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Surgeon TestimonialLes Miles, M.D.Dr. Miles seems very down-to-earth, and is easy to talk to. He answered my questions fully, and gave explanations in terms that weren't over my head, yet he didn't talk down to me. He fully explained the risks of surgery, but he was very upbeat, and confident, which was very reassuring. Latest Surgery Support Comments
 Comment by TMIC on 4/5/07 12:45 pm
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The Mythical Sweet Spot on February 29, 2008 10:07 am
Personally, I think the term "sweet spot" needs to be erased from lap band lexicon. I'm basing this on my own experience, and from reading this and other lap band boards for the past 18 months. There is not ONE perfect spot that gives utlimate restriction at all times. Instead, you should seek a range of restriction that generally allows you to eat solid, whole foods which keep you satisfied longer, yet restricts the speed and quantity of your eating.
It is *normal* to find that the band is tighter sometimes, and looser at other times. You sometimes have to adjust your behavior to fit the current level of restriction. In other words, if you're on the tight side, you have to slow down your eating, you might have to drink something warm or have a couple tablespoons of a soft food like yogurt or applesauce to "prime" the band before eating. You might even have to avoid solid foods first thing in the morning.
On the other hand, there will probably be times when you feel like you can eat anything and everything. This is the tougher end of the spectrum to manage, but you can do it, if you are aware of it, and are willing to take steps to avoid overeating. I have to keep in mind that "just because I *can*, doesn't mean I *should*".
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2-29-08 on February 29, 2008 9:39 am
B: LF latte; 3/4 c. Kashi Go Lean Crunch cereal w/ 1/4 c. blueberries & 1/3 c. 1% milk
S: Smoothie: frozen peaches and blueberries, 1 scoop Body Fortress vanilla protein powder, 1/2 pkt. Crystal Light Shaker Raspberry Ice, 1/2 c. 1% milk, and a little water.
L: A couple bites of steak; sauteed spinach with light ham, pine nuts, mushrooms, shredded 2% cheese, and a little olive oil
S: small handful of raw almond slices
D: 1 gl. white wine; Beef/veggie soup/stew (drank the broth *first* to improve satiety!)
S: Handful of Wheat Thins; later a bowl of light ice cream
Exercise: 1 hr. Group Power; 15" abs; 60" cardio
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Recipe: Sauteed spinach on February 29, 2008 9:38 am
I'm on a spinach kick right now. I use a large, non-stick skillet, heat it and add just a little (tsp. or so) olive oil. Toss in some sliced fresh mushrooms, a tablespoon or two of pinenuts, and some chopped ham (I use light ham). Saute for a couple of minutes, then add a couple BIG handfuls of fresh spinach (I use enough to fill the skillet). Using a large spatula, keep turning the spinach until it's completely wilted. Add a sprinkle of salt or light salt, and a sprinkle of low-fat shredded cheese (I use Italian blend or mozzerella). Turn off heat, and let sit until cheese is melted, then serve.
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3-28-08 on February 28, 2008 5:23 pm
I have finally proven to myself that I must have public accountability for my eating, or I go off the deep end! Weird, huh? But, when I write down what I'm eating right here, for anybody in the world to read, I tend to eat right.
Today was a bad day. Aside from the normal meals and snacks, I had a DQ cone, a Cadbury egg, Cool Whip right out of the container (and we're not talking a tablespoon or two, {{{sigh}}} ), and some tortilla chips.
Tomorrow *will* be a better day, *and* I'll be writing it down, one meal/snack at a time!
Tami
I wanna grow old but fit on February 26, 2008 8:26 am
OK, so nobody really wants to get old. But, hey, it's better than the alternative. Aging is inevitable, but losing ones strength, flexibility, and balance is NOT inevitable.
Last night my mother was rushed to the ER after falling in her home. Fortunately, she was released after 5 hours of tests, prodding, and poking, with only a broken nose. More troubling though, is *why* she fell. She didn't trip, she just lost her balance and went down face first onto the floor. I'm convinced that it's simply due to a loss of muscle because over the past few years, she just doesn't move enough. The more you lay around in bed, the more that's all you're capable of. I'm printing out a strength program for senior citizens and taking it to her today, and will do all I can to encourage her to move her body. The good thing is that it's never too late. Studies have proven that even senior citizens in nursing homes get the same rate of improvement in fitness from exercise as people much younger.
Move it, don't lose it.
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Full vs. Satisfied on February 25, 2008 6:32 am
I read this little snippet in OH magazine:
"One of the most common misconceptions about weight loss surgery is that you should eat until you feel full. Those who eat until they feel that sensation will find they will not do as well as those who define a portion (by volume, not by weight) and walk away. The tool of weight loss surgery--be it duodenal switch, RNY, the Lap-Band, or sleeve gastrectomy--allows you to be satisfied after a small portion of food; it's not designed to make you feel full. The danger lies in the fact that, over time, it will take more and more food to achieve that feeling."
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From the lap band board on February 24, 2008 7:04 pm
In response to a question on the band board:
"...change is tough. And that's what it takes. You are not going to get different results from doing what you've always done. So, what can you do differently?
Find something to do at night that doesn't encourage eating. Get off the couch. Go for a walk. Call a friend. Do some knitting or embroidery. Fold clothes or iron while you watch TV. Play Nintendo (or better, the wii!). Even reading is better than TV, 'cause ya gotta turn the pages!
Put some better snacks on your desk! Baby carrots, grape tomatoes, and edamame are some good choices. If your doc doesn't veto it, chew sugarless gum!
Recognize that the band is not going to solve all your food issues. The band helps with two areas: portion control and hunger management. If you eat solid, whole foods, you'll eat slowly and get full quicker, and you'll stay satisfied longer than pre-band.
You don't want to get over-filled, because then you're likely to struggle to eat the very foods that will fill you up and keep you satisfied. Find new, healthy recipes for whole foods (no pre-packaged stuff), and take the time to shop and prepare them. Make the art of "healthy food" your new entertainment!
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2-24-08 on February 24, 2008 2:26 pm
B: LF Latte; 1/2 c. 2% cottage cheese w/ 1/4 c. sliced strawberries, 1/4 c. fresh blueberries, and a sprinkle of Kashi Go Lean Crunch cereal
L: Salad w/ lettuce, leftover chopped fahita chicken, avocado, black olives, tomato, picante, and a little light ranch dressing
S: SF pudding w/ Cool Whip
D: Oscar Mayer Snackables Ham & Cheddar
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A response to a PM on February 24, 2008 8:37 am
My response to a PM about my experiences with the band:
The band helps in two areas specifically: portion control and hunger. As long as you eat solid, whole foods (not "softies" and junk food), the band pretty much forces you to slow down eating, or you get a big lump in your throat (or PB). By eating slowly, you eat less. But, your hunger remains abated just as if you ate a full meal. Don't get me wrong, I still get hungry, but it's not that ravenous, "gotta have something NOW" kind of hunger. And, I think a big part of reducing food cravings is giving up simple carbs made from sugar and/or processed white flour. The less I eat of them, the less I want them.
But, we still have to learn to deal with the emotional side of eating, eating for the simple pleasure of eating, food triggers that are *everywhere*, and grazing. I attended a seminar by a psychologist who has a large number of bariatric patients. His topic was "Why we eat when we know we shouldn't". The main gist of it was that if we are aware of *why* we're eating (and that it's not all about hunger), then we're better equipped to prevent overeating.
And, yes, you can get a fill if you're "eating too much", but it's a wise bandster who uses that "ace in the hole" only when it's truly needed. It's easy to consume too many calories simply by eating the wrong foods, even if you're adequately restricted. And, having a band that's too tight can be just as bad as having one that's too loose. If it's too tight, you might not be able to eat the solid foods which are what you *need* to get you full and keep you satisfied. So, it's a game of balance sometimes.
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2-22-08 on February 23, 2008 7:35 am
B: LF Latte; 3/4 c. Kashi Go Lean Crunch w/ 1/4 c. diced strawberries, 1/4 c. fresh blueberries, and 1/3 c. 1% milk
L: Chicken breast; asparagus
S: Handful light tortilla chips, a little cheese dip & picante
D: Margheritas, 2; Salad w/ lettuce, fahita chicken, avocado, tomato, black olives, picante, and shredded 2% cheese; 3 mini choc. chip cookies
Exercise: 1 hr. cardio
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2-21-07 on February 22, 2008 8:39 am
B: LF latte with Body Fortress chocolate protein powder
S: Smoothie made with 1/4 c. Fage Greek-style yogurt, 1/2 c. milk, frozen peaches, frozen blueberries, 1/2 of a Crystal Light Shaker rasperry ice flavor, a scoop of vanilla protein powder, ice and water
L: Spinach, sauteed in a tsp. olive oil, with pine nuts, diced low-fat ham, and shredded low-fat cheese
S: FF Jello with a dollop of Cool Whip
D: white wine; chicken wings; salad
Exercise: 1 hr. Body Pump strength class; 15" abs class
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2-21-08 on February 21, 2008 9:11 am
B: Protein coffee: 1 scoop Body Fortress chocolate protein powder mixed in 1/3 c. of luke-warm water, mixed into a low-fat latte, with a packet of Sweet N Low.
S: 3/4 c. Breakstone's 2% Large Curd cottage cheese with fresh blueberries and sliced strawberries
L: Hamburger patty; green beans
S: SF jello with Cool Whip
D: Chicken breast fillet; small salad w/ blue cheese crumbles, almond slivers, avocado, and Ken's Light Northern Italian Dressing; asparagus
S: SF Jello w/ Cool Whip; 2% cheddar single; small handful of raw almonds (snack attack, ahhh! At least the choices were healthy ones.)
Exercise: 55" Spinning, 145 avg. bpm.
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2-20-08 on February 20, 2008 6:05 am
Today's Weight: 152 -- Back to my lowest weight! Yay!
B: Low-fat latte; 2 eggs, scrambled with onion, chopped spinach, diced ham, 1 s. 2% Am. cheese and a tsp. olive oil
S: 4 sl. Oscar Mayer light thin-sliced ham; 1/4 c. artificial crab chunks
L: 1/2 c. 2% cottage cheese; 2 T. blueberries; 1/2 peach, sliced; later some sf jello and Cool Whip
S: LF latte
D: Pork chop; spinach sauteed with ham, a few pine nuts, a tsp. olive oil, and a sprinkle of LF shredded cheese
S: SF jello, 2 T. Cool Whip, 5 strawberries
Exercise: 1 hr. cardio (Arc Trainer and Elliptical)
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My response to a post about the various types of wls on February 19, 2008 9:29 am
I'm gonna chime in and say that "My WLS is the BEST" for *me*, too. I researched my options before surgery, and knew what I was in for. I knew that to be successful with the band that I would have to make some changes. I knew that I would have to select better food choices, eat slowly, and exercise. I also knew that my weight loss might be slower than if I'd chosen another surgical option. I even knew that there is a potential for re-gaining lost weight if I reverted to old eating patterns. But, when I laid the risks of all my options vs. the potential results, the band won hands down. I did not want my stomach to be cut, primarily because I had a friend who almost died from gastric bypass surgery due to an opening in the incision line. I also didn't want the long-term potential nutritional deficiencies that may come from malapsorption, or even to have to deal with the extensive blood tests and supplement regimens to (hopefully) prevent them.
The band has worked like a charm *for me*. I was down 108 lbs. to my initial goal within 9 months, very similar to the results from other wls. Now, at 17 months out I'm down a total of 120 lbs. I can eat all kinds of foods, but still have to exercise self-control or I can and will gain. My chances of keeping my weight off are good, and certainly better than without surgical intervention. I take comfort in knowing that the band can be adjusted if needed in the future.
We can't foresee the future to know whether any of us will suffer the potential side effects of our respective surgery types. But, if a problem arises with my band, or if new scientific discoveries render it obsolete, it can be removed and my stomach remains intact. And, in the meantime, I am absorbing all the nutrients I eat.
Works for me!
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2-19-08 on February 19, 2008 7:53 am
Today's Weight: 155
B: Protein coffee
S: Coffee w/ low-fat milk
L: Protein shake
S: SF jello with a small dollop of Cool Whip; later another protein coffee
D: Protein shake with 1/2 banana and a tablespoon or two of PB2
S: Some more jello with a little Cool Whip; later another protein shake
I'm feeling better today, and looking forward to hitting the gym again tomorrow. I'm really glad that I've stuck with the two days of liquids. I feel clearer, cleaner, and much more in control. I found out that I really like sugar free jello, which I hadn't had since "clears", and a couple tablespoons of Cool Whip only adds about 20 calories, so that's a treat that I'm gonna keep around more.
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2-18-08 on February 18, 2008 8:14 am
Today's Weight: 158
B: Protein coffee: 1 scoop chocolate Body Fortress protein powder mixed in about 1/3 c. water, mixed into low-fat latte with 1 pkt. Sweet N Low
S: Protein shake: 1 scoop Body Fortress chocolate, 1 c. 1% milk, pkt. Sweet N Low, and ice, blended
L: Another protein coffee
S: Another protein coffee, this one with vanilla Body Fortress and Splenda Coffee Blends Caramel flavor
D: Protein shake w/ 1/2 banana, a T PB2, and a Splenda Coffee Blends Caramel
S: SF jello w/ 2 T. Cool Whip
Hasn't been difficult to go to liquids today, but I'm sick as a dog with a virus, and that probably is keeping my appetite squelched!
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Five Day Carb Smash on February 17, 2008 7:51 pm
I don't like the way I've been eating lately, so I'm going to try something different to switch gears and get back on track:
Five Day Carb Smash
Days One & Two:
For the first two days consume only liquids. You can have as many protein shakes as you like to satisfy hunger or cravings. In addition drink at least six 8-ounce glasses of water each day. Also enjoy clear soups and broths, coffee and tea, sugar-free jello and popsicles, Crystal light and other non-carbonated sugar-free beverages.
Days Three, Four, and Five:
During the next three days eat solid protein and low-carb veggies and fruits as often as you want, but no more than 1-1/2 c. per serving, and only what you can consume within 15-20 minutes. Wait at least an hour before drinking anything after eating, and drink at least 8 oz. of water before eating again.
Protein sources should be lean, unbreaded, with all visible fat and skin removed. Choices include: cottage cheese, tuna in the pouch, eggs, fish, ground beef, shellfish, scallops, lobster, shrimp, chicken, steak, pork chops, edamame.
Veggies: Green leafy veggies such as lettuce and spinach, asparagus, broccoli, cauliflower, zucchini, cucumber, avocado, peppers, snow peas, green beans, mushrooms, onions, tomatoes, carrots, and other low-starch vegetables.
Lower-carb fruits may be eaten in moderation: Berries, grapefruit, plums, apricots, peaches, pears, cherries, apples and papaya.
Low-carb condiments may be used sparingly: olive oil, mayonnaise, tartar sauce, picante, cocktail sauce, steak sauce, salad dressing, mustard, vinegar, hot sauce, pesto. Low-fat cheeses permitted as condiments only. Coffee may be lightened with low-fat milk.
The purpose of the Carb Smash is to break the cycle of carb cravings, and reduce the stomach/pouch capacity so that you're satisfied with a smaller quantity of food. After the five-day Carb Smash is over, add back whole grains, brown and wild rice, sweet potatoes, beans, all fruits and veggies, nuts, and low-fat dairy products as desired. Continue to avoid sugar, high fructose corn syrup, white rice, white potatoes, products made with processed white flour, and liquid calories. Portion sizes should be limited to what can fit on a salad plate.
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2-17-08 on February 17, 2008 8:30 am
B: Low-fate latte; 3/4 c. Kashi Go Lean Crunch cereal w/ 1/4 c. blueberries and 1/3 c. 1% milk
S: Another LF latte
L: Salad with lettuce, blue cheese, avocado, sliced almonds, and Ken's Light Northern Italian dressing; homemade Mexican chicken soup
S: Brownie
D: Seven layer Mexican dip: Refried black beans; enchilada sauce; low-fat shredded cheese; taco meat; picante sauce, lettuce and tomatoes, served with some low-fat tortilla chips
S: Another brownie (I knew I shouldn't have baked them, but got talked into it by my daughter!)
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2-16-08 on February 16, 2008 3:17 pm
B: Low-fat latte; 3/4 c. Kashi Go Lean Crunch cereal w/ 1/4 c. blueberries and 1/3 c. 1% milk
S: One Atomic Fireball
L: Wings wings; grilled chicken and white BBQ sauce
S: Low-fat latte
D: Ceasar salad, steak, potatoes au gratin, lava cake (All shared w/ hubby)
To those who read my profile, I am NOT advocating my recent menus for maximizing weight loss, LOL!
Exercise: 1 hr. Body Pump barbell class
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2-15-08 on February 15, 2008 6:55 am
B: LF Latte; 3/4 c. Kashi Go Lean Crunch cereal w/ 1/3 c. 1% milk
S: Another latte; 1/2 c. Breakstone's 2% cottage cheese with blueberries and 1/2 banana, and a sprinkle of Kashi Go Lean Crunch cereal
L: Leftover mushroom ravioli with chicken and chicken sausage
D: White wine; lobster queso w/ a few chips; steak and green beans, all shared with hubby. Eating out is so much cheaper than it used to be!
Exercise: 30" on Arc Trainer; 30" on elliptical
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2-14-07 on February 14, 2008 8:03 am
B: low-fat latte; 3/4 c. Kashi Go Lean Crunch cereal w/ 1/4 c. blueberries and 1/3 c. 1% milk
S: 1/2 c. Breakstone's 2% large curd cottage cheese with 1/2 fresh peach, chopped, a few fresh blueberries, and a sprinkle of Kashi Go Lean Crunch cereal
L: 1 c. homemade beef stew (veggies & beef, no potatoes)
S: DQ cone; a chocolate truffle (took a box to my Mom, and she insisted!); later a couple spoons peanut butter
D: Spinach, sauteed in a tiny bit of olive oil with diced ham, some pine nuts, and a sprinkle of low-fat Italian blend cheese; white wine; a few whole grain Wheat Thins crackers.
:::sigh::: I also nibbled on this and that all evening. Not good.
OK...so I'm going off the deep end today, and I'm OK with that. My weight is holding steady at 152-155. So what's the big deal? But, I keep thinking about my friend, Terry, who's naturally skinny. Yes, she would most definitely be consuming too much wine (again!) because her hubby is out of town on Valentine's Day (again!). But, would she have stopped by Dairy Queen for a cone this afternoon? I think not. Would she have had two tablespoons of peanut butter right out of the jar? Ummm...no. Wouldn't have even occurred to her. I wish, wish, wish, I could really learn to think like a thin person. But, on the positive side, having gone through this before, I know that one evening is just that...one evening. I can and *will* get back on track tomorrow. (And I sure am enjoying this little wine buzz I have going right now!)
Exercise: 45" Spinning class
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2-13-08 on February 13, 2008 11:19 am
B: Lowfat Latte; 3/4 c. Kashi Go Lean Crunch cereal with 1/4 c. blueberries and 1/3 c. 1% milk
L: 1 c. homemade beef stew
S: Low-fat latte; Small handful raw almonds
D: Mushroom ravioli with mushroom sauce, sauteed chicken, and Aidell's sundried tomato chicken sausage; asparagus
S: 1/4 Fage Lowfat Greek yogurt mixed with 1/4 c. Cool Whip, fresh blueberries, and chopped fresh peach; 1 graham plank
Exercise: 30" elliptical; 30" arc trainer
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2-12-08 on February 12, 2008 8:57 am
B: Lowfat latte; 3/4 c. Kashi Go Lean Crunch cereal with 1/4 c. blueberries and 1/3 c. 1% milk
S: 2 Kashi Go Lean TLC Crunchy bars and an orange
L: Homemade 15 bean soup with low-fat turkey sausage; 7 or 8 Wheat Thins Whole Grain crackers
S: 1/2 c. edamame and 3 slices Oscar Mayer Thin Sliced Ham; later two Atomic Fireballs
D: 2 gl. red wine {{{sigh}}}; and homemake beef stew (yummy!)
Exercise: 45" Spinning class
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The Glass is Half Full! on February 11, 2008 8:26 pm
I have a firm belief that our own brains are the great uncharted frontier. In future years, we'll look back on these days as being incredibly primitive in how we underused it. The DVD "The Secret" touched on it (even though I don't buy a lot of it). Basically, I truly believe that what we focus our thoughts and energies on is what we achieve. One way that I put this into effect was getting physically fit. I joined a gym in late November, 2006, but just wasn't motivated to go regularly. But, every time I drove by, I'd say OUT LOUD (whether anyone was with me or not), "I LOVE that place!" Within a couple of months, I was working out regularly. As I was plodding away on the elliptical, I pictured myself with the "elite" athletes in the Spinning room. Within a couple of months, I joined them. Here I am now with a solid year of consistent exercise under my belt.
I also believe that in order to maintain a positive focus, it's essential to avoid toxic people and situations. You know the ones I mean...the person in the next cubicle who constantly bitches about the boss but won't make an effort to improve the situation....the negative gal down the street who puts herself down constantly, and makes herself feel a little better by judging others...the angry guy who screams at everyone and thinks the world owes him happiness...or the internet troll who defines success by how many people he pissed off today.
Postive *and* negative thinking are a bit contagious, but anger and resentment are easier to pick up. What you are around is what you become. Personally, I *try* to be encouraging and compassionate towards negative people, but there comes a point where you just have to walk away, or they will drain your energy. Everybody has problems and issues, but they don't necessarily let those things rule their lives.
We only have one life to live, we might as well make the best of it!
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2-11-08 on February 11, 2008 4:14 pm
B: Low-fat latte; 3/4 c. Kashi Go Lean Crunch cereal with 1/4 c. blueberries and 1/3 c. 1% milk
L: 1 c. homemade beef stew
S: 2 Atomic Fireballs
D: Fresh spinach sauteed with a little olive oil, pine nuts, edamame, Oscar Myer thin-sliced ham, and sprinkled with a little shredded low-fat Italian blend cheese
S: Yoplait Light Thick and Creamy FF mixed berry yogurt; 2 graham planks
NO PEANUT BUTTER, CHOCOLATE, OR ALCOHOL! Today was a good day, LOL
Exercise: 1 hr. Body Pump class; 15" abs class; 45" Spinning class
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2-10-08 on February 10, 2008 10:08 am
B: Biscuit & sausage gravy with fresh fruit salad
L: Fresh fruit salad with a few slices of luncheon meat and cheese; a few whole wheat crackers
S: 2 T. peanut butter (I have got to get rid of this stuff, and not buy more!)
D: 2 gl. wine; salad with non-fat raspberry vinaigrette; grilled fish
S: 4 sq. dark chocolate
Exercise: 45" cardio on arc trainer
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2-9-08 on February 9, 2008 11:01 am
B: Low-fat latte; Kashi Go Lean TLC Crunchy bars
S: 1/3 c. Breakstone's 2% large curd cottage cheese with 1/4 c. blueberries and a sprinkle of Kashi Go Lean Crunch cereal
L: Salad with green leaf lettuce, sliced almonds, blue cheese crumbles and thinned blue cheese dressing; 3/4 hamburger (patty only)
S: Orange; 2 sq. dark chocolate
D: Dinner at Firebirds: 2 pineapple martinis; seared ahi appetizer (shared); and sea bass with green beans and asparagus
Exercise: 15" arc trainer; 1 hr. Body Pump class; 1 hr Spinning
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2-8-08 on February 8, 2008 9:41 am
B: Low-fat latte; 1 c. Kashi Go Lean Crunch cereal with 1/3 c. 1% milk
L: Grilled chicken strips; tangerine
S: Low-fat latte; later a handful of whole grain Wheat Thins and some baby carrots and grape tomatoes
D: Sauteed fresh spinach with diced ham, pine nuts, and low-fat cheese; glass of red wine
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2-7-08 on February 7, 2008 11:51 am
I committed to Lianne yesterday that I'm gonna get back to focusing on my water and journaling again. I really believe that those two factors, along with exercising regularly, are the keys to keeping this weight off. So far, I'm behind on my water {{{sigh}}}, but will go downstairs for a bottle right after I post this!
B: 1 c. Kashi Go Lean Crunch cereal w/ 1/3 c. 1% milk
S: Low-fat latte
L: About 1/2 c. of lasagna; and 1/2 c. of salad
S: 2 sm. dark chocolate squares; later sm. banana & T. peanut butter
D: Chick Fil a nuggets; lg. fruit cup
S: Red wine
Exercise: had to skip today because of volunteering at daughter's school. I went to a "Sips and Strokes" art class last night, where you paint a pic while you sip the beverage of your choice, and visit with friends. Too much fun! Gotta have a "Girls Night Out" once in a while!
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