A LONG, LONG over due update!

Wow… Yeah… I’ve been busy, to say the least, and updating this blog has not been on the top of my priority list. I have decided, however, that I am going to keep this blog open and will on occasion come by to offer some updates and discuss a few things that may come up on the topic of WLS. Here soon I will be starting a new blog with a different subject topic. It is still in the works in regards to what that subject topic will be. But…. to give an update….

It has now been one year 4 days since I had this surgery done and to date I have lost close to 80 lbs. For some that may not seem like a lot, but considering I was just barely above the 40 BMI and was 90 lbs over the BMI for my height and weight… I think that the 80 lbs lost is a very good accomplishment. Sure I would love to lose the last 10 lbs. and I am sure that I will in time, but I will say that for the most part I have pretty much reached a point where I am starting to plateau. Ten more lbs may be about the most that I would want to lose as the Nurse Practitioner for my surgeon has said that I have approximately 10-15 lbs of excess skin that will have to be surgically removed at some point. Many have asked…. “Well, can’t that just be exercised off?” For some areas, yes…. but there are other areas where the elasticity of ones skin is beyond the point of bouncing back, and in those areas it is where I will most likely have to have it surgically removed. It wouldn’t be that big of a deal to me if it weren’t for the irritation of the skin that occurs. Those of you who have lost a significant amount may know exactly the skin irritations that I talk of. I do hide the excess skin fairly well…. thanking whomever it was that invented ugly undergarments for this very purpose. I take it all in stride though.

On another note… I will also admit that at times I have the same issue that many who have lost a significant amount of weight, either through surgery or on their own, have. Sometimes when I stand in the mirror I will look at my reflection and I still see what I was for almost 7 years. But I think that reflecting upon those years when looking at what stands before me now can be healthy when we make a determination that each and every day we live now is going to be a healthy one. A day when we are going to get up and be active. But, yeah… I do get self conscious about ever looking like I used to ever again. I do get self conscious about ever having to deal with the health issues that I had.

Sizing…. I went from a 22/24 to a 7/8 (with a 10/12 in some style of clothes) depending upon how it is made. (BIG GRIN) I haven’t been in a 7/8 since high school… and although I know that since 1991 (the last year that I was in this size) the sizing of clothes for women have been revamped just a little… it is still a wonderful feeling. My oldest two children don’t know what to think about the fact that I can borrow their clothes now. I think on one hand they like that they can “teach” me how to have some sort of “style” and on the other hand don’t like so much that we share close to the same sense on fashion. “Hey… What’s wrong with that” I ask. Nothing… absolutely nothing.

Things have fallen into place exactly the way that I hoped them to do this year. I lost close to what I wanted to…. I finished my undergraduate degree with a 3.53 GPA…. I have been preparing for the things that I want to accomplish next year… and I have every bit of thanks going out to my family (husband, children, mother, siblings, nieces, nephews, friends that fall into my own personal category of family) and friends. I am happy, healthy, and I am ME again!!!! :O)

The pictures below (from left to right) were taken: 1 week prior to surgery date of Dec. 2nd 2008, 5 months after surgery (May2009), and September 2009.  Between the first picture and the 3rd picture (taken in September) I had lost 70 lbs.  The pic at the top was taken the day of this post (Dec. 6th) with 80 lbs. forever gone!!

Just some thoughts… a pep-talk.

Everything is going okay. I’m feeling fine. I just was sitting here updating my little signature thing that graphs my progress… you see it below… and I started thinking about the psychological stuff that comes along with this whole thing.

When you go through the pre-op process one requirement is that you have a psychological evaluation done. Note: if your surgeon does not require this then I would seriously consider finding a new surgeon. I can understand how easy it would be to develop issues… many of which are, honestly, not bad but they do develop. Here is an example of ones that are not bad… it is still technically psychological, but not something where radars go up and you are considered to be “abnormal” on any psychiatrists list of definitions….

Anticipation… We all have this. Every single person who has this surgery done feels the “anticipation” of seeing that scale drop one more pound. When it doesn’t move there is, no matter who you are… and even if you haven’t had this surgery done, this “small” twinge of feeling that creeps up and makes you feel defeated, even if only for a moment. It may seem like it will take forever to lose the weight… another psychological thought process… but the reality is those who have had this surgery are losing an astronomical amount of weight very quickly. The first 75% of weight loss, based on every 100 lbs… they say…. is to basically be considered a “gift” and due solely on having had this surgery done. What you lose in the first 6 months is more due to the surgery than anything else that you do. They say that anything after that is your work. Your habits that you develop (eating and exercise) during those months after the surgery extend over and help you to continue the weight loss.

But… and going back again to my original thought… as you step on that scale and you feel that twinge of defeat because you hadn’t lost a pound in a day… wipe it out of your mind. For me I just think about how thankful I am that I am seeing these changes with my overall health improve. Hey… the Type II Diabetes has gone in remission and will STAY that way as long as I maintain. That is exciting. I will admit, though, that I get the psychological feeling of “anticipation” (anticipation is a psychological feeling, by the way… doesn’t mean you are crazy… sometimes we do feel like we may be just because we feel “anticipation”) when I stand on that scale and I am close to being in that next weight group… i.e., going from 200 to the 190’s, from the 190’s to the 180’s, to the 180’s into the 170’s, and now the 170’s into the 160’s…. you get the picture. For every group of 10 I find myself wondering, if just for a split moment, “Wow! What will it be like? I haven’t seen that weight in a long time.” Then I think, “Duh! You know what it will be like. It will be like it is right now! You will be standing here next month again asking yourself this same stupid question. That is what it will be like.” LOL! :O)

Another thing is the feeling, which here again is a psychological thought process, that even though you have lost all that you have you still look the same as you did before. You know that you don’t look the same, but yet in this small part of your brain you haven’t yet wrapped your mind around it. This is when you need to listen. Listen and accept the compliments that others will give you. Listen and understand that you are mastering a feat. You are doing good. Even if all you lose in a week is a half-pound you have to know that YOU are doing good. It doesn’t mean that you are at a plateau if you are still losing a half-pound, or even if you haven’t lost anything for two – three weeks. When you look at yourself in the mirror think about what you have done and the reasons why you are doing this and know you are doing awesome!

You will have moments where it seems so surreal. You will find yourself stumped by the very fact that at some point in time very soon you will be 100 lbs, or more, smaller. For me, and this is being honest, I have moments where I think it is unimaginable that I could be (and will be) as small as I was in high school. That I will be as small as my two oldest girls’ are now. If you have children that are in high school and are at the weight that they should be for their height… makes this fun. My two oldest girls’ have decided that instead of throwing out clothes that they “just don’t like anymore” they are holding them back for me. They are doing this of their own volition and I just can’t stop thinking about how cute they are. To take and think of me in that way. They are excited about this too. To them it is a opportunity to… LOL… “dress mommy up”. Just don’t let it get out of hand, is my thought on that. I do not think that as adults we should necessarily “attempt” to dress like teenagers… but instead buy clothes, or wear clothes rather, in a manner that expresses who YOU are. The hardest thing, yes, about losing weight fast is we go through this period where we are losing so quickly that our wardrobe can’t keep up. Face it. If you are trying to find a job and you need one good interviewing outfit… go to Goodwill or borrow a suit. AFTER you get the job you can explain that you have had this surgery and that you may not always have the ability to wear a different suit to work every day. Simply put, people are more supportive than you may think and you should NEVER underestimate your accomplishments. You did the surgery (or even if you haven’t done the surgery and are losing weight with your own will), that is a HUGE decision. You are showing dedication, you are showing will power, you are showing that you can accomplish a very difficult goal, you are showing that you care about your health, you are showing that you care about others, you are showing that you are able to handle tough situations. That makes you very special.

So the next time you are in that mirror and you have these small psychological thoughts creep up on you… just smile and know that you are someone who is making a difference.

Sorry if this seems like I have rambled. To many of you this is not a big deal, but it is for those who need to know… and sometimes it is just easier if it comes straight from someone who is walking through it. If you aren’t going through this process but have a loved one who is… YOU are everything to them. Remember they are not trying to make themself better than you…. they are trying to make themself better FOR you. Have fun with your loved one as they are going through this process. If you don’t like to shop… start. Go with them shopping, or do some online window shopping. If you don’t like one outfit tell them it is because of how the outfit is made, not how they wear the outfit. Explore the fun in helping them pick out clothes that are NOT black in color. It is spring… find some cute little outfit that (gasp) has polk-a-dots and that even though they may not be able to wear it right now you know they will be able to wear soon. Hang up the outfit so it can be a focal tool. Kind of like that old Yoplait Yogurt commercial for the “itty-bitty-tinny-weeny yellow polk-a-dot bikini”… just don’t make it a bikini just yet…. we may be sensitive to bikini’s especially if we know that there is a great chance that we will have excess skin that will have to be removed. Guys… don’t wear tight Speedo’s! THAT is just a fashion NO-NO!  Unless you plan on becoming the next Chris Jericho…or better still ROCK…  stay away from the tighty Speedo’s!  Just know that your loved one is thinking about how they are wanting you to love them for who they are. Your opinions DO matter.

Okay… I’m done. Now for me to break down this topic into smaller paragraphs. Till next time…. I’m off. Feel free to leave me a comment. I’d love for others to also see valuable insight, or questions that you may have as well. It does matter. It does help. Not for me specifically but for those who stop in and are reading. You are never to think you are alone in your weight loss issues. You are never to think that you are alone as a loved one who is trying to be supportive of another one going through this. You’re NOT!

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~Tammy~


Update, product review and website review

Okay, so I know it has been a while since I have last posted to my blog. I’m sorry to those who have been reading that I haven’t kept up as much as I would have liked to. Where has the time gone! Goodness it has gone by so quickly.

Well… a update, first off, of how things are going for me. Since I last posted (on January 18, 2009) I have lost about a little more than 16 lbs. The other day I was at the store with my husband and he, for what I think is probably the first time, actually told me to slow down. He couldn’t keep up with me. I have always been the one to tell him to slow down. LOL :O)

Thankfully I have not had any complications physically. What I do have a little trouble with, still, is getting in 64-plus ounces of fluid in a day. I have never been one that drank a lot of fluid in a day. I can do it, but there are just days where I am so busy that I don’t think about holding a cup in my hands and sipping, sipping, sipping away at it. I am now able to eat solids and honestly can eat just about anything – with certain exceptions of course. So far I am handling what is on my list of things that are allowed at this point fairly well. At one of the support groups I went to this month I talked to the nutritionist who told me that it is okay to eat the protein bars at this point. That made me VERY excited! I will eat a protein bar any day over drinking the protein shakes…. mainly because I am a little tired of drinking the protein shakes. I still like to get some ISOPURE in though. These extra protein supplements are now my choice to keep eating. The plan that those who go through St. Vincent Carmel Bariatric Center of Excellence get says that at 12 weeks out we can cut down the additional protein supplements. We are told to make sure we get in 3 servings of Milk every day. I am doing good with getting in 3 ounces of food at each meal now. Sometimes I can’t get it all in but that is mainly if I have eaten a protein bar within 2 hours of eating the regular meal. I also have noticed that in the morning when I go to eat breakfast, or even in the evening if I haven’t eaten anything for an extended time period between lunch and dinner, I get this little “hunger pain” feeling in my stomach. I discussed this with Dr. Gupta at my last check up appointment and she said that at this point I would be okay to drink hot tea or coffee prior to eating as they have found that with others who have had this same issue it helps to “warm up” the stomach muscles. The “hunger pains”, so to speak, don’t “hurt” necessarily but more so it is just annoying. When this happens I find that by the time I take my second bite out of my food I get almost a false fullness feeling. I know that my stomach isn’t full. It can hold more than two bites of food. The hot tea or coffee does help.

Clothing… I finally broke down and bought myself 3 new pair of pants over at the local Goodwill. If I have to get a new pair of pants I’ll get them from Goodwill until I am pretty well set at a plateau at my goal weight. One day I was at the YMCA and while walking on the treadmill I had to constantly pull up my sweat pants… that is when I decided to take that first step and figure out how many pant sizes I went down. Where am I on that? Well, (big grin) I bought pants 6 sizes down, but could have easily gotten them 8 sizes down. I chose the 6 sizes down over the 8 sizes down as I am so used to wearing my clothes slightly big. BUT… I also got 3 new shirts. 2 “large” t-shirts (one long sleeve one short to be layered one over the other) in regular ladies size and 1 “XL” shirt from the juniors! THAT was an exciting moment.

Another interesting thing I am starting to notice… There are a few who know me but didn’t recognize me at first glance! Ohhh the expressions are almost priceless. They just do this double take and then have this look of total shock on their face. A few have just looked at me with the thought written across their face of “is this seriously her”? LOL. I just chuckle. I have had a few ask what kind of diet I was on. A former co-worker asked me if I work out at the Y as she thought that she saw me but didn’t say anything because she wasn’t sure. All that with only being down 44 lbs. I am curious as to what it be like when I get down to my goal. :O)

So… for those of you just starting the process or who have just had their surgery… you will have this all start happening too. I’ve heard the stories of MANY others who have gone through this before me and it just seemed so surreal. But, it is true… people around you that know you do respond differently…. they are excited for you, they are surprised, they are curious, some don’t know how to respond (and do not realize that their confusion on how to respond is written all over their face). Be ready to have some humor and respond with something that will make them laugh. I told a former student that I had who looked totally confused as to why I had changed so quickly “it’s okay… I’m just shedding little pieces at a time of my ‘Big Mama’ costume”. I am secure within myself, and you have to be, to be able to admit that I was NOT at a healthy weight and instead of feeling bad about that… instead of being self-conscious… I prefer to use that condition that I was in as a stepping stone for better understanding. You can truly say that you understand when you have had to live it. This isn’t a surgery that can be taken lightly (as you have heard said many times) and you aren’t being given a free ride (as you may have also heard). You have to work the tool. You have to exercise, you have to take the vitamins and calcium every day for the rest of your life, you have to…. well… you should know… and if you need to know then check out the info on my blog site or many of the other sites out there that discuss it all.

Okay… now… I’m done with my own personal update. WOW… that was a long one. Sorry about that. Probably wouldn’t be so long if I would take the time to update more often. I’ll work on doing this better.

Two final thoughts… Product Review…
If you live in an area where there is a Kroger grocery store… go pick up some Kroger brand CARBmaster yogurt. It is 80 calories (which is less than other brands out there.. well.. that I have seen), has 3 Net Carbs and 12g Protein!!! I cannot get over this yogurt. It is just truly wonderful.

Kroger brand CARBmaster yogurt

Kroger brand CARBmaster yogurt

Website to take a look at: http://www.livestrong.com
Take a stroll on this amazingly cool site that is brought to us by the Lance Amstrong organization. You can register for free and take part of some very cool features… like a food tracker that is better than any that I have yet found online, a inches lost measurement tracker, a weight loss tracker, exercise tracker, etc. Check out “The Daily Plate” section. I believe that you will be extremely pleased with this site as I know that I quickly am becoming.

Till next time…

~Tammy~
tammy1


WLS Update: NOTE stomach flu after the surgery is BAD… VERY, VERY BAD!

Well, it has been a while since I have made a post to my blog. The days just seem to be passing by so quickly. A run-down…..

Christmas was good. My ex-husband lives in Illinois so my daughters don’t get to see him too often. I had made the decision that while he was here in town that the girls’ could spend the whole time with him. My gift to him, I guess you could say. Was it hard for me to not have them at home on Christmas day? No. I was just fine with it… because I had made that decision to let him have them all of the time he was here over Christmas. That was my decision and so I was fine with them not being here with me. They needed that time with him. My husband, son and I spent part of Christmas day over at my in-laws. It was a very enjoyable day and I had no problems as far as the post-surgical diet went or eating stuff that I shouldn’t have been eating.

New Year’s was a whole different story. It started out well, but ended rotten. I started out feeling great on New Year’s Day, but then by noon I started feeling really, really sick. I thought that possibly it was dumping syndrome, but I knew that it couldn’t have been that as at the moment that it started the only thing I had had was a protein shake, that I still wasn’t done drinking. The protein shake had the only new thing in it that I hadn’t tried up to that point: egg protein powder. The egg protein powder was actually great in making the shake itself seem light and it wasn’t bad at all, tasting wise, however I have since no desire to attempt that particular product again.

The symptoms reminded me of being in labor with my children, and that isn’t an exaggeration (unfortunately). Vomiting wasn’t there. Probably would be but with the little tummy food does not sit there long enough for it come back up (sorry so graphic). Dry heaves was more the issues than anything (again, sorry so graphic but I know that there are people out there who are will want to know specifically). After about 7 ½ hours of dealing with this and not being able to must up the desire to eat (which is a must) I was on the phone calling Carmel Surgical Specialists. Dr. Jones was on-call for their office over the holiday. Because of the extreme of the level of pain I was having, the nausea, the dry heaves and the probability that I was quickly becoming dehydrated she made the suggestion that I go up to Carmel St. Vincent’s ER. I am not that far from there, 20 minutes, so that was not going to be a problem.

I will honestly say I have not been in an Emergency Room yet that is like that of St. Vincent Carmel Hospital. Imagine walking into an ER going right up and immediately having your vitals checked out and then being taken back to one of 18 “private” ER rooms, that look just exactly like most of the private rooms when you are admitted to other hospitals, having the admittance person come right into your room to check you in, etc., etc. I asked what they do when they have a crowd of people in the ER at once. Where do they sit outside in the reception area? They told me they don’t sit in the reception area that they have always had enough beds (18 rooms plus) that they have never had to have anyone wait at all to go back. I looked at my husband and in between a pain episode I told him, “If I ever need to go to the ER again bring me here!” I love my PCP, he has been my Dr. for 18 years now, but I am sure he wouldn’t mind if I went to the other hospital branch that he is affiliated with. It is the same hospital, just in different areas.

The ER nurse had a little bit of difficulty getting an IV started in my arm. I was dehydrated pretty badly. It took her 5 sticks (which most nurses won’t even consider trying again after 2 or 3 sticks) to get the IV into a vein that wouldn’t roll on her. They sent me over to have a CT scan after they gave me some Morphine for the pain. Finished the scan, went back to the ER, and the ER nurse was rather agitated with the CT scan tech who turned off my IV fluid line. I didn’t know she did. I pretty much slept the whole time of the CT scan because Morphine, like most all pain meds, knocked me out. I was lucky that I even got off the bed and on the table to do the scan, and then back into the bed after the scan… I was THAT out of it. The scan showed that everything as far as my tummy went was just fine, in other words I didn’t have any obstruction or leaks. They also told me that the scan showed the staple line was healing just as it should and in the right time frame that they expect them to heal. That was good news. :O) BUT… It still didn’t take care of my issue. The diagnosis was in agreement with what I figured it probably was… the stomach flu… and a NASTY flu it was too. JUST as an FYI… the Incentive Spirometer (which I am probably misspelling) does NOT prevent you from getting the stomach flu!!!

I was admitted and stayed in the hospital until the 3rd of January… probably could have stayed a little longer, but I seriously got tired of staying in the hospital. Next time I will remember to have brought up to me either my laptop or at least a book to read! The silly IV came out of the vein at one point and I had to again go through getting stuck in order to get the line restarted. Four nurses and 7 more sticks later it was finally in place again. That was 12 sticks… ouch! My arms looked like a purple pin cushion. While I came home on the 3rd it actually took a whole week for that stomach flu to work its course. The pain was under control by the 3rd and that to me meant that I was at least functional again.

Went back for my six week check up with Dr. Gupta on the 15th (which was last Thursday), as well as for a Nutritionist visit. Everything there went well. Nothing out of the ordinary to tell there, except that my next check up is in another 6 weeks.

So… that pretty much does it for my update on how I am doing with this Roux-En-Y thing. Oh… weight lost? I guess I did forget to put that down here, didn’t I? Sorry. Since my last blog post I have lost 8 ½ lbs. and 16 ¼ inches over total body. That is a good loss in my opinion. I am satisfied with that. I think that 10 lbs. / month is a good steady goal to shoot for with my height and weight average. REMEMBER, those of you just starting this process or are thinking about going through with having this procedure, EVERYONE IS DIFFERENT!!! What is a healthy weight loss per month for one person is not necessarily going to be lost with another person. Some may lose way more, some may lose the average, and some even less than the average. As long as your Doctor is not concerned, as long as your Doctor tells you that you are on track… then that is all that matters. ALSO… stay away from the scales except for once a week… and start measuring yourself, too. Measuring yourself is a great way to see where you are losing weight at first, the most often, as well as to know that even if you aren’t losing a lot in pounds in a week you may be losing a great deal in inches. FINAL THOUGHT…. STAY AWAY from anyone that you know has had this terrible stomach flu especially if you are fairly fresh out from having the surgery done!!!

Till next time………. Go see two new movies out: Marley & Me and also Paul Blart: Mall Cop. Awesome movies!

~Tammy~


Weekly update for RNY Post-surgical.

I had mentioned prior that I would attempt to get in my weight and measurement check today as well as post that update.  So… here goes…. Short and sweet… Lost: 2.5 lbs.  for a new total of 19 lbs.  since surgery 3 weeks ago on Dec. 2nd.  Measurement……. Last week was the first week I started keeping track of my measurements so after entering this weeks measurements into the system and then getting the difference between last week and this week I then added all of those together to get my total inches lost for the week.  Here is a perfect example of how you may lose very little in lbs but still lose in inches.  I lost, again, 2.5 lbs…. BUT… I lost 14 inches total for ALL body areas.  That to me is a WOW moment.

I am finding still that the greatest area of loss in inches is in my hips and breast.  The neck, biceps, calves, thighs, and waist are now starting to creep along… however interestingly one area where it is REALLY hard to measure loss is in the fingers.  But, I know this is going along well as I have already gone down 1 ring size and now I think I have gone down another 1/2 as I used to wear one of Jason’s (my husband) rings on my index finger and it just fell right off today.  Thankfully I didn’t lose the ring and I immediately put it away.  I am so used to wearing a ring on my right index finger that I think when I get close to my goal weight I am going to have to go out and get me something to wear on it.  Target has some very cute costume jewelry.

Health wise…. I am doing okay.  But, I am thinking about going in to see Dr. Gupta next week, IF I can get an appointment.  One of my incisions that has been doing fairly well in healing started not looking all that well to me.  I think I would just feel better if she took a look at it.  I have put gauze back over that one incision.  The other incisions seem to be doing just fine (including the one where my drainage pouch was at while in the hospital).

Other than this… How am I doing?  Pretty good, I think.  I am still riding on my friend’s exercise bike that she let me borrow through these winter months… THANKS, DEB!  And I think that has played a significant part in why I lost only 2.5 lbs but yet have lost 14 inches.  I am VERY cool with this.  Shows to me that there is a great possibility that while I am losing a significant amount in inches I am also building muscle mass.

I am also getting better every day at getting in that required minimum 64 fluid ounces.  I am not completely there yet, but I am closer.  It is so hard to get in that much fluid when you only have a 2 ounce stomach pouch… course even when you don’t have a 2 ounce stomach pouch it can be extremely difficult.

I am tempted to start looking for recipes for various protein shakes.  Not sure yet.  Protein drinks that are too thick are just hard for me to tolerate swallowing.  It isn’t that my pouch cannot tolerate them as so far it seems as if my pouch can handle just about anything.  It is, I guess, “me” that is not tolerating it well… the taste is just BLAH!  I like it when they aren’t “thick” tasting.  “Isopure”, which can be bought at GNC, is good because it is like the equivalent of drinking flavored water.  So far this is about the “thinnest” (no pun intended) protein beverage that I have found and am able to drink without getting that BLAH taste.  I have also found that “Extreme Body 50” (also available at GNC) is pretty good as well and also is not “thick” tasting.  I have gotten to where I look at not only the protein amounts in these drinks but also the sugar, carbs and calories.  We have to keep the sugar and carbs low, the protein of course high, and I prefer that the calories be low as well.  I want the greatest bang for less.  Another words… high protein and very low calories, carbs and sugar content.  When I get this in a beverage then I find I feel better.  I have more energy.  High calorie stuff makes me tired.  Yeah, they may have a great deal of protein but if it is high in calories I am tired.  Odd how that works.  I wonder if anyone else has experienced this.

Anyway… that is my update for the week in regard to this topic.  Hummmmmmm… I wonder what is in store for the next week.  Guess we’ll just have to wait and see.

MERRY CHRISTMAS… HAPPY HOLIDAYS!

~Tammy~

To send an E-mail you can contact me at: TammysWebLog@aol.com


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