They takin 80% of my stomach

Discussion in 'Spamalot - nsfw' started by Utumno, Jul 9, 2019.

  1. Sear

    Sear TZT Neckbeard Lord

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    If this operation requires strict lifestyle changes, then it begs the question of why not just make the lifestyle changes you're going to have to make anyway and skip the surgery part that is exposing you to potential risks?

    Do you need the threat of literally dying to make the changes? I know that is actually the case for some people. One of my friends actually died (flatlined for like 10 seconds) with a heart condition before he finally made changes to his diet/exercise habits.

    I think it's pretty common behavior when old habits are deeply entrenched in the reward center of your brain (e.g., people who continue smoking or drinking even after a cancer diagnosis).

    I hope it works out, in any event. It just seems like putting yourself through a lot more hell than any doctor-mandated diet program would be, but I get that the whole smaller stomach thing is the key difference.
     
    Last edited: Jul 16, 2019
  2. Red

    Red TZT Neckbeard

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    Let me get a Dr. Cunt and Savage my anus plz
    [​IMG]
     
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  3. Red

    Red TZT Neckbeard

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    Please don't skimp on the cunt shit either
     
  4. Kanmuk_Sealclubber

    Kanmuk_Sealclubber Yes

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    There's risk in NOT getting the surgery too - lifestyle changes will probably fail long-term. And then you die.

    I think more people should probably get bariatric surgery. Pretending like willpower is an option for more than a minority of people leads to obesity and death.
     
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  5. Harper

    Harper encrypted account, pls don't sniff my packet

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  6. Sear

    Sear TZT Neckbeard Lord

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    Not the point I was trying to make. Maybe I wasn't clear.

    This surgery requires lifestyle changes AND introduces additional risks/complications. Its success is no less dependent on willpower.

    Obviously, it has a success rate high enough to justify its popularity, but there seems to be a substantial number of people who fail to make said changes or suffer from some complication (my aunt for example may die because she not only didn't lose weight but addiction-transferred her way into alcoholism -- I wasn't aware of this until this week when I brought up the surgery in conversation).

    What I'm curious about is how much of a factor the looming threat of dying is in regards to the patient successfully making those changes.

    And how many doctors even bother with attempting behavior modification before suggesting surgery?
     
    Last edited: Jul 18, 2019
  7. Utumno

    Utumno Administrator Staff Member

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    This doesn't seem to be true - if it was equally dependent I would expect probability rates to be almost equal, or at least in some ballpark range (like 5% success rate w/surgery vs. the 1% success rate w/out - instead of 70% vs. 1%)

    The lifestyle changes are forced heavily by the physics of your new stomach, though you can absolutely sabotage that stuff via alcohol or other liquid calories as I mentioned before. (I have almost zero concern about this personally due to my natural dislike of booze/ice-cream/soda... but others who already lean towards those addictions should seriously think twice before going down a bariatric route).

    30% is still a substantial #, and you are correct... and that really sucks that your aunt seems to fall right into the category. Pretty sure I mentioned it already earlier but if I didn't, we were warned repeatedly already about the data showing how many people transfer their addictions to alcohol or gambling (to the point where they made us take a quiz on all the various risks). I had to actually see a shrink as well as a case manager who both grilled me extensively to make sure that I not only understood that risk, but also had to sign off that I wouldn't be at high risk myself based on past history.

    I can't recall the exact figure now, but I think it was something like over 90% of the people who go to this particular Bariatric center at Kaiser for initial orientation (which already has to be pre-approved by your primary care physician), never end up going through with it either because they are denied permission/coverage from all the screening, or because they decide themselves they are not ready for it.

    I wouldn't be surprised if some of the for-profit shops will happily just take anyone, but despite Czer's insistence of HMO's being terrible, I've actually been rly impressed by the amount of screening/training done by this particular center.
     
  8. Utumno

    Utumno Administrator Staff Member

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    I should also mention, regarding this.... every person that goes through the program I am doing has to show sustained weight loss in the prior months leading up to surgery. They said the reason is threefold:

    1. It makes the surgery easier and complication rates drop drastically if you're not mega-obese
    2. They want your endurance to be up which means you have to work up your physical activity leading up to the date
    3. Despite the psychologist and case manager screenings (and the surgeon consultation as well), if you're a really good liar, in theory you could pass each of those hoops. But their data shows that showing sustained weight loss over months is the strongest non-fakeable predictor of being able to keep up the post-op regimen long term.
     
  9. Bailon

    Bailon TZT Neckbeard

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    Utumno's neckbeard is about to grow to unrealized proportions as he transfers his love of food back into EVERQUEST! Day one of recover = day 1 of a renewed lifetime PoF raid.
     
  10. Utumno

    Utumno Administrator Staff Member

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    While I have a lot of faith I'm not going to transfer addictions and have high hopes for success, if I must fall into the 30% failure category this is the only acceptable circumstance: falling back into full EQ neckbearding and living on a diet of McFlurries.
     
  11. allanun

    allanun TZT Abuser

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    Good luck utumno. I hope the surgery goes well and you successfully get less fat.

    What strategies do you plan to use to control diet when your surgery is done?
     
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  12. Sear

    Sear TZT Neckbeard Lord

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    I shouldn't have said they both require the same amount of willpower. I'm sure it's much easier with your stomach physically limiting your portion sizes.

    I guess my point is that it still requires some extent of changing your habits, hence the non-trivial failure rate.

    This is interesting and I did not know that. Makes me wonder if my aunt passed a psych screening tbh (love her but I would not expect her to pass one).

    If you have to show "sustained weight loss" though, why would you need the surgery? The only reason anyone would have the surgery is because they're incapable of sustained weight loss, so it seems weird to have that as a prerequisite. What am I missing here?

    I don't expect that you will have any complications though, Utumno. I'm sure it will go smoothly. People like my aunt have issues that run a lot deeper than impulse control. The broader topic of how we address obesity is just something that interests me.
     
  13. Utumno

    Utumno Administrator Staff Member

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    If you ever find out I'd be interested in knowing. Since my only experience has been with this particular bariatric center (and unless they are flat out fabricating shit it seems like their success/complication track record is above national average), so I am curious to know how stringent other places are.

    I have to show sustained weight loss for about 3 months.... I think to them it shows that I (or anyone else who can do this) is serious enough to check their normal fatass ways and work seriously towards needed changes. But the figures I keep citing for morbidly obese ppl to maintain healthy weight are over a 2 year period. I've lost very significant weight several times in my life, but the longest I kept it off was a year. This is why I believe I need the surgery (and, similar to Kanmuk, I've come to believe that until science finds a better solution than bootstraps, more fatties probably need the surgery as well).

    Me too, my own case aside - this has been a pretty great learning experience.
     
  14. Utumno

    Utumno Administrator Staff Member

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    There's a whole range of them, not sure I really want to elaborate too much at the moment because even to myself, there is an element of "well that's nice, get back to me when you start showing results beyond flapping your gums".

    But in terms of general categories of strategies, it's probably along the lines of:
    1. Being very open/transparent about it - both to remove stigma but also so it makes it a lot easier to recruit support around me (not just family, which is most important, but even coworkers and pals who are usually the ones that will sabotage the fuck out of you inadvertently)
    2. Keeping in mind what this models to my kids and using that as extra motivation
    3. Increased exercise (both as a cause and effect hopefully)
    4. Meal plan like crazy. I'm not sure if I mentioned it before, but the nutritionist mentioned that, despite the dismal figures for people able to bootstrap their way into sustained/permanent weight loss, there are two strategies that are proven to greatly increase your shitty chances at success... meal planning, and journaling.
     
  15. Arogarn

    Arogarn TZT Neckbeard

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    (edit) think this tea was a little too hot for lil steve
     
    Last edited: Jul 22, 2019
  16. Agrul

    Agrul TZT Neckbeard Lord

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    the amount of thought/planning you've put into this is impressive + heartening utumno

    i hope it goes well during+after surgery so your body doesnt kill you anytime soon

    tzt has dibs
     
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  17. Bailon

    Bailon TZT Neckbeard

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    We love you Utumno.

     
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  18. Utumno

    Utumno Administrator Staff Member

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    Surgery day. Way early , just waiting at hospital now. Wish I had a laptop so I could play beardcraft classic to distract myself.
     
  19. Harper

    Harper encrypted account, pls don't sniff my packet

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    is it more or less invasive than a c-section

    also, good luck
     
  20. Utumno

    Utumno Administrator Staff Member

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    I think less because it's laprascopic?

    Thx pal