Dr. Matthew Fitzer is clearly the best bariatric surgeon out there. He has compassion and understanding for his patients. I am thrilled to begin working with Dr. Fitzer to get my life back!
This should be required watching for everyone getting surgery. I’m embarrassed for the program I went through because in a year of pre-op appts (with surgeon, nurse practitioner, dietician, behavioral health, primary, GI), I didn’t get close to this much information. Legit. Embarrassed for them! Thanks for the info doc.
Hi Kira. That's nice of you to say. I wouldn't be too hard those folks, though. Sources of high-quality, actionable information about how to coach bariatric patients are just very few and far between.
Wow, that was actually a great video! When I saw how long it was, I was concerned but Dr. Fitzer is dynamic and gave so many great examples that he not only kept my attention the whole time, but also relieved my anxiety about possibly getting this surgery. Thanks for that!!! 🤗
The 4 Rules 1. Get on a schedule 3 meals a day - 23:26 2. Eat solid foods - 25:33 3. Void drinking around meal times - 32:25 4. Void high calorie liquids - 46:05
My god I will never do this to my body ,, thanks to this video I realise how little I should eat , I've cut out sugar and am eating lots of protein, down 4 kg in a week,my craving s are so reduced this video made me realise what I need to to so I don't have to have surgery its horrific, thank you, i needed that push 😊
Thank you for doing this. I'm having the gastric sleeve surgery in 4 days. I have been given the after-surgery eating plan outline....but...none of the reasons why this is important. I thought that drinking with a meal was discouraged as it fills up the pouch not allowing room for the nutritious solid food. You have given me the tools and the knowledge that I will need to succeed!! Also, my doubts, about whether the surgery is really necessary, have now been replaced with facts that tell me that losing weight on my own will NEVER be a reality. You have made me feel very confident going forward with surgery. Thank you so much!!!
I had an apt. today with a weight loss center. They told me I have to loose 73 lbs with diet and exercise. I have hypertension, border line diabetes and fat liver. After having 2 kids I feel like it's super hard to loose weight, I feel depressed and got anxiety issues. I'm a complete mess right now.😔. I can't wait to see dr. Fitzer for my first appointment, unfortunately he's booked and won't be able to see me before April. 😔😖
My tiny angry tummy refuses to allow any messing around. I eat something too fatty or sugary or spicy or overeat...woooooooooooooooooo I experience traumatic consequences. So I must eat lean protein...slowly and carefully only. Anything else is sooooo not worth it. My tiny tummy doesn't fool around. It makes me pay. I've learned my lesson. I'm terrified of angering the tiny dictator...
Excellent video- one of the most helpful I have seen out there! It's long but it's worth it especially 1:10 to 1:25. Thank you so much for taking the time to go through all the examples that you do. It's easy to connect with all those cases you speak of, or the visits of patients that don't lose a lot of weight and you do the purse search and here comes your answer. Eye opening! Thank you!
@@rmhow1 Hi there. Surgery went well thank God. I'm not gonna lie the first 2 days were so painful for me. b I had a big hernia and the doctor repaired it at the surgery. So that's why it was more pain for me, but by the third day the pain decreased a lot and since then everything was really good. I feel really good. I'm doing really good with my vitamins the only issue for me is the water,but I'm working on it. He is such a good doctor . My healing process is being so good. My best wishes for you and your surgery.
1 rule for delivering information on RUclips. Fantastic information will be ignored if it’s hard to listen to. 1. Run a noise reduction audio program to reduce the background noise. This will help you retain your viewers. Great information, why not make it easier for people to listen to. Thanks for listening.
What can happen if you are instructed to do a 2 day clear fluid diet right before a bypass surgery but you get busy visiting with friends & end up eating lunch with them the 1st day of that final 2 days before surgery? How can that affect your bypass surgery??
It's probably okay. The two instances I can think of where it may not be okay are: (1) You had difficulty meeting a weight-loss goal related to large liver size, or (2) There is reason to believe that you may have gastroparesis. As for (1), sometimes I ask someone to lose weight before surgery because it will not be physically possible to do the surgery without the weight loss. If they are close to the line, I may give them special instructions to really be saint-like in sticking to the clear liquid diet, because doing so may shrink the liver enough to make an important difference. If your doc thinks you have slow stomach emptying (gastroparesis), they might want you to adhere to the clear liquid diet to give the stomach time to pass any fibrous contents out before surgery. Ensuring the stomach isn't full of something fibrous (for example, kale) is important, because fibrous stuff can cause the staplers we use to misfire. I'd recommend just telling your surgeon, who definitely won't cancel you because of an innocent, forthrightly admitted mistake. If it might matter, you want to know about it.
You have asked an insightful question about proper bariatric eating. I do not, in fact, advise people to chew food to puree. Bariatric patients very definitely can over-chew, and doing so works against the purpose of getting one of these operations, which is to feel an oversized feeling of fullness from a small amount of food. In general, the opposite is true: The less chewing the better. Those few Jedi-masters of bariatric eating technique who actually can generate whole-meal satisfaction with four bites of food do it carefully by swallowing them more or less whole. (I am not saying you should try to learn how to do it; nobody can live off of three four-bite meals per day.) The only time I recommend chewing for a long time is when someone is having trouble learning to eating slowly. Patience is the key to bariatric eating. If someone keeps having pain or an unbearable "stuck bread" feeling because their pace is too fast, asking them to chew forty times will slow them down enough to put an end to that. My hope is that by having them do that, I can help them avoid the really dire overfilling episodes that tend provoke long-term maladaptive eating behaviors like food aversions and drinking between bites. Then maybe, if that patient drifts into a time in their life where they have time to pay more attention to eating technique, they will be able to learn it without the baggage of established solid food aversions, etc. (It's a little complicated, but you get the idea.)
True enough, but revision surgery is a fairly complex subject. I probably need another 90 minutes to just talk about the general situations in which folks can (and sometimes cannot) benefit from revision. That is a good idea for my next video. For now, I handle revision discussions one at a time in the office.
Dr. Matthew Fitzer is clearly the best bariatric surgeon out there. He has compassion and understanding for his patients. I am thrilled to begin working with Dr. Fitzer to get my life back!
This should be required watching for everyone getting surgery. I’m embarrassed for the program I went through because in a year of pre-op appts (with surgeon, nurse practitioner, dietician, behavioral health, primary, GI), I didn’t get close to this much information. Legit. Embarrassed for them! Thanks for the info doc.
Hi Kira. That's nice of you to say. I wouldn't be too hard those folks, though. Sources of high-quality, actionable information about how to coach bariatric patients are just very few and far between.
Dr. Fitzer changed my life! Thank you!!!!
Hi. Did you manage howbmaintain your weight? I want to get surgery but I'm afraid. I got a recommendation for this dr. in Reston.
Wow, that was actually a great video! When I saw how long it was, I was concerned but Dr. Fitzer is dynamic and gave so many great examples that he not only kept my attention the whole time, but also relieved my anxiety about possibly getting this surgery. Thanks for that!!! 🤗
Thanks so much for explaining the no liquid with meals. That never made sense to me till now.
The 4 Rules
1. Get on a schedule 3 meals a day - 23:26
2. Eat solid foods - 25:33
3. Void drinking around meal times -
32:25
4. Void high calorie liquids - 46:05
Thanks!
My god I will never do this to my body ,, thanks to this video I realise how little I should eat , I've cut out sugar and am eating lots of protein, down 4 kg in a week,my craving s are so reduced this video made me realise what I need to to so I don't have to have surgery its horrific, thank you, i needed that push 😊
Thank you for doing this. I'm having the gastric sleeve surgery in 4 days. I have been given the after-surgery eating plan outline....but...none of the reasons why this is important. I thought that drinking with a meal was discouraged as it fills up the pouch not allowing room for the nutritious solid food. You have given me the tools and the knowledge that I will need to succeed!! Also, my doubts, about whether the surgery is really necessary, have now been replaced with facts that tell me that losing weight on my own will NEVER be a reality. You have made me feel very confident going forward with surgery. Thank you so much!!!
@robinyoung7960 how did your surgery go
Great video. Thank you for explaining that there's more to succeeding with bariatric surgery than relying on restriction and malabsorbtion.
Watching from South Africa 🇿🇦, wonderful insightful information, thank you so much.
I’ve learnt SO much from this video. The rules make so much sense once explained. Fabulous video thank you ❤
I had an apt. today with a weight loss center. They told me I have to loose 73 lbs with diet and exercise. I have hypertension, border line diabetes and fat liver. After having 2 kids I feel like it's super hard to loose weight, I feel depressed and got anxiety issues. I'm a complete mess right now.😔. I can't wait to see dr. Fitzer for my first appointment, unfortunately he's booked and won't be able to see me before April. 😔😖
Building muscle can also help these issues.
My tiny angry tummy refuses to allow any messing around. I eat something too fatty or sugary or spicy or overeat...woooooooooooooooooo I experience traumatic consequences. So I must eat lean protein...slowly and carefully only. Anything else is sooooo not worth it. My tiny tummy doesn't fool around. It makes me pay. I've learned my lesson. I'm terrified of angering the tiny dictator...
I wish there could be subtitle to the vid for the audience who are hearing impaired or not fluent in English. Thank you for your consideration.
Excellent video- one of the most helpful I have seen out there! It's long but it's worth it especially 1:10 to 1:25. Thank you so much for taking the time to go through all the examples that you do. It's easy to connect with all those cases you speak of, or the visits of patients that don't lose a lot of weight and you do the purse search and here comes your answer. Eye opening! Thank you!
I don't recommend lap band, makes You vomit. You can't hold on food and start feeling You Will faint. I had to have it removed in less than a month.😢
Amazing video so much useful info love it making me feel more confident about it i cant hardly wait to do this. I can really do this
This is EXCELLENT!!!! I learned so much! Thank you!
You're welcome!
Great video, very helpful!
Superb explanations!!!
hey, are you the guy from 2 1/2 men !?! you really remind me of Allen Harper, haha thank you for the info video, it's very good.
I thought the same thing lol. He's great!
This is excellent education! Thank you for posting.
Hi friends. I will get surgery with dr. Fitzer soon. I will like to know if any of you regain any weight. What worked for you? Bypass or sleeve?
@@rmhow1 Hi there. Surgery went well thank God. I'm not gonna lie the first 2 days were so painful for me. b I had a big hernia and the doctor repaired it at the surgery. So that's why it was more pain for me, but by the third day the pain decreased a lot and since then everything was really good. I feel really good. I'm doing really good with my vitamins the only issue for me is the water,but I'm working on it. He is such a good doctor . My healing process is being so good. My best wishes for you and your surgery.
Hi, did you get sleeved? And how much weight did you loose?
1 rule for delivering information on RUclips. Fantastic information will be ignored if it’s hard to listen to.
1. Run a noise reduction audio program to reduce the background noise. This will help you retain your viewers.
Great information, why not make it easier for people to listen to. Thanks for listening.
Only question/comment is- if your chewing food fully, your turning it to mush anyway, right?
Very informative
Thank you
Thank you.
What can happen if you are instructed to do a 2 day clear fluid diet right before a bypass surgery but you get busy visiting with friends & end up eating lunch with them the 1st day of that final 2 days before surgery? How can that affect your bypass surgery??
It's probably okay. The two instances I can think of where it may not be okay are: (1) You had difficulty meeting a weight-loss goal related to large liver size, or (2) There is reason to believe that you may have gastroparesis.
As for (1), sometimes I ask someone to lose weight before surgery because it will not be physically possible to do the surgery without the weight loss. If they are close to the line, I may give them special instructions to really be saint-like in sticking to the clear liquid diet, because doing so may shrink the liver enough to make an important difference.
If your doc thinks you have slow stomach emptying (gastroparesis), they might want you to adhere to the clear liquid diet to give the stomach time to pass any fibrous contents out before surgery. Ensuring the stomach isn't full of something fibrous (for example, kale) is important, because fibrous stuff can cause the staplers we use to misfire.
I'd recommend just telling your surgeon, who definitely won't cancel you because of an innocent, forthrightly admitted mistake. If it might matter, you want to know about it.
WATCHING IN FREDERICKSBURG VIRGINIA
Rule 2 doesn’t make sense to me. If we chew all our food to a purée like we are supposed to then wouldn’t it ALL be “squishy food”?
You have asked an insightful question about proper bariatric eating. I do not, in fact, advise people to chew food to puree. Bariatric patients very definitely can over-chew, and doing so works against the purpose of getting one of these operations, which is to feel an oversized feeling of fullness from a small amount of food.
In general, the opposite is true: The less chewing the better. Those few Jedi-masters of bariatric eating technique who actually can generate whole-meal satisfaction with four bites of food do it carefully by swallowing them more or less whole. (I am not saying you should try to learn how to do it; nobody can live off of three four-bite meals per day.)
The only time I recommend chewing for a long time is when someone is having trouble learning to eating slowly. Patience is the key to bariatric eating. If someone keeps having pain or an unbearable "stuck bread" feeling because their pace is too fast, asking them to chew forty times will slow them down enough to put an end to that. My hope is that by having them do that, I can help them avoid the really dire overfilling episodes that tend provoke long-term maladaptive eating behaviors like food aversions and drinking between bites. Then maybe, if that patient drifts into a time in their life where they have time to pay more attention to eating technique, they will be able to learn it without the baggage of established solid food aversions, etc. (It's a little complicated, but you get the idea.)
Thank you!
Website mentions revision surgery but I don't see it mentioned in this video
True enough, but revision surgery is a fairly complex subject. I probably need another 90 minutes to just talk about the general situations in which folks can (and sometimes cannot) benefit from revision. That is a good idea for my next video. For now, I handle revision discussions one at a time in the office.
@@virginiabariatricsurgeryce114 could i schedule a virtual visit to discuss? Although in Virginia, I'm over 2 hours away.
@@katrinaball828 Yes. I won't ask you to leave your contact info here in public, so just call my office after 8:30 am and they will set it up. Best!
@@virginiabariatricsurgeryce114 Awesome...will do thanks.
Thankhyou
can somebody list the 4 rules. I'm missing one! and I've watched this twice.
1. Get on a schedule (3 meals a day)
2. Solid Foods
3. Do not drink around meals
4. No high calorie liquids
@@zephfinawyatt7134 Yep.