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Surgeon TestimonialPaul Cirangle (COE)I had an initial phone consultation with Dr. Cirangle today. My call was scheduled for 3:15pm but he was a hour later calling me. He first began by asking me which procedure I was interested in, and I told him VSG. He went on to say he has been performing this procedure since 2002 and he's personally performed more than 1,100 VSG surgeries. He went on to say there is definitely a RIGHT WAY and a WRONG WAY to do this procedure. It's a largely unstandardized surgery, and he said many surgeons do things in less than perfect ways unless they've been doing the surgery for many, many years to perfect the skill. I appreciated him saying that because it instantly put me at ease and let me know he's an incredibly knowledgeable surgeon. Plus, I think he's done more VSG surgeries than anyone else in the United States. That was critical for me--you know, to find THE man. We spoke for approximately 35 minutes and he wanted to make sure I had asked all the questions on my list. He has a terrific personality and he even joked around with me a bit. I am so, so excited for him to be my surgeon and I have no doubt he is the expert to do the procedure!
My impression of Dr. Cirangle has definitely changed since my initial consultation. He's been horribly late (3 hours late) for my scheduled phone calls and he even blew me off for one call. I understand if he's tied up in a surgery that takes longer than expected, but at a minimum, I would have thought his office staff would have called to tell me he's running late but nope. If you are an out-of-state patient I cannot recommend him. It's clear he prioritizes the local patients who have office visit with him. Case in point: They never even took a "before" picture of me, and when I walked into his office the day after surgery there were tons of "before" pictures of his other patients. His office staff is horribly disorganized. I had to be proactive and manage all the pre-op stuff. They don't consistently respond to emails. And I'm still waiting for the nutritionist to send me 2 weeks of supplements she said she's send me (and that I already paid for) 3 weeks ago. Not impressed. You pay for Cirangle's surgical expertise and that's about it. Very disappointed.
Member Interests
- Travel - Been to 12+ countries and 48 states
- Cats - Two cats--Cody and Jesse
- Running & Jogging - Used to run half marathons. Want to get back into it.
- Cards - LOVE to play euchre
- Music - Over 6,000 songs in my IPod
- Snow Skiing - Actually snowboarding but it wasn't listed!
- Football - Die-hard Pittsburgh Steelers fan
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Thighs and eyes...oh my... 5 days ago
So, after busting balls and getting into the best shape of my life, my thighs still suck. It's so disappointing to know that, no matter how much Crossfit or running one does, nothing will ever tighten loose skin. So therefore I am planning on getting a thigh lift at the end of August. It's time to bid adieu to loose skin and cottage cheese thighs in favor of tighter skin. And did I mention having the ability to whittle my middle and new shapely legs into 2" inseam booty shorts? Kidding. But geez that would be nice to wear short shorts and not have any junk hanging out of them...
About the eye lift...crow's feet. Why didn't someone tell me in college--when I was jumping in a tanning bed 5 days a week--that I would get awful crow's feet around my eyes and crepey skin under my eyes? Ugh! It's outside the fixable realm of Botox so I am going to explore an eye lift. But I don't want to look permanently surprised...I just want to get rid of the crepiness.
And of course my surgeon of choice is Dr. Mitchel Krieger. He was the miracle worker (actually artist) who performed by lower body lift and butt augmentation. He is outstanding.
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Plastics Preparation and Recovery Checklist on February 28, 2012 11:54 am
I thought it would be helpful to assemble a list of things I found to be essential for preparing for plastic surgery (lower body lift) and for the first few days after surgery:
Emend anti-nausea pill taken 2 hours before surgery. If you have a problem with nausea after anesthesia, this things works wonders. Prescription only so ask your surgeon about it. It works for 24-48 hours.
Fill all prescriptions ahead of time. One of mine needed to be special ordered.
Know which painkillers work for you and request them from your surgeon. I used Liquid Lortab which is what I took after WLS.
Full-time, patient and loving caregiver. You really are incapacitated the first 48 hours after surgery and need full-time care.
Slip-on shoes or flip flops.
Pain pump in hospital that allows you to release pain killers into your system every 10 minutes.
On-Q pain pump for home use. Sends lanacaine (I think) through body for additional pain relief. Ask surgeon about it.
1-piece short or full-length zippered/snap nightgown. This is what I wore home from hospital and around the house.
5" raised toilet seat with side handles.
Dial soap. Great anti-bacterial soap.
3-way lift recliner. Totally a lifesaver. I rented it through a medical supply company.
TresSemme or Pssst! dry shampoo (found at CVS). It absorbs oil (and odor) for those days you cannot wash your hair.
Arrange for medical transport (wheelchair transportation) from hospital to home. Money well spent!!!
Move all groceries to bottom shelf of cabinets and top shelf of refrigerator.
Lightweight cotton blanket and fitted sheet for sleeping on lift recliner.
"Preparing for Surgery" guided imagery/meditation CD by Martin Rossman. Really helped me relax and channel energy.
Assurance 24x36 underpads (found at Wal-Mart) to lay down and catch leaks on lift recliner or in bed.
Hoodie and yoga pants 2 sizes bigger. With swelling, your normal clothes will not fit.
Multiple pillows for propping up and supporting legs/knees/head.
String/lanyard to wear around neck and pin drains to for showering.
Cotton/spandex stretchy tank tops (Target or Old Navy) to wear underneath binder once drains are removed.
Triple thick 3x3" gauze to change dressing.
Hydrocortisone cream and Benadryl allergy pills to help with itching.
Breakfast/TV tray for using laptop while sitting/laying on lift recliner.
Basket next ro recliner to hold remote controls, lip balm, cell charger, etc. so you won't drop anything on the floor.
Antibacterial body wipes (found at CVS). Great for freshening up.
Stool softeners. I took them daily after surgery until I had a BM.
Bromelain (pineapple enzyme) chewable tablets. Great for speeding healing. Take 5 days before surgery and after.
Individual Ziploc bags containing the first 7 post-op days of vitamins and other meds. It was so easy for my Mom this way.
Pillow for sitting on in the car to get to post-op appointment.
This did not happen to me but I couldn't imagine being on my period AND undergoing this surgery. Make sure you schedule your period when Aunt Ruby isn't visiting :)
I hope this helps! Here's wishing you a stress-free preparation period and speedy recovery,
Jen
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GIMME A P on February 4, 2012 3:44 pm
For Plastics! I am officially scheduled for a Lower Body Lift and Butt Augmentation on February 22 with Dr. Krieger in Fairfax, VA. After receiving a consultation from Dr. Hurwitz in Pittsburgh and knowing unequivocally he was NOT the surgeon for me, I kept looking. I couldn't find anyone at the Cleveland Clinic who impressed me...and then voila, I found Dr. Krieger. After reading patient reviews and meeting with him twice, I knew he was the surgeon for me. Terrific knowledge, sense of patience, and his willingness to let me ask as many quetions as I wanted all let me know he would be a solid choice. I'm going to spend the entire recovery period down in Virginia at my Mom's house. She is a saint for offering to take care of me. I'm in prep mode now--packing up DVDs and books, comfy clothes, and a few protein shakes. I am very excited to have this done but a little nervous about the pain level. I tend to be someone who uses a hammer to kill an ant (if you know what I mean) so I'm fearful I will get extremely grouchy if my pain gets out of control. All this aside, I'm listening to a positive affirmation CD specifically for pre-op patients and it's going well. Having a positive attitude is more than half of it! Onward and upward and here's to an improved body :)
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Out with the Gallbladder! on June 13, 2011 5:19 pm
Well, it's official. My gall bladder is coming out next Monday. I felt some pain on my right side and it grinded my running to a halt. So I knew something was wrong. Yep, the gall bladder is the culprit. I have some sludge buildup (not quite stones) but the surgeon recommends removal. So, I flashed back to inflating my stomach with gas again...and I bolted upright in bed and thought: GAS X STRIPS! Eegads. Those again. And lots of walking. My Mom is coming to be with me for the procedure so that will be cool.
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130 lbs. lost forever--pics! on May 22, 2011 7:29 pm
Hooray! Just posted updated photos. I cried when I looked at my all-time high photo and the photo I just posted. So grateful for my weight loss journey. Love to all!
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My Story
The first person who ever made a comment about my weight was my gymnastics coach. I was 8 years old. When trying on my competition outfit I said it felt a little tight. The coach said, "Well then honey maybe you should lose some weight." That comment has been with me ever since. I wasn't even overweight at the time. Fast forward to 13 years old. I remember receiving the book, "Junk Food Diet" and some Denise Austin workout tapes from my Dad. I wasn't even overweight at the time. I think it's safe to say that kicked off my love/hate relationship with food, and it certainly gave me a complex about my weight. Since high school, my life has been one big roller coaster of losing and gaining weight. I am 5'7". I remember freaking out my junior year in high school when I stepped on the scale and weighed 150 lbs. I decided I needed to lose 15 lbs. And I did--very easily and very quickly. But then I slowly crept back up to 150 my senior year. When I left to go to college, I weighed 164 lbs. Around Thanksgiving when I came home from college I weighed 180 lbs. Okay, so I packed on a few pounds. Doesn't everyone do that in college? Beer, beer, beer, and late-night ordering pizza. Too much studying and school work to go for a walk. During my sophomore year I crept back up to 190 lbs. I went home that summer, hell-bent on losing weight. And so I did...by walking and following a strict diet. I dropped back down to 165 lbs. And history repeated itself...I went back to school, partied and ate like crap, and came home the summer of my junior year weighing 190 lbs. again and dropped back down to 165 lbs. My best friend said I wasn't any fun in the summer because I didn't drink--I just sipped water at the bars. Going into senior year I maintained a good bit of my weight loss until graduation in December 1995. Then the proverbial wheels fell off the wagon when I moved to Milwaukee, WI. It was the first time I lived by myself (and the first time I could eat "unsupervised" without roommates), and I was living in the beer and cheese capital of the world. Plus, I worked with 20 co-workers who were all my age and who wanted nothing more to do than "grab a beer" after work. Well, I packed on the pounds...and quickly. I found myself in the plus-size department and crying over it. I had reached an all-time high weight of 210 lbs. I remember calling my Mom and crying, telling her I never wanted to be that heavy again.
I moved to Chicago and really started to get depressed. All the girls were thin and very pretty. I felt major pressure. I went out all the time with my friends but I was so self conscious. One Saturday I attended a Weight Watchers meeting. I instantly loved the meeting leader. She inspired me so much. I joined on the spot. I had no doubt in my mind I would succeed and reach my goal. I was so vigilant about what I ate, and I followed the program to a T. Never one single slip up. From January to June 1997 I watched the pounds melt away...I lost 50 lbs and reached a weight of 160 lbs. The phone magically started to ring. Guys wanted dates. I was having the time of my life and smiling from ear to ear. One day I went to Weight Watchers to weigh in on a Tuesday which I wasn't thrilled about because I always weighed in on Sunday mornings in the SAME clothes. I got on the scale and I was up 1.2 lbs. It had nothing to do with my eating--I started my period and was very bloated. The WW employee looked at me and said, "What happened?" I was devastated. I couldn't believe she said that to me. I literally collapsed mentally and threw in the towel at that point. So I got really down about it, started eating and not caring about myself, and I slowly started to gain weight back. By the year 2000 I let my weight creep up to 190 lbs. That year I went off to grad school. The stress of a 1-year MBA program was really difficult. Plus, I quit smoking during school (unheard of, I know!). On graduation day May 2001 I weighed 215 lbs. How could I let myself get back up over 200 lbs? I promised myself I would never do that again...I moved to California in 2001 and spent the next 4 years battling my weight--losing a few pounds here and there but nothing substantial. I was traveling so much for work not to mention working in the wine industry, and I wasn't able to get into a groove like I did the summers in college. I didn't feel like I controlled my own time--work controlled me. Eating on the road killed me. And there were so many social drinking engagements..how in the world could I stick to an eating plan? I quickly ballooned up to 250 lbs. Disgusted, I attended Structure House in Durham, North Carolina to learn new eating habits and hopefully "cure" myself of obesity. I learned a lot from the program and I made awesome friends. I was there for a month (it cost me $10,000). It was money well spent at the time. I stuck with their eating program and lost 10 lbs. while I was there. While I was there I signed up to walk a 5K with other program participants. I was nervous--I didn't know if I could physically walk 3.1 miles. My Mom called and said, "Sure you can. You can do it." I walked an 18-minute mile but I didn't care. I was proud of myself for even doing it and dispelling my own negative thought that I couldn't do it. I will never forget all my fellow Structure House folks standing at the finish line, cheering me on. That was awesome. Thanks, Mom, you inspired me to walk that 5k. But after leaving Structure House I quickly learned that I had a serious problem--I was a compulsive overeater. I hadn't addressed the underlying emotional issues of why I turned to food.
In 2006 I learned about Team in Training--the Leukemia and Lymphoma's program to train people to run half marathons and marathons to raise money for blood cancer research. I decided to attend the first meeting. Not more than 15 minutes into hearing people's inspirational stories, I had my checkbook out, ready to write the check and sign up to run my first half marathon. Wait, what was I doing? I didn't like running. I couldn't run for more than 20 seconds without wanting to quit. For 5 months I trained with a great group of people and discovered a completely different side of myself through running. I'm a naturally competitive person so I followed that training plan like nothing else. I even stuck to it while I traveled for work. I ran in the dark. I ran in the pouring down rain. I loved it with every fabric of my being. I HAD to get my miles in!! I participated in small races (5Ks and 10Ks) to support my training and to keep my interest level up. The weight melted off and I dropped down to 200 lbs. I raised $4,000 for the Leukemia and Lymphoma Society and in June 2006 I ran the Vancouver Half Marathon. Little did I know that that experience would kick off my LOVE for running. From June 2006 to June 2007 I ran 6 half marathons in 6 cities I had never been to, and I ran more than 40 different 5Ks, 10Ks, and 10 mile runs. I LOVED running. It was my thing. It was my oasis. In June 2007, I ran the Deadwood Trail Half Marathon with little training beforehand. I figure since I just ran a half 4 weeks prior I didn't need the training. Well, I was wrong. The course was 100% downhill which wreaked havoc on my knees. At mile marker 9 I felt a sharp shooting pain in my right knee. I slowed to a walk and then tried running again but I couldn't run. I kept trying. All of a sudden I felt the same pain in my left knee at mile 10. It was unbearable pain. But I couldn't give up and I had to run it in. My Dad was waiting at the finish line, and I would be damned if I didn't run across that finish line. I soldiered on and managed to endure the pain while I ran across the finish line. I collapsed in front of my Dad and told him I couldn't walk. By the time I got to the hotel, I was in severe pain. I called my doctor and he put me on major painkillers. It turns out I blew out both IT bands in both knees. All I could do was rest and ice them. It crushed me. Running had become my passion. I didn't want to be sidelined. Running kept my spirits up and my weight at bay. It brought me intense joy. And all that had been taken away from me. About 3 weeks after the race I went out for an easy run. I couldn't run more than .3 miles without getting pains in my knees. I was devastated. And depressed. I didn't enjoy any other form of exercised (I hated the gym scene) and so there I was, back to eating again. Plus, I couldn't get my weight below 200 lbs. I hit a stall. I took a new job and moved to Chicago. When I got there, my world got turned upside down on two levels--1) I had a nasty boss, and 2) the Chicago climate was not conducive to outside exercise like it was in California. Plus, I was a Brand Manager for a bourbon brand, and I was out at the bars, drinking all the time. To make matters worse, I broke bones in both of my feet. That sidelined me for a grand total of 16 weeks. I was miserable and extremely depressed. All I did was eat and be miserable. From November 2007 to May 2009 my weight skyrocketed up to 275 lbs. Suddenly I started having health problems--shortness of breath, erratic periods, irregular heart beats, and mood swings. And if things couldn't get any worse in 2009, I lost my job, my grandma died, I put my cat to sleep, and my Dad was diagnosed with cancer in June 2009 and subsequently passed away August 2009. I was at an all-time emotional low in my life.
Which brings me to today...at an all-time high weight of 275 lbs. and researching bariatric surgery. My Dad wrote me a letter when he was sick with cancer. It said, "Jennifer, it would have been nice to walk you down the aisle. I think you know I've always been worried about your health." I was very stung by that. There was a part of me that resented the daylights out of those words because my Dad could never find a way to talk to me about my weight without putting me down or making me feel bad. But I know deep down he wants me to be HAPPY and healthy. He initially told me not to have bariatric surgery but I'm at my wit's end with my weight. I cannot do it on my own. With the VSG, I am bound and determined to succeed this time. With my Dad's support from up above and my Mom's support at my side, the one who said, "Sure you can" to me when I questioned whether I could walk a 5K, I know this will be the beginning of a beautiful new journey for me. I look forward to a healthier, happier me, and I look forward to pursing my dream of owning a spa and crossing the finish line of many more half marathons!
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