PHYSICIAN SUPERVISED WEIGHT-LOSS PROGRESS

Diet, Exercise and Behavior Modification

 

Patient Name: ________________________________________  

Date of Birth: _________________________________________  

Date of Visit: 
________________________________________

 S:

 

Patient is following a  

q       800 kcal/day diet	q       1500 kcal/day diet	q       1800 kcal/day diet
q       1200 kcal/day diet	q       1600 kcal/day diet	q       2000 kcal/day diet
q       1400 kcal/day diet	q       1700 kcal/day diet	q       Other

 

 Patient is participating in the following exercise regimen, as discussed:

 

q       Walking	q       Yoga
q       Swimming	q       Aerobics
q       Curves	q       Gym/Club membership

q Patient unable to exercise due to __________________________________________________

 

q Other _______________________________________________________________________

  O:

 

Vitals

 

            Height: _____          Weight: _____     HR: _____             R: _____                BP: _____

   

A:

 

q       Morbid Obesity

 

q       Change in weight since last visit

 

Lost _____ lbs.

 

Gained _____ lbs.

 

q       No change in weight since last visit

 P:

 

Patient is to follow a  

q       800 kcal/day diet	q       1500 kcal/day diet	q       1800 kcal/day diet
q       1200 kcal/day diet	q       1600 kcal/day diet	q       2000 kcal/day diet
q       1400 kcal/day diet	q       1700 kcal/day diet	q       Other

 

 

q       Patient is to continue exercise

 

q       Return to office in one month to evaluate progress

 

q       Patient counseled on the importance of behavior modification and lifestyle changes

 

 

 

Additional Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  

 

 

__________________________________

 

Physician Signature

 

 

 

 

 

 

 

 

 

                                                                                               

Well today is my 1 year surgiversary!!!! 
This was the best decision I ever made!!! I can't even begin to tell you how much in my life has changed.

I feel sooooo much better, my body doesn't hurt, I'm not ashamed of how I look anymore.

This has been a crazy year, and sometimes easier than I thought and other times harder.

But I reached my goal for 1 year - I wanted to lose at least 150 lbs my 1year and I did it!!! It is such an amazing feeling to  set a goal and reach it!!!

Life is busy and I try to stay on track with my eating and exercise, so days I succeed and others not so much, but the difference before and now is amazing, like now I may have 1 or 2 cookies, before it would have been half a bag or more, lol.

I may not walk my full lunch hour but I walk at least 3-5 times a week, before..I used to park as close to the building as I could and walk as little as possible, I remember waiting for parking spots close to a building rather than walking an extra little bit. very sad now that I think about it.

I never really admitted to myself how unhappy I was, but looking back I can really see it. 

Thank you Dr. Brader  for helping to change my life!!!

Thank you to everyone on the SBAAWLS board for being there for me and being such a great support. Thank you to my wonder husband and daughter who have made this year possible and believing in me.

and Thank you to me for going for it!!!

This month has been great...I finally....reached.... onderland.....we'll kind of...I was there for a day...then back up to 200, then back down to 199, so I'm counting it as onderland, lol.

I feel great, we are closing on our house April 1st, I'm sooooooo excited.

I haven't been hungery lately and find I have to reimind myself to eat, (still seems like a dream to me, lol) anyways, I've been sooooo busy at home, that lately I haven't been eating like I should, I'm thrilled with the weightloss, however I know I need to take care of my body and lose it correctly.

I have an interview on Monday, I can't wait to find a new job!!!!!

Well I have got to go for now.

love ya,
Jen

 I seem to post later and later. Life has been busy.
We are in the process of buying a new house in South Jersey. I can't wait..the house is beautiful, it's perfect for us. 3 bedrooms, 2 baths, a full basement, a in-ground pool. everything that I want!!
Life is good. The move will also force me to leave my job..which I hate.
So again life is good.
My weightloss has started again, I think I was beginning to snack too much.
It is so hard to change some of my bad habits. I'm really working on it though.
I work for a staffing agency and right now things are very slow...so I become bored and when I'm bored I turn to food.....I have finally realized what I am doing to myself....and I am changing!!!
I went shopping for a few clothes yesterday...and only got a pair of pants, I need to lose a few more pounds to be in "regular" sized clothes...so I think I'll wait...nothing fit me right, it was exciting and depressing at the same time.
I've gone back to the basics on food, eating protein 1st then veg. and fruit. 
I know this will be a battle with my head, but I am facing it and know that food is not my friend and it doesn't make anything better.
I've really been doing alot of self-searching lately, and for the 1st time I am being honest with myself.
It's time I took care of me, and realized that I am worth it.
it's a everyday battle, but one I am determined to win.
I go on the SBAAWLS board alot, and the group there are great, they really help.
I see everyone be so open and supportive, I'm getting there. it's so hard for me to open up to anyone, I've never really trusted anyone in my life.
I'm working on that to, it seems like I have such a long road ahead of me that I wonder, what the hell I've been doing for the last 37 years, and the answer i come up with is...ignoring me and taking care of everyone else. Not that I don't still take care of my family, I've just started to care about me too.

This has been such a roller coaster ride- the weight loss has been great- I never thought I'd get to where I'm at....but I still have a long way to go, and I want to get there healthy and mentally happy too, so I'm a daily work in progress.

Well that's about all for now.
love ya, Jen

 01/23/2008 Well I'm 9 months out and this last month has sucked for weightloss, I know that I'm going to have stalls and that weightloss slows down some.......but ....... this sucks.
I know I didn't put the weight on over night and it's going to take time to come off.......but.....this sucks...

Ok i'm done whining,lol.
I  haven't been as good as I should be...I've slacked a little on my protein intake and on my walking, with the holidays it seemed I just let things become more important, I know it's not an excuse, and I had this surgery and made this commitment to change my life and take care of myself.
I'm back on track now and working hard.
I've been feeling great.
We went to see a broadway show the 1st week of Jan. and had a great time.
we walked all over the city and I kept up and had energy and my legs didn't hurt. It was GREAT, I forgot how much fun it can be to just go and enjoy doing things, rather than have to figure out if I can do it or not ( i.e. -is it to much walking, too much stairs, will I be able to sit and rest, when will we eat, what will we eat..etc...) It was very freeing.....I had been a prisoner in my own body for so long I didn't even realize it.
We've been to the city alot since we moved to NJ 3 1/2 years ago, and we always had fun....but I never realized how much my weight held us back. 
We didn't have to look for places to rest.....we didn't have to stop and eat everytime I smelled something good, we went from broadway to south street and back no problem, 
we were in the top of the theater, I would never have been able to do those stairs before....yes I was tired when we got to the top..but so was everyone else, and I DID IT!!!!! I was so proud of myself.
Having this surgery had given me a life I had forgot how to live....it's made me realize everything I was missing.
Live is good and I'm sooooooooooooo happy that my life is getting better everyday.

Love ya all,
Jen

A great person posted this and I wanted to copy it to help those currently not getting the support from family and friends.
Your doing this for you and your health, but I think this letter explains it well.
Love ya Jen,

I have made the difficult decision to undergo Gastric Bypass Surgery. I am on my journey to the road paved to a happy and healthy new me. It wasn't until I learned of weight loss surgery that I felt what the truest definition of "hope" really meant. It was at that moment that light was shed on a subject that has been at the forefront of my life for as long as I can remember. A subject that has pained me, crippled me, shamed me, and compromised my future. The prospect of weight loss surgery made it possible to begin to dream again. To envision my life with less fear which gives my body the wings to carry me. It restores images of the real me that I know lies somewhere inside. It is the same catalyst that gives you a bounce in your step, a reason to look others in the eye and a freedom to rise to a level of acceptance both from others and myself. My lengthy research on this subject both empowers me and humbles me to walk down a road I haven't traveled.

This process is not without its natural lessons and its great responsibility. It is an evolution and a continuous relay from past to present and present to future. It serves as a tool and a symbol that memorializes the stages you must face to see that when given the key to unlock all that is beautiful, mysterious and joyous, the lock to that door always remains in sight. I so look forward to continue to be inspired by dreams realized, fears diminished, and self-worth and dignity repaired. I know well that this will not ever be the "easy way out" as some may regard my decision. I have become well aware of the blood, sweat and tears of this whole process...and I think literally. Just a far away glimpse into a future that may be mine gives me that truest meaning of hope, that healthy air to breathe, and the courage to fight until I am thinner and healthier and my life becomes all I hoped it would be.

Well it's the day after Christmas, things are pretty good. I ate too much over the weekend, but the too much I ate was not to bad, lol.
I did eat alot of turkey breast, and green bean cassorole(sp?) I had a bite of cheese cake, but it really didn't even taste that great.
I made a sugarfree pumkin pie, it was pretty good, everyone loved it.

It was nice to have 4 days off of work and to spend time with family, this Christmas was so much different than last Christmas, I was able to get on the floor and play with the kids, I had a ton of energy and could everything, and believe it or not I wasn't hot and sweaty all day, lol.

It used to be when I got together with alot of people I would always get hot and sweaty, not anymore!!!! I felt normal!!!

I did really good with my food choices, although I did eat to much. The bread and biscuits didn't even look good, mostly because I knew if I ate them, that would be it, I could enjoy any turkey, haha.

This surgery has been a life saver!!! Plus I feel like I am starting to live my life rather than just exist.

We had a family portrait done!!!! The 1st time in over 10 years!!!! I sent it out to everyone on cards!!! No one could belive it was me, lol. They said I look soooooooo much younger and alot like my daughter. It really made me feel good.

Well that's about it for now, oh wait I almost forgot,
Happy New Year to Everyone.
and many blessing to you this coming year.
love ya Jen

 This month has been a little slow as far as weighloss goes, I think it's because I'm at a weight I was at for years and my body is resting here for a moment, lol. But I won't let it for long, haha.
Life has been pretty much the same'ol same, although I do get alot of compliments from people who haven't seen me in a few weeks or so.

I saw a lady that works on the same floor as me yesterday, I hadn't seen her in a good month, she came up to me and asked if I had some work done, or had botox or something? I just started laughing, I said I wish, she told me how much younger and happier I look. It really made my week.

As far as eating goes, I probably over did it for the holidays, but I just had a bite or 2 of the things I shouldn't have.
I feel that depriving myself will only make me want it more, so if I allow myself a bite or 2, then I think I'm alright. after all I had this surgery to be normal, and eat like normal people eat.

I haven't been on the boards as much lately, life is busy right now, and I just really haven't felt like it.
I think it's because I've been a little stressed with the holidays, my job and looking for a house, the one we made the offer on didn't happen, I know that means there is a better one out there, but it is just frustrating.

Life after the surgery is better, I feel better, I know I look better, and I can do more. I haven't been as strict on myself this last month, and I find myself beating myself up for it, I know I shouldn't, but sometimes old habits die hard, I am striving to be more positive to myself. I really think that has alot to do with the eating, when I feel bad I want to eat, the surgery has made that hard so now I don't but I still want to. I need to build myself up instead of breaking myself down. 
I will work on that this next month and let you know how that goes.
Love ya all, and if I can help with anything let me know.

I'll update more later.

11/02/2007
I know I'm a little behind updating...sorry, life has been busy and I've been a little sick, nothing to do with my surgery. I had pneumonia and my blood pressure has been really low, so I've been very tired, my Dr. says my blood pressure should balance itself out, so we will see.

I feel good besides all that, lol.
I'm down 117lbs, and my clothes are all falling off, I look like a clown in some of them, haha.
I went shopping this weekend, but only bought 1 pair of pants and a top, it seems I'm in between sizes, lol, size 18/20 fit me in the waist but are baggy in the legs and butt, I may have to buy some and have them hemmed, I hate to do that because I'm still losing, but I can't have my pants falling off me, haha. I went from a size 30/32 to 18/20 in 6 months so that is very exciting.
It seems to have slowed down, but that's ok as long as I'm still losing.
I eat pretty much the same thing everyday, right now my newest kick is buffalo mozzarella with tomatoe and salt, pepper and balsamic, I eat it for breakfast and lunch everyday.
Things are really good at home right now, me and my husband are getting along good, he really tries to make me feel special and to notice the changes happening to me.
I got my hair cut and everyone says it makes me look younger,haha, now if it would just make the wrinkles go away,lol.
I try to get on obesityhelp daily, but usually only on the SBAAWLS board, it seems with the others I see the same thing everyday, I have gone on the plastic surgery board, but that's still a ways off, but it is very inspiring, to see how far people have come and where I hope to be one day.
I still hate my job and hope to leave after the 1st of the year, we're looking to buy a house soon. I can't wait, I'm sooooooo tired of renting, next year should be a great year, we hope to buy a house, I want to get a different job and we'd like to start trying to have another child.
Hope everyone it doing well.

09/24/2007 I'm 5 months out and down 102lbs. I cried when I reached the 100lbs. I couldn't be happier that I had this done.
I feel GREAT!!!! I can go and do and not get as tired.
I still have a ways to go, but it feels sooooooooo good to have come so far.
I'm doing much better with my water, it is easier now and I don't get that pain that I used to get when I drink it. 
I still have a little of the funny taste in my mouth, brushing my teeth 4-5 times a day seems to help.
My hair is falling out, but I had so much of it to start that you can't tell, it's still thick, I had started to only shampoo it every 3 days, to try and help.
My clothes are realllly big now, but I am using belts and such to still wear them, I will go get some new winter clothes soon, but I had to buy any summer clothes as I know next year they won't fit ( it's soooo GREAT to say that!!!)  
I get alot of compliments now, but I'm still obese, but just alot less obese than what people are used to seeing me as.
I got the best compliment this weekend from my father-in-law. I haven't seen him in a month or so, I went to their house yesterday, and he was just standing there staring at me, my husband asked him what's up, he said " I'm looking at a new person, Jen you look absolutely amazing, your skin is glowing, your eyes are sparkling and your smile could blind someone, not to mention I can't believe how skinny you are" 
Now believe me I know I'm no where nere skinny, but to hear someone really mean it when they say it to me, Let me just tell you WOW!!!!!
I can eat fine, no problems what-so-ever, I just don't have the same interest I used to have.
It's kind of like, I eat to live not live to eat. I used to hear(read) people say that and I thought, yeah right, I will also LOVE food to much, and if I'm not eating it, I will always be planning my next meal. But here I am saying the same thing, it really is a miracle!!!
I won't lie and say it is easy, because it is NOT!!!! But it is a tool to help give me the control I didn't seem to have. I am learning a new way of life and I love it.
I have also found chewing is a boredom habit for me, when I'm bored I used to eat. believe me that can cause many problems when you can no longer do that.
I will be looking for a new job after the 1st of the year.
We're in the process of buying a new house, we do something every weekend, my house has never been cleaner, lol
I'm not perfect by any means, but I am a much better me, and I feel GREAT!!!!!