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Surgeon TestimonialFernando Bonanni, M.D.My first impression of Dr. Bonanni's practice was that it was extremely well-organized, professional and run by caring individuals. Impressively, at the time I started the program, the center was attempting to gain Center of Excellence status as a WLS facility. Of course, all of those good things attract a large patient base and I was disappointed to have to wait three months after beginning Dr. Bonanni's program before I actually met him in person. I was hoping that I got the good feeling about him that I needed to go forward with the surgery and dreaded feeling the opposite - I'd have to start all over. I'd already done that once, after not clicking at all with a previous WL surgeon and had put myself back about six months. I was tremendously relieved to find Dr. Bonanni to be a warm, personable and truly interested practitioner. He asked a lot of questions that showed his interest in my full patient experience and was well-prepared for our appointment. I was thrilled to be able to go forward with him as my surgeon.
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"Change your thoughts and you change your world."
-- Norman Vincent Peale
Back to 1985, Weight Wise on August 17, 2008 7:41 am
My plateau lasted five long weeks. It was a big mind-f***. But then one day I got on the scale and I had lost eight pounds!
I weighed myself on Wednesday, (three months out) and saw a number on the scale that I haven't seen in almost 23 years. In fact, I remember the day in September 1985 when my then-boyfriend's mother took me aside and told me that I really needed to lose some weight. I had gained a LOT of weight in less than a year and she was "concerned". She wasn't concerned - she was just mean - but I went home that day, got on my scale and was shocked to see how much I had really gained. More than 50 pounds. I hadn't even noticed! Not really. It crept up on me. But I guess it wasn't a big enough shock because I went on to gain nearly 100 more pounds over the next year or so.
So that day, that number on the scale was a turning point for me in the nightmare that was my weight gain. To see that number on the scale now, to know that today it means the opposite of what it meant then -- that I am now going in the right direction -- is thrilling.
I have days of such happiness now. I didn't realize how much my obesity was impacting my mindset. I feel such a sense of accomplishment, of joy. I sometimes just spontaneously drop to my knees to thank the Lord for this happiness. It's been years and years since I have felt this way.

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#@!!%^!! PLATEAUS!!! #@!%^! on July 8, 2008 4:39 pm
Unbelievably, I've hit a plateau already. For the past 10 days I have lost maybe a pound. It really messes with your mind. Because the only thing that makes all of the rest of this worthwhile -- all of the supplements and vitamins and mushy food and pain drinking water!! -- is losing weight at the same time. So, if you're not losing weight, it all seems like a big bust! I am so bummed. So bummed. I thank heaven for two things -- the fact that my surgeon told me this was about to happen at my last visit about 2 weeks ago; (I didn't believe him) and the posts that I've read on the forums that tell how others hit a plateau at the same time.
I didn't believe him because how can I NOT lose weight eating between than 600 - 800 calories a day AND doing good cardio four times a week. I don't mean strolling through the park cardio, (which is great, too)., I mean busting my butt doing 13 MPH on my exercise bike at high resistance for a minimum of 30 minutes each time. Shirt and shorts soaked through with sweat exercise! But there it is.
Apparently, once you start the soft foods, this happens to a lot of people. Problem is, I'm not quite sure what to do - I know the point is to boost my metabolism. But should I exercise more, (meaning even fewer calories netted each day - won't that just make this "starvation mode" response worse??) or eat a little more? I just don't know.
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Five Weeks Out on June 27, 2008 8:16 pm
I went to my second follow-up appointment at Dr. B's today. I'm still trying to figure out all the numbers; everything is kind of swirling around in my head. But it's all good - I know that much. I have lost 63 pounds since I started with Dr. B's program. Since my last appointment a week after surgery, I have lost 19 pounds. That was four weeks ago. I lost 19 pounds in four weeks.  That is simply amazing! Since my pre-surgery weigh in I 've lost 30 pounds. See what I mean about the numbers?? There's so many! Anyway, as I said, it's all good and I am thrilled.
Looking down the road a piece, I'm starting to wonder about my long-term focus. Dr. B. gave me what he called his standard lecture -- about the 'honeymoon period'. He noted that in 6-8 months my pouch will be supple and pliable and able to hold SIX TIMES the amount of food I'm eating now. So, he said, I need to do my absolute best with the weight loss during this period so that later it will all just be about maintaining the loss.
As I said, I'm thinking now about how to keep it all working. I guess it's easy now and will only get more difficult. Still, I think back to my pre-surgery weight loss and think of how hungry I was all the time. At least now I don't have to worry about that. All I know for sure is that I don't want to screw this up. I feel so good some days I can hardly stand it. Just happy.
Exercising at least 30 minutes at or above my target heart rate every other day. Now that I'm further out, I feel like I can pump that up a little. My healing has gone very well, so I will start with crunches and other muscle-building exercises, too, on top of the cardio. Thank goodness I like to exercise. Let me rephrase - -thank goodness I've learned to like to exercise. God is good.
34 lbs pre-surgery

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Four Weeks Out and No Longer Super Obese on June 18, 2008 4:52 pm
What an ugly term that is -- super obese. It sounds like you are the failure of failures at weight control. Well, I haven't gotten weighed, officially in a few weeks but according to my scale, which is pretty accurate, my BMI is finally under the big Five-OH, (50). I now join the ranks of the morbidly obese. That term is not too much better, but it's definitely a milestone for me.
34 lbs pre-surgery

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I Think I Might Actually Be Able to Do This! on June 12, 2008 9:00 pm
Three weeks out now. Hating pureed foods. Nothing tastes good; I'm doing mostly liquids as the loss of texture really is a big loss for me. I can not wait to chew something next week. Still dreaming of fresh, cooked spinach, a little rice and a little broiled chicken.
I weighed myself here at home a couple of days ago and was soooooo happy! I have to wait for the offical count at my doc's appt. next week, but I do believe I've lost another 10 pounds or so in just the past couple of weeks. It's amazing.
My very thin and very beautiful cousin Shelly came to visit from Texas last weekend. We grew up together and I love her like a sister. We're walking through the mall and she goes, "baby girl, you really have to get some new jeans! Those are so baggy they look bad."
I was floored! These jeans "fit" just a few weeks ago. But she said they were so loose in the back now that they looked really yucky. I knew they felt bigger, but I didn't know they had gotten THAT big. It was a nice moment for me.
Meanwhile, back at the ranch, I've started this online program called "Shrink Yourself." It focuses on combating the reaons for emotional eating. They say something along the lines of if you are 25 to 50 pounds overweight, you probably use food a little too much for comfort. If you are 50 to 100 pounds overweight, you have made food a big part of your emotional makeup. And if you are more than 100 pounds overweight, you have learned to use food as your primary emotional support. Then, they go about helping you figure out why you have used food to clamp down your emotions rather than facing them. I'm trying work the program hard, because, darn it -- I am not going through all of this to sabotage myself two years from now!
The 'head hunger' thing is all a part of the emotional eating cycle. BAM! the desire for "something good" to eat flys into you head. You're not hungry, but you want that reward, that comfort of that good taste in your mouth. Cooking for a teenager doesn't help any. My son's four basic food groups are: pasta, chicken nuggets, pizza and ketchup. It is so hard to get him to eat a decent meal and even harder right now to cook him one. So, to help keep myself sane, I've been letting him make whatever he feels like for dinner, (as long as it's reasonably healthy) and taking myself and my head hungry nose to another part of the house while he does that.
Peace to all of you beautiful people - I truly, truly appreciate you.

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My Story
I was born a poor black child -- ok, sorry, couldn't resist that line from Steve Martin's "The Jerk". Still makes me laugh.
My name is Lori. "Lorna Doone" is what an aunt nicknamed me as a baby.
I was a chubby baby; a chubby toddler; a plump elementary schooler; a chubby junior high schooler; a svelte high schooler and college undergrad (dieted in crazy ways the whole eight years), then something happened. Chubby became morbidly obese then super morbidly obese by the time I was 23. I gained about 140 pounds in a little less than two years.
I married, moved to Atlanta from Philadelphia for work; had my son; bought a house; became a suburbanite; moved back to Philadelphia from Atlanta for work; all kind of ignoring the fat encasing me unless someone or something threw it up in my face. Then one day, I got on the scale and it could no longer weigh me. I had gotten too heavy for my own bathroom scale. I got off and cried, asking God to forgive me for being such a bad mother. I thought that if I died at 39 from a heart attack I would have completely failed my son. Over the next few years, I tried every diet in the book; exercised like a fiend, (even had to call parametics twice when my electolytes or something went haywire); lost and gained the same 30 pounds over and over again.
WLS wasn't for me. It was the "easy" way out. And what if I died during the surgery? My child would be motherless, and that's the one thing I was trying to prevent with all of the dieting. Then, I saw a billboard one day for laproscopic WLS and thought - all bets are off - that I can think about! I thought about it, then did it. It was a momentous decision.
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