One Year Post Op Check Up

Ladytazz
on 7/22/11 1:22 am
 I saw my surgeon yesterday for my one year check up (Anniversary is Saturday). I haven't been on much because I have been busy and because I haven't had any issues. Kind of boring really. I almost feel like I didn't have surgery except I am rarely hungry and get full pretty fast. Neither of these are bad things.
I am a revision from a DS. One of a handful but it does happen. I had my first surgery in 2002 and did well for the first few years. Back then, or maybe it was just wishful thinking, there wasn't a lot of support and it was thought you could eat whatever you wanted and still keep the weight off due to the malabsorption. I managed to out eat the surgery that has the best stats for keeping the weight off. I'm not proud of that. I just never changed my eating habits and those habits made me sick. I had constant diarrhea and gas and was miserable. I had constant bacterial overgrowth in my intestines and the only thing that helped was Flagyl but I couldn't take that too often for fear of developing resistance.
I also wasn't as diligent about supplements as you need to be with such a malabsorptive procedure. I did have regular labs but they were very minimal and didn't check much.
Anyway, by this time last year I was so sick. It had been getting progressively worse over the previous two years. By this time last year I barely left my house. I had no energy whatsoever for even the simplest things. By this time last year I had regained 100 lbs from my lowest weight. I was so tired that I didn't even have the energy to care about anything. I still can't believe that I would go days without showering or changing my clothes. It just took too much energy to do that. I have been one that has taken a shower nearly everyday of my life no matter what. I didn't care about my appearance or anything else. I was seeing my doctor who couldn't diagnose anything. I had every test under the sun and they were all normal except my Ferritin was 7 and my Vitamin D was barely detectable. Like I said, the labs they ran were very minimal so I have no idea how my other levels were. It wasn't until about 6 months ago that I had a full set of labs done and by that time I had been supplementing regularly. I had requested a full set of labs but when I got the results many things were missing and I didn't have the energy to fight about it.
I could go on and on but I finally got to the point that I felt that my malabsorption was ruining my life. Between the fatigue and the bathroom issues I just wanted it to go away. I went back to my surgeon and begged for a reversal. I regretted every having WLS. I found that I couldn't be reversed, only revised so I wouldn't malabsorb as much. My surgeon also said he could make my stomach into a RNY pouch at the same time. I really didn't want a RNY but I figured that if I could regain 100 lbs with malabsorption then I could really do some damage without it so I agreed.
My surgery was open and I had a rough few days but I survived. For a long time I didn't feel much better and I was very disappointed. I was taking my supplements and eating right and I still felt lousy. It has taken a long time to gradually regain my energy. It wasn't a sudden change at all, I just noticed I was a little bit better, I could take a shower every other day and then it was every day. Now I would say I am about 90% back to normal. I still tire easier then I used to but it is nothing like it was a year ago. I am regaining my life. I am reintegrating myself back to my social settings, getting in touch with people I had stopped talking to because I didn't have the energy to talk to anyone. Most days I keep pretty busy.
I think one of the reasons my first surgery failed is because my stomach was left pretty large and I was always hungry. I found out after the fact that with my revision my surgeon removed all of my remnant stomach so all I have is what is in my pouch. My pyloric valve was removed which really upset me because that meant there was no going back. My stomach could never be put back together again.
Another reason my first surgery failed is because I never changed the way I ate. I am a refined carb addict and I thought I could eat them whenever I wanted because I was "cured". I wasn't. I decided when I had my revision I was going to learn from my mistakes and the first thing I did was totally eliminate refined carbs. I am happy to say that tomorrow will be one year since I have had any. I think that is the reason I have lost all my weight. I am now lower then I can remember ever being. I didn't set out to lose so much. I just eat 3 meals a day with one or 2 protein snacks in between. I eat a lot of protein along with fruits and vegetables and some whole grains. My diet is boring but it doesn't bother me. A lot of times when I get busy I forget to eat and then I will look for something to keep me going, because I know I need to, not because I want to. Don't get me wrong, I still enjoy eating. Tonight my boyfriend and I went out to eat and I had a lobster tail, one of my favorite things in the world. 
My priorities are getting in at least 100 grams of protein a day, 100 oz of fluid and no refined carbs and no unplanned snacking. That is the structure I go by and it seems to be working.
As far as my body goes, it looks like most anyone would look after losing about 130 lbs. Not to mention being 53. I did have a panni done 8 years ago after my first WLS and I am glad I did. My lower stomach is great. The upper part is another story but at least in clothes they fit normally now.
One thing I would love to do is have a breast lift. After my first surgery I wanted to have a breast lift and augmentation. The surgeon would only do one at a time and wanted me to wait 6 months between procedures so I choose the implants. They didn't look too bad so I never went back for the lift. Unfortunately regaining those 100 lbs really took it's toll. I saw a plastic surgeon the other day to talk about it. I really like her and I am thinking about having the surgery done. The price she quoted is much lower then I expected and may be doable but I don't know if I can justify the expense. I am just going to keep it in my mind and not make any decisions until I am sure.
Well, if you have made it this far thank you very much.


WLS 10/28/2002 Revision 7/23/2010

High Weight  (2002) 240 Revision Weight (2010) 220 Current Weight 115.

Ladytazz
on 7/22/11 1:23 am
Almost forgot the obligatory before and after pictures.

This is my favorite picture of myself.  It was taken at my daughter's wedding in April.  I clean up pretty well.


This was about 3 weeks ago.



About a month before my revision.
 
The first picture was taken in 2002, right before my first surgery.
The second picture was taken a few weeks ago.


WLS 10/28/2002 Revision 7/23/2010

High Weight  (2002) 240 Revision Weight (2010) 220 Current Weight 115.

1SushiDiva
on 7/22/11 1:58 am, edited 7/22/11 1:58 am - MD
Wow! Thanks so much for that that was very honest and open and being 3 months out I needed to read that.

May I ask what kind of refined carbs were you eatting?
BTW good luck with everything I think you made the right choices..

I too eat a lot of protein like you mentioning.. nuts fresh fruit occassionally I have some rice and macaroni but only when I want to just have something soft and tolerable..
      
        
Kim S.
on 7/22/11 1:59 am - Helena, AL
I had no idea you've been thru so much.....thanks for sharing your story.  Your picture is beautiful!  It is nice to put a face with the avi!! 

Keep on recovering and getting stronger.  Best to you and I hope if you want the plastics, you can do it.

Kim
             
     
laura_vermont
on 7/22/11 2:10 am
Congratulations on all you've achieved this year.  I hope that things continue to improve and that you finally feel 100% "normal".  You look great!

Laura
High Weight 278; consult weight 234; Surgery Weight 219 Surgeon's Goal Weight 150 -10/27/10  -  Personal goal weight 140 - Achieved 12/11/10  
  
Melissalove3
on 7/22/11 2:45 am - Portland, OR
Ah Lady, so nice to see your pretty face!!! Thank you so much for this post!!!!!!!!!!!! 
    
Tess145
on 7/22/11 3:10 am - Senatobia, MS
 Lady Tazz you are an inspiration to us all.  We all have or will make mistakes.  Hopefully, we will learn from them before a revision is needed.  I know I have had my ups and downs and when I came back to this board in May, I followed alot of what you had to say.  I appreciate all of your input.  You and a few of the other ladies really got me back on the right track.  Congratulations on your sucess.

Thanks again.

Tess
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