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Surgeon Testimonial

Anthony Terracina, M.D.
Dr. Anthony Terracina has helped me change my life, and I can't imagine any other doctor who I would want beside me while I take this journey. rnrnMy first impression of Dr. T was the level of compassion he has for his patients. I attended his weight loss seminar in July 2008 and was pretty nervous. His partner, Dr. Clark, runs a separate fitness/diet facility called the Center For Metabolic Health. I had been going to Dr. Clark for a year for weight loss the \"natural\" way and had seen no results. I had sought Dr. Clark's program because I did NOT want to have surgery. I had no success so coming to a WLS seminar was very ... nerve wracking.rnBecause of conflict of interest, Dr. Clark could not be my surgeon (think of it...I did not lose weight on his diet plan so now he has to do surgery on me...what a bad thing for HIS income). Even though I didn't lose weight with Dr. Clark , he DID teach me about healthy eating and what my body needs to burn fat and not muscle so kudos to his Center for the education they provide!rnrnSo I show up at the seminar with my loving and supportive husband. They take me to weigh me and calculate BMI. Turns out my BMI was 38 and the nurse tells me I probably won't qualify as my only comorbidities were hiatal hernia, GERD and high cholesterol. Feeling hopeless, I burst into tears. Dr. T. must have heard me because he came rushing down the hall and led me into an examination room with the nurse. He looked at my chart and said, \"You stay. I can help you.\" rnrnDuring the seminar, he took everyone's questions and explained the whole banding and bypass procedures thoroughly (took 2 hours!). He was patient and kind. He told us about how as a general surgeon, he had seen many of the problems he was treating be cleared up by weight loss and believe that if he could help people lose weight, they wouldn't have as many health problems and need other surgeries. He told us how he had been doing laproscopic surgeries since the early 90's. He gave us his stats (mortality, etc). He was open and honest, laying everything on the table. rnrnI debated with myself until October about whether or not to have surgery. Since I was surprisingly approved in ONE week, I had no time to meet with Dr. T before I was approved. However, I made an appointment for November. When he walked into the room he said, \"You look a lot happier today!\". He actually remembered me! All those people and all his patients and he remembered me! rnrnHe was late coming in to my appointment but I didn't care because I knew he had been with another patient. I was his last appointment on a Friday at 1130 and he sat with me for an HOUR and answered all my questions. He didn't rush me or talk over me. He actually listened to my concerns and made me feel as though he truly cared for my well-being. I have never felt so supported by a doctor outside of my PCP.rnrnAfter my surgery at my post op appointment he was warm and encouraging. I couldn't help but cry and thank him for helping me change my life. He told me \"You ARE going to do it! You will be great!\"rnrnI wouldn't recommend any other doctor for this procedure. He is the best!rnrnDr. T's aftercare program offers support groups and a nutrition class. Plus you get unlimited visits with the nutritionist. There are many opportunities for good aftercare but it isn't handed to you. You have to schedule yourself which I think is good. It is after all YOUR journey.rnrnI think he excels both surgically and bedside manner. He will not hesitate to tell you that he is the best at what he does and most likely the best in the state of Virginia. I kind of liked that about him, but I can see where it would turn someone off.rnrnThe only negative I would say is that I personally did not talk with him after my surgery. He spoke with my husband and made sure he understood about my home care but then I think he left. I wasn't upset though because I figured if there was something really wrong with me, I would have seen him following. Plus I was kind of drugged still so I don't even know what I would have said to him. Besides, the nursing staff at the outpatient surgery unit in Sentara Careplex is AMAZING! I was in excellent hands!rnrnFuture patients of Dr. T should know that he believes in the band 100% if YOU work it the way you are supposed to 100%. Any failure with the band he attributes to the patient, not the band (unless of course the band is leaking or whatever).
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Stacy T.'s Journey

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Describe your behavioral and emotional battle with weight control before learning about bariatric surgery.
I was the "thin" one out of me, my mom and my sister. My mom and sister were always over 250lbs and always dieting. I never had the problem. Until I turned 18 and my Freshman 15 was more like the Freshman 80. After that, it was impossible to lose it in a healthy way. My sophomore year of college had me losing all of it in 1.5 months...not good and not the greatest time of my life. It came back on steadily until I was about 26 and I was over 200lbs and working my way into the 2-teens. I was a size 20-22. I was depressed. I was 3 years married, wanting to have children and knowing that at this weight I would NEVER be healthily pregnant. So I started trying in earnest. I tried Jenny Craig, Weight Watchers, Nutri-System, South...
Latest Surgery Support Comments

  • Comment by GinaJ on 11/21/08 10:49 am
    Congratulations!! Here's to a speedy recovery! We will see you soon on the losers bench.
  • Comment by foxxmom5 on 11/21/08 7:01 am
    Congratulations on your upcoming surgery! I'm so happy for you!! I'll be having my surgery on the 3rd, so save me a space on the Bench!! Good Luck and my thoughts are with you!!
Click here for the surgery support page



        
stacymtrout's Blog
stacymtrout's Blog


BIRTH STORY
on December 22, 2010 11:04 am

I had Grace on August 13th but wanted to repost this on OH for all my OH friends :)

DISCLAIMER: This is a long story and may contain information considered to be "TMI" (too much information) for some because it IS a birth story. Proceed with caution!

 It all began on Thursday August 12th. I had taken the day off from work because I was experiencing some heavy swelling of my face, hands, calves and feet and in general, just feeling kind of fatigued. Kevin took me to my doctor's appointment and we learned that I was dilated 1 cm! This was exciting news, but also nerve racking as I knew I was going to have to do the awful commute to and from work the next day and had no way of knowing whether or not the baby would come while I sat in traffic! Dr. Boenau reassured me that I had at least a week still that I could work so I planned on going to the office the next day.

Once we got home, Kevin and I did our usual routine of dinner and then practicing the Lamaze breathing and pushing exercises. I was having what I NOW know were contractions. They didn't hurt...just my belly tightening now and then. We brushed them off as Braxton Hicks and went to bed by 830 as we were exhausted.

At around 130 am, I kept coming out of deep sleep because I was having back pain. It felt like it was coming in waves, but I chalked it up to the backache I had been having for awhile from being pregnant. Then all of the sudden I was awaken by a gush of fluid and thought to myself "Great...now I've peed my pants too!".  I figured I better get up and go to the bathroom to finish before I soaked the bed. So grudgingly I headed to the bathroom (I knew I would have to change the sheets while half asleep LOL) and once there I saw the blood and called for Kevin. Poor thing! He was up and out of bed and by my side in a split second, you would have thought I had screamed bloody murder! He ran to get the cell phone so I could call the doctor. When the on-call returned my message, I told her what I was seeing and she explained that was fine and not to worry. Just for us to head to the hospital. She said I definitely was having a bloody show and may or may not have broken water.  So I then called my mom who headed to my house to ride with us to the hospital.

Now I am 4 weeks early so while I had a hospital bag packed, there were still things that needed to go in there and Kevin raced around the house trying to remember items while I stood in the kitchen breathing through what were now obviously contractions. My mom arrived and was also a bit freaked about the blood (there was ALOT of blood in the toilet). I was the only calm one in the house! LOL  We piled into the car to head to the hospital. We got almost out of the development when I realized I had forgotten my ID and my health insurance card so we headed back to retrieve. My contractions were about 5-7 minutes apart at that point and I was easily breathing through them. Kevin ran into the house to get my stuff and then finally we were off!

Fifteen minutes later we were at Mary Immaculate hospital (a beautiful Catholic hospital in Newport News). Kevin parked outside Emergency since we couldn't remember whether we could go straight to Labor and Delivery after hours. Turns out we could've went right there, so my mom grabbed a wheelchair and pushed me through the hospital and up to L&D. I checked in at the desk at exactly 2:15 am.

The nurse, Donna, took me to a room and had me change into a gown. We all joked the baby would be born on Friday the 13th but Kevin said it was ok because we were in room #7 LOL Then they put me on the fetal monitor to check Grace's heart and also on a pressure sensor so they could monitor my contractions. Donna then proceeded to check me and determined I was about 2-3 cm. She tested the fluid to see if my water had broken and it hadn't. Donna told us we would fill out the admission paperwork since I would most likely be having Grace SOMETIME in the next day. Without my water breaking, there was the potential I could be sent home but she highly doubted that because of the blood I was continuing to leak and my dilation.

After I was checked and all was determined to be ok, I took my IV for a walk throughout L&D, trying to coax my labor along. I had several pretty strong contractions while walking around, snacking on banana popsicles.  Kevin stayed with me and we breathed through them easily! I couldn't believe how well the breathing helped and honestly I still didn't hurt too bad.  After walking around, the nurse brought me a birthing ball (a big exercise ball) and I sat on that, rocking a little to help my hips open. I kept breathing through contractions that my mom and Kevin would see coming on the monitor. They would tell me when I reached the peak which really helped me focus my breathing. This all went on until about 6 or 7 am when Donna came in with the nurse for the next shift (Jill) to check my progress. Jill determined I was 4 cm, 80 percent effaced and Grace was at a station of -1. Great progress!! I would definitely be admitted and Jill encouraged me to keep doing what I was doing so my mom and I took another walk and actually stopped into a room 2 doors down from me where a woman from my Lamaze class was being induced that morning. We talked to her for about a 1/2 hour, pausing to breathe through contractions  LOL So funny. Mom and I then walked back to my room, pausing to pray the Our Father with the hospital chaplain over the intercom and listen to today's Bible reading. I was still feeling pretty good and resumed sitting on the birthing ball and pacing in my room, breathing through contractions with Kevin and my mom.

By about 11 am I was starting to get a little antsy since I hadn't been checked in awhile. The contractions were really getting strong and I was afraid I would miss my window of opportunity for medication if I wanted it because I had no idea how far I had progressed. Kevin got Jill who checked and told me I was 6 cm, 100 percent effaced and Grace was still at -1. Jill told me now would be a great time for either Stadol or an epidural if the contractions were too rough. I had forgotten my birth plan at home which really didn't matter because I was open to anything. Jill laughed and said every time someone HAD a birth plan usually they ended up with a C-section so for me to be happy that I forgot it!

Medication was a tough decision because I was still breathing through the contractions but had no idea how I would handle the last 4 cm I needed to progress, also known as the dreaded "Transition" stage of labor. I was afraid of the Stadol making me loopy and scared of the epidural because my severe scoliosis and I didn't want it to slow my labor down. We talked with Jill and while she thought the epidural would be best, I decided to get the Stadol just so I could take the edge off a bit, knowing I could still get the epidural if I wanted to.

Dr. Boenau then arrived and checked me out and saw my water still hadn't broken! She then proceeded to break my water and said I had a bit of time to go before the baby would arrive. 

Jill brought the Stadol and put it in my IV and boy did the world turn upside down! I was so stoned it was unreal!! I couldn't focus my eyes and felt like I couldn't breathe. It was scarier than going through labor and to top it off, I swore my contractions were getting worse because I could still feel every one of them and boy were they coming hard! It sucked and I would have been better off not taking the Stadol at all! To top it off, the Young and the Restless was on the TV and one of the characters was having a flashback to when their baby was born. Weird watching that while in labor and tripped out! My nurse was awesome though, holding my hand while my mom and Kevin held my other hand, reassuring me that I could in fact breathe and that I was actually breathing more deeply and relaxed than I had all morning which would help things along.

With the labor pain centered mostly in my back, I finally took my arm and wrenched it behind me so I could put my fist in my lower back. Kevin just couldn't put enough pressure there!! My mom freaked a bit because after holding my arm back like that for some time and laying on it, the blood flow in my arm was all jacked up and my arm had turned a purplish red.  My mom thougt it was a bad reaction to the Stadol but the nurse saw it was just from me blocking the circulation! 

Then things start to get a bit hazy because the Stadol wore off and I was in full fledged Transition stage of labor. My teeth were chattering like crazy and my legs were shaking. It was like I was cold but I wasn't. It was so weird. They brought a few blankets to put over me, even though I insisted I wasn't cold. It is amazing what your body does to handle pain. My memories are moments stitched together that don't make much sense but Kevin and my mom have helped me fill in the gaps. I finally had enough with the pain and wanted to see about getting the epidural but had to wait as the anesthesiologist was with someone else. The pain was INTENSE and I wasn't sure I was going to make it. I felt like I was squirming all over the bed but my mom and Kevin tell me I just laid there and groaned in pain. I was still trying to do the breathing but at this point, SLOW breathing and just basically grunting was working best, not the fast patterned breathing I had learned for transition.  

Finally the anesthesiologist came in and told me I would have to sit still and upright for 5-10 minutes so he could administer the epidural. I knew there was NO WAY I would be able to do that because when I sat up the pressure was unreal (it seemed like I had no end to my contractions!). I begged Jill to check me because I swore it felt like I needed to push. She thought there was no way I could be ready to do that but obliged. Turns out I was 10 cm! I had made it to the end without an epidural and basically had gone from 6 cm to 10 cm in a little over an hour! The combination of the Stadol relaxing my body and my water being broke rushed things along faster than anyone thought would happen! The best thing is by the time I reached the point where I couldn't take the pain anymore, I had already made it to 10 cm!

There was a flurry of activity then as nurses came in to break down my bed for me to get into pushing position and scrambled to get my doctor to return to the hospital. Jill told me I needed to blow away the urge to push and it was then that my strength was really tested. I am proud to say I blew away the urge to push for about 20 minutes! Finally Dr. Boenau arrived and got all gowned up. My sister Kelly also arrived just in time to grab one of my legs and help us out! Kevin grabbed my other leg and my mom helped raise my head off the bed as I proceeded to push on my contractions. Pushing relieved the pressure so much that when I had to rest between contractions, I was REALLY able to rest. I did slow breathing and basicaly relaxed my whole body. I was getting in 5 pushes per contraction and progressing fine so my doctor left to check on her other patients who were also in L&D. Turns out my relaxing worked REALLY well in helping Grace move down because I was starting to crown and my doctor was not in the room! Jill yelled for a nurse to go get her and then yelled for another nurse to help her in case I popped her out. Jill looked pretty pissed LOL My mom said she actually put her hand over me to keep Grace inside! To distract me, she told me to reach down because I would be able to feel Grace's head and sure enough I could. It was gross though because it was all slimy and everyone laughed because I said "Ewww!" and pulled my hand away. Grace actually has a mark on her head and I think that is from where my finger poked her head! Once again I had to blow away the urge to push, which I did. My doctor ran in the room, quickly gowned up again. Kevin got in my face and said for me to take all my anxiety, frustration, fears and pain and PUSH HER OUT. So I did! I pushed so hard, Grace pretty much flew out! My eyes were closed but when her head came out the pain was so intense I saw bright white in front of my eyes!! My doctor joked later that she caught her! They tossed her up on my belly and then whisked her away as she didn't cry. They worked on her, suctioning her as my hard push had also forced out a large amount of fluid which Grace swallowed. Finally she started to cry and all was well! Kevin went over to watch them take care of her while my mom and sister stayed with me as they fixed me up. I had a 2nd degree tear so I needed stitches. I was in somewhat of a state of shock and they covered me in warmed blankets and brought me lots to drink since I was so thirsty. I couldn't believe I had done it without an epidural. I had felt the whole thing. I never thought I would be able to do that. 13 hours of labor...unreal. I had no idea the strength I had inside me! It hurt and one of my first thoughts was next time I will get an epidural but honestly by the next day, I couldn't remember what the pain felt like! So weird!!

After all this, Kevin and I were given about 45 minutes of alone time with Grace and it was the most emotionally intense 45 minutes of my life. There was our baby girl, healthy despite her low weight. No respiratory problems or any other premie problems. Just a tiny little thing. What a wonderful moment. I would do it again in a heartbeat. 

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PREGNANCY UPDATE Week 35: Ouch!! Baby...
on August 5, 2010 8:06 am
Post Date 8/4/10 1:12 pm
Topic: PREGNANCY UPDATE Week 35: Ouch!! Baby Kicking My Butt! (PICS)

So I will be 35 weeks this Friday and I am HUGE!     I have not weighed myself in 2 weeks and between what I have been eating and the fact that I am constipated as all hell, I am terrified to get on the scale at my OB appt on Friday. After this Friday's appt I start going to get checked every week!

My belly keeps growing and growing and Grace keeps kicking and kicking. I can't see my toes or reach them. Everything I eat gives me heartburn and I can barely breathe! At night, if I roll over in bed, I get stuck on my back like a turtle and Kevin has to push me over LOL I am about as comfy sleeping at night as I was when I had my band surgery! ugh

With only 5 more official weeks to go (2 more weeks until I am considered full term), I don't know how much more I can take! Plus, I don't think she wants to be in there anymore at ALL.  I really think I will go earlier than my due date of Sept 10th.

Lamaze classes end tonight. I can officially breathe several different ways which has really boosted my confidence about labor. Couple that with just being tired of being pregnant and my fears about labor are quickly fading. LET'S GET THIS SHOW ON THE ROAD!

Oh yeah and I am emotional as hell. Anything and everything makes me sob.

Baby shower this weekend!! YAY!!! Can't wait to eat some of the cake my mom ordered! (Sorry OHers!! But soon enough I will be back on the wagon!)

Hope all of you are well! As you can see, I am all over the place LOL
hugs,
Stacy
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PREGNANCY UPDATE Week 32 (pic)
on August 5, 2010 8:04 am
Hello Everyone! Sorry I have been MIA for the last month. Pregnancy is REALLY kicking my butt right now and just getting through the workday is tough. As it is I am going to bed about 9 pm at night and still oversleeping every morning. Tonight I think I will change my bedtime to 830 and see what happens!

My baby shower plans are all made and I can't wait to have my party in 3 weeks. It is going to be alot of fun. Kevin and I are taking Lamaze classes right now and I am trying to stay calm about the whole birth thing although those of you that know me know I am a nervous nelly so you KNOW I am freaking out LOL Kevin continues to be wonderful though and helps me do EVERYTHING. We practice breathing every night too and he has started giving me massages to help relax me as well.

He is just so supportive. I surprised him with an autographed photo of LeSean McCoy (Eagles running back and University of Pittsburgh alum) and he LOVED it. It was an 8x10 picture of LeSean in action in his Pitt uniform and it was inscribed to my husband. We LOVE LeSean since we both are Pitt alums and big fans of Pitt Football. He can't stop looking at it :) :)

So for now I am just L-I-V-I-N lol. Getting around is getting difficult as Grace consumes my entire mid section. I have barely any room to breathe or eat and I have a lovely line that has appeared down the center of my tummy. I have a ravenous appetite which is not helping the weight but I am only at 31 pounds gained so far and my doctor hasn't said anything bad about that. Grace is head down (has been since 25 weeks) and I think is really getting ready to go. Now the only thing is, am i??????? lol
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Pregnancy Update Week 23/24: Unfill Helped!
on May 20, 2010 8:18 am
Post Date 5/20/10 7:11 am
Last Edit: 5/20/10 8:10 am
Topic: Pregnancy Update Week 23/24: Unfill Helped!

Last friday I saw my WLS and he did another unfill in the office, removing another 2 cc's from my band. I am now down to about 4 ccs and have noticed a definite difference in the amount of heartburn I have been experiencing. Now it only happens if I eat something pretty spicy or acidic which is much better than having it just from drinking water! Plus I am STARVING. I have not felt hunger like this since before my banding.

Grace did NOT like the way my body responded to the unfill. I guess my heart was pounding a bit cause the lidacain (sp?) shot that numbs the area stings like a bastard so I was squeezing my surgeons arm while he numbed me up (I always do and he doesn't seem to mind...i never even asked if it was ok to hold on to him...i just do it lol). I had to laugh though because I could see her kicking my stomach during this shot because i was so tense LOL Once again, amazed at how even the littlest thing I do can cause such a reaction from my little one!

WLS thinks my weight gain is fine and says I look great, that I don't look anything like I did before surgery and he can tell most of my weight gain is in my belly and hips. Anticipates me to gain at least another 13 pounds or so which he believes will be VERY easy for me to lose all of it once the baby is out. I won't see him now until about 6-8 weeks after birth unless the heartburn gets bad again.

Then I had a check up with the OB office and the nurse practitioner tells me I am 5 pounds over where she wants me to be!! SIGH so I am watching my cracker intake (trying to stop the Cheezits and Cheese Crackers with Peanut Butter packs) and hoping that and some exercise will keep my weight gain under control. Bright side is...better to be 5 pounds over at 6 months pregnant than more than 5 pounds over at less than 6 months!!

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Pregnancy Update Week 22: Heartburn and...
on May 3, 2010 10:56 am
Post Date 5/3/10 10:52 am
Topic: Pregnancy Update Week 22: Heartburn and Pregnancy

Spoke with my doctor last Thursday (he called me HIMSELF!), who told me that he usually has to do a 2nd adjustment on his pregnant band patients around the end of 2nd trimester/beginning of 3rd trimester, because of all the pressure put on the band by the baby pushing up the stomach.

Even though I still have about 5 more weeks until my 3rd trimester, he believes it is because I am so short waisted that I am having the heartburn now and wants to do an adjustment which he said will help everything.

What a great doctor I have! My appointment is Fri May 14th so I will be 2 more weeks along than I am now and more than ready for that adjustment. In the meantime I am trying to watch how much acidic foods I eat and keep an eye on portion size so I don't overeat, which is easy to do when a baby is pushing your stomach into your sternum LOL

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My Story

My story is I never used to have a problem with weight. Then I turned 18 and went to college and it was downhill from there. My "Freshman 15" was actually a "Freshman 75".  I went from 110 to 185 in two semesters (thats only 9 months).  A year later I was really depressed and ended up dropping 55 pounds in a month and a half.  I went from a size 18 to a size 4 in 6 weeks.  I would love to say that I did this in a healthy way but I didn't.  I worked out 3 hours a day after class and I hardly ate at all (my stomach was always nauseated from the depression).  After that the weight came back, slowly at first, and then I was back up to about 170 before I knew it. I have been that way for the last 7 years (and have even gained more despite my dieting efforts) and have had no success with diets and exercise (even though I am an exercise fiend).

I was first introduced to the possiblity of WLS by my mother who had RNY in 2003.  She was living with my husband and I at the time and saw how much I was struggling. I had been a part of a doctor monitored weightloss program for about 9 months and had seen no lasting results.  I was frustrated because I was doing all I was supposed to and nothing was working.  Even the doctor couldn't tell me why I wasn't losing weight (or even changing my body composition).

Going into this program, I knew it was the last step. My back was hurting much more from the weight I was carrying (I have pretty bad curvature of the spine).  My husband and I wanted to start a family but could I afford to gain pregnancy weight on top of the 205 pounds I was already carrying? I could no longer clean my house without wearing supportive sneakers and taking breaks.  Even getting in and out of the bathtub was becoming more and more difficult. So when my mother suggested WLS, my reaction was agreement right? WRONG

I freaked.  How could I need WLS? I have been successful at EVERYTHING I wanted to do in my life. Grad school, sports, musical instruments, you name it, I can do it or I could do it.  Surely I, of all people, could lose the weight?!?

Well it turns out I can't and coming to grips with that has been the hardest part of my WLS journey.  I never identified with myself in THIS body so even accepting the fact that I am obese  and need help as it is starting to hurt my body has been tough.  These are the things I have been facing since April 2008.  This is why I came to this board. Not only to get answers to my questions on gastric band, but to be supported as I come to understand that I am NOT a failure because I can't lose weight, that the cards are stacked against me in terms of genetics and that I am obese NOW but I won't be forever.