Hello!
I've been known as Shelli, Shelli_5, & Band to DS on various WLS boards. I'm mostly on Facebook these days, but wanted to come over & support the new site. I hope this will end up being a great resource for new & "old" WLS patients.
I originally had lap band surgery in 2008, which was a huge mistake. I bought into the marketing hype about the lap band being "less invasive" and "equally effective" when compared to other weight loss surgery options. I had trouble swallowing fluids right after surgery & my issues persisted even though I followed all the rules and never had my band filled too tight. I lost 30 pounds during the first couple of months & I gained those back pretty quickly when I stopped being able to eat dense proteins & vegetables. Ironically, healthy food got "stuck" in my band, causing much discomfort, but junk food went down just fine. I felt extremely guilty and ashamed, which led me to stop seeing my surgeon after a year & avoid talking about my issues with anyone.
In 2011, I had a bit of an epiphany while I was on vacation. I realized that I was afraid to eat without having a glass of water available so I could use it to force down each bite of food into my stomach. It finally occurred to me that something was seriously wrong. I started reading about people who were not successful with the lap band & thought I might want to have a RNY revision. Thank goodness I also discovered that there were lots of people who were not successful with the RNY. Eventually, I noticed that the only folks who weren't posting about revisions were people who had a DS. Even though I was scared to death of such an "extreme" procedure, I decided to learn more about it.
Fortunately, there is a vetted DS surgeon within an hour's drive from my home. I scheduled an appointment with him & was diagnosed with esophageal dysmotility & "to and fro" motion. (Basically, the muscles in my esophagus weren't working right.) After documenting the problem, I had all of the fluid removed from my band & my swallowing issues improved. My new surgeon agreed that I was a good candidate for the DS & I began the process of getting insurance approval for my lap band to DS revision. I had no problem getting my insurance company to agree that it was medically necessary for my lap band to be removed, but they did not want to pay for a DS because my BMI was under 50. My surgeon tried to help by participating in a peer-to-peer review, but the insurance company wouldn't budge. I filed an appeal & got denied. In desperation, I hired a "patient advocate" who ended up using some really strange tactics & didn't make any progress. To say that I was stressed was an understatement.
At some point, I realized that I needed to do some serious work on my own if I wanted to get insurance approval. I delved into the medical literature to learn everything I could about the DS. I wrote a 15-page research paper detailing the problems I had with my lap band, why it was medically necessary for me to have a DS, and why my insurance company's BMI requirement was ridiculous. Diana & Larra were kind enough to review & edit my document as well as provide much-needed moral support. It took about a year & I had to go through a number of appeals, but I finally got approved for a lap band to DS revision.
I had that revision in 2012. The surgery itself went well, although my surgeon found a lot of scar tissue on my esophagus & stomach from the lap band. Unfortunately, this led to complications during my recovery. I had trouble swallowing again, I experienced very painful esophageal spasms, I had a lot of food intolerances, & I threw up quite often. I tried several different prescription medications, but nothing helped. I also went through a pretty severe episode of depression after surgery. I felt awful - both physically & mentally - for the first 8 months post-op. During this time, I lost 123 pounds & went from a size 26/28 to a size 12/14.
Around the 9th month after I had surgery, my physical & mental health started improving slowly. It's been an ongoing process, especially with the depression. I am finally able to appreciate my smaller body size & improved health. I haven't made it to a "normal" BMI & I doubt if I ever will, but I'm happy with where I've landed. I'm able to eat almost anything, but in much smaller portions than I did before the DS. When I'm full, I stay that way for hours. I usually poop once a day & I have to be careful to avoid constipation. I do have more gas now than I did before the DS, but it's manageable. I sometimes struggle with taking all my vitamins, but I'm working on that. I know how important it is to keep up with my protein & vitamin requirements. I strongly believe in "paying it forward" and am happy to help when I can.
That's my story & I'm sticking to it!