As requested by one of my favorite fellow teachers, I am going to outline my journey through this process.

Other than researching the surgery, my first step was visiting my primary care physician, Dr. Mark DalleAve. (This was around June 2008, I believe.) I was reluctant to ask him about the surgery because he tends to be very conservative. I feared he would want me to try more traditional methods--again. Surprisingly, that was not the case. He said he thought I would be a good candidate for the surgery and sent me for some preliminary bloodwork he knew would be required.

The bloodwork revealed that everything was basically okay with the exception of my thyroid. I can never remember whether mine is hyper or hypo. I just know that the number on my bloodwork print out was higher than it should've been. I think the highest it should be is like 4.5 and mine was 9 something. Either way, he put me on synthroid for two months, and I had to be rechecked after that. The medicine worked well. My levels were down to 2 something when rechecked.

As I said before, my other tests were "basically okay." However, as I researched the results and what they meant, I realized that I am VERY close to being a diagnosed diabetic. That was another real wake up call for me. I do NOT want to become diabetic and have to handle all the problems that come with that. This gave me even more determination to do this and make it work.

After my thyroid was under controll with medicine, the doctor was ready to refer me to the surgeon. This is where the waiting game started again. (I was already disappointed by having to wait months on the thyroid tests.) It took nearly two weeks for me to even hear from the surgeon. (This surgeon had been recommended by the nurses at Dr. DalleAve's office because he said they knew more about who was good than he did.) When I did hear back from this surgeon, there was a huge packet of information for me to complete and they wanted a "Program Fee" of $150 before they would make my appointment. When I asked questions of the receptionist, she answered everything, but she didn't offer any information on her own. I was unimpressed.

I was a little unsure if this was the surgeon I wanted to see, so I did a little more research on this website as well as others online. I called the office of Doctors Watson and Hodge in Johnson City, TN, and I'm very glad I did. The receptionist was happy to answer my questions and offered additional information on the expertise and experience of the surgeons. I had to wait nearly three months for an appointment, but they gladly made me an appointment. I met with Dr. Hodge for the first time on Dec. 17, 2008. (In the meantime I did have quite a lot of paperwork to complete but not nearly as much as requested by the other surgeon. All of this questions actually seemed relevant.)

In the time while I had to wait for my appointment, I decided to do everything I could to prepare. I contacted my insurance company to find out exactly what requirements I would have to meet to qualify for the surgery. (I already knew it was a covered benefit.) I met every criteria, but I was disappointed to learn that I would have to undergo a 6 mo. doctor supervised diet before surgery. When starting this journey, I hoped to have the surgery in early 2009. At every turn I realized it would take longer and longer, and it seemed like it would take forever.

I also found that I would have to attend four seminars on the lap band as required by my surgeon. I attended two of these in October, and I plan to attend the other two soon. At the October seminars, I learned that I would have a few more hoops to jump.

December 17 came more quickly than I imagined. At that visit, I was given a list of my homework and directions for starting my 6 mo. diet. All my homework will be "due" by my 7th appointment, which will also be the end of my sixth month diet and my preop appointment.

For my homework, I have to have statements from my primary care doctor once per year from 2004-2008 with my height and weight listed. This is to show my five year history of obesity. (No problem there; I was obese even as the captain of my high school cheerleading squad.) These records can be from any visit; it doesn't have to be a weight-related visit. I also have to have an EGD, which I have scheduled for my spring break. I do NOT have to have an ultrasound of my gall bladder because I had that removed in 2004. I also have to have a letter from Dr. DalleAve stating that he "recommends" me as a candidate for the surgery, a letter from myself to my surgeon stating why I want to have the surgery and what I expect, a visit to a nutritionist, and a visit to a psychologist. The surgeon's office was very helpful in recommending psychologists, and they actually offer complimentary visits to a nutritionist at the local mall's health services center. This is in addition to the seminars which I mentioned previously. I know this may sound like a lot of homework, but I have six months to do it, so I don't think it will be bad.

The last thing I have done is my second visit to the surgeon. I didn't see him, but I saw his nurse practioner instead. She was very helpful and encouraging. I lost 5 pounds on the first month of my 6 mo. diet. I was apologetic that I hadn't lost more, but she was quick to let me know that any loss was a good loss.

My next appointment is in a few weeks, and by that time I hope to have more of my "homework" completed. I will post again after that, if not before. Until then, wish me luck and let me know if you have any questions.