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<MODERATOR> NURSEGOODSHOT, YOU HAVE THE FIRST QUESTION
FOR DR. SIMPSON
<Dr. Terry Simpson>
Always did like a nurse
<nursegoodshot> My starting BMI was 43. I will be 8 weeks post
op on Monday and have only lost 23 lbs. I am very discouraged. I can eat
way more than a cup of food at a time with no problems! My goal weight
is 128lbs @ 5'3"...how long will this take to acheive? My surgeon
says I am doing everything right, I'm just a "slow Loser". Should
I be overly concerned that this will not work for me? I know evryone is
different and blah, blah, blah...but what is a realistic time limit for
me to reach goal?
<Dr. Terry Simpson>
What diet have you ever been through where you have
lost 23 pounds in eight weeks. In terms of what you want to achieve...
<Dr. Terry Simpson>
that is quite realistic and not a problem. Here are
a few things that you can do: first, you should not eat and drink at the
same time....
<nursegoodshot> Well, Meridia, Xenical, etc...
<Dr. Terry Simpson>
by eating and drinking you will force food out of
the pouch and into the small bowel where it will digest ....
<Dr. Terry Simpson>
second, you should avoid carbohydrate foods, such
as potatoes, breads, pastas, candy....
<Dr. Terry Simpson> those foods will slow
your weight loss. Finally you should walk, and walk, and walk...
<Dr. Terry Simpson> now that you are eight
weeks out you can do a lot more, go to the gym, get a personal trainer,
find a handsome one,...
<Dr. Terry Simpson> and get a good work out.
Reminds me of a story but there might be children here...
<Dr. Terry Simpson> so, good weight loss,
Water, walk, and protein. Good luck.
<nursegoodshot> TY
<Dr. Terry Simpson>
Oh, you can get to goal, with a lot of dedication,
in a year.
<MODERATOR> DAWN, YOU HAVE THE NEXT QUESTION.
<Dawn> is it standard procedure for surgeons to ask for $ "up
Front" because they don't wantto wait for your insurance conpnay
to reimburse them?
<Dr. Terry Simpson>
Yes, Dawn, it is.
<MODERATOR> TOOZOO, YOU HAVE THE NEXT QUESTION FOR DR.
SIMPSON.
<toozoo> Please advise as to the average recovery time from laparoscopic
gastric bypass
<Dr. Terry Simpson>
Well it all depends upon what you mean by recovery
time. There are several definitions of that, so I will go through them
all....
<Dr. Terry Simpson> about an hour after surgery
you will be recovered from anesthesia. About two days after surgery you
might go home from the hospital....
<Dr. Terry Simpson> about three weeks after
surgery would be the earliest you might go back to work.....
<Dr. Terry Simpson> about three months after
surgery you will forget you had surgery except you will be slim and trim
and at...
<Dr. Terry Simpson> a weight where you can
take on the Republican guard in Iraq, or at the Chicago convention center,
depending on your politics.
<Dr. Terry Simpson> good luck.
<toozoo> ty
<christine> 3 weeks out of work???WOW
<MODERATOR> DIANNE, YOU HAVE THE NEXT QUESTION.
<Dianne> How painful was the surgery?
<Dr. Terry Simpson>
Well, it isn't painful to me at all, in fact, the
surgery hasn't hurt me a bit...
<Dianne> haha
<Dr. Terry Simpson>
it is a standard abdominal surgery, and as such as all the standard pain
associated with it...
<Dr. Terry Simpson> there are some who say
that obesity does confer a certain anesthesia, and something which will
allow you to ...
<Dr. Terry Simpson> have less pain after surgery,
and there is some evidence of that. However, this is something which only
you will know...
<Dr. Terry Simpson> essentially, it is like
any abdominal surgery.
<MODERATOR> ALLY 327, YOU HAVE THE NEXT QUESTION FOR
DR. SIMPSON.
<ally327> i weigh 370 at 5'9 w/no medical problems except thyroid
do u think the surgeon will do it?
<Dr. Terry Simpson>
Yes, you qualify for surgery, and I don't think it
will be a problem for that as your BMI is over 40.
<ally327> ok ty
<MODERATOR> TISH, YOU HAVE THE NEXT QUESTION.
<Tish> How can I get my surgeon of choice to return my calls so
I can get my initial appt? (I just keep getting voice mail to leave message)
Ideas?
<Dr. Terry Simpson>Tish some surgeons are
quite busy, and there is no way that you can expect them to be able to
return all phone calls....
<Dr. Terry Simpson>often it is a busy time,
and it is something that you have to wait. So, it is something that you
need to be a bit patient for....
<Dr. Terry Simpson> so, leave the voice mail,
and they will be back to you.
<Tish> I've left messages for three weeks now
<Dr. Terry Simpson>
Well, perhaps then it is time to get a different
surgeon. Or, get their fax number and ask them to call you to make an
appointment.
<Dr. Terry Simpson> Sorry, some of my colleagues
are like that.
<MODERATOR> CARISSA 2 WEEKS, YOU HAVE THE NEXT QUESTION.
<Carissa/2wks-25> Is normal to burb a lot after surgery? How long
can I expect to burb so much?
<Dr. Terry Simpson>Generally
the eructations which you experience might be from over eating, and the
pouch not emptying, and it will
<Dr. Terry Simpson>find its way better. You
have a small stomach now, so allow it to be full and don't distend it.
<MODERATOR> JENN P, YOU HAVE THE NEXT QUESTION FOR DR.
SIMPSON.
<Jenn P> I have my first consult in April, what can I expect and
what test will I be required to have done?
<Dr. Terry Simpson>Jenn,
I don't know when you can expect things with your surgeon, all surgeons
are a bit different, and if you ask my patients, I am quite different,
but that is another story...
<Dr. Terry Simpson>generally after the first
consult they will tell you what other tests, if any, that they want, and
from there you can go ahead...
<Dr. Terry Simpson>for example, some might
want a cardiac test, or a test for sleep apnea, all of us want a psych
test to see if you are hearing voices telling you to eat bon bons.
<Dr. Terry Simpson> So, you will find out
after the meeting.
<Jenn P> I like yhour sense of humor, TY
<MODERATOR> BUCK, YOU HAVE THE NEXT QUESTION.
<buck> Hi dr , somepeople say its bad to drink very cold water
or even ice water can any damaged from either and how about hot stuff
like decaf coffee and decaf teaand also is it normal to feel little needle
like pinches now and then around the abdomen. had rny lap 8 wks ago and
are hiccups dangerous cause i hiccup alot
<Dr. Terry Simpson>Buck---
hiccups are not dangerous, but they might indicate you are overeating
and distending your pouch, so be careful about that....
<Dr. Terry Simpson>in terms of hot or cold
water, well you be the judge, there is nothing special about this surgery
that makes your ability to tolerate heat or cold any more or less than
it was before....
<Dr. Terry Simpson> I personally like warm,
not hot, coffee, and warm not hot showers, but I am -- as I am told by
my friend, a wimp. Good luck.
<buck> thanks
<MODERATOR> CDKCATALINE, YOU HAVE THE NEXT QUESTION.
<cdkcataline> i am in the stages of researching mini gastric bypass
sugery,,my questions are..1..how do i find out the surgeons in my area
that do this?..and how do i know which sugery is best for me? is that
my choice or the doctors?also what happens witht he skin after weight
loss?? and is it harder to loose weight after sugery due to a bad thyroid?
<Dr. Terry Simpson>Mini
gastric bypass surgery is NOT recommended by most bariatric surgeons anymore.
Laparoscopic RNY is a far safer surgery. The surgery...
<Dr. Terry Simpson>that is best for you is
the one that your surgeon does, or the one that I do if you are my patient......
<Dr. Terry Simpson>in terms of skin after
weight loss, some have sags and bags -- which make nice cowboy boots,
and some do not...
<Dr. Terry Simpson>I prefer Ostrich for my
cowboy boots, but that is another story....
<cdkcataline> lol what a great sence of humor thanks.....
<Dr. Terry Simpson>in
terms of thyroid, not a problem-- it will not influence weight loss after
surgery -- keep taking your medicine. Good luck-- and get some nice boots.
<MODERATOR> BECKYGARYSOUTHALABA, YOU HAVE THE NEXT QUESTION.
<BeckyGarrySouthAlaba> Doc, How do you know just which surgery
is right for you as far as weight loss is concerned?
<Dr. Terry Simpson>Well,
BeckyGary billy bob, that is a good question and it is an easy answer....
<Dr. Terry Simpson> whichever your surgeon
does is the best for you,. Some people have the luxury of having a choice
of surgeries because of their insurance plans...
<Dr. Terry Simpson>but most do not, so you
have the surgeon in your area who does a type of surgery. If you have
a choice, that is OK, and you can research the various types of surgery
and decide which you like...
<Dr. Terry Simpson>surgery and its choice
are like religion -- if you have one surgeon because of insurance plans
it is like being born a Methodist, you get to be one-- if you have multiple
choices, then you can choose your surgery and religion, and go in peace.
<BeckyGarrySouthAlaba> ok thanks for the info doc...and is not
billy bob ...its becky....silly
<Dr. Terry Simpson>becky
bob?
<BeckyGarrySouthAlaba> Becky Garry
<BeckyGarrySouthAlaba> HAHA
<MODERATOR> TOOZOO, YOU HAVE THE NEXT QUESTION.
<toozoo> what is the best way to work with insurance company for
approval? (besides wearing cowboy boots) I have bmi 49, under 40 yrs old
and healthy other than arthritis issues
<Dr. Terry Simpson>Let
the surgeon do it, as they are the experts at it, and there is nothing
that you can do about it...
<toozoo> ok thanks
<Dr. Terry Simpson>
once they have started the process you can go forward
from there...
<Dr. Terry Simpson>they might want you to
call, but then again they may not.
<toozoo> mine suggested that i call
<toozoo> the ins co
<Dr. Terry Simpson>then
call. Although we don't suggest that, we go through the insurance approval
process in our office and it is not often that we need them to call.
<toozoo> ok thank you - i will
<MODERATOR> THEA GA, YOU HAVE THE NEXT QUESTION.
<Thea-Ga.> I do water arobics now how long after surgery should
I wait before starting excersize again?
<Dr. Terry Simpson>Six
weeks for water aerobics, although if your wound is sealed you can probably
do a lot sooner than that....
<Thea-Ga.> ty
<Dr. Terry Simpson>check
with your surgeon-- and walk a lot.
<MODERATOR> ALLY 327, YOU HAVE THE NEXT QUESTION FOR
DR. SIMPSON.
<ally327> if i end up having open, w/o compication how long do
u think i would b out of work? 1 job is sit down and the other is EMT
<Dr. Terry Simpson>well,
three weeks is the earliest you can be back at a sit down job. In terms
of being able to lift things it will be about six weeks at the earliest.
<ally327> ok ty
<Dr. Terry Simpson>Otherwise,
avoid work, as I try to do. Good luck.
<ally327> thanks
<MODERATOR> CINDY PA, YOU HAVE THE NEXT QUESTION.
<Cindy/PA-4/8/03-DS> I am concerned about sleeping when I get home,
do you recommend a hospital bed for home, how long before most people
sleep in their bed again?
<Dr. Terry Simpson>Cindy,
I don't recommend a hospital bed at home, and I think that a reclining
chair will be just fine for the first while...
<Dr. Terry Simpson>I never have ordered a
hospital bed except for one patient. So -- you will do fine.
<texas_lady> IF U HAVE A LIFT CHAIR THAT IS GOOD
<Dr. Terry Simpson>Lift
chairs are fine.
<Cindy/PA-4/8/03-DS> ty Dr. Simpson
<MODERATOR> GINA, YOU HAVE THE NEXT QUESTION.
<Gina -31#> Can you drink to much water is to much?
<Dr. Terry Simpson>
You can always drink too much water, but that is
not likely, and probably not something that will happen....
<Dr. Terry Simpson> two liters or quarts a
day is a minimum, although you can get your fluid from a number of places....
<Dr. Terry Simpson> so, don't worry about
too much, your body will not let you unless you have some strange neurologic
condition. Good luck.
<Gina -31#> Ok thanks, I just seem to be able to drink alot at
one time.
<MODERATOR> MARCIA, YOU HAVE THE NEXT QUESTION.
<Marcia> Dr. what do you think about abdominal binders after surgery?
I'm having an open RNY 4/7. Thank you. Oh, and you are too funny !LOL
<Dr. Terry Simpson>Some
love abdominal binders and some hate them. There is not a real issue with
them either way. So, don't worry about it. I give them to my patients,
and they use them if they like them.
<Marcia> Thanks
<MODERATOR> TENNISJEN, YOU HAVE THE NEXT QUESTION. FOR
DR. SIMPSON.
<tennisjen> I'm having a lap RNY - how long will it be before
I can pick up and carry my children (both less than 50 lbs) , have sex
and play tennis? Not necessarily in that order....
<Dr. Terry Simpson>
Pick up children in six weeks, once the incision
is healed. Play tennis, probably the same time. You can have sex in seventeen
years.
<texas_lady> A FUNNY DR LOL
<Cindy/PA-4/8/03-DS> yeah, no more I have a headache excuse
<tennisjen> hubby is not liking that
<Dr. Terry Simpson>
well, just like six weeks after having a baby --
it is up to you, and you only. Good luck -- have fun.
<MODERATOR> NURSEGOODSHOT, YOU HAVE THE NEXT QUESTION.
<nursegoodshot> Me again...Can a severe "burning sensation"
under the skin next to my incision be an abscess? It is painful to touch
w/ normal ADL's & standing, but disappears when laying supine. (hard
headed know-it-all nurses)..
<Dr. Terry Simpson>
burning sensations can happen after you have any
incision, and is probably not a wound infection. It could also be that
you have a small hernia under the incision, so something you should have
your surgeon check out periodically...
<Dr. Terry Simpson>
especially since you have this when you are up but
not laying supine. In terms of hard headed, well, you must be a Swed.
<nursegoodshot> RED BLOODED AMERICAN...
<Dr. Terry Simpson>well
some of them are hard headed.
<Dr. Terry Simpson>ask the Iraqis
<MODERATOR> TINA, YOU HAVE THE NEXT QUESTION.
<Tina> been on depo for 3 years prior to surgery no periods now,
i have been bleeding since surgery feb. 10th, was given birth control
pills to regulate it which caused liver levels to sky rocket (570) and
now i am getting lightheaded alot, blood levels were normal at er yesterday
what could cause this? is it the excessive bleeding? I was put on megace
yesterday to try and stop this bleeding without estrogen because they
believe it was the estrogen that caused liver to go up. I never had liver
problems before. this lightheadedness scares me and causes panic. I was
starting to feel pretty good now I feel like poo (sorry so long and BTW,
when can we start eating salad my dr. said 12 weeks )
<Dr. Terry Simpson>Well,
first of all, liver enzymes do rise after surgery, and that is something
that we expect, and it is unusual for them not to rise....
<Dr. Terry Simpson> Second, a lot of times
periods do become an issue following surgery, and so you can have a lot
of heavy periods, and that is an unfortunate side effect, which is out
of my realm....
<Dr. Terry Simpson>I don't deal in that part
of the body professionally....
<Dr. Terry Simpson> In terms of various hormones
to try for this, well, there are a lot of ones you can try, and they will
probably work, but I suggest you stick with your gyne and they will see
you though. Worry not, you will be normal after a bit. Good luck.
<MODERATOR> MARIE, YOU HAVE THE NEXT QUESTION.
<Marie> surgery date is still 4 months out-lost 25 lbs on atkins
diet-will surgeon operate if I get below 40bmi-have irritable bowel would
that get worse with rny
<Dr. Terry Simpson>
We send the request in based on the BMI when we see
you. If you lose a little before surgery that is great, and shows good
compliance. I like Atkins, but I also like carbs, so it is always something....
<Dr. Terry Simpson> don't worry about irritable
bowel -- most find it improves.
<Dr. Terry Simpson> good luck.
<Marie> thanks
<MODERATOR> COURTNEYMOM, YOU HAVE THE NEXT QUESTION.
<courtneymom of2> i am mom of 2 kids iwas a 12 before and have
gained 165+ lbs in each preg had csections that cut me hipto hip 300 +
stiches i was 300 1st preg and then was 355 with 2 nd and ended up loosing
a lot of it but io have the skin i have a pillow on my stomach that looks
like a tire and cannot seem to loose it think of old old women and there
skin thats my belly........help ???? i also have no ins so how much would
these cost ? im like 224 to 244 im a 40-45 bmi?
<Dr. Terry Simpson>
Well --- I think that in terms of the surgery, I
think you should save your money and you will find that you will be able
to have the surgery at any one of a number of places....
<Dr. Terry Simpson> in terms of the skin and
so forth, that is something that will decrease in size as time goes on.
<MODERATOR> JENN P, YOU HAVE THE NEXT QUESTION.
<Jenn P> How long of an isncission can I expect from an open RNY?
Also, on average, how long must you wait before you can resume heavy lifting
(50+ lbs)? I am concerned about using Safe Crisis Management at work.
<Dr. Terry Simpson>
Six to eight inches. Six weeks to resume lifting.
Safe Crisis management is fine -- I tend to leap from crisis to crisis.
<Jenn P> also, will my spelling improve? ;)
<Dr. Terry Simpson>
No
<Jenn P> thamks
<Carissa/2wks-25> lol
<MODERATOR> DAWN, YOU HAVE THE NEXT QUESTION FOR DR.
SIMPSON.
<Dawn - Chicago> I haven't vomited in 30 years. Does everyone who
has this surgery vomit? What if I'm really conservative in what I eat,
can I avoid vomiting?
<Dr. Terry Simpson>
Many people do not vomit, and many people do not
have a problem with vomiting....
<Dr. Terry Simpson> I do a lot of these surgeries
and I rarely vomit-- but this isn't about me.....
<Dr. Terry Simpson> so, watch what you eat
--and keep the portions under control.
<Dawn - Chicago> thanks
<MODERATOR> INM, YOU HAVE THE NEXT QUESTION.
<lnm> What are the lifelong nutritional problems I've heard mentioned?
I'm just considering the surgery at this point and want to find out the
negatives.
<Dr. Terry Simpson>
Well nutritional problems are something that you
can have if you don't take your supplements...
<Dr. Terry Simpson> so, you will have to take
life long supplements, you might have to have vitamin B12.
<lnm> so as long as you take supplements you'll be ok?
<lnm> what about calcium?
<Dr. Terry Simpson>
pretty much, yes, There is no evidence-- calcium
is one of the supplements that you might have to take, as well as vitamin
B12.
<Dr. Terry Simpson> which comes as an injection
mostly.
<MODERATOR> STACI, YOU HAVE THE NEXT QUESTION.
<staciJ> I am down 125 lbs I have 40 mo till goal weight, started
out 329 will I get there? 1 year post op. I already exercise 4/5 times
a week
<Dr. Terry Simpson>
Well, there are always risks with surgery, and that
is something that any surgery has, but the older surgeries had significant
problems.
<Dr. Terry Simpson> You can get there, Staci,
that is all pup to you. Exercise is four or five times a week is fine,
depends on what you do during that time.
<Dr. Terry Simpson> So, walking 45 minutes,
where you cover three miles --- that is good,
<staciJ> am I on track
<Dr. Terry Simpson>
yes
<Dr. Terry Simpson> water, walk, protein.
<staciJ> i8 months to lose
<MODERATOR> JEANIE, YOU HAVE THE NEXT QUESTION.
<Jeanie> Can A person become sick if they don't get in all there
protein?...and I keep seeing all these ads how bypass people need all
these things like liquid vitamins because we will get sick because we
do not absorb them..but with there stuff well will absorb 95% and with
chewables only 35% is that true? What do we need?as in Protein liquid
or just food? Vitamins do we need liquid?
<Dr. Terry Simpson>
Yes you can become sick if you don't eat enough protein.
You don't need liquid vitamins, and you don't need liquid protein, and
you don't need anything liquid but water, which only comes in that form,
but you have to add water for it.
<Dr. Terry Simpson> So, there are a lot of
people willing to sell you a lot of stuff, which you don't need, which
won't help you, and stuff that is...
<Dr. Terry Simpson> not really needed at all.
Get your protein from food, get you vitamins from Flintsones, or some
such place, and forget about the supplements.
<Jeanie> thanks..Dr
<Jeanie> you saved me some money..lol
<MODERATOR> ALLY 327, YOU HAVE THE NEXT QUESTION.
<ally327> how long do u suggest after wls to get pregnant? and
any risk w/ being pregnant after this surg than before
<Dr. Terry Simpson>
In terms of pregnancy you need to wait a couple of
years, there are some who have become pregnant sooner, and that will require
a lot of work with...
<Dr. Terry Simpson> the perinatologist, but
it can be done. In terms of risks of pregnancy, there are no more risks,
so...
<Dr. Terry Simpson> you need to keep in touch
with your doctor with that. Good luck.
<ally327> ty
<MODERATOR> AUDREY, YOU HAVE THE NEXT QUESTION.
<Audrey> its been 5 weeks and my incision is still sore and healing
in about an inch spot, whats the average time to stop hurting and being
able to excercise?
<Dr. Terry Simpson>
Audrey it will remain sore for a while, and sometimes
as long as three months, so hang in there, it will be getting better
<Audrey> ty
<MODERATOR> DIANE, YOU HAVE THE NEXT QUESTION.
<Diane> Is there truth to only being able to absorb 30 gm protein
and 300 mg calcium at a time?
<Dr. Terry Simpson>
Yes and no is the answer. You can absorb that much
but you have to hit the small bowel with a lot of protein and calcium
in order to....
<Dr. Terry Simpson> have it absorb that much.
If you have a limited amount of room to absorb, then you hit the small
bowel with a lot. Not all will become absorbed, but that is OK.
<Dr. Terry Simpson> good luck
<Dr. Terry Simpson> We do absorb a bit more
than that.
<Diane> thanks
<MODERATOR> DEBBIE, YOU HAVE THE NEXT QUESTION FOR DR.
SIMPSON.
<Debbie> Can anything be done to limit or prevent hair loss?
<Dr. Terry Simpson>
Super glue
<Debbie> lol
<MODERATOR> OUCH.
<Dr. Terry Simpson>
No, that is a great myth of weight loss surgery....
<Dr. Terry Simpson> if you have some nutritional
deficiencies, such as protein or zinc or biotin then you can ....
<Dr. Terry Simpson> have more hair loss, or
if you perm your hair it can. But this only happens to 30 per cent of
people with WLS....
<Dr. Terry Simpson> so more than likely you
won't have it. Some people sell lots of products to prevent it but often
those products are not really tested,;.
<Debbie> whew...thanks
<Dr. Terry Simpson>
those who say they never had a problem are probably
in the 70 per cent. Which never have a problem...
<Dr. Terry Simpson> so, I was thinking of
starting a new product line for those people. Just add water.
<MODERATOR> INM, YOU HAVE THE NEXT QUESTION.
<lnm> Do most people keep the weight off or do most regain? How
CAN you regain???
<Dr. Terry Simpson>
You can regain by eating a lot of carbohydrates,
you can regain by grazing, you can regain by...
<Dr. Terry Simpson> eating many meals in a
day, drinking high carb shakes, like milk shakes, and so forth. So you
can regain. or if you stretch your pouch...
<Dr. Terry Simpson> then you can gain by eating
more at a time. SO lots of ways to do it, so don't do those.
<lnm> Good advise....thx!
<MODERATOR> SARA MN, YOU HAVE THE NEXT QUESTION FOR DR.
SIMPSON.
<sara in MN> i would like my tubes tied when i have open RNY is
that possible??? thank you Also how do they reduce the insulin i'm on
after surgery???
<Dr. Terry Simpson>
Sara-- you can have your tubes tied, but that is
a long way down there -- and if you have the lap it is easier than open.....
<Dr. Terry Simpson> in terms of insulin, your
primary care doctor will follow that with you watching your blood sugar,
that is something that you can do, and help with. Good luck.
<sara in MN> thank you
<MODERATOR> JENN P, YOU HAVE THE LAST QUESTION FOR DR.
SIMPSON.
<Jenn P> is it possible to have a vaginal birth after an open RNY?
If not, is it due to incission stress?
<Dr. Terry Simpson>
It is possible to have a vaginal birth after an open surgery, but not
if you are a guy, our technology isn't that good yet...
<Cassandra in NC> lolol
<Jenn P> nope, just have PCOS
<TheresaC> that was bad lol
<Cindy/PA-4/8/03-DS> lol
<MODERATOR> LOL
<Dr. Terry Simpson>
but it is not a strain, again, you need to wait for
a bit after surgery to get pregnant and most of us recommend that you
wait for a couple of years...
<MODERATOR> THANK YOU DR. SIMPSON FOR JOINING US THIS
EVENING. YOU CAN VISIT DR. SIMPSON'S WEBSITE AT WWW.ARIZONABARIATRICCENTER.COM
OR WWW.DOCTORSIMPSON.COM
<Jenn P> thanks for talking with us today
<Dr. Terry Simpson>
or, as I say, seventeen years before you have sex
again, but that never seems to be popular with my patients...
<lnm> thanks!
<ally327> ya i hear them doc
<Dr. Terry Simpson>
so, good luck. Have babies, have surgery, walk a lot, drink water, eat
protein. Good luck to all
<KathyR pre op> Thanks so much for all your info!!And Humor!
<TheresaC> thanks Doc :)
<ally327> thanks
<<Dr. Terry Simpson>>
thank you all for spending a Friday with me instead of somewhere else....
<ally327> <<<babies and wls here i come lol
<Debbie> it's still early ;)
<TheresaC> if i was some place else it would mean i had a life
lol
<Dr. Terry Simpson>
Someday we will get rid of the Arizona Bariatric
center and just have Dr. Simpson, but that will be a little while.
<Dr. Terry Simpson> You all stay around and
have fun while I finish up a bit of work that I have to do
<Dr. Terry Simpson> good night all
<DEBBIE> THANK YOU
<ally327> nite
<Cassandra in NC> nite DOC
<TheresaC> night :)
<KathyR pre op> Good Night Doc
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