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Nathan Tomita, D.O
My first impression of Dr. Tomita was that he is concerned about helping others be able to help themselves. Every encounter I have had with him I walked away more informed and confident with him as my Dr. The staff in his office are helpful and friendly. I always feel the most welcome when I call or drop in. There has been constant contact with his staff either via phone or email. I do not have any thing negative to say about Dr. Tomita. Aftercare is strongly pushed. It is made very clear how important it is to still be treated after surgery. They have guideline to follow for aftercare that includes the surgical, medical, nursing and nutrition. I had to go over 2 consent forms, with me initializing each risk..one in a group session and once on a one on one with Dr. Tomita. The one on one was great. He was relaxed and to the bare bones point. He has a good sense of humor and made me feel comfortable. He also talks to you in a true manner of sharing the knowledge we need to know but not in a way that you walk away going huh.


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What a ride!!! My name is Megan. Welcome to my profile.


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Heaviest:235, Goal:130,Current:110
Megan H's Blog



Where is the time?
on January 29, 2007 8:17 am

Twenty-four hours in a day is just not enough for me. There is so much to do. I signed up for two classes , which is the norm for me, and I am getting my ass kicked in my A&P class. I have been studying like a mad women and I have not done too good on the two tests I have taken. Now I am doing way better then the average student in the class. The sad thing is the average grade inthe class right now is seventy- seven percent. I know it is not just me that is struggling. I hate to leave blame on the instructor but the students in this class have already taken the first half of the class and achieved a score that allowed us to advance to this class, yet so many are doing poorly. I leave understanding the information and I am learning so much about the human body, I just do not leave knowing what the instructor is expecting from us.  This week I have decided to take a new approuch to how I prepare and I hope it makes a difference.

I have had a succesful recovery from my surgery to repair the perforation.  I have not had another stricture since the last dilation. I am eating with great success. No more carrying around my little spit cup anymore. My weight just hangs between 110-115. I feel fantastic but I am not pleased with the way I look. I think I need to be fuller. 

I signed up the family to rollerskate. We go once a week. It has been fun. I was scared at first but after about an hour of relearning how to balance...I have been flying. The kids love it.  I have some pics of the boys with me.


100_1021.jpg 100_1020.jpg

And the solo 
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My one year post-op visit with the surgeon was a couple of weeks ago. The goal now is to not be back ther to see him for another year. This is a goal I plan on keeping. I can look into plastic surgery this summer. I know I look fine dressed and since I am normally out in that fashion, I am not in any hurry to add another procedure under my belt. New boobs would be nice but the thought of two man made objects hanging on my chest wall seems odd.  Oh, I just teeter-totter back and forth on this issue.

I had my labs done last night. I see my bariatric medical Dr. next week. He wanted me to take an iron suppliment. I do not think it was working.  I stopped taking it. Instead, I started to crave Chex. I am talking like if I did not get me some Chex or Chex Mix, I was going to foam at the mouth and convulse cravings here. Started out with bag over bag of Chex Mix. I noticed I was just eating the Chex part of it. I was looking over the nutrients and my goodness one serving is half of my daily allowance of iron.  Yep, my body just knows what it needs. My energy has improved and I have found a half dozen ways to flavor Chex cereal.

I love being able to eat and not feel ill. My intake runs to around a half a cup of food at a time depending on what I am eating. I have to still stay away from bread, pasta, and celery. Celery raw is a big no-no for me. I tried some last week and it took my stomach all day to rest up from that experience.

I will admit to resorting to some poor choices for calorie intake. When I dropped down to 107 pounds, I knew I was getting close to having the Dr's decide to do something drastic about my weight loss. I started drinking 6-8 glasses of Nestle Quik a day. It worked. I gained seven pounds in two weeks. My nurse was surprised at this turn of events needless to say. I told her what I was doing and she put a stop to that. You know, I researched TPN and it is not miracle nutritional aid. It can actually cause a whole new set of problems for the body. My track record and I would get them too. I was determined to NOT end up on TPN. When Sandy asked me why I was taking in so many calories, I said, "Because, I am afraid you will scheduling me a central line and I am not interested." I feel bad because, I was real bitchy that day to Sandy and she is so great. I am blessed to have such a attentive group of people overseeing my recovery. I was just trying to find a way to get some of my control back.  Honestly that two weeks I was eating and drinking junk, I felt like dirt. I was happy deep down when Sandy told me to go back to my regular diet and see what happens. So far so good. They are happy with me being 110 and above. 

All in all...I am happy too.

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Oh I wish I was busy.
on December 14, 2006 4:01 pm
I feel like I am in such a funk this week. I just recovered from a stomach virus. So glad to be back to work though, even if I left with god knows what. My belly hurt so bad Monday and Tuesday. Spent more time on the toilet then I care to admit.

I was so busy with school and setting up everything for my dads service that I think now I am not so occupied, the reality of his death is starting to be absorbed.

I stayed up until 330am the morning of my dad's service. At 530am the phone rang and woke me up. I went to answer it and there was no call. When I laid back down, I thought the ringer was not the same. It dawned on me that the kids had out my old cell phone that we have for back-up. I went to look and it showed I had a new voicemail. I went to check it. I have not used this phone since last year. My voicemail took me through five messages...all of them being my dad saying, "Megan, this is your father." I had just wrote for the service before I went to bed that I was going to miss my dad saying to me when he called, "Megan, this is your father." The new voicemail was a wrong number. Some lady calling Candy to tell her that she has no heat.  It was so crazy. My dad was the only person that called that phone. Actually my husband and him were the only ones to have the number. My dad needed it when it was my only cell because he had been sick for two years. Otherwise everyone called my home number. It is strange that I think it was some sign from him.

My motivation level just stinks right now. I do not want to do anything but wish I had something to do so I would do something. I went back to work last Friday but that only covers three days of the week.  I just hope this is little blip. I have not been depressed in a long time. My husband is frustrated and is looking for ways to make me better in his mind. Maybe I need this time to mourn some. I had planned on doing the thank you cards but Anne is going to do them now. I feel burned out. 

I am eating just fine. No recurrance of the stricture that I have noticed so far. I am so glad of that. I am afraid to have another dilation done after getting the tear from the last one. Monday I see the nurse and do my weigh in. I think I am maintaining my weight. I want to gain because I look ill. I am also scared to gain weight because there is a fear that I will not stop gaining. I call it the total head f*ck. 

One post-op said her first year was the worst and best year of her life. I feel the same way as her. So many great things have happened but I think this year also sucked so bad. My family has went through so much because of me. My dad passing was so huge. It also made me realize more of the dynamics that involved my relatives.

Oh, I am sure next week will be better and I will get off my butt and do something. This week is so far gone already. I will just write it off.

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My dad's last day.
on November 22, 2006 3:42 pm
Dad passed away at 9:40 Tuesday evening. He was comfortable. He was alert until about ten hours before he died. He had six things he wanted to do.

1. See the Michigan / Ohio State game
2. Have liver and onions
3. Have pork chops and scalloped potatos
4. Smoke a cigarette
5. Sit at his computer.
6. Die at home peacefully

He did them all. 

I was up with him til around 1am tuesday morning. We were shooting the shit. He had some ideas and stories to tell. I went to bed but my cell was set to wake me up every two hours so I could check on him. He was sleeping and comfortable all through the night.

Around 8:30, I started our morning routine. He took his meds and started on breakfast. He expressed his concern for what affect this was having on my family. I told him what the plan was for the week with the kids and who would be tending to them. He said "So you have it all figured out so you can be here with me? Honey, you cant do this. You have a husband and kids."

That was the last thing he said to me that made sense. He just started to slowly drift away. He would not eat or drink. I could hardly arouse him. Anne had went to work. Dad did get restless around 4pm. I was actually camped out just doing my school work in his room so I could see him. I called Jerry to help me. We repositioned Dad and he never made a peep. Anne came home and had to leave on an errand. When she came back dad was starting to moan and was calling out.

I was unable to give dad his oral meds after 4pm because he would not swallow. The nurse was called and she said to begin using the sublingual Roxinal to help him relax and to be comfortable. He passed before he could receive his second dose. Anne was in with dad while I was talking to the nurse. I went in and checked him and his breathing had changed. I was supposed to give him his dose then but we did not want to talk around him about what was happening. Anne and I had a smoke a discussed the changes and what to expect. I said,"Well I better go in and give him his drop." (it really is a drop). He was gone. He passed in that ten minutes that we had stepped out of his room.
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Dad's homecoming
on November 16, 2006 12:00 am

My father has been ill. He has COPD. He suffered a heart attack in March and has had three more since then. His right coronary artery is one hundred percent occluted. Since October 1st he has spent every day minus ten in the hospital. 

Nov 8th, the pulmonary specialist told my dad that he is terminal and he will not be medically approved for any procedures that three other Drs wanted to perform. This Dr also took me aside to let me know that he discussed this with my father. Neither one of us discussed what we knew with the other for two days. The 10th was hell day. All shit broke lose. Dad realized just how sick he was and he was pissed. I had lunch with my dad everyday while he was a patient. This day he was not very nice. I understand. He was angry. I ended up leaving him. He was pushing me away anyhow. I went back up that night for dinner and found a new man. My dad decided that if he was dying he was not doing it at the hospital or a nursing home. This man had a plan.

I am leaving a copy here of what I posted on the Michigan forum yesterday.

Today I set up my dad's room so that he can come home and die comfortably. My father has end stage copd and this has caused uncontrollable congestive heart failure. He has spent every day minus 10 days in the hospital since Oct 2. Oddly enough five of those days was the five days I was there for my perforated viscus.

My life is going to be turned around and flipped over in the coming days. I will be setting up residence in his home until his passing. What will be negletted during this time by me? I have two little boys, a husband that just had a mastoidectomy one week ago, I am eight weeks into my classes at school that I am still earning A's, I am almost four weeks out from major surgery, and my Dr is concerned to the point of bringing up TPN infusions because of my continued weight-loss.

I have spent hours and hours trying to contact my siblings. One is out of state and seen my father. Another has had closer but does not want to see my dad in this condition. Four others hardly even talk to any one in the family, including my father. (they have a mom they share, yet they do not talk to each other, either) My father had 11 children from four wives. Two children are deceased. The other two were adopted but do know "of" my father. The dynamics are just, oh cruddy. But, I want to do the right thing and make sure they know in case they need to see him. I hate voicemail, by the way.

He lives with an ex-wife(#8) I am ever so thankful for her and everything she has done to help my dad. I have been scrambling to get care in order for my children during this time. They are young and will be so bored being with me at my dad's home.

I think things happen for a reason. I am off from work until Dec. School closes for one week, beginning Friday. The support is coming from all over to assist me with my boys. The care for my dad is being left upon the ex and myself. There will be an aide coming in daily and a nurse.

Tomorrow, I will go and have breakfast with my dad, head to my last class of the week, and back to the hospital for lunch. The plan is for him to be discharged under hospice care in the afternoon. I am going to be instructed on how to give him the meds he needs to remain comfortable as his body drowns in his fluids. Yet, I have promised him that we will keep him alert for the Michigan-Ohio game on Saturday because he just wants to see that and then he says he will be ready.

My heart is breaking. I can not stand seeing my father suffering as he is. I know what to expect and I still do not feel ready to the changes his body is going to go through in the next week. I also know he will not be here much longer in body and the finality of it all is so overwhelming. My mind says be with him as much as possible while you have the option. And yet, I have my little guys wanting their mommy to be home with them. I feel so much tugging in my heart. I wish I could be everywhere.

I understand the circle of life. My dad does too. He is not afraid to die, he just wants to do it at home, comfortably. I told him I would help him do this. I am so sad and I am going to miss this man so much. With Thanksgiving approaching, I can say I am thankful that I am available to be there for this man I love so much on his final days of life. I am thankful I can help him do it his way. He has made the decision and needs the feeling of being in control. He will be leaving me forever, but I will not have any regrets.

Positive vibes
Megan

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The week has been busy
on October 28, 2006 10:41 pm
I cam home on Monday. I missed my class that night. I missed my morning class on Tuesday. I went to lab though. Wednesday, I had my staples removed. I also went to our support group meeting. Dr. M said I made for an interesting reading over the internet while Dr. Tomita and him were in Vegas together. Thanks to the technology they can keep track of their patients many  miles away from home.
 
Thursday, I went and took my midterm. I did end up with a 91%. I am pleased since my study time was a mess due to this whole surgery deal. I also won a contest. The prizes were two large pans and a knife set. They are Rachael Ray products. I also received an autographed cookbook from her too. Hubby and I went for the first time and bought new furniture. They actually delivered it yesterday morning. I thought we would wait til end of November for it.

My dad has been sick. He has been in the hospital three times this month. They transferred him to another hospital yesterday. I wish he was not having so much pain. I want to help him and I feel bad because I have been sick. He has end stage cardiac and lung disease. I am not sure what they can do to help him besides try to make him comfortable. He is a fighter though.

Friday my drain was taken out. I have to go and weigh in at the Dr's office now. They want to watch my weight. The emotional part of this I am not even going there right now. I will see the psychologist on Monday. I hope that helps me some.

We are having a big party this afternoon. Our son had a birthday this week and we invited all the family over. Cant wait til they all see the new furniture.

I will be off of work until Dec 6th. I will concentrate on my studies and maybe get some things organized around the homestead.

I am off to sleep.
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My Story

2005
A little about me. I am 31 years old. I have been married since 1997. I have 2 wonderful boys ages 6 and 5. They are my world. I work fulltime at a hospital as a Patient Care Technician. Basically that means I am a nurse assistant that also draws blood and other additional duties that traditional nurse asssistants do not do. I have worked there for almost 10 years. My shift for the last 4 years has been 7p-7a every Fri, Sat and Sunday. I love my job. My home unit is the Medical floor but I am able to be pulled to ER, CCU, Surgical, Stress and Long Term Care. Since I was a little girl i knew there would be a day that I would work for my employer. I really could not ask for a better place to do so either.

As a child I was always the tiniest girl in the class. Real short and real light. Puberty kicked in around the age of 11 and really I was not big but I felt big because I was advancing faster then my classmates. I was the first to get the lumps and the rump but was 5'3" and 100 pounds. By highschool I was around 118 and stuck there for half of it. Gradually I started gaining and by graduation was around 140. I was 24 when the weight really started to come on. My husband and I got married and during the time we dated I gained 20 pounds. By the time I was pregnant for my first I was just under 200 pounds. Now most people gain weight during pregnancy. Not me I was 163 the day after having him. Talk about feeling good. Everyone commented on how great I looked. I can still remember my mom saying "Megan just dont gain it back" I of course said "I won't" Yeah right 9 months later I am back to 194 and pregnant again. Only lost about 10 pounds during that pregnancy. All the weight loss was because I had a bad gallbladder. The little diet organ had to be removed in an emergancy operation when I was 33 weeks along with the youngest. So over the last 5 years I have gained and lost and gained and lost.

Jan of 2005 I injured my back. I worked for a little bit because they thought it was a pulled muscle. Anyhow I ended up getting worse instead of better. I was taken off from work for almost 4 months while I did intensive physical therapy and also to let the area heal. During my time off I hit an all time high of 235. I was so depressed. Between the back pain, not working, having a hard time being mom and wife, I went and gained more weight. Just in time for me to barely fit in my bridesmaid dress for my brothers wedding.

His wedding is the day I decided it was time to do something to end this cycle. I did not want to wait til I was 200 pounds over and 10 years older. I want this now while I am young and have 100 to lose. So then my journey began.

 

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