The nutritionist actually doesn’t think the surgery would be beneficial to him, since he’s already eating a typical post-bariatric surgery diet. He takes in about 800-850 calories on a *good* day, or about 15 bites of food and some coffee. Not only that, but last year, when they cut him off of his pain meds (taking him from 360 mg of morphine a day to none in about 5 weeks) his pain was so bad that he could not keep much of anything down. He was getting sick every time he ate, and ended up losing nearly 75 pounds in about 4 months. Unfortunately, the weight loss didn’t help his pain.
One thing we stressed, though, was that we don’t want anyone to think Dave’s trying to bully anyone into giving him more pain meds. It’s just that when his pain is adequately managed, he can actually be active. He said he’d have no problem keeping his caloric intake down (since he was getting sick every time he ate, food doesn’t have much appeal any more), which means that the weight ought to come off pretty quickly, too. Increased activity + decreased caloric intake = weight loss (generally). He loses the weight, and the surgeon is more comfortable working on him, plus he said that would make Dave a “more referrable” patient for any other procedures.