One success story is of a patient who had struggled with obesity for years. After Roux en Y surgery, they lost a significant amount of weight over time. Their health improved greatly, with conditions like high blood pressure and diabetes getting better. They were able to be more active and enjoy life in ways they couldn't before. For example, they could now go on hikes and play with their kids without getting overly tired.
Weight loss is a major positive outcome. Many patients lose a large amount of weight and keep it off. For example, some lose over 100 pounds. Another positive is the improvement in health conditions. Diabetes often goes into remission, and blood pressure normalizes.
Many people have had great success with Roux en Y gastric bypass. For instance, some patients have seen their cholesterol levels drop significantly. This is a huge plus as it reduces the risk of heart - related problems.
There's also Mary. She was obese for most of her adult life. After Roux en Y gastric bypass, she not only lost a great amount of weight but also regained her self - confidence. She used to be shy and avoid social situations due to her weight. Now, she's a different person. She's more outgoing, has joined a gym, and is even thinking about starting a new career in fitness. Her success is not just about the physical transformation but also the mental and emotional change.
In this story, Julia Alvarez could be using 'names nombres' to show the connection between language and heritage. The different names might represent different aspects of the characters' backgrounds. It could also be about the struggle of maintaining one's cultural identity through the use of names in a new or different cultural context.
In the long term, there are horror stories related to psychological issues. Some patients develop eating disorders like binge eating after the Roux en y gastric bypass. The change in the digestive system and the pressure to maintain weight loss can be overwhelming. Also, the body image issues might not be resolved as expected. They might still feel self - conscious about their appearance despite the weight loss, and this can lead to depression and anxiety. This shows that the surgery isn't just a physical fix but also has complex psychological implications that need to be carefully considered.
Some patients have horror stories about extreme and persistent nausea and vomiting after Roux en y gastric bypass. It can be so bad that they can't keep any food or even water down, which is really distressing.
The story 'Names/Nombres' has themes of belonging and not belonging. Julia Alvarez feels a bit out of place in the US at first because of her name. But as she matures, she starts to find a sense of belonging within her own cultural identity. Also, the theme of heritage is important. Her name is linked to her Dominican heritage, and the story shows how she comes to value that heritage more over time.
Identity is likely a main theme. As mentioned before, names are tied to identity, and the story with its focus on names in two languages might be exploring how characters' identities are shaped by their names and the cultures associated with them.