Baba Wawa

My initial loss with my band was amazing (and a little scary), but the joy of seeing pounds dropping off on a daily basis was truly fantastic. As I was looking at my weight this morning, I noticed that I had only lost 5 pounds during the month of April and was tempted toward the negative by comparing my loss with what I did when I was first banded.
 
Then I started to think about my bike ride on Sunday, 28 miles, 23 miles two days before, Both at speeds that it took me 5 months of work up to last year to be able to sustain for 15 miles.
I thought about my spin class and the progress I have made during it, where I had to stop and rest halfway through when I first started.
I thought about the fact that it is time to go shopping for clothes again because my pants are starting to bunch at the waist when I tighten my belt enough to hold them up.
I thought about the fact that I am down to one belt because I haven't punched holes in the other two.
I thought about the fact that the fat percentage on my scale hit a new low number this morning.
I thought about all the weight that I lost on WW, and how 5 pounds in a month would have been a cause for celebration.
 
Yup, the low hanging fruit of my band journey is all gone, but that's ok I burn more calories when I have to climb the branches to reach the higher fruit.
 
Father God, please help me to remain thankful for all that you have given me instead of focusing on what I don't have...

For now anyhow, had my second appointment were we decided that I didn't need a fill. Steady weight loss (Of course not as fast as I would like), 3-4 hours of satiety (Depending on if I stay away from simple carbs and focus on protein). Can pretty much eat anything, but have to be careful and have had a few stuck episodes in the last month when I wasn't.
 
It is kind of a bittersweet place to be, the green zone is this magical fairy land that is held out to us from the time we are banded, and yet here I am. I still wrestle with eating too fast, I still am plagued by head hunger, I still have to exercise, I still have weight to lose, I still get plateaued.
 
WAIT A MINUTE, YOU MEAN I STILL HAVE TO WORK AT MY WEIGHT LOSS, I THOUGHT THE BAND WAS MAGIC!!! I WANT MY MONEY BACK!

Had my follow up with gastroenterologist yesterday. He's done all he can, medically. I'm seeing a top doctor in this type of problem at a local university hospital. There are only a few options available, even surgically:
1. Remove band, evaluate gastro-esophageal junction, hiatal hernia repair, vagus nerve damage/injury.
2. Remove band, take down HH repair and redo it along with Heller Myotomy.
3. Remove band, implant feeding tube for 3-6 months to rest the esophagus.
4. Remove band, remove esophagus with reconstructive surgery (horrible option)
 
The achalasia is "end stage" based on the manometry, but since pseudo achalasia is gaining prevalence in the banded population, I might get lucky and just end up with #1. Fingers crossed.
 
My motility was 0%
 
My appointments at the university start on May 17.
 
Wish me luck
 

Had my follow up with gastroenterologist yesterday. He's done all he can, medically. I'm seeing a top doctor in this type of problem at a local university hospital. There are only a few options available, even surgically:
1. Remove band, evaluate gastro-esophageal junction, hiatal hernia repair, vagus nerve damage/injury.
2. Remove band, take down HH repair and redo it along with Heller Myotomy.
3. Remove band, implant feeding tube for 3-6 months to rest the esophagus.
4. Remove band, remove esophagus with reconstructive surgery (horrible option)
 
The achalasia is "end stage" based on the manometry, but since pseudo achalasia is gaining prevalence in the banded population, I might get lucky and just end up with #1. Fingers crossed.
 
My motility was 0%
 
My appointments at the university start on May 17.
 
Wish me luck
 

Procrastination is the fear of success. People procrastinate because they are afraid of the success that they know will result if they move ahead now. Because success is heavy, carries a responsibility with it, it is much easier to procrastinate and live on the 'someday I'll' philosophy.” Denis Waitley
 
 
 
I've often asked myself "What is it you're afraid of?" This is a scary question, because once asked, there is an implied responsibility to change something in our lives. Identifying what scares us can be difficult. One tool my counselor gave me was that after every response, I was to ask myself "Why" until I got to the point I had identified the root cause. In business we called this "drilling down" and it can truly be gut wrenching and painful.
 
An example of a root cause analysis might go like this:
*Why can't I lose weight? I eat more calories than I expend. Why? I'm always hungry. Why? I don't even think about how I feel. Why? I feel uncomfortable and want to eat when I think about how I feel. Why? I don't know how to change. Why? I haven't learned how to change the way I eat. Why? I'm afraid I will fail.
 
Root cause: fear of learning how to eat properly and take personal responsibility for success or failure.
 
This "personal responsibilty" issue is a big one. Many of us have been victims of abuse, neglect, crimes, etc. When we continue to live in the "victim suit", we give our abuser our power. We do this because we haven't faced the reality that someone we trusted and loved hurt us. Facing that reality can be more painful than living as a victim, or so we think. When we face the facts and hold our abuser responsible, there is a big shift in power and responsibility. We take ownership of our actions, feelings and well being and we give the guilt and responsibility for the abuse back where it belongs, with the person who hurt us. Sitting in a chair and telling a therapist that your mother didn't protect you from a predatory male in your family can be one of the most painful truths to acknowledge. The person who was responsible for nurturing, protecting, putting you ahead of herself, did not. I know, I've done it, it hurt like hell.
 
Once we acknowledge our truth, whatever it is, we take back the power to change our lives. We first work on the thoughts, the negative self-talk. Practice telling yourself that you are worth it, you are powerful, you will change one thing at a time. Maybe, this week, you give up one carb loaded treat you think you enjoy (I say think, because often we don't really enjoy them...it's a habit, not a pleasure). Next is the action step: Just do it! Throw it away if you have it in the house, then buy something healthy to eat as a substitute. Maybe you're the type of person who does it cold turkey...rid the house of ALL processed foods and beverages. Think of the power you take in doing this! Imagine yourself eating healthy nutritious foods and taking control of your own life. Action steps are the key in this process. WE CANNOT CHANGE ANYTHING WITHOUT A VERB. I think I can turns into I will when we add the action step.
 
My band journey, though not as long-lived as I would have liked, has been this type of process. I WANTED to lose weight, but I took no ACTION that would result in me losing weight. When I went on Medicare Disability, the opportunity to make this change became available and I jumped on it. I started calling different hospitals and WLS clinics to see if they accepted Medicare...that was a tough one. Finally, a really kind person at the University Hospital directed me to another local hospital who she knew took medicare for lapband or RNY. When I called to make an appointment, they got me in within a week. I took action. I took the power. I took personal responsibilty for my success.
 
I wouldn't say my weight loss journey was easy...it's had it challenges. My band was the perfect tool for me, keeping me free of hunger for 4-6 hours after a very small meal. Even empty, I'm rarely hungry. Losing my band and not being able to revise is extremely scary...I need to ask myself WHY.
 
Here we go again....

Procrastination is the fear of success. People procrastinate because they are afraid of the success that they know will result if they move ahead now. Because success is heavy, carries a responsibility with it, it is much easier to procrastinate and live on the 'someday I'll' philosophy.” Denis Waitley
 
 
 
I've often asked myself "What is it you're afraid of?" This is a scary question, because once asked, there is an implied responsibility to change something in our lives. Identifying what scares us can be difficult. One tool my counselor gave me was that after every response, I was to ask myself "Why" until I got to the point I had identified the root cause. In business we called this "drilling down" and it can truly be gut wrenching and painful.
 
An example of a root cause analysis might go like this:
*Why can't I lose weight? I eat more calories than I expend. Why? I'm always hungry. Why? I don't even think about how I feel. Why? I feel uncomfortable and want to eat when I think about how I feel. Why? I don't know how to change. Why? I haven't learned how to change the way I eat. Why? I'm afraid I will fail.
 
Root cause: fear of learning how to eat properly and take personal responsibility for success or failure.
 
This "personal responsibilty" issue is a big one. Many of us have been victims of abuse, neglect, crimes, etc. When we continue to live in the "victim suit", we give our abuser our power. We do this because we haven't faced the reality that someone we trusted and loved hurt us. Facing that reality can be more painful than living as a victim, or so we think. When we face the facts and hold our abuser responsible, there is a big shift in power and responsibility. We take ownership of our actions, feelings and well being and we give the guilt and responsibility for the abuse back where it belongs, with the person who hurt us. Sitting in a chair and telling a therapist that your mother didn't protect you from a predatory male in your family can be one of the most painful truths to acknowledge. The person who was responsible for nurturing, protecting, putting you ahead of herself, did not. I know, I've done it, it hurt like hell.
 
Once we acknowledge our truth, whatever it is, we take back the power to change our lives. We first work on the thoughts, the negative self-talk. Practice telling yourself that you are worth it, you are powerful, you will change one thing at a time. Maybe, this week, you give up one carb loaded treat you think you enjoy (I say think, because often we don't really enjoy them...it's a habit, not a pleasure). Next is the action step: Just do it! Throw it away if you have it in the house, then buy something healthy to eat as a substitute. Maybe you're the type of person who does it cold turkey...rid the house of ALL processed foods and beverages. Think of the power you take in doing this! Imagine yourself eating healthy nutritious foods and taking control of your own life. Action steps are the key in this process. WE CANNOT CHANGE ANYTHING WITHOUT A VERB. I think I can turns into I will when we add the action step.
 
My band journey, though not as long-lived as I would have liked, has been this type of process. I WANTED to lose weight, but I took no ACTION that would result in me losing weight. When I went on Medicare Disability, the opportunity to make this change became available and I jumped on it. I started calling different hospitals and WLS clinics to see if they accepted Medicare...that was a tough one. Finally, a really kind person at the University Hospital directed me to another local hospital who she knew took medicare for lapband or RNY. When I called to make an appointment, they got me in within a week. I took action. I took the power. I took personal responsibilty for my success.
 
I wouldn't say my weight loss journey was easy...it's had it challenges. My band was the perfect tool for me, keeping me free of hunger for 4-6 hours after a very small meal. Even empty, I'm rarely hungry. Losing my band and not being able to revise is extremely scary...I need to ask myself WHY.
 
Here we go again....

Procrastination is the fear of success. People procrastinate because they are afraid of the success that they know will result if they move ahead now. Because success is heavy, carries a responsibility with it, it is much easier to procrastinate and live on the 'someday I'll' philosophy.” Denis Waitley
 
 
 
I've often asked myself "What is it you're afraid of?" This is a scary question, because once asked, there is an implied responsibility to change something in our lives. Identifying what scares us can be difficult. One tool my counselor gave me was that after every response, I was to ask myself "Why" until I got to the point I had identified the root cause. In business we called this "drilling down" and it can truly be gut wrenching and painful.
 
An example of a root cause analysis might go like this:
*Why can't I lose weight? I eat more calories than I expend. Why? I'm always hungry. Why? I don't even think about how I feel. Why? I feel uncomfortable and want to eat when I think about how I feel. Why? I don't know how to change. Why? I haven't learned how to change the way I eat. Why? I'm afraid I will fail.
 
Root cause: fear of learning how to eat properly and take personal responsibility for success or failure.
 
This "personal responsibilty" issue is a big one. Many of us have been victims of abuse, neglect, crimes, etc. When we continue to live in the "victim suit", we give our abuser our power. We do this because we haven't faced the reality that someone we trusted and loved hurt us. Facing that reality can be more painful than living as a victim, or so we think. When we face the facts and hold our abuser responsible, there is a big shift in power and responsibility. We take ownership of our actions, feelings and well being and we give the guilt and responsibility for the abuse back where it belongs, with the person who hurt us. Sitting in a chair and telling a therapist that your mother didn't protect you from a predatory male in your family can be one of the most painful truths to acknowledge. The person who was responsible for nurturing, protecting, putting you ahead of herself, did not. I know, I've done it, it hurt like hell.
 
Once we acknowledge our truth, whatever it is, we take back the power to change our lives. We first work on the thoughts, the negative self-talk. Practice telling yourself that you are worth it, you are powerful, you will change one thing at a time. Maybe, this week, you give up one carb loaded treat you think you enjoy (I say think, because often we don't really enjoy them...it's a habit, not a pleasure). Next is the action step: Just do it! Throw it away if you have it in the house, then buy something healthy to eat as a substitute. Maybe you're the type of person who does it cold turkey...rid the house of ALL processed foods and beverages. Think of the power you take in doing this! Imagine yourself eating healthy nutritious foods and taking control of your own life. Action steps are the key in this process. WE CANNOT CHANGE ANYTHING WITHOUT A VERB. I think I can turns into I will when we add the action step.
 
My band journey, though not as long-lived as I would have liked, has been this type of process. I WANTED to lose weight, but I took no ACTION that would result in me losing weight. When I went on Medicare Disability, the opportunity to make this change became available and I jumped on it. I started calling different hospitals and WLS clinics to see if they accepted Medicare...that was a tough one. Finally, a really kind person at the University Hospital directed me to another local hospital who she knew took medicare for lapband or RNY. When I called to make an appointment, they got me in within a week. I took action. I took the power. I took personal responsibilty for my success.
 
I wouldn't say my weight loss journey was easy...it's had it challenges. My band was the perfect tool for me, keeping me free of hunger for 4-6 hours after a very small meal. Even empty, I'm rarely hungry. Losing my band and not being able to revise is extremely scary...I need to ask myself WHY.
 
Here we go again....

Procrastination is the fear of success. People procrastinate because they are afraid of the success that they know will result if they move ahead now. Because success is heavy, carries a responsibility with it, it is much easier to procrastinate and live on the 'someday I'll' philosophy.” Denis Waitley
 
 
 
I've often asked myself "What is it you're afraid of?" This is a scary question, because once asked, there is an implied responsibility to change something in our lives. Identifying what scares us can be difficult. One tool my counselor gave me was that after every response, I was to ask myself "Why" until I got to the point I had identified the root cause. In business we called this "drilling down" and it can truly be gut wrenching and painful.
 
An example of a root cause analysis might go like this:
*Why can't I lose weight? I eat more calories than I expend. Why? I'm always hungry. Why? I don't even think about how I feel. Why? I feel uncomfortable and want to eat when I think about how I feel. Why? I don't know how to change. Why? I haven't learned how to change the way I eat. Why? I'm afraid I will fail.
 
Root cause: fear of learning how to eat properly and take personal responsibility for success or failure.
 
This "personal responsibilty" issue is a big one. Many of us have been victims of abuse, neglect, crimes, etc. When we continue to live in the "victim suit", we give our abuser our power. We do this because we haven't faced the reality that someone we trusted and loved hurt us. Facing that reality can be more painful than living as a victim, or so we think. When we face the facts and hold our abuser responsible, there is a big shift in power and responsibility. We take ownership of our actions, feelings and well being and we give the guilt and responsibility for the abuse back where it belongs, with the person who hurt us. Sitting in a chair and telling a therapist that your mother didn't protect you from a predatory male in your family can be one of the most painful truths to acknowledge. The person who was responsible for nurturing, protecting, putting you ahead of herself, did not. I know, I've done it, it hurt like hell.
 
Once we acknowledge our truth, whatever it is, we take back the power to change our lives. We first work on the thoughts, the negative self-talk. Practice telling yourself that you are worth it, you are powerful, you will change one thing at a time. Maybe, this week, you give up one carb loaded treat you think you enjoy (I say think, because often we don't really enjoy them...it's a habit, not a pleasure). Next is the action step: Just do it! Throw it away if you have it in the house, then buy something healthy to eat as a substitute. Maybe you're the type of person who does it cold turkey...rid the house of ALL processed foods and beverages. Think of the power you take in doing this! Imagine yourself eating healthy nutritious foods and taking control of your own life. Action steps are the key in this process. WE CANNOT CHANGE ANYTHING WITHOUT A VERB. I think I can turns into I will when we add the action step.
 
My band journey, though not as long-lived as I would have liked, has been this type of process. I WANTED to lose weight, but I took no ACTION that would result in me losing weight. When I went on Medicare Disability, the opportunity to make this change became available and I jumped on it. I started calling different hospitals and WLS clinics to see if they accepted Medicare...that was a tough one. Finally, a really kind person at the University Hospital directed me to another local hospital who she knew took medicare for lapband or RNY. When I called to make an appointment, they got me in within a week. I took action. I took the power. I took personal responsibilty for my success.
 
I wouldn't say my weight loss journey was easy...it's had it challenges. My band was the perfect tool for me, keeping me free of hunger for 4-6 hours after a very small meal. Even empty, I'm rarely hungry. Losing my band and not being able to revise is extremely scary...I need to ask myself WHY.
 
Here we go again....

the sweet spot that is known as the green zone. Some are lucky and never have to worry about it and some of us have to figure out if we are really in it or not or if it even exists. Since my last fill on Jan 29th I can certainly say it exists. I can easily go 5 hours with need to eat and I never have the cravings or desires to snack. Jan 29th I weighed 346 and this morning I was 313. Today I also had my one year follow up visit and the Center was happy with everything they seen and heard and they feel I am in a very good place right now. They decided that they only need to see me every 6 months but if I have any problems at all with anything or think I need adjustment then call sooner and get in.
 
I still have a long way to go in my journey but sometimes it is good to take a step back and look at the big picture. My Doc took all my measurements this morning and then gave me this print out for a little perspective.
 
 
 

 
I am 93lbs from my personal goal but I am more motivated then ever.
 
My advice to all the new folks considering this option. Patience...this trip requires a lot patience but if you're true to yourself and follow your Docs advice and guidelines you can be successful. With anything there are ups and downs but you have to grind through the low points. Lapband surgery one day and weight loss the next does not happen. It can take some time for the ball to really start rolling.

This rose bush is in front of my house.
 
It stands about 10 feet tall.
 
Love Texas in the spring!!

Wow! Time flies! I have surgery on Wednesday. I work in the school system so last week was spring break... and I was sick with bronchitis. I haven't lost as much weight on the Pre-Op Diet, but I'm pretty sure that's because I felt like death for a bit and hardly moved! I am about 11 pounds down though and feeling pretty good!
 
I can tell my anxiety about the procedure is creeping up. Had a crazy dream last night that the nurse called me and said my surgeon couldn't perform the procedure because he broke his finger. I was running from office to office looking for a new surgeon when it hit me that the surgeon she named isn't my surgeon... but my least favorite professor from grad school- oy vey!

I was doing better...medication for IBSc is working, I was able to eat without issue and Friday night without warning I found myself having a hard time. My daughter made lasagna, I took a small piece, didn't eat the noodles, so probably had a half cup of sauce, cheese and lean chicken Italian sausage. I stopped eating because I realized I was uncomfortable. Not full, not stuck, just slightly uncomfortable and a bit nauseous. After about a half hour, up it all came. By then I was in real pain...a burning feeling and I started having pain at my port area. Since then, I've had continuous discomfort and I'm on a soft/liquid diet.
I emailed my band doctor and requested an appointment to discuss my options for removal/revision. I feel defeated...I really thought I was going to get to keep my band.

I remember during my undergrad studies in Psychology reading a paper that talked about people who were addicted to gambling and a peculiar memory trait that only allowed them to remember the times that they won. This caused them to constantly misjudge the odds when placing a bet, because the were overly optimistic about their chances.
 
I think that we who are fat have a similar trait, but in reverse. We only remember the times that we have failed in our journey to be fit, and so when there is temptation, when there are rough spots we err by forgetting all the scale victories, all the nsvs, all the times that we beat temptation and made a right choice and we only remember the times when we failed. So we believe that failure is inevitable and give in.
 
Today has been a hard day for me, I am experiencing a bit of bandster hell, combined with a generous portion of head hunger and emotional eating and the only thing I can think about is why bother, I am just going to fail anyhow. No, I haven't given in to those voices, but I have had one NSV after another this last week, I am within 4 pounds being at the lowest weight I have been at since I was a freshman in high school, and yet my failures are the memories parade before me today.
 
One of the things that the people of the Old Testament did when God did something spectacular in their lives was they built a marker, a pile of stones to remind them of the victory that had happened in that place. I think I need to start building some markers in my life so that I can concentrate on the victories, and not the defeats.

So, you're going to have weight loss surgery. If you've never had surgery, the experience might be a bit more traumatic than it was for those of us who've had multiple surgeries of varying types.
 
Here's what to expect:Usually, the first thing is the IV. The IV tech will start a line with saline, to insure you're hydrated and there's a vehicle, so to speak to carry the drugs you'll be given before, during and after your surgery. It doesn't really hurt...I've had them in the back of the hand and inside the elbow. Each bag of saline is about a liter (over two pounds) and this weight will show on your scale for some time. Don't freak out about this...
 
Usually the anesthesiologist will come in and introduce themselves, ask some questions and tell you what they're going to do in the OR. This person is fully responsible for keeping you alive during surgery. They ventilate you, regulate your BP; this is the most important person to you in the OR.The surgeon usually comes by too, to reassure you, ask a few questions, before going into the OR.
 
Once you go to OR, they'll usually have you scoot onto the table off the gurney, make sure your comfortable and then proceed with anesthesia. First, you'll be given 100% oxygen and told to take some deep breaths. Take as deep of breaths as you can, since this O2 is what sustains you while being intubated. Once you've taken the breaths, you get another drug to make you "sleep" followed by a drug that basically paralyzes your abdominal and breathing muscles (pretty much all muscles, but the heart). You'll quickly be intubated and put on a ventilator for life support. The entire process is completed in less than a minute.
 
When you wake up, you'll be very groggy, want to go back to sleep and you may be uncomfortable. Tell the recovery nurse if you're hurting. You might be nauseous from anesthesia. Tell the nurse. Anti nausea drugs can be given thru the IV. After your vitals are stable and you're alert, you'll go to another room to recover. Sometimes, if you're doing great or if your hospital has this protocol, you'll be discharged straight from the day surgery recovery without being moved to a room.
 
For the trip home, you should have loose fitting pajama bottoms, a warm top, robe or sweatshirt, socks and slippers. You'll also want a pillow to put under the seatbelt in the car. You'll want a barf bag too, just in case for a day or two.
 
Once home, you'll be most comfortable in a recliner, though I slept in my bed the first night, on my side facing the edge of the bed. Practice getting in and out of bed without using your abs before surgery. It will hurt, it won't kill you. I've had open abdominal surgery and lap surgery, while still painful, cannot hold a candle to open abdominal surgery. You will live.
 
To get up do the following:
Roll onto your side
Use your elbow to push upHave someone rotate your legs and feet to floor
Push off with your hand to get fully upright...wait a minute to make sure you're not dizzy
Stand with assistance. Wait a minute to ensure you're not going to faint.
Reverse to get into bed.
Always, for the first couple of days, have someone with you whenever you get up or down and while walking.
 
I cannot emphasize enough that your discharge orders and doctor's diet, hydration and exercise orders should be followed EXACTLY. If you have a question, call your doctor. Don't post here. If you get a fever or can't drink water at all, call your doctor immediately. Nausea should subside within 8-24 hours. If it doesn't and you need a medication for it, call your doctor. Do not post here until after you've called the doctor and please state that you have called so we don't all tell you to call your doctor.
 
Another thing...definitions:
Clear liquid means you can see through it
Full liquid is things like runny cream of wheat, puréed cream soups, protein shakes. NO LUMPS.
Mushies or Purees is the consistency of baby food. No chunks., no lumps. Smooth is your friend.
As you progress to solids, remember that babies don't go from puréed baby food to a NY steak in one day. Hopefully you practiced your new eating habits for a couple of months pre op to establish them as your new lifestyle. Transitioning from purees to solids is a gradual thing. Add a little finely ground turkey to a puréed food at first. Add ONE new food per day. After you tolerate ground meat, poached eggs, tuna salad, egg salad, etc, you can try cutting your food into 1/4" pieces and chewing 15-25 times per bite.
 
Initially you won't get many calories in...500-700 calories, focusing on protein. You'll gradually get up to 900-1000 or more depending on your needs, per your nutritionist or doctor. Drink your water as directed too.The first weeks post op aren't for losing weight. You might not lose anything, but most people will lose the IV weight and a pound or two a week. Once you're on solids, your weight will go up a pound or two...filling the intestinal pipeline . This is normal.
 
Fills are not the goal with the band...they are another tool to use when your weight loss levels out and/or you're hungry less than 4 hours after eating a meal of 1/2 cup to 1 cup of dense protein and low glycemic veggies/fruits. Go easy on the fills. Being over tight is the #1 identifiable cause of band erosion and slips.Many with the band are so focused on getting fills, they don't realize until they have a little unfill, that their band can work better with less fill.
 
You can go out to eat with your band. Sharing works great. I ask for a small plate and put my food onto it immediately. I cut up everything before taking a bite. I eat very slowly and if my companion is having a glass of wine, I'll have one too, to sip as I eat. I don't do this at home, most of the time. Alcohol was not permitted for 3 months post op by my doctor. You'll get a little more tipsy on less due to abstaining for months. Your band has no affect on alcohol absorption. You probably shouldn't drink on an empty stomach, ever, band or not.
 
I hope this is informative and helpful!

So, you're going to have weight loss surgery. If you've never had surgery, the experience might be a bit more traumatic than it was for those of us who've had multiple surgeries of varying types.
 
Here's what to expect:Usually, the first thing is the IV. The IV tech will start a line with saline, to insure you're hydrated and there's a vehicle, so to speak to carry the drugs you'll be given before, during and after your surgery. It doesn't really hurt...I've had them in the back of the hand and inside the elbow. Each bag of saline is about a liter (over two pounds) and this weight will show on your scale for some time. Don't freak out about this...
 
Usually the anesthesiologist will come in and introduce themselves, ask some questions and tell you what they're going to do in the OR. This person is fully responsible for keeping you alive during surgery. They ventilate you, regulate your BP; this is the most important person to you in the OR.The surgeon usually comes by too, to reassure you, ask a few questions, before going into the OR.
 
Once you go to OR, they'll usually have you scoot onto the table off the gurney, make sure your comfortable and then proceed with anesthesia. First, you'll be given 100% oxygen and told to take some deep breaths. Take as deep of breaths as you can, since this O2 is what sustains you while being intubated. Once you've taken the breaths, you get another drug to make you "sleep" followed by a drug that basically paralyzes your abdominal and breathing muscles (pretty much all muscles, but the heart). You'll quickly be intubated and put on a ventilator for life support. The entire process is completed in less than a minute.
 
When you wake up, you'll be very groggy, want to go back to sleep and you may be uncomfortable. Tell the recovery nurse if you're hurting. You might be nauseous from anesthesia. Tell the nurse. Anti nausea drugs can be given thru the IV. After your vitals are stable and you're alert, you'll go to another room to recover. Sometimes, if you're doing great or if your hospital has this protocol, you'll be discharged straight from the day surgery recovery without being moved to a room.
 
For the trip home, you should have loose fitting pajama bottoms, a warm top, robe or sweatshirt, socks and slippers. You'll also want a pillow to put under the seatbelt in the car. You'll want a barf bag too, just in case for a day or two.
 
Once home, you'll be most comfortable in a recliner, though I slept in my bed the first night, on my side facing the edge of the bed. Practice getting in and out of bed without using your abs before surgery. It will hurt, it won't kill you. I've had open abdominal surgery and lap surgery, while still painful, cannot hold a candle to open abdominal surgery. You will live.
 
To get up do the following:
Roll onto your side
Use your elbow to push upHave someone rotate your legs and feet to floor
Push off with your hand to get fully upright...wait a minute to make sure you're not dizzy
Stand with assistance. Wait a minute to ensure you're not going to faint.
Reverse to get into bed.
Always, for the first couple of days, have someone with you whenever you get up or down and while walking.
 
I cannot emphasize enough that your discharge orders and doctor's diet, hydration and exercise orders should be followed EXACTLY. If you have a question, call your doctor. Don't post here. If you get a fever or can't drink water at all, call your doctor immediately. Nausea should subside within 8-24 hours. If it doesn't and you need a medication for it, call your doctor. Do not post here until after you've called the doctor and please state that you have called so we don't all tell you to call your doctor.
 
Another thing...definitions:
Clear liquid means you can see through it
Full liquid is things like runny cream of wheat, puréed cream soups, protein shakes. NO LUMPS.
Mushies or Purees is the consistency of baby food. No chunks., no lumps. Smooth is your friend.
As you progress to solids, remember that babies don't go from puréed baby food to a NY steak in one day. Hopefully you practiced your new eating habits for a couple of months pre op to establish them as your new lifestyle. Transitioning from purees to solids is a gradual thing. Add a little finely ground turkey to a puréed food at first. Add ONE new food per day. After you tolerate ground meat, poached eggs, tuna salad, egg salad, etc, you can try cutting your food into 1/4" pieces and chewing 15-25 times per bite.
 
Initially you won't get many calories in...500-700 calories, focusing on protein. You'll gradually get up to 900-1000 or more depending on your needs, per your nutritionist or doctor. Drink your water as directed too.The first weeks post op aren't for losing weight. You might not lose anything, but most people will lose the IV weight and a pound or two a week. Once you're on solids, your weight will go up a pound or two...filling the intestinal pipeline . This is normal.
 
Fills are not the goal with the band...they are another tool to use when your weight loss levels out and/or you're hungry less than 4 hours after eating a meal of 1/2 cup to 1 cup of dense protein and low glycemic veggies/fruits. Go easy on the fills. Being over tight is the #1 identifiable cause of band erosion and slips.Many with the band are so focused on getting fills, they don't realize until they have a little unfill, that their band can work better with less fill.
 
You can go out to eat with your band. Sharing works great. I ask for a small plate and put my food onto it immediately. I cut up everything before taking a bite. I eat very slowly and if my companion is having a glass of wine, I'll have one too, to sip as I eat. I don't do this at home, most of the time. Alcohol was not permitted for 3 months post op by my doctor. You'll get a little more tipsy on less due to abstaining for months. Your band has no affect on alcohol absorption. You probably shouldn't drink on an empty stomach, ever, band or not.
 
I hope this is informative and helpful!

So, you're going to have weight loss surgery. If you've never had surgery, the experience might be a bit more traumatic than it was for those of us who've had multiple surgeries of varying types.
 
Here's what to expect:Usually, the first thing is the IV. The IV tech will start a line with saline, to insure you're hydrated and there's a vehicle, so to speak to carry the drugs you'll be given before, during and after your surgery. It doesn't really hurt...I've had them in the back of the hand and inside the elbow. Each bag of saline is about a liter (over two pounds) and this weight will show on your scale for some time. Don't freak out about this...
 
Usually the anesthesiologist will come in and introduce themselves, ask some questions and tell you what they're going to do in the OR. This person is fully responsible for keeping you alive during surgery. They ventilate you, regulate your BP; this is the most important person to you in the OR.The surgeon usually comes by too, to reassure you, ask a few questions, before going into the OR.
 
Once you go to OR, they'll usually have you scoot onto the table off the gurney, make sure your comfortable and then proceed with anesthesia. First, you'll be given 100% oxygen and told to take some deep breaths. Take as deep of breaths as you can, since this O2 is what sustains you while being intubated. Once you've taken the breaths, you get another drug to make you "sleep" followed by a drug that basically paralyzes your abdominal and breathing muscles (pretty much all muscles, but the heart). You'll quickly be intubated and put on a ventilator for life support. The entire process is completed in less than a minute.
 
When you wake up, you'll be very groggy, want to go back to sleep and you may be uncomfortable. Tell the recovery nurse if you're hurting. You might be nauseous from anesthesia. Tell the nurse. Anti nausea drugs can be given thru the IV. After your vitals are stable and you're alert, you'll go to another room to recover. Sometimes, if you're doing great or if your hospital has this protocol, you'll be discharged straight from the day surgery recovery without being moved to a room.
 
For the trip home, you should have loose fitting pajama bottoms, a warm top, robe or sweatshirt, socks and slippers. You'll also want a pillow to put under the seatbelt in the car. You'll want a barf bag too, just in case for a day or two.
 
Once home, you'll be most comfortable in a recliner, though I slept in my bed the first night, on my side facing the edge of the bed. Practice getting in and out of bed without using your abs before surgery. It will hurt, it won't kill you. I've had open abdominal surgery and lap surgery, while still painful, cannot hold a candle to open abdominal surgery. You will live.
 
To get up do the following:
Roll onto your side
Use your elbow to push upHave someone rotate your legs and feet to floor
Push off with your hand to get fully upright...wait a minute to make sure you're not dizzy
Stand with assistance. Wait a minute to ensure you're not going to faint.
Reverse to get into bed.
Always, for the first couple of days, have someone with you whenever you get up or down and while walking.
 
I cannot emphasize enough that your discharge orders and doctor's diet, hydration and exercise orders should be followed EXACTLY. If you have a question, call your doctor. Don't post here. If you get a fever or can't drink water at all, call your doctor immediately. Nausea should subside within 8-24 hours. If it doesn't and you need a medication for it, call your doctor. Do not post here until after you've called the doctor and please state that you have called so we don't all tell you to call your doctor.
 
Another thing...definitions:
Clear liquid means you can see through it
Full liquid is things like runny cream of wheat, puréed cream soups, protein shakes. NO LUMPS.
Mushies or Purees is the consistency of baby food. No chunks., no lumps. Smooth is your friend.
As you progress to solids, remember that babies don't go from puréed baby food to a NY steak in one day. Hopefully you practiced your new eating habits for a couple of months pre op to establish them as your new lifestyle. Transitioning from purees to solids is a gradual thing. Add a little finely ground turkey to a puréed food at first. Add ONE new food per day. After you tolerate ground meat, poached eggs, tuna salad, egg salad, etc, you can try cutting your food into 1/4" pieces and chewing 15-25 times per bite.
 
Initially you won't get many calories in...500-700 calories, focusing on protein. You'll gradually get up to 900-1000 or more depending on your needs, per your nutritionist or doctor. Drink your water as directed too.The first weeks post op aren't for losing weight. You might not lose anything, but most people will lose the IV weight and a pound or two a week. Once you're on solids, your weight will go up a pound or two...filling the intestinal pipeline . This is normal.
 
Fills are not the goal with the band...they are another tool to use when your weight loss levels out and/or you're hungry less than 4 hours after eating a meal of 1/2 cup to 1 cup of dense protein and low glycemic veggies/fruits. Go easy on the fills. Being over tight is the #1 identifiable cause of band erosion and slips.Many with the band are so focused on getting fills, they don't realize until they have a little unfill, that their band can work better with less fill.
 
You can go out to eat with your band. Sharing works great. I ask for a small plate and put my food onto it immediately. I cut up everything before taking a bite. I eat very slowly and if my companion is having a glass of wine, I'll have one too, to sip as I eat. I don't do this at home, most of the time. Alcohol was not permitted for 3 months post op by my doctor. You'll get a little more tipsy on less due to abstaining for months. Your band has no affect on alcohol absorption. You probably shouldn't drink on an empty stomach, ever, band or not.
 
I hope this is informative and helpful!

I really appreciate all my band has done for me. Not that it's been easy, I did the work, stayed focused and exercised discipline. Unfortunately, my heart (and GI tract) are telling me its time to quit fighting and wave the white flag. Time to see my band surgeon and seriously discuss my options for removal/revision.
I've lost 90 lb, but my digestive system just isn't working correctly, 9 months after having all fill removed. Time to make the call and determine the next step.

Who I am now isn't so important as how I came to be this person, wife, mother, grandmother, sister. The history is what formed me, challenged me to overcome, compelled me to do better than those who came before me.
 
I was born near the mid-point of the last century, in a large western US city. My parents married because they had conceived me when my mom was 16. My birth father was 19. As it turned out, he was a violent paranoid schizophrenic and a pedophile. My mom was later Dx with Borderline Personality disorder. I won't go into detail, suffice it to say that my earliest memories are horrific. My two younger brothers and I suffered the abuse and neglect until I was 9 1/2 years old, when a neighbor girl was assaulted by my birth father, he was arrested and sent to a state psychiatric hospital for treatment. I was taken in to protective custody for four days, while my mother was investigated and cleared of complicity in my abuse. He was not allowed within 300 miles of me, upon his release, 4 years later. When I was 14, he committed suicide.
 
My mom had remarried in 1960 to a wonderful man I refer to as Dad. He earned my trust, respect and love. They had two more little boys in the two years following their marriage. My Dad died of sleep apnea in 1978, we were all devastated and heartbroken...it was the undoing of my mom and my dearest brother. My mom turned to scotch for comfort, inviting my 17 year old brother to be her drinking partner. My mom died 8 miserable years later of pancreatic cancer. Those 8 years were awful, watching my mom decline, my brothers suffer. She raged constantly, told me often that I had no idea of her pain, her suffering. She made life a living hell for her family and circle of friends. She was diagnosed and died in 12 short weeks later.
My brother died 14 years later, the victim of a predatory female who took advantage of his alcoholism, a recent injury, subbed his Rx pain Meds with extra strength Tylenol. Took him 3 weeks to die of liver failure, on our dad's birthday. My heart was broken. This brother was the first male I had in my life who loved me unconditionally. He was born when I was 11 and he was like a son to me. He was my husband's best buddy, my kids favorite uncle, everybody loved him. Yes, he was an alcoholic, very high functioning, but losing him was the saddest event of my life to date.
 
My brother has been gone for 12 years...I think of him every day. I remember my little grandkids running up to the car when I'd arrive at their house, all four of them would climb in the car hugging me, asking me "...is you sad? Did your Brubbie die? Sorry *****, usses loves you! ". They did this for months, until I finally told them I felt better because they healed my broken heart. I have 8 grandkids 6 teens, 2 in their twenties. The youngest 4 are all the same age, 3 identical girls and a boy. I am blessed.
 
Of my four siblings, two have passed. The oldest, died at age 51 as a transient. He inherited the mental illness genes and I never saw him after my mother's death. The next oldest lives in NM, his mind ravaged by years of alcohol and drug abuse. We have minimal contact thru FB. The youngest has never been able to form healthy relationships with anyone...I see him once per year when he comes to visit. He misses his big brother too. He tells me that his true home is wherever I am. I wish my mom had let me take him when he was 15 and she went on her 8 year binge.
 
So...this is my emotional history, in a nutshell. The other stuff doesn't matter, except to say that my family is healthy, successful and happy. We celebrate often, mourn together when the time comes and love and support each other faithfully. My kids have all been married to their HS sweethearts for over 20 years each. We have done better than the generation before us...the bar was low on my side, but my husband and his family were great role models. I'm thankful every day for their love, support and example. I miss them painfully.

Who I am now isn't so important as how I came to be this person, wife, mother, grandmother, sister. The history is what formed me, challenged me to overcome, compelled me to do better than those who came before me.
 
I was born near the mid-point of the last century, in a large western US city. My parents married because they had conceived me when my mom was 16. My birth father was 19. As it turned out, he was a violent paranoid schizophrenic and a pedophile. My mom was later Dx with Borderline Personality disorder. I won't go into detail, suffice it to say that my earliest memories are horrific. My two younger brothers and I suffered the abuse and neglect until I was 9 1/2 years old, when a neighbor girl was assaulted by my birth father, he was arrested and sent to a state psychiatric hospital for treatment. I was taken in to protective custody for four days, while my mother was investigated and cleared of complicity in my abuse. He was not allowed within 300 miles of me, upon his release, 4 years later. When I was 14, he committed suicide.
 
My mom had remarried in 1960 to a wonderful man I refer to as Dad. He earned my trust, respect and love. They had two more little boys in the two years following their marriage. My Dad died of sleep apnea in 1978, we were all devastated and heartbroken...it was the undoing of my mom and my dearest brother. My mom turned to scotch for comfort, inviting my 17 year old brother to be her drinking partner. My mom died 8 miserable years later of pancreatic cancer. Those 8 years were awful, watching my mom decline, my brothers suffer. She raged constantly, told me often that I had no idea of her pain, her suffering. She made life a living hell for her family and circle of friends. She was diagnosed and died in 12 short weeks later.
My brother died 14 years later, the victim of a predatory female who took advantage of his alcoholism, a recent injury, subbed his Rx pain Meds with extra strength Tylenol. Took him 3 weeks to die of liver failure, on our dad's birthday. My heart was broken. This brother was the first male I had in my life who loved me unconditionally. He was born when I was 11 and he was like a son to me. He was my husband's best buddy, my kids favorite uncle, everybody loved him. Yes, he was an alcoholic, very high functioning, but losing him was the saddest event of my life to date.
 
My brother has been gone for 12 years...I think of him every day. I remember my little grandkids running up to the car when I'd arrive at their house, all four of them would climb in the car hugging me, asking me "...is you sad? Did your Brubbie die? Sorry *****, usses loves you! ". They did this for months, until I finally told them I felt better because they healed my broken heart. I have 8 grandkids 6 teens, 2 in their twenties. The youngest 4 are all the same age, 3 identical girls and a boy. I am blessed.
 
Of my four siblings, two have passed. The oldest, died at age 51 as a transient. He inherited the mental illness genes and I never saw him after my mother's death. The next oldest lives in NM, his mind ravaged by years of alcohol and drug abuse. We have minimal contact thru FB. The youngest has never been able to form healthy relationships with anyone...I see him once per year when he comes to visit. He misses his big brother too. He tells me that his true home is wherever I am. I wish my mom had let me take him when he was 15 and she went on her 8 year binge.
 
So...this is my emotional history, in a nutshell. The other stuff doesn't matter, except to say that my family is healthy, successful and happy. We celebrate often, mourn together when the time comes and love and support each other faithfully. My kids have all been married to their HS sweethearts for over 20 years each. We have done better than the generation before us...the bar was low on my side, but my husband and his family were great role models. I'm thankful every day for their love, support and example. I miss them painfully.

Who I am now isn't so important as how I came to be this person, wife, mother, grandmother, sister. The history is what formed me, challenged me to overcome, compelled me to do better than those who came before me.
 
I was born near the mid-point of the last century, in a large western US city. My parents married because they had conceived me when my mom was 16. My birth father was 19. As it turned out, he was a violent paranoid schizophrenic and a pedophile. My mom was later Dx with Borderline Personality disorder. I won't go into detail, suffice it to say that my earliest memories are horrific. My two younger brothers and I suffered the abuse and neglect until I was 9 1/2 years old, when a neighbor girl was assaulted by my birth father, he was arrested and sent to a state psychiatric hospital for treatment. I was taken in to protective custody for four days, while my mother was investigated and cleared of complicity in my abuse. He was not allowed within 300 miles of me, upon his release, 4 years later. When I was 14, he committed suicide.
 
My mom had remarried in 1960 to a wonderful man I refer to as Dad. He earned my trust, respect and love. They had two more little boys in the two years following their marriage. My Dad died of sleep apnea in 1978, we were all devastated and heartbroken...it was the undoing of my mom and my dearest brother. My mom turned to scotch for comfort, inviting my 17 year old brother to be her drinking partner. My mom died 8 miserable years later of pancreatic cancer. Those 8 years were awful, watching my mom decline, my brothers suffer. She raged constantly, told me often that I had no idea of her pain, her suffering. She made life a living hell for her family and circle of friends. She was diagnosed and died in 12 short weeks later.
My brother died 14 years later, the victim of a predatory female who took advantage of his alcoholism, a recent injury, subbed his Rx pain Meds with extra strength Tylenol. Took him 3 weeks to die of liver failure, on our dad's birthday. My heart was broken. This brother was the first male I had in my life who loved me unconditionally. He was born when I was 11 and he was like a son to me. He was my husband's best buddy, my kids favorite uncle, everybody loved him. Yes, he was an alcoholic, very high functioning, but losing him was the saddest event of my life to date.
 
My brother has been gone for 12 years...I think of him every day. I remember my little grandkids running up to the car when I'd arrive at their house, all four of them would climb in the car hugging me, asking me "...is you sad? Did your Brubbie die? Sorry *****, usses loves you! ". They did this for months, until I finally told them I felt better because they healed my broken heart. I have 8 grandkids 6 teens, 2 in their twenties. The youngest 4 are all the same age, 3 identical girls and a boy. I am blessed.
 
Of my four siblings, two have passed. The oldest, died at age 51 as a transient. He inherited the mental illness genes and I never saw him after my mother's death. The next oldest lives in NM, his mind ravaged by years of alcohol and drug abuse. We have minimal contact thru FB. The youngest has never been able to form healthy relationships with anyone...I see him once per year when he comes to visit. He misses his big brother too. He tells me that his true home is wherever I am. I wish my mom had let me take him when he was 15 and she went on her 8 year binge.
 
So...this is my emotional history, in a nutshell. The other stuff doesn't matter, except to say that my family is healthy, successful and happy. We celebrate often, mourn together when the time comes and love and support each other faithfully. My kids have all been married to their HS sweethearts for over 20 years each. We have done better than the generation before us...the bar was low on my side, but my husband and his family were great role models. I'm thankful every day for their love, support and example. I miss them painfully.

Growing up I was always the wall flower. I was the kid a teacher never knew was in class. I was quiet and kept to myself for the most part. While I did have friends, I was careful at school not to get in trouble or break rules, that was just me. I was never loud or abnoxius and never wanted to go against the grain. I was a blender, always blending into the back ground where ever I was. As I got older this trend continued, the only place where I would step up and take a lead was in my job, because that is where I have to. Being a manager I had to be the head of what I did and often times would have to public speak, but that was fine because it was my area of expertise.
 
I always thought my wall flowerness was due to my weight and my not wanting to be seen. But, after losing 50 lbs I have come to see this is just who I am. I still am not a flashy person. I don't like wearing things that make me stand out- I wear normal colors not flashy bright ones. I won't color my hair a odd color for me because it would draw attention. While I feel better about myself I am still the same old wall flower.
 
Even on this site, I post questions and post blogs on a regular basis, but many times do not get feed back or response, which frankly is a little disheartening.
 
But, I must except I am the wall flower and that is just who I am. Maybe one day I will bloom into a beautiful rose that is noticed, but I doubt it, but I am me.

Good afternoon from blizzard Boston.
In the local paper there was an article from Soma Intimates. They said that when women that leave their abusive person they usually forget bras. So Soma is collecting used and new bras for DOVE. I know having lost weight I have many large sized bras. Maybe some of you do to and we can all donate them.
Enjoy your TGIF.

I went in for a fill today, my weight had gone up by 5 lbs since last week so I wasn't thrilled about going in. I went in they weighed me- up 1 lbs since last month!!!!!! I was pissed. She checked my band and gave me another cc - I always get fills with floro. I told her about my weight jump from last week and explained it was my TOM time even though I don't actually bleed. She said that the weight fluctuation was not abnormal, that everyone will have fluctuations from week to week. She also ask how many calories my fitbit said I was burning a day- I told her between 2000-2200 depending on if I work out or not. She ask about my eating habits - I told her I was only eating 3 times a day and sometimes having an afternoon snack. She ask about my calorie intake- I told her I was getting between 1200-1300 a day.
 
Surprise- she said I'm not getting enough calories. Now this is what my doc said, I trust my doctor, she is a Duke Doc, I have full confidence in her- do please do not bash her or me; if you doc said something else fine ok, I am just putting out there what mine said.
 
She said that since I am now over 6 months post that eating 1200 calories a day isn't enough. She said that having a 3-500 calorie a day deficit was good, but not more because the body would not let go of the fat- sorta like starvation mode. She said if I upped my workout routine to up calories. To try and keep my deficit around 3-500 for optimum weight loss.
 
So I am going to try and see what happens. Maybe it has to do with where I am in weight- I don't know, but she is my doctor, she is trained, so I will listen to her.
 
If you don't agree fine, but again don't bash!!