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Goals

Hike a mountain.

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To wear clothes tucked in and wear a belt.

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Get to know my clavicles

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buy a wristwatch without worrying about the bandsize.

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attract a little appropriate male attention again.

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Surgeon Testimonial

Dale Mortenson, M.D.
What was your first impression of him/her? rnrnI had read other reviews of him, and he was described as serious (read: humorless) and dedicated. While I primarily agree with that description, I would say his seriousness is more about taking serious care of his patients. In addition, he is tall and his personal appearance is sharp! Very crisp and tailored.rnrnHow did your impression change over time?rnrnI joked with him now and then, and he did crack a smile or two. While I was in the hospital, I had a small pity-party, and he, in a stern fatherly way, reminded me of the reasons that I had had the surgery. Later, I realized that my mood had crumbled a bit because of the pain I was in. I was off the pain pump, and hadn't asked for pain meds in a timely manner. But I appreciated that he knew my case well enough to cite specific examples of my health deficits off the top of his head. rnrnHow would you describe his/her office staff?rnrnI really only had anything to do with two members of the staff: Karen (someone in bookkeeping) and Phyllis (his office nurse). Phyllis is great. She is available to answer questions, and she always calls back if you have to leave a message. She's very positive and accessible - a very nice person. Karen, on the other hand, was plain awful. She had advised me that I needed to find out from my insurance how much my out-of-pocket expense was, and to pay it in full in advance of the surgery. I did that, paying the $2,500 on 5/12/09. My surgery was scheduled for 5/18/09. On 5/15/09, at 3:30pm, she called me, demanding that I pay an additional $3,712, and advised that, otherwise, the surgery would have to be postponed. I told her that I had done as she'd asked, and paid the $2500. She had never told me that she wanted documentation from the insurance company about the out-of-pocket amount. She had my check and full access to my insurance policies online, because Dr. Mortenson is a preferred provider, but, as far as I could tell, she never bothered considering those things. I had to leave a very important meeting, and get on the phone with my insurance company. It's pretty bad when the insurance folks are a million times nicer to you than the Dr.'s office. Thankfully, the insurance people straightened it out by calling Karen and getting it in order. But I was nearly hysterical - totally sobbing, fearing that my hopes for surgery was undone. It seemed impossible that she could, arbitrarily, decide that my surgery was off. It was as if she thought I was having a hangnail fixed - but the emotional connections to RNY are enormous, and I had made all sorts of work and social arrangements to allow for my recovery. When this was settled, I called the office back for confirmation, and she said, very flippantly, \"It's all good.\" I thought, in the very least, she should have apologized to me. She was extremely unprofessional, in my opinion. Others may have different experiences.rnrnWhat did you like least about him/her?rnrnWhen I was being prepped for surgery, the OR nurse patted my arm, and said, \"You know you have a very skilled surgeon.\" I don't think she had any agenda but the truth. It was reassuring. In addition, Dr. Mortenson advised me that his complication rate was far below what is generally considered acceptable, which was great.rnrnWhat should future patients know about him/her? rnrnHe is a skilled surgeon, but he's not going to visit with you for an hour about the niceties. He's very focused; very efficient.rnrnHow much does he/she emphasize aftercare?rnDoes he/she have a structured aftercare program? rnrnrnHis fee includes three months of medical aftercare. But the Bariatric Clinic that he's associated with doesn't really do much for support groups in outlying areas. So Obesity Help is my primary source of knowledge and support. I can, however, call his office or the Bariatric Clinic anytime I have a question.rnrnHow did he/she address the risks of surgery? rnrnHe really spelled it out for me on my initial visit. I had done a lot of research and asked very informed questions. It seemed as if he was somewhat unaccustomed to patients who are pretty well-informed.rnrnHow would you rate him/her overall? rnrnVery highly. rnrnWhich is better, surgical competence, bedside manner, or are both great?rnrnI'd say his surgical competence, but I am not in need of a lot of hand-holding, so his somewhat brisk manner might be off-putting to someone who needs more of that.rnrnrn
Member Interests

Latest Surgery Support Comments

  • Comment by Jennifer Keeney on 5/18/09 9:04 am
    Wishing you a text book perfect surgery, no complications, and a speedy recovery! See you on the other side!!!
  • Comment by Stacy S. on 5/18/09 8:20 am
    Sending you the warmest of wishes your way for steady improvement day after day, And when you’re all recovered and feel good once more, May life treat you better than ever before!~ Sending you good vibes for a uneventful surgery and a speedy recovery !! ALL THE BEST
  • Comment by Irishcoda on 5/17/09 4:06 pm
    Wanted to send you very best wishes for an easy operation and a very speedy recovery! :)
Click here for the surgery support page

  Hi!  I am delighted at my chance to have laparoscopic RNY surgery.  I was approved by Blue Cross/Blue Shield of Montana for the surgery.  I have three comorbidities, in addition to my BMI (mild hypertension, degenerative joint disease, and sleep apnea).
 

My laparoscopic gastric bypass happened on May 18, 2009.  My surgeon is Dr. Dale Mortenson.  My starting weight was 292.  I lost 15 pounds during the three week liquid pre-op diet.  My weight on the morning of surgery was 277.  I am 5'2" and 47 years old as of the date of surgery.

I live and work in Helena, and have quite a busy life.  My two girls, Loriane and April, are grown and gone, so my home can be pretty quiet. I do, however, have four grandchildren that I love to pieces. I love to paint, decorate, collect antiques, watch movies, listen to music, go out or stay in with friends and family, etc.  I also have two kitties that keep me company, Punkin and Max.

kathylovesred's Blog
kathylovesred's Blog


The Dreaded PLATEAU
on July 14, 2010 12:20 pm
So, I have finally experienced a true plateau.  And I'm not entirely sure that I'm finished with it.  My weight on May 11, 2010 was 150 pounds - a goal I was thrilled to reach.  I had no idea how long I would have to enjoy it.  Turns out, more than two full months.  Actually, I am very glad to have experienced it.  I realized what good control I have.  I no longer feel guilty because I leave food on my plate.  There was a period where I even felt compelled to only eat half (even if I could eat more than half) because I needed to leave enough for a second meal.  Now I am willing to eat what I like, and allow the rest to be thrown away.  No problem.  Good grief...you'd think I grew up in the Great Depression!

But two months of waiting for that drop in weight was hard.  Mostly on my psyche.  I was cruising along, taking the weight loss for granted, and the plateau reminded me that things could go either way, depending upon my response to it.  And I had a few not-so-very-good days in those two months.  I ate a piece of birthday cake, and found that I no longer dump.  So, it can end.  I used to dump like a truck if I so much as looked at saltines too long.  Now I can eat birthday cake with frosting and it sits fine.  So, I have to count on my own self control to manage.  Luckily, my appetite ain't what it used to be.  My compulsions are still there, tho, so I need to keep careful watch on what and how much I eat.  Slider foods could really get me if I'm not careful - like popcorn, for instance.  Gotta watch it!

The good part of the two month-wait was the realization that exercise is an enormous part of the answer.  I am in the best shape of my life.  Every morning, I get up and walk for an hour before I so much as eat breakfast.  I live in a really hilly neighborhood, so I get lots of changes in elevation as I swing along on my walk, listening to music of all types and enjoying birdsong.  It's one of the highlights of my day.  I am able to do whatever I like, within reason.  I'm never daunted.  I'm never out of breath.  My heart doesn't race at the notion of climbing a set of stairs.  I am flexible and free. I feel comfortable in my own body.  I can feel and see my muscles at work.  I often think - what an easy thing this is, walking for an hour.  And how very difficult this very same thing was just a little over a year ago.  I am so grateful.

But the plateau break was small.  My 49th birthday was last Friday, and my goal was to be under 150.  On my birthday, I weighed 149.5.  Today, four days later, I am at 149, the least I have weighed since I was 21 years old.  I hope that means that I can head downwards another 10 in pretty short order.  I'm still overweight.  But who knows? I just know that I never want to weigh more than 150 again.  If I can drop 10-15 more, I can give myself a good margin of safety.

At this point, I am a good deal more than a year out - but what a year!  If you, dear reader, are just working on your insurance approval, or just set a date, or just had surgery, and you haven't seen much in the way of actual progress on weight loss - your day is coming.  And it's a great day!
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Thoughts on Post-WLS Life
on April 12, 2010 9:06 am
 It's interesting, now that I'm almost a year out (11 months on the 18th, to be exact), that life is less about WLS and more about, well, LIFE! 

I had to have a BMI under 35 to have varicose vein surgery.  Mine is now 28.3 and I've recently had both legs done sucessfully. 

One of my hopes was to fall in love, and I think I may be on the cliff's edge.  My guy seems like he'd be happy to provide a soft place to land, too.

I can't work out just now, because of the recovery period for the varicose vein surgery, but I am able to work out really hard and for quite long periods of time, and I'm looking forward to summer more than ever before.

My teeny-tiny sister and I are having more fun than ever - shopping together and sharing clothes.  It's a little incredible, you know?  "I think that's a little too small for me - why don't you try it?"  We have never shared like this in our adult lives.

I am wearing a 4 or a 6 pants and a small or medium shirt these days - down from a 22/24.  I am in the middle of quite a long-lasting plateau right now.  I weigh 153 or 154, depending on whether I've had a BM (seriously!)  I hope it doesn't last, but I think that getting through this post-surgical recovery period and getting back to exercise will change that.

I joked before WLS that my transfer addiction would be shopping, but thank goodness for thrift stores, because it's about half true.  I have always loved beautiful clothes, and they allow me to own lovely things for almost no cost at all.

The NSV's that came fast and furious have become non-existent, which I expected - because that's the way it's supposed to be.  Just ordinary.  I love my life's ordinariness.  How lovely to wake up refreshed (no CPAP), fix my hair (no more hair loss), brush my teeth (decent breath), go for a walk or a workout if I want (don't feel like dying two minutes into it), kiss my boyfriend (imagine!), and see how pleased my mom is with my progress (after years of her worrying about me).

Life is really good.  I am very grateful that I got to have this surgery and my life so normal.  It's a gift, and I don't take it for granted, not one bit. 
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Varicose Vein Surgery
on March 8, 2010 2:30 pm
A couple of years ago, I had a benign papilloma removed from a breast, and while I was at that Dr's office, I noticed her information regarding laser surgery for varicose veins.  I asked her about it and she told me that she didn't do it on patients whose BMI exceeded 35 because of the danger of blood clots.  I told her that I was planning to have WLS and I'd check back  [A sidenote here:  she told me later that she sort of internally rolled her eyes, thinking that I'd never succeed.  I thought that was a big admission for a physician/surgeon.  She's now a wonderful cheerleader for me.]  Anyway, I had my gastric bypass, lost 137 pounds, drove my BMI down to 28, and had the first of two varicose vein surgeries last Friday.  I can't tell you all the technical details about how the surgery is conducted, but I can tell you how it went for me. 

In the morning, I showered with antibacterial wash and took a single antibiotic pill.  I worked in the morning, then arrived for my surgery at one.  At home, I had coated the inside and front of my left leg with Emla cream for anesthetic purposes, then wrapped it in Saran wrap.  Over the next two hours, my leg went pretty much numb.  They struggled mightily to get the IV in at 2:00 pm.  I've always had really deep and "roll-y" veins, and apparently, the weight loss has aggravated that situation.  Not to mention, I was probably a bit dehydrated, since I'd not been allowed to eat or drink since 6:00 am.  They rolled me into the operating room, and put me out under what they were calling "conscious sedation".  Now, that sounds like I'd be awake, but I assure you, I was out like a light.  The surgery took about an hour, and by 5:30, I was ready to go home. 

I was wrapped in bandages from hip to the arch of my foot.  I was not allowed to remove the bandage or shower until Monday morning.  (A little retro moment:  I haven't washed my hair in the sink in years!)  I am not allowed to work out.  They will allow me to walk gently, meaning 1-2 mph for a half mile.  No weight lifting.  I'm more than a little bummed about that, because I had been working out 90 min/day, 5 days/week.

I took Tylenol 3 twice on Friday - once, just before bed, and once in the night.  I had a real gentle day on Saturday.  Sunday, I wanted to get some stuff done, and I probably overdid it.  Vaccuumed, changed beds, did a load of laundry.  At bedtime, I had pain similar to Friday night, so I took another just before bed. 

Today, all the real soreness I have is about similar to what you might feel right after starting to work out.  Muscular soreness, but not real pain.  I cut the bandage off this morning, and it looks pretty good.  They did an ultrasound at 10 and both technicians were pleased with my progress.  Very little bruising, and the veins are apparently open or closed off as expected.

I will be having the right leg done on the 19th.  The whole process was much less traumatic than I anticipated.  The best part will be getting to wear (size 4!) shorts this summer.
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Frustration
on December 30, 2009 9:22 am
I thought I was home free.  I came out of the hospital with C-Diff. (clostridium differens) Essentially,your gut is supposed to have about 80% good guy bacteria and 20% bad guy bacteria.  Antibiotics given during surgery killed all my good guys and my bad guys took over.  Let's just say it's not pretty....and I thought that was my only complication.  After all, I'm nearly 8 months out at this point. 

But the weather took a bad turn and my immune system must have had a little dip, allowing the MRSA (methycillin-resistant staphylococcus aureus - aka flesh eating bacteria) I apparently picked up in the hospital to surge.  About a month ago, I started having these little boils here and there on my trunk.  Then one big bad boy wouldn't resolve itself, like the others had.  While I was in Denver for Christmas, I showed my daughter, who's an RN.  She recoiled, advised me that it was necrotic (nice word, huh?), and told me that I needed to see a doctor.  

I did, yesterday.  He agreed with her assessment, sliced the thing open to drain it and have it cultured, and prescribed me big-time antibiotics.  So - maybe - this will now resolve.  That's the hopeful upside.  The downside is that I may risk a recurrence of the C-Diff, and may even get a yeast infection to boot. 

Such lovely crap.  Happy New Year, indeed!
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Midwinter Thoughts and a Non-Scale Victory!
on December 29, 2009 11:59 am
I lost 15 pounds pre-operatively, with an almost-full-liquid diet, in 3 weeks.  But for the first six months after the surgery, I lost about 15-20 pounds a month, every month.  Then I started working out, and my loss has slowed to about 7-10 pounds over the last month.  It's OK - I can tell that I'm toning up.  I feel so great these days.  No regrets whatsoever. I have 5 pounds to go to no longer be obese, and then 28 more to reach normal.  I can hardly wait!!  But I am willing for that to happen gradually.  It would be great if I reached goal (126 pounds) by my first anniversary, but since I understand that the "window of opportunity" for RNY can be as long as 18 months, I am happy to be patient.  In the meantime, I love my wardrobe!!! Cute, cute clothes!  (I'm grateful that they hide all this sagging skin!!  Time to start saving for plastic surgery....)

On another note, I flew to Denver for Christmas.  And when I got on the plane, it was a little chaotic - you know what I mean?  The plane was a little late; everyone was in a hurry; they needed to de-ice, etc..  So the aisles were full - everyone was standing and trying to put their carry-ons into the overhead luggage, and things were just stalling, generally.  I was directly behind the attendant, who was assisting someone with their luggage, and she just turned sideways for me to slip past her.  I looked at her - and she, of course, had no idea what she was asking me to do.  But I thought - what the heck?  Maybe I'll fit.  AND I DID!!!!!

So then, I sat down in my seat, and of course, my usual practice would be to slide the buckle to the very end of the belt, and hope for the best.  But I thought - let's just try to see if I can fit the belt at the place where the last passenger used it.  I DID - and I had to tighten it just a bit.  I probably had a good nine inches of tail on the belt after buckling!!!!!

I LOVE MY RNY!


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My Story

So, I thought I'd take a few moments and tell a little about myself.  I am a Montana girl, through and through - farm/ranch raised.  I guess you could say I was a very slightly chubby kid.  I wore a few of those horrible 'chubbette' sizes that Sears was so proud of back in the '70s.  (Back then, there was no thought about what self-image little girls might develop if they were wearing chubbette on their labels.  How cruel, right?)  I am a throwback to my grandmothers.  Every other woman in my family reached at least 5' 4 1/2", but I need to take a deep breath to say that I'm 5' 2".  I love to joke and laugh and I often say that I'm not overweight - I'm undertall.  Of course, the correct height for this weight would mean I was playing center ahead of Yao Min in the NBA.  Yeah, I know - the archetypical jolly fat girl.  In high school, I reached a really nice setpoint weight of 132#.  That was my weight.  I didn't have to struggle to keep it there.  It just was.  But I had terrible self-esteem and a pretty dysfunctional family to support it.  So I was sure that I was fatter than anything.  My junior year, I went on my first diet.  I ate nothing but two slices of toast, a small glass of milk, a cup of yogurt and a  cup o' soup every day for four months.  I think about that amount of food now, and what I must have been doing to my metabolism.  Really messed it up.  I went down to 113#. Man - I think now what I must have looked like:  Blonde hair to my waist, a C-cup bra and a tiny little waist.  Of course, then, I had no clue.  I still had no self esteem.  My boyfriend was afraid I was becoming anorexic (Ha!  He had no idea.  Unhealthy relationship with food, yes.  Anorexic?  No!)  I went back to eating normally and my setpoint returned.  My senior year, I got pregnant, and the race was on!  I had screwed with my metabolism the year before, and now I was doing it again, but this time with a baby.  I went from 132 up to 182.  I know - lots of people gain 50 pounds with a pregnancy, but I just never lost it.  I got married mid-pregnancy, got control of my very own fridge and cookie jar at 17, and pretty much set a pattern.  I miscarried a pregnancy two years later, and followed that almost immediately with another pregnancy.  Soon, I had two little girls and a weight problem.  I yo-yo-ed a bit.  Lost 60 pounds with Richard Simmons' book - gained it back; tried Barbara Edelstein's method for 30 pounds later on - gained it back; used phen-fen for 25 pounds - gained it back; sensible diet and exercise for 30 just last year.  Yes, it's back *sigh*.  Of course, with each of these efforts, my setpoint has moved up and up.  To tell the truth, even though I own a very nice scale, I have not been on it for at least a year.  But I'm wearing clothes ranging between size 20 and 24 and that probably means at least 260.  Deeper sigh.  My sister says I'm a lucky shit.  I'm sure that I didn't mention that my sister is a fitness freak.  She eats really, REALLY healthy.  She works out daily, and incorporates other physical activity into lifestyle as well.  She is the single most disciplined person I know.  I hate her.  No, really I love her to bits, but it's not easy being her sister.  The reason she says I'm lucky is that these years of morbid obesity should have pushed my body into some kind of co-morbidity.  The only co-morbidity I have is my BMI.  No diabetes, no heart disease, no high blood pressure.  Stiff knees, but hardly a morbidity.  Yes, my GP says that someday, without a change, I will have  a heart attack.  No fun to think about.  Also, I got divorced when I was 24.  I was very focused on parenting my two little girls.  I finished college, built my career, went to grad school, continued raising them, etc.  For years, I didn't so much as look at men.  Guess what?  They weren't looking at me, either.  Over the years, I became invisible.  Not for purposeful, functional things.  I worked, I provided, I conversed.  But did I smile, flirt, receive compliments?  No way!  So the years passed.  Now I'm 46.  My blossoming twenties are dust.  My thirties died on the vine.  My forties are even fleeting.   I hate the idea of being fat and fifty.  I am hoping that I can, with some compliance and copay assistance, convince my insurance company that the second half of my life is worth their investment.  I sure think it is.  I now have four grandchildren that I love with all my heart.  I think I may even be ready to make room in my life for a man (think of that!)  I want a second chance to be me - the fully alive version of me!