ShoppGirl

I have had 7 surgeries (tonsils and adenoids, breast augmentation, Melonoma, Sleeve, SADI and now a chemo port) and I still get nervous about surgery. The first time is of course the worst in terms of anxiety because you have no clue what to expect, but for me by the time I was wheeled into the operating room and realized just how many people there are involved in just my surgery I felt a great deal safer. Your team does this everyday and if anything does go a little off plan they have the doctors and the resources there to deal with it. All you have to do tomorrow is show up. I really think for someone’s first surgery they should have you come in one day before and just show you where you will go and talk to you through it but since they don’t, my best advice would be to tell them this is your first surgery and that you are nervous and to please be patient with you and explain what’s going on. It’s pretty straightforward though you’re gonna get there and they’re gonna clean and sanitize you get your changed put in an IV and have you signed a couple things and answer questions about your medical history probably ask you to repeat your date of birth 1000 times. You will talk to your surgeon before you go back there, you will meet the anesthesiologist and probably have a couple of nurses in and out of there to get you dressed and ready. One thing that no one I wish they had is that if your in your reproductive years they’re going to want a urine pregnancy test when you get there so if peeing on command is an issue for you (it is for me 😂) , maybe don’t empty your bladder all the way. I have never been able to go under pressure so my first few surgeries they always had to do a rushed blood pregnancy test because I would not be able to go. Now I know to just not go again before I leave the house, which is my normal habit, and then I can go by the time they call me back (they just need a tiny bit to dip the cardboard thing into). I second not worrying if you can’t sleep tonight. If you do have something that helps relax or just distracts you like music or podcasts, bring along a pair of headphones for while you are waiting. They will most likely keep you busy once you get called back but if you have a little wait it may help if you’re anxious. Best of luck to you. Don’t forget to walk walk walk. If you’re in pain walk more. Once you pass gas you will feel so much relief and walking should help you to do that.

This is a huge win. 🏅

Yea it sounds like you are bigger boned. That’s something I liked to say when I was heavier because it sounded better but I’m really don’t think that I am supposed to carry a lot of weight. My frame is tiny.

I think our bodies are kindly used to running on a varied amount of calories because if you think about it back in like caveman days or whatever they may eat a feast one day and nothing the next so eating a little more one day and a little less another it’s kinda works out. We just have to be honest with ourselves and make sure we really are eating a little less the same amount of days as the days we eat a little more. Or I know I do. 😂

I really do appreciate all of you sharing your experiences, suggestions, and encouragement. This community is absolutely incredible. ❤️

OMG, see that size looks amazing on you and I really think that eventually it would on me but I know my brain just takes a while to get used to things and unfortunately I don’t have the time I would prefer. I think you guys have talked me into going for the smaller size though. I really do enjoy my yoga and I have wanted a reduction for years because of them just being in the way during activities, difficulty finding an adequately supportive sports bra as @SpartanMaker mentioned, back and neck pain and ill fitting clothing at any size because my breast are the last place that I lose weight so they stick with me. Volume wise I have only lost one cup size so far and I have lost 80 pounds!! I mean that doesn’t matter now because it’s gonna be all implant anyways in a few months but I’m just saying that I am over the big breast thing. At the same time when you’re used to looking at a pretty large chest for a decade I can imagine that a C cup is gonna look pretty tiny at first. My estimation is I will have like two weeks to get used to it before I start radiation and I’m pretty much locked in to that size. Then again, I will get used to it for six weeks I suppose because I will be flat to begin with. The radiation oncologist did say that it may be possible for me to go with like expanders for one cup size larger and then decide to put in the smaller implant so I intend to ask the surgeon about that at my preop appointment. Maybe I will actually be able to find a really good fitting sports bra and try jogging for the first time since my 20s!!

I do totally understand the sister sizes, but thank you. That is my concern that if I were to go with a D now at 36 that if I do actually get down to a 32, which is what size I was when I was 25 so technically I guess it is possible, that I would be a triple D or F depending on the brand and where it’s made and if I recall correctly 32F was one of the harder sizes to find. I am just tired of having to go to one store that is almost always out of stock and have very limited options for bras. So I’m thinking maybe I should go with a C to be safe. That is true that I can always wear a padded bra or even one of them water bras if I just had a certain outfit that I wanted to be a little bigger in. I never thought of that.

Awesome I am putting this terminology in my notes to ask about. Thanks. I am hoping that if I have someone who’s really trained that I can return to my exercise routine faster than they typically recommend because they’re monitoring me specifically instead of the cookie cutter let’s just be safe and say eight weeks or whatever. Also, I really do think with the lymph nodes being removed that I’ll have to be pretty careful with weights and I’d rather have someone who knows what my limit should be.

Thank you for your kind words. I think I am going to be the same with the moving goal. I was actually tiny my whole life and didn’t start gaining until around age 25. I was a size one when I met my husband so I would love to get back there but I am not nearly as active now even when I exercise like mad. My hobbies have changed from very active ones to sedentary ones so formal exercise is my primary form of activity. I just want to feel good at this point and if I get to a size medium I will be happy enough. I won’t just stop there though unless my body wants to. Building muscle is going to be my next big challenge. I wish you the best of luck in your goals with that. I am thinking that at some point I am going to have to get a personal trainer for the muscle building since that is something I have never even tried. Hopefully next year I will be In a place that I can start working on that. Maybe insurance will cover it since I will need help to do it safely after my surgery 🤔 I need to ask about that.

Yea well if you get an honest picture you may find that you have been losing all along on even higher calories than you think. We are definitely not all the same with what our body requires even if we could do the exact same in terms or activity. So many things play into our metabolism that I’ve seen people on here who can maintain their ideal at as high as 2500 calories and others that have to maintain at like 1200. Weight loss calorie requirements are probably just as varied. How is the activity going? Have you started any new cool classes?? I did a PIYO class that was pretty fun. It was at a local gym that has a day rate for people who don’t want a membership and it was only $5 which is more than I pay for YOGA but it was something different and it was on a Saturday so my friend got to meet me. I am actually thinking of doing a tai chi class that’s also at my community center. The Beginners class is at kind of an inconvenient time for me Is what has stopped my from trying it already but I can make it work I guess since it’s not forever. The regular class time works better for me. I figured if I like it I may do yoga one day and tai chi one day then as soon as I can get back to it I will do cardio two days.

So did you eat less than you normally do the day that you logged it? If so, you might wanna log it for like a week or something and try to get a better idea of what you actually eat. It’s possible because your activity has increased that you can still lose on 13 or 1400 calories. I think really it depends more on the quality of your calories than it does the actual calories. Like as long as your carbs are natural carbs, and your fats are healthy fats. They may have more calories, but they may not cause you to slow your loss. I’ve been eating a lot more calories but I think mine is a little different because of the chemo. I know that they said it burns a lot of carbs. So I’ve been eating like fruit and vegetables all day long and my calories are up to 13-1700 some days even and I’m losing still. Slower than I was but it’s hard because I do my infusion and my weight shoots up like 8 pounds and it scares me but then it eventually goes down and I don’t know how much it’s really going to go down this time it was an extra two pounds. But I know for me based on my activity I was able to increase my calories before all this chemo stuff probably like 300-400 of mostly healthy carbs that I added and I was losing the same, which was the occasional very small portion of brown rice and then lots of extra fruits and veggie snacks. Like I would have just a small side salad in between meals or a cup of fruit. Of course I was working out like a mad woman. 😂

That looks delish. Maybe you could do a bariatric food blog or something.

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

Yea the lettuce and pickles were free foods on my preop diet and was allowed a zero sugar yogurt as a snack so instead of eating it all at once I used it as a “salad dressing” and ate it with my free food just to be able to chew on something when my brain was telling me I was hungry. Sounds pretty gross now but it worked. 🤷‍♀️

You are doing pretty amazing with coming up with healthy versions of normal food. You will be ahead of the game when you get back to your normal foods.

This looks really good. I had a lot of pickle salads on my preop diet. I think it was just lettuce, pickles and plain yogurt. 😆

Well my bariatric surgeon is a general surgeon so when the oncologist asked if I had a surgeon I said yes so she called him and he also installed my chemo port two days later (thank god). Well my body “spit a stitch” which is not uncommon but the Oncology PA said it could cause infection and obviously that is my lifeline right now and requiring another surgery would delay my treatment so I wanted it looked at by the surgeon office. I seen the surgical PA. He took it out and it’s fine but it also gave me a chance to talk to him about my fitness and nutrition. He said that I am so dedicated and I have been doing so great that he is not worried about me. He said I shouldn’t be trying to run at a huge deficit right now though because the cancer actually burns carbs and so does the chemo so my body may need them right now. He said it’s more important to fuel my body to keep up being active since active people are proven to have better outcomes. I have to admit that I’ve been pretty fortunate so far with the side effects of the chemo at least 🤷‍♀️ . Anyways, I told him that since that low Fiber aka high carb diet I have been craving sugar a lot. I told him I am trying to satisfy it with veggies and fruits but I’m not 100%. He said that great try to have my sugar wrapped in fiber and not plastic. He said that he has no doubt that once this is behind me that they can get me back on track. i told him that my next phase requires really high steroids to be infused weekly and the oncologist said most people gain but they are able to lose it. I said she must not have had a patient like me. I asked if I’m having a real hard time since I will be past the honeymoon period if we could use like Wegovy to get me back on track and he said that’s an option. I told him that I think I may only need it for like a month to detox from these carbs because they really are like a drug to me and I feel like I need like 30 day rehab and then I can do it. He said that they will not abandon me and we will figure out whatever it takes to get me to my goal after I beat this. That made me feel really hopeful that I will still be able to pick this back up. I was worried that I would have to gain a lot back before anyone would give me Wegovy if I need it, but it sounds like it could be an option sooner (I’m guessing I will have to pay OOP but hopefully only for a few doses to get to the regular dose).

There also should be a thread for people having surgery in January if you haven’t found that yet search January in the search bar and it should pop up. Lots of people with the same nervous feelings that you have. Also, if you really have a lot of anxiety, I made lists and organized everything. I mean down to a tea. I got out my book that the surgeon gave me. I read it covered to cover and I made a schedule for two days before surgery. I mean every little thing I planned out. I have an anxiety disorder, so a lot of therapy has taught me to control what I can when I feel like something is out of control. Yours will be different because every surgeon is different, but here’s a copy of mine. I just found it in my phone. I shaved two days before because they don’t want you to have any fresh cuts because of infection and I’m a model patient because of my anxiety. 😆 I left my crochet bag in the car for my husband to bring up after I had a room and he seen if I was feeling up to it or not. I also had a second bag at home packed with things I would want if I was staying more than one night which was a good thing because I did stay longer. Anyways, some of these things may not even matter to you, but for me just planning it out so that I knew that I wouldn’t forget anything made me feel more in control of my part so once I got to the hospital, I was able to turn it over to them to do what they do every single day because I had done my part already. Also from my list anything that needed to be at an exact time, I set alarms in my phone and labeled them with what I was supposed to do like take that nausea pill or stop drinking liquids or whatever. Review Sunday night Two Days Before (Mon) Switch to the liquid diet. SHAVE, drop off donations and pick up Walmart order, Wash Comforters. 2:00 Therapy on Zoom Pack other bag for 2nd night (move my one rx tonight so I don’t forget and take it in the morning) The Day before: (Tues) Skip that one medication starting this morning, Pack hospital bag and crochet bag switch from full to clear liquid this evening, remove rings, change sheets, take my shower with the special soap, take the nausea pill at bedtime and of course nothing at all after midnight. Surgery Day: (Wed) Wake up at 3:30am and take my allowed meds with 12oz of regular sugar Gatorade- finishing everything before 4:30, (don’t pee) take my second shower with the special soap, toss towels in wash, brush teeth and get dressed (nothing on my body or hair at all except clothes). Then head to the hospital at 5:15. Also remember not to pee after that Gatorade because they need a pregnancy test shortly after I arrive at 5:30. *Bring bag, phone, bariatric book with questions, will, DL and ID. (Remind Hubby to bring a sweater) Surgery scheduled for 7:30am 🤞

Wow that’s unfortunate but I know there are outliers. My friend lost all her weight really quick (too fast if you ask me) and now the maintenance dose for her is too high. She is having to go off of it because she cants STOP losing and she is getting weak because she can’t eat. I guess most people fall in between these two extremes. Hopefully before long all of these meds will be covered for everyone. They are doing so many studies and learning they work for so many things in addition to weight loss and diabetes. I think it’s just a matter of time 🤞

Some theatres in the US you are allowed to bring food in as well. The ones in malls especially. It supposed to be food from the malls food court but I have never had them say anything about bringing In my own food at those theatres. I think it’s just about money honestly. The snacks are astronomically more expensive than they cost in stores. The exact box of candy that you can buy for $1 in the store is $6. A regular popcorn is $9 and regular drink is $8. You get a little discount if you get a rewards card and go often or go on special days but it’s upwards of $10 for a small popcorn and drink on the cheapest day. You can get a popcorn/ drink combo at a food court in a store for $2 just for reference. I almost always bring my drink from home at minimum to save money. Post surgery I bring my snack. Usually a little bag of skinny pop and I make sure to eat food food before I go.

Well post sleeve alcohol has absolutely no effect on me. I figured it’s a waste of Callie’s and money and stopped drinking. Post revision I figured why try it now that I’m used to not having it

Bless your heart. That was an awful day for you I’m sure. Well I guess maybe we should try the lowest dose of all meds to see what they do to us the first time just to be safe. I always wondered about like antibiotics whether the dose was going to be enough. Never thought about it being too much, though. I think it all depends on where the meds absorb in our bodies and a pharmacists would probably know as much if not even better than the Dr about whether we are actually getting the intended dose or not. I think they study more in depth about HOW the drugs work where the doctors just have to know what works for most patients. Of course they know how to find the answer when they have a patient like us, and ideally they do, but they may not know off hand for every single drug.

We can probably all remember the nerves. It’s a journey for sure but you will be a few months out and in a new groove before you know it and well on your way to a healthier version of yourself. Take measurements and pictures now and along the way and maybe even write a letter now to your future self to read when the weight loss slows down to give you the motivation to keep it up. Answer the questions of what is your reason for doing this and what your wishes are for your future self. The mental is just as important as the physical in this so journaling and logging your progress using something other than the scale can be really helpful.

I think some doctors are on board with this newer research. I was told after that camera thing that with being a sleeve and being a year post op I could’ve taken the ibprofin they suggested as a one off. I know you have to be even more cautious with bypass but I think they are starting to allow it for certain things. I’m sure like anything they don’t have a crystal ball and can’t guarantee it will be fine but maybe ask your surgeon their opinion on a very rare NSAID before your next removal. I don’t know why I forgot all about that.

Exactly. If it were the men having to do it they would whine until the standard of care would change. I’m sure that they could easily give you the option to do it at the hospital under twilight anesthesia (especially if you have not given birth and it will be worse), but because most women can “deal with it” and don’t complain they aren’t going to change it. A friend of mine who has had two children just recently had an issue switching hers. The strings were cut too short and they weren’t visible so they had to go digging and searching with hooks. The regular gyno couldn’t get it so she had to go back and see the surgeon who was finally able to remove it but she said THAT was awful because it took so much longer and even when they scheduled for the surgeon knowing that it wasn’t routine anymore they still didn’t have her take anything!! I know that for some people it’s not a big deal but we all know that our bodies are different and our pain threshold’s are as well. There really does need to be more consideration given to these things. I’m glad that you have that visit behind you and hopefully have 8 years until you have to deal with it again. Maybe they will make some changes to the procedure by then. 🤞