Well, it's been one week since I started on this post surgery diet, and all I can say is that hunger seems to be a way of life now within 2 hours after eating, which makes it hard to stick with the program. To complicate it all, we are supposed to be learning how to eat only 3 meals a day with only one snack allowed, so that means you go hungry in between meals, and I absolutely hate it. I am going to have to have an extra snack along the way when I go to the pool, otherwise my blood sugar will get too low from swimming, and I wouldn't want that to happen in the pool and drown myself.
There is a small consolation to a growling stomach--and that is to know that after surgery this would be plenty of food, and that the hunger hormone should be tamed if not eliminated. After all this hunger, I only lost 2.8# in a week, so I'm not impressed. I used my weight watchers point tracker and discovered that I'm only eating about 14 points a day, so that is pretty low. WW would say it's not enough food..and I have to agree. Some people I 've talked with on an online WLS website say that their surgeons do not put them on a specific diet before surgery..more like sticking with a 1200 calorie diet, then maybe protein shakes for the 2 weeks before surgery, but these guys put us on the post surgery diet now, and it's more like 800 calories which explains why I'm always so hungry.
The only reason I have not quit this completely and decide the surgery is not for me is because I want to wait to see the psychologist next week, and see what he has to say, and see if he can offer me any words of wisdom to help me get into the right mind set for the surgery because I am still having my struggles in making a decision about having the WLS.
The more research I do, the more turned off I get. I made a 'pros' and 'cons' list and the 'cons' list is longer, however, the only reason I have not completely eliminated the possibility of having the surgery is because the carrot being dangled in front of my nose is the possibility of permanently keeping the weight off. However, through all the research. soul searching and praying that I have been doing, I have learned a lot about myself and realized that no matter what means I use to loose weight, there is going to have to be permanent changes made in my life to maintain weight loss, and though I knew this right along, it's come to me again to make me realize my problems through the years of yo-yo dieting has always been ME and my choice to stick with or fall off the dieting wagon. The finger always keeps pointing back to me..and as everyone has said who's involved in WLS, the surgery itself is only a tool, the rest of the hard work still comes from ourselves, and make no mistake about it..this is the hardest decision I have ever been faced with in my life, and I'm still driving my family nuts with my indecision. Thank God that my hubby puts up with me!
At our informational seminar, one of the surgeons has said that most people take 2 years to come to a decision. I can see how that happens because there are so many factors that come into play, and it's such an individual thing that for some people the decision comes easy, and for others, it 's not so cut and dried and there are valid reasons to have, or not have the surgery.
I'm being as honest and open as I can be here for those of you who may be considering the surgery. My friend Kathie told me long ago to do your research, and know what you are getting into and I'll pass that same advice on to everyone else. She also says on her blog that this surgery is not for everyone..and I have to agree with that too, but most of all, as you do your research and soul searching, figure out what is right for you.
Stay tuned, I go back and forth so much trying to make a decision here, it's worse then the yo-yo dieting I've done for years. LOL....maybe the pshychologist will have some words of wisdom for me next week to help me make a decision. I just want to come to a point where I've made my decision, and I'm comfortable with it.
Wednesday, September 9, 2009
Wednesday, September 2, 2009
It's been a long time since I started this blog, when I first made the decision to have weight loss surgery, and it's been a long emotional journey over the last 6 months to come to this point again of pursuing the WLS.
I'll give a quick synopsis of the last few months.... my daughter and I went to the informational seminar to learn about the surgery at the end of February '09, and my spirits were high from the knowledge we got and the hope of finding a way to conquer the obesity battle once and for all that I've suffered with most of my life.
In March, I talked to my primary care doctor about having the surgery and getting her letter of recommendation, and she was extremely negative about it and discouraged me from having the surgery because of all the complications that could happen, and it scared me, so I kind of put the idea on the back burner of my mind and waffled again about the should I or shouldn't I have it, but, it also made me mad because she was always is telling me 'obesity kills' but, then she was so negative about having the surgery so I was conflicted.
Of course I climbed back onto the Weight Watchers wagon for a little while, but, the bad part of WW for me is that I can climb on and off that wagon at will, so I fell off the wagon again, and somehow along the way I managed to gain about 17 pounds in 5 months....I'm not sure how it happened because I didn't really think I was eating more or differently then usual but, I must have been doing something different because the pounds have packed on again, and I'm almost back up to what I was 4 years ago when I lost 43# on Weight Watchers, which just goes to show why WW doesn't work for me long term. I've spent the last 37 years of my life Yo-yo dieting, and with each failed attempt to keep the weight off, it's done a number on my body and self esteem.
The info seminar was an eye opening experience for me to make me realize there are a lot more reasons for obesity then just what we eat..or how much we eat, and why regular diets just don't work long term...most people do fall off the diet wagon sooner of later and end up regaining all they lost plus more for companions. I can certainly testify to that.
Since I had pretty much decided not to have the surgery, I guess I kind of gave up on ever loosing the weight permanently, and I had a lot of conflicting feelings and depression about that too because I really was not ready to give in to defeat again, as well as the fact that I've never been happy being obese, so I have waffled a lot about whether to have the surgery or not over the last few months, to the point that I'm driving my family nuts talking about it and trying to make my indecision.
In July I had an MRI on my back because of all the pain I have in it, and they found a belly button hernia so I had to see a surgeon for that....this is scary. I never knew that obesity causes them too. At some point in time it will have to be repaired..for now it's small enough to be left alone...but, it can be repaired when I have the WLS. It will get worse if I don't loose weight.
That was one of the contributing factors to make me go back to my original decision to have the surgery..because the surgeon put the fear into me about what could happen to that hernia if it's not repaired..and IF I don't loose weight. As far as my back goes...it's still shot..lots of problems and pain, but I don't need another surgery on it, so that's the good news...just have to live with the pain.
On top of discovering that I have the hernia, a couple of other things happened to lead me back to the decision to pursue the WLS.
In August, My husband, Larry's brother, Don is extremely obese, in the 400+ pound range, and he is diabetic. He ended up with an infection that wouldn't heal because of the diabetes. He spent some time in the hospital, and a surgeon who didn't know what he was doing tried cutting out the pouch of infection, and left a gaping hole in him with no plan for how to fix the hole the size of an oreo cookie. We ended up taking him out of the band aid station they call a hospital where the butcher surgeon works at in one of the small towns near here and took him into Green Bay to the emergency room, and when the ER doctor saw the wound/hole, he about flipped out and wanted to know 'what butcher did this to you?' Did I mention the hole/wound is on his scrotum? So, they wanted to put Don in a nursing home, but he has no insurance at the moment so, we ended up bringing him here and having home health come in and take care of the wound, but now we have another person living in this already cramped house and another person to care for, so it's created it's own issues and stresses.
On top of Don's problem, my step-sister Jo, ended up in the hospital with emergency surgery because of a BELLY BUTTON HERNIA that was constricting her bowels...what a shock that was. She's obese too, and found out that her stomach looks like cottage cheese from all the clusters of hernias, and thinning due to stretching from her weight, so she's having a hard time recuperating.
To top it all off, someone else we know had one of his eyes rupture from diabetes retinopathy, so it's been a really crappy month for people we are close too, and issues all caused from obesity and diabetes.
That is what pushed me back to the decision to have the WLS regardless what the primary doctor thinks....after I pushed her, she finally did give me my letter of recommendation which I delivered yesterday to the place where I'll have the surgery.
I had my first appointment with the nutritionist and got a copy of the pre-surgical diet....boy was I MAD...extremely angry and frustrated in fact when I saw the diet....it's the diet they give out for after the surgery when you get back on solids, and I am having a very hard time wrapping my mind around trying to live with all the restrictions and lack of food now before the surgery. In fact, the only things we can eat is vegetables, protein and fruit....nothing else except water, sugar free drinks and caffeine free drinks.
I can see cutting back on your portion sizes, and being on a special diet before surgery to prepare for it..but this after surgery diet seems unrealistic to expect us to live with before the surgery before the stomach is made smaller. But, I'll give it a try and see what happens.
I'm in the process now of preparing for the surgery. The next step is to meet with the psychologist to see if I have the right mind set and would be a good candidate for the surgery. I have to have a sleep study and one more appt. with the nutritionist, then the information will be sent to the insurance company to see if they'll approve the surgery. I'm still not sure if I'll be able to have the surgery because of all my back problems and the inability to take my current pain meds after the surgery, as well as my allergies to most pain meds they give when you have surgery, and because of other health problems, but I'll have to wait until I meet with the surgeon who will do the surgery to see what he says. I was hoping for Nov. 17th..my birthday..but that may be too soon....we'll see.
So, that's where things stand for now. I've had 24 hours to get used to the new way of eating, and gave it a try today, and I've survived it...so we'll see how things go as time goes on. I guess the biggest issue is all the changes ahead of me, and the fear of the unknown.
I'll keep posting more regularly now that I found my blog again..I lost the address to it when I got a new computer, but I'm happy I finally found it again.
Until next time......
I'll give a quick synopsis of the last few months.... my daughter and I went to the informational seminar to learn about the surgery at the end of February '09, and my spirits were high from the knowledge we got and the hope of finding a way to conquer the obesity battle once and for all that I've suffered with most of my life.
In March, I talked to my primary care doctor about having the surgery and getting her letter of recommendation, and she was extremely negative about it and discouraged me from having the surgery because of all the complications that could happen, and it scared me, so I kind of put the idea on the back burner of my mind and waffled again about the should I or shouldn't I have it, but, it also made me mad because she was always is telling me 'obesity kills' but, then she was so negative about having the surgery so I was conflicted.
Of course I climbed back onto the Weight Watchers wagon for a little while, but, the bad part of WW for me is that I can climb on and off that wagon at will, so I fell off the wagon again, and somehow along the way I managed to gain about 17 pounds in 5 months....I'm not sure how it happened because I didn't really think I was eating more or differently then usual but, I must have been doing something different because the pounds have packed on again, and I'm almost back up to what I was 4 years ago when I lost 43# on Weight Watchers, which just goes to show why WW doesn't work for me long term. I've spent the last 37 years of my life Yo-yo dieting, and with each failed attempt to keep the weight off, it's done a number on my body and self esteem.
The info seminar was an eye opening experience for me to make me realize there are a lot more reasons for obesity then just what we eat..or how much we eat, and why regular diets just don't work long term...most people do fall off the diet wagon sooner of later and end up regaining all they lost plus more for companions. I can certainly testify to that.
Since I had pretty much decided not to have the surgery, I guess I kind of gave up on ever loosing the weight permanently, and I had a lot of conflicting feelings and depression about that too because I really was not ready to give in to defeat again, as well as the fact that I've never been happy being obese, so I have waffled a lot about whether to have the surgery or not over the last few months, to the point that I'm driving my family nuts talking about it and trying to make my indecision.
In July I had an MRI on my back because of all the pain I have in it, and they found a belly button hernia so I had to see a surgeon for that....this is scary. I never knew that obesity causes them too. At some point in time it will have to be repaired..for now it's small enough to be left alone...but, it can be repaired when I have the WLS. It will get worse if I don't loose weight.
That was one of the contributing factors to make me go back to my original decision to have the surgery..because the surgeon put the fear into me about what could happen to that hernia if it's not repaired..and IF I don't loose weight. As far as my back goes...it's still shot..lots of problems and pain, but I don't need another surgery on it, so that's the good news...just have to live with the pain.
On top of discovering that I have the hernia, a couple of other things happened to lead me back to the decision to pursue the WLS.
In August, My husband, Larry's brother, Don is extremely obese, in the 400+ pound range, and he is diabetic. He ended up with an infection that wouldn't heal because of the diabetes. He spent some time in the hospital, and a surgeon who didn't know what he was doing tried cutting out the pouch of infection, and left a gaping hole in him with no plan for how to fix the hole the size of an oreo cookie. We ended up taking him out of the band aid station they call a hospital where the butcher surgeon works at in one of the small towns near here and took him into Green Bay to the emergency room, and when the ER doctor saw the wound/hole, he about flipped out and wanted to know 'what butcher did this to you?' Did I mention the hole/wound is on his scrotum? So, they wanted to put Don in a nursing home, but he has no insurance at the moment so, we ended up bringing him here and having home health come in and take care of the wound, but now we have another person living in this already cramped house and another person to care for, so it's created it's own issues and stresses.
On top of Don's problem, my step-sister Jo, ended up in the hospital with emergency surgery because of a BELLY BUTTON HERNIA that was constricting her bowels...what a shock that was. She's obese too, and found out that her stomach looks like cottage cheese from all the clusters of hernias, and thinning due to stretching from her weight, so she's having a hard time recuperating.
To top it all off, someone else we know had one of his eyes rupture from diabetes retinopathy, so it's been a really crappy month for people we are close too, and issues all caused from obesity and diabetes.
That is what pushed me back to the decision to have the WLS regardless what the primary doctor thinks....after I pushed her, she finally did give me my letter of recommendation which I delivered yesterday to the place where I'll have the surgery.
I had my first appointment with the nutritionist and got a copy of the pre-surgical diet....boy was I MAD...extremely angry and frustrated in fact when I saw the diet....it's the diet they give out for after the surgery when you get back on solids, and I am having a very hard time wrapping my mind around trying to live with all the restrictions and lack of food now before the surgery. In fact, the only things we can eat is vegetables, protein and fruit....nothing else except water, sugar free drinks and caffeine free drinks.
I can see cutting back on your portion sizes, and being on a special diet before surgery to prepare for it..but this after surgery diet seems unrealistic to expect us to live with before the surgery before the stomach is made smaller. But, I'll give it a try and see what happens.
I'm in the process now of preparing for the surgery. The next step is to meet with the psychologist to see if I have the right mind set and would be a good candidate for the surgery. I have to have a sleep study and one more appt. with the nutritionist, then the information will be sent to the insurance company to see if they'll approve the surgery. I'm still not sure if I'll be able to have the surgery because of all my back problems and the inability to take my current pain meds after the surgery, as well as my allergies to most pain meds they give when you have surgery, and because of other health problems, but I'll have to wait until I meet with the surgeon who will do the surgery to see what he says. I was hoping for Nov. 17th..my birthday..but that may be too soon....we'll see.
So, that's where things stand for now. I've had 24 hours to get used to the new way of eating, and gave it a try today, and I've survived it...so we'll see how things go as time goes on. I guess the biggest issue is all the changes ahead of me, and the fear of the unknown.
I'll keep posting more regularly now that I found my blog again..I lost the address to it when I got a new computer, but I'm happy I finally found it again.
Until next time......
Wednesday, February 25, 2009
A Big Decision
This blog, and this journey is, in part, because of an internet friend who went through the same thing in Oct. 2008, and she inspired me as well as gave me lots of information to help me make the decision I made and start the journey. Thank You Kathie.....without you doing this first, and sharing your story with us, I wouldn't be doing it either!
And what is that new begining and big decision you ask? I have decided to have weight loss surgery!!! This has been a very tough decision to come too for many reasons, but mainly because the fear of such a dramatic lifestyle change. It's not a decision I came too easily or quickly, but with lots of information and prayer, I believe I have made the right decision for me, and I am comfortable with the decision now. I did my share of fighting it for a while there, but the desire to live longer and get rid of my health problems because of obesity won out in the end. I still have lots of quilts to make and a granddaughter to watch grow up, just to mention a couple of reasons for this decision!
I had thought about doing this long ago because of my life long battle of the bulge, and continuous yo-yo dieting, but because of fear, misinformation and insurance companies not covering it, I never persued it all before now. I always believed what the medical professionals told us...that diet and exercise are all a person needs to do to lose weight. What they don't address is the gazillion other issues that come into play with that mentality and why that alone does not work.
If it hadn't been for Kathie..I wouldn't have known that most insurances do cover it now, and luckily mine is one of them. (A thank you to Tommy Thompson is in order here too, because when he was the Health and Welfare Secretary he passed into law that Medicare would cover the surgery for morbid obesity. Afer that, other insurance companies started following suit.)
At this point, a big thanks goes out to my husband, Larry too, because I know he got sick of hearing me talk about this as I was trying to make my decision. He is supportive of my decision, but he still thinks I'm nuts to do it.
I have been doing lots of research about the battle of the bulge, better known as obesity, or in my case, morbid obesity, and I have been shocked to learn about all the problems and illnesses that are caused by obesity.
I am amazed that the general medical profession gives out such limited information to their patients about this disease, because make no mistake, obesity is a disease. It is NOT caused by laziness on an obese persons part, or lack of will power which seems to be the general concensus in this world...let me repeat my self...OBESITY IS A DISEASE! Therefore, obese people should not be treated like the 2nd class citizens they are treated like because their obesity usually is not their fault....genetics plays a part in it, but so do other factors. I could go on and on about what I have learned about this disease, but if you want more info about it, you can call me, or e-mail me (countryquilter@hughes.net) , and I'll be happy to share all I have learned.
The thing that effects me the most is diabetes, although I do have some of the other co-morbidities related to the diabetes and obesity as well. To put it bluntly, diabetes scares the hell out of me! I have watched too many family members and friends get sicker and sicker, and eventually die because of diabetes, and the complications that go with it, so, even though my diabetes is in check now due to diet and medication, I know it is a progressive disease that gets harder and harder to treat the longer you have the disease. This is where the weight loss surgery, further known as WLS comes into play because it virtually eliminates diabetes in most cases.
My daughter, Suzi, and I went to an informational seminar about WLS the other night at a hospital that is a Center of Excellance for treating the obese. To become a Center of Excellance, they have to meet strict guidelines set by the government and perform a certain amount of these kinds of surgeries each year, so these guys know what they are doing there. My insurance company would not let me have the surgery any where else.
We heard first hand from the surgeons who do the surgery about all the problems of obesity, and how the surgery can cure most of them. We learned what kinds of surgeries they do there at that hospital, and what the success rate is for each type of surgery. WLS surgeries today are much safer and less complicated then the old stomach stapling of years ago. Today things are usually done laproscopically.
My first thoughts when I was doing my research was to do the lap band because it is less invasive, but, as I got more info, and listened to the doctors, I decided to do the Roux en Y. It is more invasive where they take part of the stomach to make a new small pouch for a stomach, and attach it to the intestines so you eat less and absorb less and therefore lose weight. This is a simplified explanation, and if you would like more info about the procedure, see this website...it's where I will have the surgery. http://www.midwestbariatrics.com/pathway/ there is a lot of information there.
I am just begining this journey, so check back often as I start on the path to surgery. Most of all, say a prayer for me that all goes well.
And what is that new begining and big decision you ask? I have decided to have weight loss surgery!!! This has been a very tough decision to come too for many reasons, but mainly because the fear of such a dramatic lifestyle change. It's not a decision I came too easily or quickly, but with lots of information and prayer, I believe I have made the right decision for me, and I am comfortable with the decision now. I did my share of fighting it for a while there, but the desire to live longer and get rid of my health problems because of obesity won out in the end. I still have lots of quilts to make and a granddaughter to watch grow up, just to mention a couple of reasons for this decision!
I had thought about doing this long ago because of my life long battle of the bulge, and continuous yo-yo dieting, but because of fear, misinformation and insurance companies not covering it, I never persued it all before now. I always believed what the medical professionals told us...that diet and exercise are all a person needs to do to lose weight. What they don't address is the gazillion other issues that come into play with that mentality and why that alone does not work.
If it hadn't been for Kathie..I wouldn't have known that most insurances do cover it now, and luckily mine is one of them. (A thank you to Tommy Thompson is in order here too, because when he was the Health and Welfare Secretary he passed into law that Medicare would cover the surgery for morbid obesity. Afer that, other insurance companies started following suit.)
At this point, a big thanks goes out to my husband, Larry too, because I know he got sick of hearing me talk about this as I was trying to make my decision. He is supportive of my decision, but he still thinks I'm nuts to do it.
I have been doing lots of research about the battle of the bulge, better known as obesity, or in my case, morbid obesity, and I have been shocked to learn about all the problems and illnesses that are caused by obesity.
I am amazed that the general medical profession gives out such limited information to their patients about this disease, because make no mistake, obesity is a disease. It is NOT caused by laziness on an obese persons part, or lack of will power which seems to be the general concensus in this world...let me repeat my self...OBESITY IS A DISEASE! Therefore, obese people should not be treated like the 2nd class citizens they are treated like because their obesity usually is not their fault....genetics plays a part in it, but so do other factors. I could go on and on about what I have learned about this disease, but if you want more info about it, you can call me, or e-mail me (countryquilter@hughes.net) , and I'll be happy to share all I have learned.
The thing that effects me the most is diabetes, although I do have some of the other co-morbidities related to the diabetes and obesity as well. To put it bluntly, diabetes scares the hell out of me! I have watched too many family members and friends get sicker and sicker, and eventually die because of diabetes, and the complications that go with it, so, even though my diabetes is in check now due to diet and medication, I know it is a progressive disease that gets harder and harder to treat the longer you have the disease. This is where the weight loss surgery, further known as WLS comes into play because it virtually eliminates diabetes in most cases.
My daughter, Suzi, and I went to an informational seminar about WLS the other night at a hospital that is a Center of Excellance for treating the obese. To become a Center of Excellance, they have to meet strict guidelines set by the government and perform a certain amount of these kinds of surgeries each year, so these guys know what they are doing there. My insurance company would not let me have the surgery any where else.
We heard first hand from the surgeons who do the surgery about all the problems of obesity, and how the surgery can cure most of them. We learned what kinds of surgeries they do there at that hospital, and what the success rate is for each type of surgery. WLS surgeries today are much safer and less complicated then the old stomach stapling of years ago. Today things are usually done laproscopically.
My first thoughts when I was doing my research was to do the lap band because it is less invasive, but, as I got more info, and listened to the doctors, I decided to do the Roux en Y. It is more invasive where they take part of the stomach to make a new small pouch for a stomach, and attach it to the intestines so you eat less and absorb less and therefore lose weight. This is a simplified explanation, and if you would like more info about the procedure, see this website...it's where I will have the surgery. http://www.midwestbariatrics.com/pathway/ there is a lot of information there.
I am just begining this journey, so check back often as I start on the path to surgery. Most of all, say a prayer for me that all goes well.
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