The Aurora Blueprint

Special Episode 5: PCOS, Fertility & Bariatric Surgery

In this episode, Ruth Blackham talks with Consultant Obstetrician & Gynaecologist Dr Eman Al-Naggar about polycystic ovarian syndrome (PCOS), why it impacts ovulation and fertility, and how bariatric surgery can help many women regain regular cycles and improve chances of pregnancy. We cover practical advice on waiting 12–18 months or until weight is stable before conceiving, the importance of monitoring iron, vitamin D and B12 after surgery, and the value of multidisciplinary care; while many women conceive after surgery, other fertility factors may still need investigation.

Special Episode 6: Pregnancy After Bariatric Surgery - Timing, Risks & Rewards

Consultant Obstetrician Dr. Eman Al-Naggar joins the Aurora Blueprint to explain pregnancy after bariatric surgery: when it’s safe to conceive, how sleeve and bypass procedures differ, and the main risks to watch for (nutritional deficiencies, reflux, small bowel obstruction and gallstones). She also covers the benefits—improved fertility, lower rates of gestational diabetes and hypertensive disorders, and higher chances of vaginal delivery—and practical advice on vitamins, folic acid, contraception and coordinated care with your GP and surgeon.

Special Episode 2: Anaesthetist - How We Manage Pain, Nausea & Recovery

In this episode Consultant Anaesthetist Dr. Gene Palmer explains the anaesthetic approach to bariatric surgery, covering multimodal pain relief, low-opioid techniques, anti-nausea strategies, and ultrasound-guided abdominal blocks to promote rapid recovery. He also answers practical patient questions about what to expect in the first 24 hours, piercings and nail rules, medication instructions, and simple pre- and post-op tips to improve comfort and outcomes.

Special Episode 1: What an Anaesthetist Really Does during Bariatric Surgery

In this episode we interview Consultant Anaesthetist Dr. Gene Palmer about the role of anaesthesia in bariatric surgery. They cover anaesthetist training, what happens before, during, and after surgery, airway management, monitoring, and safety measures used in modern practice. Dr. Palmer also explains how patients can help make their operation safer—preoperative diet, stopping smoking/vaping, sharing medication and sleep apnea history, and bringing CPAP if needed—and reassures listeners about the safety and team-based care in theatre.

Special Episode 4: Dermatologist - Loose Skin After Weight Loss, the Answers You Need

Dr. Sarah Page discusses what to expect for loose skin and facial volume loss after significant weight loss, explaining how factors like the amount and speed of weight loss affect skin elasticity. She outlines prevention and treatment options—from nutrition, sunscreen, and retinoids to injectables, lasers, and surgery—and emphasises patience, realistic expectations, and supportive care during the adjustment period.