Gary M.

Obesity & Me

Describe your behavioral and emotional battle with weight control before learning about bariatric surgery.

I am naturally an active person. From child hood, I was always playing some type of sports in the neighborhood or on an organized team, including school, until my senior year, when I hurt my leg pretty bad and had to sit out the rest of the season. Not being able to play sports really got me down, you know, I got depressed. It was then that I started to gain weight. Though I wasn't able to be active any more, my apetite didn't change. I continued to eat like I normally did. I had grown too big for my breeches (literally)and decided too get rid of all this fat and joined the Marine Corps. I was doing fine in the Marines. It's very physical and I lost fifty-three pounds during boot camp, and I had regained the buff body that I had lost in High Shool. Unfortunately, due to circumstances beyond my control, I broke my right hip. Complications developed, I had to have a surgery that almost killed me and eventually was given a medical discharge. Since the injury, in 1973, I have never been able to regain my health back and my depression came back and, along with it, the weight gain, sleep apnea, breathing problems, borderline diabetic, low self esteem and the whole lot that comes with a drastic weight gain. Several times, I would just jump right out of my depression, or so I thought, join a local gym, really watch what I eat, lose sixty or seventy pounds of fat, put some muscle mass on. Man, I couldn't tell you how great I felt, both physically, mentally and emotionally. It never failed, though, that something very dramatic would come up in my life that I would have no control over, and my depression would return, I'd start eating, stop exercising, regain the weight I had lost plus twenty-five or thirty pounds more. I developed degenerative arthritis in my lower back which would not let me exercise without a great deal of pain. That just fed my depression, which caused me to eat more, which caused me to gain more weight. Right now, I stand at six feet and one inch and weigh 379 pounds. It was about the year 2000 that I heard about bariatric surgery. The more I studied it, the more I realized that, if I didn't have it, I was going to die very young. After considering all of the risks of having the surgery and all the risks of not having the surgery, there was only one decision I could make. I have been married for thirty years, have three grown children and three grand kids. My only choice was to have the surgery. I normally wouldn't voluntarily put myself under the knife, especially with the severity of this type of surgery but my odds of living were better by having the surgery, than not. So, March 14, 2003, I will have the surgery and hope for the best. My doctor, Dr. Robert Janes of Fort Smith Arkansas, has been doing this type of surgery for more than 35 years, has never lost a patient and he is my last, best hope for me to make something out of my life.

What was (is) the worst thing about being overweight?

The worst thing about being overweight is the feeling that all eyes are on you. It seems like every move you make is scrutinized. You feel like you don't belong, like you don't fit in with the crowd, because you don't fit in. I have stopped going anywhere, because I don't want people to see me this way. I'm ashamed of the way I look. Even when I'm in a crowd, I stay to myself so I won't have to enteract with anyone. and, no one comes over to make chit-chat with me, which is fine. Even though I'm educated, well versed in my vocabulary, am very personable, I can't use these gifts because no one can see them. All they can see is the fat guy standing in the corner wishing he was somewhere else, so he wouldn't feel so uncomfortable. Sure, there are a lot of physical problems that go along with being morbidly obese, but it's the self induced isolation you put yourself in, because of the fear that swells up inside, holding you back, keeping you from doing things you can and want to do. What is the worst thing about being over weight? It's the reality of having to live in a society where fat people are not welcome, wanted or accepted.

If you have had weight loss surgery already, what things do you most enjoy doing now that you weren't able to do before?

I haven't found anything yet. I don't miss all the food I ate before. When the time comes, I'll be able to fit into my clothes again and I'll be able to be more active and I won't have to use a seat belt extension when I fly to the Carribean again.

How did you first find out about bariatric surgery and what were your initial impressions of it?

I found out about bariatric surgery from television a few years ago. But it was when Al Roker, from "The Today Show" and his journey thatcaused me to become serious about it.

Describe your experience with getting insurance approval for surgery. What advice, if any, do you have for other people in this stage?

I didn't have to do anything. Cynda, the doctor's nurse, just called my insurance provider and it was approved in less than 30 minutes.

What was your first visit with your surgeon like? How can people get the most out of this meeting?

All I'm going to say about this is that he gave me good information. Not fun, no jokes, I had to bite my lip a couple of times and I was glad to get out of there.

What made you finally decide to have the surgery?

I was slowly dying and I didn't want to leave yet.

How did you decide which proceedure to have?

I didn't. The doctor only does the open surgery.

What fears did you have about having complications or even dying from from the surgery, and what would you tell other people having the same fears now?

I feel so bad right now that this is a win-win situation for me. If I'm going to die anyway from this condition, it may as well be on the operating table. If the surgery is a success, that's great! Either way, I win

How did your family and friends react to your decision? Would you have communicated anything differently if you could now? How supportive were they after your surgery?

Haven't told anyone but my kids and some people from a WLS support group. The kids are a little worried but the support group are right there with me.

How did your employer/supervisor react to your decision? What did you tell him/her? How long were you out of work?

I'm retired.

What was your stay in the hospital like? How long where you there? What things are most important to bring?

My stay in the hospital could have been a lot better. I hardly slept at all and before I left, ice chips and water tasted bitter to me. On one occasion, an inexperienced nurse tried to help me walk and broke the epidural in my back. The anesthesiologist was tied up in surgery for 8 hours, so I had to go 8 hours without any pain killer for my back. I don't blame any of the doctors, but I do hold the hospital responsible for not having enough qualified staff on hand that knows how to handle patients like me. I didn't like the things they put on my legs to prevent blood clots from forming either. I was in the hospital for five days. I didn't bring anything to the hospital with me. I was too busy trying to get better that I didn't have any time for anything else.

Did you have any complications from the surgery? If so, how did you deal with them?

All of the complications I had were in the operating room and Dr. Janes took care of them.

In the weeks after you got your surgery date, how did you feel? How did you cope with any anxiety you might have felt?

I had only a little more than three weeks to wait, after I found about the surgery date. My first feelings were giant butterflies in my stomach. As time passed, I gradually saw a dream to reality. The only thing I could think about was whether anything was going to happen to prevent me from having the surgery. Will my insurance approve it? Will anything come up in my lab work to keep me from having it? Will I actually go through with it or will I chicken out? The closer I came to the date, the more anxious I became. How did I cope with the anxiety? I tried to keep busy doing something all the time, to keep my mind off of what was about to take place, trying to downplay the drastic changes that were about to make me a totally different person. I thought about what I was going to have to do after the surgery and whether or not I could follow the rules and be successful, or fold up and return to my old ways. Come to think of it, I made myself a nervous wreck.

What aftercare support group/program do you have? How helpful/important is this?

I am with the Western Arkansas WLS support group. They have been very helpful to my wife and myself. Everyone is so nice. They will support you in any way they can.

What is your scar like? Is this what you expected?

My scar starts at my solar flexes and goes down below my belly button, a total of 17 inches. It took 28 staples to put me back together. Because of my Cushing's Syndrome, I had to keep them a week longer than normal. It's what I expected, but it itches like crazy.

Please describe any plateau experiences you have had since surgery.

I haven't had any plateau experiences yet. I average losing over a pound a day

Do you notice people treating you any differently now?

Evryone just tells me what a brave thing I have done.
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