*PLEASE SCROLL DOWN TO BOTTOM FOR MOST RECENT UPDATES*

*Starting weight: 307 Height: 5'9" BMI: 45.2*

Friday July 22, 2005
Today was the day I decided to seriously persue WLS. I have thought about it for years and thought that I wouldn't be a candidate for the surgery. Turns out, I am a candidate after all. I work with several nurses that had the procedure and are doing extremely well. After speaking at length with Missy, an RN that had a lapaorscopic Roux-en-Y (RNY) in December 2005, I decided that now was the time to see my primary care provider.
I have struggled with my weight for the past 20 years. I've done everything, and I mean everything, with no lasting sucess. I'm the classic yo-yo dieter. Lose 10 pounds gain 20 back, you get the picture.
I am a 35 year old woman. I have a loving and supportive husband. I am also an operating room nurse and a S.A.N.E. nurse, Sexual Assault Nurse Examiner. For years I have seen complications directly related to obesity that required surgical intervention. It is my desire to remain physiologically healthy after having the Laparoscopic Roux-en-Y procedure.

Thursday July 28, 2005
I saw my PCP today and all went well. He (Brien Whittington, DO) fully supports my decision to have WLS and has agreed to draft a letter of need for my insurance carrier. Hopefully it will be faxed, along with the 'diet health history' that I've prepared, sometime in the next week or two.

Monday August 1, 2005
I met with Fran Jackson, clinical coordinator for the bariatric surgery services at Penrose Hospital today at 10:00. She was wonderful! We had a great discussion about some of the things I should be expecting as a patient, pre-op, intra-op and post-op. I'm still waiting for insurance approval.

Tuesday August 9, 2005
I'VE BEEN APPROVED!!! I am so relieved. "Hurry-up-and-wait" is not my favorite game. I was pretty sure I was going to be approved, so many nurses in the hospital have had the surgery already. Time has really flown by. Fran told me that I could be having my surgery as soon as October if things are on schedule. That is so amazing to me! This entire process from conseption to completion could take as little as three months. WOW! Now that I have been approved, I can schedule my appointment with my surgeon (Dr. Scott Fisher). Insurance will cover 100% of the costs incured with the surgery, about $40,000. My out of pocket expense is $750. That cost covers my nutritional appointments and psychosocial evaluation initially and for one year post-op. That seems like a small price to pay in the grand scheme of things. My good friend Kathy has her surgery with him on Monday August 15, 2005.

Thursday August 18, 2005
I met with my surgeon today at 2:00. He is so nice... and handsome! He looks a lot like Orlando Bloom, only he's 6'3" with curley brown hair. We talked about the surgery, potential complications and post-op recovery time. All the usual stuff. It helpes that I'm a surgical nurse, I understood everything from a clinical standpoint. I'm also going to need a gallbladder ultrasound and echocardiogram before my next appointment with him.
The office staff will fax my information to the Nutritionist and Psychosocial evaluator today and I should be recieving my information packet in the mail along with my appointment dates. Should only be a few weeks from now. Once I've completed those two steps, I can meet with Dr. Fisher again and schedule my surgery.
Kathy was discharged from the hospital this morning. I spoke to her Tuesday morning, the day after her surgery, and she sounded great! She is also a surgical nurse. She told me that the only "pain" she had was from the gasses used to inflate the peritoneal cavity for surgery. I'm so glad she is doing well.

Thursday August 25, 2005
Whew! I've got ALL of my appointments scheduled. I am attending the CASCI confrence (Colorado Association of Sex Crimes Investigators) next week so all of my testing will have to be in the following weeks. I'll see the nutritionist (9/8), have my abdominal ultrasound (9/9), have my echocardiogram (9/12) and have my psych. evaluation (9/16). After all of that is completed, I get to meet with my surgeon again. That will probably be sometime the first week or two of October. Wow, time sure does fly by! Good luck to those of you out there in the various stages of your weight loss journey.

Friday September 9, 2005
Well, I had my evaluation with the RD (registered dietition) yesterday morning and all went as planned. Laura told me that she was giving me the "green light" for surgery. To tell you the truth though, I came to the appointment very well informed about the nutritional requirements and restrictions for this surgery. That just goes to show you how well the OH website has helped with my education. There was not much she covered that I didn't already know.
My abdominal ultrasound was completed this morning at 0930. The scan reviewed my gallbladder, liver, pancreas and kidneys. All looked well to me, even though I don't have much experience "reading" ultrasounds. Bummer, I was hoping to have some sludge in my gallbladder so my insurance would cover a cholecystectomy. Call me silly, but I would prefer not to have to be brought to surgery at a later date for my gallbladder to be removed. Now all I need to do is get my echocardiogram on Monday afternoon and on Friday, have my pshchosocial evaluation. I'll probably call Dr. Fisher (my surgeon) on Friday to set up my next apointment. I really need a "ballpark" date so my mom can make flight arangements and NOT pay through the nose for a ticket.
I have noticed that while reading profiles, many people use this forum as a place to "vent" if you will.... personal issues. I see a good number of people who have had bad outcomes in their relationships after WLS, but many more couples that have positive outcomes. I hope that I'm in the latter category. My husband and I have been together for eight years (married for five of them) and have been friends for no less then fourteen years. He is extremely supportive of my decision to have WLS. We love each other very much but we have a HUGE problem. Long story short... I want children, he does not. I should also say that he has two children from previous relationships and yes, we discussed having a few kids of our own prior to getting married. He tells me now that he has changed his mind. Truthfully, this breaks my heart because I don't have any kids. You see my delima. He is my best friend and I respect his right to change his mind, but I owe it to myself to be true to my heart and follow my dream. I don't know how things will turn out in the future. I can only hope that we can work things out. I know he is trying to figure things out and I'm willing to do whatever I can to help him. I only hope he makes a decision he can live with.
Enough of me pouring my heart out. I am still moving forward with WLS. It has always been about my health. My husband, like I said before, is very supportive with my decision to have this done. He is also a little nervous. He does not want anything to happen to me.
I have to say, I have not figured out how to get the "name" game right so I came up with my own. I think it is so cute and it sums me up pretty well...
K kinky, kind
A appealing, attractive
R refreshing, responsible
E extreme, energetic
N naughty and very, very nice
I know, I know... sounds silly and it's not like the other "name" games, but it's fun and this is pretty much me in a "nutshell". I love life and I have great fun being me. What can I say, I think I'm awesome! I have been moved by all of the profiles I've read on this web site. Everyone in some way or another has been such an insperation to me.

Friday August 16, 2005
Everything is completed as of today! I had a great visit with Dawn, my psychologist evaluator. We met at Penrose Hospital (AKA PenMain) this afternoon at 12:30. She warned of potential emotional situations that could
arise with the weight loss and we discussed the kinds of things I needed to do for me that would result in long tearm success after surgery. All in all, she also gave me a resounding "thumbs up". I have my second appointment scheduled with Dr. Fisher in about two weeks (9/29). We will be scheduling my surgery at that time. Looks like by the second or third week of October I'll be joining the ranks of "loser" at last, I can hardly wait.

Thursday August 29, 2005
I'M SCHEDULED!!! My "re-birthday" is going to be October the 19th. Wow! Hard to believe it is going to happen. Dr. Fisher actually had a date next week for me but I had to put it off for a while until my mom flies into town. These next two weeks will FLY by, the next thing I know I'll be in surgery. I'm not really nervous at this point. That may change the closer I get to my date. I'll keep those of you who read my profile posted.

Thursday October 13, 2005
Wow, not to long from now I'm going to be on the other side. Six days and counting. I have to admit, while I'm excited to be on the mend and "starting" my new life, I'm not at all nervous or scared. That may change of course, but at this moment, I couldn't be more calm or at ease with myself or my decision.
I did have a bit of a "problem" with this vascular surgeon the other day. I was in a surgical case with one of my friends when she asked me how much longer I had until my big day. I told her the 19th and she said how proud of me she was and that she would pray that things would go well. Thats when the surgeon turned to her and said in a rude way, "yes, but you lost your weight the HARD way". You see, my friend lost about 25 lbs through diet and exercise, and looked damn good I might add. Well, let me tell you, I told that surgeon that until he educated himself on the surgery and of all the things we, as weight loss survivors, had to go through to maintain our health, he should keep his opinions to himself. My friend also came to my defense and reminded him that diets worked well when you had to loose, say 25 lbs or so, not when you had to loose 125 lbs. She looked to me and said "I can't imagine how daunting it would be to try to loose that much with diet and exercise alone". Talk about validation! I went on to explain to that surgeon how the surgery was a "tool", a catalyist to jump start weight loss and move on to a healthier life. By the time I was finished with him, he looked pretty "brow beaten" and sorry for his insensitive remark. It's no surprise to me though, I've had a few Doctors make sly remarks toward the surgery and the people needing it. Believe me, I've done my fair share of educating them, hoping that they will be more sensitive and non-judgemental in their assessment of obesity in their patient population.
On a side note, my husband and I seem to be moving in the right direction with our relationship. We are working on our differences and looking forward toward our future together.

Tuesday October 18, 2005
(Starting weight 307 lbs)
Well, here we are. On the eve of my surgery. My mom and I went into the hospital at 11:00 for my last visit with Dr. Fisher (consent and H&P) and to complete my pre-op testing. I completed my blood work (CBC, PT, PTT, B12, serum HCG), EKG (HR:56, SR) and chest x-ray (AP and lateral views). We were out of there by 1:00.
I am, as of right now, 10 hours, 35 minutes and counting until my surgery. I was told this morning that my start time was going to be 10:15. Dr. Fisher feels like I should pull through without any complications. I hope he's right. You might be wondering if I'm nervous, but I'm not. My BP this afternoon was 116/70. Pretty good if you ask me. I can only hope I make a good patient and try not to be the nurse. For those nurses out there who may be reading this, you know how hard it is for us to release control.
Let me share with you my husbands and my "Cheers", Front Range BBQ. We absolutely love this restaurant and have been going there for YEARS. We love everyone there and are good friends with the owner. It was here that I had my "last" meal. The smoked sausage plate with seasoned green beans, fresh hand cut fries and cornbread, this is perhaps my favorite dish. I also splurged and had an icy cold diet coke. Wow, I couldn't have asked for better company or food.
Well, I am going to go to bed now and TRY to sleep. We need to leave by 7:30 to get to the hospital by 8:00. The next time I post, I'll be on the loosing team. Wish me luck. WOO HOO!

Saturday October 22, 2005
(Up 13 lbs from I.V. fluids, +320)
I'm back and I'm on the other side! Well, where do I begin. Mom and I got to the hospital on the 19th at 8:00. We went right up to the pre-op area where I had my vitals and weight taken. I went to holding slot number 6 and got into my gown. My nurse came in and asked a lot of questions then started an IV in my right hand. Let the waiting begin. We were in the holding area for about an hour when Kathy, my friend and circulating room nurse, came in to see how I was doing. We spoke for a few minutes then she went back to the surgical suite. Dr. Fisher and Dr. Ben Davis, the anesthiologist, came in to speak to me. By 10:20, another nurse came in to get me and take me back to surgery. I was scheduled in room 9, and when she wheeled me into the room I saw Kathy, I transfered myself to the OR table and my monotors were put on me. I remember the anesthetic (Diprovan) going through my IV, Kathy leaning in to kiss my head and tell me she was going to take good care of me, then a metalic taste in my mouth and a burning sensation on my face. That was it! I remember being wheeled to PACU (post anesthetic care unit) after surgery and Kathy telling me all went very well. While I was in PACU, my friend, also a surgeon, leaned in and said "Karen, it's Mark. I just wanted to make sure you were o.k." I said something like "Oh baby, that's so sweet, give me a kiss". I puckered up and heard him giggle, then I felt him kiss me. Wasn't that nice. Let's just say that lots of people thought my husband was a surgeon, go figure!
I remember very little from that first 24 hours except that I hurt like S**T. Oh yes, the pain was intense and nauseating. Believe me, the ONLY way to get through the pain is to move around. So when your nurse says it's time to get out of bed, don't give them grief and JUST DO IT!
I had a great stay. I was up and about the next day, believe me, it does get easier the more time that passes. The removal of the drain (19 french Blake Jackson Pratt) didn't hurt, much. It felt like a snake slithering around my insides and made me nauseous for a few minutes, but that was it. Getting in all of my water has been chalenging but it can be done. I don't feel like eating though. Tonight my mom and husband had ham, mac-n-cheese and peas. It smelled great and I can't wait to advance my diet. I had yougert, 30cc, for dinner. I'm still really puffy and 13.2 pounds (6kg) heavier from my IV fluid. My BP is even high! 147/89. I can't wait to start passing this fluid. My throat is scratchy from the intubation and it hurts to cough. I'm still not passing much gas, but I know I'll feel better when I do.
I hurt like s**t when I move, but I force myself to do it. Hydration and movement will be the ONLY things that make me feel better at this point. I will try to sleep in my bed tonight. The hospital mattress made my back and butt hurt. If that doesn't work, I'll be on the recliner!
I will try to update next week when I see my surgeon. Good luck to those of you out there in your quest for a healthier life!

Thursday October 27, 2005
293 (-14 lbs)
WOW! What a difference a week makes. I feel great! Almost no pain, I can deep breath, cough, sneeze, get in and out of bed with little to no discomfort. I can sleep on my sides but have not tried my stomach, I'll give that another week before I'll try. I'll admit, the food thing has been a little difficult. When my husband and Mom eat, I want what they're having. Lets just say that the yogurt was NOT cutting it. I have been able to tolerate everything I've eaten and my favorite thing right now is a small slice if grilled whole wheat quesadilla with low fat cheese and fresh salsa and guacamole. I do feel hunger from time to time and am trying to time my water intake so that I get a full feeling in the evening too. My water intake was not up to par the first three days post-op, but I have no problem getting my required amount in and then some.
I saw my surgeon today and he said I looked great. Dr. Fisher told me that I've lost 14 pounds since surgery and if you count the fluid I retained from my I.V., the total lost is 27 pounds. I still can't believe it. I see Dr. Fisher in about three weeks and I'll let you know how that goes. I bet I won't feel like I've had surgery at all in a week or so! If I can answer ANY questions, please feel free to e-mail me. I'd love to hear from you.
p.s. Happy Birthday daddy.

Sunday November 6, 2005
I thought I'd post this morning and let everyone know how I'm doing. I'm down something like 23 pounds and I am starting to notice the loss in how my clothes fit and in my face and neck. Everyone who has seen me for the first time since before my RNY can see a huge difference. I had a bit of a problem with turkey sausage yesterday morning, I ate about 1oz and satrted to feel as though I had a brick in my stomach. I wasn't nauseous but after two hours of feeling that brick I just had to get "rid" of it, if you know what I mean. After vomiting, which really wasn't so bad, I felt fine. I think it will be a while before I'll try that particular food again, I think I'll stick to my scrambled egg with cheese and salsa for breakfast. Other than that one episode, everything I've tried has been great. Two nights ago my hubby and I went to Texas Roadhouse and I had a piece if steak with mushroom, three green beans and potatoe. I didn't have much but boy was it good! I find that if I chew VERY well, I can tolerate all kinds of meat. I'll try to be better at posting my weight loss and I'll post again after I see my nutritionist this week. Until then...

Tuesday November 8, 2005
277 (-30 lbs)
I saw my nutritionist today and she told me that I'm right on schedule. I need to increase my vitamin intake to two a day, and hold off on the calcium for now. I've been having trouble with diarrhea and extreme abdominal cramping when I have a BM. She told me to try this supliment to increase the normal flora in my colon, I hope it works. I'll post the name when I can remember it and let everyone know if it works or not. I meet again with my RD, Laura, in a month.
I was served a subpoena this morning, remember, I'm a S.A.N.E. nurse too, that means Sexual Assault Nurse Examiner. I have to testify as an expert witness next week in a preliminary hearing. I love my job! Anyway, I had to go into work today and get the forensic chart on my patient, so I can prepare for court and while I was there, I visited with my co-workers in surgery. Everyone kept on about how great I looked. I'm thankful that I feel great and am looking forward to going back to work. I really miss my friends.

Thursday November 24, 2005
267 (-40 lbs)
Happy Thanksgiving everyone!
Sorry, it's been a while since I've logged on. I am back to work and let me tell you, the 12 hr shifts are tiring. I saw Dr. Fisher last week and he told me that I'm doing well. I have had bouts with vomiting the past week but I think it's because I'm eating to fast. Also, just the thought of food right now makes me nauseous. I'm told that this will pass by some of the girls that have gone before me. Right now I'm eating cottage cheese with pineapple tidbits, so far so good. I have to tell you though, I'm craving fried chicken SO BAD! I'm pretty sure it's just the texture I miss. I told friends last night that I'd give my left nut to have a taco right now. I'm hoping that I can tolerate turkey tonight. I've been having trouble with meat. It just dosen't sit well in my stomach. I'm missing, hopefully for the last time, Thanksgiving dinner with my family this year. Eric and I are going to be moving back to Virginia. We are shooting for September. He loves it here in Colorado, and I must admit, I do too. I have never been far from my family and this has been a real adventure, four years so far. But the one thing I discovered about myself is that I need to be near my loved ones. Eric realizes how much they mean to me and has agreed to move home for the sake of my heart. I love him even more for that. Well, enough for now. I'll update soon and hopefully get this nauseousness under control!

Sunday January 1, 2006
252 (-65 lbs)
Happy New year everyone! Well, Thanksgiving was a bust for me. I was so nauseous that I sent my husband out alone. I ate chicken broth.
I have been feeling much better, not nauseous at all really. I hardley even throw up now too. I stay away from dry meats because I know I'll toss my cookies. Ground beef and grilled chicken (sometimes) stay down. I've been experimenting with salad too, and so far so good. I feel great. My diet is ever changing and getting better. I till miss fried chicken but the craving isn't that bad. When I feel the need for crunch and salt I go for a single serving size of fat-free pringles. My bowel habits finally seem to be regular too, at least for the past three weeks. Whew!
I have ordered samples from unjury.com for a protine shake. I'll let everyone know how it is when I update next month. EVERY protine shake I've tried thus far has made me sick... wish me luck! Later.

Sunday January 22, 2006
232 (-75 lbs)
Unjury shakes ROCK! Creamy, smooth, thin and delicious. Update... I have elected to take a travel assignment to MD from CO. Husband still wishy washy about moving to the east coast for family and the kid thing. I love him so much but I don't have the luxury of time to wait for him to decide something. I'm getting older. I know what I want, and I want children, I only hope that the time apart (13 weeks) will give him time to reflect. I leave for MD Tuesday January 24th. Hopefully it will only take me three days to drive.
Weight loss is going great. I only get sick if I eat to fast or if I eat meat that is to dry. I had cod at work the other day and it was to dry, all I did was run to the bathroom and get sick. Chili is still the best way for me to get meat in. I love it. Well, gotta run. I still have some packing to do. Wish me luck and if you are the praying kind, pray for us.

Thursday December 21, 2006
165 (-142 lbs)
I am so BAD! I cannot believe it has taken me so long to update this thing! Well, if you've been following my saga... here we go. Ready for the down and dirty?
1. Divorced. Yes, it is profoundly sad... but my husband just didn't want to have kids. He has been and remains supportive throughout my weight loss process. We are also still good friends and speak often on the phone.
2. Boyfriend. Well yes, yes it's true. I have met someone. We met on-line (Match.com) last February and have begun to oficially "date" only a few months ago. I just felt funny calling him my "boyfriend" and resisted being romantic because of the feelings I still have for my ex., seems strange, I know. I just had to get on the ball.... uh, sorry for the pun, if I wanted to cultivate a relationship wirh someone that could result in marrage and children. I'm not getting any younger you know!
3. Job. I'm still in the operating room... for now. I took that job in Baltimore for those few months. What a pit! Glad to be out of there. Now I'm a FT staff member at Mary Washington Hospital in Fredericksburg VA. and have been since June 5, 2006... also my B-Day. I'm actually in the interview process of a brand new position... BARIATRIC COORDINATOR. Our hospital is trying to start this program from scratch. I hope I get it. I'm one of six applicants... keep your fingers crossed for me. I'll know something by the end of the month.
4. Family. I am so glad to be home. Right now I'm staying with my grandmother and saving up to buy a home. $$$$!!!! Holy cow, at the rate I'm going, I'm sure I'll be in a Coleman Tent by the end of the year. Donations would be appriciated....
5. Weight. I am down a bunch of weight and still losing a bit. I'm working with my nutritionist (Laura) via e-mail from CO. I am ready to stop losing and am tweaking my caloric content to stop the loss. I'm in a size 6/8 from a size 26/28... not to shabby. I feel great! I hardly ever get sick.
6. Food. Meats are still "iffy" for me, but that's o.k., I still love salads and seafood. Gotta love those Maryland hard crabs and oysters! I try to eat everything (portion control) and refuse to deprive myself of food... within reason. I can still do a bite of chocolate once in a while. Thank goodness! I eat very healthy food ALL the time and only have treats from time to time. Deprovation is bad for the soul... you can quote me on that!
Well, that's it in a nutshell. I'll be better at updating my profile in the future, I promise. I'm going to try to get my pictures up soon too. I know, I know... I keep saying that. Listen, if anyone out there has any questions... please drop me a line. I would love to talk to you and answer any questions you may have. This is still the BEST decision I have ever made. Would I do it again.. in a SECOND!
Have a very Merry Christmas and Hapy New Year to all!

Wednesday February 28, 2007
172 (-135 lbs)
Well, I should be punished! I can't believe I've lied to everyone. I promised I would check back with the website and I havent been on since my last entry. What did I find? Only about 50 or more messages from people with wonderful compliments, kudos, questions and concerns. I owe everyone an appology for not getting back to them sooner. I just got finished responding to every one of them. Well, are you ready for the update? Good.
1. No job. I didn't get it. Seems they were looking for someone with more experience. That's o.k. though, I still love it in the OR.
2. Dumped the boyfriend. Time to start over. I'm beginning to think cop's are a bit "flawed". He's still a friend of mine but there was a good reason not to "date". Can you say j-e-a-l-o-u-s? Who has time for that? Not me.... still looking.
Here are a few of the FAQ from my mail.
1. Surgery? No, I didn't have plastic surgery. I'd like to though! I'll live with the skin. All I can say is that it's a good thing I don't have to walk around naked!
2. Protine? Go to unjury.com and try it. I'd be very surprised if you didn't like it. The chocolate rocks and is safe for us post-op's. Try mixing it with Hood, a dairy product with very little sugar. Get the 2%, you can find it at Giant and Walmart.
3. Diet and excersize. Eat a balenced diet and stay active, even if you don't go to a gym. Walk the pooch, hike, swim... just get out there and do it. Wow... I kinda sound like a Nike comercial. Go figure. What do I eat? Well, right now I have in front of me a half of a chicken sandwich with swiss on toast, chips... yes, chips, a single serving packet of utz and red seedless grapes. I eat fruit with every meal. I refuse to deprive myself and just keep to portion control. I'll have two oreos later.
4. Coverage. Here is my "soap box". I've been asked many times over if insurance will cover plastic surgery. Well, quite frankly... no. Unless you have an underlying medical condition. As long as the insurance companies see plastic surgery following bariatric surgery as "cosmetic", it won't be covered. The trick is getting them to see it as "reconstructive", a continuation of our transformation from un-healthy to healthy. It truly is the final stage of our metamorphasis. Whew! Had to rack my brain for that one! It's the truth though. We'll see changes but it'll take years.
Thank you all for the lovely comments. I am so sorry it took me so long to get back to you. I really will check back weekly! I'll also try to get a few more pictures on the web page. Take care and until next time!

About Me
Locust Grove, VA
Location
25.8
BMI
RNY
Surgery
10/19/2005
Surgery Date
Jul 22, 2005
Member Since

Before & After
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Friends 29

Latest Blog 14
It's a girl!
Did someone say under contract?
Here Comes the Bride... and Little One...
Love is in the air...
My Cowboy...
Happy Re-Birthday to me!

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