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Surgeon Testimonial

Fernando 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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-- Norman Vincent Peale
LornaDoone33's Blog



WHEW!! 7 Days Out - and the first post-surg pounds!!
on May 28, 2008 6:01 pm
I told my son yesterday that I almost feel human again.  Almost, not quite.  But I'll take it.  I went to my surgeon's office today to have my jackson-pratt tube removed and got my first post-surgical weigh in.  Maggie ushers me over the scale saying, "I'd like you to meet your friend!  You are going to start to LOVE getting weighed!"  Well, not quite yet; I wouldn't say I love it yet but I am down 11 pounds    since my pre-surgery weigh in.  I hoped for a little more but Maggie says I am still very bloated from the 24-hour fluid IVs I got in the hospital.  That makes 45 pounds total (34 in the pre-surgery diet, plus the 11 last week),  I must say, I am proud of myself. 

What's most exciting is that I'm finally out of pain!!!!!!!!!!!!!  I've had a baby; I've had migranes all my life and I've had four previous surgeries.  But I can honestly say that the pain I had post-WLS was the worst I've ever experienced.  Do not be put off by my comment -- don't ever let that stop you from doing what you need to do - but just a little bit of reality for ya!

I drove to the doc's office today, (no problem since I hadn't taken any painkillers in more than 24 hours) and a little later treated myself to a little shopping spluge at CVS for bandages and stuff.  I actually love shopping at those big drug stores!  Better than the mall to me-- call my crazy, I don't know. 

I guess I've adapted to the liquid diet.  Still on full liquids for another couple of days.  I haven't eaten solid food in 13 days!  I can't say I have been hungry at all - that's really strange and wonderful and amazing!!! But I haven't.  I do look forward to my first pureed food this weekend, though -- I can't wait to scramble an egg and puree it.  Eggs are my all time favorite food, (luckily, my cholesteral is always ok). 

Getting my protein in, thanks to these miraculous 3 oz protein "bullets" by nu-Whey.  They come in a bunch of flavors and have 42 grams per bullet.  I mix one in a big glass of water and sip it for hours until it's gone.  Tastes like very weak juice.  I like it! 

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On the Other Side -- They Tell You, But You Don't Hear Them
on May 25, 2008 11:09 am
Ok - surgery is done. That's a little surreal, actually. I really did do this.  Recovery is a bitch. And while they tell you that, maybe you don't hear them. At least I didn't.  Yes, I heard there would be pain. Of course, there's pain. It's major abdominal surgery. I guess I didn't really "hear" it, my mind clogged as it was with thoughts of rapid weight loss.  But pain there is.  Lots and lots of it for me. I know everyone is different, but I'm a quick healer, typically, and so I didn't expect all of this. 

Surgery Day --  I got to the hospital, Abington Memorial, at abut 6:20. All by my lonesome.  I knew anyone I brought at the front end would wind up waiting and waiting for hours. They took me back right at 6:30 and I got into the infamous gown open in the back, (too small, of course).  No nerves whatsoever.  Dr. Bonanni strolled by about 6:45, looking chipper and ready for action. Great guy.  He asked me a bunch of questions, then said he'd see me in surgery.   Next, Dr. B's lead medical assistant, Manny, came by.  Same drill; different questions.  Finally, the Abington nurse came by and began the very thorough questioning for the surgery.  All done at about 7:30, including a visit from at least two anesthesiology team members.  Then, they sped me back to the OR, where two very kind nurses were waiting.  They took my contacts, (drat - I'm as blilnd as a bat, so I hated that), had me slide onto the OR table and then poof, the next thing I remember is waking up in the anesthesia step-down unit.  I felt ok. Not a lot of pain at that point.  Still under most of the anesthesia. 

Dr. Bonanni appeared bedside, as cheerful as ever,  but told me what a difficult surgery it had been.  He said that my liver and spleen were both horribly oversized, and despite the week on liquids, they had a massive issue to deal with.  They had to hold the big organs up the whole time, causing them to swell.  Still, they had managed to complete the procedure laproscopically and I was very grateful for that. 

My mom came by, despite my asking her to just chill at home, and I was glad to see her.  No matter how much of a trooper I think I am, I still need my Mommy, (lol).  Later, in my room, (beautiful by the way - what a lovely hospital Abington is), i got the mad rush treatment by a team of very competent professionals.  Had the foley catheter in, (no biggie), but had to advise the team that they needed to help me take care of my period, too.  Timing is everything, I guess.  Got a couple of shots -- one for heparin, anti blood-clot, which Dr. B is very obsessive about, and another for pain.  The pain medicine was fantastic, and I drifted off into a nice, drug-induced sleep for hours.  

Then, it wore off.  I asked for more and got it, about every four hours.  My lips and mouth were so dry that I could actually peel the dead skin off the top.  I had no saliva in my mouth and was advised that I should not try to swallow even a sip of water.  I asked for swabs and was vigilent about not swallowing any of the water that winds up in your mouth when you use them.  

Fast forward two days.  I kept water down, then broth, then Jello with no problems, walked around the floor a few times each day, bathed myself, etc. and so Dr. B. said I could go home if I wanted.  I wanted.   Manny and Maggie, Dr. B's physician's assistant, had also come by during my stay.  I swear,  the three of them were so on top of things that I halfway expected one of them to show up at my door once I got home with a picnic lunch of Actigall and chicken broth. 

So, I'm home now.  As luck would have it, (or that darned timing again), my soon-to-be ex husband is moving out this weekend.  I've wanted that to happen so much for so long that it's odd it should happen on probably the one weekend I could have done without it, but there it is. He's been nice enough. Enduring dirty looks from my mother when she stops by.  But whatever, that will be done with, too and I really will be starting on a fresh slate in more than one area. I'm sure the Lord knows what He's doing. 

Well, the pain is kicking in again.  Took a sip of water about an hour ago and had a violent burst of naseau; first one.  Time to take more of that horrid Tylenol with codeine. Sucks.
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Tomorrow, Tomorrow, Tomorrow
on May 20, 2008 8:15 pm
I said that to myself so many times.  Before starting the next diet. Before trying the next exercise. But this time I'm saying it because tomorrow is my surgery day. 
It really has come. I would walk to that hospital on my knees if I had to; I'm so grateful. I'm praying but I don't even know what to ask the Lord for. I feel like he already knows everything I need. 

See you on the losing side.

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Liquid Heck
on May 17, 2008 4:48 am
Second day of liquids only, presurgery.  I'm hungry, have a headache that won't go away and feel lightheaded at times.  Either I'm doing something wrong or this is just really difficult.

Monitored protein intake carefully yesterday.  Got in 125 grams, mainly through powder and a protein bullet drink.  Ate tomato soup, which was probably a mistake, since looking at the label today I see that there were 12 grams of sugar in one serving. That's a little too much.  Think I'll stick to broth today. Had a little greek yogurt with a little Splenda a couple of hours ago.  A lot of coffee.  Hope today is better than yesterday.
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One Week Until Surgery!
on May 14, 2008 4:40 am

Finally, finally, finally!.  It was a year ago this month that I reviewed the latest articles on weight loss surgery and decided, after years of thinking it just 'wasn't for me', to make an appointment with a bariatric surgeon. 

That first appointment didn't go well.  The surgeon I'd selected at a major teaching hospital in Philadelphia, (not the fabulous physician who will be performing my surgery next week), had all the charm and bedside manner of a crocodile.  He was short with his answers to my questions, made very negative comments about the company I work for when he noticed that it was a major health insurer, and just generally turned me off completely.  

Since it had taken three months to get the appointment, I decided to just stick it out and go forward with his program.  However, when he was even more unpleasant at my next visit a month later, (I'd made the mistake of correcting his team on the misinformation contained in the handout they provided to new patients about the process for WLS approval with my company), I decided I had enough.  I knew it would put me back months, but I also knew that I couldn't have a man operating on me whom I now disliked so intensely.

I called a few friends at my job for possible information on a good surgeon.  One good friend had worked frequently with a precert nurse and thought she might be able to give me some information on the most utilized surgeons. Well, not only did she have opinions on most of them, she had had WLS herself a year before!!!  It was the most remarkable stroke of luck.  She couldn't say enough about her surgeon, Fernando Bonanni, and his team at Abington Hospital. So, I registered for one of his info sessions at the hospital.  

The session, led by his lead nurse, who had also had WLS (!!) was packed with information.  I decided to make an appointment with Dr. Bonanni. But his next available new patient slot was a full two months away!  I was very disappointed but made the appointment.  It would be with Paula, the nurse who had run the info session and his program leader.

The difference between Dr. Bonanni's staff and office and the staff and office of the first surgeon was remarkable.  I knew I'd found the right team.  Before leaving, I made an appointment to see the staff nutritionist, Ann, and begin the "official" part of my program.  

Well, that was six long months ago.  Test after test after test was taken, (heart, lung, sleep study - found out I have severe obstructive sleep apnea!! - blood work, an endoscopy, an exercise tutorial with a physical therapist, a psychiatric exam, just to name the ones I can recall).  In the past three months, I have lost 34 pounds through diet and exercise, (thanks in large part to Ann's great guidance) and am now literally counting the days until my surgery next week.  

If anybody ever says to me that I took the "easy way" out for weight loss by having this surgery, I'm afraid I'll have to slap 'em! 

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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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