Govt. Officer gets Mini Gastric Bypass Surgery (MGB-OAGB), Sleep Apnoea Cured!

 Doctor: Mr. Mahabir, how much was your weight at the time of Mini Gastric Bypass surgery?

Patient: At the time of surgery, my weight was 135 Kg.

Doctor:Ok. How much weight did you lose?

Patient:I lost 48 Kg.

Doctor:Ok.

Patient:Yes!

Doctor:How did you make up your mind to get it done?

Doctor:You had fear of this surgery?

Patient:I had never been admitted to any hospital before this surgery.

Doctor:Then how did you make up your mind?

Patient:My senior, DIG Mr. Ashok shared his experience of weight loss surgery with me. He said his condition was worse before surgery.

Patient:At the time of surgery, my condition was the same as his.

Doctor:Now, how do you feel about your decision of getting Bariatric Surgery? Doctor:Was it a good decision or bad?

Doctor:What benefits do you get after weight loss surgery?

Patient:No one says that I had taken the wrong decision.

Doctor:Ok.

Patient:Everyone says the same that, your decision is good and you have taken this on time.

Doctor:What do you feel? What benefits do you get with this surgery?

Patient:The first benefit I got from this surgery is that my Sleep apnea is cured.

Doctor:You had Sleep apnea and snoring problem.

Patient:Yes! I used to snore while sleeping and sleep while driving a car.

Doctor:Ok, you had daytime sleepiness.

Patient:Yes! that was the major problem I was suffering from.

Doctor:How long you can drive a car now, without feeling sleepy?

Patient:Now, I don't feel sleepy while driving.

Doctor:Can you drive a car for 5-6 hours continuously?

Patient:Yes! without any problem.

Doctor:You don't feel sleepy?

Patient:No! I don't.

Doctor:Earlier you used to sleep in daytime?

Patient:Yes! I used to sleep within an hour.

Doctor:Try to make everyone aware of this.

Doctor:Because it is very easy for anyone to say that one can lose weight with exercise and diet. But it is not that easy.

Patient:Yes!

Doctor:We have only one life to live.

Doctor:At the time of surgery, your age was 46 years.

Patient:Yes!

Doctor:You lost approximately 50 Kg. But if you have to spend another 10 years with that much weight. It was like a punishment.

Doctor:Daytime sleepiness is because of Carbon dioxide retention in the body. Doctor:Try to make everyone aware of this.

Patient:Ok.

Doctor:When you snore while sleeping at night, carbon dioxide is retained in the body.

Doctor:Carbon dioxide is supposed to go out of the body. Because of obstruction caused by tongue fall, it remains inside the body.

Patient:Ok.

Doctor:Carbon dioxide retention in the body leads to bluish discoloration of the face. Like if we tie a rubber on the finger it becomes bluish.

Doctor:If you compare your current picture with the old one, you can differentiate the improvement in your color complexion now, it is better now as compared to before surgery.

Patient:Yes!

Doctor:The first benefit is your sleep apnea is cured. Is there any other benefit you got from the surgery?

Patient:Before surgery, I had problem in walking long distances. I used to feel breathless over that time.

Doctor:Now, Do you have any problem in climbing stairs?

Patient:No, nothing. I climb stairs comfortably now.

Doctor:The problems you had before surgery were Obstructive sleep apnea and Breathlessness while walking. Was there any other problem you were suffering from?

Patient:One major issue was I had a speaking problem. My speech was slurred.

Patient:I used to speak like a 2-year baby at the age of 46 years.

Doctor:Ok.

Doctor:Obesity is a slow process, even we don't realize that slowly we are getting overweight.

Patient:Yes!

Doctor:Our design is conservative in nature, our intestine absorbs everything.

Doctor:In MGB Surgery, we have bypassed the first 150 cm (approximately 5 feet) of your intestine.

Patient:Ok.

Doctor:With this much bypass you lost 48 Kg. But still it depends on you.

Doctor:If you want to lose more weight, this is up to you. You can lose.

Patient:To lose more weight, eat less sugar and carbohydrates.

Doctor:How many chapatis you can eat comfortably at once?

Patient:I can eat two chapatis comfortably, not more than that.

Doctor:Do you feel satisfied after having two chapatis?

Patient:Yes! I used to feel hungry but two chapatis is enough for me .

Doctor:Have you ever had nausea after having chapatis?

Patient:No. After having two chapatis I feel satisfied and I feel hungry after some time.

Doctor:You feel satisfied.

Patient:Yes!

Doctor:You feel satiety.

Patient:Yes! 

Doctor:This is the main achievement that we want after Bariatric Surgery, that patients should feel satiety after having meals.

Patient:A lady from my village got Weight loss surgery from another hospital and she feels nausea and vomiting after having a meal.

Patient:But I have never experienced this.

Doctor:You never had vomiting sensation after surgery?

Patient:Never.

Doctor:This is the major difference in various Weight loss surgeries.

Doctor:If we talk about energy levels, do you feel energetic after weight loss?

Patient:Yes!

Doctor:Do you feel weakness?

Patient:No, nothing.

Doctor:After bariatric surgery, With weight loss, you can also lose some muscle mass.

Doctor:To prevent this, you need to do some exercise.

Doctor:If you are not doing any exercise, then start from today.

Patient:Ok.

Doctor:Do simple exercises, like push ups and sit ups.

Patient:Ok.

Doctor:If you will do only 4-5 sets, that are enough for you.

Doctor:Or if you have time, then you can go to the gym also.

Patient:Ok.

Doctor:This is a simple thing to maintain weight.

Doctor:Take care of your diet. Have more milk and milk products.

Doctor:Take calcium and protein rich diet as it is good for bone health.

Patient:Ok.

Doctor:We don't want your bones to become weak.

Doctor:After Mini Gastric Bypass surgery you can eat anything but not in large quantity.

Doctor:If we ask you to eat bhatura, how many bhatura you can have at once?

Patient:I can have only 1 bhatura in one go.

Doctor:And you will feel satisfied after having one bhatura?

Patient:Yes!

Doctor:Now, you can handle your weight and your body on your own, but you have to take care of it.

Patient:Ok.

Doctor:You got this surgery done but this doesn't mean you can eat and do anything.

Patient:No.

Doctor:It is very easy to handle but you have to take care of it.

Doctor:Get your blood tests done once in six months.

Patient:Ok.

Doctor:Take multivitamins regularly.

Patient:Ok.