How I Prepared for Surgery Part 1 - My Body

[Jonathan Blue 311]

Many people over this last year have asked me what I did to prepare for my weight loss surgery. There were many things that I did and not one was more important than another. The biggest thing to keep in mind is that your preparation heading into surgery and especially the liquid diet the week or two prior will be the hardest and most important thing you do as a part of your journey. You will work hard to prepare your mind, your body, and to some degree your spirit to go though the surgery. Once you do have the surgery the hardest part is over. If you can survive the months before taking the plunge then everything you do after will be a piece of cake in comparison.

I am here to tell you that anyone who says having a weight loss surgery is taking the easy way out is someone who will never understand what it truly takes to go through this process. To some degree I feel sorry for those who don't get it. They will never understand the joy and excitement that comes with going through this transformation. To be honest, even though my wife loves me and has been an amazing support through this whole process, she will never full know or understand what it is like to make this decision and prepare for the surgery like I do.

This is part one, in a series of three posts, detailing my preparation for surgery. The first aspect of this preparation I will cover is how I prepared my body. This was pretty simple for me really. I was in bad shape and was huffing after just sitting up from a chair; as my transformation video in an earlier post has shown. I was miserable! I would practically crawl through my front door after just my first night back to work. I work as a pharmacy technician at a hospital and walk 8 to 12 miles a night. I was living off of Tylenol and Bengay. Honestly I smelled like I was probably 90 years old. Looking back I find myself completely disgusted that I ever let things get that bad.

Since I could not really do much working out because of the toll work was taking on my body, what could I do? The answer came from my brother. He is a nurse and knows a ton about medicine. I honestly think he should have became a doctor, but he didn't want the added responsibility. Before I had fully decided on having the bypass surgery and long before anyone knew I was even contemplating that option my brother came to me, as serious as I had ever seen him. Those that know my brother know he's a bit of a joker and very lighthearted. His demeanor kind of scared me, but in this conversation would be the answer that would help me prepare my body for surgery.

He explained to me that he wanted to see me healthy, that he wanted me to be able to be the cool uncle when he had kids, and how he wanted his brother back. He was scared that I wouldn't be around much longer and didn't want to see me die. Looking back I really think he was right. Then he did something that floored me and provided and amazing answer to how I would physically prepare for the journey I was about to take. He explained to me that he wanted me healthy so badly he would pay for my gym membership if I promised to go three times a week and swim. On a side note; He religiously checked up on my progress with the gym manager to make sure I was going and even went so far as to meet me at the gym and swim with me. I swam on a team in junior high and he explained to me the benefits of working out in the Water.

Water has the ability to take all of the pressure off of your knees and other joints. It can keep you cool if you are prone to overheating and provides an amazing about of resistance if you find ways to take advantage of it. He set up a plan and told me just to come three times a week to swim and do what I could. So that is what I did. I did not want to let me brother down and I would hope he would agree it was the best investment he ever made.

So that is what I did; I swam. I swam freestyle, I swam breast stroke, I saw backstroke, and when I was feeling particularly squirrely, I swam butterfly. Butterfly was my specialty when I was on swim team but man it is a butt kicker. I started out with 10 laps, which was a lot better than I had thought. I found I could move more freely and with less pain in the water. From there I just simply added one or two laps each time I went. Before I knew it, I was approaching my surgery date and I was swimming close to an hour non-stop!

Why should I work out prior to surgery?

There is a very simple answer. To prepare your body. You need to prepare your body for what you are about to put it through. This is major surgery and not something to take lightly. You also want to work out to build up your cardiovascular and pulmonary endurance. Strengthening the heart will make you strong for surgery because your body will be stressed, because of this your blood pressure will spike for a short time after surgery and it is a lot to put on yourself. Strengthening your lungs will help keep you from a common post surgical complication which is pneumonia. My goal in preparing my body was simply to be able to survive the surgery, keep my complications down, and my hospital stay short as should be your goal as well. I want to tell you right now that preparing my body worked out well. I had no major complications and I left the hospital three days later, which was the minimum hospital stay my doctor required for his full bypass patients.

What if I can't swim?

The key here is to simply get moving. If you can walk, then walk. If you have access to a pool, then you can water walk or water jog. If you love biking and can do that, then do that. You just need to move. Your goals with this are simple. First, you want to make sure you are panting a little from being out of breath when you are done. This will show you that your lungs have been pushed a little and if that is true then your heart will have been pushed also. Second, each time you work out, just add a little to it. If your taking laps on a track, add a lap or a half a lap each time. If you are walking your neighborhood then walk for another 30 seconds or a minute. If you do this early, as soon as you begin contemplating surgery the further along and better prepared you will be, come surgery day.

As always, if you have any questions, or if there is anything unclear, please post your questions and comments below and I will work to answer them all as soon as I can. Also check again soon for part 2 of the series about dealing with the psychological aspects of preparing for the amazing journey you are taking.

[Nancy E. 44]

Wow! Thank you for writing this! I have a surgery date of Nov. 12, just a little shy of a month. Perhaps I can begin to swim tomorrow. I don't know how to swim so would have to use a life jacket (and look like a dork, but that is ok with me!), would that still work? My ankles and knees hurt far too much to bike or walk anymore. I am looking forward to reading your future posts. Thank you!

[Jonathan Blue 311]

Nancy,

If you do not already know how to swim, now would not necessarily be the best time to start. I think it would be an amazing goal to learn how after surgery as soon as you feel as though you are able you and your doctor says you can begin working out again. i lost my first 150 lbs. just by different ways of swimming for about the first 6 months after surgery. It is still a workout I do at least two to three times a week. I would encourage you to make learning a point.

As far as between now and surgery. I would strongly suggest Water walking. If you have access to a pool, all you want to do it get into Water that is between your belly button and chest and just walk. You want to take wide, determined strides with an emphasis on walking heel to toe. The water will reduce the preassure on your knees and ankles and make it easier to do. I would do this for as long as you can each day and just try to add on to it prior to surgery.

An interesting fact. If you ever want to know what your body could possibly feel like at a lighter weight, try moving around in the water. As an example, if the water is up to your belly button, then it is the same as if you were half of your body weight. If the water was at mid chest it would be like you were walking at 20% of your body weight. So when your in the pool, play around, dream, and most of all have fun!

If there is anything else I can do to help be sure and let me know. My contact info is below.

[Nancy E. 44]

Thank you Jonathan for the great advice. I will see what my local gym charges and see about starting up Water walking!

Thanks!