The Blues

Sep 24, 2007

No, I'm not referring to a type of music.  I'm referring to a mood.  I've been dealing with depression now for many, many years.  I started taking anti-depressants in 1996, when a PCP in the Dallas area told me that 50% of the Dallas area - including all of its suburbs - are on some form of anti-depressant.  That was, at the time, over 1/2 million people.  I was not alone. 
California is a beautiful state.  So many things to do here.  And it's sunny almost all the time.  I absolutely love it here!  But, after moving out of my home state of Nebraska, and into a new city over 1500 miles away and knowing only my husband, I've been feeling a little down lately.  Even the Effexor XR is not helping as much these days.  I don't know if it's because we've been getting some rain the past few days, and the skies have been gloomy, or if I miss my daughter, family and friends in Nebraska, or if it's just because I am not working every day ~ it could be a combination of them all.  I just started working for a temp agency, and they will be sending me on jobs until they find me something permanent, so that is a plus.  I'll be out meeting people and hopefully will make new friends soon.  Our neighbors are friendly as well.  And I have a wonderful husband who supports me and takes care of me.  I've been smoking only one cigarette every other day now.  YEAY!  These are things that help me stay focused on the good in my life. 

Another positive note:  I just talked to Dee at Dr. K's office.  She said she will be mailing a letter to me today to let me know what else I need to obtain prior to submitting to insurance.  Hopefully, it will be here in the next day or two!  I SO want to get this done!!!!!!!


Smoking

Sep 20, 2007

I have gotten myself down to one cigarrette a day.  Now, mind you, I've never been a very extensive smoker to begin with.  I've never smoked a whole pack in one day.  In the past I had at the most smoked 1/2 a pack in one day.  That was when I was extremely stressed - like during my divorce and the ex was purposely being hateful.  Before we moved, I was smoking 6 or 7 cigs a day.  So, I'm down to one.  And I don't even really "like" it.  By the time this pack is gone, I should be done for good.  Just in case, I have some Nicorette gum to help with any future cravings. 

Consult with Dr. Keshishian

Sep 19, 2007

My consult with Dr. Keshishian was yesterday.  It was an all day event.  (I was there from about 9 am until 3 pm.)  There were three of us having consults and our support people.  They took my vitals and my weight.  According to their scale, I'm down another pound.  My scale weighed me 3 pounds more BEFORE I got dressed and ate...but I'll take it!  First we watched two videos regarding WLS and the DS ~ or as Dr. K calls it, GRDS which is Gastric Reduction - Duodenal Switch.  Then the Coordinator came in and explained everything she went through when she had surgery almost 8 years ago (she looks fabulous, BTW), and what we can expect. She answered our questions.  The other lady in our group had been researching WLS for 5 years.  She knew MORE than I wanted to know ~ like how some surgeons grind up organs before they can remove them during a Laparoscopy procedure.  {DR. K DOES NOT DO THAT!}  The gentleman there had tried for the RNY twice and was told that he needed to GAIN 30 lbs before Metical would approve him.  (He was at a 47 BMI, this was obviously not necessary.)  He didn't know much about the DS, just that a friend of his had it and in 6 months lost 147 lbs.  (Men.  It's just NOT fair.)After lunch, I met with Dr. K.  He said he didn't think I would have any problems with the surgery, since I've had other procedures in the past and had no issues with anesthesia.  He also said I was young *grins* and healthy and "Thin".  Yes, he said THIN!!!  He said most of his patients are between 400 & 800 lbs, and he thinks I should sail right through it.   
 Smile  
Next was the Psych consult.  The Psychologist is one they bring into Dr. K's office and he gives us a discount.  It was still $250!!  But they will deduct that from the $3000 up-front fee they require, so it's not ALL bad.  I answered the questions honestly, and breezed through that as well.  I wasn't nervous, but it wasn't something I was really looking forward to either.  I was surprised of some of the questions he asked, but I think it was just to be sure I knew what was going on around me.  Some examples:  Name any 3 presidents.  What is the capital of CA? (I had no clue!  But since I'm from NE, he let it slide.)  Who is the Governor of CA?  (I know this one, but I wouldn't have known who the Gov. of Nebraska is!  LOL)  What lifestyle changes will I have to make after surgery?  Do I understand the procedure?  Easy enough!

And that was it.  Now, I just have to make sure I get my files forwarded to Dr. K's office.  I'll have to find a PCP to write a letter stating that I'm healthy enough for surgery, and Dee will send me a letter telling me of the other tests I'll need to have completed prior to surgery.  I [still] don't know when everything will be submitted to insurance.  But, I'm one step closer.  YEAY!!!!
 
Spaz Spaz Spaz 


Morro Bay

Sep 06, 2007

My DH is the sweetest man in the world! Last evening, he said he was going over by the coast today to do a service call. He asked me if I wanted to ride along and go to Morro Bay while he was working. I've never seen the Pacific Ocean, and I knew we'd make a weekend trip out of it sometime, but I REALLY wanted to go.

On the way there this morning, I thanked him for asking me to tag along, and he said he figured I've been cooped up for a couple weeks now and knew I'd enjoy getting out of the house. (What a SWEETHEART!)

I dropped him off in San Luis Obispo and drove the 12 miles North to Morro Bay. I was disappointed because it just looked like the Bay, and I wouldn't get to see the ocean. But, I took pictures of the birds and the waves crashing on the other side of the retaining wall of rocks in the Bay. I started driving back around Morro Rock and saw some cars parked in another lot. So, I decided to go check it out. I pulled into an empty space and lo and behold - there it was! The beach and the Pacific Ocean! It was beautiful! I made my way down the "sissy path" - other more confident people (mostly youngsters) climbed down the big rocks to the sand, I went around them - And walked through very dry sand, then it was very hard under my feet, packed down from the waves. I took off my shoes and meandered down the beach, watching the waves and getting my feet wet. I kept finding broken sand dollars and shells, and hoped I find at least one in tact. I walked down the beach and turned around to see my truck. It was an overcast day, and where I was, I could only make out the cars, but not my particular truck. I'm sure I walked at least 1/2 mile and I was smiling the entire time! The waves were so pretty, the birds were beautiful, seaweed washed ashore was interesting, (not much of a fan of seaweed, but it was still neat to see) and I ended up with 4 in tact shells, one muscle shell that hadn't been opened yet, and FIVE in tact Sand Dollars! I wish I had kept track of the time, but I think I walked the shoreline for an hour to an hour and 1/2. I didn't get tired at all. It was so peaceful.

There were surfers (of course, I mean, this IS California after all) who looked like they were in their 60's or 70's! It's just so neat to see someone that age being so active! I couldn't do it!

I then drove down to the shops and walked on the docks. There were Sea Lions bathing in the sun and swimming in the bay. Oh, they are such majestic creatures. So strong. So graceful. And they bark like a dog would! I have some pictures of them too.

 


I guess even Sea Lions have itches to scratch!


"Oh yeah...THAT'S the spot!"


This fella was here all day.


DH called shortly after that & I picked him up. We went back to the Bay and I showed him all I had seen and done in the 3 1/2 hours I was there. We are now planning to take a weekend trip there so I can spend more time on the beach - and of course - SHOPPING!

I slept almost the whole ride home. My feet are KILLING me. And I'm SOOO tired. But, I thank God for the beautiful day I spent at Morro Bay.


This one is my favorite photo from that day.


The beach. I didn't DARE climb down these rocks! Someday....


Morro Rock from a distance.

"Mine, mine, mine, mine, mine!!!!" (Finding Nemo.)


One more reason to KNOW I've made a good choice...

Sep 05, 2007

OMG!  I'm so excited!  I have a consult date with Dr. Keshishian for Tuesday, Sept. 18th.  It's an all day thing ~ I guess I have to take a "class" first and then I can meet with the Dr.  

I went to an appointment this afternoon with my auto/renters insurance agent.  We got to talking and he asked me what I do for a living.  (Of course, he wants to sell us more insurance - life, trusts, etc.)  So, I mentioned that since we've just moved and I'm planning on having WLS soon, I'll probably be looking for temp work since it's unfair to a company to just start and then take off for 6 weeks.  His office manager asked who my surgeon was and I told her he was in Delano.  She said, "Is it Dr. Keshishian?"  OMG!!!  She said her mother wanted the DS and was seeing Dr. Keshishian, but sadly her insurance would not cover it, so she had the RnY with another surgeon.  Then she said that Dr. K. also does other abdominal surgery, and worked on her Chrone's disease - he fixed her right up so she could heal properly.  She endorsed him as a FABULOUS surgeon and said I was in very capable hands.  She also said his office staff are very helpful and will answer all my questions - which I already observed this morning on the phone.  And even though he flies back and forth between his office in Delano, and his office in Las Vegas, she NEVER had any issues getting him on the phone if she needed to talk to him.  I feel so confident right now just knowing that.  (God truly has a timeline for me and I really need to remember that it will happen when it is supposed to.)

Now, if I could just win the lottery so I have money for the program fee....


In Cali!

Aug 29, 2007

We made it to Bakersfield last Sunday, August 19th after spending a day at the Grand Canyon.  It was breathtaking.  Our movers were supposed to be here on Tuesday, the 21st, but on Monday, we got a phone call from their office stating that the truck broke down and it had been delayed ~ it broke down in NEBRASKA ~ never even made it out of the state!!  They hoped to be here on Thursday.  So, we booked another hotel room for Tuesday & Wednesday.  They never called, so DH called them and found out it was still not fixed, but they hoped it would be ready soon and they would be here on Sunday, the 26th.  We were taking my Mom and Niece to the Amtrak in San Francisco on Saturday, and coming home on Sunday, so he asked him to come on Monday instead.  At any rate, we had to extend our stay at the hotel, but they were booked for seminars all weekend long.  We found yet ANOTHER hotel, and moved there for two more nights.  Our movers never called so DH called again on Sunday, to verify that they would be there on Monday morning.  They stopped in Vegas and said they were staying there on Sunday and would be there sometime around 10am Monday.  HA!  I knew better.  The mountains are not easy to pull a load up in and they were a good 4 or 5 hours away under normal conditions.  Add an 8000 pound load to that ... Around 9 am or so, DH calls them.  They are at the California border being inspected.  (My boxes all smell like bug spray - I suppose they fumigated the load in case of moths...)  He called around 10:30 when some local movers showed up to help them unload the truck - unbeknownst to us, they were hired by our moving company, and we were not informed of this - he left a voice mail, but no return call was received. DH called again around 11:45 am.  (Note: they never once called us since the day they called to let us know the truck broke down.  GRRR!)  They were just around the corner and showed up right around noon.  After all of that, it only took them an hour and a half to unload the truck for us.  I've moved many times since I was 19, and if I've learned anything about it, I've learned that moving across country is a nightmare!!!  But, we're here; I've got my computer and my internet access and email.  I keep taking breaks to read the posts ~ I only have 22 more pages to catch up on!  That should take me another 2 weeks!  

I'm hoping to have everything reasonably unpacked by Labor Day.  Then I can start looking for a new Temp job here in the area.  I don't really want to find something permanent and then have to take a 4 to 6 week leave right after I start for my surgery.  I really wish I could stay home and not have to work, but alas, we need the income.  Needing money sucks.

Speaking of my surgery ~ here's an update:  I'm done with my 6 month weight management requirement.  YEAY!!!  Now, I have to find my insurance guide so I can contact them and find out if I have to find a PCP and get a new referral letter for a surgeon, or if I can just find a surgeon on my own since I'm already in the process.  I'm hoping it's the latter of the two.  My goal is to have the surgery by the end of 2007.  I only have $58 left on my deductible and it would sure help to do it this year so I don't have such a large deductible to start out with next year with the surgery!  (Did that make sense?  I'm so tired!) 


My life is in limbo right now.

Jun 13, 2007

I'm still doing the weight management and only have 7 weeks to go!  WOO HOO!  Then I have to wait for Insurance approval and pre-op testing, etc.  I'm over half way there though.  What a relief!

DH has accepted a position in Bakersfield, California.  I'm so excited!!!  We are moving mid-August.  SOOO looking forward to it!  We found a great house to rent - not planning to buy one any time soon.  And it's just a beautiful city.  PLUS - DH says I'm a "natural California driver."  (Wonder if he's implying that I have a lead foot?!)

But, this brings up yet another dilemma.  Do I choose to have the DS with Dr. Sudan in Omaha AFTER we move?  This is not really an issue as I can stay with my parents in Lincoln - about an hour drive from here.  The only extra cost would be the plane ticket - or maybe I could take the Am-Track?  Hmmmm, now there's an idea!  Or do I choose to have a consult with another surgeon in California?  Dr. Ara Keshishian is in Delano, which is only 30 miles from Bakersfield. 

I'm going to be researching Dr. Keshishian when I have the time.  I just hate the thought of starting all over with a new surgeon.  I'm probably going to stick with Dr. Sudan anyway.  So, why am I even considering this?  Got me!  It will be comforting to know that I will have an experienced  surgeon so close by for follow-ups and anything unexpected that may come up after my DS. 


I KNEW IT WAS TOO GOOD TO BE TRUE!!

Feb 20, 2007

I got a phone call from the Nutritionist at Dr. Sudan's office earlier this evening.  And contrary to what his assistant informed me last week about only having to lose 5% of my weight, my insurance is requiring 6 months of medically supervised weight management!  SIX MONTHS!  I know it's not that bad, and I know it could have been five years.  Six months is probably typical.  But, it's such a let down from what I thought I was in for. 

She offered 3 choices.  1)  I could have my PCP weigh me on a regular basis and he would fill out a special form that she would send me.  2)  I could go into Dr. Sudan's office and have them basically do the same thing.  3)  They offer a free class that meets every 1st, 3rd & 5th Thursday of the month.  It is more informative and prepares for life after surgery.  Since it was free and it sounded so beneficial, I opted for # 3.  So, she emailed some information to me regarding the class.  I have to meet with the Phys. Therapist next Thurs. afternoon.  Then that evening I attend my first class.  The information sent to me was (amoung a schedule and basic class info) a Daily Monitoring form.  I have to write down what I eat, when I eat it, how much I eat (cups, oz, etc.) how many calories, WHERE I eat it - Home, work, etc., how much activity I do each day, and how much water I consume each day. 

Okay, I completely understand this.  But my mind wants to REBEL!  WHY do I have to be so specific?  WHY do I have to measure ounces and cups, and keep track of the calories?  I know why - so I can see what my habits are and how to change them for the best results.  And I know why the insurance company wants me to do it.  They want to see that I'm going to comply with the stipulations required after my surgery. 

I don't know what my problem is.  Maybe I'm scared that I'll be successful at it and my insurance will say that I don't need the surgery because if I just keep the WL management up, I can continue to lose weight.  Maybe I'm angry because I wasn't expecting to be required to do this.  Maybe I'm just so damned depressed that everything that occurs is a major deal.  

My depression is spiraling downward again and all I want to do is sleep and cry. 


Insurance Update

Feb 14, 2007

I just found out from Dr Sudan's assistant this morning that my insurance requires that I go through a medically assisted weight loss program to show that I will comply after surgery.  BUT, I only have to lose 5% of my body weight!  I think I can handle that!  I was expecting her to say that I had to lose 50 lbs or be on the program for 6 months or a year.  THANK GOD it's only 16 lbs!!!  And...I've already lost 2 lbs!

I'm so happy! 

Now, if only I could get myself to use that darn CPAP!


Effexor ~ Follow up appt. with my PCP

Feb 10, 2007

{Posted on D/S Board on Friday, 2/9/07}

I had a one month follow-up appt with my PCP today after he gave me samples of Effexor XR.  I'm currently taking two of the 75 mg capsules and even though I'm under tremendous stress, and should be completely losing it - I'm somewhat calm, feeling okay, and accepting all of the new changes to come in my near future - but that's a WHOLE different story. 

I lost a couple more pounds and I am down to 322 - I think so far that's 5 whole pounds.  (Oh boy!)  I told him what is stressing me out, and he encouraged "me time".  I told him I've been trying to walk - as my Phys. Therapist at Dr. Sudan's office recommended.  But he suggested not to walk on the treadmill, but to take a walk outside in the fresh air.  It's SOOOO cold out lately, I don't know if I can take that!  But, I told him I would start that as soon as it gets a little warmer out.  And I said that I think the Effexor is actually working.  So he prescribed one of the 150 mg capsules per day and said if I feel like I need to increase it, to call him. 

The past 3 times I've been there, my blood pressure has increased slightly.  Today it was 152/84 (? - I can't remember if that's the right bottom number, but it was either 84 or 94.)  He said he doesn't usually get concerned about it, but it's high this time, and it's been increasing.  He's seeing a trend and wants me to start taking it daily and charting it.  Did you know you can buy blood pressure sleeves for under $40 on Amazon.com?  He pulled it up on his computer and showed me some.  So, I guess I get to order me one.  Another cool toy!  Woo-Hoo! 

This evening I went to pick up my Effexor RX, since I'm almost out of my samples.  I got home and decided to read up on side effects.  Get this ~ under the "Important Safety Information" section on my RX Print-out, it says, *and I quote* "EFFEXOR XR may raise blood pressure in some patients.  Your blood pressure should be controlled before starting treatment and should be monitored regularly."  Co-inkydink?  Or is it just my weight?  I guess I may never know for sure.


About Me
Bakersfield, CA
Location
29.2
BMI
DS
Surgery
11/19/2007
Surgery Date
Dec 07, 2006
Member Since

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