American Citizen, 3 years after Weight Loss Surgery (Mini Gastric Bypass)...

 Doctor: Mr. Karnail Singh, How long has it been to your Mini Gastric Bypass surgery?

Patient: It has been almost 3 years to my surgery. Doctor:Yes! your surgery was done in November 2018. Patient:Yes! Doctor:How much weight have you lost? Patient:Approximately 60 Kg. Doctor:Yes! Doctor:Your current weight is 71 Kg. Patient:Yes! Doctor:It is like one person is out from another. Patient:Yes! Doctor: Are you running a Punjabi restaurant in New York? Patient:Yes! Doctor:Do your old customers recognize you? Patient:Yes! Many people fail to recognize me, and ask me about the owner. Doctor:Ok. Patient:And I tell them I am the owner. Doctor:Ok. Patient:Many people don't believe me. Doctor:Ok. Patient:People believe when my staff members tell them that I am the same person. Doctor:Tell me about the benefits you got after weight loss? Patient:I don't feel breathlessness while walking and my Blood pressure is in the normal range after weight loss. Doctor:Ok. Patient:Now, It is easy to walk for miles. Doctor:How long did you walk before surgery? Patient:I wasn't able to walk half block. I used to feel breathless. Doctor:Not more than half a block? Doctor:How long you can walk now? Patient:I can walk 3-4 blocks continuously. Doctor:You have no problem now. Patient:Not any. Doctor:Can you climb the stairs now? Patient:Yes! Doctor:Ok. Doctor:You had no Diabetes before surgery? Patient:No. Doctor:Before surgery, you had Pulmonary Artery Hypertension, which is a type of high blood pressure that affects the arteries in the lungs and the right side of the heart. Patient:Yes! Doctor:Your records are showing the history of PAH. Patient:Yes! Doctor:With this much weight loss, you have lost excess water which was retained in your body. Patient:Ok. Doctor:With this water loss, PAH is cured. Patient:Ok. Doctor:This is the reason why you don't feel breathlessness while walking now? Patient:Ok. Doctor:Have you been taking alcohol for the last 10 years before surgery? Patient:Yes! I was taking alcohol. Doctor:Is anything changed in alcohol intake after surgery? Do you take the same quantity now? Patient:If I drink with friends then I take more quantity. Doctor:Ok. Patient:Otherwise, I take 2 pegs daily. Doctor:Ok. Doctor:That means your alcohol quantity increases when you are at a party with friends. Patient:Yes! Doctor:If you drink at home, then you feel good after 2 pegs only. Patient:Yes! Doctor:Ok. Doctor:Have you noticed any changes in your body, that you need more or less alcohol? Patient:As compared to before surgery now, I feel more intoxicated with less quantity of alcohol. Doctor:Ok. Doctor:You need to take care of this. Doctor:This is because of weight loss. Patient:Ok. Doctor:Like dosage of any medication is decreased after weight loss. Patient:Ok. Doctor:You need to understand that if you got hit and feel good with a small amount then stop there only. Doctor:Make small pegs. Patient:Ok. Doctor:If you are drinking for enjoyment then stop taking alcohol when you feel good. Patient:Ok. Doctor:Take care of this, if you exceed your limit of alcohol then you will become habitual. Patient:Ok. Doctor:Keep alcohol intake under control. Patient:Ok. Doctor:It has been 3 years to your surgery. Patient:Your control is very good. Doctor:Are you taking multivitamins regularly? Patient:Yes! Doctor:Do you get your blood tests done there? Patient:Yes! Doctor:Get your blood tests done once in six months. Patient:Recently I got it done. Doctor:Did you use to snore before surgery? Patient:Yes! but not now. Doctor:Did you use to snore before surgery? Patient:Yes! Doctor:Everything like Hemoglobin, calcium, and proteins are normal. Doctor:Were you Diabetic before surgery? Patient:I was Pre-diabetic. Doctor:Ok. Doctor:In recent reports, your HbA1c is 5.3 Patient:Ok. Doctor:Everything is normal. Patient:Ok.