For the final chapter to this strange tale, patients skin is healed 99%, Nausea lessened by 50% and patient is now using the results from minor self physical therapy. Once patient changed behaviors and lifestyle to accommodate no stomach, recovery became more tolarable as well as a healthier recovery. My conclusions to quitting smoking remains the same in which that those who quit smoking before an operation, whether willing or not, will go through the withdrawals of cigarettes physically. In return, can confuse a situation as to where the 'problems' stem from, 'the recovery process or the withdrawal process.' All in all, to answer the problems of this patient, they all contributed to the system adjustments along with withdrawals from previous medicines and quitting smoking. She changed what she ate and maintained her vitamins in liquid and pill form. The intake of 'ensure' was 5 - 6 bottles daily. After a week and a half, patient began to feel of herself once again with more energy and less nausea. She still spits up a fluid type base yet the foamy textured fluid ceased. She is still recovering yet it is plain to see that she is in the tail end of it. Her weight finally maintains at 140lbs..
Conclusion to total gastrectomy: A total gastrectomy can be successfully done if certain lifestyle changes are applied. End of Story.