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Surgeon Testimonial

Jon R. Pirrello, Jr. M.D.
My first impression of Dr. Pirrello was of a very competent man with a professional manner, who listened to me and answered my questions knowledgeably and thouroughly. I never thought he was concescending or arrogant - the way some doctors can act.

During my post-op care, I felt Dr. Pirrello stayed informed of my status and kept me informed of where we were at, what we were doing and what was expected to happen. At no time do I feel I received empty promises or less than first-class care.

The staff is friendly and professional and willing to help. I really have appreciated their warmth on the phones and their patient-forward attitudes.

There really isn't anything that I dislike about Dr. Pirrello, but he's not a 'warm fuzzy' guy. I don't want 'warm fuzzy' from my surgeon, I want someone who knows his stuff. My PCP can give me 'warm fuzzy'.

Dr. Pirrello's practice offers an optional, one year nutrition program for after care. I've decided to take advantage of the program. I'll meet with a nutritionist once a month for a year to make sure I'm staying on track.

I believe that Dr. Pirrello and Carolina Weight Loss Surgery was the best decision I could have made. There is a reason they're a bariatric center of excellence and I would highly recommend them to anyone.
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Latest Surgery Support Comments

  • Comment by Sarita on 10/23/07 4:08 am
    SOOOOOOOOO Happy you had your surgery. I pray for your speedy recovery and I'be thinking of you down here In TX. I'll be scheduling mine in Nov. can't wait. God Speed on recovery Sarita
  • Comment by PlumpKitty on 10/23/07 2:49 am
    Hey sweety!!! Hurry home for goddness sakes we miss ya!!!! Congratulations on surgery!!! BIG SNUGGLES PK
  • Comment by Amy W. on 10/23/07 12:44 am
    Hey there honey pie! I'm thinking about you and hoping that you're feeling better soon! Can't wait to talk to you when you get home! :)
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"Go forth boldly in the direction of your dreams; live the life you've imagined." ~ Thoreau

cybregrrl's Blog



July update
on July 7, 2008 8:54 am
Hi y'all! Just checking in and letting y'all know how things are going for me.

I'm sitting at 186 and firmly wearing a size 14 pants and large tops. Yay! To date, I have lost 133 pounds since surgery. I have lost one adult female! I am officially smaller than my sister for the first time in my life - or hers! Sis is very happy for me, but unhappy for herself and has taken steps to lose weight. I'm glad that sis is taking my success as an impetus to get her own diet in order.

I'm working out 3-4 days a week, spending two of those days with a personal trainer. I've noticed more definition in my legs, arms and shoulders and my abdomen is starting to take some shape besides round. The skin issues I have in my arms, thighs and panni, while still bad, are improving a little. I just gotta say it:   I HAVE MUSCLES!!!

Currently, I eat between 1/3 - 1/2 cup of food at a sitting and still drink a SF CIB every morning. I am able to eat pretty much anything I want and I exersize moderation in my choices. However, if I want something, I won't deny myself. One thing I can definitely say about my surgery journey: I do not feel deprived, cheated or feel that I can never eat certain foods again. Sodas and sweet tea will not cross my lips again, but that's about the only items that are permanently on my no-no list.

I do dump on too much fat and/or too much sugar, but not consistently on the same items or the same amounts. Some days, one bite is too much. This surgery has helped me learn how to listen to my body. I must say... I'm becoming a pretty darn good listener! ;)

This past week, I was pretty crappy about taking my vitamins, but I'm usually pretty consistent. I've already identified where I went wrong last week and have taken steps to get back on schedule with my vitamins. I take two B125, two iron, two Vitamin D3 2000 i.u., and two calcium a day. I still take a nexium every day; Doc was trying to wean me off of it, but when I go a day without it I have tummy pains, so I'm still taking it.

I thought it would be harder to adjust to surgery and my new way of eating. Yes, I've had to make changes in my choices and find healthier alternatives to the foods I love, but it hasn't been as difficult as I believed it would.

I find that I'm hungrier on the days that I work out. When I meet my nutritionist this month, we'll be discussing possibly adding more calories/protein on the days I work out. My weight loss has slowed a little, too. However, I chalk that up to my working out and adding muscle.

At this point, my pre-plastics goal weight is going to be around 140-145. I figure about 15 lbs of excess skin removed will put me right where I want to be. So, I 'only' have to lose another 40-45 lbs and maintain for six months. That goal seems so much more attainable today than eight months ago.

For those of you who are newly post-op, you're going through the hardest part right now. While the time seems pretty long now between food stages and it is hard getting in all of the fluids and proteins, things get easier as you go. 

Keep the faith!
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My how time flies and things change...
on June 11, 2008 8:37 am
Since my last entry, I've JUST moved into a new house, started a program at the gym this month and am down to 190. I wear size Large tops and dresses and size 16 pants. OMG! I can wear a size 14 'magic shaping' bathing suit!!! I don't like the way my thighs look, but they still look better than they did.

I eat about 1/3-1/2 cup of food at a time, 4-5 times a day and a protein shake for breakfast. I'm pretty good about my vitamins - usually taking them five of seven days. What can I say? Sometimes I forget one set or the other. I think it all averages out, because I'm still pretty consistent. I drink about 96 oz of water/non-caffeine/carbonated fluids a day. Sometimes I'll have a glass of unsweet iced tea, but it's an occasional thing, not an everyday thing.

I'm exercising 3-4 days a week. The move has been very physical and tiring, so I've slacked off to 2-3 days a week for the last couple of weeks, but I'm fixing that. I am noticing that I'm firming up and not quite as flabby-floppy in the arms. I know exercise won't fix everything, but I'll have a hot body when I have my plastics. I know I'll need the LBL and a boob lift. I'm not sure if I'll do breast implants or just a lift. That will have to wait for my consult.

I've done research into brachioplasty (arm plastics) and it's now done as an out-patient procedure - so no hospital fees. The way the lift is done, they do lipo and skin excision, so there is some contouring done. As a bonus: the excised skin usually includes the hairy pit area! No more pit shaving! *happy dance* It takes a while for the swelling to go down and see the final results, but the immediate lack of skin should seem like a miracle.

Life has been busy. I've been noticing more interest from the boys I meet and people just seem friendlier - maybe it's me. Many people comment that I'm always smiling and happy. I just feel so gosh-darned GOOD! Life is still life, but I'm taking things in stride. 

I went to the local amusement park last weekend with my sister, her fiance and six of my friends. Yeah, a big group! After four hours, they all were tired out and I was ready to close the park down. It was a blast!

I was nervous when in line for the first ride. The last time I was there, I didn't fit in the seat and had to get off. This time around, I not only fit, I had room to spare and they had to TIGHTEN my harness! :o Needless to say, I wanted to ride everything there just to see if my tushie fit.

I need to update my photos, but I have to find my camera first! Perhaps in the next week or two, I'll be able to lay my hands on the box that holds my camera and can upload a few new pics and a new avatar.

This was one of the best decisions I have ever made for myself. I have no regrets for not doing it sooner because my head was not in the right place. 

Until my next update, keep the faith!
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Seven months gone by in a flash!
on May 18, 2008 7:46 am

I can't believe that seven months have already gone by! Seven months ago, I weighed 319 pounds. Today, I stepped on the scale and weighed 193. That's a total loss of 126 pounds. Wow! I've lost my mother!!!

Gone are all signs of my sleep apnea, high blood pressure, edema, GERD, IBS, stress incontinence, even my periods have gotten better. I've got so much more energy and stamina that I sometimes can't keep still.  It's like I have happy feet all the time.

I've hired a personal trainer and joined a gym. While I think my trainer, Braze, is trying to kill me, I won't let him succeed. I've come to far to get taken out now!

I'm wearing Large shirts and am between 16s and 18s in pants, depending on the fit. For the first time I can remember, my legs and butt are smaller than my sister's, although my belly is still bigger. (But not for too much longer!)

I just came back from a road trip to Charleston to see my Dad and Stepmonster. When I got out of my car, Dad's jaw just dropped. He's not seen me in several years - back when I weighed over 400 pounds - and I'm literally half the woman I was. During my trip, I also went out with some old friends and spent the entire Saturday walking around downtown Charleston. I wasn't sweating like a stuck pig, huffing and puffing or needing to sit down every five minutes. After hours and HOURS of walking, an old injury in my hip started acting up and I needed to stop. However, it wasn't because I was too FAT to do this stuff!

In a couple of weeks, we're going to the local amusement park. I'm looking forward to fitting in the rides and having a good time walking around.

I've had stalls, one lasting over a month. I've had food issues. I've made less-than-wise food choices and paid the price.

I can honestly say if I never lost another pound, I'm grateful for my surgery and what it has given back to me; things I never realized I'd lost. Every day, I amaze myself with what I can do.

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I'm in sweet, sweet ONEderland!
on April 28, 2008 8:57 am

Hi, y'all! Well, I'm sitting at six months postop and am at 198 lbs. That's a total weight loss of 121 pounds since surgery. Yay me! I'm wearing loose size 18 pants or tight size 16s and my tops are either XL or L, depending on the cut. I'm in ONEderland! Finally!

During most of March and April, I was in a stall. Yep, me, in a dreaded stall. Let me tell y'all, It does end. I went off fluid pills and cut back on my fluid intake and it wreaked havoc on my system. I faithfully kept with the program and my body finally got adjusted to the lack of additional fluid help. Since going off of the fluid pills, I've had two menstrual cycles and haven't gained any water weight AND my daily water retention is almost non-existent. Yay!

LadyLithia's explanations of stalls, an analogy using cheese, is an excellent descriptive of what goes on during those 'dreaded' stalls. I lost two sizes during my stall experience, so I have to agree with Ms. L.

I'm eating between 2-4 oz at a time (roughly 1/4 - 1/2 cup), 5-6 times a day, and getting my vitamins in. This week, I joined a gym and will be seeing some results soon; I really gotta work on my endurance.  I dump - on sugar. At six months out, I found that out the hard way. I can have a bite or three of something sweet, but anymore than that and I'm dumping hard. Needless to say, I don't push my limits on that now.

I'm no longer the fattest person in my family! That's gonna take a while to wrap my head around. My sis and my next oldest cousin are now both bigger than me. Sis doesn't have an issue with it; she's taking it as an impetus to get her own diet back in order. Cousin ACTS like she's happy for me, but I wonder sometimes. Cousin gets her nose out of joint for the least little thing and this isn't little.

As much as I'd like to be dating and have a boyfriend/lover, I really am uncomfortable with the skin issues I have now. My panni hangs lower than ever (below my crotch), my thighs look like twin shar-peis and my arms could give me flight or, at the least, gliding opportunities. Fortunately, I found out that my insurance doesn't really give a hard time about plastics as long as you document problems. I am documenting with my PCP, so I'm hoping insurance will cover most, if not all, of my plastics. 

My family and friends have been soooooo supportive of what I'm doing. I'm not having to deal with food police or people asking if I can eat this or that. My eating habits have so changed, that no one questions my choices. Mom loves taking me shopping and buying me clothes. 

Yesterday, I bought my first piece of clothing from the MISSES section of Dress Barn! Woooo! It's a cute little top that I'm going to wear to work today. I'm so excited! 

My life has stayed the same in many respects. I am the one who is changing. I'm more active, more outgoing, have more energy and more desire to be social. Being as big as I was, I didn't want to be an object of ridicule and that's how I felt when I went out in public. People used to look at me because I was FAT, now they look at me because I'm pretty darned cute. :D

If I never lost another pound, I can honestly say I love my Fobi and have no regrets about having surgery. I don't even regret waiting so long to have it. In my mind, I know that I wasn't ready mentally or physically for surgery until now.

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Small frame, medium frame, large frame... Which are you?
on March 11, 2008 8:34 pm
In order to refine and define theoretical weights, researchers added frame size as a factor. The sizes are categorized into three categories:- Small frame, medium frame and large frame. The reason for this is that obviously bone structures vary in size and density from person to person. Equally obviously men and women have different structures. Bone mass and muscle mass all play a part in determining your optimal weight. Large boned people. There are two simple methods of determining frame size:-
  • Measuring the circumference of your wrist. This is by far the most straight forward.

  • Measuring the breadth of your elbow. This is a little more complex but provides a greater results range for the purposes of accuracy.
    In order to do this:-
    Stand up. Extend your arm forward so that it is horizontal and parallel to the ground. Turn your hand so your palm is uppermost. Bend your elbow so your forearm is at 90º to the ground. Use the forefinger and thumb of your other hand to locate the narrow part of your elbow joint. Use your same forefinger and thumb as a guage to determine your elbow breadth by measuring the gap between them with with a ruler or tape measure. Compare the value with the tables below.

Female Wrist Measurements

  Height less than 5' 2"
(Less than 155cms)
Height 5' 2" - 5' 5"
(155cms - 163cms)
Height more than 5' 5"
(More than 163cms)
Small Less than 5.5"
(140mm)
Less than 6.0"
(152mm)
Less than 6.25"
(159mm)
Medium 5.5" - 5.75"
(140 - 146mm)
6" - 6.25"
(152 - 159mms)
6.25" - 6.5"
(159 - 165mm)
Large More than 5.75"
(146mm)
More than 6.25"
(159mm)
More than 6.5"
(165mm)


Female Elbow Measurements
Medium Frame

(If your elbow breadth is less than those in the table for a specific height, you are small framed. Similarly, if your elbow breadth is bigger than those in the table, you are large framed)
Height Ft and In Elbow Breadth Inches Height cms Elbow Breadth mm
4' 10" - 4' 11" 21/4" - 21/2" 146 - 148 57 - 64
5' 0" - 5' 3" 21/4" - 21/2" 150 - 158 57 - 64
5' 4" - 5' 7" 23/8" - 25/8" 160 - 168 60 - 67
5' 8" - 5' 11" 23/8" - 25/8" 170 - 178 60 - 67
6' 0" - 6' 4" 21/2" - 23/4" 180 - 190 63 - 70

Male Wrist Measurements

  Height more than 5' 5"
(More than 163cms)
Small 5.5" - 6.5"
(140 - 165mm)
Medium 6.5" - 7.5"
(165 - 191mm)
Large More than 7.5"
(191mm)


Male Elbow Measurements
Medium Frame

Height Ft and In Elbow Breadth Inches Height cms Elbow Breadth mm
5' 2" - 5' 3" 21/2" - 27/8" 155 - 158 64 - 73
5' 4" - 5' 7" 25/8" - 27/8" 160 - 168 67 - 73
5' 8" - 5' 11" 23/4" - 3" 170 - 178 70 - 75
6' 0" - 6' 3" 23/4" - 31/8" 180 - 188 70 - 79
6' 4" - 6' 7" 27/8" - 31/4" 190 - 198 73 - 83
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My Story

Music Video:http://216.180.244.187/videos/f/fergie/fergalicious-2.html" target='_blank'>FERGALICIOUS  (by Fergie)

Music Video Code provided by Video Code Zone

 

 

If I'm going to tell you about my journey, perhaps you should know more about me.

I started this journey in August 2006; I weighed 295.

I've been fat most of my life. I was a pudgy girl, but very active, outside all the time, a true tomboy. I was 5'2" (my current height), 135 pounds, actively in puberty and wore a B-cup in 5th grade.

At 13, I began living with my father and stepmonster. Stepmonster decided I was fat and put me on a diet, made me go to WW, had me weigh in front of her every morning, served me horridly bland meals that were different from what everyone else was eating, denied me anything I ever took pleasure in, and just made me feel horrible for being, well... ME.  So I did what? Gained weight to spite her and make her feel like a failure, never realizing that I was only hurting myself. I immersed myself in books and watched tv and ignored the painful world I was in.

Every New Year's resolution started a new fad diet. I'd stay on it for 3-6 months, lose, plateau for a long time, fall off the wagon and gain it all back, right up to 400 and some-odd pounds. (Once I tipped 400, I didn't step on a scale until I'd lost a dress size.)

Funny thing is, I never saw myself as 'fat' until about seven years ago. I got out of the shower and truly SAW myself naked. At 400 and some-odd pounds, let me tell you it was NOT a pretty sight. I nearly threw up. I then determined to do something about what I was finally seeing.

I checked into WLS in 2001, but the surgery was not very common and they cut you wide open - stem to stern. Laparoscopic surgery was just being developed. My insurance company at that time told me I had to have a heart attack before they'd pay for it. Still doesn't make much sense, but I think it just wasn't the right time for me.

I decided that I could lose the weight myself and proceeded to lose down to 250 and stalled. I've gained and lost the same 50 pounds for the last year. It seems my whole life has stalled.

I started a different job and made some changes in my life, including losing 145 pounds of husband. Then I found out that my new work insurance will pay for WLS, won't make you jump through thousands of hoops, and has paid for several co-worker's surgeries. A good friend I work with had RnY surgery in May 2006, and he's doing great. Down from 395 pre-op to 185 today.

I've paid attention to what he's gone through and what he's doing now. He did have complications and was in the hospital twice post-op, so I'm aware that this is not all wine and roses.

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =

Things I Want to Do Post-Op

Run up a flight of steps without being out of breath.

Shop in any regular-sized clothing and shoe store.

Buy a pair of tall boots.

Buy a designer cocktail dress.

Learn to ballroom dance.

Finally get a stamp in my passport and fit comfortably in the airplane seat while doing it.

Cross my legs.

Go hiking and camping again.

Learn how to kayak.

I'm told pantyhose can be comfortable, I'd like to find out if that's true.

Borrow my mom's and sister's clothes. Watch out!

Finally feel comfortable on stage so I can take up that lounge singer act I've been planning.

 


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