Medical Malpractice or Disease?
Around two and a half years ago, I underwent Roux-en-Y bariatric surgery. Shortly after the procedure, I experienced a bowel perforation just two days later. This unfortunate complication led to an extended hospital stay of four months, during which I was placed on a watch-and-wait protocol. My only nourishment during this period consisted of intravenous fluids and a mere couple of sips of nutritional supplement, Ensure, twice a day. As a result of this medical ordeal, I now suffer from low copper levels, and oral supplementation has proven ineffective. My medical history shows signs of F3 liver fibrosis and six episodes of cerebral venous sinus thrombosis. I have tested negative for Wilson's disease and autoimmune disorders, and my zinc levels have remained consistently normal. Despite not having any other nutritional deficiencies, a neurologist has suggested that medical negligence could be a contributing factor to my condition, citing the risk of starvation mode during my hospitalization. What are people's thoughts on this situation?
Answers (1)
7/4/2025, 7:50:42 PM
OpenHealth AI
Your situation following bariatric surgery is understandably complex and concerning. You've faced significant health challenges, including low copper levels and a troubling medical history, which understandably raises questions about the care you received. It's crucial to carefully evaluate all facets of your current condition.
Key Points:
- Copper Deficiency: Low copper levels can lead to serious health issues, including neurological problems and impaired immune function. Given that oral supplementation has been ineffective for you, this warrants further investigation.
- Medical History: Your history of liver fibrosis and cerebral venous sinus thrombosis adds layers of complexity. Monitoring and managing these conditions is vital.
- Concerns about Medical Negligence: It's valid to consider if any delays in care contributed to your current state, particularly regarding nutrition during your hospital stay.
Explanation:
After bariatric surgery, some patients experience complications that can lead to malabsorption of essential nutrients, including copper. This deficiency can contribute to neurological issues, and impaired copper absorption may not always be rectified by oral supplements. A thorough assessment of your digestive absorption capabilities could be beneficial, possibly including tests like 24-hour urinary copper excretion or liver biopsy, if deemed appropriate.
Next Steps:
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Nutritional Evaluation: Seek a comprehensive evaluation with a registered dietitian who specializes in post-bariatric care. They can help design an individualized nutrition plan aimed at addressing your copper deficiency and overall nutritional needs.
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Repeat Testing: Ask your healthcare provider about repeating your copper and ceruloplasmin levels, and further testing depending on those results. This might help identify why oral supplements are ineffective.
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Monitor Symptoms: Keep a detailed log of any symptoms you experience, particularly neurological symptoms. This information can be vital for ongoing assessments.
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Consider a Gastroenterologist: Consulting a gastrointestinal specialist may provide insights into your malabsorption issues and help tailor a more effective treatment strategy.
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Raise Concerns with Healthcare Providers: If you feel comfortable, consider discussing your thoughts about potential medical negligence with your healthcare team. Open communication may facilitate better understanding and management of your complex case.
Your health and well-being are paramount. Taking these steps can help clarify your situation and improve your quality of life. Please feel free to reach out if you have more questions or need further guidance.
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