How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Christy Hammond Your Own Question

Christy Hammond
Christy Hammond, Bachelor of Science in Nursing
Category: Health
Satisfied Customers: 1529
Experience:  I have a B.S.N and more than 10 years of training and experience in patient care and education
902388
Type Your Health Question Here...
Christy Hammond is online now
A new question is answered every 9 seconds

My wife is very overweight with a stomach that hangs down and

Resolved Question:

My wife is very overweight with a stomach that hangs down and over and etc. I try to help her by suggesting the "Lapband system", but she is against doing that procedure because of- 1. Some negative things people have said about it- 2. The fact that she is very sensitive to medication, anesthetics etc (her heart rate increases and she feels poorly). I have tried my very best to give her the very best suggestion and the "bypass" and perhaps better still is the "Lapband" seems to me to be the best. So far I haven't been able to convince her otherwise and she comes up with various objections. "Dieting" does not help her. This is a real problem for me. A superficial answer will not work, I need an answer that she can take to the bank, so to say. Thanks,    Phil
Submitted: 5 years ago.
Category: Health
Expert:  Christy Hammond replied 5 years ago.

I rarely share personal information, but I will make an exception this time. I had gastric bypass by laparoscopy. I lost 180 pounds. I am anemic (I take iron), but I can walk today. I had 4 broken vertebrae and weighed 330 pounds. I was almost bed bound. I wouldn't change what i did for the world except one thing: I would've had lap band. I had general anesthesia, got sick, spent two days in the hospital and when I had a baby 5 years ago they couldn't just loosen my band during the pregnancy. I have cared for family and patients who have had each kind of surgery-lap bypass, open bypass and lap band, and the lap band was so minor in comparison. I can't recommend it strongly enough. The sooner it's done, the fewer complications, the less excess skin, and it is a faster road to a size healthy. I am a 10 and was in the 30's-it changed my life and I did the full surgery.

 

I will say one other thing-when my daughter is 18 I would let her have it. If you knew me you'd know that is huge!

 

They can alter what meds they use-the anesthesiologist has several classes of drugs at his disposal. She just needs to consult with him.

 

If she can't tolerate the band or had a complication they can "let the air out" and it's like it's not even there.

 

She'll be home in hours and on her feet within 1-2 weeks but in the meantime you have to cook, clean and care for the kids-it's like a vacation.

 

I know a woman who gained 40 lbs just to have this, and I know one who put 20 lb weights in her clothes to make the weight limit.

 

I know a Nurse who was back in one week and swore she had no pain. I was at the dentist for 5 hours having two root canals and two extractions with sedation and gas. The Hygienist said what I went through was twice what she did when she had the band done, and my recovery will take longer.

 

That's all I've got-I hope it helps. Please tell her it is all true and I never share personal info, but I feel very strongly that this procedure saves lives and saves the quality of life for so many. I'd be in bed perm right now and like it or not-that is her future without serious intervention.

 

 

 

 

 

 

Customer: replied 5 years ago.

Two things:

 

In my last conversation about this subject with my wife, she is under the belief that after some time, the "Lap band" has to be taken out, ie removed, as the body (If I understood correctly) can tolerate it only for a limited amount of time. Factual or not?

 

A "side question" is that she feels "hot" at times, especially after going to the doctor who has had to use some drug, injection, anesthetic, ointment, or etc. She went to the doctor yesterday for pain in her knee and today feels "hot" even though the temperature in the house is at 71 degree F. Also her heart rate can easily go up and she has had to go to the hospital on occasion. Her mother had the same problem with the heart rate. Any comment or suggestion about this?

 

As much of a detailed answer / explanation (as possible) would be appreciated.

 

Phil

 

 

Expert:  Christy Hammond replied 5 years ago.
The lap band is only removed if it fails. To be honest her reaction sounds like a classic anxiety attack. People do no know how physical they can be! If he is injecting a steroid or some anesthetics in the knee that would explain the side effects you describe too. Again, this is not what goes into the lap band procedure-and you will be consulting with the anesthesiologist before the procedure. Spiking heart rate, for brief periods can be uncomfortable, but is unlikely to be dangerous. Before that,or any procedure she should have a mild sedative like ativan or xanax. Her heart rate will stay down-the steroid reaction if that is the knee injection is something she should discuss with the doctor before the next injection. Nothing in that family of drugs will be used in the lap band procedure. She will sleep for a while, take a mild pain pill then sleep the rest of the night. The next day she will feel bruised. If anxiety is an issue have some xanax or ativan on hand for the first few days. She won't eat-liquids only, but she will sleep more than usual and should rest. She'll move up to jello, mashed potatoes, broth and maybe even bananas, along with fluids and a supplement. Soon she'll eat whatever she wants (I eat ANYTHING I crave) because it will be in small amounts. It's a weird kind of freedom. .She will tolerate the procedure just fine-but I will never forget how scared I felt too. Not just the loss of food but the idea that some freak accident would let me die during surgery. It was irrational, but I was scared. I knew it was elective, and I won't lie, I felt like I was taking a risk that self control should have made unnecessary. For 6 months I kept saying, I'll just diet, I'll just diet, but eventually dieting is like tears in a bucket-one pound from I needed to lose-please. She's scared though and maybe a little embarrassed that she needs surgery and can't do it herself. Tell her I know, tell her I get it. Tell her it will change her life like she won't believe.
Customer: replied 5 years ago.

ThANK YOU FOR THE ANswer. The reaction is from the anesthesia not from the knee injection. It happens everytime anesthesia is involved. There is no anxiety. There is a high heart rate from the anesthesia which makes for a pretty good headache and the feeling of being "hot". In 1998 I had a double compound fracture with a dislocated ankle which was 4.5 hours in surgery---it took several months to get over the chemical reaction to the anesthia---and I was in physical therapy for months, nor did I walk property for a year---hence the knee injections from the scar tissue that caused "old arthur" to act up. So I am very familiar with the problems with my reactions to chemicals and from time to time I have been in the hospital to contol the heart rate from drug reactions.

 

My husband thinks I am reluctant to have the lap band but I do not eat large amounts now or overeat nor do I snack---so the lapband is probably not going to work as well for me. I may even be allergic to the lapband itself.

 

So I wish this was not complicated but it is. When you are unable to exercise properly you have consequeces. Weight gain. So I wish this was uncomplicated as my husband wrote you but it is not.

 

Thank you for your help.

Expert:  Christy Hammond replied 5 years ago.
Believe me-I couldn't exercise at all with the back injury and weight. They can test for lap band allergy, and they can use an anesthetic I swear you will not have the unpleasant reaction to. I believe the risk/benefit ratio fits well for you. On the other hand-I am all about personal choice and it's your esophagus, and your choice. You could try a personal trainer and a low fat diet (I don't use low carb diets long term). I could help out if your interested. I have lost 100 lb 3 times plus the 180 post surgery. I don't want to intrude, but I am here to help. You can accept anytime-and we can keep the thread open till you have what you need. Please let me know how I can help.
Customer: replied 5 years ago.
I would appreciate your help. Martha
Expert:  Christy Hammond replied 5 years ago.
I'll put togther some info and diets for you, along with advice on exericise etc. I need your weight and height, and if you can your hip/waist measurements. You can PM those to me (cch771) I should finish by tomorrow if that is ok
Customer: replied 5 years ago.

I am very familiar with different diets and I have lost large amounts of weight that have usually always come back. I understand what you are saying. My weight is 260 lbs and I am 5'1", My weight does not show like most people show at this weight---so usually when I lose weight---no one notices. But I understand what you are trying to do and appreciate your help---but I understand that you have been through the same problems.

I usually do not eat "sweets". I am a fresh or nearly fresh veges eater, small amount of protein, and I prefer dark brown breads, brown rice and etc. I hope this helps. I have strong bones, thank goodness but all of my joints are bad from "old arthur". Thanks again for your help. I am self employed so I have a pretty busy life. Martha

Expert:  Christy Hammond replied 5 years ago.

I question what I can offer, beyond my personal knowledge of the lap band procedure (the original question).&; Your post makes me certain that what info I provide will be old news to you.&; The truth is, there is no magic secret.. While sugar and fat do store more easily the big picture is simple;calories in/calories out based on metabolism which you can calculate here. I burn 2032 calories a day before exercise, so I have to cut 500 calories a day to lose a pound a week. We (or at least I) don't have a concept of portion size and usually we are eating twice as much as we think calorie wise, and being more sedentary than we know. A pedometer can help if you have trouble finding time to exercise all at once. Studies show that taking 1000 steps daily improves overall health. Invest in good shoes and consider a personal trainer. Dieting journals or software can also help. You can find good fat/calorie counters online. For example: http://64.233.167.104/search?q=cache:4czs2ihL2o8J:www.bsc.gwu.edu/dpp/lifestyle/fatcount.pdf+simple+counter+fats&hl=en&ct=clnk&cd=3&gl=us

 

Calories can be tedious so I counted fat grams and kept it at 20 grams. (this also allowed me to fill up on foods like veggies since they barely count). I also switched breakfast and dinner. I am hungry in the morning, but can eat cereal at night. This worked very well for me. Now I eat ANYTHING I crave, I just eat very small portions before I'm full. I tracked my BMI instead of pounds, kept a journal and drew myself thinner and thinner (I draw well). There are sites that show you thinner if you think that would motivate you.

 

Other than what I've provided, can I be of any further help?

Christy Hammond, Bachelor of Science in Nursing
Category: Health
Satisfied Customers: 1529
Experience: I have a B.S.N and more than 10 years of training and experience in patient care and education
Christy Hammond and 6 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery