Fill Question

[Guest guest]

Saturday, August 13, 2005, 8:58:08 PM, you wrote:

M> My question is - can I ask them to do another

M> fill later this week and

Yes.

M> is it appropriate to ask them not to charge me

M> for it?

No. Of course you can ask, but don't expect an answer you're hoping

for, as that is VERY unlikely.

M> Since it seem

M> that since I never got any better restriction and

M> I did pay full price

M> for this fill - it's only fair that they don't

M> charge me again for

M> it... Am I wrong?

Yes, you're wrong. There are no guarantees in medicine, including

fills. You were not paying for the fill, you were paying for the

time, the staff, the office, the needles and such that were used up in

the fill, and maybe even a little profit for the doc and salary for

the staff.

When you go to the doctor for an illness, he gives you an antibiotic,

say, but that one doesn't work. So a week later you are still feeling

crappy and he gives you a different prescription. Is the second

office call free? No. Is the second prescription free, since the

first one didn't work right? No.

dan

Dan Lester, Boise, ID honu@... www.mylapband.tk

Dr. Ortiz, Tijuana, 4/28/03

323/209/199 Age 62 Fair is whatever God decides to do.

[Guest guest]

Mariya, they are still using personnel, equipment, needles, time,

office rent, and many other things , whether or not the fill is great.

Do you expcet them to " eat " all these costs? Medicine is still a very

inexact science, and there are no promises given. We all know fills can

be very elusive, and can take several attempts to get " just right " for

YOU. I would not expect to get a free fill or unfill. Certainly discuss

this with the fill person, though.

Many docs take too much out with an unfill. i've found that, if you get

back very quickly for a small unfill, as little as 0.1-0.2 cc is often

enough. If you wait any longer, much more is needed. But still, it is

largely a guessing game -

Also, another fill yet this week is, IMO, way too much trauma for your

stoma in a short time. every time a fill or unfill is given, the stoma

is irritated and traumatized for a day or more. I'd suggest waiting at

least 10 days, if not longer. Sandy R

> I recently (1.5 weeks ago) got my 3rd fill which was way too tight and

> i went back to have the Dr. take some of it out the next day. When the

> swelling subsided I discovered that I have less restriction than

> before the original fill, which means I can eat anything and

> everything practically without restriction. This, of course, makes me

> scared and I want a fill that works.

>

> My question is - can I ask them to do another fill later this week and

> is it appropriate to ask them not to charge me for it? Since it seem

> that since I never got any better restriction and I did pay full price

> for this fill - it's only fair that they don't charge me again for

> it... Am I wrong? Has anyone else been through this? Or am I being

> unreasonable? I know they won't like not charging me, but I just

> wanted to get some advice on whether I can even ask in this

situation...

>

> ~M

[Guest guest]

Dan and Sandy - point taken - thanks

And it has been about 10 days now, I specifically waited that long ot

make sure the fill wasn't going to " kick in " , I know they can be

tricky - but no such luck. I'm going to call the Dr. tomorrow and

schedule another one. Hope it works.

Mariya

> > I recently (1.5 weeks ago) got my 3rd fill which was way too tight and

> > i went back to have the Dr. take some of it out the next day. When the

> > swelling subsided I discovered that I have less restriction than

> > before the original fill, which means I can eat anything and

> > everything practically without restriction. This, of course, makes me

> > scared and I want a fill that works.

> >

> > My question is - can I ask them to do another fill later this week and

> > is it appropriate to ask them not to charge me for it? Since it seem

> > that since I never got any better restriction and I did pay full price

> > for this fill - it's only fair that they don't charge me again for

> > it... Am I wrong? Has anyone else been through this? Or am I being

> > unreasonable? I know they won't like not charging me, but I just

> > wanted to get some advice on whether I can even ask in this

> situation...

> >

> > ~M

[Guest guest]

Sharon, fills, in experienced hands, ar nothing worse than a simple

shot, like in the arm. But most people are worried about the first

one. So i recommend asking for some numbing medication the first

time, at least. that will sting for a second, but then you're numb.

Then you can see what a fill is like, and see what s abig deal is is

NOT. :-)

You're a bit unusual, in that you have both a band and an RNY, so

we're in kinda new water here! :-) You'll helpm us lear a lot.

It would be useful (for me, at least) if you'd ask your doc how big

your pouch is. A typical band pouch is about 3 oz or so. A bypass

pouch is only thumb-sized - much smaller. I'm hoping your new pouch

is band-sized , so more of the band guidelines apply, and we can help

you more.

Most of us get the soft stop signs only after a decent fill, so I'll

guess that your hiccups now have more to do with eating a bit too

fast and simply swallowing some air. That protein drink should take

about 2-3 minutes minimum to drink slowly enough. And be sure not to

shake it up wildly - that adds a lot of air that will come back up as

a burp, and they can be painful.

If you get a single hiccup after only a few bites of food, that

should not be the " soft stop " sign - if you stop then,

you'll starve! :-)

How is your weight loss? Are you comforable after maybe 3/4-1 cup of

food? If so, you may not even need a fill et. they are not given on

any schedule - some need a first fill at about 6 weeks out, others do

not.

Please keep in good touch -

Sandy r

>

> Hello everyone,

> I am having my first fill on Jan 22nd and I was wondering if I

> would experience pain with the fill? What am I in for?

>

> I have also been reading the conversations regarding the " Soft

> Signs " I believe that is what it is called. I get 1 hicup usually

> shortly after I start eating. I get that also when I drink my

protein

> shake also(I also have RNY that's why the protein)I get this

sometimes

> after just 1/2 c. food and sometimes after 3/4 c. sometimes just

two

> sips of beverage... Would this be my soft sign? Should I stop

eating at

> that point? I have been trying to pay more attention to the signs

my

> body gives me instead of just continueing what I am doing..

>

> Thanks for the help...

>

> Sharon S

>

[Guest guest]

Sandy,

Thanks for replying...I am hoping my Dr. is experience enough to

fill me right the first time.. Don't want to be a pin cushion..lol

I will definately as the Dr. what my pouch size is.. I thought

he said it was about 30cc. I feel I can eat a fair amount of food

especially if I don't pay attention to my body. I will post my menu

for today and you can see my intake.

I take my time when I drink my protein.. I make it warm like hot

cocoa.. Drink it in about 10 minutes.. I could very well be eating

too fast.. That has been hard to change but I'm working on it...I

usually only get 1 hiccup... It's very weird.. I just laugh.. If I

just started eating I try and slow down.. If it seems like I've had

enough food I just stop eating...I will ask the Dr. about that as

well..

Menu

1 35 gram protein Shake(prepared with 7 oz water)

Breakfast

1/4 c. potatoes with bellpepper and onion

1 scrambled egg sprinkled with cheese

Lunch

1/2 c. 99% fat free chili

1/2 oz cheese

10 mini triscuits

1 35 gram protein shake same as above

Dinner

2oz. lowfat turkey keibalsa

1/4 c. scallop potatoes

1/2 c. Broccoli with carb options cheese sauce

1/2 dill pickle spear

1 hour at gym doing water aerobics

1 small apple with 1tbsp carb options peanut butter also

had 10 fritos while helping son with homework and 4 bite size prunes

to help with the constipation I get from all the darn Iron I have to

take...

I usually try to limit my carbs.. I try for 1 day unless it's a

veg. so I went over a bit today...How does my menu look? what

changes would /should be made.?

Thanks

Sharon S

In , " Sandy " <MoonshadowRN@...>

wrote:

>

> Sharon, fills, in experienced hands, ar nothing worse than a

simple

> shot, like in the arm. But most people are worried about the first

> one. So i recommend asking for some numbing medication the first

> time, at least. that will sting for a second, but then you're

numb.

> Then you can see what a fill is like, and see what s abig deal is

is

> NOT. :-)

> You're a bit unusual, in that you have both a band and an RNY, so

> we're in kinda new water here! :-) You'll helpm us lear a lot.

>

> It would be useful (for me, at least) if you'd ask your doc how

big

> your pouch is. A typical band pouch is about 3 oz or so. A bypass

> pouch is only thumb-sized - much smaller. I'm hoping your new

pouch

> is band-sized , so more of the band guidelines apply, and we can

help

> you more.

> Most of us get the soft stop signs only after a decent fill, so

I'll

> guess that your hiccups now have more to do with eating a bit too

> fast and simply swallowing some air. That protein drink should

take

> about 2-3 minutes minimum to drink slowly enough. And be sure not

to

> shake it up wildly - that adds a lot of air that will come back up

as

> a burp, and they can be painful.

> If you get a single hiccup after only a few bites of food, that

> should not be the " soft stop " sign - if you stop then,

> you'll starve! :-)

> How is your weight loss? Are you comforable after maybe 3/4-1 cup

of

> food? If so, you may not even need a fill et. they are not given

on

> any schedule - some need a first fill at about 6 weeks out, others

do

> not.

> Please keep in good touch -

> Sandy r

>

>

>

>

>

> >

> > Hello everyone,

> > I am having my first fill on Jan 22nd and I was wondering if

I

> > would experience pain with the fill? What am I in for?

> >

> > I have also been reading the conversations regarding

the " Soft

> > Signs " I believe that is what it is called. I get 1 hicup

usually

> > shortly after I start eating. I get that also when I drink my

> protein

> > shake also(I also have RNY that's why the protein)I get this

> sometimes

> > after just 1/2 c. food and sometimes after 3/4 c. sometimes just

> two

> > sips of beverage... Would this be my soft sign? Should I stop

> eating at

> > that point? I have been trying to pay more attention to the

signs

> my

> > body gives me instead of just continueing what I am doing..

> >

> > Thanks for the help...

> >

> > Sharon S

> >

>

[Guest guest]

Yes, 4 weeks between fills is very impt. There is just no way to tell

if a fill is enough for several weeks. THis is per the manufacturer's

instructions, and in all the surgeon and patient literatire. Please

see the post/answer just before this one, also.

Patience! There is a lot to learn that cannot be possibly learned in

only the first few weeks or months. YOUR part of the " success

formula " needs to be in place for a good loss, so continue to

impreove your parts, so that when you get to a good fill, the serious

weight loss will atart.

SAndy R

Sandy

>

> I had my first fill 11 days ago. After my 24 hours of liquids, I

went right

> back to regular food. I haven't felt ANY restriction, and I am

eating way

> too much. What I would call 'normal portions'. I am able to eat

bread, rice,

> pizza, anything. My fill was 1.8 in a 10cc band.

>

> I feel like I am wasting my time (not losing, but slowly gaining)

and I want

> another fill. Does anyone know how soon the doctors will allow me

to have

> one? Do I have to wait 4 weeks? (I heard that somewhere).

>

>

> <'}}} >< L. =^.,.^=

>

> Thank God for what you have, and trust God for what you need.

>

>

>

>

>

>

[Guest guest]

Fill question

>I had my first fill 11 days ago. After my 24 hours of liquids, I went right

>back to regular food. I haven't felt ANY restriction, and I am eating way

>too much. What I would call 'normal portions'. I am able to eat bread, rice,

>pizza, anything. My fill was 1.8 in a 10cc band.

Just because you can doesn't mean you should. The band is only a tool,

remember. And you have to learn all over again what " normal portions " are, and

they won't be like they used to be.

>I feel like I am wasting my time (not losing, but slowly gaining) and I want

Work on eating like a bandster, even if you aren't filled tight. The learning

is the most important thing, and the hardest.

>another fill. Does anyone know how soon the doctors will allow me to have

>one? Do I have to wait 4 weeks? (I heard that somewhere).

All depends on the doctor. Each has his/her own rules. Ask YOUR doctor, as

they're all different,.

dan

" Even if you're on the right track, you'll get run over if you just sit there. "

-- Will

www.mylapband.tk or www.riverofdata.com

Dan Lester, Boise, Idaho, USA

Dr. Ortiz, Tijuana, 4/27/03

355/323/210/190

[Guest guest]

Hi ,

You aren't wasting your time;-) Until your restriction is right you

may regain a few pounds back. Try to eat good bandster foods and use

fitday to track your calories...it does help stay on track. I've

gone through a fill or two that didn't seem to work at first, only to

have them work REAL WELL after a week or two. Take your time and

have a little patience with the fills, sometimes it does take several

to hit that sweet spot. Right now I'm about 2.0cc's with a 10cc band

and I can eat 1/2 of a sandwich in the later part of the day when I

get looser but I stay full for 3 or 4 hours after I eat. Hang in

there , sometimes it only takes .1 or .2cc's extra to achieve a

great fill;-)

<<Posted by: " Langston " forevercat@... forevercatherine

Sun Mar 4, 2007 8:30 pm (PST)

I had my first fill 11 days ago. After my 24 hours of liquids, I went

right

back to regular food. I haven't felt ANY restriction, and I am eating

way

too much. What I would call 'normal portions'. I am able to eat

bread, rice,

pizza, anything. My fill was 1.8 in a 10cc band.

I feel like I am wasting my time (not losing, but slowly gaining) and

I want

another fill. Does anyone know how soon the doctors will allow me to

have

one? Do I have to wait 4 weeks? (I heard that somewhere).

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.>>

Kem in Eugene

Dr. Neal 8.6.04

<º)))><

[Guest guest]

Before reading the answer to my question below, I called Dr. Kuri's office

today to ask how soon was okay for a fill. We made an appt. for 3 weeks out

from my last fill.

So I am a week short of what you say is so important. (Oops!) Will you

please explain to me how a fill can 'change' over a period of several weeks?

I want to understand the concept of what the fill does (or doesn't) and in

what way it could change so long after getting a fill.

Thank you very much.

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.

Yes, 4 weeks between fills is very impt. There is just no way to tell

if a fill is enough for several weeks. THis is per the manufacturer's

instructions, and in all the surgeon and patient literatire. Please

see the post/answer just before this one, also.

Patience! There is a lot to learn that cannot be possibly learned in

only the first few weeks or months. YOUR part of the " success

formula " needs to be in place for a good loss, so continue to

impreove your parts, so that when you get to a good fill, the serious

weight loss will atart.

SAndy R

Sandy

>

> I had my first fill 11 days ago. After my 24 hours of liquids, I

went right

> back to regular food. I haven't felt ANY restriction, and I am

eating way

> too much. What I would call 'normal portions'. I am able to eat

bread, rice,

> pizza, anything. My fill was 1.8 in a 10cc band.

>

> I feel like I am wasting my time (not losing, but slowly gaining)

and I want

> another fill. Does anyone know how soon the doctors will allow me

to have

> one? Do I have to wait 4 weeks? (I heard that somewhere).

>

>

> <'}}} >< L. =^.,.^=

>

> Thank God for what you have, and trust God for what you need.

>

[Guest guest]

, I don't know all of the details behind why, I do know that my second fill

took over a week and then bam it was too tight. I do think I would wait the 4

weeks just to make sure.

Sandy is very knowledgeable and has had lots of experience, along with medical

training.

With that said, I'm not sure who you talked to but if Dr. Kuri or Espinosa

said it is ok, I would be comfortable with that also.

Langston <forevercat@...> wrote:

Before reading the answer to my question below, I called Dr. Kuri's

office

today to ask how soon was okay for a fill. We made an appt. for 3 weeks out

from my last fill.

So I am a week short of what you say is so important. (Oops!) Will you

please explain to me how a fill can 'change' over a period of several weeks?

I want to understand the concept of what the fill does (or doesn't) and in

what way it could change so long after getting a fill.

Thank you very much.

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.

Yes, 4 weeks between fills is very impt. There is just no way to tell

if a fill is enough for several weeks. THis is per the manufacturer's

instructions, and in all the surgeon and patient literatire. Please

see the post/answer just before this one, also.

Patience! There is a lot to learn that cannot be possibly learned in

only the first few weeks or months. YOUR part of the " success

formula " needs to be in place for a good loss, so continue to

impreove your parts, so that when you get to a good fill, the serious

weight loss will atart.

SAndy R

Sandy

>

> I had my first fill 11 days ago. After my 24 hours of liquids, I

went right

> back to regular food. I haven't felt ANY restriction, and I am

eating way

> too much. What I would call 'normal portions'. I am able to eat

bread, rice,

> pizza, anything. My fill was 1.8 in a 10cc band.

>

> I feel like I am wasting my time (not losing, but slowly gaining)

and I want

> another fill. Does anyone know how soon the doctors will allow me

to have

> one? Do I have to wait 4 weeks? (I heard that somewhere).

>

>

> <'}}} >< L. =^.,.^=

>

> Thank God for what you have, and trust God for what you need.

>

[Guest guest]

, I am surprisedto hear that you feel like you are wasting time. My gosh,

you only had this done in Jan. This is not an overnight thing. Some people do

not feel restriction until their 3rd or 4th fill. Please be patient and give

this a chance to work with you.

I feel sad that you are feeling this way. Go and get your next fill and give

it a while and get yet another one if you feel you need it. When you get

restriction, you will definately know it.

I went to dinner last night and I was only able to eat about 3 oz of steak and

a couple of bites of veggies and two bites of potatoes. This is about 1/8th of

what I used to eat.

This does work but you need to give it a chance. Heck you are hardly out of

the healing stages.

Kem Tillford <Losinit4good@...> wrote:

Hi ,

You aren't wasting your time;-) Until your restriction is right you

may regain a few pounds back. Try to eat good bandster foods and use

fitday to track your calories...it does help stay on track. I've

gone through a fill or two that didn't seem to work at first, only to

have them work REAL WELL after a week or two. Take your time and

have a little patience with the fills, sometimes it does take several

to hit that sweet spot. Right now I'm about 2.0cc's with a 10cc band

and I can eat 1/2 of a sandwich in the later part of the day when I

get looser but I stay full for 3 or 4 hours after I eat. Hang in

there , sometimes it only takes .1 or .2cc's extra to achieve a

great fill;-)

<<Posted by: " Langston " forevercat@... forevercatherine

Sun Mar 4, 2007 8:30 pm (PST)

I had my first fill 11 days ago. After my 24 hours of liquids, I went

right

back to regular food. I haven't felt ANY restriction, and I am eating

way

too much. What I would call 'normal portions'. I am able to eat

bread, rice,

pizza, anything. My fill was 1.8 in a 10cc band.

I feel like I am wasting my time (not losing, but slowly gaining) and

I want

another fill. Does anyone know how soon the doctors will allow me to

have

one? Do I have to wait 4 weeks? (I heard that somewhere).

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.>>

Kem in Eugene

Dr. Neal 8.6.04

<º)))><

[Guest guest]

Different doctors have different requirements, and they may vary them for

different patients. Even though some docs are incredibly rigid and anal on

timing, many aren't.

Your fill changes from day to day. Many of us are tighter at different times of

day, often in morning. Women are often tighter or looser at certain times of

the month. I can vary tightness by my consumption of salt....if I have too much

salt I swell up and get tight. Also, the stomach inside the band is moving

around in there, and like a pants leg with your hand around it, even at a given

tightness the folds of cloth can leave different gaps or space. Your stomach is

the same way.

dan

" Even if you're on the right track, you'll get run over if you just sit there. "

-- Will

www.mylapband.tk or www.riverofdata.com

Dan Lester, Boise, Idaho, USA

Dr. Ortiz, Tijuana, 4/27/03

355/323/210/190

RE: Fill question

>Before reading the answer to my question below, I called Dr. Kuri's office

>today to ask how soon was okay for a fill. We made an appt. for 3 weeks out

>from my last fill.

>

>So I am a week short of what you say is so important. (Oops!) Will you

>please explain to me how a fill can 'change' over a period of several weeks?

>I want to understand the concept of what the fill does (or doesn't) and in

>what way it could change so long after getting a fill.

>

>Thank you very much.

><'}}} >< L. =^.,.^=

> Thank God for what you have, and trust God for what you need.

>Yes, 4 weeks between fills is very impt. There is just no way to tell

>if a fill is enough for several weeks. THis is per the manufacturer's

>instructions, and in all the surgeon and patient literatire. Please

>see the post/answer just before this one, also.

>Patience! There is a lot to learn that cannot be possibly learned in

>only the first few weeks or months. YOUR part of the " success

>formula " needs to be in place for a good loss, so continue to

>impreove your parts, so that when you get to a good fill, the serious

>weight loss will atart.

>SAndy R

>Sandy

>>

>> I had my first fill 11 days ago. After my 24 hours of liquids, I

>went right

>> back to regular food. I haven't felt ANY restriction, and I am

>eating way

>> too much. What I would call 'normal portions'. I am able to eat

>bread, rice,

>> pizza, anything. My fill was 1.8 in a 10cc band.

>>

>> I feel like I am wasting my time (not losing, but slowly gaining)

>and I want

>> another fill. Does anyone know how soon the doctors will allow me

>to have

>> one? Do I have to wait 4 weeks? (I heard that somewhere).

>>

>>

>> <'}}} >< L. =^.,.^=

>>

>> Thank God for what you have, and trust God for what you need.

>>

>

>

[Guest guest]

It's not that the fill changes, but it's well-known that healing

takes about 6 weeks, and stressing the healing and band with fills

before it's fully healed is not a great idea. There are also several

studies showing that fills before the 6-week period, which is what

Inamed wants, increases slip rate later. You can try to test this if

you want, but I would not for myself. I wouldn't want to be worrying

lalter, with more and mroe fill, that the possibility of a slip was

increased from starting early with fills. Is a week early for the

fill worth concern for years? For

ME, it would not be worth it.

One of the MOST impt concepts with the band is that this is NOT a

race to lose as much and as fast as we possibly can! the people who

try to do this invariably get in trouble, and most end up much

furhter bhind than if they had gone alsong slowly and steadily Some

even lose their bands. We have all lost the FAST way before, and seen

the consequences - wt regain. This time, let's do it right and avoid

problems!

Sandy R

Dr Kuri, March 2003

at goal x 3+yrs

> >

> > I had my first fill 11 days ago. After my 24 hours of liquids, I

> went right

> > back to regular food. I haven't felt ANY restriction, and I am

> eating way

> > too much. What I would call 'normal portions'. I am able to eat

> bread, rice,

> > pizza, anything. My fill was 1.8 in a 10cc band.

> >

> > I feel like I am wasting my time (not losing, but slowly gaining)

> and I want

> > another fill. Does anyone know how soon the doctors will allow me

> to have

> > one? Do I have to wait 4 weeks? (I heard that somewhere).

> >

> >

> > <'}}} >< L. =^.,.^=

> >

> > Thank God for what you have, and trust God for what you need.

> >

>

>

>

>

>

>

[Guest guest]

Hi . I feel exactly like you. I was banded in Jan. 07 and first

fill 2/21/07. I don't feel it. I want to call my doc in mexico and

set appt. in few weeks too. Anyone need to go end of March?? DEE

> >

> > I had my first fill 11 days ago. After my 24 hours of liquids, I

> went right

> > back to regular food. I haven't felt ANY restriction, and I am

> eating way

> > too much. What I would call 'normal portions'. I am able to eat

> bread, rice,

> > pizza, anything. My fill was 1.8 in a 10cc band.

> >

> > I feel like I am wasting my time (not losing, but slowly gaining)

> and I want

> > another fill. Does anyone know how soon the doctors will allow me

> to have

> > one? Do I have to wait 4 weeks? (I heard that somewhere).

> >

> >

> > <'}}} >< L. =^.,.^=

> >

> > Thank God for what you have, and trust God for what you need.

> >

>

>

>

>

>

>

[Guest guest]

Kim,

Thanks so much for your kind words. I was apparently in a stressed-out and

negative place when I wrote the question, and I am feeling much better now.

I am making every effort to follow the band rules even though I know it's

going through the stoma too easily. I'm putting less on my plate and

concentrating on the small bites and chewing, etc. so that during this

strange time I can at least practice my proper eating habits.

I am scheduled for a fill on the 15th, which is exactly 3 weeks after my 1st

one. I feel confident that this next fill will make a noticeable difference

for me.

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.

</message/7160;_ylc=X3oDMTJyb3

Mxb3N0BF9TAzk3MzU5NzE1BGdycElkAzEzMzI4MDIwBGdycHNwSWQDMTcwNTA2MTEwNARtc2dJZA

M3MTYwBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNzMxNjE1NDI-> Re: Fill question

Posted by: " Kem Tillford " <mailto:Losinit4good@...?Subject=

Re%3A%20Fill%20question> Losinit4good@...

<propheticeyes2c> propheticeyes2c

Mon Mar 5, 2007 12:33 pm (PST)

Hi ,

You aren't wasting your time;-) Until your restriction is right you

may regain a few pounds back. Try to eat good bandster foods and use

fitday to track your calories...it does help stay on track. I've

gone through a fill or two that didn't seem to work at first, only to

have them work REAL WELL after a week or two. Take your time and

have a little patience with the fills, sometimes it does take several

to hit that sweet spot. Right now I'm about 2.0cc's with a 10cc band

and I can eat 1/2 of a sandwich in the later part of the day when I

get looser but I stay full for 3 or 4 hours after I eat. Hang in

there , sometimes it only takes .1 or .2cc's extra to achieve a

great fill;-)

<<Posted by: " Langston " <mailto:forevercat%40adelphia.net>

forevercat@... forevercatherine

Sun Mar 4, 2007 8:30 pm (PST)

I had my first fill 11 days ago. After my 24 hours of liquids, I went

right

back to regular food. I haven't felt ANY restriction, and I am eating

way

too much. What I would call 'normal portions'. I am able to eat

bread, rice,

pizza, anything. My fill was 1.8 in a 10cc band.

I feel like I am wasting my time (not losing, but slowly gaining) and

I want

another fill. Does anyone know how soon the doctors will allow me to

have

one? Do I have to wait 4 weeks? (I heard that somewhere).

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.>>

[Guest guest]

Elaine,

When I called for the appointment, I talked to whoever answered the phone in

Dr. Kuri's office. (not ina)

She told me 3 weeks was okay, and she made the appointment. Do you think I

should check further before going all the way down there?

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.

</message/7163;_ylc=X3oDMTJyZT

VrbzZqBF9TAzk3MzU5NzE1BGdycElkAzEzMzI4MDIwBGdycHNwSWQDMTcwNTA2MTEwNARtc2dJZA

M3MTYzBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNzMxNjE1NDI-> Re: Fill question

Posted by: " Elaine Rashi " <mailto:erashi2005@...?Subject=

Re%3A%20Fill%20question> erashi2005@...

<erashi2005> erashi2005

Mon Mar 5, 2007 1:32 pm (PST)

, I don't know all of the details behind why, I do know that my second

fill took over a week and then bam it was too tight. I do think I would wait

the 4 weeks just to make sure.

Sandy is very knowledgeable and has had lots of experience, along with

medical training.

With that said, I'm not sure who you talked to but if Dr. Kuri or Espinosa

said it is ok, I would be comfortable with that also.

[Guest guest]

Dan,

Thanks for you very valuable information. I love your analogy of the

pants leg; it makes perfect sense to me. I will try to visualize that

whenever I am wondering what the heck is going on!

<'}}} >< L. =^.,.^=

Thank God for what you have, and trust God for what you need.

</message/7172;_ylc=X3oDMTJyNT

g1YWs0BF9TAzk3MzU5NzE1BGdycElkAzEzMzI4MDIwBGdycHNwSWQDMTcwNTA2MTEwNARtc2dJZA

M3MTcyBHNlYwNkbXNnBHNsawN2bXNnBHN0aW1lAzExNzMxNjE1NDI-> Re: Fill question

Posted by: " Dan Lester " <mailto:honu@...?Subject=

Re%3A%20Fill%20question> honu@...

<takitez2003> takitez2003

Mon Mar 5, 2007 6:54 pm (PST)

Different doctors have different requirements, and they may vary them for

different patients. Even though some docs are incredibly rigid and anal on

timing, many aren't.

Your fill changes from day to day. Many of us are tighter at different times

of day, often in morning. Women are often tighter or looser at certain times

of the month. I can vary tightness by my consumption of salt....if I have

too much salt I swell up and get tight. Also, the stomach inside the band is

moving around in there, and like a pants leg with your hand around it, even

at a given tightness the folds of cloth can leave different gaps or space.

Your stomach is the same way.

dan

[Guest guest]

You're basically both a bandster and a bypass client, so pretty

unique. i'm afraid pure band rules, or pure bypass rules will neither

be just what you need. We can make suggestions, but you'll need to be

sure your doc approves. I just don't know bypass needs at all.

First of all, you're eating far too little for a Bandster to lose

well or safely. We need about 1200-1500 cal a day, including good

protein, fiber, and calcium foods. But YOU may need much more since

your intestines are not absorbing well (how long out from your

oritigal bypass are you? Were you gaining a lot(meaning your

intestines had grown back)?

There should never be pain with eating. What you describe is a

classic band problem - " first bite syndrome " (esophageal spasms) that

occurs only with thefirst few bites. This is painful and unnecessary.

We never want more fill until this is solved, becuase we just cannot

get enough nutrition in. We are never trying to eat as little as

possible.

This is the fix for most people: First, be certain that you are

getting the minimum 64-100 oz of no-calorie liquids a day. Then,

right before a meal, drink 1-2 cups of hot tea or another hot liquid.

I'd avoid coffee here, as it is a gastric irritant. The hot liquid

will relax and open the stoma. For the first week, you might want to

also place a warm heating pad on your chest for 20 min before a meal.

Then, have something " easy " like 1-2 tsp of yogurt or applesauce, to

kind of " prime " the esophagus.

Thrn, be sure you're carefully following the Band rules for eating.

These will be essential so you don't have eating troubloe of barfing,

which can cause band slips.

If you're still having trouble, you'll need a small unfill to allow

the esophagus to reast and get used to the fill. As little as 0.1 -

0.2 cc can make all the difference.

Bandsters need to avoid all liquid calorues, uncluding juices and

protein drinks. One of our basic rules is " avoid liquid calories "

asince they don't make the band work.

But YOY may need protein supplements if you're still malabsorbing.

You'll need to be guided by your doc on this particular point.

You never want to try to keep a too-tight fill. After a fill and a

day of liquids, then a day of soft foods, we sshould be able to eat a

decent small meal of solid meat and veggies within 5 days max. If we

cannot, the fill is too tight. It's easy to stretch the band pouch

pouch with a too-tight fill - just as the bypass pouch is easily

stretched - so it's impt to never keep a too-tight fill.

Some of your food choices are not the best. If we want to lose and do

wewll, we need to greatly improve eating. Cheeseburgers are not good

protein, usually gristl-y and hard to chew, and poor quality meat.

The bun will never work with a good fill, and bread is useles

nutrtion. further, it swells in teh pouch and can cause trouble and

dilations. Coleslaw is hard to chew, and usually high-cal. Later,

with eating experience, it might be ok sometimes.

You might look in the files or database here for the document

called " Band eating rules... " . It covers all the basic band needs re

nutriiotn,, etc - but, again, you may need to gete clearer info from

your doc.

We;ll try all we can to help you, but some of the band rules cannot

apply to you. But the exercsie, fluids, and therapy needs areexactly

the same.

Sandy r

at goal x 3+yrs

>

> Hello Everyone,

> I was banded over a RNY on Dec 5,06. I had my first fill of 1.5

> cc's on Jan 22nd. I actually had an increase in hunger after my

> first fill. I also had pain when I started to eat.. My first bite

of

> anything hurt like hell no matter, what it was or how well I chewed

> or how small it was. I went back to the DR. thinking I needed a

> small unfill and was told to just do liquids for awhile longer and

> it would pass. After about a week it did get better. I had a 2nd

> fill on March 5 of 1cc for a total of 2.5 cc's in a 10cc band. This

> time it has helped my appetite but I have alot of pain when I eat.

> It is mostly the first bite or two then it gets a little better.I

> thought I would give it a week like I did with my first fill and

see

> if it doesn't pass as well. The pain is at the bottom of the

> esophogus right between the breasts. Seems like the opening is

small

> and the food trying to pass through makes it hurt.. After a little

> bit of food goes through and the opening relaxes a bit it gets

> better. Is this normal? It has happened with both fills now so I'm

> not sure what is going on.I lost a total of 2 pounds in the time

> between fill 1 and fill 2. The Dr. was not happy. I feel like I

> should be losing more weight considering i am hardly eating due to

> the initial pain of the first bite. Here is what I ate yesterday:

>

> Protein Shake (RNY Needed)

> 1/2 egg

> 1/2 wheat toast

> Couldn't eat anymore hurt too much

>

> Protein Shake

> between 1/8 and 1/4 of cheeseburger made at home

>

> Protein Shake

> 1 bite coleslaw

> tried to eat fish but couldn't get it down so ended up eating about

> 1/2-3/4c of pea soup

>

> I usually eat alot more food but since my fill on Monday I just

> can't eat as much. After my last fill my stoma/opening relaxed

after

> about a week. Do you think it will do the same this time?

>

> Thanks for the help

> Sharon S

>

[Guest guest]

Most of us can't eat toast or bread at all. Don't try, at least for now.

Also, drinking something warm or hot before eating will often help things open

up.

dan

" Even if you're on the right track, you'll get run over if you just sit there. "

-- Will

www.mylapband.tk or www.riverofdata.com

Dan Lester, Boise, Idaho, USA

Dr. Ortiz, Tijuana, 4/27/03

355/323/210/190

Fill Question

>Hello Everyone,

> I was banded over a RNY on Dec 5,06. I had my first fill of 1.5

>cc's on Jan 22nd. I actually had an increase in hunger after my

>first fill. I also had pain when I started to eat.. My first bite of

>anything hurt like hell no matter, what it was or how well I chewed

>or how small it was. I went back to the DR. thinking I needed a

>small unfill and was told to just do liquids for awhile longer and

>it would pass. After about a week it did get better. I had a 2nd

>fill on March 5 of 1cc for a total of 2.5 cc's in a 10cc band. This

>time it has helped my appetite but I have alot of pain when I eat.

>It is mostly the first bite or two then it gets a little better.I

>thought I would give it a week like I did with my first fill and see

>if it doesn't pass as well. The pain is at the bottom of the

>esophogus right between the breasts. Seems like the opening is small

>and the food trying to pass through makes it hurt.. After a little

>bit of food goes through and the opening relaxes a bit it gets

>better. Is this normal? It has happened with both fills now so I'm

>not sure what is going on.I lost a total of 2 pounds in the time

>between fill 1 and fill 2. The Dr. was not happy. I feel like I

>should be losing more weight considering i am hardly eating due to

>the initial pain of the first bite. Here is what I ate yesterday:

>Protein Shake (RNY Needed)

>1/2 egg

>1/2 wheat toast

>Couldn't eat anymore hurt too much

>Protein Shake

>between 1/8 and 1/4 of cheeseburger made at home

>Protein Shake

>1 bite coleslaw

>tried to eat fish but couldn't get it down so ended up eating about

>1/2-3/4c of pea soup

>I usually eat alot more food but since my fill on Monday I just

>can't eat as much. After my last fill my stoma/opening relaxed after

>about a week. Do you think it will do the same this time?

>Thanks for the help

>Sharon S

>

>

[Guest guest]

Hello ,

I'd say you have enough fill, but need to continue to work on

" control " of quantities, eating too fast, and not chewing well enough.

Also work on food choices. I don't know WHAT you're eating or how

many calories, but counting calories for a week will give you a clue.

AND, are you exercising? If not, why not?

dan

Monday, July 16, 2007, 5:43:40 PM, you wrote:

> Hi, all.

> I haven't had a fill in about 3 months; that was my 3rd. I never PB and

> rarely have I had sliming (maybe 3 times in all those months), but I feel

> like I might still be eating too much. I haven't lost any major weight

> since my last fill; maybe only a pound or two.

> Today at lunch, I had some sliming, which passed just by spitting it out

> a few times (sorry to be so graphic). Afterwards I felt fine. Maybe I ate

> too fast?

> Anyway, here's my question...Day after tomorrow, Wed., I am scheduled

> for a fill at Dr. Kuri's. Should I get it, or did the sliming today

> indicate I am 'full' enough? Even if I am already filled reasonably enough,

> would a 'slight fill' make the difference between losing again or staying

> the same?

> I just am so undecided about whether or not to get another fill.......

>

> <'}}} >< L. =^.,.^=

>

> Thank God for what you have, and trust God for what you need.

>

[Guest guest]

Hi, Dan.

Thanks for the reply. I am NOT exercising, and I know I should be. It

just seems that every day I plan on going to Curves something happens to

take my time away from me. I take care of my 95 yr. old mother, and it's a

lot of work and Dr. appointments, etc. I know that's an excuse, but I just

haven't been able to balance my time very well. I need to work on that!

I decided to go to TJ for the fill...even if it turns out that I don't

need one, I will feel better having seen the fluoro so that I can psyche

myself up to do whatever I need to do.

I really need to monitor my food intake for a few days at Fitday. I go

up and down with the same 2 pounds every other few days, so I know it has to

do with the calories.

I guess I just need to kick myself in the butt after tomorrow (Tijuana)

and get serious with the program. Thanks for all the good advice you always

give to folks. I read it all with interest.

<'}}} >< Langston =^.,.^=

Posted by: " Dan Lester " <mailto:honu@...?Subject=

Re%3A%20fill%20question> honu@...

<takitez2003> takitez2003

Mon Jul 16, 2007 4:01 pm (PST)

Hello ,

I'd say you have enough fill, but need to continue to work on

" control " of quantities, eating too fast, and not chewing well enough.

Also work on food choices. I don't know WHAT you're eating or how

many calories, but counting calories for a week will give you a clue.

AND, are you exercising? If not, why not?

dan

Monday, July 16, 2007, 5:43:40 PM, you wrote:

> Hi, all.

> I haven't had a fill in about 3 months; that was my 3rd. I never PB and

> rarely have I had sliming (maybe 3 times in all those months), but I feel

> like I might still be eating too much. I haven't lost any major weight

> since my last fill; maybe only a pound or two.

> Today at lunch, I had some sliming, which passed just by spitting it out

> a few times (sorry to be so graphic). Afterwards I felt fine. Maybe I ate

> too fast?

> Anyway, here's my question...Day after tomorrow, Wed., I am scheduled

> for a fill at Dr. Kuri's. Should I get it, or did the sliming today

> indicate I am 'full' enough? Even if I am already filled reasonably

enough,

> would a 'slight fill' make the difference between losing again or staying

> the same?

> I just am so undecided about whether or not to get another fill.......

>

> <'}}} >< L. =^.,.^=

" THE ONLY THING NEEDED FOR EVIL TO TRIUMPH IS FOR GOOD MEN TO DO NOTHING "

EDMUND BURKE ..

[Guest guest]

, let me know how the fill goes.

" L. " <forevercat@...> wrote:

Hi, Dan.

Thanks for the reply. I am NOT exercising, and I know I should be. It

just seems that every day I plan on going to Curves something happens to

take my time away from me. I take care of my 95 yr. old mother, and it's a

lot of work and Dr. appointments, etc. I know that's an excuse, but I just

haven't been able to balance my time very well. I need to work on that!

I decided to go to TJ for the fill...even if it turns out that I don't

need one, I will feel better having seen the fluoro so that I can psyche

myself up to do whatever I need to do.

I really need to monitor my food intake for a few days at Fitday. I go

up and down with the same 2 pounds every other few days, so I know it has to

do with the calories.

I guess I just need to kick myself in the butt after tomorrow (Tijuana)

and get serious with the program. Thanks for all the good advice you always

give to folks. I read it all with interest.

<'}}} >< Langston =^.,.^=

Posted by: " Dan Lester " <mailto:honu@...?Subject=

Re%3A%20fill%20question> honu@...

<takitez2003> takitez2003

Mon Jul 16, 2007 4:01 pm (PST)

Hello ,

I'd say you have enough fill, but need to continue to work on

" control " of quantities, eating too fast, and not chewing well enough.

Also work on food choices. I don't know WHAT you're eating or how

many calories, but counting calories for a week will give you a clue.

AND, are you exercising? If not, why not?

dan

Monday, July 16, 2007, 5:43:40 PM, you wrote:

> Hi, all.

> I haven't had a fill in about 3 months; that was my 3rd. I never PB and

> rarely have I had sliming (maybe 3 times in all those months), but I feel

> like I might still be eating too much. I haven't lost any major weight

> since my last fill; maybe only a pound or two.

> Today at lunch, I had some sliming, which passed just by spitting it out

> a few times (sorry to be so graphic). Afterwards I felt fine. Maybe I ate

> too fast?

> Anyway, here's my question...Day after tomorrow, Wed., I am scheduled

> for a fill at Dr. Kuri's. Should I get it, or did the sliming today

> indicate I am 'full' enough? Even if I am already filled reasonably

enough,

> would a 'slight fill' make the difference between losing again or staying

> the same?

> I just am so undecided about whether or not to get another fill.......

>

> <'}}} >< L. =^.,.^=

" THE ONLY THING NEEDED FOR EVIL TO TRIUMPH IS FOR GOOD MEN TO DO NOTHING "

EDMUND BURKE ..

[Guest guest]

Reporting on the fill: I saw Dr. Morales yesterday in TJ. The fluoro

showed that my band is fine, and in the right place. That is comforting to

know, and I am happy that I am able to get to TJ and see the ex-rays, as

opposed to those people in other states who see fill Dr.'s that do not do

the ex-ray.

Although the restriction was 'pretty good', Dr. M decided I could have a

little more, so she put in just .4cc...........I am hoping that will be just

the amount I needed to get to my sweet spot. I know others, such as Elaine,

have had very small fills that made a HUGE difference, so I'm hoping that

will be true for me as well.

One thing that was GREAT about the trip: Just being on water all day

instead of eating, helped nudge my weight loss into a 'go' position

again...I dropped 3 pounds, down to 209. I know that it probably will go up

again slightly when I start eating again (soft food this afternoon) but from

a psychological viewpoint, it encouraged me to see that this WILL work for

me when I follow the rules to the letter! I haven't been down to 209 in 18

years! Look out, world...here I come! <http://www.smileycons.com/> Smile!

<'}}} >< Langston =^.,.^=

" THE ONLY THING NEEDED FOR EVIL TO TRIUMPH IS FOR GOOD MEN TO DO NOTHING "

EDMUND BURKE ..

Posted by: " Elaine Rashi " <mailto:erashi2005@...?Subject=

Re%3A%20fill%20question> erashi2005@...

<erashi2005> erashi2005

Wed Jul 18, 2007 3:10 pm (PST)

, let me know how the fill goes.

" L. " < <mailto:forevercat%40roadrunner.com> forevercat@...>

wrote:

Hi, Dan.

Thanks for the reply. I am NOT exercising, and I know I should be. It

just seems that every day I plan on going to Curves something happens to

take my time away from me. I take care of my 95 yr. old mother, and it's a

lot of work and Dr. appointments, etc. I know that's an excuse, but I just

haven't been able to balance my time very well. I need to work on that!

I decided to go to TJ for the fill...even if it turns out that I don't

need one, I will feel better having seen the fluoro so that I can psyche

myself up to do whatever I need to do.

I really need to monitor my food intake for a few days at Fitday. I go

up and down with the same 2 pounds every other few days, so I know it has to

do with the calories.

I guess I just need to kick myself in the butt after tomorrow (Tijuana)

and get serious with the program. Thanks for all the good advice you always

give to folks. I read it all with interest.

<'}}} >< Langston =^.,.^=

Posted by: " Dan Lester " <mailto: <mailto:honu%40riverofdata.com>

honu@...?Subject=

Re%3A%20fill%20question> <mailto:honu%40riverofdata.com>

honu@...

< <takitez2003>

takitez2003> takitez2003

Mon Jul 16, 2007 4:01 pm (PST)

Hello ,

I'd say you have enough fill, but need to continue to work on

" control " of quantities, eating too fast, and not chewing well enough.

Also work on food choices. I don't know WHAT you're eating or how

many calories, but counting calories for a week will give you a clue.

AND, are you exercising? If not, why not?

dan

Monday, July 16, 2007, 5:43:40 PM, you wrote:

> Hi, all.

> I haven't had a fill in about 3 months; that was my 3rd. I never PB and

> rarely have I had sliming (maybe 3 times in all those months), but I feel

> like I might still be eating too much. I haven't lost any major weight

> since my last fill; maybe only a pound or two.

> Today at lunch, I had some sliming, which passed just by spitting it out

> a few times (sorry to be so graphic). Afterwards I felt fine. Maybe I ate

> too fast?

> Anyway, here's my question...Day after tomorrow, Wed., I am scheduled

> for a fill at Dr. Kuri's. Should I get it, or did the sliming today

> indicate I am 'full' enough? Even if I am already filled reasonably

enough,

> would a 'slight fill' make the difference between losing again or staying

> the same?

> I just am so undecided about whether or not to get another fill.......

>

> <'}}} >< L. =^.,.^=

[Guest guest]

I think it is up to your doctor. My doc does his first fill at 6 weeks, but

there was a conflict with my schedule and they did mine at 5 weeks.

Sometimes being a loser is a GOOD thing!

5'11 " 306 / 235 / 180

PreOp / Now/ Goal

Banded 09/14/06

>From: " jvivt " <jvivt@...>

>Reply-

>

>Subject: Fill Question

>Date: Sat, 21 Jul 2007 13:27:22 -0000

>

>I was wondering...can you get a fill before 6 weeks? I am starting my 4th

>week and I read that

>the 6th week is probably a good time for your first fill. But, I feel like

>I am ready. First I have

>to find a Fill doctor in Colorado. Anyone from Colorado? Had my band put in

>Mexico. Thanks!

>

_________________________________________________________________

http://imagine-windowslive.com/hotmail/?locale=en-us & ocid=TXT_TAGHM_migration_HM\

_mini_2G_0507

[Guest guest]

There is no specific time for a fill. I did not get one for 4 months because I

was losing regularly. So follow your body, not a time frame.

God bless,

dawn if fairfax, va

jvivt <jvivt@...> wrote:

I was wondering...can you get a fill before 6 weeks? I am starting my

4th week and I read that

the 6th week is probably a good time for your first fill. But, I feel like I am

ready. First I have

to find a Fill doctor in Colorado. Anyone from Colorado? Had my band put in

Mexico. Thanks!

God bless,

dawn in fairfax, va

DOB 10/09/2004

---------------------------------

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