Question:
They don't understand

I have two questions: 1. Did any of you have tummy tuck type improvements made at the time of your bypass surgeries? and 2. You can tell my surgery is upon me but I've been thinking about writing some good-bye letters to my kids just in case a worst possible scenario should unfold. Did any of you do that? They have been tremendously supportive but all three wish I wouldn't do it and I know that deep down they don't really "get" why this risk is worth taking to me. I don't want them to be bitter or angry if something bad happens. But what to say... I'm at a loss to think of anything which might comfort them or help them understand. They are grown but I don't think it would help much. I can't very well educate them after the fact and they think this is just crazy mom doing something way too radical. Any wisdom from the group would be welcome. Thanks, Carol in Philly    — Carol M. (posted on June 13, 1999)


June 13, 1999
Hi Carol, Yes, indeed I plan on writing letters to my two grown children and husband just in case the worst scenario happens. I have my letters done, and put up where only my husband knows where they are with the instructions to him, that the letters are not to be given to the kids unless the worst happens. You are right, your letters aren't the time to try to educate them, right now is. I am sure your children like mine are just concern for your welfare. I would not worry about what to write, just sit down and let your heart dictate your words to you, they will come. Just tell them what is in your heart, your love for them. :) Hugs, Edie [email protected] Surgery Date: July 27, 1999 Dr. Baker/Little Rock, Arkansas "The best and most beautiful things in the world cannot be seen, nor touched...but are felt in the heart." Helen Keller
   — Edie L.

June 13, 1999
HI. I had my tummy tuck done 11 months after original sugery, when I had a revision done.I am very happy with the results. I love wearing stretchy pants and seeing that flat tummy. As for your good-bye letters. I did that. I put in there my reasons for surgery, the living hell I've had my 39 years being fat and how I felt this was a last resort for me and I had no regrets. I also put in them mushy stuff, how much I love them and the joy they've brought to my life. I'm having surgey again June 23 and will leave letters for them- just in case. Blessings (\O/) Bev.
   — BJ K.

June 14, 1999
Carol...I can't help with the first part, but I know there are others who can. as for the second part..My children were grown when I had my surgery too I had 2 grandkids..newborn and age 2..that was probably the hardest <sigh> I wrote letters to both my kids, and to the grand daughters. In the letters, I really didn't address the WLS much, other than saying I just couldn't live anymore. Fortunately, for me, emotionally, both my kids knew that my life was in jeopardy without the surgery. I went through awful times afterwards..was in ICU and nearly didn't make it. I had my surgery in another state, and my Husband had to fly the kids out because the Docs had told him that I was that close....I believe that even with that close call, that if you asked my kids, they would both tell you that I did the right thing. They were not big supporters when I went in..just kind of resigned to it...
   — Deanna D.

June 14, 1999
Carol - Answere to #2: Why not make a video. Tell them how you feel about each of them and their support. Tell them about why you chose the surgery, and your hopes and fears. A picture is worth a thousand words. They will be able to read so much more about your feelings than you could ever write. And, when all goes well, sit down and watch it with them. Best wishes!
   — Fran W.

June 14, 1999
Carol, you can't have the tummy tuck at the same time as the by-pass surgery because you need to lose the weight first (or atleast a good amount of it). As far as having last minute jitters, I.m sure anyone going in for any type of surgery gets last minute jitters. I know personally I get so nervous before any surgery that I wind up with diahhrea. Even though I don't think I'm nervous. I don't feel or look nervous but my insides say differently. My first major surgery I was just about to be wheeled into the O.R. and my stomache started to rumble. (having had irritable bowel at the time I knew what that meant) Well, being I was over in the operation area I couldn't get up and use the bathroom so I had to use a bedpan. They tried to do everything to make it as least embarrassing for me as possible but I was never so humiliated in my life. I just wanted to roll off the gurney and hide under it. Plus now I was holding up the operation and throwing their schedule all off. So the next time I had to go in for any type of surgery I didn't eat the day before and took a fleets enema that morning. When I got to the hospital, I wound up with diahhrea again. This time it wasn't as bad because I still hadn't gone over to the operation area so I was able to get up and use the bathroom. The next operation I had I made sure I didn't eat for a day and a half and took two fleets enemas. One the night before and one that morning. Same thing happened. Got to the hospital and had to go to the bathroom. So when it was time for my VBG (vertical banded gastroplasty) I told the doctor I'm not afraid of the operation, nor the pain I'll be in afterwards, the thing that concerns me the most is the diahhrea before the surgery. This group of doctors were wonderful and told me not to worry they would prescribe a sedetive that would calm me down inside where it seemed to be affecting me. So they gave me xanex to take one the night before the surgery and one the morning of the surgery. (I still took the good old enema just in case that morning) Wound up going to the bathroom a little bit when I got to the hospital but the xanex made me not care. I said to my husband it must just be a reaction I have to a hospital. Anyway, everyone gets a little jittery but don't let it consume you. Tell your children that without the surgery your life will definately be shortened. They won't have you around as long as they will once you have the surgery and lose the weight. Because if you don't already have any of these it would be just a matter of time before you developed diabetes, high blood pressure, heart disease, and a number of other diseases that come along with being overweight. Tell them it will not only improve your quantity of life but also your quality of life. I feel like a new person. I'll do things now that I wouldn't have in the past. I have a life now where before there was just an exsistance. If you get a chance some day my doctor uses my before and after photos in his web-site that they're just making. It's www.caremax.org and once the homepage comes up click onto obesity/bariatric surgery at the end of the information is a bit of my testimony and my before and after pictures. God bless you as you go for your surgery. Fear not! Donna, Mastic, N.Y.
   — Donna C.

June 14, 1999
Dear Carol, I think it is always wise for anyone contemplating surgery to be prepared for all outcome scenarios. I prepared my own Memorial Service including a specific list of people to invite. However, I also prepared myself spiritually and physically for the surgery (NOT WLS but the cutting off of my apron of fat). I had taken a course in intuitive Medicine and became a Reiki Master prior to surgery. I was ready for what ever opportunity presented itself. We must not have regrets, we must be at peace within our minds, spirit, and be thankful to our Fat bodies for the great lessons of life that it has allowed us to learn to this point. With gratitude as our focus the chasm does not seem near as wide. I actually recorded loving words in my own voice telling my body how muich I loved and appreciated it and how I knew it would heal well because I knew it loved me. I especially thanked my apron of FAT for loving me and helping me to slow down when I needed to. I let my apron of fat know that it had served its purpose and I thanked it for the opportunity it had given me for the past 12 years. May sound strange but it sure worked for me. I had prayers being sent out from all over the world for my surgery and surgeons before during and after, for all to be done for my good and for the highest purpose. I still have people who constantly keep me in prayer as I am still healing from this cutting away. So, yes do write or better yet say what you would want to say to your freinds and family if you knew this was your last day, but, do everything to be at peace and prepare yourself so it won't be. Remember, never have regrets. I hope you can make some sense of this. I am trying to be as middle of the road as I can be. If you would like I would be glad to add you to my Pipe (prayers). I will be interested to learn if the Doc's will do a tummy tuck at the same time. I have not heard of this being done. I send you light and love. JC
   — Jeannette C.

June 14, 1999
I wrote my daughter a letter, but I wouldn't call it a good-bye letter. I explained my reasons for having the surgery, both selfish and not. I reminisced about some of the fun things we have done, gave her advice for the future and did my best to let her know how much I loved her. I did it all on the computer and then when I got home, I erased it. It made me feel a little more relaxed about the surgery.
   — patti S.

June 14, 1999
On the Tummy Tuck ... unless you're only slightly overweight I seriously doubt that the surgeon will do a tummy tuck. They normally require you to be at or near a "normal" weight for a while before considering it, and it's usually a different doc. On the "goodbye" letters, I'd write them, in a very positive loving sense, BUT I'd also write them only to be read IF you don't pull through. The risk of that happening is less than 1%. Maybe I'd start with ... If you're reading this, I didn't make it through the surgery ... I want you to know how very much I love you ... explain your reasons for taking the risk is the hope of a far longer life than you'd have with them if you didn't have the surgery. I wouldn't want them to read the letter prior to surgery, because they may be even more fearful you'll not make it. But look at the positives, be certain you're doing what you need for you, be certain you're confident in your surgeon, the operating staff and their abilities. Best Wishes! See ya Post op!!! :)
   — Sherrie G.

June 15, 1999
I wrote 'last letters' as well. I have no children, and am not married, but am very close to my family. I just wanted them to know that I was in a better place, so they'd better not greive! On a more serious note, if your family doesn't really 'get' the seriousness of the surgery, perhaps you should make them understand the life you would lead without surgery(remaining morbidly obese with difficulty moving, pain when you do move, and greatly increased chance of co-morbidities - bad quality of life), versus the life you can have with surgery (greater mobility, less pain, increased lifespan - much greater quality of life). If you put this in a letter, then it would help them deal with your death (hopefully it won't happen!), in that unlikely event. If you do not die, then you don't have to send the letter -- they will see the change in you, and hopefully will understand in time. Good luck!
   — Elizabeth W.

June 16, 1999
I had the panniculectomy a year after my RNY. My three daughters were really opposed to my surgery prior to it. They thought I could loose it some other way. However, they did take excellent care of me and were extremely supportive of me once they found out I was determined to do it. In my case, I had diabetes and was loosing both my feet due to the neuropathy. My surgery was a necessity to keep my feet. I felt like I was dying each and every day and for me to continue to live like that and loose both feet seemed far more radical to me than the surgery. Turned out to be the best thing I could have ever done. I too had thoughts of writing letters. I say if you want to do that, go for it. I wish you well. Let us hear from you. We all care or we wouldn't be here answering these questions.
   — Peggy W.

March 24, 2000
I have not had my surgery yet, but I plan to have the panniculectomy (tummy tuck) along with my surgery. My doctor offers it as a choice, but an additional out of pocket cost. Insurance companies will not cover the tummy tuck as it is considered cosmetic. I may have to have it again down the road, but that is ok, not to see that apron will be wonderful. As far as the letter to family, I have been thinking the same way, but afraid I would jinks myself (I know that sounds silly), but I think I might leave something speical for each of my children with a I love you note on the day of my surgery. My own mother died when I was eleven and I can not bare to think of my children going through what I went through and still do (I am not 45) at that kind of loss. I do want them to have something special from me that could become a cherished keepsake should I not make it,BUT when I do make post-op, it will then just be a nice trinket from Mom. Best of luck to both of us on the other side (post-op).
   — Barbara S.




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