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Well I'll have you all know, I was in bed, found a comfy spot to lay in (hard to do these days with 5 incisions) and all but asleep when I keep feeling this nagging sensation for not writing my blog tonight. One of the main reasons I started this blog was to give me something to be accountable for. If I had to blog once a week (at least) and update whomever reads this on my progress then I would be less likely to cheat or fall of the band wagon...ha ha, you get my joke? So I drug my butt out of bed, fired up the computer and now here I am. It is hard to believe that it was only a week ago today that I was having my very first surgery and that at this time last week I was in a drug induced stupor off in dream land. I've read many postings on the LBT website I am a member of for fellow lap banders, that many people had a "what have I done," moment. I can honestly say as hungry as I have been over the past week, I have never had that moment. I am very excited that I can honestly say I've had the surgery and I am on the path of weight loss. Yes I know it will be a lot of hard work with controlling my diet and exercising but I am really looking forward to it. And I think having the lap band will be the perfect tool to help me reach my goals. I am just ready to be off restriction for diet and exercise so I can come up with my "real" world plan. I have been looking at the class schedules at 24 Hour Fitness coming up with a plan for which classes I am going to take when. I would ideally like to do at least 2 classes a week of weight training and cardio at least 5 times a week. Once I can start going to these classes and working out I know that it will become second nature and of course seeing the results will be extra motivation to keep going too. Right now I am on the second week of my post op diet which consists of my protein shakes and thicker soups such as tomato soup. Last week was just pure broth which was harder than I thought it would be. I had read that a lot of people were not hungry the days following surgery. Well this fat girl wasn't one of those lucky ones. Staying awake long enough last week to sip my water and protein shakes was tough since the pain meds knocked me out pretty good, however when I was awake I was definitely hungry. And since I was only drinking liquids which go right through my band I had a very limited window of that "full" feeling. I do enjoy that only about a cup of liquid makes me "full." I am also working out my plan for when I can return to normal food in about 2 more weeks. There is a place here in Houston and also Dallas called My Fit Foods, (www.myfitfoods.com) I have had their meals on several occasions. They are low fat, high protein meals that are aimed at people who are as I call "label aware," and looking for fast but yummy healthy food options. Only down side is that they are on the other side of town, but I can trek over there on Sunday's and prepare for the week. They have several options, low carb, gluten free, etc. I plan on getting their small portion, which is 3 oz of protein for my lunches. I am one of those people that if I have to prepare a lot in advance I will eventually stop doing it. Or I will wait until I am ravenously hungry and be miserable. They are pretty affordable ranging from $6-$8 a meal which is cheaper than eating out somewhere and I believe the portions are small enough that I wont be wasting a lot of food. They have a lot of chicken, fish, and turkey options which will be nice. I still plan on having a protein shake for breakfast and just protein and veggies for dinner. I would update you on my scale progress, but I have refused to get on the damn thing since Saturday. I was very frustrated that after having weight loss surgery (WLS) that from the time I went in the operating room until I came out I managed to find 6 lbs. I know that this is from the fluids and bloating my body has gone through from surgery. But it was a little frustrating. My nurse practitioner told me this was normal and that I would see results soon. She also pointed out that I was losing visceral fat and that my clothes probably fit better. At this point I wasn't wearing much but yoga pants and t-shirts so I wouldn't know. Saturday I got dressed and my tightest pair of jean shorts fit considerably better, even were a little loose. And I was able to comfortably wear a shirt I hadn't worn in 2 years. It wasn't too tight anywhere and managed to cover what I wanted it to. So small victories. I had said I would weigh on Tuesdays but I think I am going to push that to Wednesday or Thursdays. I'll let you all know. My surgeon's office also has a support group once a month, I am not really sure what to expect from it, but I believe I will go. Any tips and advice from people going through this with me might be helpful. That will be this Wednesday. I would be lying to say that I am not scared **** less that I will not lose any weight. Although I have bitched and complained a fair amount, I have managed to stick to my diet so I know that I will lose the weight. I also think I have an outline for success with my food and exercise plans. I just have to be patient (gasp!) and let my body work its magic. I cannot fail! My mini goal is to see -20 lbs by my post-op appointment on 10/9. I managed to get to work today and I will say it was odd to be back there, I kinda enjoyed being off for a week. I was so worried that the world would end without me for a week but they all survived. I had my shake for breakfast and managed to drink some water. About 10:00 a.m. I started feeling really tired and out of it and my incisions were starting to really bother me. I didn't take my pain meds because I didn't want to fall asleep at my desk, so I was only taking Advil. I made it until about 12:30 before I threw in the towel and packed it in and went home. When I got home I did notice I was really pale and my cheeks were flushed. So tomorrow I will be taking a half dose of pain meds about 9:00 to see if that doesn't help me make it the entire day. So anyways, this is a long ramble and I do need to get to sleep. Big party at work tomorrow with lots of vendors and customers so I have to be on my game. Maybe the pain meds will help drown my anxiety about not being successful with a weight loss. Until tomorrow, Amanda

Last Wednesday, I had a 7 week check up. At that time, I was down nearly 60 pounds. Since last Wednesday, I have lost another 6 pounds. I am 8 weeks out and have lost about 75% of what I wanted to lose. For those who are wondering, I did not start out an ultra heavyweight. I started out with two goals: a weight goal and a sculpting goal. I am certain that the sculpting goal will take more time. My restriction hasn't really changed but there are times that I can eat more than I would expect I could. Sometimes, my stomach is fickle. My new obsession is the chicken tortilla soup I wrote about last time. I must have been in Whole Food's three times this week just to get that soup and those parmesan crisps. I'm addicted. I found the nutrition info online and it's not too bad at all. In a more technical vein, I have heard people on these various boards talk about how much protein one can absorb in a single setting. It usually comes up when people are drinking a protein shake that has 40+ grams of protein per serving. I think the magic number at which your body supposedly stops using ingested protein is 30g. This doesn't make any sense to me and here's why: First, our intestines are nearly 30 feet long. The process of digestion takes hours. While it's feasible to assume that we only digest so much per hour, it makes no sense to think that after our bodies have digested a certain amount of what we've eaten, no matter how much of it we've eaten, it just stops and won't process any more. Secondly, let's say one eats all of the 0.8g/kg of body weight that the RDA recommends for protein intake in 1 meal and another person ate the same amount of protein as the first person but spread theirs out so that they didn't go over the magical 30g. This means that when it's all said and done, the first person, who is eating the exact same amount of protein every day as the second person, would end up being protein deficient while the second person would be perfectly okay (from a protein perspective). The only difference I can see here is that the first person's body will take longer to digest and process the nutrients and the second person will have shorter digestion sessions. I'm sure that body weight, genetics and all of that other good stuff has a lot to do with it as well; not to mention goals (ie. muscle building vs. fat loss). It seems to me that the "limit" that a body can process and use in a single meal would be pretty much equivalent to what it can use in a whole day (more than 30g, I'm sure). There's an empirical study that actually appears to state that the older the individual, the better it is to do a large serving of protein for muscle retention than several small servings. There's also another that says that there was no difference in eating the bulk of the day's protein in one meal or spreading them out. The studies I'm referring to are both by Arnal et. al. : Journal of Nutrition- 2000- Vol.130(7) "Protein feeding pattern does not affect protein retention in young women." American Journal of Clinical Nutrition-1999-Vol 69(6) "Protein pulse feeding improves protein retention in elderly women." They're good studies and they are short reads. Do your own research but whatever happens, always stay vigilant.

I have heard people call lapband life numerous things - diet, life style change, easy, hard, ect. I think most people who have had lapband would say lapband is not easy, but is it horrible NO! For me this isn't a diet and not exactly a life style change it is a change in state of mind. Before I never really thought about what I was putting in my mouth. My only thought was this is going to taste good or I want it. Now I think about how good or bad what I am eating is for me and am I hungry. Before it was never really about being hungry, I didn't realize that until now, it was about avalibility and desire. As a kid I grew up on a farm when we went in for lunch we were told to clean our plate because we wouldn't have food avalible later so you ate it no matter if you were hungry or not. Maybe that was where my food issues began, maybe not, regardless the issue began. Now I must change my state of mind. I am the worlds best at excuses and justification. I can argue forever on why I can't exercise tonight or justify why I deserve a cupcake. However, I must switch that up. I need to justify why I need to exercise and make excuses why I can't eat that cupcake. Thank the Lord, I have an amazing support system in my husband. When I want to make excuses to not exercise he kicks my butt in gear because he loves me and wants me to be successful, for me. I am changing my state of mind where food and excercise come in. While I am 31 I am an old fashion southern girl and life always revolved around food and sweet tea. I have to change that state of mind - no more fried chicken, no more sugar sweet tea. That doesn't mean I won't ever have it again, but it will not be on the regular rotation that is was at one time. For years I have worked where you eat quick or you may not eat. I learned to eat quickly. Now my band has taught me to eat slow, if I don't it hurts. I chew, chew, chew instead of swollowing whole. My state of mind has changed. Since June 22nd when I received my band my whole state of mind has changed. I always wanted to be sucessful with this, but worried I wouldn't be because of my old state of mind. Now that my state of mind has changed and continues to evolve the more I become sure that I will be successful, not because my weight is going down, not because I opted to diet, not because I work out but because of my state of mind. I am proud of my weightloss yes, but I am more proud of the change of my state of mind because I developed my old ways over 31 years, but now I am evolving and my state of mind changing for the healthier. I completely feel better, not just physcially, but mentally and emotionally to. It's not just the confindence that I have now, but the the clear head, the lower stress, the comfort. I feel better because I am not over eating and miserable after a meal. The Lapband State of Mind is pretty darn good!! Hope you will join me in the Lapband State of Mind

Seminar July 5th Surgeons office visit August 24th Nutrition class August 27th Psych Evaluation August 30th Insurance request submitted September 10th Approved September 17th! I really didn't think this day would come. So many personal hurtles and worries about insurance. Im estatic! I really look forward to starting my new life which won't revolve around food. It's going to be hard, so hard, but it will be so worth it. I just hope and pray I make it through surgery <3.

Do any other pre sleevies feel like things move slow to get thru the process. I had my first stop class one week ago and have been waiting for the call to have my psych appointment......no call yet. I have a three week periodoff of work starting at the end of November and I am really hoping that everything will be in place by then. Please give me patience!

At this moment, I am so happy. Happy to be loosing weight so fast! For the first time in my life! Ok, I know it wont be this easy always but, I'm gonna take this happy and run with it! If I loose 3 more lbs by Monday, I'll have lost 10lbs. this week! And I think I might actually loose a few more lbs. if I keep going the way I'm going. Its fun to get on the scale now. ha ha ha What I want now is one of those fit bit thingys and the new scale that goes with it (the aria I think its called?) I think that weight loss centers should offer them at a discount to their patients. For achieving goals or something, or just 10% off. I have a feeling that I wont get one for my birthday so, I'll have to buy it for myself. Boo hoo, where's that violin noise coming from? I pooped today for the first time in 6 days. It was almost the worst poop I've ever had. I was sweaty and had to lie down afterwards. Baby Jesus it was painful. Obviously I've been constipated. After my horrific 20 minutes on the pot, I layed down for 10 minutes, got up and drove for the first time in 5 days. It really wore me out. No driving after fighting with the poopy again for a while. Hopefully there will be no constipation like that again. I don't wanna be holding on to the sink and towel rack again praying for a miracle while sweat is dripping from my forehead. Blech. I briefly talked to my cousins wife on facebook today. I told her I had gastric bypass. She said, "Ohh noo!" and "So Sad!" I'm thinking to myself, sad? Seriously? Ummm, I'm huge and trying to loose weight is sad? What a psycho! That makes me so mad! But, I calmly said (typed) "Don't be sad, I'm not. I really like everything thats happened so far." Sad? Why would some people automatically say sad? Don't you understand lady that I've been miserable and basically SAD for a really really long time??? This is the opposite of sad idiot! Jealousy? She thinks I'm not going to get enough nutrients or something? That's by far the weirdest reaction Ive gotten so far.

Ha... now I have that song stuck in my head. I am referring to one more medical appointment down and only 1 more to go before I can schedule my surgery!!! Woot woot!. Met with the NUT today and it was totally different than the scenario I had pictured in my head. First off, she was a lovely woman. Really friendly and nice. Very much like my surgeon. So supportive of my decision and my choice. She went over the diet with me and seemed really surprised about how much I already knew and was doing ahead of time to prepare. (A big thank you to you folks here on the board with all your advice and tips on pre-op dieting and such). She gave me lots of little samples of different proteins, calcium chews, chewable and liquid vitamins, etc. I got a little bag with me. We talked for about 40 minutes and then she ended the visit by letting me know she was sending her approval for surgery over to my surgeon. Once my surgery date is set, I need to schedule one more pre-op visit with her, just to go over the information again (probably only 20-30min) and that's it! No 3 month or 6 month supervised diet, no 6-8 series of visits, etc. like I was envisioning. I really thought I was going to be derailed and have a major crash and burn, but no... it was just really positive. So I'm happy. Happy, happy, happy. I called to schedule my follow-up visit with my surgeon to schedule my surgery date, but unfortunately, he is on vacation next week. Which means he was fully booked this week. Then I am on vacation the following week (10/01 - 10/08). But I got an appointment right when I get back on 10/09. I will have my psych eval on 09/24 (next monday) so he should have everything he needs by 10/09. I really want to schedule this surgery in October. Fingers crossed! And another one gone, and another one gone... another one bites the dust.

So I was hungry at lunch time and had to run some errands so I went to my fave chinese lunch place to get an order to go. I ordered their chicken salad lunch which also comes with 3 potstickers. The salad is big so I usually end up eating only about 1/2 and saving the rest for dinner or the next day. The chicken is also shredded white meat so it's not breaded and fried and the dressing is really light. Overall it's not bad at all and heck - Lord knows I could do worse. So I order it to go and they put my order inside a container inside a bag tied up so that it doesn't spill. Anyway - I get back to work and I open it and ta da... it is some oily stir fried noodle dish with beef. A huge container of it. I took about 3 bites (literally) and gave the rest to a co-worker. No potstickers either. Sigh. I took it as a sign not to deviate from my diet! Ha! On a positive note, I called the restaurant and they refunded my purchase (turned out they swapped my order with another customer). The downside is I have no lunch. Maybe the GVS gods are trying to tell me something... STAY ON TRACK For the first time, I feel antsy today. I feel so close, but still things left to do before I can schedule my surgery date. Next Monday I have my first NUT appt. and the following Monday I have my psych eval. I keep telling myself I did get the first available appt. when I called. And it was only 3 weeks later (now 2 weeks away) so things are still moving really fast. I will have done everything necessary start to finish within only 30 days. BUT - it's hard not to be anxious. I want this so badly. I hate hurry up and wait mode. 14 days until I can schedule my 2nd appt. with the surgeon to get my surgery date.

This is my first blog entry. I will be using this blog as a place to log my journey. I will post updates, future appointment dates, my surgery date and so forth. After my operation, I will use this as a tool to post about successes, set backs, and my day-to-day well being. A quick update on my progress thus far: 1. Met with my PCP to get a referral to the BS Department (8/24/12) 2. Attended mandatory orientation for gastric sleeve (8/26/12) 3. Met with Surgeon for GSV (8/31/12) 4. Had EKG, Upper GI X-Ray, Ultrasound, and necessary lab work (9/4/12) Still TO DO: 5. Meet with NUT (Mandatory for clearance) 9/17/12 6. Have Psych/Mental Health Eval (Mandatory for clearance) 9/24/12 7. SCHEDULE SURGERY DATE (TBD) I am almost there. Luckily I have already been pre-approved by my health insurance, so this process has been running like a well oiled machine (knock on wood & fingers crossed). I hope to have my surgery date scheduled sometime in October. I am very pro-active in my care, so I made sure to contact my insurance company first, prior to starting the process, to see what I would need to get this done. I also went ahead and scheduled all my appointments directly, rather than waiting for the various departments to contact me, which I have past experienced in the past, could be delayed up to 2 weeks, before someone finally gets around to contacting me. By being proactive, I am making sure all my t's are crossed and i's are dotted so to speak. I am nervous, as I am sure everyone is. BUT - I am also ready. SO ready. I am prepared, mentally, emotionally and physically for this. I have my own reasons for this surgery, as I am sure everyone has. This could literally help save my life and make the time I do have better. It's about quality of life for me at this point. And I am prepared to do whatever it takes.