...GET A FEEDING TUBE! The K-E Diet costs $1500 for ten days and those willing to wear a tube in their nose 24-7 will be rewarded with weight loss of up to 20 pounds.
A nasogastric tube better known as a NG tube, is a tiny flexible tube that carries calories/medicines medicine to the stomach through the nose. It is often used for tiny infants who cannot take in enough nutrition on their own, and those who can't - for a variety of reasons - ingest solids for an extended period of time. Sometimes bariatric surgery patients require a tube-feed if they become malnourished due to a functional issue with the weight loss surgery procedure. At times a NG Tube is used due to a psychological inability to take in oral calories, and malnourishment. It's usually for REFEEDING, not WEIGHT LOSS.
Dr. Oliver R. Di Pietro has been offering what he calls a K-E diet at his modest clinic in Bay Harbor Islands, Fla., since last July.
It uses a nasogastric tube (a tube that goes through the nose and down the esophagus into the stomach) to provide all nourishment, with no carbohydrates for 10 days. Dr. Di Pietro said body weight is lost quickly through ketosis, the state in which the body burns fat rather than sugar.
“Any extreme low-calorie diet is associated with side effects, kidney stones, dehydration and headaches,” Dr. Aronne said, “and if you lose muscle mass and water, what’s the point of that?”
Dr. Scott Shikora, the director of the Center for Metabolic Health and Bariatric Surgery at Brigham and Women’s Hospital in Boston, said: “Putting a tube in one’s nose, it’s not always comfortable and pleasant. And this has to be medically supervised.”
Dr. Shikora was the director of Bariatric Surgery at the hospital I had my gastric bypass at 8 years ago, and was also the President of the ASBMS a couple years ago. He knows how to help people lose weight.
“The novelty is, they shove a tube in your nose,” he said. “It doesn’t matter if it’s through a tube, a straw, a meal plan,” he said. “They all work, if someone goes from 3,000 calories a day to 800.”
Which is why WEIGHT LOSS SURGERY WORKS. What do WLS patients do? We go from 3000+ calories per day to 0 calories, to about 500-800 calories for many months. WLS can be described the most severe crash diet you ever go on.
Tube feeding -- delicious. Makes me want to go get one to lose my last 20+ lbs. o-O I am sure people whom have had to have a NG tube, or had to help a child or family member with one... would just love to try that again.
PS. Edited to add. If you've already HAD weight loss surgery, do not even THINK about it.
Judith Beck, Ph.D from the Beck Institute and author of various health books wrote a "Open Letter To Carnie Wilson..."
"It's not surprising that you gained back most of the weight you lost after your first weight loss surgery -- so many people do. I'm glad to hear that you've now lost 30 pounds following a second lap band procedure. There are, though, a number of important skills you need to learn if you want to keep the weight off for good this time."
While I understand the sentiment -- to "help" someone who has publicly regained weight after publicly losing a massive amount of weight. Is it common to write letters to celebrities about their weight issues?
I finally went to the neurologist's office today, after a very long stretch of missed, forgotten and canceled appointments. First thing --
-- I am very bad at scheduling anything, and often when I do schedule an appointment I either forget about it or end up having to cancel because getting there turns out to be impossible. Getting into the city is not easy, and if my husband can't get time off to bring me, I can't follow through -- and this has happened a million times in the last five years.
As I checked in at 11:30am, the admin at the desk told me that "The last appointment was at 10:30am, and I don't see you on the schedule."
My blogger brain went to: "Well, here we are again, another Only You, MM moment!" and I started composing an update in my head. Do you remember that time I went to the OB-GYN, and the MAN HAD RETIRED or QUIT before I walked in the door? I have a complex about these things!
It turned out that the secretary booked me with my neurologist's resident whom has a very-long-and-unpronounceable name and the appointment did not pop up when I mentioned the neuro's very short and memorable name.
The neurologist had his partner do the physical examination on me, the basic neuro tests: Remember these numbers, touch your nose, what were those words I told you, walk in a line, can you feel this? He asked lots of update questions, which started with "How are you feeling, good?" -- to which I said "no." I think it took him back a bit, but I was honest. I told him that I have been having 2-3 seizures every 5-7 days, at the most 14 days in between. A little look of shock there. But, granted, I haven't been in for a check up in a very long time -- only email correspondence and med changes via phone and mail. I shared a video of one of my typical seizures and they nodded and started pointing out my bizarre behaviors as normal activity for a seizure.
And, they want me off the medicine. To do this, I will be admitted to the neurology unit at the hospital as soon as we can get it scheduled, placed on a video EEGand tapered down on the meds until I have none floating in my system. During this time, it is expected that I should have a seizure that will be captured on the EEG. From that point, I can start a new medication regimen and go home. If no seizure activity is caught, I will still start another drug and go home.
The goal, according to the doctors -- is to FIND the source inside my brain of the seizure activity as it's never been imaged before. If they find it -- they suggest further testing to move toward brain surgery to remove the section of brain that is the cause of this trouble. I have not agreed to this procedure thus FAR, as he's suggested it for years. I've said no. But, I told him I would consider it if the seizure activity is finally caught on EEG and through the testing.
And you know what? Today is my eight year "surgiversary." And, yes... I'm waiting for my party. *sits quietly in wait* I'll be here when you're ready. I'd like the same as every other celebration: Josh Turner, someone to drive me around and Dark Chocolate Truffles. KTHANXBAI.
I am not about to write a fluff post about my "Years Of Success," or how "You Too Can Be Like Me!" fitting into size eight size twelve jeans and being super fabulous, still.
I have not taken any courses on Being A Life Coach, Nutrition Coach or even as a Support Group Leader. I haven't become a pro post op even if I'm working on year nine or ten of just that.
I still do not know what I want to be when I grow up, sorry. If I have proven anything -- it's that I am who I am -- love me or hate me -- I'm still here. Sure, I have eight years of quasi-success under my pannus, but I am not there yet. (Eww, BETH....?!)
I told you this LAST YEAR, (or the year before, or before... or...) at my seven year anniversary, in a post that is missing in action someplace. You will note the angsty tone of last Spring's postings, perhaps this is why they are missing. I don't know. I *will, however, write about The Year That Should Have Failed Me in a separate post.
It's just that I woke up -- considered the day -- and started thinking about the word -- SURGIVERSARY.
If you've been following my blog or 4209548 Facebook pages (BTW - if you ARE NOT on Facebook, you are missing out on MOST OF WHAT I WRITE MOST OF THE TIME, I am seriously socially media sarcastic) for any length of time you would know that I loathe that word -- among other things.
There are certain words and phrases that make their rounds out there in the weight loss surgery land that make my (and some of your...) skin crawl. In fact, some of these phrases are so overused they no longer hold power and unfortunately end up having a negative feeling or many of us --
#1 - TOOL. (Makes me take an ice pick to the eye.)
#2 - Surgiversary.
I asked some of my BBGC friends this morning what grinds their nerves -- of the words and phrases we use in this community. I got 200+ comments in an hour.
We are, if not anything else, prolific.
Keep in mind that many of the BBG are long-term post ops and opinions are like interchangeable assholes, okay? I did not say WE are assholes, I said that opinions are like... well, you get it. What you feel today -- may very well change later on. It may feel REALLY AWESOME TO YOU to say "____ pounds gone forever!!" but for many of us who are years and years post op? It's like nails on a chalkboard. Your pounds are not gone forever.
I guess that is to say, you have to live it to understand, nothing in life is forever and it's not Debbie Downer time over here, it's just realistic.
Some of the 200+ comments from this morning --
I know I cringe whenever I read "xx pounds forever lost" as if it weren't hard life time work. Losing half a person is commendable, but remaining estranged is a day-to-day battle.
there are no serious side effects if you follow your dr's plan
"Pounds lost for-ever!"
I hate the term "loser's bench". I can only imagine how big that damned bench has to be to hold all the folks on it that have had WLS.
FIVE DAY ------- TEST......freaking wls crash diet
"Can you eat that?"
"You're getting too thin..."
"Never" My nutritionists used that word all the time. Not realistic.
Any cutsie name/nickname for pouch
Any sentence that starts out with I will NEVER break any rules, drink with a straw, eat bread, miss a vitamin, eat sugar, touch white carbs or whatever. Surgery didn't take the human out of us!
I don't even call mine a "pouch". It a stomach. It may be a different size than an unaltered one but I don't call my intestines anything different just because they are rerouted.
"Nothing tastes/feels as good as Skinny feels"
And about 150 more... because WOW WE COULD FILL A BOOK WITH THESE THINGS.
We latch on to these words and phrases and ideas in the early stages of learning bout weight loss surgery and in our early recovery stages and think they hold magical powers.
Did you use some of those terms? Do you still? Do some of them make your teeth itch? Do others that haven't been mentioned? (I know there are ... heck the name of my business is a teeth-itching word to some of you. LOL.)
I know I used the term "gone forever" to describe my early weight loss to my lowest weight, because At The Time, I was SO DAMNED SURE that I'd "NEVER AGAIN" (there's another one!) "LET MYSELF GO" (and another...)
Myself? I was SO sure that weight loss surgery was a "tool" to "cure" my obesity "forever."
So. sure. Cocky, even. Let's zoom back to 2003 and discuss this all over again. I was an asshole. I was NEVER going to regain an ounce. I would be the most successful of successes.
I was wrong. (Yes, I've been successful in the face of some cruddy situations, go me, where's my party? However. )
Weight loss surgery is only a temporary opportunity providing the time and physical limits on your GUT in order to lose the excess weight. It does NOTHING to help where it truly matters in the long term -- inside your brain.
This is where I am now -- at eight years post op to the day -- living, learning, watching, reading and understanding this community, just now really realizing that long-term success is about your brain, not your gut, and has NOTHING to do with "tools, rules, never agains, pouch-tests, diets, or surgiversaries."
So there. A very merry unbirthday, times eight. Off we go.