Shannin
Update
May 12, 2007
I realized I haven't been updating this blog as much as I should. I am now 18+ months out. I had my check-in with Barb and my labs came back fine. Here are the stats:
Pre-Op Weight: 336.6
Surgery Day Weight: 321.8
Today's Weight: 163.0
Total weight loss: 173.6
I can't believe I've lost more than what I currently weigh. I flew by Dr. Wetherille's goal of 185 and even passed my goal of 175. I'm pretty much content with hanging between 162 - 165. My guess would be if I did opt for plastic surgery, I would lose another 10-15 pounds.
I'm not exercising with any regularity outside of taking the dogs for walks (1 - 1.5 miles) or hikes (2.3 miles) a few times a week. I need to get back into a routine, which might actually help increase my appetite.
As far as foods, my typical day looks like this:
B - 1 scrambled egg, 3 flatbread crackers, fruit
S1 - AchievOne protein shake
L - 1/2 wrap, 1 c. mixed salad -or- 3-4 oz. protein, 1 c. cooked veggies
S2 - Cheese stick or nuts, fruit
D - 3-4 oz. protein, 1 c. mixed greens, cooked veggies
I can eat peaches, pears, apples, berries and melon for fruit and almost any veggie - greens, beets, carrots, broccoli, asparagus, corn, peppers, cucumbers, tomatoes. When I make a salad, I add cheese, nuts and croutons and use a low fat dressing.
I tend to do almost everything sugar free with the exception of the occasional piece of chocolate, which I can tolerate. I don't do low fat or fat free cheeses, dairy, mayo, etc. I just opt for smaller portions.
When I eat out, I go for appetizers such as seared tuna, shrimp cocktail, steamed mussels, beef tips. If I do end up with a main course, I focus on the protein first and will bring leftovers home. I haven't found any restaurant where I can't find something to eat, although I haven't been to a fast food place.
I stay away from breads, although I can do 1/2 of a well-toasted bagel. I've had bites of rice and that hasn't bothered me. I will do some pasta, but only as a side, not part of a main course (like shrimp/pasta salad). I will do potatoes at lunch once in awhile, but tend not to do carbs at night.
I drink mostly plain water with a VitaminWater once a day. I also have a large coffee in the morning, sometimes just black, sometimes as a latte with skim milk. I also have a small V-8 with lunch to help up my veggie intake. I will have a soda maybe once a week, but I usually just buy the tiny cans of Diet Coke since I can't finish an entire can.
I use the Bariatric Advantage iron, multi vitamin, calcium and B-12. They are chewable and I think I process them better than other brands. All of my labs are good, so I don't plan on changing anything. I've also started to add fish oil and glucosimine.
I am very thankful for this surgery. I am feeling better than I have in a long, long time. I cannot believe the limitations I used to live with, and now feel that I have so much freedom. The next step is getting a PS consult - maybe within the next few months...
Pre-Op Weight: 336.6
Surgery Day Weight: 321.8
Today's Weight: 163.0
Total weight loss: 173.6
I can't believe I've lost more than what I currently weigh. I flew by Dr. Wetherille's goal of 185 and even passed my goal of 175. I'm pretty much content with hanging between 162 - 165. My guess would be if I did opt for plastic surgery, I would lose another 10-15 pounds.
I'm not exercising with any regularity outside of taking the dogs for walks (1 - 1.5 miles) or hikes (2.3 miles) a few times a week. I need to get back into a routine, which might actually help increase my appetite.
As far as foods, my typical day looks like this:
B - 1 scrambled egg, 3 flatbread crackers, fruit
S1 - AchievOne protein shake
L - 1/2 wrap, 1 c. mixed salad -or- 3-4 oz. protein, 1 c. cooked veggies
S2 - Cheese stick or nuts, fruit
D - 3-4 oz. protein, 1 c. mixed greens, cooked veggies
I can eat peaches, pears, apples, berries and melon for fruit and almost any veggie - greens, beets, carrots, broccoli, asparagus, corn, peppers, cucumbers, tomatoes. When I make a salad, I add cheese, nuts and croutons and use a low fat dressing.
I tend to do almost everything sugar free with the exception of the occasional piece of chocolate, which I can tolerate. I don't do low fat or fat free cheeses, dairy, mayo, etc. I just opt for smaller portions.
When I eat out, I go for appetizers such as seared tuna, shrimp cocktail, steamed mussels, beef tips. If I do end up with a main course, I focus on the protein first and will bring leftovers home. I haven't found any restaurant where I can't find something to eat, although I haven't been to a fast food place.
I stay away from breads, although I can do 1/2 of a well-toasted bagel. I've had bites of rice and that hasn't bothered me. I will do some pasta, but only as a side, not part of a main course (like shrimp/pasta salad). I will do potatoes at lunch once in awhile, but tend not to do carbs at night.
I drink mostly plain water with a VitaminWater once a day. I also have a large coffee in the morning, sometimes just black, sometimes as a latte with skim milk. I also have a small V-8 with lunch to help up my veggie intake. I will have a soda maybe once a week, but I usually just buy the tiny cans of Diet Coke since I can't finish an entire can.
I use the Bariatric Advantage iron, multi vitamin, calcium and B-12. They are chewable and I think I process them better than other brands. All of my labs are good, so I don't plan on changing anything. I've also started to add fish oil and glucosimine.
I am very thankful for this surgery. I am feeling better than I have in a long, long time. I cannot believe the limitations I used to live with, and now feel that I have so much freedom. The next step is getting a PS consult - maybe within the next few months...
From Old Profile
Oct 15, 2006
4/25 I am going to Park Nicollet in St. Louis Park on 5/3 to hear their orientation. It's taken me awhile to get to this stage, but I'm ready to move forward.
5/15 I finally screwed up the courage to fill out my paperwork and send it in on Friday (the 13th...no less). The seminar was very informative and it went into a good amount of detail for only 2 hours. They showed an animated clip of both the RNY and the lap band. I don't know which I will do yet, but would prefer the lap band. The paperwork was pretty simple -- a test to see what I remembered from the seminar, a medical questionaire, a letter for my doctor to sign, a insurance form and a letter I had to write about why I want the surgery and how my current weight is affecting my life. They are supposed to contact me within 2 weeks of receiving my paperwork, so hopefully by Memorial Day. The good thing about Park Nicollet is they provide end-to-end service. They have psychologists, nurses, dieticians, PTs, etc. to help me through the process, which is one of the reason I decided to go with them. The next step will be a one-on-one with one of the surgical nurses to go through the steps and making the needed appointments. If all goes as planned, I should be looking at surgery around the beginning of September.
5/26 I'm still waiting to hear from Park Nicollet. It will be two weeks on Monday, 5/30 so I don't want to stress too much. I'm continuing to read up on WLS, and purchased "Exodus from Obesity" and "The Patient's Guide to Weight Loss Surgery." I have a good idea of what my plan will be once I get an appointment as far as "training" for WLS. I don't know if my body knows what I'm planning -- I haven't been feeling very hungry, although I've been craving ice cream. If I haven't heard anything by next Tuesday, I will be making a call to PN to try and get the ball rolling.
6/30 Yesterday went well. It was interesting and educational and well worth it. I'm not sure how other programs work, but from what I understand, a WLS patient usually has to arrange all of these types of appointments on their own. By going through Park Nicollet, they have a whole bariatric department which includes their own dietician, psychologist, physical therapist, etc. That way, instead of taking off an hour here and an hour there to meet all the requirements, it's kind of like one-stop shopping.
There were two other people going through the rotation yesterday morning, a woman and a man. I wish we would have had a little more time to interact with each other, but the system they had there was pretty efficient with little waiting around time. Here is each meeting in a nutshell:
Dietician: This was basically a meeting to go over my past diet attempts, my food history and eating habits. She then explained what life after surgery was going to be like. Some of the habits I am going to have to develop are things I can start on now like taking 20-30 minutes per meal, chewing each bite 40 - 50 times (to applesauce like consistency), eating without distractions (computer, work, TV, reading), not drinking with my meals, starting to drink a glass of skim milk a day, eating the protein in a meal first, drinking 64 oz. (minimum) of 0 calorie liquids (i.e., water), etc. She also said that there are no real food restrictions because each person is different and it's an on-going learning experience. She did say that many people lost certain cravings for foods, especially sweet and fatty foods. I heard over and over again how, for the first 6 months, I won't even want to eat, and that's when the majority of the weight comes off. I will meet with her once again before surgery and then once after surgery. She did remind me that for the first few weeks, I would only be able to handle two tablespoons of food per meal and by the end of the year it would be up to 1 cup. The most interesting note is that they require all surgical patients to go on a liquid only diet 10 days before surgery (I thought about asking if vodka, wine and beer would be appropriate liquids, but refrained). She listed Ensure, Slim Fast or Carnation breakfast but I may go with a protein powder I've used before and liked.
Psychologist: This is the first of two mandatory meetings. We went over my childhood, family relationships, support network, relationship with food, past therapy, etc. We didn't get into the test results, so that will be covered on July 14th. Nothing really new here -- we spent some time on my adoption and how I dealt with both my parents coming out of the closet. I don't get the feeling that she's going to recommend further counseling, but you never know and it might actually be beneficial if she does.
Doctor: She was a specialist with bariatric patients. She did a brief exam of my heart, lungs and abdominal area. We discussed my medical history, my current limitations, my expectations from the surgery, etc. She made some recommendations on my supplements, so I will be switching to a chewable multi-vitamin and calcium supp and adding iron and vitamin C. I will also be switching my current blood pressure medicine closer to a surgery date since the one I'm taking now may interfere with some of the drugs they use during surgery. The good news is that the majority of people are off blood pressure meds within 2 - 4 week post surgery. Ideally, a month after surgery I won't have to take blood pressure or GERD meds any longer. She did say I would have to do an overnight sleep study to ensure I don't have sleep apnea since they have to treat patients with that differently during surgery. I'm not excited about that, but I'd rather be safe than sorry. I also have to have a gallstone ultrasound to makes sure I don't have stones. If they think it's going to be a problem later in life, they will remove the gallbladder during the WLS. The good news is that she believes I am very low risk for this kind of surgery.
Physical Therapist: My last appointment of the series. We discussed my exercise history, what I'm doing now, what I like to do and what activities what I want to do after surgery. We monitored my heart while walking and she gave me pointers on how to get more out of my exercise routine. She told me that I should actually walk a little slower than what I've been doing, but do it for a longer period of time. So, going forward, I will be doing the treadmill for 30 minutes (5 minute warm up, 20 minute walk, 5 minute cool down) 5 - 7 times per week. In addition, after every cardio session, I need to do 3 stretching exercises. I also need to do 4 toning exercises for 1 minute each 5 - 7 times per week. I will start the toning without weights and eventually build up to 5 pounds. That's all she wants me to do, and that's all that is expected immediately after surgery. She said eventually I might want to invest in more weight equipment or join a gym, but she doesn't recommend that until 6 - 9 months post op. She did mention that about 90% of her patients discover yoga after surgery.
The next steps are getting the Sleep Test scheduled and done, getting the gallbladder ultrasound scheduled and done (both should be completed by the end of July) and having the second session with the psychologist (July 14). It looks like, insurance willing, I will meet with the surgeon the first week of August and have my surgery scheduled within 30 days (early September). That really gives me about 9 weeks to start implementing some of the suggestions I got yesterday to ensure I am successful with this surgery.
8/5 I had my sleep test Wed. night. I can't see how they can tell about my sleep patterns when I couldn't sleep a wink with all those sensors and monitors hooked up. According to what they saw/heard, I have "mild" sleep apena but I write a lot of that off to the kind of sleep I was getting that night. No urgent need for a CPAP, but after I talk to the surgeon and get his input i may opt for one on a temp basis if he thinks it's the right thing to do.
The best news is that I came home today to find a letter from my insurance company approving me! I was prepared for a much longer fight for some reason. Now I just need to have a consult with the surgeon and set a date. It still doesn't feel real.
8/8 I have my consult with my surgeon scheduled for 8/11. I will be seeing Dr. Robert Wetherille. I am excited/scared! Up until now it really hasn't felt like it was real. I didn't want to get my hopes up until I got the insurance approval. When I got the letter on Friday, I didn't want to get too excited until I got my surgeon consult scheduled. Now I don't want to get too excited until I get the surgery date scheduled. Even though I don't want to do it until Oct. since my husband has a week off. Of course, if I could, I have it done tomorrow!
8/11 October 5. Eight weeks from yesterday. Fifty-five days.
When I first got there, I met with about 8 other women and two nurses. We were given a handbook, our day before bowel prep instructions and our surgery paperwork. We reviewed the first part of the handbook. I then had a one-on-one with my surgeon's nurse and then met with the surgeon. Finally, I met with the surgical scheduler.
The instructions are pretty basic. I have to have my gallbladder ultrasound (scheduled for next Thursday morning), one more blood test (scheduled for next Friday afternoon), a final meeting with the dietician (scheduled for Sept. 30) and a final appointment with my primary care doctor (scheduled for Sept. 28). Ten days before surgery (Sept. 25) I start on a liquid diet. I am allowed water, sugar free Jello and Popsicles, broth, tea, coffee, flavored water (Crystal Light, Propel) and protein drinks (Carnation Instant breakfast, Ensure, Boost).
The day before surgery, I have to drink 10 ounces of Magnisium Citrate (or, as what Deb, a nurse, calls it, the sparkling laxitive). That's supposed to clean me out, although after 10 days of liquid, I can't imagine there is going to be much in there to clean out. They suggest a shower or bath the night before surgery (no shit, no pun intended). I'm supposed to remove all jewelry, but I have to check on that because I have one ring that will not come off (fat fingers).
I need to be at the hospital at 5:00 AM the day of surgery. They will get me checked in and my room assigned. More than likely I will have a private room. At 6:30 AM, I will be moved from my room to the pre-op prep room. I will go in alone. Don will not be allowed to see me from that point until I return to my room. In the prep area I will be given something to relax me and my IV will be started. I will be moved into the actual operating room and given anesthesia. Once asleep, I will have a breathing tube inserted, and, if the doctor deems it necessary, a catheter put in. Luckily, unless they think it's going to be a problem, they don't do catheters as a regular practice.
My surgery will begin at 7:30 AM. The surgeon said it usually takes 1 1/2 to 2 hours. So, by 9:30 AM I will be in recovery. They said that I will be moved to my room as soon as my nurse feels that I am ready, but they didn't give me a timetable for that. Once in my room, they want me up and about as soon as possible. I will be doing deep breaths and coughing every hour to prevent pneumonia. I will also have compression boots on to prevent blood clots. I will be hooked up to a pain pump so I can administer my own pain meds as I need them. They suggested using an extra pump before getting up so I can move around sooner.
During surgery, I will have a drainage pump inserted behind the stomach. This will stay with me for a week after surgery and I will have to learn to drain it. My incisions will be closed with dissolvable stitches, so even with the drainage pump, I will be able to shower (but no baths or hot tubs!). The pump looks like a short piece of rubber tubbing coming out of one of the incisions with a tennis ball-sized clear ball (I don't know how else to describe it). My nurse will remove it at my first appointment with him one week after surgery.
I will be in the hospital for 1-2 days, with 2 being the norm. I have to be able to walk on my own, tolerate liquids and go to the bathroom before they release me. During those two days, I have to continue doing the breathing exercises and get up and walk. I won't be able to drive for about a week because of the pain meds they will send home with me.
For the week after surgery, I will be on a clear liquid diet - water, clear juices that have been watered down, broth, tea, etc. They want me to move around as much as possible - not to do a marathon or anything - but short walks, stretching, etc. After my appointment with my nurse, I will move to a full liquid diet. I will be able to add milk, protein mixes, Cream of Wheat, yogurt and cream soups.
So, for now, things remain status quo. I need to make sure I drink at least 64 ounces of water per day, exercise 30 minutes a day, do breathing exercises, take my supplements (multi-vitamin, calcium, vitamin C and iron) and try to relax. I don't think I will change my diet for now. I am going to try and get in some of my favorites between now and when I go on the liquid diet. Nothing to excess, but I could go for some baked ziti and my stuffed chicken breasts with wild rice, maybe some wild mushroom rissoto.
I'm excited. I'm scared. I know I will fret these next 7 weeks, 6 days. I will have doubts, questions, second-thoughts. But when the first song I heard after this meeting was "A Change is Gonna Do Me Good" by Etta James, I knew I had made the right decision.
8/22 Well, 44 days out (not that I'm counting or anything). The scale hasn't been kind to me of late - it read 334 this morning. Ugh. I guess I know that the number won't be there long but I would like to see some kind of movement before surgery - even 10 pounds. I fluctuate between excitement and anxiety. Sometimes it seems so far away and at others, it seems like it's right around the corner. I am having a few "last meals." Nothing too bad, but things I enjoy making and know that I won't be able to have for awhile. I haven't been sleeping very well and I know part of that is because of the upcoming surgery. Gosh, if I'm not sleeping 6 weeks out, how am I going to sleep when it's a week away?
9/20 I am 2 weeks and 1 day out. I've been doing a modified liquid diet in the weeks leading up to my official 10-day pre-op liquid diet. I'm down about 7 pounds so far, so I'm pleased with that. Most people report a loss of about 10 pounds on the liquid diet so if I can go in close to 20 pounds down I will be thrilled (and I'm sure the doctor will as well). No real issues or anxiety yet. I'm sure that will happen as we get closer. I do have my "final" meal scheduled. It's actually my husband's birthday and we've been dying to try a local steakhouse here that supposedly has a steak you can cut with a butter knife. That will be my last meal prior to going on the all liquid diet.
Even doing the modified liquid diet on my own, I am noticing some small changes - I seem to get fuller faster; I don't have as many cravings, and when I do just a taste seems to satisfy; I am thirsty all the time. Anyway, it's been hard to do since part of me wants "one last taste" of just about everything! I'm glad it's paying off though and it will be worth it in the end.
I started on 8/31 and weighed in at 336.6. It's now 3 weeks later and I'm down to 329.6. Can't wait to see what my weigh in will be on Sunday when I start the liquid diet!
9/29 Well, just 6 days now until surgery. I'm well into the liquid diet and doing well. The weight is coming off and I it looks like I will see my goal of a surgery-day weight of 320, and maybe even lower. I'm drinking a lot of Crystal Light and Propel and doing Ensure and Slim Fast with soup and SF jell-o mixed in. I do have coffee in the morning, but I seem to be drinking less and less. I pee a lot, but I'm sleeping well and no real cravings. I'd like to say it's been really easy, but I'm determined to do this right.
I'm wrapping loose ends up at work - I will be in for about 6 hours on Friday and 4 hours on Monday. I am taking Tuesday as a personal day to do some things for me, like having a massage. I am getting my hair done on Saturday - new color - kind of in prep for my whole new outlook...
I'm sure there will be more emotions as I get closer. Right now, I am feeling a good sense of peace, which is as good as it gets.
10/7 Well, 2 days post op and feeling fine. I was actually released from Methodist yesterday. The overall surgery went very well. Had a few problems my first night - bloating and naseua, both to be expected. I got home last night and felt great - I've even showered twice! The JP tube is less annoying than I thought. I'm close to getting in my 64 ounces of liquid today. I just take it slow as I sip. I haven't been hungry, so that's helped. I haven't been too reliant on pain meds, so that's a good thing. Still a little gassy but nothing too uncomfortable...
Can't wait to start seeing some of the results. I'm still bloated and retaining water from the surgery. Here are my stats before Wednesday's surgery:
Starting Weight (9/1/05): 336.6
Liquid Diet SW (9/25/05): 330.6
Surgery Day Weight (10/5/05): 321.0
10/16 I have moved on to pureed foods. It's going well, but I am never hungry, which I guess isn't a bad thing, right? I haven't dumped or thrown up; I'm having regular bowel movements; I've been pretty good about getting my water & protein (47 grams per day) in. The only really big disappointment is I don't think the weight is coming off fast enough. I know I should be pleased with over 20 pounds in 6 weeks, but it's still hard not to compare myself to everyone else who is dropping 20 pounds their first two weeks. I know I should be patient, but it's tough going through this and not seeing an immediate, dramatic payoff.
I like weighing myself each day to see what the previous day's diet/activity results are. Maybe what I need to do is put the scale away and only weigh myself on my weekly anniversary (every Wed.). Let's see if I can do that this week (hey, it's only three days...). Wish me luck on this one!
10/29 I am 3 1/2 weeks post-op and have lost 35.6 pounds since 9/1 and 20 pounds since surgery. I am 1.1 pounds away from being under 300 pounds for the first time in I don't know how many years. I am on pace for losing 27 pounds in my first month post-op, which is just amazing. Once I get cleared by the nurse at my 1 month visit I plan on joining a gym so I can work on weight-lifting.
I haven't had any major issues. I am not hungry at all, which seems to affect a small percentage of WLS patients. I am having a hard time getting in my protein because of that. I do cramp a bit when I drink water, but not too bad. I haven't dumped or thrown up so that's good. I went back to work part time only 1 1/2 weeks post-op and full time the following week. My energy level is pretty good and I don't have any pain or discomfort.
Overall I am very pleased with how things are going. I should get moved to mashed foods at my 1 month nutritionist appointment on 11/7 so maybe that will perk up my tastebuds.
10/30 Yeah - under 300 pounds this morning!!
11/17 Well, I am six weeks out and down 33 pounds since surgery and 48 pounds overall. I am noticing a few changes, although nothing earth-shattering. A lot of people say they can see a difference but I don't - yet. Guess I have "fat" eyes.
I did join a gym and have been working out so I hope that helps with the continued weight loss and the toning so PS won't be needed down the road. I am getting a lot more exercise in than before surgery and it's nice to move around without the extra 50 pounds hanging on me.
My food are good - I haven't thrown up or dumped in the six weeks post-op. Milk doesn't seem to agree with me, but I can still eat cottage cheese, yogurt, cheese, etc. My favorite thing seems to be tuna right now. I can also tolerate shrimp, rotisserie chicken, eggs and turkey lunch meat. I am satisfied with the 1/4 cup of food three times a day, although I often add "dessert" which is 2 sliced of canned (in water) peaches or 1 SF popcicle.
The biggest challenge is not getting on the scale every day. I love seeing the progress and I know in my mind the number is going to continue to go down, but I feel a compulsion to check every morning. I just get so darned excited. I'm trying to limit myself to Wednesdays, so we'll see how that goes.
12/5 Two months out. Here are the stats:
Starting weight on 9/1/05 - 336.6
Surgery weight on 10/5/05 - 321.8
Down 60.4 pounds from my highest weight
Down 45.6 pounds from my day of surgery weight
The scale read 276.2 this morning. My goal was to be 275 by 10/7 which would be exactly 8 weeks out, and I think I just might make it. I'm starting to see some differences, especially in the way my clothes are fitting. I think I might just be out of size 28 and into 26s.
I did a few measurements and I am down about 12.5 inches, the most from my waist. I can actually see my waist line! I know my breastbone will be making an appearance any time now!
I am really feeling positive right now. I'm not having any problems or issues. I'm still not hungry. The only foods I seem to have issues with are milk and chicken breast. I really am enjoying the fruit and veggies I can have. I'm also craving fish more than ever. I am not getting all of my protein every single day, but I do pretty well. I love going to the gym and exercising.
Life is grand!
2 Month Post-Op Photos, taken 12/4/05, weight 276.0
12/25/05 It seems I have survived the holidays. I did have a total of 2 cookies and 3 caramels throughout the season. My head is still tempted by certain things, so it's a good thing my stomach is not. The best thing is that regular jewelry fits - no extenders! In preparation of hitting the mall for the after Christmas sales, I cleaned out my closet - getting rid of 10 pairs of pants that will never fit again. A belt is on my list, that's for sure!
I am down to 265. I think my weight loss has slowed since I am now trying new food items, which isn't a bad thing since I don't always get all my protein in. I'd love to be 260 by next weekend, which will be a stretch, but since I have this week off from work, I can hit the gym every day. I am just a few pounds away from losing 50% of my excess weight. Now that I am three months in, I am thinking about revising my goal from 190 to 175 but I'll probably wait until I'm closer to the 190 first.
I'll be going back to Los Angeles on 1/12 to see my family and friends, some whom I haven't seen since I moved to MN in November, 2004. Boy, will they be surprised! I should be down between 75 - 80 pounds by then. Some of them know about my surgery and some don't so I'm interested in seeing their reaction. The best part will be seeing my parents. They were out right after the surgery so I know they are dying to see the progress I've made.
The best part about my surgery has been no major issues. I am very thankful for that!
1/31 Far too long for an update! I am now almost 4 months out. I am at 249.0 pounds, which is a loss of 87.6 pounds from my highest weight pre-surgery and a loss of 72.8 pounds since my surgery date on 10/5. I am 12.4 pounds from losing 100 pounds and now 89 pounds from my new goal of 160.
I "Dunked with Dan" two weeks ago and found I have a pretty normal metabolism (BMR = 1711). My body fat is on the high side (49%) and my lean body mass is 130. He thinks I can get to 160 with 23% body fat for a goal weight of 160. Right now, I feel like I can totally reach that.
My BMI is now just "obese" compared to "morbidly obese." It's funny how being obese is a good thing!
The whole post-op experience is going well. Most foods do not bother me unless they are too dry (baked chicken breast). I am still not hungry and really have to force myself to remember to eat. Exercise has been good, but inconsistant. I am going to focus on my cardio for the next 1-2 weeks to see if that helps get me into a groove. Five times a week, 60 minutes a session. Shouldn't be too bad.
I'm wearing a 22/24 on the bottom and a 18/20 on top. I'm down a half shoe size (from a 9 to a 8 1/2). My wedding ring is way too big - I finally ordered a fake one from QVC to wear as a replacement until I am at goal and can get mine sized. I am about 10 pounds away from weighing less than my husband (always a good thing!).
I know I've said it before, but this has been an amazing tool. Moving is so much easier. I don't get out of breath climbing stairs or walking. I have so much more energy. My posture is better. I walk with so much more confidence. I'm actually beginning to feel sexy!
2/6 New photos - 4 months post-op - 244
3/6 So, here is my 5 month post-op update. I weighed in this morning at 235.2, down 101.4 pounds from my heighest weight and 86.6 pounds since surgery. I am only down 9.6 pounds from February, but I guess I can't complain too much. I'm wearing a 16/18 on top and a 20/22 on the bottom, although I am finding that I can get into a 18/20 depending on the cut of the pants. My next goals are to be down to 221.8 (13.4 pounds) by my 6 month post op check-in and to be under 200 by June 5.
I am very happy that I am consistently getting my 68+ ounces of water in daily and remembering to take my supplements. For the most part I can eat pretty much anything, although I did throw up my scrambled eggs this morning, and I'm not sure why. I don't really miss anything, and continue not to have cravings. Physical hunger isn't an issue, but I am battling eating out of ritual or bordeom.
My physical activity continues to increase. I was even at the gym before 7:00 AM on Sunday. I do feel stronger and like I have more endurance. My trainer helped me bench press 100 pounds (what I've lost so far) on Friday. I still can't believe I used to have to haul that poundage everywhere I went. No wonder I was so tired! I still need to be more consistent about working out. This week, I'm training on Tuesday and Satuday and will go to the gym on Sunday, but I should try and workout today and Friday as well. Part of me thinks, "Well, it's three more days than I was doing!" but at the same time I know that by adding two more days I might actually lose more than 9 pounds a month.
Things like my self-confidence and self-esteem are getting better. I still have instances of self-doubt - thoughts like, "Can I make it through this crowded bar without bumping into anything or anyone?" I don't have a real sense of my own size. I still feel like a lumbering ox on occassion, and often surprise myself by fitting in between chairs or being able to fit into a booth.
4/12 I forgot to do my 6 month update! Anyway, here are the stats:
Highest weight (9/1): 336.6
Day of surgery (10/5): 321.8
6 months out (4/5): 225.0
That's down 111.6 pounds total and 96.8 since surgery. I have my check in with the office on 4/18 and really want to be below 221.8 so they can put down I've lost 100 pounds since surgery.
Needless to say I am pleased with the results and how quickly and (fairly) easily they have come. I have had no real issues, outside of continuing not to be hungry and not ever feeling full. I do struggle with remembering to eat since there is no hunger trigger. I am able to eat most everything with ease - even things like rice and noodles. About the only thing I really don't like is soft bread.
My typical day looks like:
Breakfast - protein shake
Lunch - turkey & cheese + veggie (string beans, carrots)
Snack - cottage cheese & fruit (peaches, berries)
Dinner - meat, veggie, carb
I'm averaging about 60 grams of protein per day and about 1000 calories.
I have enrolled in a weekly yoga class and started to take water aerobics at the gym. I continue to work with a trainer as well. My week looks like:
Monday - yoga
Tuesday - OFF
Wednesday - OFF
Thursday - core training + cardio (treadmill)
Friday - core training with trainer + cardio (treadmill)
Saturday - weight training + water aerobics
Sunday - weight training + cardio (treadmill, outdoor walking)
I have notices a major slow down with the weight loss. I've gone from 25 pounds in my first month to 10 pounds last month. Despite this, I'm encouraged by the continued downward trend and know that my body is making other changes. For instance, I started at 49% body fat and now am at 35%. That's a huge difference!
Staying in clothes continues to be a challenge - I started at a tight 28 (top and bottom) and am now in a 16/18 top and an 18/20 bottom, although I can get into some size 16 skirts and dresses. My shoe size has gone from a 9 to an 8.5 and I hope that remains the same since shoes are so expensive!
I am really looking forward to this summer and being able to not be so embarassed by my weight. Although the hanging skin is kind of gross, it's not that bad (except for my arms and knees) and I hope some of that goes away with more toning and weight loss.
5/2 I got my results back from my blood work. Everything seems to be OK with the exception of my iron levels. I will be meeting with my PCP to see what I can do which may mean changing my thyroid meds/dosage, changing the brand of iron, doubling my iron pills, etc.
Weight seems to be continuing to come off - down to 217 and I would love to be down to 215 by 5/5 (7 months out) - that would be about 107 down since surgery and down 120 overall - an average of 15 pounds a month! At this rate, I could be at my surgeon's goal (185) by my 9 month check-up and my own personal goal (160) by my year surgeriversary. That's pretty amazing...
8/6 I can't believe I haven't updated in so long! I was down to 192 before flying out to Los Angeles for the weekend for my 20 year high school reunion. I am so close to being in the "overweight" BMI catagory! I don't feel like I'm obese any longer...
Anyway, my lab results were solid - iron is still a bit low but rising, so I think that's the result of doing the chewables and keeping on a schedule. My cholestorol is great - at a competitive athletic level. My body fat is about 30% although I would love to get that checked in a few weeks and maybe do the "Dunking Dan" on my 1 year surgiversary.
I am doing really well - physically and mentally. I don't seem to have any issues with foods, except if I don't chew well enough. I keep my protein forward diet and I'm now following a Glycemic Index food plan (from www.ediets.com). It's helped me get back on track and focused on my foods. I love going to the gym, hiking, yoga and just living a cleaner, healthier lifestyle.
I'm excited about being about 7 pounds from Dr. W's goal of 185 for me and then it's just 15 more pounds for my personal goal. It's weird being "that close" to goal. I don't know how I am ever going to maintain since my whole life has been either gaining or trying to lose weight. I am confident my body will just find a comfortable weight that it can maintain and I will just stick to the food plan.
8/13 Here are some updated photos. These were taken on 8/10. I started at 336.6 and in these photos weigh 189.0:
I am now just in the overweight catagory on the BMI scale and my first hard goal is in sight (just 4 pounds away!!).
9/2 I really never thought I would write this, especially after all the years I struggled with my weight.
As of this morning, I am at 184.8. Dr. W's goal for me was 185. I cannot believe that I am now considered a success!!
I had my surgery almost 11 months ago (10/5/05). I weighed 336.6 when I started the liquid diet and 321.8 day of surgery. I have lost 151.8 pounds from my pre-op weight and 137 pounds since surgery. I still have about 15 pounds to my personal goal of 170 and 25 pounds until the BMI chart would have me at normal. All of a sudden, 15 pounds doesn't seem that much more to lose.
I am in a size 12 pant (at Lane Bryant) and a size 16 or 14 at "normal" clothing stores. My skirt size is as 10 or 12 depending on the cut. I'm still larger up top because of my shoulders and chest, so a size 16 blazer and a 14/16 or Large shirt. Even my shoe size dropped from a 9 or 9.5 to an 8.5.
I've lost a total of about 97 inches - that's over 8 feet of space!
I can fit in an airline seat without a problem and put the tray down! Good thing, too, because I just booked my flight to London in Novemeber! I fit into my car better - I actually have to pull the seat forward now instead of having it all the way back. I had to swap out my ergo chair for fat people last week because it was actually TOO BIG for me.
I love to workout. I go to the gym 3-4 times a week. I take water aerobics, yoga and just signed up for a belly dancing class. I jump at the chance to take the dogs for a hike around Staring Lake (2.5 miles) and even, on occassion, will take some time away from my desk and walk during the work day.
I feel like I eat normally now. Yes, it's not as much as I used to, but I don't want as much as I used to eat. I still cook way tooo much for just me and my husband, so I have to work on cutting recipes (instead of doubling them for "leftovers"). I try to remember to do the protein first, and watch the carbs as they are my downfall.
There is still a little ways to go. While the dieter in me is already setting goals ("OK, I want to lose the next 15 pounds Thanksgiving. That's just about 2 pounds per week."), I think I would be fine slowing down just a bit. I need to get my head wrapped around the fact that I have accomplished what Dr. Wetherille wanted and understand that soon it will be about maintaining and not about losing.
10/6 It's now 1 year and 1 day since I had surgery. I am down 160 pounds from my highest weight before the liquid diet and 145 pounds down from my surgery weigh-in. I am so thrilled with my success in one year. To have lost another person is amazing. I would still like to lose another 6 pounds to reach my own goal and 16 more pounds to be a "normal" BMI. I hope not to stress and obsess about the last few pounds, but I know my nature is to do so. I'm glad I'm healthy, and that's the most important part.
I've gone from a size 26/28 to a variety of sizes!! I can still wear a 14, XL or L on top and a 10, 12, 14 or L on the bottom. I love I can shop at "normal" stores like Old Navy, Eddie Bauer, Target, etc. Sometimes I can get overwhelmed by the choices, which isn't all bad but can still be a bit intimidating.
I love my level of activity - being able to walk a lot (in heels at times!!), taking classes like yoga and belly dancing, even running on the treadmill.
Dr. Wetherille considers me a success, reaching his goal of 185. I still have some problem spots of saggy skin, but I am not going to worry about it until I see what my body is like until a year from now. I think I can still tone some spots (arms, thighs) and decide in 2008 if I need/want plastic surgery.
Right now, I want to enjoy the moment and relish what has been accomplished. There is a bit more to do, but the hardest work is behind me. Now I have to get into the mindset of maintaining what I have lost and building muscle and strength.
5/15 I finally screwed up the courage to fill out my paperwork and send it in on Friday (the 13th...no less). The seminar was very informative and it went into a good amount of detail for only 2 hours. They showed an animated clip of both the RNY and the lap band. I don't know which I will do yet, but would prefer the lap band. The paperwork was pretty simple -- a test to see what I remembered from the seminar, a medical questionaire, a letter for my doctor to sign, a insurance form and a letter I had to write about why I want the surgery and how my current weight is affecting my life. They are supposed to contact me within 2 weeks of receiving my paperwork, so hopefully by Memorial Day. The good thing about Park Nicollet is they provide end-to-end service. They have psychologists, nurses, dieticians, PTs, etc. to help me through the process, which is one of the reason I decided to go with them. The next step will be a one-on-one with one of the surgical nurses to go through the steps and making the needed appointments. If all goes as planned, I should be looking at surgery around the beginning of September.
5/26 I'm still waiting to hear from Park Nicollet. It will be two weeks on Monday, 5/30 so I don't want to stress too much. I'm continuing to read up on WLS, and purchased "Exodus from Obesity" and "The Patient's Guide to Weight Loss Surgery." I have a good idea of what my plan will be once I get an appointment as far as "training" for WLS. I don't know if my body knows what I'm planning -- I haven't been feeling very hungry, although I've been craving ice cream. If I haven't heard anything by next Tuesday, I will be making a call to PN to try and get the ball rolling.
6/30 Yesterday went well. It was interesting and educational and well worth it. I'm not sure how other programs work, but from what I understand, a WLS patient usually has to arrange all of these types of appointments on their own. By going through Park Nicollet, they have a whole bariatric department which includes their own dietician, psychologist, physical therapist, etc. That way, instead of taking off an hour here and an hour there to meet all the requirements, it's kind of like one-stop shopping.
There were two other people going through the rotation yesterday morning, a woman and a man. I wish we would have had a little more time to interact with each other, but the system they had there was pretty efficient with little waiting around time. Here is each meeting in a nutshell:
Dietician: This was basically a meeting to go over my past diet attempts, my food history and eating habits. She then explained what life after surgery was going to be like. Some of the habits I am going to have to develop are things I can start on now like taking 20-30 minutes per meal, chewing each bite 40 - 50 times (to applesauce like consistency), eating without distractions (computer, work, TV, reading), not drinking with my meals, starting to drink a glass of skim milk a day, eating the protein in a meal first, drinking 64 oz. (minimum) of 0 calorie liquids (i.e., water), etc. She also said that there are no real food restrictions because each person is different and it's an on-going learning experience. She did say that many people lost certain cravings for foods, especially sweet and fatty foods. I heard over and over again how, for the first 6 months, I won't even want to eat, and that's when the majority of the weight comes off. I will meet with her once again before surgery and then once after surgery. She did remind me that for the first few weeks, I would only be able to handle two tablespoons of food per meal and by the end of the year it would be up to 1 cup. The most interesting note is that they require all surgical patients to go on a liquid only diet 10 days before surgery (I thought about asking if vodka, wine and beer would be appropriate liquids, but refrained). She listed Ensure, Slim Fast or Carnation breakfast but I may go with a protein powder I've used before and liked.
Psychologist: This is the first of two mandatory meetings. We went over my childhood, family relationships, support network, relationship with food, past therapy, etc. We didn't get into the test results, so that will be covered on July 14th. Nothing really new here -- we spent some time on my adoption and how I dealt with both my parents coming out of the closet. I don't get the feeling that she's going to recommend further counseling, but you never know and it might actually be beneficial if she does.
Doctor: She was a specialist with bariatric patients. She did a brief exam of my heart, lungs and abdominal area. We discussed my medical history, my current limitations, my expectations from the surgery, etc. She made some recommendations on my supplements, so I will be switching to a chewable multi-vitamin and calcium supp and adding iron and vitamin C. I will also be switching my current blood pressure medicine closer to a surgery date since the one I'm taking now may interfere with some of the drugs they use during surgery. The good news is that the majority of people are off blood pressure meds within 2 - 4 week post surgery. Ideally, a month after surgery I won't have to take blood pressure or GERD meds any longer. She did say I would have to do an overnight sleep study to ensure I don't have sleep apnea since they have to treat patients with that differently during surgery. I'm not excited about that, but I'd rather be safe than sorry. I also have to have a gallstone ultrasound to makes sure I don't have stones. If they think it's going to be a problem later in life, they will remove the gallbladder during the WLS. The good news is that she believes I am very low risk for this kind of surgery.
Physical Therapist: My last appointment of the series. We discussed my exercise history, what I'm doing now, what I like to do and what activities what I want to do after surgery. We monitored my heart while walking and she gave me pointers on how to get more out of my exercise routine. She told me that I should actually walk a little slower than what I've been doing, but do it for a longer period of time. So, going forward, I will be doing the treadmill for 30 minutes (5 minute warm up, 20 minute walk, 5 minute cool down) 5 - 7 times per week. In addition, after every cardio session, I need to do 3 stretching exercises. I also need to do 4 toning exercises for 1 minute each 5 - 7 times per week. I will start the toning without weights and eventually build up to 5 pounds. That's all she wants me to do, and that's all that is expected immediately after surgery. She said eventually I might want to invest in more weight equipment or join a gym, but she doesn't recommend that until 6 - 9 months post op. She did mention that about 90% of her patients discover yoga after surgery.
The next steps are getting the Sleep Test scheduled and done, getting the gallbladder ultrasound scheduled and done (both should be completed by the end of July) and having the second session with the psychologist (July 14). It looks like, insurance willing, I will meet with the surgeon the first week of August and have my surgery scheduled within 30 days (early September). That really gives me about 9 weeks to start implementing some of the suggestions I got yesterday to ensure I am successful with this surgery.
8/5 I had my sleep test Wed. night. I can't see how they can tell about my sleep patterns when I couldn't sleep a wink with all those sensors and monitors hooked up. According to what they saw/heard, I have "mild" sleep apena but I write a lot of that off to the kind of sleep I was getting that night. No urgent need for a CPAP, but after I talk to the surgeon and get his input i may opt for one on a temp basis if he thinks it's the right thing to do.
The best news is that I came home today to find a letter from my insurance company approving me! I was prepared for a much longer fight for some reason. Now I just need to have a consult with the surgeon and set a date. It still doesn't feel real.
8/8 I have my consult with my surgeon scheduled for 8/11. I will be seeing Dr. Robert Wetherille. I am excited/scared! Up until now it really hasn't felt like it was real. I didn't want to get my hopes up until I got the insurance approval. When I got the letter on Friday, I didn't want to get too excited until I got my surgeon consult scheduled. Now I don't want to get too excited until I get the surgery date scheduled. Even though I don't want to do it until Oct. since my husband has a week off. Of course, if I could, I have it done tomorrow!
8/11 October 5. Eight weeks from yesterday. Fifty-five days.
When I first got there, I met with about 8 other women and two nurses. We were given a handbook, our day before bowel prep instructions and our surgery paperwork. We reviewed the first part of the handbook. I then had a one-on-one with my surgeon's nurse and then met with the surgeon. Finally, I met with the surgical scheduler.
The instructions are pretty basic. I have to have my gallbladder ultrasound (scheduled for next Thursday morning), one more blood test (scheduled for next Friday afternoon), a final meeting with the dietician (scheduled for Sept. 30) and a final appointment with my primary care doctor (scheduled for Sept. 28). Ten days before surgery (Sept. 25) I start on a liquid diet. I am allowed water, sugar free Jello and Popsicles, broth, tea, coffee, flavored water (Crystal Light, Propel) and protein drinks (Carnation Instant breakfast, Ensure, Boost).
The day before surgery, I have to drink 10 ounces of Magnisium Citrate (or, as what Deb, a nurse, calls it, the sparkling laxitive). That's supposed to clean me out, although after 10 days of liquid, I can't imagine there is going to be much in there to clean out. They suggest a shower or bath the night before surgery (no shit, no pun intended). I'm supposed to remove all jewelry, but I have to check on that because I have one ring that will not come off (fat fingers).
I need to be at the hospital at 5:00 AM the day of surgery. They will get me checked in and my room assigned. More than likely I will have a private room. At 6:30 AM, I will be moved from my room to the pre-op prep room. I will go in alone. Don will not be allowed to see me from that point until I return to my room. In the prep area I will be given something to relax me and my IV will be started. I will be moved into the actual operating room and given anesthesia. Once asleep, I will have a breathing tube inserted, and, if the doctor deems it necessary, a catheter put in. Luckily, unless they think it's going to be a problem, they don't do catheters as a regular practice.
My surgery will begin at 7:30 AM. The surgeon said it usually takes 1 1/2 to 2 hours. So, by 9:30 AM I will be in recovery. They said that I will be moved to my room as soon as my nurse feels that I am ready, but they didn't give me a timetable for that. Once in my room, they want me up and about as soon as possible. I will be doing deep breaths and coughing every hour to prevent pneumonia. I will also have compression boots on to prevent blood clots. I will be hooked up to a pain pump so I can administer my own pain meds as I need them. They suggested using an extra pump before getting up so I can move around sooner.
During surgery, I will have a drainage pump inserted behind the stomach. This will stay with me for a week after surgery and I will have to learn to drain it. My incisions will be closed with dissolvable stitches, so even with the drainage pump, I will be able to shower (but no baths or hot tubs!). The pump looks like a short piece of rubber tubbing coming out of one of the incisions with a tennis ball-sized clear ball (I don't know how else to describe it). My nurse will remove it at my first appointment with him one week after surgery.
I will be in the hospital for 1-2 days, with 2 being the norm. I have to be able to walk on my own, tolerate liquids and go to the bathroom before they release me. During those two days, I have to continue doing the breathing exercises and get up and walk. I won't be able to drive for about a week because of the pain meds they will send home with me.
For the week after surgery, I will be on a clear liquid diet - water, clear juices that have been watered down, broth, tea, etc. They want me to move around as much as possible - not to do a marathon or anything - but short walks, stretching, etc. After my appointment with my nurse, I will move to a full liquid diet. I will be able to add milk, protein mixes, Cream of Wheat, yogurt and cream soups.
So, for now, things remain status quo. I need to make sure I drink at least 64 ounces of water per day, exercise 30 minutes a day, do breathing exercises, take my supplements (multi-vitamin, calcium, vitamin C and iron) and try to relax. I don't think I will change my diet for now. I am going to try and get in some of my favorites between now and when I go on the liquid diet. Nothing to excess, but I could go for some baked ziti and my stuffed chicken breasts with wild rice, maybe some wild mushroom rissoto.
I'm excited. I'm scared. I know I will fret these next 7 weeks, 6 days. I will have doubts, questions, second-thoughts. But when the first song I heard after this meeting was "A Change is Gonna Do Me Good" by Etta James, I knew I had made the right decision.
8/22 Well, 44 days out (not that I'm counting or anything). The scale hasn't been kind to me of late - it read 334 this morning. Ugh. I guess I know that the number won't be there long but I would like to see some kind of movement before surgery - even 10 pounds. I fluctuate between excitement and anxiety. Sometimes it seems so far away and at others, it seems like it's right around the corner. I am having a few "last meals." Nothing too bad, but things I enjoy making and know that I won't be able to have for awhile. I haven't been sleeping very well and I know part of that is because of the upcoming surgery. Gosh, if I'm not sleeping 6 weeks out, how am I going to sleep when it's a week away?
9/20 I am 2 weeks and 1 day out. I've been doing a modified liquid diet in the weeks leading up to my official 10-day pre-op liquid diet. I'm down about 7 pounds so far, so I'm pleased with that. Most people report a loss of about 10 pounds on the liquid diet so if I can go in close to 20 pounds down I will be thrilled (and I'm sure the doctor will as well). No real issues or anxiety yet. I'm sure that will happen as we get closer. I do have my "final" meal scheduled. It's actually my husband's birthday and we've been dying to try a local steakhouse here that supposedly has a steak you can cut with a butter knife. That will be my last meal prior to going on the all liquid diet.
Even doing the modified liquid diet on my own, I am noticing some small changes - I seem to get fuller faster; I don't have as many cravings, and when I do just a taste seems to satisfy; I am thirsty all the time. Anyway, it's been hard to do since part of me wants "one last taste" of just about everything! I'm glad it's paying off though and it will be worth it in the end.
I started on 8/31 and weighed in at 336.6. It's now 3 weeks later and I'm down to 329.6. Can't wait to see what my weigh in will be on Sunday when I start the liquid diet!
9/29 Well, just 6 days now until surgery. I'm well into the liquid diet and doing well. The weight is coming off and I it looks like I will see my goal of a surgery-day weight of 320, and maybe even lower. I'm drinking a lot of Crystal Light and Propel and doing Ensure and Slim Fast with soup and SF jell-o mixed in. I do have coffee in the morning, but I seem to be drinking less and less. I pee a lot, but I'm sleeping well and no real cravings. I'd like to say it's been really easy, but I'm determined to do this right.
I'm wrapping loose ends up at work - I will be in for about 6 hours on Friday and 4 hours on Monday. I am taking Tuesday as a personal day to do some things for me, like having a massage. I am getting my hair done on Saturday - new color - kind of in prep for my whole new outlook...
I'm sure there will be more emotions as I get closer. Right now, I am feeling a good sense of peace, which is as good as it gets.
10/7 Well, 2 days post op and feeling fine. I was actually released from Methodist yesterday. The overall surgery went very well. Had a few problems my first night - bloating and naseua, both to be expected. I got home last night and felt great - I've even showered twice! The JP tube is less annoying than I thought. I'm close to getting in my 64 ounces of liquid today. I just take it slow as I sip. I haven't been hungry, so that's helped. I haven't been too reliant on pain meds, so that's a good thing. Still a little gassy but nothing too uncomfortable...
Can't wait to start seeing some of the results. I'm still bloated and retaining water from the surgery. Here are my stats before Wednesday's surgery:
Starting Weight (9/1/05): 336.6
Liquid Diet SW (9/25/05): 330.6
Surgery Day Weight (10/5/05): 321.0
10/16 I have moved on to pureed foods. It's going well, but I am never hungry, which I guess isn't a bad thing, right? I haven't dumped or thrown up; I'm having regular bowel movements; I've been pretty good about getting my water & protein (47 grams per day) in. The only really big disappointment is I don't think the weight is coming off fast enough. I know I should be pleased with over 20 pounds in 6 weeks, but it's still hard not to compare myself to everyone else who is dropping 20 pounds their first two weeks. I know I should be patient, but it's tough going through this and not seeing an immediate, dramatic payoff.
I like weighing myself each day to see what the previous day's diet/activity results are. Maybe what I need to do is put the scale away and only weigh myself on my weekly anniversary (every Wed.). Let's see if I can do that this week (hey, it's only three days...). Wish me luck on this one!
10/29 I am 3 1/2 weeks post-op and have lost 35.6 pounds since 9/1 and 20 pounds since surgery. I am 1.1 pounds away from being under 300 pounds for the first time in I don't know how many years. I am on pace for losing 27 pounds in my first month post-op, which is just amazing. Once I get cleared by the nurse at my 1 month visit I plan on joining a gym so I can work on weight-lifting.
I haven't had any major issues. I am not hungry at all, which seems to affect a small percentage of WLS patients. I am having a hard time getting in my protein because of that. I do cramp a bit when I drink water, but not too bad. I haven't dumped or thrown up so that's good. I went back to work part time only 1 1/2 weeks post-op and full time the following week. My energy level is pretty good and I don't have any pain or discomfort.
Overall I am very pleased with how things are going. I should get moved to mashed foods at my 1 month nutritionist appointment on 11/7 so maybe that will perk up my tastebuds.
10/30 Yeah - under 300 pounds this morning!!
11/17 Well, I am six weeks out and down 33 pounds since surgery and 48 pounds overall. I am noticing a few changes, although nothing earth-shattering. A lot of people say they can see a difference but I don't - yet. Guess I have "fat" eyes.
I did join a gym and have been working out so I hope that helps with the continued weight loss and the toning so PS won't be needed down the road. I am getting a lot more exercise in than before surgery and it's nice to move around without the extra 50 pounds hanging on me.
My food are good - I haven't thrown up or dumped in the six weeks post-op. Milk doesn't seem to agree with me, but I can still eat cottage cheese, yogurt, cheese, etc. My favorite thing seems to be tuna right now. I can also tolerate shrimp, rotisserie chicken, eggs and turkey lunch meat. I am satisfied with the 1/4 cup of food three times a day, although I often add "dessert" which is 2 sliced of canned (in water) peaches or 1 SF popcicle.
The biggest challenge is not getting on the scale every day. I love seeing the progress and I know in my mind the number is going to continue to go down, but I feel a compulsion to check every morning. I just get so darned excited. I'm trying to limit myself to Wednesdays, so we'll see how that goes.
12/5 Two months out. Here are the stats:
Starting weight on 9/1/05 - 336.6
Surgery weight on 10/5/05 - 321.8
Down 60.4 pounds from my highest weight
Down 45.6 pounds from my day of surgery weight
The scale read 276.2 this morning. My goal was to be 275 by 10/7 which would be exactly 8 weeks out, and I think I just might make it. I'm starting to see some differences, especially in the way my clothes are fitting. I think I might just be out of size 28 and into 26s.
I did a few measurements and I am down about 12.5 inches, the most from my waist. I can actually see my waist line! I know my breastbone will be making an appearance any time now!
I am really feeling positive right now. I'm not having any problems or issues. I'm still not hungry. The only foods I seem to have issues with are milk and chicken breast. I really am enjoying the fruit and veggies I can have. I'm also craving fish more than ever. I am not getting all of my protein every single day, but I do pretty well. I love going to the gym and exercising.
Life is grand!
12/25/05 It seems I have survived the holidays. I did have a total of 2 cookies and 3 caramels throughout the season. My head is still tempted by certain things, so it's a good thing my stomach is not. The best thing is that regular jewelry fits - no extenders! In preparation of hitting the mall for the after Christmas sales, I cleaned out my closet - getting rid of 10 pairs of pants that will never fit again. A belt is on my list, that's for sure!
I am down to 265. I think my weight loss has slowed since I am now trying new food items, which isn't a bad thing since I don't always get all my protein in. I'd love to be 260 by next weekend, which will be a stretch, but since I have this week off from work, I can hit the gym every day. I am just a few pounds away from losing 50% of my excess weight. Now that I am three months in, I am thinking about revising my goal from 190 to 175 but I'll probably wait until I'm closer to the 190 first.
I'll be going back to Los Angeles on 1/12 to see my family and friends, some whom I haven't seen since I moved to MN in November, 2004. Boy, will they be surprised! I should be down between 75 - 80 pounds by then. Some of them know about my surgery and some don't so I'm interested in seeing their reaction. The best part will be seeing my parents. They were out right after the surgery so I know they are dying to see the progress I've made.
The best part about my surgery has been no major issues. I am very thankful for that!
1/31 Far too long for an update! I am now almost 4 months out. I am at 249.0 pounds, which is a loss of 87.6 pounds from my highest weight pre-surgery and a loss of 72.8 pounds since my surgery date on 10/5. I am 12.4 pounds from losing 100 pounds and now 89 pounds from my new goal of 160.
I "Dunked with Dan" two weeks ago and found I have a pretty normal metabolism (BMR = 1711). My body fat is on the high side (49%) and my lean body mass is 130. He thinks I can get to 160 with 23% body fat for a goal weight of 160. Right now, I feel like I can totally reach that.
My BMI is now just "obese" compared to "morbidly obese." It's funny how being obese is a good thing!
The whole post-op experience is going well. Most foods do not bother me unless they are too dry (baked chicken breast). I am still not hungry and really have to force myself to remember to eat. Exercise has been good, but inconsistant. I am going to focus on my cardio for the next 1-2 weeks to see if that helps get me into a groove. Five times a week, 60 minutes a session. Shouldn't be too bad.
I'm wearing a 22/24 on the bottom and a 18/20 on top. I'm down a half shoe size (from a 9 to a 8 1/2). My wedding ring is way too big - I finally ordered a fake one from QVC to wear as a replacement until I am at goal and can get mine sized. I am about 10 pounds away from weighing less than my husband (always a good thing!).
I know I've said it before, but this has been an amazing tool. Moving is so much easier. I don't get out of breath climbing stairs or walking. I have so much more energy. My posture is better. I walk with so much more confidence. I'm actually beginning to feel sexy!
2/6 New photos - 4 months post-op - 244
3/6 So, here is my 5 month post-op update. I weighed in this morning at 235.2, down 101.4 pounds from my heighest weight and 86.6 pounds since surgery. I am only down 9.6 pounds from February, but I guess I can't complain too much. I'm wearing a 16/18 on top and a 20/22 on the bottom, although I am finding that I can get into a 18/20 depending on the cut of the pants. My next goals are to be down to 221.8 (13.4 pounds) by my 6 month post op check-in and to be under 200 by June 5.
I am very happy that I am consistently getting my 68+ ounces of water in daily and remembering to take my supplements. For the most part I can eat pretty much anything, although I did throw up my scrambled eggs this morning, and I'm not sure why. I don't really miss anything, and continue not to have cravings. Physical hunger isn't an issue, but I am battling eating out of ritual or bordeom.
My physical activity continues to increase. I was even at the gym before 7:00 AM on Sunday. I do feel stronger and like I have more endurance. My trainer helped me bench press 100 pounds (what I've lost so far) on Friday. I still can't believe I used to have to haul that poundage everywhere I went. No wonder I was so tired! I still need to be more consistent about working out. This week, I'm training on Tuesday and Satuday and will go to the gym on Sunday, but I should try and workout today and Friday as well. Part of me thinks, "Well, it's three more days than I was doing!" but at the same time I know that by adding two more days I might actually lose more than 9 pounds a month.
Things like my self-confidence and self-esteem are getting better. I still have instances of self-doubt - thoughts like, "Can I make it through this crowded bar without bumping into anything or anyone?" I don't have a real sense of my own size. I still feel like a lumbering ox on occassion, and often surprise myself by fitting in between chairs or being able to fit into a booth.
4/12 I forgot to do my 6 month update! Anyway, here are the stats:
Highest weight (9/1): 336.6
Day of surgery (10/5): 321.8
6 months out (4/5): 225.0
That's down 111.6 pounds total and 96.8 since surgery. I have my check in with the office on 4/18 and really want to be below 221.8 so they can put down I've lost 100 pounds since surgery.
Needless to say I am pleased with the results and how quickly and (fairly) easily they have come. I have had no real issues, outside of continuing not to be hungry and not ever feeling full. I do struggle with remembering to eat since there is no hunger trigger. I am able to eat most everything with ease - even things like rice and noodles. About the only thing I really don't like is soft bread.
My typical day looks like:
Breakfast - protein shake
Lunch - turkey & cheese + veggie (string beans, carrots)
Snack - cottage cheese & fruit (peaches, berries)
Dinner - meat, veggie, carb
I'm averaging about 60 grams of protein per day and about 1000 calories.
I have enrolled in a weekly yoga class and started to take water aerobics at the gym. I continue to work with a trainer as well. My week looks like:
Monday - yoga
Tuesday - OFF
Wednesday - OFF
Thursday - core training + cardio (treadmill)
Friday - core training with trainer + cardio (treadmill)
Saturday - weight training + water aerobics
Sunday - weight training + cardio (treadmill, outdoor walking)
I have notices a major slow down with the weight loss. I've gone from 25 pounds in my first month to 10 pounds last month. Despite this, I'm encouraged by the continued downward trend and know that my body is making other changes. For instance, I started at 49% body fat and now am at 35%. That's a huge difference!
Staying in clothes continues to be a challenge - I started at a tight 28 (top and bottom) and am now in a 16/18 top and an 18/20 bottom, although I can get into some size 16 skirts and dresses. My shoe size has gone from a 9 to an 8.5 and I hope that remains the same since shoes are so expensive!
I am really looking forward to this summer and being able to not be so embarassed by my weight. Although the hanging skin is kind of gross, it's not that bad (except for my arms and knees) and I hope some of that goes away with more toning and weight loss.
5/2 I got my results back from my blood work. Everything seems to be OK with the exception of my iron levels. I will be meeting with my PCP to see what I can do which may mean changing my thyroid meds/dosage, changing the brand of iron, doubling my iron pills, etc.
Weight seems to be continuing to come off - down to 217 and I would love to be down to 215 by 5/5 (7 months out) - that would be about 107 down since surgery and down 120 overall - an average of 15 pounds a month! At this rate, I could be at my surgeon's goal (185) by my 9 month check-up and my own personal goal (160) by my year surgeriversary. That's pretty amazing...
8/6 I can't believe I haven't updated in so long! I was down to 192 before flying out to Los Angeles for the weekend for my 20 year high school reunion. I am so close to being in the "overweight" BMI catagory! I don't feel like I'm obese any longer...
Anyway, my lab results were solid - iron is still a bit low but rising, so I think that's the result of doing the chewables and keeping on a schedule. My cholestorol is great - at a competitive athletic level. My body fat is about 30% although I would love to get that checked in a few weeks and maybe do the "Dunking Dan" on my 1 year surgiversary.
I am doing really well - physically and mentally. I don't seem to have any issues with foods, except if I don't chew well enough. I keep my protein forward diet and I'm now following a Glycemic Index food plan (from www.ediets.com). It's helped me get back on track and focused on my foods. I love going to the gym, hiking, yoga and just living a cleaner, healthier lifestyle.
I'm excited about being about 7 pounds from Dr. W's goal of 185 for me and then it's just 15 more pounds for my personal goal. It's weird being "that close" to goal. I don't know how I am ever going to maintain since my whole life has been either gaining or trying to lose weight. I am confident my body will just find a comfortable weight that it can maintain and I will just stick to the food plan.
8/13 Here are some updated photos. These were taken on 8/10. I started at 336.6 and in these photos weigh 189.0:
I am now just in the overweight catagory on the BMI scale and my first hard goal is in sight (just 4 pounds away!!).
9/2 I really never thought I would write this, especially after all the years I struggled with my weight.
As of this morning, I am at 184.8. Dr. W's goal for me was 185. I cannot believe that I am now considered a success!!
I had my surgery almost 11 months ago (10/5/05). I weighed 336.6 when I started the liquid diet and 321.8 day of surgery. I have lost 151.8 pounds from my pre-op weight and 137 pounds since surgery. I still have about 15 pounds to my personal goal of 170 and 25 pounds until the BMI chart would have me at normal. All of a sudden, 15 pounds doesn't seem that much more to lose.
I am in a size 12 pant (at Lane Bryant) and a size 16 or 14 at "normal" clothing stores. My skirt size is as 10 or 12 depending on the cut. I'm still larger up top because of my shoulders and chest, so a size 16 blazer and a 14/16 or Large shirt. Even my shoe size dropped from a 9 or 9.5 to an 8.5.
I've lost a total of about 97 inches - that's over 8 feet of space!
I can fit in an airline seat without a problem and put the tray down! Good thing, too, because I just booked my flight to London in Novemeber! I fit into my car better - I actually have to pull the seat forward now instead of having it all the way back. I had to swap out my ergo chair for fat people last week because it was actually TOO BIG for me.
I love to workout. I go to the gym 3-4 times a week. I take water aerobics, yoga and just signed up for a belly dancing class. I jump at the chance to take the dogs for a hike around Staring Lake (2.5 miles) and even, on occassion, will take some time away from my desk and walk during the work day.
I feel like I eat normally now. Yes, it's not as much as I used to, but I don't want as much as I used to eat. I still cook way tooo much for just me and my husband, so I have to work on cutting recipes (instead of doubling them for "leftovers"). I try to remember to do the protein first, and watch the carbs as they are my downfall.
There is still a little ways to go. While the dieter in me is already setting goals ("OK, I want to lose the next 15 pounds Thanksgiving. That's just about 2 pounds per week."), I think I would be fine slowing down just a bit. I need to get my head wrapped around the fact that I have accomplished what Dr. Wetherille wanted and understand that soon it will be about maintaining and not about losing.
10/6 It's now 1 year and 1 day since I had surgery. I am down 160 pounds from my highest weight before the liquid diet and 145 pounds down from my surgery weigh-in. I am so thrilled with my success in one year. To have lost another person is amazing. I would still like to lose another 6 pounds to reach my own goal and 16 more pounds to be a "normal" BMI. I hope not to stress and obsess about the last few pounds, but I know my nature is to do so. I'm glad I'm healthy, and that's the most important part.
I've gone from a size 26/28 to a variety of sizes!! I can still wear a 14, XL or L on top and a 10, 12, 14 or L on the bottom. I love I can shop at "normal" stores like Old Navy, Eddie Bauer, Target, etc. Sometimes I can get overwhelmed by the choices, which isn't all bad but can still be a bit intimidating.
I love my level of activity - being able to walk a lot (in heels at times!!), taking classes like yoga and belly dancing, even running on the treadmill.
Dr. Wetherille considers me a success, reaching his goal of 185. I still have some problem spots of saggy skin, but I am not going to worry about it until I see what my body is like until a year from now. I think I can still tone some spots (arms, thighs) and decide in 2008 if I need/want plastic surgery.
Right now, I want to enjoy the moment and relish what has been accomplished. There is a bit more to do, but the hardest work is behind me. Now I have to get into the mindset of maintaining what I have lost and building muscle and strength.
