax during sleep, which is linked to a high mortality rate. After surgery, you will be given pain-killing drugs, which affect normal breathing and reflexes. Airway blockage becomes more dangerous at this time. It is important to have a clear picture of what to expect and how to handle it.


Why do I need to have a psychiatric evaluation?


Bariatric surgery will affect you for the rest of your life, so this is a decision that requires a lot of serious thought. For many people, the results are positive, but successful treatment takes dedication and commitment to a lifelong lifestyle change. Most psychiatrists will look at your understanding of the risks and complications of bariatric surgery and your desire to follow the basic recovery plan to see if bariatric surgery is right for you.





What impact do my medical conditions have on the decision for bariatric surgery, and how can the medical problems affect risk?


Medical problems, such as serious heart or lung problems, can increase the risk of any surgery. On the other hand, they also increase the need for surgery. The surgeon may not recommend gastric bypass surgery because of medical conditions, but those conditions will make a patient's health risks higher than average.





What is the purpose of all these tests?


A clear picture of your health is needed before surgery. It is important to test your thyroid function since hypothyroidism can lead to sudden death after surgery. If you are diabetic, special steps must be taken to control your blood sugar. Because surgery increases cardiac stress, your heart will be tested. These tests will show if you have liver malfunction, breathing difficulties, excess fluid in the tissues, abnormalities of the salts or minerals in body fluids, or abnormal blood fat levels.





Routine Test Definitions


COMPLETE BLOOD COUNT


A Complete Blood Count, also called a CBC, provides information about the kinds and numbers of cells in the blood. From these results, doctors can evaluate and diagnose conditions such as anemia. To do the test, a healthcare professional will draw and test a sample of your blood.


URINALYSIS


A urinalysis will measure several different components of urine. Since factors such as diet, fluid intake, exercise, and kidney function affect what is in urine, this test provides useful information about general health and any health issues. The test requires a urine sample.





CHEMISTRY SCREEN


A chemistry screen gives your doctor information about your general health and shows any abnormalities. There are different variations of this test. The most complete version measures 20 substances in the blood. To do the test, a healthcare professional will draw and test a sample of your blood.





BLOOD GLUCOSE TEST


A blood glucose test measures the amount of glucose in the patient鈥檚 blood. There are different ways that the test can be performed. The fasting blood sugar test is done 12 to 14 hours after the patient鈥檚 last meal. The two-hour postprandial blood sugar test is done two hours after a meal. A random blood sugar test is done regardless of when the patient last ate. A blood glucose test is used to see if the patient has diabetes.





ELECTROCARDIOGRAM


An electrocardiogram, also known as ECG or EKG, provides information related to heart function, indicating normal or abnormal function, damage, and other information. It is used as a primary test in diagnosing cardiovascular disease.





ECHOCARDIOGRAM


An echocardiogram is an ultrasound of the heart. It provides a very accurate and rapid visual of the heart that allows a cardiologist to evaluate overall health. Echocardiograms can also provide information about blood flow, valves, and contractions.





CARDIOLOGY EVALUATION


A cardiology evaluation is a series of tests to evaluate heart function. Tests may include auscultation (using a stethoscope to listen to the heart), blood tests for cholesterol, and electrophysiology tests (including electrocardiograms). Medical imaging technology, such as echocardiograms, is frequently used.


LENGTH OF TIME TO PREQUALIFY


If I want to have gastric bypass surgery, how long do I have to wait?


Appointments for tests can be scheduled fairly quickly, depending on the surgeon. Although the amount of time between the first consultation and the date of surgery depends on several factors, some patients wait a few months. These factors depend on completing certain steps, which include insurance approval, any preoperation education (including seminars), medical evaluation, and preoperation workup.


Preparing for Bariatric Surgery


Team Approach


Most surgeons and insurance providers recommend and support a team approach to bariatric surgery. An ideal program would have at least four components: medical, nutritional, psychological, and surgical.17 This multidisciplinary team evaluates the patient before surgery and provides education and treatment after surgery. This team delivers medical, nutritional, and psychological care, and looks at lifestyle changes following surgery.





Most bariatric programs require that patients participate in support groups before surgery. This group setting is helpful for patients before surgery, as they discuss their concerns and hear from other patients who have gone through bariatric surgery.





Selecting a Procedure


After you have completed the presurgery medical, nutritional, and psychological evaluations and have adequate metabolic control, your bariatric surgeon will discuss the benefits and risks of the different surgical procedures, and together you will choose the most appropriate surgery for you. Once you and your surgeon have agreed upon a procedure, your next step will be to set a date. Learn more about the day of surgery here.





What Can I Do to Prepare?


Bariatric surgery is like other major surgeries. You can best prepare by knowing the benefits and risks of surgery and by closely following your doctor's instructions.





To mentally prepare yourself:





Understand the surgical process and what to expect afterward.


Keep in mind that you鈥檒l never be able to eat the way you did before, and that you鈥檒l have to watch the way you eat for the rest of your life.


Talk to people who have had bariatric surgery. You can hear the stories of other patients in the Voices of Experience section.


Write a letter to yourself and your surgeon explaining your reasons for having bariatric surgery and outlining your plans to maintain your weight loss after surgery.


Start a journal. Record how you feel now, the challenges you face, and the things you hope to be able to do after bariatric surgery.


Get a letter of support from your family. It helps to know you have people behind you, waiting to help.





To prepare yourself physically, follow the guidelines that your doctor will give you. The guidelines will be based upon your procedure, your personal profile, and other factors. You want to ensure your best outcome, and the guidelines will help you accomplish that.





Short-Term Risks


All abdominal operations carry the risks of bleeding, infection in the incision, blood clots, lung problems (pneumonia, pulmonary embolisms), strokes or heart attacks, anesthetic complications, and blockage or obstruction of the intestines. These risks are greater in morbidly obese patients. You should be aware that some surgical side effects, such as a blood clot, can be life-threatening. The risk of death during bariatric surgery is less than 1percent.





Postsurgery Diet


The changes made to your gastrointestinal tract will require permanent changes in your eating habits that must be followed for successful weight loss. Postsurgery dietary guidelines will vary by bariatric surgeon. You may hear about postsurgery guidelines different from the ones you receive. It is important to remember that these guidelines will be different depending on the surgeon and type of procedure. What is most important is that you follow your surgeon's guidelines. The following are some of the generally accepted dietary guidelines:





When you start eating solid food, it is important to chew your food thoroughly and eat very slowly. It is important to wait two to three minutes after swallowing before putting the next bite of food in your mouth. You will not be able to digest steaks or other chunks of meat if they are not ground or chewed thoroughly.


Don't drink fluids while eating. They will make you feel full before you have eaten enough food. Fluids consumed with meals can cause vomiting and dumping syndrome, and can lead to feeling hungry sooner after a meal.


Don鈥檛 eat desserts and other items with sugar if they have more than 3 to 5 grams per serving size.


Avoid carbonated drinks, high-calorie nutritional supplements, milk shakes, foods high in fat, and foods that have no nutritional value.


Avoid alcohol.


Limit snacking between meals.





How much food will I be able to eat following surgery? How often will I be able to eat?


Most patients are instructed to eat 1/4 cup, or 2 ounces, of food. As time goes on, you can eat more (as instructed by your medical team). Most people can eat approximately 1cup of food after a year or more postsurgery.





What could happen if I don鈥檛 follow one or more of the dietary guidelines?


The guidelines are designed to improve the chance of long-term success in weight loss. If you don鈥檛 follow the guidelines, you may not lose or maintain the loss of the estimated 70 to 90 percent of excess weight. You may experience complications such as vomiting, diarrhea, or malnutrition after surgery.





How soon will I be able to walk?


Soon after surgery, doctors will require you to get up and move around. Patients are asked to walk or stand at the bedside the night of surgery and take several walks the next day and soon after. Upon leaving the hospital, you may be able to care for all your personal needs, but you will need help with shopping and lifting, and with transportation.





How soon can I drive?


You should not drive until you have stopped taking medications (associated with surgery) and can move quickly and alertly. Usually, this takes seven to 14 days after surgery.





When can I go back to my normal activity level?


Your ability to resume presurgery levels of activity depends on your physical condition, the nature of the activity, and the type of bariatric surgery you had. Many patients return to normal levels of activity within six weeks of surgery.

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