Monday, May 17, 2010

8/30/2005 - It's been a whole year!
I started this journey a year ago. So much has gone on. Would I do it again? In a heartbeat! Sure the weightloss has been slow, but I do have my life back and my health is getting there. I have had 6 fills and am currently at 2.3. I figure my body needs time to adjust so, no matter how slow it is, it's all good!

October 6, 2005-- went to see surgeon today. After about two weeks of fighting with myself and wanting to give up, calling myself a failure, I went in. Seems I lost .2 cc's, and was down to a fill level of 2.1. Bummer. I had been at 2.3. I really wanted him to take me up to 2.7, but we settled on 2.5. I then went to one of our soup stores and picked up two varieties. It only took a few bites and I was full. It felt really good. Hopefully if not at my sweet spot, I'm really really close.

8/28/2008

Sorry it's been a long time since I've updated things. Down to 218 and I'm just too cute! Spent yesterday at the first day at Harley Fest and made lots of passes. Clothes are now 14/16-18/20. Active in BIW support group. Hobby is beaded jewelry and starting to get into craft shows and consignment.


Kidney Stone

April 2005
I was at Kathy's working on making an outfit for the upcoming season. We got through part of the day, when I started getting sick. I had to use the bathroom a lot, and after going, I started uncontrollable vomiting. There was intense pain in my back. About 2 in the afternoon, I asked Kathy to take me to the hospital. I reached my primary who indicated he thought it was a kidney stone and yes, get to the hospital right away. The ER doc kept trying to tell me I just had a bladder infection, but the urologist confirmed it was a kidney stone, most possibly due to some dehydration. He put me in the hospital over night. Funny thing was, I had my last "attack" just before they took me to my room. Dr. Chiang came the following morning and asked if I wanted a fill. Who would refuse?

NSV's (non-scale victories)

NSV's: I guess I should be jumping up and down all excited... my seasonal depression has hit, but yesterday was a biggie in NSV's at work.

I had purchased a 22/24 t-shirt from Fashion Bug Thursday night... 60% off, so only $3 something. I thought I'd try it on, and it fit... a bit snug for my taste, but it fit, so I wore it to work.

My immediate co-workers commented that I now have a figure showing... I stated, I've always had an hour-glass figure... but they persisted, "you always wear big clothes.. we couldn't see it." Well, ended up they had me blushing.

I had decided to check out what was for lunch in the cafeteria, but since the fish smell hit me getting off the elevator, I turned around. Someone I don't even know, commented, you've lost a lot of weight! There were a lot of other encouraging comments yesterday too.

Today, I picked up a t-shirt from Wally World, 26/28... IT's TOO BIG! Man that feels good! I wanted one a little too big, to maybe do some quilt designing on.

I had a breakfast wrap and could only eat 1/4 of it. Someone commented about portion sizes in Milwaukee... we used to be big-time factory town, so needed to feed those hearty appetites. Now, we aren't, but portion sizes haven't gone down, they've gone up... so realistically speaking about 4 meals out of each restaurant meal. I haven't flashed my ID card yet, because of the inappropriate items on the kiddie menu. Even the senior menus suck--meat and potatoes and gravy and bread... those open-faced sandwiches.

It's been rough, emotionally. The scale hasn't been moving for the past couple of weeks, and after my fill had the gall to go up. I am doing my darnedest to maintaining bandster portions, exercise, etc. Took exercise off last night and tonight, chief complaint is the sciatica... it almost has me feeling like it's on a nerve, or else some level of anxiety.

Made "Mom's Pot Roast" from the cookbook... who'd ever heard of coffee being put it, but I did it, can't be any crazier than making the coffee for the Black Magic Cake that the family so loves. The roast was quite good... attempted to get stuck a couple of times, but no negatives.

Beginning to question, is it all worth it one moment, then the next, everything's peachy. I am too greatly focused on the scale. Need to eliminate that part. But will I? Wait and see.

2/16/2005
NSV: I needed to adjust the seat in my car. I could barely reach the pedal. I've had the car not quite a year, and this is the first seat adjustment I've made. Kinda cool! I'm now down to 262 this morning.

3/20/2005

3 month bandiversary! Yippee. I had my 3rd fill on Thursday of a whopping .1 increase to 1.8 cc's, but it seems to be the turning point on my journey. Since Thursday I have been going down, a pound a day, now to 256, 39 pounds from starting in September and 19 pounds since surgery. Though the nurse on Thursday was a dimwit. She kept insisting that the expected weight loss is 1-2 pounds per month. I wanted to kick her. She was also insisting that bypass patients are expected 1-2 pounds per week and ONLY if they exercise. She tried to convince the doc that there was no need for a fill, but he did it anyway. I'm so glad for him. Now, I saw the same nurse at my 10 post-op visit who had commented on my iron level, but never said anything about an iron supplement, now 3 months later, she suggests an iron supplement and that the clinic has now decided that with folks under 80 need the supplement. I have been very fatigued the last few weeks, and it won't be a bad idea, but need to talk to my primary.


First Fill/Adjustment

2/1
FIRST FILL!
It went all too quickly! Dr. Chiang said he doesn't follow the "rules" on fills but tries to hit the sweet spot right away. Well, I closed off at 2 cc's so still got a 1.5 cc fill. I've really not been hungry all day, but managed to get lunch in about an hour and a half late. If I'm drinking I don't get hungry. NSV for today. I stopped at Dunkin' Donuts for a coffee and the clerk kept asking me if I was sure I didn't want a donut. I think like tree times. He didn't know what to do with me upon each of my refusals.


National Body Challenge

1/25/2005
Oops! I've not been keeping up with my journal. It's now 5 weeks since surgery and 1 week before I go for my first fill. I am tolerating just about everything that will go in my mouth, and I'm not thrilled. I've had no negative effects whatsoever. There can be a little discomfort around the port if I sit or lay wrong. I'm also noticing it after exercise, especially on the treadmill, it's just a bit irritating, not really bad. Sometimes a little heat seems to help.

I saw the dietician on 1/19 and she indicates that I am right on track. I was given the ok for baked chips and said "why would I want to do that? I gave those up to have the surgery." I really want to stay away from as much junk as possible. I know that if I bought a bag of chips, I would eat them until they are gone. I'm not saying I won't indulge when out at a social event, but I can maintain better control in that type of situation.

Weight loss is slow (12 pounds since surgery), and my rational mind knows that right now the focus is healing, not weight loss. However, I have not been down to the 260s in well over 10 years. I'm having a ball with the NSV's. They are what encourage me. Yesterday I went down a flight of stairs like a "normal" person, not sideways and one step at a time. Sunday's was fitting into a booth at a restaurant without being squished, Saturday's was being able to zip my coat (couldn't zip it when I bought it). It's incredible that these little things do make all the difference in the world, and don't seem to be encouraged by the "normal" diet industry. It would be a great thing to encourage especially in groups like Weight Watchers. My sister has joined WW again, and I encouraged her to look at those little victories to keep her going.

My energy level is increasing. If I'm standing and waiting for things at work, I'm moving! Sometimes I do things that make me get up an walk just a little bit more, like print labels one at a time.

On January 15 I joined the National Body Challenge through the Discovery Channel. This included a 2 month membership to Bally's and I've been going. I do need to check into the one closer to me so that I can go more often. A little video exercise at home seems to be helping too, though my endurance is pretty minimal at this point.

I met with a co-worker yesterday who had the bypass two weeks before me and has really been having a rough time. Her weight loss is fantastic, but at what cost? Her health is declining. Hopefully things will improve for her and she will regain her health and not regret having had the surgery. I've invited her to the Milwaukee WLS support group on Saturday.

Got word on the Chicago Bandster Bash, and am almost convinced that I want to go. It's also the weekend of the International Quilt Show, and in adjoining locations. What could be better? The only thing preventing me at this time is the $$.


Post op visit

12/31/2004
Yesterday I saw the doc 10 days post-op visit. According to them, I am right on track, and seem to be healing well. The bandages came off, but the stitches are the disolving kind. As far as work. It was a rough week. I made a home visit to a client on Wednesday, a little too soon, and was getting some jabbing pains on my left side. It didn't let up the rest of the day. Every night I came home and collapsed.

Today was a beautiful day. It's 8 pounds since surgery. It got up into the 50's when you think same time last week it was below zero. I picked up postage for the newsletter that I have to put out, and then did a little shopping. I went to the Reiman Publications Country Store in Greendale, came up with 2 pairs of pants, 1 sweatshirt, 2 light 'n tasty magazines, a flannel comforter, and 3 light n tasty annual recipe books. It was wonderful! Then found a great flannel at the fabric store and got 4 yards of it. It will make a wonderful nightgown, but after I've outgrown my other two.

1 week later back to work

12/27/2004
One week after surgery, and first day back to work. It's late morning, and I'm getting tuckered out. Not much pain, except when I turn wrong. A little too warm though. I might just leave a little early.

I actually did go home for 1/2 the day, but managed to make it through the rest of the week. Since the new year was upon us, I requested to use 2 days vacation time to help me recover. That really did the trick.

Recovery...

12/22/2004
WHAT THE HELL DID I DO TO MYSELF? WILL IT BE WORTH IT?
This morning I am 270.5. Still achy and sore, but seem to be doing well. I'm tolerating sitting up quite a bit. I'm a little slow getting all my fluids in, but working on it. I'm sure I'll get a better routine as I get used to all of this. The well wishes and prayers I have received have been wonderful!

12/26/2004
Went shopping with a friend, got most/all of my full liquid items. We went 3 places... Office Depot and got a 15% discount on the newsletter I do, so it only cost $99... Vitamin Shoppe, picked up my Isopure, ZonePerfect protein drink, Schiff Children's vitamins and some Stevia... then to Jewel-Osco for meds and groceries. I found a nice-sized lunch bag to take to work with me at only $7.49. My friend was very good in not allowing me to purchase things I can't eat yet.... bummer!

Surgery quickly approaching

12/19/2004
Well, only 11 hours before surgery! It's been a pretty intense day, trying to get some stuff done, anxiety and all. I've been having some pretty strange dreams, one included an issue with dehydration, the other was that my sister contacted a cousin, and she glared at me disapprovingly. Well, the comforters have all been washed, now I'm just waiting for my bedding to dry so I can make up my futon (my choice for sleeping during recovery). The bedroom's a mess, oh well. Part of my procrastinating was by doing some genealogy. That always helps me to focus a bit, and sending humorous Christmas tree directions to work.

12/20/2004
It was to the hospital at 5:15 am. The doc actually came in and talked to me at length. My weigh-in was 275.1. So, exactly what my scale at home reads. I always find the clock when I wake up and it was around 9:30 when I went into recovery, so surgery was just 2 hours. Most of the day was pretty good. The night, however, was horrid. I had a reaction to the Lortab elixir, and vomited about every 2 hours till 6:00 am.

12/21/2004
Even with the crummy night, the upper GI showed no problems with the band, it was really cool to see the band too. I was just so tired. My budget counselor stopped by and gave me two 1/2 yard pieces of fabric, red batik and purple/black/blue/red "grass", they reminded me of Hoffman fabrics. Just gorgeous! Actually, maybe they fit better in the Red Hat Society colors.

Pain meds were changed to Dilaudid, which I've had no problems with. It was questionable whether or not I would go home, but I was becoming antsy, and since I hadn't vomited since 6 am, I thought it was ok. I went straight to bed when I got home.


The Journey truly begins

12/17/2004
Well it's been quite a few weeks. I started out on the protein diet on 12/6 and did fairly well the first week. Minimal cheats of very small candy canes, no more than 2 a day. The second week became much more difficult! By Wednesday I was throwing shakes away, because they were making me gag. I was getting sick of all the gloppiness and thickness. I thought the only solution would be to get some RTD shakes. The Vitamin Shoppe had only 4 cans of ZonePerfect chocolate. And some large MetRX with a total of 40 grams of protein per can. Unfortunately 2 strawberry ones were in the pack! Ick! The strawberry has just too much chemical taste for me. However, I had some Strawberry Kiwi Juicy Juice and added a couple of ounces in. It became less thick and solved some of the problems. Much less gaggy. Tomorrow I begin clear liquids and have picked up some Isopure. I don't think it will be quite so bad. I did pick up the Hunts jello (no sugar added) with Splenda. Jello is bad enough... even worse with Splenda, but I'm sure it will taste good during the next couple of days and shortly out of the hospital. I went to Pick'n'Save and found Glaceau Smart Water on sale for $.99. I would have paid full price, but got 18 20-ounce bottles. Now I don't feel the need to go to Walmart to pick up the 32 ounce bottles of Propel. I may need a few more popcicles though. I had my H&P on Wednesday, and have been having pain similar to kidney pain, so I was put on hold until I could see my PCP. My B-12 levels went from 131 to 450 in only 6 weeks of injections and sublingual. He didn't send me for the ultrasound, but just did the urine test and it was CLEAR, he called the clinic so surgery is on for Monday! My first burst of excitement. He, of course, wished me well and I invited him to visit in the hospital.

So we come to today, Friday the 17th. It's my last day at work. My doc's office faxed back my FMLA form with a return to work date of 12/27/04 and I was doing a happy dance. I'm feeling pretty good, folks are asking if I can be placed on their respective prayer lists. Of course, who would refuse? So if you've gotten this far in reading, feel free. Surgery is Monday, 7:30 am CST. At this writing both my PCP and surgeon's office agree on weight 278. At home it's 275.

I got a wonderful item from Avon, a Bally Ped-a-Bike, so that I can do some non-impact exercise, and it's not huge! It will work for legs and arms.


MY reason to choose Lap-Band over RNY

My standard explanation for having Lap-Band as opposed to RNY has become:

My niece, age 52, has stomach cancer. She has had a perfectly good reason to have 75% of her stomach removed and things to be rerouted. My stomach is still a healthy organ (albeit a bit stretched), disease free. I DO NOT have any reason to have the stomach to be surgically cut upon/altered or anything rerouted. I also have one malabsorption issue with my B-12 levels, I certainly don't need any others.

Sue passed on to the next world almost a year to the day from her diagnosis. Before she weakened too much, she sent me a wonderful note of encouragement for my journey


Sunday, May 16, 2010

Pre-op Dietician consult

11/24/2004
Had my consultation with the dietician today. It was a tad bit difficult with not being able to use artificial sweeteners. My pre-op shakes may be an issue, a little too high in carbohydrates. We may be able to compensate with soymilk or a soy powder. I will call her on Friday. I was weighed today with jeans, sweatshirt and shoes and am 283. Though my home scale (fewer clothes) is 278.5 this morning. She commended me for the weight loss and explained that most people don't lose weight before the pre-op diet. I explained that I wanted it to show that I am committed to this process.

Insurance and ,,,

11/6/2004
Well, my paperwork should be on its way to the insurance company. With any luck it will be good to go soon.

11/9/2004
The insurance company is in receipt of my packet, it's pended but lists a surgery date of 11/29/04. I would like it moved to later in December, will contact the clinic tomorrow.

The first psych eval was denied by the insurance because he listed "psychiatric diagnosis" and they requested it be sent to the mental health provider of our insurance, and they won't pay because they claim this was a medical evaluation. Serves the jerk right! Must call the insurance tomorrow too!

11/10/2004
Called the insurance this morning, everything is pending, and asked to wait for a week, they had only received the file on Friday. Also, the psych coded everything wrong so that's why they refused his claim.

Received a call this afternoon from the doc's office, I've been approved, and have a date... DECEMBER 20! Lots to prep for. I'm soooo excited.


Weight loss has started & dealing with Halloween

10/28
BTW, I'm now down right around 15 and was able to get into a pair of jeans that I've not been able to wear for a couple of years. Today's been a pretty rough day, and I am questioning my potential ability to go through the liquid phase just before and after surgery. I have been using protein shakes generally for my lunch, about an hour after became completely famished, so went and got something for lunch. I'm sure I will get through this. The good thing is, my new profile is updated and I just LOVE it! That was a great thing to come home to this evening.

10/31/2004
A miracle! I survived the time change! Let's see tonight when I'm asleep before 10.

I haven't seen the Dr Phil program from Friday, but have read the transcript and went to the message boards. It is surprising that he was more supportive than it seems anyone thought he would be. I am subscribing to cleaning the environment (came to that on my own though), and just won't allow the negative foods into the house.

Well the ghosts and goblins are due to arrive between 1-4 pm today. This is my first Halloween since I was a kid... always lived in apartments that were generally skipped. The goodies stay in the car until about 12:30. I had brought them in, I would have eaten everything. The kids in the complex will get frostie coupons plus candy, any outsiders, just the candy. Any left, it will go to work in the morning. No kids showed up so goodies went back into the car.


Awesome book!

10/21/2004
I just picked up my copy of Dr. Ahroni's book: Laprascopic Adjustable Gastric Banding: Achieving Permanent Weight Loss with Minimally Invasive Surgery. It seems to be an excellent tool. Although, much of the information is stuff I'd already received through my surgeon's office, just put into a book. I like the sample "meals" when you are on each of the different levels. I'd been trying to get it from Amazon, but was having trouble with their delaying shipping (subsequently I wouldn't have the funds), so went to my local Barnes & Noble and ordered it from them.

B12 & 2nd opinion Psych eval

10/19/2004
What a glorious morning! Didn't get much sleep and had a horrid dream about my cat and an open wound, but yesterday went so very very well. I think the B-12 had something to do with my sleeplessness, and a bout of IBS, which supposedly I don't have, but tell my tummy that!

So far I have lost 7 pounds since my initial consult.

My 2nd opinion psych eval went really well! I saw Betsy Blair. The psychologist asked a lot of hard questions, but in the end she indicated that I am already attempting to make major changes (i.e., giving up. Mountain Dew), know what my triggers are and know when I need to go into therapy and/or take medication. She used the word competent.

This is so much better than seeing the psychiatrist, who wanted additional sessions out of the assessment, and that I was not a good candidate for surgery. But otherwise had me as bipolar. Even my primary did not agree.

The only thing now is to work on those B-12s.... and those are improving too! My primary wants me to stay at injections every 2 weeks until my levels are up in the 400s. I really like the sublingual, and that seems to give me the boost I need in the morning. After my levels are up, then injections once a month and I will be able to self-administer.

Wisdom? Questions?

9/18/2004
I woke up this morning for the first time, questioning the wisdom of doing something so drastic. Do I really want to change my routine/habits so significantly? Will I ever get to eat "real" food again? Will I be able to go out with my friends again? I'm sure this is really normal, and a positive sign. I also don't want to fall back into the eating disordered talk/behaviors. I think I am aware enough of the signs, that I would seek assistance if I were having a problem with it. I am attempting to make some of the changes the dietician suggested the other night, especially the caffeine/sugar transition. I've asked co-workers for baby food coupons. One asked if I had something I wasn't telling? hee hee. I asked another about nutritional supplements/protein drinks. I don't think the baby food will be such an issue, I've had to use it when I had TMJ problems. I found it interesting that at the class there was no mention of tofu/vegetarian products to help with the protein and it's a naturally soft food. Last week I ordered the book on Lap Band as well as a cookbook after WLS. It hasn't arrived yet, and I'm a little anxious about receiving it.


First visits at BIW

9/9/2004
Well today is the day! I go for the consultation with Dr. Chiang. My nerves are all wrapped up very tightly. I was hoping I could spend the morning in a meeting, but that has been cancelled. Bummer. I keep thinking of things to add to my packet. Aaargh! I am very excited and can only hope that only good things will come out of this. Just contemplating what I will need to give up! Coffee w/cream (h&h), caffeine-free Mountain Dew, any sweet drinks. (I hate all artificial sweeteners.

Later in the day. Well, first the visit with my orthopod didn't go good. My blood pressure has been up the last two visits. 156/102... not good! I've been trying to convince myself it's all because of the stress of today's appointment at the BIW. NOPE! I did put a call into my primary physician, not sure what we will do. Anyway, the PA at the orthopod's office has worked with Dr. Chiang even when he was a resident. She could not speak highly enough of him! I found a co-worker who had RNY done at the same clinic about 2 months ago. Wow! We talked briefly and she gave me some pointers. Well, got to BIW, and who should be there, but one of my first contacts with this group Amy from Madison. We were able to talk a bit and it was just so cool. I had the consult with the nurse, Lynn. She was great! By the time she took my blood pressure it was a wee bit down, but not really good enough. 132/92, however, it is closer to normal. In my mind's eye it is showing me the need for surgery at this time. Well, I didn't like the scale... almost 10 pounds higher than my primary's office... I bet it was the shoes! Hee hee. I met with Dr. Chiang, and he feels I'm a good candidate for either surgery, however, he wants to do the tube up/down both ends... such fun! He will do the tests himself, indicating that he knows what he is looking for. Well, let's see, next thursday is the dietician class, the following will be the colon/endoscopies. I feel pretty good about it now, and almost want to shout out to the world, but I think I need to wait on it just a bit yet.

9/11/2004
I was so hyped on Thursday night that I got no/very little sleep. I really should have updated yesterday since a lot got done, but sleep got in the way. I am now scheduled for my blood work and physical therapy appointments. I couldn't schedule the psych eval because they weren't in yesterday. I will take care of this on Monday. So, the end of the year would not be out of the realm of realistic. I'm almost too scared about the insurance. They are too nice to me when I call on the phone. So far, everything is being covered. There is rumor that in 2005 Humana will have a bariatric exclusion in their policy, but they couldn't confirm/deny it over the phone. Hopefully I won't have to deal with that, except perhaps for the fills.

9/16/2004
Tonight is the dietary class at Elmbrook. Humana claims this class is covered at 100%. I'm looking forward to it, though don't quite know what to expect. For some reason I'm having a migraine-type headache this morning... not debilitating, just irritating.
9/18/2004

I woke up this morning for the first time, questioning the wisdom of doing something so drastic. Do I really want to change my routine/habits so significantly? Will I ever get to eat "real" food again? Will I be able to go out with my friends again? I'm sure this is really normal, and a positive sign. I also don't want to fall back into the eating disordered talk/behaviors. I think I am aware enough of the signs, that I would seek assistance if I were having a problem with it. I am attempting to make some of the changes the dietician suggested the other night, especially the caffeine/sugar transition. I've asked co-workers for baby food coupons. One asked if I had something I wasn't telling? hee hee. I asked another about nutritional supplements/protein drinks. I don't think the baby food will be such an issue, I've had to use it when I had TMJ problems. I found it interesting that at the class there was no mention of tofu/vegetarian products to help with the protein and it's a naturally soft food. Last week I ordered the book on Lap Band as well as a cookbook after WLS. It hasn't arrived yet, and I'm a little anxious about receiving it.

9/23/2004
Today I had an EGD/Colonoscopy, and if I remember correctly was a horrid patient. I kept trying to take the scope out, or screaming for it to come out, but now I don't remember the pain so much. But the results were EXCELLENT! After previously having icky gastric diagnoses, it was the first colonoscopy! Everything looked normal! No polyps, no ulcers, no evidence of reflux... he did take some cultures and I should know in about 10 days. If anything could have put a stop to having the surgery, this was the test that would have done it. I was home by 10:30. AND, unless problems occur, no colonoscopy for another 10 years...

http://images.obesityhelp.com/morbidobesity/mempix/zahn_chris/4.jpg



10/3/2004
I should have been updating all weekend! Wednesday was horrid! It was my psych eval, and I got a mental health assessment rather than assessment for bariatric surgery. He wanted me to see him at least 7 more times, the next time for a medication assessment, as I seem to be bipolar to him. He asked very few questions about the surgery and how I felt about it, or what I was doing. I did admit I don't see myself as thin. Not yet anyway. That makes me not a good candidate. I know I have some difficulty with depression (seasonal, especially) and it will be time for me to start medication again soon. I also don't have a problem seeing a therapist for any other issues that may come up. I spent the evening at the Family History Center in Milwaukee and had several people to assist in doing their genealogies... what fun!

On Thursday, I received the results of my colonoscopy. The doc had taken 7 biopsies, and everything was PERFECT. My blood work had also come back. TSH (thyroid) a wee bit low, T4 (another thyroid) normal, Iron normal, B-12 - 131 when normal is between 300-900. I immediately put a call into my primary physician.

On Friday, I called a different bariatric program to see who they recommended for the psych eval, and were very good. I was able to set up a 2nd eval. I also called the insurance for authorization of those 7 visits... the woman was very good, that the psych eval was a medical issue and would not be covered by the mental health program, and that I had been told this when I called previously. I agreed, and I will go with that. My primary called me back and left a message on my voicemail.. "Chris, this is Dr. Sweeney, boy am I shocked about your B-12 level being so low. I need to see you to discuss treatment and further testing." He also indicated that while the thyroid was a bit off, it was still within the norm. My appointment is Wednesday at 4:15 pm.

As far as the weekend, I gave myself permission to simply collapse. I did cover at the Family History Center again, but had trouble staying awake the last 1/2 hour. It was a little slow for a Saturday. I did a wee bit of grocery shopping, what I could for $10. Came home and promptly fell asleep. Today, I had committed to go to breakfast with a friend, of course I had steak and eggs (gotta attempt to get that B-12 in--heehee), came home and slept, watched a movie (Return of Martin Guerre - with Jean-Claud Depardieu) but had to stay awake to read the subtitles, and slept some more.

Oh yes, I do have many of the general symptoms of B-12 deficiency and am beginning some of the neurological problems (balance, nerve pain). I've been reading quite a bit, and got a good food list (however, I AIN'T eating Brains, Liver or Kidneys... ick! But after payday... if recommended by the doc will get crab, salmon and the like.




Who me, have WLS? Not a chance in you know where...

That was my initial reaction when I first encountered the Band. My previous secondary experiences with RNY (bypass) surgery, was not positive. I'd had an online friend who passed away after her surgery and died 18 months later. She'd been one of the unlucky folks who did not go to a bariatric surgeon. I've also known several people who've had incredible difficulties. What? I wasn't so big that surgery would even be an option... my BMI was 54.5. When my cousin started talking about it to my sister and me, it was my sister, not me who was interested. I did, however, discuss the issue with my primary. He was all for having this done. He liked the Band due to it's flexibility, the rate at which people lost and thought it would be a good option for me. After this appointment, he had provided me a couple of names of surgeons he was aware of. I could not get into Dr. Chua's office in a timely manner, Dr. Regan's office and the Froedtert program were limited to RNY surgery. I located a clinic and noticed they were in my network. I chose Bariatric Insititute of Wisconsin (BIW) and got an appointment in 2 weeks. I did not know any of the doctors, so I let their first "available" appointment give me the doc. At that time they waived the "Seminar" requirement. They sent me a questionnaire that I ultimately scanned into the computer and typed all of my responses because they were going to be long ones. I wanted to make sure I would be accepted. In this two-week period, after listening to my cousin and her journey and some of the changes she had to make... I decided to get a head start... so I eliminated chips and severely reduced my Mountain Dew intake. Within a month I lost 20 lbs. I also found a couple of support groups and started attending as well as joining several online groups.

Success is Relative...Victory is Sweet...

Success Is Relative…Victory Is Sweet...It truly is when you really come to think of it. It is important to keep this in mind with the Lap-Band or the Realize Band, because everyone’s journey is different. I cannot compare my journey to any other person’s journey or even to the “averages.” It is not fair to any of the parties. It is also important NOT to compare the journey to someone who has had a different type of surgery. We are the only ones who can determine whether or not we are successful, along with the consultation of our physicians (sometimes it has been my surgeon who has helped me stay in perspective and continue the endeavor). Many of us have a history with various weight loss ventures that have led to a sense of failure. We need to forget the past, and accept this journey as a new beginning. Take on the attitude that ANY LOSS IS A SUCCESS! Write it down; post it where it can be seen.

The Band is an awesome tool, and it is important to learn how to work it, and it can take more time for one person than another. Everyone gets frustrated from plateaus or any other form of setback, and these will happen from time to time. I don’t know how much it can be emphasized that the Band is not a magic bullet.

For some, not gaining any additional weight may be their success. A person can be successful whether the numbers are 20 or 200 pounds. Sometimes we just need to change our patterns of thinking, and chucking some of the stuff we were raised to believe about success and failure. All too often, it is so easy to discount ourselves. Every compliment ought to be followed with a “Thank you” and any other positive information that is chosen to share. I can only relate to some of the attitudes I have needed to change in myself, hopefully these will be helpful to others.

Focus on short-term goals rather than the big picture. This makes things simpler and not so daunting…. Celebrate each accomplishment. At my initial consultation there were two weight loss goals set (the big picture)… ideal weight and personal goal. Only after surgery did my surgeon indicate what he felt was a realistic goal. Getting down to what is considered “ideal” would be too much.

Ask, “Would I have been able to lose weight to the degree I am now and maintain it without the Band/surgery?” If the answer is no, then there is a victory in acknowledging that we have a tool that if properly maintained, can assist for life.

Others will notice and comment, whether or not the journey is shared. So, if choosing to share specific numbers, eliminate words like “ONLY: yes, but; ” from the vocabulary: Usually the conversation would be, “You’ve been losing weight, haven’t you?” Yes, but, I’ve only lost xx lbs, ” ought to be “Thanks for noticing, yes I’ve lost XX lbs?

There are different types of success: scale victories (SV’s) and non-scale victories (NSV’s).

Please, get off the scale… these numbers are actually the least important in our lives. Reserve the scale for places outside of the home; such as the doctor’s office (any doc), the gym. Attempt to get in the habit if there is access to a scale, limit the frequency of using it to once or twice a week. Daily weighing can be a set-up for obsession and/or perceived failure. I have found it exciting when seeing the numbers change at the doctors’ office.

Take pictures and measurements. Start a scrapbook of your journey. There can become a point where some measurements are more difficult to make. At some point the scars even move.

Acknowledge/celebrate (write down) every “little” thing that is some action that wasn’t able to be done before (NSV’s). Examples: eliminating medication; feeling better, every change in size (includes clothing, jewelry, shoes, etc.); needing to try things on rather than just grabbing the largest size; a gap between the steering wheel and tummy; the ability to move the driver’s seat forward and not have to stretch to reach the pedals (especially for us short folks); getting rid of the seat belt extender; climbing stairs with less effort; breathing better; crossing legs; reduced pain, exercising, etc.

Maintain REGULAR visits with the surgeon/clinic. Doing this helped me get over the “guilt” I felt if I wasn’t losing what I thought was “enough.” I did not always get an adjustment at these visits. It has helped me stay on track. I also learned to not be afraid if I felt something was amiss.

Ultimately, look at new ways to view success in a positive way. Do not discount the small stuff, and celebrate all of the little wins. This will assist you in continuing the journey and maintaining it.

Remember with each loss so much more is gained!