One year. I can't believe it's been a whole year - its funny, how it both seems twice as long, and also like it can't possibly have been a year already.
In the year (and couple weeks) since surgery, I have lost over 100 pounds. I can power up stairs without losing my breath, do longer hikes, and I have a wholly different relationship with food. I'm very mindful of my tool; especially now that I really and truly feel hunger again. It would not be difficult to eat past the warning signs of fullness, but when those warning signs begin, I promptly set my utensils down. I don't even bring a drink to the table any more; it is too tempting to "wet my whistle" and find several gulps gone and then suddenly realize I have room for more food.
I started in a size 22/3x. I now wear a 12/14 and a L/XL. I wore a 42H bra; I now wear a 36G. While my shoe size hasn't changed, and I was never someone who carried weight in her feet, my shoes do feel a bit looser now and I believe I'll likely be able to wear a non-wide width shoe when I purchase again. I'm thrilled compression socks fit me now without leaving a giant indentation in my calf muscle; I actually have problems with some of them falling down now!
My stomach is still flabby (and I dont have a very cute (naked) pregnancy belly at all!), and the fat on my legs hangs depending on if my legs are up or down. My bat wings could cover a childs face. These things bothered me a lot more a few months ago; lately, they arent even on my radar. That may change after arrival of the kiddo, but for now I know my body is gonna change drastically over the next few months, and then drastically again over the months after that, so I may as well settle in for the ride. I'm not opposed to plastics, but my weight never stabilized before I got pregnant, so I have a long way to go after pregnancy still, and then some time to maintain weight before I can think about plastics.
I'm now 21 weeks along in this little surprise pregnancy, and the second trimester has been pretty enjoyable. My energy is mostly back, the cravings are diminished, and I'm not yet so big that moving around on my own is difficult. I have about 8 weeks or so remaining until my doctor will force me into light duty, and in the meantime I keep up pretty well at work, despite how physically demanding it is. My focus gets to be on providing healthy foods, but also making sure I'm eating enough - which is actually pretty great for a WLS patient - I have double the reason to stick to my nutrition and calorie goals at the moment!
Oh, and we found out last week we are expecting a little girl
I haven't done any proper "after" pictures since becoming pregnant, so here's my most recent before and after, followed by a few bump pics The first is 17 weeks, the next is last week.
Don't mind my hair in that second one, it was a rough day at work
We are having to go for extra ultrasounds just out of an abundance of caution for making sure WLS isn't affecting the baby's growth. So far she's in the 58th percentile and doing excellent!
It's been bizarre to think of how quickly things changed just from WLS, and now how quickly things have changed again. I worry I'll have trouble switching gears again once I've had the baby, but I'm excited for an active lifestyle and to introduce a tyke to that - we're already looking at hiking packs that include seats for kids and hoping to plan a couple short travel trips next year to acclimate to traveling with a little one.
I'll keep trying to remember to check in often - it seems I always think of TTF during the day at work, remind myself to log on, and then by the time I get home and cook and get ready for the next day, I don't remember a thing!
Wow. I cannot believe another month from now will be a year since surgery. In many ways, it feels longer, but in most ways, it feels shorter!
This time last year I was keyed up, making all my pre-op appointments, wondering if I would be a success story for WLS or not. I was burdened by feeling I would be someone to cheat the rules, and end up not being able to lose weight.
I'm so happy to know I wasn't "that" person. I lost 100 pounds in 8 months, and although I've held steady these past 3 months thanks to the surprise pregnancy, I feel fortunate to have gotten as far as I have, and I'm confident once baby is here I'll be able to stick with my new "normal" in eating. Truthfully, it hasn't really disappeared, pregnancy or not. I'm hungry more often, thanks both to being past the honeymoon period and thanks to a growing baby, but even when feeling ravenous, my restriction helps keep me in check and I am reminded to go slowly and stop when necessary. I am continuously thankful that I will have a much healthier pregnancy because of this last year!
I am starting to regain energy as I leave the first trimester behind. I am still holding at around 208 pounds, despite an increased calorie count. I've been able to add walking back in to my daily schedule, as Im not leaving work and feeling horribly exhausted!
My reflux has actually improved. I'm able to get by on half the dose of my protonix currently, although my doctors have warned me I will likely quickly go back to the full dose. I am just enjoying the fewer pills while it lasts. I need to meet with my bari team soon to discuss all the changes and what the future holds for me as far as the conversion to a bypass goes - I'm assuming if my reflux remains better, I will not need the conversion, but I'm not sure. There's a lot in the air as far as my actual bariatric plan goes.
These days, diet/low sugar juice is a staple for me. It's been my one real, hard "craving" that I haven't been able to shake with willpower alone. Grape juice especially. I buy the small, single serving bottles and allow myself one a day. The rest of the day is filled with tiny meals every 2 hours - a few crackers, a cheese stick, clementines, a handful of no-sugar trailmix - plus my normal sized lunch and dinner. Breakfast is usually one protein waffle with a tablespoon of peanut butter, although on days I'm feeling nauseated, a low cal slice of toasted bread is also a good work in for me. I'm finally craving and eating small salads again (but only after finishing my protein!). I usually end the day around 1300 calories currently, and am working to try to get that to 1400.
The next month is full of large amounts of work, travel, the holidays, and hitting that year mark. I'm feeling ready to take it all on
I haven't taken comparison pictures in the past month, but I needed a reminder of how far I've really come in the months until now - pics are preop, 3 months postop, and 10 months post op):
Lord almighty, where do I start?
Well, let's start, as ever, with stats:
Starting weight: 311
Current weight: 209
Starting BMI: 53.4
Current BMI: 35.9
My weight has, for the most part, held completely steady this month. Thanks to this pregnancy, I'm eating constantly (or so it feels) but popping between 208 and 210 pretty regularly. I hit 205 the week after I found out I was pregnant, but as usual when I hit a new weight, it had bounced back to 208 the next day, and there I've stayed all month.
I've been fighting morning sickness - or really, all day sickness - off and on. Some days I can't keep anything down until 3pm or so, and others I don't even have a twinge of nausea. My other major problem? IM SO TIRED. I've been warned I won't know what tired really is until the kiddo arrives, but man, I've never felt fatigue like this. Most days, I'm coming home from work and crashing for a 30 minute nap on the couch until it's time to cook dinner. I miss hiking so badly but the idea of waking at 6am on my day off is funnily foreign to me at the moment, despite that being exactly what I've done for over a year now! I wake on those days, thinking its 7am, when in reality its 10am most of the time. The tiredness (and frequent travel lately) have been the major factor in my absence. If I'm not sleeping, I'm running the thousand errands I should've done while napping
We got to see this havoc-wreaking little peanut on the ultrasound mid-September, and even got to hear the heartbeat although it was only 8 weeks at the time (yay technology!). I go back in a couple weeks for a monthly visit and a nuchal translucency test.
On the actual WLS front, I find myself in the weirdest place. I'm legitimately hungry every 2 hours or so. Naturally, I still can only fit 4 ounces or so in at a time, and I think it's just being used up a bit more quickly than usual. So my NUT wanted me at 1300 calories a day, and my OB says to eat an extra 200-300 calories per day right now, but I'm still lucky to hit 1200 most days. Once in a while, usually because of ice cream or a really fatty sauce with dinner, I can get up to 1500. I've been trying to focus on more healthful and varied nutrient foods for obvious reasons, but my brain wants salt, carbs, and more salt right now. With the exception of carrots, grapes, and mangos, nothing in the fruit or vegetable category is staying down right now. I can very easily understand why the typical recommendation is to weight until 18 months post-op to get pregnant - its certainly not easy to manage cravings and try to eat like I'm supposed to at only 9-10 months post op!
I'm also in a smidgen of mourning for the fact that this happened just before I would've seen onederland. It's petty, but damnit, it's honest. I know (I hope, I hope!) I'll see it after the baby is born, but thats a darn long time away.
On a competely different note, we recently visited friends in Colorado, and I got my hike on:
We hiked the majority of Mount Falcon before the altitude hit me and we headed back down. I want to go back already!
Coming home was a veritable disaster, and we spent over 36 hours in airports because of two cancelled flights.
I'm hoping as the fatigue from the first trimester wears off, I can refocus on participating here and making sure I'm managing my intake better. I miss all of you!
So I finally got back to using the scale again this month. I weighed in at the hospital on the 21st when showing up for my EGD, and was thrilled to know I have hit and surpassed the 100 pounds down mark! I was 209 pounds that day. I still haven't really gotten my scale out of it's closet of shame right now, but I'm feeling good about that
The dysmorphia has been hella bad the last two months. I'm one of those that never felt I was as large as I was (until staring at the number on the scale or seeing a picture of myself). So to some extent, I'm fighting the notion that I haven't really lost much weight. I also fight feeling smaller than I am. I can wear a 14 jean quite comfortably (which was a total surprise), and I've had to stop shopping at plus-size niche shops like Lane Bryant and Torrid for the most part. However, sometimes when I pick something up, I feel it should fit, only to have it fit me like a sausage casing.
Essentially, I feel overall I have no idea what I really look like, no matter how much I look at pictures or in the mirror. All part of the journey, I think.
In other news, I've been going to the gym much more faithfully and have noticed some forward momentum in stamina. I've also been doing (super duper beginner) yoga at home on a regular basis (thank you, youtube) and feel my muscles aren't as tight and my idiot left hip is finally coming around. Hiking continues to be a mainstay, although it'd be great if the rain could subside for more than a day or so.
I had the EGD, and thankfully, only one small ulcer. They put a bravo capsule in me (it attaches to your esophagus) and I walked around for a couple days with this giant data collector that connects to the capsule by bluetooth to measure my pH levels. It has a few buttons on it that I press to indicate when I am eating, sleeping, or feeling symptoms. I had 105 episodes of reflux in two days. I'm not sure what this means, still waiting to hear back from the bariatric office.
And I'm kind of burying the lead here, but last week I found out some major news.
I'm pregnant, y'all.
This comes as a complete and utter shock after nearly 8 years of trying, including 3-4 years of off and on fertility treatments. I have a completely blocked left fallopian tube, and polycystic ovaries, and was told in no uncertain terms I'd need IVF to conceive. We were planning after I'd at least hit the year post-op mark and gotten under 180 to go for IVF. Then last week, after a full week of aching boobs that were a lot worse than my normal PMS-type symptoms, I kinda shrugged and took a test, not thinking much of it. And then I saw two lines and lost my mind for a second. I quickly took a second test, told my DH, and we both said - "theyre cheap chinese tests, lets go get a real one". Ran over to CVS, bought several "real" ones and brought them home only for them all to pop positive within 10 seconds. Whew.
You guys are pretty much the only ones to know right now, because it is an ingrained part of my WLS journey. I haven't told my parents yet because my mother has been literally begging me for a grandchild for 13 years, and I'm at a high risk of miscarriage, so I'd like to at least meet my OB and make sure things are okay before I tell them. I'm actually kind of thankful for TTF, because I'm going to scream if I don't at least tell SOMEONE - and because, no matter what way this ends up, it is entwined with my WLS journey like a pretzel.
This certainly takes any revision surgery (for the heartburn) off the table for me for now, and has brought up a slew of questions about navigating nutritional needs while post-op. Thankfully, there's a lot of literature out there for this. I haven't yet told my bari team, partly because I know they're not going to be happy. We're supposed to avoid pregnancy until at least 12 months, and preferably 18, and here I am, pregnant at 9 months post op. I meet my OB in a couple weeks, and plan to call my bari team as soon as I know it's not an ectopic or otherwise problematic pregnancy.
So yeah. That's been my month. And my last couple weeks.
This months stats:
Well. I'm not sure.
See, I was having a mental battle with the scale as it dropped weight even more slowly this month. I so wanted to hit 100. I was jumping on it every morning and night and stressing the actual hell out of myself. So I handed my scale to my husband about 10 days ago and told him I didn't want it back until after my next medical appointment (August 21st). On the one hand, I wanted to go grab a ladder and get the scale from where he hid it so I could have numbers today. On the other hand, I'd only lost 3 pounds up to 10 days ago, so chances are, the numbers would not have made me happy.
Ever since having my toenail pulled off (sorry, such a gross visual), I have felt worlds better. I was able to get out and go hiking several times again this month, which does wonders for my mental health and physical! I got DH to go camping with me - albeit at an REI hosted campout where they had all the fixing for smores and made pancakes for us the next morning - but still, it was something (actually, thats the way to camp, man. someone else cooking for you?). It was fun to meet people and hang out by a fire all evening. The next morning, as we gathered around the fire again for breakfast, a boat on the lake started blasting music - smooth jazz, of all things. It was amusing and also made for a fun atmosphere.
I have a longterm goal to be able to do an overnight solo backpacking at a trail nearby sometime next spring. So by next spring, I need to be able to carry some heavy stuff and have the stamina to do 10ish miles in a day, so getting to pick the brains of REI staff and some guests who were thru-hikers on many big trails was great.
I also did my first ever organized 5k this month! A group of us from work got together and went. The weather threatened repeatedly to rain us out, but thankfully held off. It was a color run, so we got doused in powdered paint at different run-through stations, and after the finish line, everyone is given a packet of color to go join in a "color party" at the main stage. Next, we're planning on doing a "Muddy Miler" obstacle course as a group next month.
I also went on a good number of hikes this month, including one to the Mill Creek area, which is just gorgeous. I'm trying to build up to 5 miles of hiking by fall. I can do 3 pretty comfortably, although the last half mile or so starts to bother my repeatedly-reinjured foot. Slow and steady progress, though!
In actual WLS news, my EGD with pH monitoring is scheduled for August 21st. In the meantime, they have me on protonix twice a day and sucralfate four times a day, plus tums whenever I need it. The meds have helped some, thank goodness, but aren't a long term solution. If my body could go back to whatever it was doing from February to May and just stay there, that would be great. It's a bit of a head trip to fight acid feels all day, as sometimes it feels like hunger - and feels better after I eat a bit - so I'm sure that's not real helpful on the weight loss front.
August is sure to have a good few events in it, and hopefully plenty of time for honing my hiking skills and making progress on different goals. Onward
This months stats:
Pounds lost since last month: 8
Total since surgery: 76
Total since highest weight: 93
Current BMI: 37.4
I actually took progress pictures earlier this month, and realized afterwards I'm wearing compression leggings, which is kind of cheating! I'm posting them regardless, because there is progress in my arms and the like as well. And I finally had to change shirts, because the original shirt is now a tunic on me!
The past month, I've gotten several compliments from my new(er) coworkers on my weight loss. I started here in February, so they never saw me at my biggest, and met me after my two biggest weight loss drops in months 1 and 2, but it feels good knowing its still showing through!
I have a huge amount of loose skin/fat hanging around under my arms. I expected to have issues with my belly and the like (and still will, its definitely where Im currently carrying most of my remaining weight), but wasn't expecting such an issue with my arms. I've been dermarolling the area a couple times a month just to firm it up a smidge and that's been working okayish. It at least got rid of the stretch marks I had there
I finally redid some measurements earlier this month, which I haven't done since February. April 18th last year is when I started my six month pre-op program. October 12th is when I ended it. February was month 2 post op, and these are just after my 6 month mark:
So in total, I've lost nearly 2 inches from my neck alone, which is crazy to me! Also 12 inches from my waist, and a couple inches from my calves. I'm glad I redid my measurements, as the scale was a bit sluggish last month. This helped reassure me, especially since adding in strength training and upping my calories has slowed my weight loss.
I posted in general chat about my nutritionist upping my calories and carbs this last month. While I did lose weight still this month, I think I need to revert to my normal post-op eating, if for no other reason than this: old habits sneak back in when I am constantly in the mindset of "I need to up my carbs". Things like chips made their way back in this past month, and while last month I lost the same amount of weight without the cals and carbs, I simply dont feel comfortable with this all right now. I want to take advantage of every "good" month I can, and I feel as if the extra carb allowance has just turned into a rationale to eat things I shouldn't.
We talk a lot about how that first year is to establish new habits and a new relationship with food, and I just can't put myself in a situation of falling back into what got me here so soon after surgery. I'd like to think my mental fortitude was higher 7 months out, but the truth is - it isn't!
My foot situation continues to be a boor. I graduated from physical therapy finally (yay!) only to get waylaid by a severe paronychia/infection of the cuticle in my big toe. Goodness only knows how I got it, but after a round of antifungals, antibiotics, and as of yesterday, having the toenail actually removed (ugh), I hope its on the mend.
In other news, I don't mind pictures nearly as much. We had a lot of parties this week at work to do a "farewell tour" for a doctor who is leaving. Each day had a different theme, and I found myself jumping in to the group pictures, and even (gasp!) sharing them to my facebook without shame. That's a nice damn feeling
Until next month
Stats: I lost 6 pounds this month, bringing my total since surgery to 68 pounds lost and my BMI slowly nudging down to 38.8.
I'm kind of sad that my six month doesn't boast better scale stats, but the difference is here: I _finally_ got cleared to restart strength exercises by physical therapy. It seems the day I started that, I hit a complete roadblock: I've been exactly the same weight since the day I started. My nutritionist says "water follows glycogen" and when you work your muscles, they uptake more glycogen. He cautioned it may be a couple weeks before I see the benefit, but promises I will actually see the benefit.
If nothing else, this whole post-op thing has been teaching my patience
In other news, I'm sorry I haven't been here as much! I've been running, running, running it seems this month. I went to VA with my mom for a couple days for an antique show, I've been studying for my GRE, hiking, and gardening every chance I get. My little garden is going nuts It's so much more fun to get outside and hike or garden! I love gardening, but the lugging and squatting and pulling was not my favorite. It seems so much easier right now!
Similarly, on my hike a couple weeks back, there were actually a few areas that had trees down over the trail and other obstacles, and I grinned and dug in to climb over them. I plan on redoing a trail I did last October, 70+ pounds ago, just to feel that difference.
I had my 6 month followup. The improvement in my cholesterol is crazy! I never had truly bad cholesterol, but we have a massive genetic issue with triglycerides in my family - all of us children started showing high trigs even as teens - even when thin - and my dad continues to have horrible issues even after his liver transplant (often higher than 500!). To see mine in the 80s makes me so happy!
I am somehow fighting a vitamin A deficiency. My multi has it, but my level dropped pretty low with my six month labs, so I'm taking a separate supplement for A now. All the rest of my labs were just peachy, and my surgeon says I'm right on track, weight loss wise. My nutritionist has me aiming for 1300 calories a day and (gulp) 130 carbs a day. So far this week, I managed to hit 1200 a couple times, but overall Im finding the adjustment rough.
Otherwise, I'm continuing to chug along and Im crossing my fingers hard that the scale starts moving again soon!
First up, the stats: I dropped 9 pounds this month, which brings me to 62 since surgery and 79 since my highest! My BMI has dropped to 39.8, finally and officially putting me under 40! I'm noticing extra skin/flabbiness to my upper arms and upper thighs. They're smaller but so much more jiggly (never before would I have thought more jiggles was a good thing!).
Where I feel like I should have hit a stride this month, I actually slumped pretty hard in meeting protein and water goals and struggled to have the motivation to do so. I didn't overeat by any means - stuck right between 700 and 900 calories still, but I neglected my protein shakes entirely, and didn't fill in the void with other protein. I just couldn't face them down, and without them, I can't yet really hit protein goals. I'm sure this doesn't at all help with hair loss, either. I started to dust myself off in the final week of this month, even when it meant eating chicken thighs four times in a day to hit protein goals. Going in to May, I need to push hard to make it my norm and keep that groove going, because it really does make all the difference!
I'm still working with physical therapy over that foot that I broke last year and reinjured this year. They don't want me doing any lower body strength right now or putting more pressure on it than my 10-hour shifts already do, which kinda sucks because a) lower body strength is by far my favorite and b) my butt is getting pretty flat with the weight loss, I could use some squats! My foot is doing loads better, though, and I'm hopeful to be hitting trails again soon.
I went to Savannah with DH from Saturday until Tuesday this week and we had a blast. Traveling in the plane was far more comfortable than it was a year ago, and we walked all over the city and Tybee Island. It was so nice to have the energy! I also wore a dress out to dinner (which never happens!) and felt very comfortable - although my legs are still quite large, it doesn't bother me as much now to let them show a bit (especially with the gift of sunless tanners). I found a bathing suit I don't hate as well, and enjoyed some time in the pool and hot tub while we were down there visiting. Savannah is absolutely gorgeous and I look forward to going back some time!
In truth, the walking, the vacation, the fitting-easier-into-a-plane-seat - it all helped get me refocused. I think I've just hit a slump. I didn't slip into old habits, but I wasn't upkeeping my new habits, either. I kind of passed the month in a haze of ambivalence that came from god knows where, but Im glad its passed. I'm picking up protein water tomorrow (to avoid any further issues with protein shakes), and picking up a bunch of shrimp and chicken to grill out this weekend in preparation for the week. I also have plans for a couple hikes this weekend and some gardening.
I think month six is going to be great!
(Us at Fort Pulaski and some other pics from vacation )
March has been a rollercoaster.
For starters, I finally broke the stall around March 6, and quite suddenly dropped a lot of weight.
You can see on this graph, I struggled for all of February to drop from 258 to 253, but then in March? BAM. 6 pounds in a couple days.
Overall, a total of 12 pounds this month, which brings me to a total of 53 pounds since surgery (and 70 since my highest weight!), and my BMI to 41.4. This April 18th is will be one year since I started the six month supervised program at my hospital. I can't believe I've come full circle that fast!
It takes your brain a minute to catch up with dropping weight. I still dont see it when I look in the mirror. I was surprised to hell when my husband insisted I try on a pair of hiking pants that I knew couldnt fit - they were 16s! I held them up to my waist and thought "Theres no way". Lo and behold, they fit perfectly. As did the other 5 pairs of pants I brought back to "test". In celebration, I went out the next week to buy a pair of 16 jeans from Target after pulling on my 20s and being annoyed at the saggy butt and constantly hiking them up.
Speaking of hiking pants, I went on my first group hike with Girls Who Hike (ohio chapter). I never would've been brave enough to hike with a group before. But I did, and while I was still the largest, it wasn't by much, and I was nowhere near the slowest - until the end, as we did the Old Man's Cave hike backwards....which means after some 3 miles of serious hiking (climbing up roots, jumping over washed out trails, climbing up ridges), you climb 20 some odd flights of stairs. I was dead at the end of that, and after about 10 flights, had to pause every 5 steps or so. But we all stuck together and pulled each other through it, and I got some kickass pictures out of it:
Who would believe this is Ohio in early March?! We had several doggos in our hiking group, and quite a few of them didn't mind jumping into the (very cold!) water.
Early this month, I cleaned out my closet. Here's a quick shot:
Most of those hangars in the top right used to have something on them. What's left is also 90% cold weather or dressy items, which means they'll get tossed soon, too. The dressy stuff really doesn't fit me at all anymore (they were significantly loose when I wore them to an event in January), I just dont want to get caught with my pants down (lol) if I have an interview or event to go to last minute. It was so cathartic to get rid of it all. I'm trying to be careful about buying new things, and not getting too much, but also ensuring I enjoy the experience of getting new items every so often. 4 days a week I'm in scrubs, so looking forward to being cute on a saturday is an extra bonus!
My diet is still pretty much the same. Yogurt, chicken, nuts, protein shakes. I have been down with the "adult lunchables" from oscar meyer. Essentially ham, cheese, and a few triscuits. The carb/fat/protein combo combined with 300 calories at one jump is what's currently making me capable of getting through the hustle of afternoons at work. It's still mindblowing to me that in 8 short hours I frequently get 8-11k steps in.
The other big thing this month has brought? The hair loss is real. I wouldn't be half as annoyed except I just got my hair back last year after finally being diagnosed with my thyroid issue. Annd now its all going away again, damnit. Im trying to be patient - but Ive already got the "dolls head" look to the top of my head only a few weeks in to the hair loss, so I'm a little nervous.
Another month under my belt, which is another month of making this lifestyle change. It seems pretty normal to me now to eat so little, to measure at every meal, and I don't miss going back for seconds. Once in awhile, I get a hit of surprise at how quickly I can fill up, but otherwise I'm starting to feel that this is my norm, rather than the exception. On to month 5
Woof. February was hard.
I'm down 9 pounds this month, which is a bitter pill because it seems so small. I started the month off pretty sick with a sinus infect and in a 10 day stall, then had 6 pounds slide off in 3 days after I felt better. Then I struggle bussed for the remainder of the month to lose the other three pounds. In total, that makes me 58 pounds down since my highest weight and 41 pounds since surgery. My BMI has dropped to 43.4
I changed jobs mid-month, and went from a very sedentary desk job to one in which its not uncommon for me to get home and see that I got 11,000 steps in during the 8 hours I was at work. I was going to bed exhausted and sleeping like a rock for 8 hours, waking up exhausted, and going back for another round. I was dutifully eating my protein and my typical 700 calories, and chalked it all up to an adjustment period. Now, I'm wondering if the sudden increase in activity is not the reason I'm having trouble. (Coincidentally, the new job and the exhaustion is why I havent been as active on here).
That all said, I am losing inches during this stall of sorts. And when that happens, I tend to see the weight slide away at some point, but this early out, I feel like 3 pounds in 3ish weeks on average is kinda miserable and I'm disappointed for not making double digits during February.
I had a small lightbulb moment this week about the exhaustion being related to too few calories for the work I'm doing, and upped my calories to 900-1,000 for a couple days. I felt considerably better at work the next days, which is a plus, but the scale still refuses to budge from 253, which is where I've been since the 26th. I went ahead and emailed my nutritionist Friday to ask for advice on the situation, but any words of wisdom from my TTFers would be greatly appreciated as well!
Other highlights this month: Im annoyingly in between sizes. Most XLs are a bit too small for comfort, but XXLs are baggy. I've joined a local "girls who hike" chapter and am looking forward to outings with them - one tomorrow, in fact! I'm not afraid of a three mile hike with strangers at this point, which is worlds away from where I was in fall I need to hit the gym more often for strength to do steeper hikes this spring and summer.
I'm currently mostly eating leftovers (whatever protein I made the day before), yogurt, nuts or jerky, and protein shakes. I'm struggling to drink enough water at my new job, and just trying to be more cognizant that when I have a moment to rest, I need a cup of water in my hand each time.
Overall, I'm hoping March gets me back on board as far as seeing the pounds slip away. I know losing inches is still a sign in the right direction, but damned if those scale numbers don't give reassurance
Woohoo! I've made it through two months. It's both gone by in a flash and seemed to have taken forever, at the same time.
I've lost 49 pounds since the day I walked into the first pre-op class, and 32 pounds since surgery. I have lost over 5 points off my BMI since surgery (over 8 points from my highest weight!).
I feel like I have settled into a decent routine and Im hitting water and protein nearly without exception. I'm still pretty reliant on protein shakes to meet protein goals, but I expect that will continue until I can get more than 2 ounces of solid protein in.
I'm currently eating lots of greek yogurt (dannon's "zero artificial sweeteners" brand is my jam), chicken, shrimp, babybel, and lots of leftovers. My dinners have been focusing on things I can easily make for both me and DH - something I can serve over rice or pasta for him, but is still fine for me without it - and I can generally split my "portion" into something I can eat several times. I've made gumbo or other creole dishes at least once a week, as they're cheap and easy to make a large amount, and I just portion out a bit each day to take to work with me. Snackwise, I love a small spoonful of peanut butter or 1/4 of a protein bar if I need something later in the evening. Or threading a piece of deli pepperoni, a chunk of cheese, and a black olive on a toothpick.
I average between 65-70 grams of protein daily, 60-70 ounces of water, and about 600-700 calories. Some days more, some days less. The nutritionist today told me to try to up my calories, but honestly, I'm full all day long, and I can't get more than 2 oz of protein in at a time. I think I'll add a bit more fat in to up calories a bit for now and see how it goes.
I'm walking most days and hitting the gym a couple times a week. I finally got cleared today to do weight lifting, which I enjoy far more than cardio, and I'm already looking forward to setting up a plan and getting in the gym. It was suddenly beautiful Sunday (50 degrees and sunny!), so I went out to a very muddy trail and happily traipsed through the woods. I can't wait for the weather to clear for more hiking! I have a list of 20 preserves/parks that I want to hit this spring.
I am having hip pain on both sides after walking. Whether its a block or two miles, the pain is about the same and not something I felt until the last 15 pounds or so. I'm subbing collagen powder for whey a couple times a week to see if that helps. On the upside, my knees feel much better.
I don't have to go back to see the surgeon's clinic again for four months, which is nice. They'll do my first real post-op labs then to check how my vitamin program is doing. I will admit to sucking at remembering my vitamins some days, but its getting better. Theyre taking me off my PPI today since I've had no reflux symptoms at all (thank goodness).
I interviewed for two different jobs yesterday. Neither is my ideal, but either is better than where I am. One would be 4 ten hour shifts a week, which would be great to give me a little extra time to hike and record audiobooks this spring. Although it is largely assisting with colonoscopies so....thats a lot of butts
Speaking of butts, if no one has told you today, you have a nice one
I keep thinking I'm farther along than I am. The 29th will be my two month, but I keep thinking I'm 8 weeks out... My last update says week 6, but it was actually week 5
Returning to work week 6 posed some fun new challenges. I find I'm not eating as much throughout the day and way overpacked my first couple days back to work. I am still hitting all goals, at least!
My scrubs are loose and I've gotten a lot of comments from coworkers, especially about the loss in my face, which I think is about 50/50 dermarolling vs WLS. There's one pair of scrub pants I bought only a few months before surgery and I have to hike them to my bra line in order for them to stay up. I did take before/after pictures at 5 weeks as well, and was actually surprised that theres a decent difference in them. I may post them after I do my two month pictures.
A couple times I've hit a bit of a wall energy wise at work, but nothing super serious and getting up and moving seems to help.
I've made it a point to really start getting to the gym regularly and have noticed pretty pleasant effects for the weight loss. The only tough part is getting out of bed when it's 5 degrees Fahrenheit out! I'm trying to get in the mindset that I can go after dinner. I've a total attitude that after dinner is my chill time, but there's really no reason I can't chill for 30 minutes at the gym on an elliptical, right? It's a tough mindset to break, but the couple times I've managed to make myself go after dinner, it was a nice way to get tired for bed and I wake up to a pound lost. Also, have found I actually kind of enjoy trudging through the snow to take a walk around the block. Its quiet and empty out and pretty peaceful.
My rings don't fit. I find this funny because I'm currently about the same size I was on my wedding day (and I was 10-20 pounds lighter than this when we were engaged), but nonetheless, the suckers won't stay on. I got a silicone band for now so I don't have to get things resized multiple times. have a job fair to attend this weekend and thankfully my dress clothes aren't falling off, but I will need to clamp the pants and the shirt in the back a little to make them fit better. I promised my mom I wouldn't stick with clothes that are too big for me, but this soon out I don't yet see a point in replacing much. I'm happy to toss things as they become too large, but I wear scrubs 5 days a week and my weekend go-to currently is a tunic and leggings,
As of today, I'm 29 pounds down since surgery. In the beginning of January, things were moving so slowly I was afraid I wouldn't hit even 10 pounds down this month, but things picked up considerably after I started to really hit water, protein, and exercise goals, so I'm pretty sure I can eke out another couple pounds before the 29th
Howwww!? Week 6 already. So here's what's been going on.
Finally feel I've gotten a hang of water and protein. Being able to hit 64 oz+ of water and 60 grams of protein finally got the scale moving again too (or the rain dance, or praying to the scale gods, yknow, whichever). This week I'll be adding in actual dedicated exercise rather than lapping the house or going to target to lap (which is horribly dangerous for my pocket).
I have a crazy craving for onions. Never been a major onion fan, but I'll be darned if I didn't cook at least 3 different dinners this week involving them because I just love the taste suddenly.
Went to see the surgeon for my 1 month, and instead saw an NP who didn't listen to a word I said and was not at all familiar with my case. When I checked out, I told the girl for my two month, I expected to see the surgeon, and I wanted my case changed to a different NP (we follow with an NP starting normally with the six month one). She initially tried to say it wasn't possible, and I told her I wouldn't return for any further appointments unless I was reassigned. Magically, it became possible
Saw the nutritionist as well, although a different one than normal, and she also didnt know what was up and didn't know I'd been on Step 3 for a couple weeks, and even on telling her this, she didnt seem to know what to do except spend 30 minutes reviewing step 3 with me. Right now, I'm wholly not amused with the post-op program.
I'm getting ready to return to work. I bought the bento that eggface recommends, because it's the only one that really has removable containers, and I want to be able to pack stuff that can be heated and stuff that doesnt need heated. It'll make getting 3-4 mini meals in during work so much easier. I've been testing a few things that will be easy to take (italian and deli rollups, all manner of leftovers, frittatas, etc) this week to make plans for what to take. I have one of the old style giant hospital insulated cups (most hospitals here stopped carrying them because theyre too heavy for older patients, but they sell them in the gift shop for 5 bucks, ha!). It's 32 ounces, so I feel it will help a lot in getting in fluids at my desk.
They want me to eat through the day and take in a protein shake in the evening if Im not at goal, but the last couple days, I've discovered starting with a shake has been the key difference between me meeting goal and not meeting goal. I can't talk myself into a shake in the evening - the thought of even milk by then makes me cringe. So for now, I'm sticking with what's working. I know when I can fit a little more solid/soft in, I'll be able to go it without a shake, and hopefully my aversion to eating later in the day will wane, too.
I also was told to restart vitamins this week, and to add in B12. I ordered off celebrate, and besides the price, am pretty pleased. Their calcium chews beat swallowing big pills by a long shot.
I took pics the other day and was surprised by how noticeable the difference in my belly and chest is. Definitely motivated to keep that tradition up.
Last but not least, I'm biting the bullet and going back to using MFP. I've been using loseit, and I like it a lot - I feel the interface is a lot cleaner - but it really only lets you track breakfast/lunch/dinner and one snack, and it's driving me batty. I also can't edit or create recipes from their desktop site, only from their app. I'm using a notebook to kind of plan my water and protein for the day, but the specifics of calories and macros I prefer in an app. If you have it, add me My username is delilish.
ANYWAY. That's my update and Im sticking to it. <3
By weeks, yesterday was week 4. By day-to-day, my surgery was the 29th, so tomorrow is the official month mark. Regardless, I'm so excited to be here.
It's incredible how much I feel my body has changed. I'm down 20 pounds. I've been doing a better skincare regimen while I've been off work as well, and between the two, I can kiiinda already see a future where I'm not just dumpy and thick. I attended my works holiday party and got more compliments than I think I've ever received at once. My parents were thrilled when they came over for Christmas Eve, although I felt my entire family was watching every single bite I took (and there were a few snarky comments from my cousin - who is considerably larger than me - about how I "made all this food for everyone that I won't even eat").
It's surprising to me how much of a fight it is to still tamp down bad habits. While my taste buds have changed somewhat, I still have a strong preference towards salty/fatty foods. Sweets just don't taste good to me, which is fairly fortunate, but I've never been much of a sweet tooth person. So far, my sleeve has handled pretty much everything I've thrown at it. As long as I go slow and chew thoroughly, it's a champ.
I learned a valuable lesson Tuesday when I went to see the new Star Wars with my DH. We intended to eat prior, but every place at the mall was so busy there was no way. We ended up sitting at Starbucks, me sipping tea, but because of the crowds they were out of most food that wasn't bread. I did drink a small tea, but I'd been a bit short on fluids otherwise. Our theater is one that serves food to you, and we mistakenly thought we had tickets for that, but we ended up on the "other side" where its still a concession stand. Which would have been fine, it serves food, but again, the lines were astronomically ridiculous and I had doubts about my ability to eat the "grilled" chicken they were serving, so we just found our seats. By the end of the movie, I was dizzy and nauseated with a hollow feeling that felt like a drill through my stomach. I had tears in my eyes just trying to walk out of the theater and I gripped my DH's arm the whole way. When I thought back, I realized it'd been ~7 hours without eating, with several of those hours being us walking around an outdoor mall, and one small tea was the only fluid I consumed. We sat down on the stairs and he ran to get a bottle of water, which helped considerably after about 15 minutes, and then we ate a bit and the worst of it finally passed.
Lesson learned. I can't go that long without eating, and I certainly can't go that long without drinking - at least not this early in the process, for sure. It's easy sometimes to 'forget' to eat, or honestly, to not feel like shoving another 2 ounces of protein pudding in my mouth, but I'll need a plan in place for any long outings from here out.
Overall, my meals right now are a mix of super soft things like pudding (I add unflavored unjury to it) and things that are a bit more substantial, like deli meat or even small pieces of carved turkey or a low fat hot dog. When it's pudding or yogurt, I can manage 4 ounces, but anything with meat, I max out at 2 ounces.
My birthday is Monday and I'm excited to welcome in the ripe age of 33, knowing that this age is going to be a huge change from 32. New job, new body, new habits, more hiking (gosh I'm so excited for this bitter cold to end and for clearance from my surgeon so I can hike).
Happy New Years to all if I don't see you this week. <3
Sheesh. Week three ended yesterday. It's funny, I sometimes feel a bit surreal. Like nothing's changed, I totally didn't have major surgery. I feel like I'm eating all the time, which was, you know...my norm before, too. Nevermind that "eating all the time" amounts to 400-600 calories instead of a couple thousand, and that the time I ate 2.3 ounces of food instead of 2 ounces, I thought I was going to blow cookies - I just have a constant feeling since the pain has finally stopped, that I'm just chilling at home these weeks for a staycation and that life is as usual.
Of course, it's not. Every day is something of an adventure when it comes to food. I learned the hard way about chewing my food into mush this week (and similarly, about not letting myself get too hungry). The better I feel physically, the more I fight head hunger.
I've been trying out different foods. It seems every few days my taste buds flip around again. I ate the hell out of cottage cheese week one, so made sure when I went to the store this week to get more, and suddenly I can't stand it. For the majority of the first 3 weeks, I needed liquids room temp, and suddenly I need them ice cold.
I went to a Hannukah party on Saturday. We figured a party would have soft things like dips and stuff I could eat, but it ended up being mostly a deli platter. Technically I was supposed to stay on purees because of the pain, but the pain had been gone a few days, so I tried out an ounce or so of deli turkey and a slice of cheese. It sat really well, and I felt very satisfied for the next couple hours. I checked in with my nutritionist Monday, and they cautioned me to take it easy but gave me the green light for soft foods.
I've been eating out of ramekins, occasionally with toddler flatware. The toddler flatware hasnt actually helped me as far as smaller bites, etc - but its blue and has unicorns on it, so naturally its become my favorite spoon and fork in the whole place
Some days my activity is on par. Some days I crochet all day and take two naps. Overall, my energy is stable and I think I'll be okay to go back to work (Im not cleared until I see the surgeon again January 3rd).
I weighed in Saturday and had finally dropped a few ounces. It'll be interesting to see what it is this Saturday.
I'm trying to start planning on what to take to work to get through the day, although planning Christmas Eve dinner for 12 is the bigger "to-do" on my list. Also, my birthday is New Years Day, so this will be interesting! Normally, we go to my brothers on NYE, drink, and play cards. Drinking is definitely out this year, and my brother is stationed in Kentucky currently and likely won't be home for NYE, so this year will definitely be different.
I'm also going to hit the ground hard to find a new job once I'm back to work. I found out last week that my boss is leaving us, and between that and my new coworker (who gives a horrible name to being a nurse), there's no way in hell I'm staying.
On to week 4! I'm very likely to not be around much, as the next few days mean a lot of list making, a lot of cleaning, a few holiday parties, and a lot of cooking and baking. Merry Christmas and Happy Holidays to all of you
On the one hand, it feels like these two weeks have been a slow-mo of trying to force down protein and water. On the other hand, I can't believe it's already been two weeks!
I met my surgeon for my first post op today. My pain with the stricture has somewhat improved on its own, and he is not convinced from my barium swallow right now that it absolutely needs dilation. We're in a "wait and see" holding pattern.
I can get down about two ounces of puree. More if it's thinner like applesauce. I've been mainlining cottage cheese, pudding with unflavored protein powder added in, liquacel protein in my water, and refried beans. I realized Sunday that my "loaded potato" soup - which is actually 80% cauliflower - would be perfect. I just scooped out my little portion before adding the potato chunks in for my SO. Tastiest thing I've had in two weeks, so I ate it for most of my little meals on Monday and got the stuff to make another batch. I did the infamous ricotta bake and it was soooo good but thinner stuff is settling a bit better for now.
Since surgery, I've officially lost 14 pounds, the majority of those being the first week. I hit a lot of days in a row of 300 calories or less, so my nutritionist figures I may have triggered a slowing of weight loss early because I'm eating so little. Goal is to start hitting 600 on a regular basis, hopefully.
Because of the stricture, I'm not getting advanced to their stage 3 diet, which would mean I can actually start having solid foods. I'm a little bummed, but currently, anything solid - even if well chewed and moist - is a little terrifying, so I'm not all too unhappy. I would like to be as normal as possible on christmas eve, however, and currently that doesn't look like it's gonna happen.
I've resolved to weigh once a week. The whole first week and a half I weighed daily, and tried to not overthink it when I gained or the scale otherwise did wonky things. I handed it to my SO yesterday and told him to only give it back on Saturdays
Otherwise, it's business as usual around here. Been setting up christmas decorations and planning the christmas eve party for my family. It'll be a little weird this year since I won't be eating most of what I cook, but I'm surprisingly fine with the concept. Also been trying to work on this massive blanket I started for a friend. It's a yarn eater and it's not going quickly, so even with all my free time from work right now, not positive I'll be able to get it done on time. I won't be back to work until 2018, as my surgeon wants everyone to be off for at least a month. Thankfully, my short term disability is kicking in this week, although this is a horrible time of year to be at 60% of my normal pay
Huge thank you to all you awesome people here who have been so encouraging during these last few months, and especially the last two weeks. Internet hugs and high fives all around!
I finally got sent home last night.
Unfortunately, anesthesia and I have never gotten along. I always take much longer to 'emerge' afterwards, and even with a lot of warning yesterday, it was the same. I was held in recovery for over 4 hours while they tried to wake me up, and then sent on to my room, where it took me another 3 hours to really open my eyes. I remained pretty out of it and barely able to drink that day, but sometime around 3am I was able to get myself out of bed to the bathroom, which was a helluva accomplishment They were super aggressive with my nausea, which makes this the only surgery I've not spent hours vomiting after, so also a huge plus.
The next day, I just couldnt get liquids down without severe pain. Every sip I took, whether cold or room temp or hot, felt like it would just sit on top my lower esophageal sphincter. It would be followed by a severe blooming pain, and I could feel the liquids start to trickle in. Then Id belch, and Id okayish again. But ain't nobody gonna be sipping their water constantly if it means nasty pain each time. The surgeon said he'd had to "blow open" my lower esophagus when they scoped me directly after the procedure, but that he wasn't concerned. He chalked it up to an esophageal sphincter that was really good at doing its job, and was just too swollen that day to give it up.
I was also really, really red in the face and chest and they didn't know why. They thought initially it was from a specialized research nasal cannula that I gave them permission to use on me, but even after that was taken off, it took nearly 36 hours for me to stop looking like I had a second degree sunburn.
That night, determined not to stay the next day, I got a little more serious about water intake, pain or no pain. By morning, it wasn't painful with every sip. I got up and took a long walk every couple of hours to help the worst of the pain, which was just gas pain. They sat me down to ensure I could eat applesauce and thinned purees without vomiting. They were still a little on the fence, but I got 40 ounces of liquids in, plus some applesauce, plus a few hundred feet in walking, and the diagnostics they wanted wouldnt be available till Monday, so we agreed if I was still having issues, they would schedule me outpatient on Monday. They made me wait to get a few doses of IV steroids to hopefully reduce the inflammation, and then I was allowed to leave Friday night!
Thankfully, its been getting better since then too. I have no doubt that getting sleep in 3-5 hour runs instead of 1-2 hour runs in the hospital has helped, too. Its a little harder to sleep propped up, but I'm making it work. Truthfully, the hardest two things about being home is managing my own medication schedule (jesus they send you home on a lot of meds) and keeping Wifi the pup from jumping on me. He's been since locked out of my room via babygate and is not at all amused by it.
I thankfully haven't seemed to gain any weight while hospitalized, but Ive got some serious upper abdomen swelling. That'll be interestiing as it goes down.
Ugh. I've got another 20 ounces to go to meet the bare minimum today, so I best get on it Thank you all for the well wishes!
Holy crap. Surgery is in two days.
In 12 days on the liver shrink, I've lost 6 pounds so far - also, I'm pretty sure this is the only Thanksgiving I've ever lost weight I didn't even feel deprived. I had delicious turkey and someone brought an awesome salad. Our hotel had a hot breakfast every morning that involved some sort of eggs and some sort of meat, so even though I didn't travel with protein drinks, I was able to meet goals and feel pretty good about being mostly on liquids. The second Thanksgiving was even easier, as my SOs mom is a big creole cooker (her family is from Mississippi), so that "thanksgiving" is mostly crab dip and prawns and meat, so it wasn't at all difficult to avoid carbs.
We got back from our travel Saturday. I hit up the fabric store to stock up on yarn and thread to help keep me busy for the next month. I spent Sunday stocking up on broth and liquids and soups, and doing chores like laundry and bathrooms that I'm not going to get to during that first week after surgery. A few final things to do tonight, and then (besides working) I'm just coasting until surgery! Planning a very light but still semi-celebratory meal of scallops for tomorrow night.
I'm so looking forward to being off work. I think when my time away is up, it's time to look for a new place to go. I love most of my coworkers, but I'm bored senseless and I can see that being worse as my energy returns with weight loss. Im ready to return to something challenging again in the nursing world and I can't wait to see how much better I can move on the floor without all the weight!
I've been in planning mode ever since I got my pre-op date last week!
I've got lists on lists on lists! Shopping for the liver shrink, a few basic staples for the post op diet as well, what to take to the hospital, meals to cook and freeze for the husband, paperwork to complete, chores I want done prior. I am always happiest when I have things to check off, and man, did this give me those organizational feels
So today, I finally met my surgeon. There are two at OSU, and I have previously met one of them, as she is the one who did my EGD. I really liked her, but she has less availability overall because she does a lot of general surgery as well as bariatric surgery, and she was also taking two weeks off in November, so they scheduled me with Dr. Needleman. I feel very comfortable with him after today, and he was very thorough and took his time with me. We signed consents today. I also signed consent for the research study I am a part of to have the surgeon take a few biopsies while they're in there.
I then went on to meet with the dietician. They'd already sent me the stuff for the liver shrink diet, but we met to go over it. Ours consists of 3-4 protein/meal replacement shakes a day and either 6 ounces of chicken + non-starchy vegetables, or a frozen entree from a pre-approved list. I still haven't found a ready-made protein shake that isn't sickeningly sweet to me - I have so many just hanging out in my fridge! I do find them a bit more tolerable if I can dilute them, but I did discuss with them I do have protein drinks I dont mind - syntrax, namely - but they arent "meal replacement". He suggested doing half and half - half meal replacement and half protein drinks.
After the dietician, I went on to meet with Suzy, the surgeon's assistant, who confirmed my surgery date of the 29th (!!!!!) and loaded me up with all the instructions. They also give you an incentive spirometer ahead of time, and two gatorade-like drinks. I have to drink one the day before, and one 4 hours prior to surgery. After I got back to work, I gave my boss the news (although as far as work knows, this is hernia surgery. I have several outspoken coworkers who are against WLS and I don't have the nerve to deal with them while going through everything).
My liver shrink officially begins the 15th, although I am currently drinking a normal protein drink (syntrax nectar) once a day currently rather than snacking. They actually said they're fine with me partaking in Thanksgiving, just to stay away from starches and stick with meat and veggies, which is fine by me.
I've been continuing the hiking every weekend. I pushed through two weekends ago and went to a really well known state park about 90 minutes away on a 34 degree drizzly morning. Most of the trails near me are pretty well maintained, but many of the trails here were nothing more than mud slicks and rocks - which is sometimes a lot of fun!
My calves were murder for the rest of the week, but these three views alone were worth it, albeit I need to go back on a sunny day A waterfall, a cave, and a beautiful big lake in a valley.
1) I finished my last classes on Monday and did my final fit test and exit interview for the Living Well program yesterday. On the one hand, it feels like this has been the longest 6 months of my life, and on another, it feels like its gone very quickly. I even made my initial deposit on the surgery.The only thing that really sucks is they told me they were going to submit to insurance, and then told me I needed a letter of necessity from my PCP. At no point in the past six months, nor on any paperwork, have I been told I need that. I love my PCP but he is unfortunately the type that to get any paperwork signed, I'll likely need an appointment and to shove it directly under his nose to get it done. Sooooo close and yet so far
2) So last Wednesday was supposed to be the big day of the research study. A full 12 hours of being hooked up to various IVs and machines testing how my body processes glucose. I got there at 545 am....and left at 745 am, after two hours of them attempting to get dual IVs in me. I'm not normally a hard stick, but vein after vein kept blowing. They finally exhausted all options and sent me home. They and I want to reschedule, but they need it done prior to my pre-op appointment apparently, which could easily be this month, and they arent sure they can get me back in that quickly. They hinted at wanting me to delay my surgery to get me rescheduled, but I'm not game for that. So we'll see!
3) I joined a gym, as the weather is getting cooler and before I know it, I will have every excuse to not get out and walk or hike. Also, because speaking of hiking, I know strengthening my legs would super improve my endurance ability for hikes, so my goal for cold weather is to come out swinging as soon as snow melts off the trails in spring. Theyre developing an old quarry into a metro park near me, and I'm psyched, but it looks like the trails in it will be considerably tougher than what I've been doing so far, so thats considerable motivation to hit the gym and get stronger!
4) My little brother in the military has made it to Tennessee. They were initially planning on sending him all the way home (Ohio) for his hernia surgery, but now they are keeping him there for it. We'll probably be traveling down to see him in the next couple weeks.
I knew once I signed a contract saying I'd keep my weight stable for this research study, I'd break that damn plateau. True to my word, I finally - FINALLY - fell below 300 pounds at last week's weigh in, and at Monday's weigh in, dropped another pound. No one at the study can tell me exactly what they consider to be stable - 5 pounds? 10 pounds? 5% of my body weight? - so I'll just keep chugging along. Even losing a couple pounds a week, I shouldn't lose more than 6 pounds before the pre-op phase of the study is over, so I'm focusing on the good - which is finally falling through that plateau!
I had the second visit for the research study today. I did indirect calorimetry - wearing a really tight face mask for 30 minutes to measure my calorie burning at rest - and a long form glucose tolerance test with blood draws every 15 to 30 minutes. They had an issue getting my sugar to come back up after I drank the sugar drink. My fasting was 85, and peaked at 146 about 30 minutes later, and then quickly returned to 85. Then 68. Then 60. Then 54. They called the doc, who said they could keep going as long as I didn't get symptomatic. I didn't feel shaky, just tired and headachey, which was more from lack of caffeine. Anyway, 3 hours later, my sugar was still at 62. Upside, they gave me a sandwich and orange juice before I could leave.
I have my 3rd out of 4 "life after surgery" classes this week, and only 4 more of the "Living Well" classes left as well. I can't wait. The classes have been great and the people who have been with it the longest are like a mini family group to me now, but I'm so ready to move past it. I do think it'll be a great resource for the future, though, as they have similar classes for post-ops that need reinforcement or to get back on track or just to have motivation.
Also, I went hiking this weekend. Have been getting bit by the "get outdoors" bug and started researching local hiking trails and parks and was blown away by how much there was to do. Went down to a park here that normally has bison out roaming. Naturally, there were none to see when I went down there, but I tromped around a couple short trails and then some wet prairie. Made a side trip to an excellent waterfall before I returned home. I can't wait to go try another trail at a different reserve this coming weekend!
So two kinda cool things:
First, I finally decided on a surgery, and I'm going with the sleeve. I've been weighing things heavily, and was more recently leaning towards RNY, but after a frank discussion with my cardiologist and the NP, my occasionally necessary use of high-dose NSAIDS would be more problematic if I had an RNY. Since the stomach stays in you in RNY, I could still develop an ulcer from NSAID use. Since that stomach is no longer accessible via EGD, however, I'd need surgery to fix it, and that's not something any of us would be happy with. I also have some interest in seeing how getting rid of the ghrelin and leptin receptors in my body could help me, so I'm trying to be super positive
Second, I was contacted by my hospital university to take part in a research study regarding patients cognitive changes and metabolism changes after bariatric surgery. I find the science behind bariatric surgery fascinating, so although some parts of the research totally sound not fun, it's pretty well compensated and I get a free liver MRI and DEXA scan, among other things. It's really only two days both before and after surgery I give to them, although one of the days sounds ugh...I essentially have to stay in bed for 10 straight hours while they put sugar and insulin in me to measure my sugar metabolism. After I've lost 15% of my pre-surgery weight, I'll repeat the two days of testing. Upside, the payout from the research will put a very nice dent in what I owe for my surgery.
In other parts of delila-land, I am still stuck in my little plateau, but unbothered by it currently because I feel great, and I now need to keep my weight within a 10 pound range for the study. We hosted a little Labor Day cookout for friends and neighbors yesterday, and fun and good food was had by all and I find lately Im not even tempted by a lot of food.
My dad is having back surgery this week after fracturing his T7. My mom just got out of the hospital after a canker sore got crazy infected and she needed IV antibiotics. And for more fun, my little brother, who is currently deployed to the middle east, has a double hernia and needs surgery and currently they wont let him come home - current plan is to send him to germany for surgery and they'll even make him make up whatever time he stays for recovery and add it on to his deployment. Ugh. I can't wait until this time next year. God willing, no more medical things going on with my family and my brother will be home safe and sound. Whew!
Four weeks at the same weight, so last week, I really crunched down, you know? Lunches around 300 cals, dinners around 500, totals between 1200-1300 a day (I am pre-op). High protein, low carb, all the water.
I gained 3 pounds at last weeks weigh in.
No doubt its hormonal (grr) water weight given the timing but man. I would just like to see the scale go down for the first time in over a month!
At least this week I am back down to the same damn weight I've been plateauing at. How I can hit a plateau this long when Ive only lost 11 pounds, I have no idea.
ANYWAY, on a note that isn't crying over my scale being a jerk, last Tuesday I had my mid-term fitness eval. I'm a few weeks past the middle of our classes, but thanks to the the boot, I couldn't do the eval prior. I can hold a wall sit for 20 seconds longer and do four more pushups than I could twelve weeks ago! Its not much, but I lost a lot of activity when I was waylayed by the boot for 4 weeks.
I put sticky notes on the back of my bathroom door so I see them every morning. I overall don't have an issue sticking to the diet (given I have to be accountable for classes and weigh ins!) but sometimes I need a reminder of what I'm doing this all for. Things like "to travel comfortably" and "to finally have children". I'm not typically someone into mantras or affirmations, but the visual reminder daily is helping a bit to look forward to the changes rather than be annoyed that I'm eating cauliflower. Again.
In the real world, I'm annoyed and irritated constantly at my current job and just not super happy here. The job is mostly me endlessly nagging diabetics and heart failure patients to stick with their diets and take their meds. To top things off, I apparently dropped my badge in the parking lot (I have no idea how, its incredibly loud, so Im not sure it wasn't stolen from my car) and it was used to break into our facility overnight by a couple people known for arson. Truly wonderful to walk into work and find an email directing you to call the police.
So they really just needed a statement from me basically saying I didn't knowingly let them have access to the building. I went through security hell to have a badge reissued to me, and as I was coming back to work, an elderly lady on oxygen fell over a bump in our parking lot and hit HARD. Broken foot be damned I went flying towards her. She wrenched her shoulder hard and I couldnt stand her up because of the pain. We waited for a squad, getting nearly hit by a car twice in the process (one of them being anothe rpatient who refused to wait to leave, despite the fact the fall was behind her car).
It reminded me that emergency, trauma, and "real" medicine is what I love. I like the relationships I have with my patients but nagging people is not my jam. Grabbed my GRE book and started studying so I can apply for my NP for real this fall, rather than just talking a good game about it for forever.
Puppy tax for long windedness - him and his lil "bow chicka bow wow" collar
(holy crap already 8 weekly entries? I don't feel like its been two months...)
So my MRI cleared my foot and the reigning days of das boot are over! Which is fabulous, except my foot still hurts like mad. Docs aware, he just kinda shrugged and ordered some physical therapy for me to see if that helps. Grr. Physical therapy starts tomorrow.
Last week was an exercise class, and I powered through 2.5 miles on the recumbent cross trainer like it was my job Now that the boot is off, I'm going to spend the week researching more about the gyms in this area, although I'm pretty sure I'm going to be joining this one. I'm hoping this week I'll find out if my hours are being changed, which would super help with making time for the gym. The changes won't go into affect for several weeks, but that's okay given the limitations with my foot.
Last week's class was otherwise about long term success with exercise - how to not burn out, try new things to stay interested, etc. Nothing mind blowing, but a solid course. I think today's class will follow in the same vein - long term behavioral success.
My EGD was Friday, and it went alright. The resident introduced too much air into my stomach and I had the weirdest episodes of long belching while they were trying to take biopsies of my stomach. I'm pretty sensitive to sedatives and don't remember anything else. I dont even remember talking to the doc (who is also a bariatric surgeon) after. Thankfully my DH was present and they gave me a printout of everything. Other than some mild gastritis that they're putting me on prilosec for, everything looked really good.
Overall, I can't complain, as beyond synthroid I was on no meds prior to starting this, but in the past 4 weeks, but I am now up to 5 pills a day and it feels so foreign to me. I'm horrible at remembering to take everything (which is pretty sad coming from a nurse!). Getting myself a little weekly pill minder to carry with me this week in hopes that helps and gets me in the routine of taking everything, as I know I'll be adding at least 1 or 2 supplements after surgery as well.
Ended up having crazy dreams bordering on hallucinations (I kept dreaming people were outside my window, or that my puppy was thrashing about in his crate, and would feel so strongly about it I'd wake up and check the windows or the pup), but no other untoward craziness
So that's the last major testing hurdle prior to surgery! Now just minor hurdles: finishing my 6 months of classes, meeting with the pre-anesthesia clinic, and meeting with my actual surgeon to set the date.
My DH has been supportive but nervous about this entire shindig. One of his favorite youtubers, Boogie2988, just went through a VSG last week and has been really open about his process and is sharing it on youtube and twitter. He's been showing me the videos and I really hope it helps lower his stress level regarding it, to watch someone he's a fan of go through it for the next few months while I prepare for mine
This week. Whew.
Monday, I was annoyed in the morning to weigh and still be the same weight as last week's weigh in (3 weeks now of only plus or minus a few ounces). It had me in one of those WHY BOTHER THEN?!?! kind of moods. I stuffed up and ate my stupid chicken and spinach all the same. Weigh in went as expected (6 whole ounces down). It is just wholly frustrating to eat 1300-1400 calories a day (sometimes even less) and not see anything like the weight loss they say you will! I know you all know that pain On the upside: I am 6 ounces away from being under 300 pounds
Yesterday was my cardiology eval to get clearance for surgery. No problems there. They repeated an EKG (which makes it my fourth this year!) and it looks the same as ever (some permanent damage from years ago), so he happily gave me approval for surgery and wished me lots of luck.
Today was a follow up with sports medicine about my stupid foot. Unfortunately, he's super unhappy about the healing (or lack thereof) and ordered an MRI and for me to be in das boot for the foreseeable future. MRI is this Friday, here's hoping things are alright, I'm terrified that this fracture will need surgery and that will delay my bariatric surgery.
Overall it's been a busy week! Next week is my EGD, which (I think?) is the last big obstacle besides finishing the next 2.5 months of preop classes. And I get to take the day off work for it, which is a total bonus. =] Hope everyone is having a lovely week!