Holly Dolly

This article went out to all 3,000 employees at my state agency. Guess everyone knows now.
 
 
Surgical maneuver: Amanda changes course with weight loss surgery
 
Weight loss surgery is simply a cosmetic issue; it’s taking the easy way out. Amanda is witness to the fallacy of these notions. Candidates for surgery have exhausted other means of weight loss and are at risk of illnesses that can be life threatening. And treatment does not end with surgery. Success demands from patients a long-term commitment to a healthy lifestyle.
 
For Amanda, weight loss surgery afforded her the opportunity to make the necessary and permanent change in her life that other methods had failed to do. Her body mass index was in the severe range. The three medicines she was taking were not stabilizing her high blood pressure. And Amanda’s doctor had diagnosed her as prediabetic.
 
Amanda recalls, “I couldn’t even walk up five stairs to get into the building without [being winded]. Medically, I was completely unhealthy. And I had to do something to change that.”
 
Choosing the right course
 
Of the three main types of weight loss surgery, Amanda opted for the least invasive: laparoscopic gastric banding. She was concerned that sleeve gastrectomy, which involves removing about 75 percent of the stomach, is too new a procedure and is irreversible. And gastric bypass surgery, although more common, is also considered to be irreversible and has a higher risk of nutritional deficiency. Gastric bypass surgery involves sealing off the upper part of the stomach and connecting it to the lower part of the small intestine. Thus food skips part of the digestive tract, and the body absorbs fewer calories.
 
Amanda chose laparoscopic gastric banding (lap bad surgery) not only because it is the least invasive but also because it is reversible and involves routine checkups. A band is placed near the top of the stomach and is inflated with a saline solution to create a pouch, or kind of funnel. When a patient eats, the pouch fills up with food much sooner than the entire stomach would. As a result, the patient feels full sooner. The food also takes longer to pass into the lower part of the stomach, which increases the amount of time that the patient feels satisfied between meals.
 
The band is adjustable, allowing doctors to routinely evaluate and optimize its effectiveness. A tube runs from the band to an access port — a small, discreet incision under the skin on the patient’s stomach. The doctor inserts a needle into the port to add saline solution to the band. The solution tightens the band, which shrinks the size of the opening from the upper stomach to the lower stomach and so reduces the patient’s food consumption. The port can also be used to remove solution from the band if the band is too tight to allow food to move through the digestive tract or is causing problems, such as pain or vomiting. Regular checkups enable the doctor to find and maintain the “green zone,” the most effective opening size for the patient.
 
The journey has just begun
Amanda’s surgery was successful, but it was just the beginning. For the first two weeks after the operation, she could consume only clear liquids. She graduated to full liquids for the following two weeks. Only then could she move on to the luxury of mushy foods.
 
Recalling her trial by diet, she says, “The first two weeks, [you’re not so hungry] because your stomach is full, and you don’t have an appetite. But once the swelling went down, the hunger returned with a vengeance.”
 
Amanda did eventually get to move on to solid foods, but in order to avoid discomfort or potential problems, such as band slippage, she has had to adopt strict eating habits. She eats only about a cup of food per meal, which she serves on a side dish to appear more abundant. She chews her food very well, about 20 or 30 chews, before swallowing, and she must wait at least a minute between bites. She downloaded an app to help her time her bites.
 
“The idea is that it takes you about 20 or 30 minutes to eat your meal. And then you’re full. If you follow those protocols, nine times out of ten you have no problem. Most complications are from patients’ not following the guidelines and not changing their eating habits.”
 
Band or no band, most anyone would likely benefit from those eating practices.
 
Steady as she goes
Referencing Leslie Mitchell’s comment in a recent article about the Calorie Counter app, Amanda notes that surgery, like the app or any weight loss tool, is not a magic wand. The surgery helped Amanda lose 80 pounds in a year, but its success depended on her discipline to consistently make healthy choices, a discipline that
she must enforce for the rest of her life.
 
Amanda now exercises daily. Not only did she overcome those five steps that used to wind her entering the building, but she now climbs the stairs to her office each morning…on the eighth floor! And sometimes, she makes the trip more than once a day.
“My exercise is walking. I don’t do gyms,” she laughs.
 
Once a month, Amanda meets with a support group. Fellow members, who have all had lap band surgery, offer emotional and moral support as well as exchange recipes and ideas.
 
Amanda also strictly monitors the food she eats. Since she is eating less food, she must ensure that every bite packs a nutritional punch.
“I eat high protein — three to four ounces of protein per meal; then, veggies. Then if I’m still hungry, I add the carbohydrates. But most carbohydrates give you energy but don’t fill you. They make you hungry, especially…non-complex carbohydrates….If I’m going to eat something, I’m going to make sure it’s worth my while.”
She’s even been known to turn down a piece of chocolate these days. Her rationale: A piece of chocolate may be only 45 calories, but that’s 45 calories of mostly empty nutritional value.
 
The surgery, she explains, “doesn’t change the type of food you put in your mouth. You have to control that. Ice cream will go straight down — [the band] is a funnel. For a lot of the people who aren’t successful, it’s because they don’t change their eating habits. It’s the same with any of the surgeries. Like with the bypass — some people lose all this weight and then just gain it right back.”
 
Although her new diet is strict, Amanda can still enjoy the occasional treat. “It all boils down to calories in versus calories out. It depends on how physical I am,” she explains. Eloquently articulating her new outlook, she says, “Now I eat to fuel the body and not the obsession.”
 
Balancing the costs
Unfortunately, costs for lap band surgery can be prohibitive. The procedure is expensive, and the amount of insurance coverage depends on the plan. To qualify under many plans, an individual must have a body mass index (BMI) of 35 or greater and two comorbid conditions, such as high blood pressure and prediabetes. Currently, the state of Texas plan uses a higher BMI minimum and includes some additional requirements. Naturally, other costs can include deductibles and copays. Individuals interested in weight loss surgery should consult their provider for details.
 
The initial expense may be high, but the investment is sound. Weight loss surgery can be a valuable tool in promoting healthy lifestyles and likely reducing the high costs of long-term medical care. In addition, investing in healthy individuals can, as this agency has recognized with its successful wellness program, yield solid returns for all.

I am really really glad I found a post to share my lap-band surgery experience. I thought about creating a personal blog, but felt it would lack the support from other lap-band patients. So here goes everything:
I had my surgery on 10/31/2011. Halloween. Barely had time to grab halloween costumes for my boys-who have been super supportive of mommies post surgery needs-as supportive as 7 and 9 years olds can be:) Surgery went great, post 3-4 days was as painful as abdominal surgery is expcted to be and by day 6-7, I was feeling much much better. I took a three week leave from work which was great to get rest, adjust to the eating routine and just be stress-free to truly focus on recovering.
I hated being on the liquid diet for what...4 weeks? That was hard as hell. But by my 3 week appt I had dropped 11 pounds.
 
I started at 256lbs. Im currently at 239 which is a little frustrating for me. But I defintely notice what many weightloss surgery folks notice....my clothes are all big. I was wearing an 18-20 pre surgery and purchased my first size 14 pants a couple of weeks ago. All of my old pants, whether jeans or dress pants, are big on me. I'm wearing my old bra's and buying size large sweats versus extra large. So I'm not too concerned about the scale, but it's frustrating and that's maybe because 256 and even at 239, it's the heaviest I have ever been.
 
I've had one fill and can't recall how many cc's I received, but I have another fill coming on 4/25/2012-which will be 4 months after my last fill.
 
I can certainly feel the restriction. But I do get hungry in between. Now I have a hard time eating the following foods (which is not a bad thing): rice, bread, eggs, pasta, and grilled chicken unless it's extremely tender. Can't eat fast even if I want too! It will come right back up and keeps me in constant control of how I eat which is fantastic. I buy less groceries, I order less when I go out. If I do eat too fast, the pain is a good reminder to not do it again.
 
I was advised during my last nutrion visit to not count calories. They want to know how I do and how I feel just by eating and go about my daily routine. So that's what I've been doing. One constant that I still deal with? Finding time to exercise! The size of my stomach changed (the little band anyway), but my normal every day schedule has not!
 
I'm determined to make this work for me and again, I can physically see that results are possible so I'm not giving up my fight to use this tool I've been given. Especially since the post surgery pain is still fresh in my mind:)

One of the best things I have re-discovered was a body shaper! I love mine! I got it at Lane Bryant from Cacique and it was only 45.00. As I am losing, I thought it was a good idea to make sure that I keep things..ummm... sucked in! LOL! I remember after my first child was born my grandmother and mother both kept telling me to wear this god awful girdle and I refused. Oh how many times I have wished I had worn it to keep this tummy from not being so flabby. With mine on, overall I am three inches "slimmer" It is also very comfortable, and does not roll down. The only thing that is a bit of trouble is when nature calls and then I have to basically get undressed to go. I have a friend who had the sleeve and she has been wearing one every day and today I saw her without one. She went from a 26 to a 14 in about four months and she has really done well wearing her body shaper every day. She looks amazing!
 
Tomorrow is six weeks since my surgery and I feel good. I have a second fill on 4/11., if I need it. I have gone from a size 24 from when I first started my weight loss journey, to a loose size 18 today. I am 55 pounds from my goal.I am also back on my regular gym schedule and that feels awesome! I am toying with the idea of maybe buying a swimsuit this summer..... Well I will think about it

So with this new journey that im on i have been thinking alot about bathing suit shopping. Keeping in mind i haven't owned a bathing suit in about 8 years. When ever we go to the beach or lake i usually wear tank top and shorts no big deal or I just don't go becuz lets be real im a bigger person and i sweat in heat and i hate to be hot. So with my on day 4 of my post op and 16lbs lighter im looking toward summer and all the fun things i plan on doing with my 2y/o son.
 
On the other hand how comfortable am I going to be showing off that much skin?? My 1st reaction is like HELL YEA!! show off my hard work but I didn't do it for anybody but me. So im struggling mentally what kind of bathing suit will i get? will i still cover up? how comfortable will i feel? So much to think about..... But im really missing the big picture here I WILL FINALLY HAVE OPTIONS!!!!!! Like b4 going in2 a store like lane bryant and spending $100 on a swim suit that i don't really like or going into a store and just getting a plain black one that supposed to hide everything. Now I will be able to go into diff stores try on whatever I want and in diff colors and won't have to pay extra for the bigger size!!!! So excited for that!!!!!

Well, I finally did it! I finally lost an amount of weight in one week that didn't show up on the scale as 0.something or 1.something. This week, I lost 2.8 lbs!!! (Picture me doing a happy dance here. It involves sparkles. And trained poodles.)
 
This feels almost like I've got a lap band. It's hard sometimes to read about how fast other people are losing weight when I've been losing mostly a pound a week, if I'm lucky. 2.8 brings me real satisfaction. Even if it doesn't happen like this every week, getting a result like this at least every once in a while is like a shot of inspiration. I can take this and run with it. GO ME!!!

Ok, so It's been several months since I've visited my page or been compliant with my lap-band. I've been so off track since December. I had lost 83 pounds in 8 months and since December I've gained 27 pounds back! I've been pigging out on slidder foods or "eating around the band" as my surgeon calls it. I haven't even been to see my surgeon since October because I'm embarrassed about my weight gain. I feel like a complete looser and physically feel worse than when I weighed 323 pounds. I'm not sure how to start over or get serious again but I'm definitely going to try. I need to place my focus back on me. I have a treadmill, elipictal, free weights and an exercise bike in the guest room collecting dust! I'm making a public and personal committment right now to get back to being on track. If anyone has experienced anyone like this or has any suggestions on assisting me in my struggle please don't hesitate to comment or e-mail me.

This weeks weigh in: 175.4lbs. Down .6lbs this week.
I went to a step class Friday. It kicked my ass and I loved every minute of it. Trying to use the toilet or climb stairs on Saturday SUCKED but it was that good good pain. I sweat my ass off through a tank and a t-shirt! GOOD STUFF! Phew!

Work has been crazy and although my daily eating habits are just fine despite being out for work dinners almost every week night for the last week and all of this week too. At one of the dinners, I tried a few bites of a hot dog A HOT DOG!!! I haven't had a hot dog in forever. It smelled horribly delicious at the table next to us and I wanted mine with mustard. Tons of mustard. I had a bite and it was all good. Not quite what I imagined it to taste like but I settled on the compromise that since it was not a 10 out of 10, I would only have a few small bites and leave it alone. Well, I did have a few small bites while keeping up the conversation with a few folks. I must have been distracted because on my 3rd bite, about an 1/8th of the way in to this guilty pleasure, I felt a funny swallow. It was too big. I was going to get stuck at a work dinner. FABO!
I quietly (couldn't talk) excused myself, went straight to the bathroom and was horrified to see 5 little girls playing around in and out of the 2 stalls. There was a line up! I could not imagine letting these innocent little darlings watch me lose my lunch into the garbage can, but it was coming. I couldn't open my mouth to tell them to hurry or get out of the way... so I waited swallowing hard, rocking the cold sweat and pacing. Finally, they left and I went straight in to the stall and effortlessly just spat it right out. Not to go in to TMI but this piece of hot dog that was causing all of this, was the size of a small pea. My vitamins are bigger than this. WTF? Lesson learned. Farewell hot dogs... I will miss you but my ass will not. Apparently, I have tricked myself in to believing that they taste a whole lot better than they really do.
This weekend the hubby and I are hitting the slopes at Marmot Basin. A whole weekend away together... alone! I don't know if we have ever done this. I am really excited about us being able to share another hobby! I love the Rocky Mountains and I love Jasper, Alberta almost as much as I love the ocean. There is something to be said about a heard of elk greeting you at your door in the morning and the surrounding views of the Rocky Mountains. When I was younger I used to dream about building my own little cabin way up there in the bush with a zip line just for me to take my trips to town for supplies. Although I still love the idea, I know that I would never survive! lol.
I love the outdoors and am so fortunate to live where I do. The promise of this will get me through this week!

Check out one of the Travel Alberta Commercials:

If anyone ever wants to come visit Canada for a BOOBS tour - let me know! lol. Sadly, I will not be making Chicago this year. I had hoped to but with the wedding in April (38 days until departure to be exact) and an awesome week-long road-trip with the Besties to Vancouver Island in July, I won't be able to afford it. It doesn't help that September is black out month for all of the field executives at work either. Maybe 2013!
More news; My Mom had decided to have Bypass surgery in May after the Mexico trip. She has started a blog and when she figures out how to send me a link, I will share it with you all. I am really excited for her and she has worked really hard at all of this for a while now. She is down 30ish lbs so far and I only see her working harder and harder. Allot of the work has been on her own and she has even been trying to motivate some of the girls that she has met through different nutrition and psych classes that she has attended. I am proud of her and cannot wait for her to tap in to the wonderful world of support in blogland! Stay tuned!
Take Care all and please keep your fingers crossed for me to escape the weekend without injury!

You know, relatively.
 
First off, I feel the need to simultaneously thank and apologize to everyone who read through yesterday's bitter, angry rant. I did need to get that off my chest, but now Logical Me has woken up from the knock out punch she took from Emotional Me and is able to add a sliver of rationality to the discussion. Because there IS more to this than calories in and calories out, and I'm not in this for an overnight weight loss. I'm in this for the long haul.
 
I really do appreciate everyone who took the time to point out all the things Emotional Me didn't want to hear, because I do need to remember all that, things like: we're more than an equation, plateaus happen, the band does work, calm down and just keep chugging along. I did need to hear that. I didn't really want to yesterday, but I needed to.
 
One good thing--one really good thing--did come out of yesterday, though. I had my mad on yesterday, and I was plenty bitter. I had more than my share of "to hell with it" thoughts, and in previous years that would have equalled a cheeseburger at the very least. Instead, I just kept plugging. Yeah, I ate a few more calories than the day before, but I tracked them all and I still stayed below 1200, which in bandster hell is still something of a victory. I kept working, and even if I didn't have a smile on my face the whole time, the work is the important part.
 
So today, I woke up and got back to it. Breakfast was a small protein shake and half a banana, and I already have lunch and dinner planned with lean protein and fresh veggies and the knowledge that I can't control the scale, but I can control my own behavior. Thanks to the band, that is. We just need to keep getting to know each other and figuring out how this all works.
 
I think we can do it.

One of the most humbling things, I think, that one can experience is for someone to tell you that you've inspired them to do or be something. Wow! What an impact.
 
Having struggled with my weight most of my life, I never really thought about the possibility of being an inspiration to anyone in the area of being healthy.
 
Sure, I try to inspire my son to be a child of God, to work, and go after things the focus on the talents God gave Him. I try to inspire my husband to see the positive side of life and encourage him that he is a good father and husband. I've tried to inspire people in faith and that God is an awesome God.
 
But that's not really happened much in the health arena. Until now.
 
Since I've been posting about my procedure, my success AND my failures on facebook and in my blog at www.chrissyluther.wordpress.com, I've had two people say that to me and have wanted to know more about the surgery, my doctor, the band itself, the diet, the food, excercise...everything. I feel so blessed that God would give me this opportunity to share what I'm experiencing and learning as I go. I understand what these particular people are going through...I've been there. Its not fun. Its not easy. People look at you weird and judge you without ever knowing you...and most times don't take the time to get to know you.
 
I think that's one reason God give us trials to go through. So that from that experience, we can learn, move forward and then on to helping someone else who is going through the same thing; letting His love for that person flow through us, into them.
 
I want to encourage you today, that if you've not made that step to get healthy...branch out and take it now. It doesn't have to be LAP-band. It doesn't have to be surgery at all. It might not even be about losing weight. But trust that God has a solution in mind for you, and He will show if you ask Him to and listen for Him to do so.
 
I'm praying for you.
 
Blessings,
ChrissyLu

June 7th, 2007 was the day that I was banded. I weighed 286 pounds. Over the course of the next 18 months I made it all the way down to 206 pounds. Then my band slipped and I had to have corrective surgery and it scared me to pieces.
 
Long story short.... the weight came back. Dang.
 
Today I weighed 258.8 pounds. My goal weight is 186 pounds. This blog is going to be my daily record of what I am eating, how I am exercising and a documentation of the emotional journey that I am taking.
 
I have heard it said that if I can lose it the second time I will never gain it back again. I don't know if that is true but I am willing to do it one more time.... on the thought of being healthy and athletic.
 
Talk to you all tomorrow...
 
Blessings,
 
Michelle