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Surgeon TestimonialJeffrey Friedman M.D. I originally started my journey towards weight loss surgery with a different local surgeon. I didn't get to meet the surgeon, but for my insurance I met monthly with the nutritionist / dietician. The first visit with him had me leaving embarassed and angry... with only a few paper handouts to show for the visit. His assumptions and comments were what I expected from the general public, not a weight loss professional. I decided it was a "standard 1st visit speech" so I went back again the 2nd month. I received another fistful of handouts and instructions to cut out "all those deep fried foods" - even though he never reviewed the carefully documented food log I had in hand (which did not list any fried foods). Again, the 5-10 minutes he spent with me left me feeling humiliated and unsure.
I decided I would rather go through life struggling with my weight on my own than to deal with the frustration and embarassment.
And then a friend suggested I visit Dr. Friedman. WOW. What a difference.
The instant I walked in the office door I was greeted with a pleasant waiting room and an even more pleasant lady at the desk, Betty. Dr. Friedman came to the waiting room to get me and I had a consultation with him before even meeting the nutritionist. He was very friendly and down to earth. I wasn't even sure I wanted to go through with surgery, so Dr. Friedman reviewed all of the potential complications, risks and benefits. He sketched out the surgery on a piece of paper and wrote down the various medications and vitamins he would be requiring of me. When I left HIS office, I felt confident in my new decision to have RNY Gastric Bypass, and confident in my decision to have Dr. Friedman as my surgeon.
Throughout the remaining months of my insurance required visits, every visit was pleasant and reassuring. There was no rushing through and no "handout only" consultations. Every time I met with the nutritionist she explained her expectations, why she had them and how I could meet them. The nurse was WONDERFUL about making sure my anxiety and claustrophobia was addressed and made known to the entire team who would be involved in my surgery.
The morning of my surgery I expected to be frantic... but I was very calm and confident that I was placing my life in the hands of a great surgeon who had genuine concern for me as an individual, a friendly and thorough OR team who would see to my needs (especially the anxiety and claustrophobia, if the need arose) and I had advocates in both my surgeon and his nurse.
I woke up from surgery with mild pain, but mostly wanted something to moisten my mouth. I had very little pain throughout my stay (Tuesday morning - Thursday afternoon) and it was always addressed with reasonable quickness by the nurses on the floor. The nurses and techs were caring and attentive. Even the housekeeping staff seemed like my own personal cheer squad as I took my walks in the middle of the night.
Dr. Friedman visited me each day and checked on how I was feeling. He never made me feel like my questions were dumb or insignifcant.
I am only a week post-op and I feel great! I had my first post op visit and everyone in the office was happy and proud for me. It was like celebrating with friends instead of the usual feeling you get in a doctor's office. There is a 5yr aftercare program, so I feel good knowing I have resources available to me for the "long haul."
I adore Dr. Friedman and his staff.... and I feel like they are sincerely interested in playing a part in my success so that I can really LIVE life Member Interests
- Animal Rescue - I foster horses that are seized by the county
- Cats - 4 of them inside - Diva , Leroy, Boots and Lil
- Dogs - I have a 110lb yellow Lab named Rio. He means more than this line lets me write.
- Horses - 2 horses - 29yr old Skye and 2yr old Buddy
- Gardening - LOVE my garden! Even at my highest weight I was out there in the Florida sun
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Early to Bed 13 hours ago
Great day! Exhausting!
I had another pretty rough night last night. I was supposed to get off work at midnight, ended up 0030. Stopped to talk to a friend so it was 1am when I got to my mom's to help her. My friend gave me some of her taco soup and chicken enchilada soup made with squash instead of pasta or tortilla, lean beef in the taco soup. I ate a LOT of it. A lot. I paid for it - that was the first time I have eaten so much it made me feel sick. Then today the fat (I guess?) came back with a vengeance.
It was around 3 when I went to bed. Tossed and turned. Up at 740am to get animals fed and my day started. I dressed for the gym and then packed my gym bag with clothes for going to counseling appointment and a P28 / peanut butter sandwich. I had about 24oz of water as well as a protein shake before working out. The trainer was brutal!! I don't know if the workouts are really getting harder, or if I am giving up / getting tired sooner?
Trainer:
5min warm up elliptical
5 min resistance intervals (up to level 20)
8 stations of 30 seconds each, then 60 sec rest, 4 rounds
- 45lb front weighted squat, then overhead press to back weighted squat, overhead press
- power jumping jacks (arms straight up)
- preacher curls 25lbs
- walking pushups (2 sets "real", 2 sets on bar)
- squat pushups (squat, fall forward, legs still in squat position, then push back to squat position)
- ski abs
- 20lb overhead tricep extension (2 sets, 15lb on 2)
- alternating dumbell rows, 15lb
6min easy bike cooldown
I had 1 piece of my peanut butter sandwich, showered and headed out for my counseling appointment. I also turned in my registration to be on my employer's team for the Ronald McDonald House 5k end of June. Next week is supposed to be an off week for the personal training program, but I am doing an individual, 30 minute session on Tuesday - I am too afraid to miss a full week.
The counseling session was awkward - the counselor was talking about "good things about me" and how my believing those things will help me overcome my tendency to cling to people who believe in me, because I can learn to believe in myself. It was good.
Then I had my 2nd piece of peanut butter sandwich and headed to Academy. I bought a pair of Speedo swim shorts (I use them for compression!) 2 sizes smaller than the ones I have. I bought a large under armour heatwear long sleeved shirt (to hold my wings in during workouts), a pair of bike shorts with a pad, and a pair of medium sweat pants! It was a lot of money for workout clothes, but I needed it and I liked buying it (this from a major shopping hater).
From there I went back to my parent's house for lunch and a quick break before going to work for a one hour meeting (where I almost fell asleep). I visited a little bit and then finally made it home. I wanted to go swimming, but I had hit rock bottom. I fixed dinner and then lay on the couch at my parent's and dozed for about 45 minutes. Oh... I am so sleepy.
Helping my mom to bed, chatting with a friend in Tenn via IM, then I am going to bed!! No real plans tomorrow and I am thrilled! I will probably just do my youngest nephew's baseball game in the late morning and dog training tomorrow evening. Maybe I"ll get another nap in.
Work Sunday and Memorial Day.
Overall good stuff. OH yeah! I emailed my dietitian because I was concerned over eating P28 twice a day. It sounded silly to ask if it was ok for me to have 2 pieces of bread in one day, but I didn't want to eat it if it is going to lead to trouble. She said it is fine.
Today:
B - mint cookie / skim milk
S (post workout, 1/2 post counseling)- 1pc P28, 1Tbs peanut butter
L - broiled porkchop, 1/4c green beans, peppers
D - shrimp, green beans, steamed squash, peppers
S - quest chocolate brownie
Vitamins in (umm... I think only 2 calcium) and iron before bed; 64oz of water, probably a little more before bed
Cals - 1072
Carbs - 74
Fat - 41
Protein - 114
Sugar - 20
Fiber - 31
I'll have to add this later, my phone battery is dead
Carbs -
Fat -
Protein -
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Good Day in the Books! almost 1 day ago
I have a couple more hours at work, then helping my mom, tending the animals, sweep / dishes (maintenance mode!!), bath and bed. Then another good day will be in the books. Good day. Tiring, but good.
I was up until 3-330 this morning cleaning and such. Then I couldn't sleep worth anything. It was a rough night. Of course I was sleeping soundly when my alarm went off a little after 9. I got up, dressed, mopped and headed down to help my mom. They were going to the bank and farmer's market, so once they were on their way I had breakfast and then went back home, fed the chickens/ rabbits.
Thursdays are tricky for me. I like to eat within 30minutes of waking up. I wait an hour before drinking. Then I have spin class 1215-1245, work at 130, meeting 2-3 - every Thursday. I can't do a spin class and then go another 2-3 hours without eating. Also, I tend to not hydrate well. I think I will have my breakfast, wait my hour and then pour on the liquids. Today I fixed a peanut butter sandwich on P28 (actually 2 sandwiches - cut 1 slice in quarters). Maybe I can have 1 sandwich 45 min before class, drink during class, other 1/2 after class, then drink after my meeting? I get sooo shaky when I don't have anything between breakfast and spin.
Anyway. I got to spin and found someone had claimed 'my' bike. Aggravating because it is near the fan, but I figured I'd be fine and could use the extra sweat. Well, when we got almost through I thought I was going to have a panic attack because of the warm air and I couldn't "feel" the air exchange (I am weird, have to feel air in my chest / airway). It was really hard to push through the last 2 songs, and I didn't do what I would call my best. I was crazy hot, sweaty and tired so I did SOMETHING, just not my best.
After Spin there is a mad rush for the showers - well, since I had to take the bike by the door, I was able to wipe it down and hit the locker room before most even had made it to the wipe dispenser. I was embarrassed for anyone to see me eating my peanut butter sandwich (still fat girl hiding food) so I took it with me in the shower closet. My hands were shaking so much I couldn't even hardly undo the little sandwich bag.
Showered, stopped to chat with the trainer a second or 2 then headed on to work. I had staff meeting in one building, then immediately after had to go meet new employees in a building across campus. Stood there for an hour. Walked back. Stood at a friend's desk. My back is seriously aching.
Meeting again then lunch (didn't get to go to my nephew's concert but he was awarded "Most Improved Jazz Trombone". Back to work, finish up my break then approve time sheets and hopefully out by 0015.
I bought my trailer brand new (custom made) in 12/09. That first Spring I had to have the AC worked on. And the next. The guy told me I would have to have it repaired every year because I didn't run it in the winter. What? Really? So I decided to try someone different. My counselor recommended someone and the guy came out today. He was really nice and fixed the AC so that it shouldn't be a problem NEXT year. He charged *90, the crook charged *80. I'll pay an extra *10 for integrity!!
My Quest bars came tonight!!! I could hardly wait. They were warm from hanging on my fence in the heat so I had a Chocolate Brownie. YAY
In the morning I meet with the trainer at 9am. She has a marathon this weekend (if it doesn't get canceled - supposed to be 93*) and then next week we are going to sit down with the Sprint Tri training program I printed out and work it to fit my workouts. She said we will start doing bricks in training as well.
Tomorrow we are outside. No idea what the day will hold. :)
After workout I'll shower and head to counseling. Always interested to see what that hour will bring - I quit trying to predict it!
Then I hope to go to Academy and buy either some new Speedo swim shorts, some bike shorts or just compression shorts. Mine fit fine for swimming, but not so much for compression anymore, and I like to wear them under my sweats when I work with the trainer (leg flapping is uncomfortable / painful). I also want to buy a jump rope! I want to learn to jump rope!!
After Academy it will be time for a quick lunch and then head up to work just for a one hour meeting with the VP. I hate to come up on my day off, but I like our VP and she is retiring, so I'll make the trip. Depending on how bad I am dragging, I might start trying to till the weed plot... I mean, my garden.... to start getting it ready for fall crops. Need to do a better job than I did for the Spring, so I need to start NOW. If I am too worn down, I will probably just swim some easy stuff. Sunday is when I officially start swimming for laps.
Saturday I hope to get to go to my youngest nephew's baseball game. I feel like I shortchange the kid so I will have to make time. I won't get to go to ride my horse as planned, but my horse doesn't care, and my nephew might (doubt it, he IS a teenager).
Anyway - all in all things are going well. My mom has a cough that is concerning me and if it keeps up I'll have to talk her into going to the doctor. Photo shoot next Saturday 6/2 with Rio and Rags. I am actually excited!! I will spend ENTIRELY too much money on photos that will probably never hang on a wall - the photo album is going to be as thick as a phone book and cost like a Mona Lisa - but I. DON'T. CARE.
Sticking money to the side in savings to get Riley and Frank vetted and officially in my name. Vet said they would work with me on payments, but I feel like I need to have at least some of the cost on hand. Next big cost will be getting a total tune up for my truck. Then house insurance. and then Plastic Surgery!?!??!
Great day! (ooh except vitamins... just multis in. Oops. I'll get my iron though!) Over 100oz water and I'll try to get a little more before bed so I am hydrated for tomorrow's workout! Will probably try to have protein made with 1/2 water for breakfast and take 1/4 of a pbutter sandwich for after workout / before counseling.
B - P28 toast w/ 1/2 slice co-jack cheese
L - P28 w/ peanut butter (1Tbs)
S - turkey pepperoni w/ laughing cow cheese
D - shrimp, peas, peppers, tomato, steamed squash
- Quest Chocolate Brownie
S - cottage cheese and SF jello w/ fruit
these calories don't feel like they could be right.... but here we go
Cals - 1054
Carbs - 91 (quest, peas, etc)
Fat - 38
Protein - 101
Sugar - 26
Fiber - 32
Carbs - 33%
Fat - 30%
Protein - 37%
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Mostly Sunny Day 2 days ago
Wow today was NOTHING like I had planned !! Not bad... just not according to plan. I read my post yesterday and laugh.
I did go home and clean - but I didn't feed the horses or do laundry. I mostly "moved" laundry to clear a path. I was in panic mode thinking the AC guy would come today or tomorrow morning and I knew I would never get things really clean. I didn't even get around to sweeping and mopping!
This morning I was supposed to get up super early in case my sister wasn't able to make it to my older nephew's award ceremony. I woke up to her text saying she was going to be able to make it! Yikes!
Then the "plan" was, if I didn't go to the awards thing, I would just stay up and either swim or ride my horse. HA... I didn't stay awake much less get out of bed! To top it all off, my meeting with the VP was moved to Friday afternoon and I am off!! So I will come in for that and probably get to the gym for a few (if I am able - workout with the trainer Friday morning, and she said "outside").
Anyway... what DID happen today? Not much
When I woke up I went and helped my mom, tended my chickens and rabbits and called the AC guy. He was in an attic so asked me to call back and leave my number so he could get back to me tonight. I made a quick trip to get rabbit hay and then by the grocery store to get some shrimp, turkey pepperoni and Mio. Then to my parent's for lunch. I did put a load of laundry on. Have tons left to go , but I'm not gonna fool with it too much tonight.
Tonight I WILL sweep, mop, take out the trash and wash dishes. I will. Before that I will go help my mom, I WILL feed my horses, tend the rabbits and gather chicken eggs. I sure hope I will just motivate and get it done, I am ready for bed and I absolutely cannot go to bed with my floors not swept and mopped. Seriously.
It would give me great joy to say I can sleep in tomorrow. It would be a lie, but it would give me great joy. I will be up and at 'em by 930 - morning routine of chickens / rabbits and to my parent's house to help my mom.
Hopefully I will do better about breakfast - I've been forgetting it lately until too late (lunchtime). I prefer to have food instead of a shake if I am not headed to the gym soon after. It also seems I eat better throughout the day if I have real food. The couple of days I have eaten breakfast I had toasted P28 once with peanut butter and once with LC light cheese. I love the PB, but I think the cheese is probably better habit. I do think I will start having my PB sandwich on P28 after Tuesday workouts and maybe a 1/2 after Spin / Friday workouts. I'll have to watch it carefully and make sure it doesn't get crazy though... having the other half later in the day after Spin is fine, it can be my work snack but I'll just eat the half (really 1/4) on Fridays and leave the other part at home.
Anyway, after I help my mom I will probably work on the house a little more - super paranoid because the guy probably can't come until afternoon and I will be at work. My dad will go up there with him, but I hate hate hate knowing my dad is in my house. He is the biggest snoop ever. I don't have anything to hide, it's just the principle of the thing. So I have to do what I can to have it clean (he snuck into my brother's house and took photos of the big mess that it was).
At some point I will have to give in and call it quits because I have Spin class at 1215, work at 1330, meeting at 1400, meeting at 1500 in another building across campus, approve time cards and another meeting 2315-0015.
Oh... and my youngest nephew has another concert tomorrow night and he is getting some award (I think it is the same one his brother got in 8th grade - the trombone player who embodies the spirit and character of band. In memory of a trombone player who was killed in an accident). I really hope I can get an extra hour off so I can make it to see him.
Friday morning I workout with the trainer at 9am (outside???), counselor at 11, meeting with VP at 3. I had considered going to the beach Friday afternoon, but with that meeting there is no way / no point. I won't go with the crazies on Saturday and then the schools are out after next week. I can't win for losing! But I will get out there - have to get my open water swim on.
Saturday is pretty free. Sunday work. Memorial Day work. rinse repeat
vitamins in except bedtime iron. only 32oz of water, gotta work on that over the next 45mins. Food...eh... ok
B - P28 toast w/ 1 LC light queso
L - pork roast, peas (my garden last year) and okra, steamed squash, peppers
S - NOT planned! about 1tsp of peanut butter
S - turkey pepperoni, laughing cow cheese
- cottage cheese and SF jello w/ fruit
D - scrambled egg, pepper, shrimp, cheese, P28 toast (shouldn't have had 2 in one day)
S - cottage cheese w/ SF jello and fruit (yes, again)
Cals - 1347
Carbs - 74
Fat - 51
Protein - 125
Sugar - 30
Fiber - 13
Carbs - 24%
Fat - 36%
Protein- 40%
oooh ooooh!! My Quest should come tomorrow!! Happy Day! I'll have to make a special trip home when the tracking number is updated!
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And Small Again 3 days ago
Today has been a good day - not really a "small" pouch day, but a "Hey I can eat just normal and be satisfied" (new normal, not pre-op normal).
Last night I didn't do nearly as much cleaning as I had hoped to - but it sure seemed like a lot at the time. So I didn't get to call the AC man, and now tonight I have to stay up and get serious about sweeping, mopping and loading up all those dang clothes!! I think I will just try to shove most of them to the corner of my room - hopefully he won't even want to go to the fuse box but will just go straight to the closet for the unit. My luck never runs that way though.
I got up at 0930 and then remembered my parents had gone grocery shopping, so I probably could have slept later. Oh well - up and tending animals then headed to my folks house. I decided to see if I could find something quick and easy on Nik's site to make for lunch - knowing I didn't have time to do a lot of meat thawing and such. So I made Cajun Tuna burgers. I put spicy cajun in my dad's , but just a little Old bay for me and my mom. We all really liked them and they were SUPER easy and quick!! I may try them with Salmon next time.
After lunch I made sure my mom was settled then headed up to the house to pack my work clothes and such. I had a workout with the trainer at 1. Except for spin last Thursday and the 5k on Saturday, I have been taking it super easy on my legs. They were still kind of tired feeling, but nowhere near the fatigue and sheer exhaustion of before. Originally the trainer said I was going to be training outside today, but decided we will do that workout on Friday morning and so she changed it up.
after a 3-4min warmup on the TM.
Today was tobada (tabatta?)) - 20 sec work, 10 sec rest, 8x (4min each station)-
stairs - run, every other step, hop
BOSU pushup shuffles (did a couple sets of "real" pushups, then on one knee)
Sumo squat high pull - 45lb
started plank pulls but my right elbow REALLY hurt so we moved on
overhead dumbbell pull / press / whatever (lay on bench, hold dumbbell w/ both hands and lower past head, then raise over chest) - 20lb
went back and did plank pulls no problem (well they were crazy difficult!)
captain's chairs - alternating one set side, center, side and one set legs straight raise high as I could
then I cooled down for a few minutes on the stationary bike
WoW my shoulders were so crazy trashed I could hardly wash my hair!!
Right after the workout I had a peanut butter "sandwich" on half a slice of P28, then I showered, cleaned up and headed over to work. Busy day all around, but was able to head out for my nephew's spring concert (trombone player :) ) and then still catch the finale of "Dancing With the Stars".... Yay Donald!
Tonight I'll work on cleaning for quite a while hopefully. I can put some more laundry on , feed the horses, go in help my mom, let the horses out, change over the laundry , tend my rabbits , gather eggs and then work in the house. I have to get it presentable, it is about to get HOT around here and I need my AC! (though not nearly as much as I needed it pre-op, I would have had it set on 70* weeks ago... I think I can do 78 now!).
Tomorrow I am getting up super early in case I need to go to my older nephew's award ceremony. He just told my sister today that he is getting an award at 830am, so she is going to try to make it (3rd grade teacher) and if she can't she is going to call me to go. Since I will be up anyway, even if I don't go I will probably stay up and go swimming, but just easy swimming. Or maybe I will ride the horses for a few minutes each? Titan needs a chiropractic adjustment so I don't know if I need to ride him or not.
Then it is work, big meeting with the VP, work. And probably go home to do more cleaning etc
Thursday is spin class and then crazy busy at work with 2 meetings back to back then training at midnight plus having to approve time cards. Hopefully tomorrow night after work will be just go home and tend my animals, go help my mom and head on to bed.
Friday morning is trainer (outside?!?!) counseling and should be a free afternoon. Hoping Saturday will be free and we can convince my brother to come help us see if we can get my mom in the pool (out of it is the real issue -even though we have a lift).
Lots of good stuff.... happy with today's eats. In a way wish I would have resisted the SF ice cream tonight, but I was fine on calories and protein, so I don't feel bad about it.
All vitamins in except bedtime iron; over 100oz of water, probably about to go get some more
B - none (oops)
L - Nik's Tuna burger (2 small patties, the size of my mom's salmon patties), steamed squash, green beans, peppers
S - 1/2 P28 with peanut butter
- other 1/2
D - shrimp, peppers, green beans, small fresh tomato, laughing cow light cheese
S - SF ice cream
I also have cottage cheese and SF jello w/ fruit as well as a couple of peppers w/ cheese if I decide I want them. I will probably have the cottage cheese, but the stats include everything:
Cals - 1021
Carbs - 76
Fat - 32
Protein - 99
Sugar - 36
Fiber - 23
Carbs - 31%
Fat - 28%
Protein - 41%
EDITED - I did eat the other snacks, so I'm glad I included them :)
+ 4 home made cheezits (deli cheese microwaved, maybe 1oz)
Good good day. I like it! Now to go clean my hoarder house!
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Gah! Big Pouch Day 4 days ago
I have been fighting hunger all day, and lost tonight. Dangit.
Last night when I got home from work, I worked on my hoarder house for an hour or so. Then I fed the horses and went in to help my mom When I did get to bed , I had a rough night - woke up sleeping with my mouth open but I wasn't congested - I sure hope my apnea isn't coming back!! When I finally gave in and got up I dressed, took my vitamins and headed outside. Tended the chickens and rabbits, put on a load of laundry and helped my mom. I took a tote bin of clothes down to their house for my dad to carry over to their church yard sale. It was 10am or later before I finally had breakfast. Then I ate lunch around 12. I was still hungry but left and changed over my laundry, put ice bottles in for the rabbits and lay down in hopes of a nap (nope).
Got up from my nap, went back to my parent's house to pack leftovers for lunch and put together my snacks. I love cottage cheese and jello now, so I fixed some of that and also some greek yogurt w/ SF blackberry preserves.
Work was fine... had a few coaching meetings with my team and left for an early lunch.
I went to my parent's house and watched Dancing with the stars with my mom, and I ate ok.
But then I was still hungry so I went and got another serving of pork roast, a pepper and a LC cheese.
And I was STILL hungry so I had a piece of P28 with peanut butter and jelly !!! I was finally satisfied. SATISFIED - not full!!!
I am so scared.
.
Tonight I have to work in my house some more - sweep, mop, dishes. Tomorrow I'll work on laundry some more and call to see when I can get the AC guy out. I work out with the trainer at 1 and then work a couple of hours before flexing some time to go to my youngest nephew's spring concert, then I'll head back to work to finish my shift unil midnight.
Wednesday will be another rest day, then meeting with our VP and work. Thursday Spin class and lots of meetings / training at work. Friday Trainer , Counselor and hopefully just chiling in the swimming pool. Sunday I plan to start back to moving / exercising 5 days a week, hopefully by then my legs will be functional again. My new goal is to jog the whole Firecracker 5k on June 30. It will be stinking hot!! So I need to train outside, on my own and learn to push through and be strong.
I can't wait for my Quest to come in later this week. I am soo hoping that having one for snack will help keep me more satisfied for longer. I can NOT keep eating this way. Oh Lord I am so scared. :(
multi, celexa and 2 calcium in, should get the 3rd tonight; iron before bed; need to get busy drinking water (about 48oz in)
B - P28 toast w/ 2Tbs peanut butter
L - pork roast w/ steamed squash, green beans
S - 1/2c cottage cheese w/ 1/4c sf jello w/ fruit
D - pork roast (6oz) w/ steamed squash, green beans, steamed cabbage, pepper and LC cheese!!!!
- PB&J on P28
S - 3.5oz greek yogurt, 2TB SF blackberry preserves
Cals - 1661 !!!!!
Carbs - 81
Fat - 81
Protein - 147
Sugar - 31
Fiber - 22
carbs - 20
Fat - 44% !!
Protein - 36%
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