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I have decided that Friday is my weigh day and today I have lost 10 pounds since May 20th or so. I am so happy that I have been able to do it all by myself. Now, I will tell you that I have gone to bed very hungury but come hell or high water..I was going to not snack after 6:00. Today , I got my phys clereance and my surgeon filed my insurance today also:biggrin: It should be 1-2 weeks until I hear back:scared2: I hope to at least mantain my weight loss until then:w00t:

I'm home. I think I am doing great, although energy level is waaaay down. I am able to sleep lying down, but alternate between bed and recliner (pillows behind back feel great!) My surgery went well and they took me in 5 mins after I got there, and I got there 25 mins early. They prepped me right away and then there was some waiting before the tw Dr. Teng's came in--one brother is the surgeon and the other is the anesthesiologist. I don't remember the anesthesia at all! The last thing I kind of remember is being wheeled into surgery. It's one big blank after that. I'm not even sure when I woke up. I had a room to myself and it was very nice. This was definitely the best hospital care I ever had. I had a male nurse the first night. It was a littlr weird being helped onto the toilet by a guy, but he was so kind and considerate, I felt like I had a private nurse. He brought me lemon swabs for my mouth and they felt so good! I pushed myself to walk and tried to walk every 3 hours, then I would get back in bed and ask for pain meds--Demerol--which I could have every 3 hours on request. I decided, why hurt? But I never rated my pain higher than a 5 on a scale of 10. I also tried to do an extra lap around the nurse's station every time I walked. I was given Heperin for clotting and wore stockings that inflated and squeezed my legs. It was sort of comforting. The bed was noy especially comfortable but I was told the beds were chosen because they could hold up to 1000 lbs! It was sort of ironic that I only told my one sister I was having surgery, then the other sister called with an "emergency question." I decided to wait to call her back. Now that it's over, I want to tell my parents. The sister I told has been so supportive. I wasn't sure how she would react because she works out a lot and eats right so I thought she would tell me just to diet, I am rambling here, but will use this for my blog and Jazzy Junes entry. The upper GI wasn't too bad although I had to drink an iodine solution that tasted terrible. I actually missed the berium solution! But they said if there is a leak, iodine is just absorbed by the body while berium would cause problems. I asked a lot of questions! When I got back from the test, I had clean sheets and a newspaper, plus towels and a fresh gown. Sunday morning, Dr. Teng's office manager showed up with a vase of red roses and a "Congrats on your new life" note. I haven't gotten flowers in 10 years! What a treat! My "meals" were hilarious, I even took a picture that I will post. The guy who brought my meal was sort of apologetic, so I started being a wise ass and said, "Wow! That looks delicious!" The funny thing was that I couldn't finish my meal at breakfast OR lunch. I sipped my broth, then took tiny mouthfuls of jello. I felt some pressure and thought, "Maybe I should stop," then took another bite and thought, "Definitely time to stop." I saved my Crystal Lite for 30 mins. I never realized I gulp my drinks, That may be the hardest old habit to overcome. I didn't get discharged until around 5 pm Sunday. A friend was kind enough to pick me up. It felt so great to be home and sitting in my recliner. I didn't even have much trouble with the stairs to my apartment, I just took them slow. I still have gas pains and am taking Lortab solution for it. I haven't bothered with the GasX or prescription for reflux or nausea. I will probably go back to bed soon and read, then sleep. I am reading a really good, funny book called Around the Next Corner by Elizabeth Wrenn. It's about a 50ish mom who feels invisible and needs meaning in her life, so she adopts a foster puppy to raise for a year and then give to a blind person. My sister said to have tissues ready at the end! I had lost 2 more lbs when I weighed in before surgery, but when I got home, I weighed 5 lbs heavier. I'm not sweating it, it's fluid or something. God knows, it wasn't the big meals! I can't believe I wrote all this, I feel so blessed that everything went well for me!

1. Not get anxious about flying on a plane somewhere because the seatbelt "might" not fit around me. 2. Wearing a belt...without the above bulge. 3. Going to an amusement park and being able to ride...ANY RIDE! 4. Wear sexy lingere and actually look good in it! 5. Wear a bikini! 6. Buy clothes off the "rack". 7. Grow out of clothes because they are toooooo big!!! 8. Have people jealous of my husband because his wife is "fine". 9. Wear a backless slinky dress. 10. To be able to wear those cute tiny t-shirts with low cut jeans. 11. Feel GOOD about what I see when I look in the mirror. 12. As a matter of fact...I want to own a full length mirror! 13. I want to be glamorous like Marilyn Monroe!!! 14. I want other women to envy me and wish they were thin like me...like I wish I was like the ones I see. 15. I want to wear short shorts.

Errrr i could spit rocks i am so mad at the WII FIT!:thumbs_up: I bought a Wii about 3 mons ago bc Wii Fit was coming out and i really thought it would be great that i could do some strengthening at home. i order my Wii Fit over the internet and today it came in. I was really excited. I was following the instruction and it was asking my height and bday. Then is said alright now its time to weigh you and please step on. So i step on the Wii board and guess what IT TELLS ME.... IM OVER THE WEIGHT LIMIT TO PLAY THE Wii FIT:crying:! ERRR i mean im just upset with this whole ordeal. I know this is my fault i should have never got so over weight:glare:. So my newest GOAL is to be able to play on my Wii Fit:mellow:. I read the manual and it says the max limit is 330lbs. and my scale says i weigh 334.5:confused2:. So hopefully in 5-10 lbs i will be plaing my Wii Fit. Ugh one more thing that my weight controls:thumbdown:..cant even play a fitness game. Mandi Jo

My husband is getting this surgery and I have all these fears. I hope I dont run into these issues. He is already handsome, loves to spend money and have fun. We are at the 10 year mark so Im sure he is getting bored. We have 7 and 9 yo boys and it would kill me to lose him.

Sounds like she is freaking out because your loosing weight and might become attractive to the other sex. When I would loose weight in the past prior to surgery My husband would try to sabatough my efforts by buying pans of sweets and bring them home. On the other hand I would get jelous when he would lose weight and pick fights for no reason! My suggestion is to Grab her by both arms look her deep in her eyes and tell her that no matter how much I change on the out side I will always love you . You and Our children are the most important thing in my life! even though she already knows that verbalizing it will make her feel secure. This is what made me toss my insecurity out the window and bring me back down to reality. I have been mariied for 10 years and have 3 children. Me and my husband have also been to hell and back but have made through and are stronger. Try to stay positive and let her know how feel. It is very difficult as the sleever not to get deppressed over everything happening in your body during the first month. Tell her that you need her to support you through this difficult time and tell her you love her Hang in there you will both do great and there is nothing that will pull you apart! This surgery will bring you closer to one another once all the weight starts to shed

So, today I went to the gym, and because I keep reading how so many people are walking 3 and 5 miles a day, I decided to do the elliptical rather than the treadmill. For some reason, I can't seem to do more than 30 minutes on the treadmill. I can't decide if I just get bored or I'm actually too tired to do more. Either way, I switched it up. Before surgery, I wouldn't be able to do more than 10 to 15 minutes on the elliptical. Today, I did 33 minutes! I did have to push myself to keep going though. Last time I did the elliptical, my calf started hurting after 10 minutes, so I had to stop. I'm so happy that I did this today and hope it continues to be this easy. =)

I have been very discouraged lately. Second guessing my decision to get the band and wondering if perhaps I should have gotten the bypass. The scale has not moved down since April 11(not counting the times it has gone up then down, back to the 4/11 weight). I had a fill on May 2, 1 1/2cc in a 4cc band. I have been working out with a trainer and doing the cardio. I have no soft stops, hard stops, BPs, anything. I "could" eat anything I want but manage to eat well most of the time. Although Sunday I had a whole NY bagel for Gods sake, that is not supposed to be possible. I have been journaling foods. Not drinking with or after meals. Its like I don't have the band in at all. Except for the scars and the golfball that is sticking out of my stomach(aka the port). I have reminded myself of why I chose the band over the bypass- recovery time, malabsorption issues, reversible. But Im starting to think about the bypass in a new light. Im thinking maybe I should have done some more research. Talked to some more people. If I had the bypass there is no way a bagel could go down.!!!:thumbup: I am not happy. (on the Drs scale I have only lost 9lbs in the first 10 wks after surgery. I lost 5lbs in the first week. Do the math this is not working!!!!:thumbup::cursing::smile2::cursing::cursing: )

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Alright... I tried it a few times on a treadmill using the app. I was DYING by 10 minutes in. :/ it wasn't so much being out of breath but it felt like my entire body was being jostled inside and my abdomen started hurting. But... Walked my dog the past 2 days and attempted to mix slow jogging in with walking and found it way better. I will walk a block, jog half block or til I can't go on, and repeat. Made it 30 mins. I guess that's progress? Will revisit the program in the future.

It's just dehydration. My ears look great. My doctor laughed when I told her the ER doctor didn't even check my ears. I have been dehydrated many times since surgery but this is the worse ever. Lesson learned. Just glad that's all it is. That scared me. HW: 331 SW: 11/26/12 319lbs CW: 215 06/10/13 GW: 167

This is the new standard. So many people end up not paying their hospital bill that now the hospital wants what they expect your portion to be, up front. When I saw the title, I thought you meant you had to pay 100% up front, not your portion. I was all ready to tell you how to file a complaint about that. But paying your portion up front is to be expected these days. The lab I go to now has the same policy. They told me when I went in yesterday that they expected my portion of the bill to be $19, and they took my credit card info. In their case, it's not charged until after insurance processes.

ok here's how it went the reader's digest version 1. My husband locked the keys in the truck but we had a friend to call and my daughter grabbed mine..that was the start 2. Surgery went without a hitch so said the Doc so that's a great thing 3. I could have been home by 4-5pm but I couldn't because for the life of me i couldn't PEE 4. went walking around nurses stations and drank 3 apple juices to "wake my bladder up" and then go sit on the throne and several times I feel asleep in my IV pole table 5. called Doc about what to do, he wanted to admit me I was like no way, I gotta pee 6. now on top of my co2 bloat from the operation it self.. I also had the most horrific gas ever from the apple juice; my poor hubby, we both watched my belly blow up even further I was about to ask my nurse Karen for a pin! 7. nurse Karen was so wonderful too...she said let's do a french foley.. i was like oh joy 8.we found out that I was dehydrated and could go home with the instructions that if I hadn't peed by 7am this morning I was to call him back 9. when I got home I grabbed my half gallon water jug and went to town on it.. only to find out what true tummy rumblings are 10. I finally peed like forever and did 3 more times that night.. so I got to call the Dr's office and report successful results so other than that, I did learn I love to belch although feeling like a Macy's Day parade air float completely powered by methane gas admitting from the down side..wasn't so great all and all it went really well could have been a heck of a lot worse I am still sore but it's DONE and I'M SOOOOOO HAPPY woot I am banded

I had my first appointment with Dr. Robinson and his Assistant on Monday, and I am shocked! This process seems like it is going to fly by! Here's how it went: I was scheduled for 2:30 but got there at 2:00, so they sat me down with paperwork to fill out. It included all the expected questions, including lists of failed diets, weights throughout your life, co-morbidities,etc. It took about ten minutes, and then they took me in early. The Physician's Assistant (to be called P.A. from the point on) took my blood pressure with a cuff that actually fits me, and it turns out my blood pressure is pretty darn good for a 300 lb. girl! 126/74. They weighed and measured me. We discussed the potential risks of banding, why I wanted the band vs. bypass, etc. It was all pretty straight forward. Then doctor Robinson came in. Dr. Robinson is a man of very few words, but I am not going to him for emotional support. I am seeking him because he seems intelligent, honest and open. He told me right off the bat that I am going to need a boob lift and lower body life after surgery. He also implied that if I mention later on down the road that my boobs sagging cause back pain, and the if I start getting rashes under my extra skin, that I will be able to get both procedures covered by insurance. He then laid me down on the table, looked at my belly, and told me to loose 20-25 lbs. beore surgery. He told me he wants to see me in four weeks for a follow up. If, at that 4 week followup, I have lost 10 lbs, then he will schedule me for surgery. I was told that we're looking at the first week of August, possibly!!!! I left with a to-do list that states which tests I have to have done, which medical records to have transferred, and how to pay the program fee. I have to get an upper GI, see the nutritionist and the psychologist, have a sleep study and have some blood drawn. All of those except for the sleep study can be done on the same day, I was told! Now I am just sitting here at home, waiting for the phone to ring with my appointment dates from his secretary. I am SO ready to go!!!!! :thumbup: Tomorrow is the lap band support group, and I am really debating going!

I had my first appointment with Dr. Robinson and his Assistant on Monday, and I am shocked! This process seems like it is going to fly by! Here's how it went: I was scheduled for 2:30 but got there at 2:00, so they sat me down with paperwork to fill out. It included all the expected questions, including lists of failed diets, weights throughout your life, co-morbidities,etc. It took about ten minutes, and then they took me in early. The Physician's Assistant (to be called P.A. from the point on) took my blood pressure with a cuff that actually fits me, and it turns out my blood pressure is pretty darn good for a 300 lb. girl! 126/74. They weighed and measured me. We discussed the potential risks of banding, why I wanted the band vs. bypass, etc. It was all pretty straight forward. Then doctor Robinson came in. Dr. Robinson is a man of very few words, but I am not going to him for emotional support. I am seeking him because he seems intelligent, honest and open. He told me right off the bat that I am going to need a boob lift and lower body life after surgery. He also implied that if I mention later on down the road that my boobs sagging cause back pain, and the if I start getting rashes under my extra skin, that I will be able to get both procedures covered by insurance. He then laid me down on the table, looked at my belly, and told me to loose 20-25 lbs. beore surgery. He told me he wants to see me in four weeks for a follow up. If, at that 4 week followup, I have lost 10 lbs, then he will schedule me for surgery. I was told that we're looking at the first week of August, possibly!!!! I left with a to-do list that states which tests I have to have done, which medical records to have transferred, and how to pay the program fee. I have to get an upper GI, see the nutritionist and the psychologist, have a sleep study and have some blood drawn. All of those except for the sleep study can be done on the same day, I was told! Now I am just sitting here at home, waiting for the phone to ring with my appointment dates from his secretary. I am SO ready to go!!!!! :crying: Tomorrow is the lap band support group, and I am really debating going!

ok this is the extended version of the Reader's Digest post .. it went like this 1. the keys: my hub was so busy taking pictures of me that he shut his door with the ...keys inside.. we got a family friend to take my daughter and her house key to get my car keys so that my hub could get his keys back.. and mind you he locked the keys in the truck at the hospital parking garage. *insert chopped part so as I am lead into preop there on the foot of my bed was "that gown" you know the one where you have to hold the butt so your hiney doesn't beam the world ..ok so fine I get that and then the "socks that can kill" appeared on the bed These socks must be some sort of a alien technology to take over the world I can see it now, walking about your daily lives when you decide it's time to stop.. but they just grabbed 2 feet in front of only to make you look like crazed puppet that just got poked with a cattle prod.. you know hands all up in the air..body spazing to keep balance because of those freaking killer socks decided to throw you like a rodeo bull ((named tornado or hurricane or something just as naturally dangerous))..into a small pond of super glue....Aliens umm hummm it always starts with the bovine then THEY came, the 2 nurses who are going to run my IV on my ittle bitty roly poly veins I looked at my hubby and held up my hand with 5 on it.. see if she can't hit it by 5 tries then I want a specialist..well I will say this they gave me a local before the IV, she tried several times and finally ended up on the inside of my elbow., my husband was almost freaked cause she was really "digging around" in my left arm. they put the BP cuff and the O2 finger gadget ....then came pressure hose and these little instep foot pillows that would puff air alternately squeezing my feet..I'd dare to say oh yea those were uber cool... then came the heprein (or however it's spelt) nothing like seeing your stomach poked with a needle and you feel nothing but a slight burn by that time I HAVE to go to the restroom right after I get all hooked up and everything so everything almost goes backwards...I get back in bed then come the "drainers" I used to call them vampires, but I don't know too many of those that collect pee...so I now call them drainers and they usually aren't to picky about what fluids they can get.. this one wanted pee~~DYES LAFFIN~~ I told her she should have been there 10 minutes ago I can't give any.. so she like OK.I'll just take some blood..it always comes down to a cup or a needle with these guys.. I mean all they needed it for was a pregency test and I TOLD her I wasn't preggy..I got talked into it ...some nurses are just too peppy for their own good.. Oh and tomorrow I talk about my smexy anesthetist heehee ok the gas is come and go now.. sitting still way low in my belly nothing touches it it's like it owns that part of me...HA I say again HA I can't cough good or even fart cause of the pain caused by any type of pushing because the attachment point of my port is above my abs on the left side and it hurts.. sleep bed pillow g'night

On a "stuck" feeling I jump up and down, like on a pogo stick. It does work for me. Look at it like a stuck toilet bowl. If you add any liquds what happens, it over flows. But if you plunge the bowl it goes down. So I tried the jumping and down methods, sometime 10-15 jumps and it appears to give me instant relief. The hot tea could possibly melt the obstruction. Best wishes and keep the faith.

Just put together a nice salad.. Cubed avacodo, can of black beans, cubed tomatoes, sliced olives, jalapeño, low fat cheddar cheese, lemon juice and a dollop of fat free sour cream!! (10 weeks pre-op)

I could live without ever eating a steak but don't you dare tell me that the band ruins scallops. Those succulent, sweet, expensive mollusks are in my top 10, perhaps 5 foods. I bought a pound of sea scallops last night and ate all of them. Once banded, I am hoping to at least enjoy a half pound of them on occasion.

I have a 14 month old baby - just learning to walk. Yes, I know why walk when you can ride mommys hip! Anyway, I have been trying to decided if I want to go from band to sleeve. I hate the band and you guys are so great posting your experience and advice. I'm pretty sure I am going to do it, the question is WHEN... I have to do before Jan because my deductibles are met... But I have a young toddler. I could get some help but not sure for how long. By the time I do it he will be walking pretty good but how will I feel REALLY feel the first few weeks out if surgery and how until I can pick him up? He's 19-24 pounds

Yes, that helps a lot! (Oh and I like your screen name!) That seems to make my plan logical. I don't intend to drink an entire shot, but break it into 10 gram servings in a shot glass I have and take it with the fruit/veggie meal. I was planning to swig it first, but with this advice, I will leave that last bite or two's space and drink it after the meal so that it can work with the fruits and veggies. That was actually the only negative I had heard before, that drinking a large vile of the protein shot at once, most of it would just go right through your system and you'd only get about 20% of benefit. Personally I like the grape flavored shots and I only need the 8 to 10 grams of protein to go along with the non-protein foods. Thanks again. I think I can make this work. I really don't want to live life without at least fresh cantaloupe and ripe nectarines at least once in a while.

Warning - this may become a bit graphic. Oh my. That was certainly no fun. I hope it was on the "bad" side, as PBs go, because I certainly can't see going through that as casually as some of you guys seem to go through yours. So I was banded Wednesday, and I'm still on liquids, watery cream Soups, and yogurt. DH was home from work and DYING to do something to help me out, so I told him there was some cream of broccoli Soup in the counter, and he could make it for me... I told him to "make it the way I like it" (a.k.a. bandster style - strained to remove pieces, and watered down to regular soup consistency). I've learned not to assume DH knows what I mean in this new eating lifestyle. He brings me my soup, I start eating 'cause I was starving. I've had (or so I thought) no restriction, and have been using regular spoons to eat - no prob. About 4 bites in a take a spoonful and feel weird chunks in it, but before I can catch or cough them up, they slip on down my throat. Almost immediately I had what I can best describe as tummy cramps, but that's not an accurate description. Within a half a minute I had pain on my sides (like where I would put my hands if placing my hands on my hips), and an INTENSE pain in my back/spine, between my shoulder blades. Thanks to you all here I had a really good idea of what was happening, so I did all the things I've read about for months and months... walked around, put my arms up in the air, tried taking a few jumps, tiny sip of Water, etc. Nothing helped. So the PAIN goes on, for five... ten... fifteen... twenty minutes. I have a high pain tolerance, but we're talking "Great googley moogley, make this spine-wrenching pain END and I will sacrifice my first born to the great god of PB!" kind of pain. I'm pacing the kitchen and nothing is helping, and at this point I'd do anything that would stop the pain. I start - not sliming - but excessive salivating, so I used paper towels to "soak" it up. Which in and of itself makes me gap. I had to burp a few times, but it couldn't get out. Then... PB. My husband was upstairs and came running down, he swore I was puking b/c, well... that's exactly what it sounded like, but it was just saliva & a chunk of CHEDDAR cheese. Remember when I said not to assume DH knows my new eating lifestyle, and that my strained cream soup had some kind of weird chunks in it? This is what I mean. Normally I like my cream of broccoli with melty chunks of sharp cheddar in it. He meant well... He came down on turned on the water at the sink and rubbed my back. When he saw the cheese he started tearing, b/c he knew he had put it in the soup, but meant well. Poor guy. Well, so PBd, then dry heaved three or four times, felt some instant relief in the pain, so I went to sit down but as soon as I sat the pain started back up. Less intense, but still there. I tried sitting down, reclining, sitting down... reclining... D is rubbing my shoulder blades where the "spine" pain is, and was fretting because he knew I was hurting... I tried walking a bit, but again nothing helped... Another 10 minutes in and the salivating starts, then like the pain wasn't enough - I get struck with hiccups (keep in mind my ncisions are still sensitive and hiccups are living agony). I cried out a few times, and my poor DH was out of his mind with worry and a feeling of helplessness... so I'm in pain just waiting to PB again, my spine feels like someone is trying to pull it out, my hips feel like they're going out of socket, and my DH is on my tail asking what he can do, is there anything that will help, do I need him to call 911... I'm trying to deal with the pain and get him to understand there's nothing he can do, and the best thing is just stay out of my way while I pace and wait for it to come up... he's tearing up again, flipping out because he can't help, and because he put the cheese in the soup, I'm pacing... and PB strikes again. Much less this time. Once productive, one dry heave, and yep! There's that second chunk of cheese that slid down my throat. DH is standing right behind me, rubbing my back, telling me he's so sorry, he should have known better than to put the cheese in, how could I everforgive him for causing this much pain, etc. The poor guy. So, my first PB. MUCH sooner than I would have ever expected it. I know one food I'm never eating again... I guess I'm back to broth for a few days, but I do have to ask... is this "average" for a PB, or does it sound like a bad episode?

I have had something since 1-22-09, It's weird - no fever, does not feel like it's in lungs (confirmed with chest xray 2-10-09), no congestion just coughing and drainage. First trip to GP got z pack and cough meds with coedine, Next trip 5 days later getting worse worried about band gave me inhaler and a different antibiotic, Last weekend started coughing fits and started like dry heaves in middle of cough and it felt like airway collapsed takes me some time to get inhale/exhale stablized (scary) Called GP again couldn't get me in until Tuesday. Called my surgeon about concern of dry heaves during cough...gave technical medical name (sorry reception gave me this message and said it was something very young children sometimes get and occassionally adults can get it) Asked if anything comes up when coughing? (No) Asked if food and liquid staying down? (Yes) Said to get with GP ask for cough med with coedine. Did and got a refill. At Tuesdays appointment was put on Prednisone for 10 days ....continue inhaler, antibiotics, cough meds. Called surgeon he said okay for 10 days but add 2 pepcid with Prednisone and 2 pepcid at bedtime. Yesterday had less coughing fits but today it is worse again - drainage thicker and more - more fits. Still no fever. I'm calling surgeon tomorrow to see if he can recommend another doctor for 2nd opinion or see me himself. I'm so concerned over my lapband? Surgeon said he would not be able to tell until after cough has stopped whether there was any problems with band. This all started 4 days after 1st fill...I don't think I had any problems keeping everything down and never hungry. Really concerned and frustrated .... any ideas?

I've struggled with my weight since puberty. When I was younger, I was always in state of weight change - I was either losing or gaining. I never learned how to maintain my weight. I'm in my early 40's now and I have been losing and gaining the same 25 pounds for over 10 years. Like many of you, I have tried so many diets - Weight Watchers, Atkins, Jenny Craig (on which I gained weight), Slimfast. I've tried walking, Pilates videos, gym memberships. The only physical activity that I enjoy is swimming/water aerobics. I can stick to a diet plan, but not to an exercise plan. I have learned so many ways to talk myself out of exercising. In the recent past, I have had the most success with an appetite suppressant which my PCP prescribed. For many good reasons, he will not prescribe it for more than 3 months; nor do I want to be on a dangerous medication. I recently changed jobs and my new health insurance may cover WLS. Since I did well with the diet pills, I think that the Lap Band will be finally be a solution for me. If my physical hunger is under control, I can overcome the mindless eating due to boredom, the emotional eating, and stress induced carb binges. Next week I have a sleep study to confirm a diagnosis of sleep apnea. (My prior health insurance's meager contribution to that test had made it unaffordable.) The morning after the test, my husband and I are attending the WLS surgery seminar at Cleveland Clinic - Florida.