Showing posts with label pre-op. Show all posts
Showing posts with label pre-op. Show all posts

Wednesday, August 5, 2009

My final "Before" pics


Alex took these pics of me just before I left for surgery.

The last one is me super excited. I was just so high-strung the day before the surgery, and the closer it got the more elated I got! I figured I'd get nervous, but I didn't really.

Monday, August 3, 2009

Woot! I made my first goal!

I made my first goal! After I saw how fast the weight was coming off, I made it my first goal to lose 15lbs before the surgery. And that officially happened this morning. And it put me in a new weight bracket I'm happy to be in.

Needless to say I was dancing around the house singing all morning.

I also want to get a new haircut before I go back to work from the surgery. A symbolic change as my hair is just out of control! We'll see if I'm mobile enough for that however.

My next goal is another 10 pounds this month while I'm on the thin liquids and then the mush diet.

Then another 15 pounds from there to fit into all my old "new" clothes I barely got to wear the first time.

In total, I want to lose 60 pounds before the wedding Nov 7th. 45 more pounds to go in three months. Aggressive but possible, I hope.

Sunday, August 2, 2009

One more day!

It's Sunday night so only one more day until my surgery!

I really really wish I didn't have to work tomorrow, but I do. However, I have the rest of the week off after that. I did agree to work from home Thursday and Friday if I feel up to it. At least just to check in on email.

I'm partially looking forward to this week because I get to stay home! I won't be having a proper vacation for a while, so I'll take what I can get. Everyone at work is taking vacations, and after the last few very hectic weeks at work, I'm happy to have the down time. I know I wont feel the same way post-surgery when I'm in pain and bored though.

As for today, I'm just trying to get stuff done before surgery. It rained today and that seems to have been all the excuse I needed not to do a bunch of stuff!

After surgery I wont be able to lift more than 10 pounds for more than a month as at least one of the incisions will cut through the muscle (to get the lap-band and port in place), so I had wanted to refinish a table but it rained.

Originally I was told that I could call Friday to find out my surgery time, but that was incorrect. I have to call after work Monday night to get the time. So I'll email friends and fam then with details.

I've just been rereading my surgical materials this weekend. On Tuesday I can't have any fluids or solids after midnight. Then I'll begin the thin liquids diet for 10 days. At least two protein shakes a day after the first day or two.

The countdown has begun!

Saturday, August 1, 2009

Food is everywhere!

Oy! I consider myself highly suggestible, so it doesn't help that food ads and food references are EVERYWHERE!

Walking the dogs today, there was a Domino's pizza guy in the street shouting about their $4.99 pizza deal (times must be tough if they've taken to the streets for advertising!) But hey, it would've totally worked for me if I weren't on this diet.

And then later pizza came up in conversation.

And now I'm watching an ad on TV for a flaky toaster strudel. Mmm... Then Sonic, which I love, but there aren't any here that I know of.

We just didn't even bother watching one of the shows we like, Cake Boss. For obvious reasons!

Now I can see why NYU doesn't recommend that we watch TV post surgery.

Boredom is my enemy

The weekends are the hardest. Totally want to munch even if I'm not hungry.

Usually, I'm pretty good about keeping a food journal. I'm particularly good about remembering what I've eaten, down to every little calorie, but since there's no variety in my diet, I can't keep it straight.

Did I have two shakes today or four?

I'm guessing three or four...but i also had a salad for lunch and steamed veg and soup for dinner.

I'm thinking I should set out the number of shakes I should eat each day so there's no question. Kind've like using a daily pill keeper so you know if you've taken your pills.

Wow, I'm not even 35 and my memory fails me!

Oops!

Was just rereading through all my lap-band materials. I have two folders one of which I just always carry with me. That's proven to be quite useful given all the prep that has been required.

In rereading through my pre-op diet list, it says I should have 1000 calories per day. That is 5 protein shakes plus I'm allowed the things I've mentioned previously like coffee with skim milk, sugar-free jello, broth and up to two cups of certain vegetables.

The problem is that five Ensure shakes and the other items add up to more than 1000 calories per day. Even if I don't go crazy withe the broth, etc. On some days I've instead done 4 protein shakes per day to stay under 1000 calories.

In any case, I've completely avoided any fats and have certainly lost weight, but perhaps the nutritionist's paperwork needs a wee bit of clarification.

Went down a size!


Okay, so first off, this isn't my butt! However, these are my jeans. I just went down a size in my jeans. Yay! (I just happen to have three very similar pairs of jeans in three sizes! I just kept buying bigger sizes as I needed to... So I'm in the middle size now, though they are quite fitted.)

In general, my clothes are starting to fit again. A bunch of things had gotten too tight recently. Though I'm excited about the weight I've lost, I'm also frustrated that I'm still higher than my average since I gained like 25 lbs this year. Just ridiculous.

I must have gained even more than that since this time last year as I had gone on a no-sugar diet and lost some weight last August. Talk about gaining it back and then some!

Friday, July 31, 2009

13 lbs Gone in 11 Days!

So I had a nice boost this morning when I saw that I'm down 13 pounds in 11 days!

I'm really getting a hang of this pre-op diet. I definitely would've given up on it had it not been for the surgery however. The best thing is that I have a pretty even energy level throughout the day if I eat on schedule.

I had gone mostly without solid food (ie: vegetables) this week given all the meetings, but today I was lucky enough to get a salad for both lunch and dinner. Below is today's food journal...

Breakfast
Shake & Coffee
250 calories

Lunch
Shake
Soup
Salad & carrots
Diet Dr. Pepper
345 calories

Dinner
Shake
Salad
Diet Dr. Pepper
300 calories

895 Calories

Wednesday, July 29, 2009

Good to know, Lap-bands are affected in air travel!

Just read an interesting post over at the Broken Bay Writers blog. Lap-bands get tighter and can cause problems with restriction, tightness, eating and possible vomiting while in flight!

So I guess I should pretty much try and avoid eating while flying and having that air pressure cause extra tightness (and thus embarrassment)...

Especially useful considering I have two upcoming flights, post surgery.

This is what I like to hear!

I love reading other "bandster's" blogs. It's not only insightful but often motivated. Look in the right-hand column for links to other lap-band and weight loss surgery (WLS) blogs.

Just got a much-needed lift for the day after reading about The Violinist with a Band's total 38 pound weight loss in just two months!

Given our wedding is in three months, I'd be very happy with a weight loss like that.

Congrats to her on a major success!

Pre-op doctors appointments are finally a thing of the past

I can officially now say I've completed all of my pre-op requirements in regards to doctors appointments! Hallelujah!

As I mentioned in my last post, I squeezed in two appointments today between sales mtg meetings -- a serious trick in itself. The esophagram was first thing in the morning, and then a standard Rx refill at lunch to make sure I'm covered while I'm out of commission post surgery.

A highlight of my day however was being grouped with other bariatric patients when I went to have my esophagram. All three were in various stages of post-op. Two lap-bands and one gastric bypass. It was interesting to sit and chat with them about their experiences. The woman who'd had the gastric bypass was maybe a year out and was thin! Always a big motivator.

She said she chose the bypass, which is less popular these days, because there is less intensive follow-up (no fill every month) and because her mom had done it and been successful. People with the bypass do statistically lose more weight.

Otherwise, a few general impressions from our conversation...

First, it was very supportive as it was an open group of people willing to talk about their experiences.

I was surprised that they all mentioned that the 5-year requirement was a challenge. Most if not all of the insurance plans require that you have been a certain amount overweight for five years. So that this is a major, ongoing problem and not just something new someone is looking for a quick fix for.

I guess I just take for granted that the people having this surgery are mostly people who have been overweight most of their lives. Since there are so many of us! But for this group, I don't think that was the case...

They all also talked about being happy with their decisions, although the other two band patients were less than a month post-op.

One had trouble throwing up post surgery, the other didn't. They both had trouble with the gas they pump into your stomach during the surgery. It's supposed to cause quite tremendous shoulder pain. Fingers crossed I dont have such a bad time with that...

Overall, I'm still optimistic about the surgery itself and counting down until Tuesday! 5 days left...

Monday, July 27, 2009

What I ate today...

In case anyone out there is curious about the realities of the pre-op diet, here's a breakdown of what I ate today...

8:00 a.m.
1/2 Chocolate Ensure Shake
100 calories

9:00 a.m.
Coffee with creamer, a splash of skim milk, and Splenda
25 calories

10:30 a.m.
1 Chocolate Ensure Shake
200 calories

12:30 p.m.
1 Chocolate Ensure Shake
1 packet Lipton vegetable broth
245 calories

2:30 p.m.
1 Chocolate Ensure Shake
1 packet Lipton vegetable broth
245 calories

4:30 p.m.
1 Chocolate Ensure Shake
1 packet Lipton soup
245 calories

7:00 p.m.
1/2 chocolate Ensure shake
Steamed green beans and grilled veggies
(mushrooms, red pepper, zucchini)
175 calories

TOTAL
1235 calories

I wouldn't usually have to have as much soup broth (3 servings), but because I didn't have any vegetables at lunch, I was pretty starving most of the day.

By the way


Can I just say, that I am pretty much despising celery at the moment. Plain, stringy, hateful celery.

The crunch is fine, the flavor barely there but good enough. However, that damn stringy texture.

Have I mentioned this diet is making me cranky? More to come on that.

Whew! Just scheduled my esophagram


I almost friggin forgot my esophogram! Oh no!

The surgeon requires an x-ray of my esophogus to make sure there are no obstructions before surgery. But they've been so low-key about it the whole time--it was never required in advance of any appointments or approvals--that I kept putting it off. Until of course last minute.

So this morning I got all nervous that it would be hard to get an appointment, especially since I'll be wicked busy all week with our sales mtg. But NYU's radiology dept was very cool about it, and they squeezed me into the appointment I wanted! AND it's only a couple of days before the results are in and they just fax them to my surgeon. Easy peasy.

Dealing with NYU has been surprisingly pleasant. I'm not talking about the bariatric surgery team, they've been great minus one iffy staff member. But being sent back and forth around the hospital has been clear and easy. All the various departments quite nice, easy-going and friendly.

I can't say the same when I had a lot of back and forth at Mass General in Boston a number of years back.

My GP was a bit surprised they'd leave the esophogram until so late however. Because if there is a random blockage, then the whole thing is off (I'm guessing?!) I think that's quite rare however, so I'm not really worried about it...

UPDATE: Just totally cracked myself up! I've replaced the x-ray image as it seems as though the first one was from some sort of animal, not a human! oops! I was wondering why the esophagram was sideways, but I just figured the person was laying down. I didn't figure the person was actually a dog or a horse or something.... ;)


Saturday, July 25, 2009

Got my insurance approval!


Yay! I just got a call confirming that I am officially approved for insurance coverage!

I had my surgery scheduled knowing I had everything I needed for the surgery, but on occasion people get denied, so I'm super excited to finally be approved.

NYU called and confirmed I'll only have a $100 copay for the surgery which is phenomenal. All in all, I'll end up spending more than $1000 based on various expenses such as the nutritionist, psychologist, supplements, shakes, and hospital copay, but $1000 out of what probably costs $20,000 at the end of the day is pretty impressive!

On a side note, I'm watching What Not to Wear while I'm writing this. I just have to put this out there to all my friends and family watching, I'd really like to be nominated post weight loss!

Monday, July 20, 2009

Fridge Purge


After being inspired by this previous post about completely clearing out the fridge, I decided to do just that tonight before I start my liquid diet. It really is symbolic of clearing all the crap out of my diet and life.

Since Alex won't be on a liquid diet, I did leave him his eggs and a few other things! And for guests, I've left some alcohol and sodas we never drink anyway. As for the condiments, for now they stay. We'll see what happens to them.

However, once all of my protein shakes from amazon arrive and once I go vegetable shopping, it'll be a lot less bare. For now, I'll get to keep trying some of the new protein shakes we got at GNC and at the neighborhood drug stores. Supposedly the myoplex is terrible according to Alex. I haven't tried it myself yet. But there are lots of other brands here too, just to provide some variety.

I'm quite happy that I don't have to ditch my morning coffee either.

Sunday, July 19, 2009

My liquid diet starts tomorrow!


My liquid diet starts tomorrow, and I'm actually excited about it!

I definitely overdid it this weekend which actually just made me feel kind've gross and ready for the liquid fast. There are a few things I can have however, beyond the protein shakes. I'm listing them here. I'm sure I'll be reviewing this list when I'm starving and scrambling for what I can eat!

  • Sugar free drinks
  • Diet, caffiene-free soda
  • Sugar free ices (up to 30 calories/day)
  • Sugar-free Jello
  • Low sodium broth
  • Up to 2 caffeinated drinks/day with skim milk and artificial sweetner
  • Up to 2 cups of vegetables (no corn, peas, potatoes, or beans)



Friday, July 17, 2009

Got Paid Today!


That means I was able to cross off a ton of things from my to-do list, like a couple of hundred dollars worth of protein shakes for the next month! Plus tons of supplements including the Juice Plus shown above, to help with the fact that I won't be eating fresh fruits and veggies for a month...

This weekend is also my final weekend of normal food. While I'm not going to utterly pig out, I do plan on a "final meal" out. I'm thinking Italian food. Plus I'm sure I'll order a pizza for dinner tomorrow and have a big 'ol NY bagel for breakfast one morning.

This is it. I'm up to the final countdown!

Wednesday, July 15, 2009

Lap Band Support Group

So one of the recommendations before surgery is that we attend a Lap-Band support meeting at NYU. I've done a lot of research, but it was interesting and insightful to see and hear people talk.

I'm all for therapy, but I spent my time in the session half interested and half annoyed at the few people that just wouldn't stop talking. One of which didn't even have a band!

I did learn something new about fills though. For those friends and family who aren't familiar with that term, basically, the lap-band can be filled with fluid so that it's adjustable to accommodate appetite and help people feel fuller. Some of the bands go up to 10cc's. One person asked a question about how much the band can be filled. For example, if he filled the band to 4cc's and it was too much, does that mean he can never go higher than 4cc's. I would've thought yes, but i guess as you lose weight your stomach changes and so later on, as you adjust, yes, you may then want to go higher than 4cc's. When your body is ready.

Other people talked about being frustrated about emotional eating, which is my biggest concern -- learning to deal with stress and boredom in other ways.

However, the most significant impression was that many people hadn't lost as much weight as I expected. The average might have been 40 to 60 pounds. A couple had lost more. I guess I was thinking I'd lose 40 just at the beginning, in the first few months!

Again and again people said that they were so glad they'd had it done, but it's a pretty major step just to lose 40lbs!



Four more days of normal eating...

I just realized today that I only have four more days of being "normal!" Not that being at my weight is normal but four more days of eating like a real person anyhow.

Went to lunch with colleagues today. Trying to enjoy my food without getting crazy up until Monday.

Monday is when I begin my liquid diet. I've come to learn that this 6 weeks I'm about to enter without solid food is referred to as "Bandster Hell." Lovely.

Surprisingly, there's a part of me that's looking forward to it. It feels like a challenge. The surgery itself makes me nervous, but the liquid fast beforehand feels like something imposed (in a good way) that I can still control.