Heart Patient undergoes MGB-OAGB Bariatric Surgery ! TIVA Anesthesia and its safety...

 

Doctor: Mr. Rahul, what problems you had before Mini Gastric Bypass Surgery?

Doctor: How many days has it been to your surgery?

Patient: It has been 15 days to my Bariatric surgery. Doctor: Ok. Patient: Yes! Doctor: What major problems you had? Patient: I had severe breathlessness. Doctor: Ok. Patient: I used to sleep while sitting. Patient: I used to fear that I might sleep while driving. Patient: It was difficult to do slight movements of body, also, I wasn't able to stand for long times. Patient: I used to feel stress on my chest, whenever I walk. But after Bariatric surgery, I feel light. Doctor: You had Diabetes before surgery and you were on medication. Patient: Yes! I had Borderline Diabetes Mellitus and I was on medication. Doctor: How many tablets were you taking? Patient: I used to take medication twice a day. Doctor: How you felt in these 15 days after surgery? Doctor: How much are your blood sugar levels? Patient: In these 15 days my blood sugar levels varies around 110-130mg/dL, without any medication. Doctor: Ok. Patient: Yes! Doctor: Today we will discuss about your heart problem, you were suffering from Dilated Cardiomyopathy. Patient: Yes! Doctor: You gained weight. How much was your weight at the time of surgery? 176 Kg? Patient: Yes! Doctor: The load on your heart increased as compared to body weight. Patient: Ok. Doctor: Because of overweight and some other issues such as high blood sugar levels, alcohol intake and high blood pressure, your heart muscles became weaker. Doctor: There are two types of balloons, thick and thin. Heart muscles are like a thick balloon that they can't burst easily. Doctor: Dilated cardiomyopathy is a condition in which the heart muscle becomes weakened and enlarged. Doctor: As a result, the heart cannot pump enough blood to the rest of the body. Patient: After surgery, I feel very light. There is no stress on heart and mind. I feel very relaxed. Doctor: In critical patients (Heart patients) like you, our main focus is to complete the surgery in short duration. Doctor: In Mini Gastric Bypass surgery, we give TIVA anesthesia, for very short duration. Doctor: With TIVA anesthesia, you will go in deep sleep. This is a switch on and switch off type of anesthesia. Doctor: When we switch off it, you will immediately wake up. Patient: Ok. Doctor: Secondly, we want early recovery in heart patients and we don't want to insert any tubing's such as NG tube. Doctor: Also we want you to start taking liquids and semi-solids on the 2nd or 3rd day of surgery. Doctor: If you start taking proper meals then you will feel this surgery as a minor one. Patient: Yes! Doctor: We have changed all the connections from inside and you will lose good amount of weight. Patient: Yes! Doctor: And this weight loss will lower your heart overload. Doctor: In patients like you, MGB becomes simpler as it is completed in short duration. Doctor: Also we give TIVA anesthesia, for short duration. Patient: Ok. Doctor: Post-operative recovery is very fast. Doctor: You had Sleep apnea, were you using CPAP machine before surgery? Patient: Yes! I am still using that. Doctor: Continue it for next 15 days. Patient: Ok. Doctor: Stop using it when you will lose more 10kgs and your neck becomes thin. Patient: Ok. Doctor: Today, we will start your multivitamins, take them regularly. Patient: Ok, I will take that. I will follow your instructions. Doctor: Start eating solids from today onwards, as we have advised. Patient: Ok. Doctor: Don't eat solids very fast. Patient: Can I take fruits now? Doctor: Yes! Start from today, but take 1-2 pieces. Patient: Ok. I feel full with 1-2 pieces. Doctor: Every person is different. Patient: Yes! I feel full with 1 bowl of soup. Doctor: Have you ever had vomit after taking anything till now? Patient: No, never. I have no nausea or vomiting. Patient: I have no problem, rather I feel very light as I have told you before. Kular Bariatrics is considered the best bariatric center of India, Punjab for Mini gastric bypass. It is the first center of Excellence for Bariatric Surgery outside the US which is being run in collaboration with Dr. Robert Rutledge, the father of Mini Gastric Bypass from the USA. Kular Hospitals P. Ltd, National Highway 1, Bija, Khanna, Punjab, India. www.kularhospital.com drkskular@gmail.com https://www.facebook.com/weight.loss​​ Appointment by Phone and Email +91-9878090001 office@kularbariatrics.com #bestweightlossresults #weightlosstransformation #surgeryfordiabetes