carriep

Just goes to show that you can go to school for a billion years and be an expert in your field...and still be an assclown. No biggie, I’m seeking his expertise in the field he dedicated himself, not looking for a dinner companion. I’ll take a top notch surgeon who can’t hold a competent and pleasant conversation over a charmer who barely graduated any day of the week. I have only had surgery a couple times but out of those times I only had one surgeon, my orthopedic surgeon who specialized in shoulders, who was both a great surgeon and a nice human. The others were great surgeons and nearly robotic. My lapband surgeon while pleasant, was the most savant like of them all. I’m not even sure he acknowledged people come in different genders. I look at it like this, he’s operating on me. Not marrying me...thank God. Speaking of God, you know the difference between a surgeon and God, right? God doesn’t think he’s a surgeon. ;)

I have had my band for 10 years and I’ll be revising to a sleeve next year. I had to have all fluid removed. My story is not the horror show some have. I don’t have a slip or a port flip that I know of (confirmed via swallow test) and my pouch isn’t stretched that I have been told but for whatever reason, it simply becomes too tight (even now with no fluid ) on occasion and I’m unable to eat solid foods. So I turn to “sliders” because I’m hungry. But sometimes even those come back. The Dr recommended revision and frankly, I’m tired of the “stuck” thing on a regular basis. If I am asked if I recommend it I have to say maybe but leaning to no. There is a lot of upkeep and so many drs are leaving this technology behind that I simply don’t feel it will continue to be properly supported. But I would also never discourage someone who wanted it - with one caveat. I think the best thing to do is GET A HANDLE ON YOUR EMOTIONAL EATING because the band *will not* help you with it. In many ways, it’s worse because the “bad foods” like cookies, ice cream, mashed potatoes, sugar cereals etc all slide right in thru the band. So basically all the crap you turn to when you eat emotionally, yep, that’s going to really go thru. And the stuff you should be eating is what you get stuck on. So if you are really honest with yourself and are a big time emotional eater, you need to deal with that first. That’s actually homework for ANY surgery. I’ll Also tell you what I told a friend. Start eating the “post op diet” now. Your portions may be larger but see what that post op diet is and eat that way now. You need to know if you can live with it before you have surgery. Lap band means NO carbonated drinks so get sodas, beer and fizzy drinks out of your diet now. All surgeries want you eating protein first, veggies and then any carbs last. Do it now. Can you be happy eating this way? If you’re a Diet Coke addict you may as well work that out of your life now and not in recovery when you’re dealing with everything else. Can you have the occasional champagne toast or piece of cake? Of course. But notice the word “occasional” meaning a wedding or birthday is an “occasion”. Tuesday or “I had a bad day” is not. If you eat that post op diet and feel like “oh, this is nice. I feel good” it will help bolster your decision. Maybe you will like eating your protein and then a veggie and feel like “nah, I don’t need mashed potatoes”. I know I did and it felt great!! But if the thought of not having soft drinks, or bread or drinking anything with your meal (lapband guidelines state don’t drink with your meal or for 30 min afterwards) makes you want to cry, then this isn’t the surgery for you. Can you be successful with the band? Sure! I did well for quite a while although I only lost 40 lbs. But the success cases I’ve seen have been from folks who really did their homework and got their heads right remember, they band your stomach, not your mouth. If you eat a whole bag of m&ms because you’re upset, the band can’t stop that.

I am awaiting revision from band to sleeve so I can’t speak to your sleeve issues but some things I learned from the band may help you. First, one thing the band folks say is “they banded your stomach, not your mouth”. So no matter what surgery you choose, unless they develop one that actually zips your lips closed when you try to eat something, all the work is going to have to come from your brain and your choices. The way the tool works is that you shouldn’t feel actual stomach-based “I’m hungry” feeling after eating if a small amount if food. But you will always be able to outeat your tool. The key is to eat your planned meal, then quit and go find something else to do. You don’t “eat until you feel like stopping” because if you’re eating for reasons other than hunger (like stress, emotional upset - all totally understandable, just behaviors we are trying to change) then you can always out eat the tool. FYI, while the other surgeries *may* prohibit you from eating the “bad” foods, as you’ve learned yourself, that isn’t always the case. I’ve read of people who would melt a quart of ice cream and drink it that had RNY or if they truly can’t eat, they trade food for alcohol, drugs, shopping, sex or another addiction. So treating the underlying problem is really the best thing you can do. If you find yourself with lots of appetite, you might be able to look to your food choices to help you. I wouldn’t have believed it had I not experienced it but the carbs, sugars and even sugar substitutes really do influence that “I’m eating and can’t stop” feeling. Last spring I tried a diet program from Dr David Ludwig called “Always Hungry”. It’s a modified slow carb program which has you eating mostly unprocessed foods, with the eliminated items being sugar, potatoes and your “whites” - rice, wheat etc. Yiu can eat whole grains in the 2nd phase as tolerated. The first 2 weeks is something of a detox from the bad carbs. There is a book by the same name that explains it all. Anyway, I was astonished at how well this worked for me. I used to take my coffee with A LOT of sugar and did so the majority of my life. Now I take it with a little splash of maple syrup (about a half tsp). Had you told me I could do that 3 years ago I’d have cried laughing. This is the nutrition plan I plan to follow once I’m all recovered from surgery. I’ve already learned that oatmeal ramps up my appetite so for me I just don’t eat it. I already kicked my sugar obsession and will probably end up making my own protein shakes after surgery because the premade ones are too sweet. I had a pretty expansive palette beforehand but now I enjoy foods like brown basmati rice and beans of all kinds. Snacks these days are hummus and cucumber instead of chips and I feel so much better. Whole fat milk and cheese cane back into my life and it’s so much more satisfying. My new love is quinoa and I’ve made it 4 different ways in 2 weeks. My whole family enjoys that. This has gotten quite long so I’ll shut up now :) but I hope you consider changing your thinking about your tool. Weigh out your meal, savor it then go find something else to do. Think about changing up your macros and eliminating those high GI foods that trigger the munchies. The number one rule of Always Hungry is “be kind to yourself”, try adopting that in the spirit in which it is made. Let go of what you did. You can’t change that. But every new bite you take is an opportunity to choose better for yourself. Good luck.