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Obesity & Me

Describe your behavioral and emotional battle with weight control before learning about bariatric surgery.

You know, I wasn't really overweight as a child. The word "fat" was used as a weapon of control against me my whole life, and because of that I thought I was fat. Looking back at the photos of me as a child, a young teen, and even a teen ager, I wasn't fat. I may have needed to lose ten to twenty pounds, but certainly nothing that should have caused the constant ridicule or self-esteem bashing that I took all those years. I was athletic. I was constantly outdoors, could do back-flips, walk on my hands, rode my bike for miles and miles, and was very healthy. Why then was I considered "fat", and why did I end up at 45 years old needing gastric bypass surgery because I had in fact become morbidly obese at a weight of 365 pounds? I believe it was because I was not taught, or even given permission to love myself. I was on diets from the time I was 13 years old, trying to lose that tiny bit of baby fat that protruded over my too-tight jeans, hiding it behind layers of oversized clothing while my "skinny" friends wore tight clothes and flirted with boys. I did diet, watched everything I ate as it compounded pound after pound on my bones. I believe I dieted my way to 365 pounds. Every time I lost 10 pounds I would gain back 20, then 30. It didn't matter which diet I tried, the end result was always the same, I would gain more than what I weighed when I started, and I did damage to my metabolism by starving myself when I was hungry instead of eating. I never understood why the diets didn't work, why the pounds began to trap me into a life of seclusion. I was a busy hairdresser in a popular salon when I think the final dieting "straw that broke the camel's back" happened. I had been working all day, and it was well into the afternoon. Finally I had a break and was anxious to get some lunch, so I went to a eatery next to the salon and ordered a fine freshly tossed salad with a low calorie dressing. I brought it back to the salon, found a quiet little corner and began to eat when a man walked in and looked at me and said, "You're too fat to be eating that!". (I think I weighed about 230 at the time.) It was a SALAD! Not french-fries and hot-dogs, not pizza, though heaven knows I would have LOVED a slice of hot pepperoni pizza slathered in extra cheese and loaded with sausage. It was a SALAD. Lettuce, tomato, onion, you know, a tossed salad. It didn't even have any meat or cheese in it. I was horrified of his lack of good sense, and yelled out a retort to him, something to the effect of "Well, you're so ignorant your opinion doesn't count." Well, that was the final straw for me, and I didn't attempt to diet again for many years, and for many years my weight increased, and increased, and increased. Then I heard about the Atkin's diet, and swore the man in the salon could have been Atkin's himself, because the carb-thing seemed to fit me so well. So I thought, why not? I'll try it. It worked at first. I lost 50 pounds very quickly and was thrilled to find something that was so perfect. Who cared about regular food? I was losing weight and eating the tops of my favorite pizza fixings, minus the crust, and steak and eggs. (Yes, it is possible to get sick of steak and eggs after a while). Burger King Whoppers, better yet, DOUBLE whoppers with cheese, minus the bread, and I was losing weight! Amazing!!! But something else happened. I discovered if I went above my minimum amount of carbs I would quickly gain the weight back. I had to stay under 20 grams the entire time, or I would regain the weight, and this was not good. Carbs are brain food, and you need carbs in your diet. I stayed on the Atkin's plan faithfully for two full years, yet had only lost the 50 pounds and then plateaued for an entire year. I started seeing a neurologist for migraine headaches, periods of mental fogginess, unclear thinking. People would be speaking directly to me and I was not understanding or retaining what they were saying. I had a battery of neurological tests, all came back negative. My mother-in-law belonged to Weight Watcher's and had been trying to get me to join with them, convinced that my problems were from my diet, so after one monster migraine, I did quit Atkin's and join Weight Watcher's. What a DISASTER! My neurological problems went away, but while girls in my WW class were losing 35 pounds, I was gaining 2-3 pounds a week, still FAITHFULLY following the WW program. When I took my detailed food diaries to my instructor to review, in hopes she could catch a problem or something I was doing wrong, she said she could find nothing. BUT then she said, "Perhaps you could keep better track next time". I was appalled. It was a slap in the face to a person who was desperate not to gain back the 50 pounds it took two years to get rid of, but also a slap in the face to my honesty and integrity. I quit Weight Watcher's. Onward to the doctors.... Of course my doctor neither believed I was dieting or trying to diet, and he ran all the usual blood tests which came back clear. This only fueled his lack of concern, and from that point on he blamed every little ache and pain I had on my poor diet. I went to several other doctors for second opinions, third opinions and even a specialist about my thyroid, which it was discovered has a nodule or two, but as they report to me, "Does not interfere with your chemistry", meaning my thyroid is NOT under-active nor causing me to gain weight. So it's all about the food. It must be, right? Of course by now I weigh 350 pounds and can barely walk; much less exercise 30 minutes a day. My metabolism is dead. One doctor explained to me about the insulin resistance, which I knew some from the Atkin's diet. She said once you reach a certain weight, (which I won't quote here because I'm unsure, but I thought she said 250 pounds) your pancreas begins pumping out more and more insulin, and you become more and more resistant to it, until one day your pancreas burns out or just stops functioning correctly, and you become a diabetic. She said while your pancreas is overworking, you could eat lettuce and gain weight from it because of the resistance to the insulin in your body which helps to chose whether to store or use your food. Well, I don't know if she was 100 percent accurate or not, but it made perfect sense to me. After all, why DID I gain weight on salads? Then I learned about bariatric surgery. I was totally against it at first. I thought, why should a person have to have their stomach stapled to the size of their thumb? Skinny people don't have to do that. I discussed it with my current doctor, and even he was hesitant to suggest it to me, knowing the risks and believe it or not, still CONVINCED that if I just ate less and exercised more I would lose weight. So I did. I swam all summer, ate less, kept a food diary for him and he laughed when he read some of my comments I wrote as I counted the calories and complained. I did not lose, and by now his office scale did not go high enough to weigh me in. It only went as high as 350 pounds. I saw a friend in a store and she told me she had gone to Pittsburgh and had her "stomach stapled". I was amazed by her before and after photos, but NO, it's not for me. Nope, I don't eat that much. Stapling is reserved for someone who wakes up in the morning and has a pound of bacon, a dozen eggs, a loaf of bread, and they're still hungry! I have a cup of coffee which holds me over until noon. I saw another friend, she'd lost over 100 pounds after the surgery, and still I refused. Meanwhile, my back pain, the constant ache, everything was trapping me into a life of seclusion. I didn't venture out anymore except to grocery shop or quick trips into the stores for necessities. Walking to the mailbox was a thing of the past. Walking down to our basement was done ONLY when necessary, and I knew my weight was killing me. My husband was so understanding, and he did what he could to help ease the pain. As a matter of fact, I felt horrible seeing him have to do so much for me because I was getting to big to do it myself. I was horrified I would become one of those 1000 pound men or women that had to be removed from their homes. I watched every TV show on weight loss and the surgery, watched the operations, and had started seriously considering it. Then one day my phone rang, and an old time friend told me she saw me out shopping. She told me she had just had the surgery herself, and suggested I attend a monthly meeting her doctor holds on the third Wednesday of each month. I told her I would consider going with her sometime, but I still wasn't ready. The day I decided it was time, my husband and I had been talking about my back pain, and discussing the stories we had seen on TV. He said he loves me no matter what size I am, and if I wanted to do the surgery he would also support me. So I then said, Well, lets do it. And we began the journey together. The first thing I did was to go to that meeting my friend told me about. I didnt tell her I was coming, (in case I backed out) but my husband and I attended the meeting together, met the doctor and got a lot of our questions answered.

What was (is) the worst thing about being overweight?

Believe it or not, the pain in my back, legs, and hips. I could live with the other stuff, like going to larger size stores for clothing, even the look of being overweight, but the pain makes your life miserable every moment of the day.

If you have had weight loss surgery already, what things do you most enjoy doing now that you weren't able to do before?

OH MY!!! I DO EVERYTHING NOW. I can walk without too much pain (I still have bad knees and some back and hip pain) I am always on the go. I just learned how to ride a motorcycle and got my license last Saturday. I can walk without being out of breath, I go dancing, I can fit into a booth at a restaurant, I can wear high heels and pretty dresses, and I am enjoying life like I never did before!

How did you first find out about bariatric surgery and what were your initial impressions of it?

I was totally against it at first. I thought, why should a person have to have their stomach stapled to the size of their thumb? Skinny people don't have to do that. I thought it was going against the way God intended our bodies to function. (I also had a lot of minor arguements ready to help hide how frightened I was to have any type of surgery.)

Describe your experience with getting insurance approval for surgery. What advice, if any, do you have for other people in this stage?

My insurance approved me right away. I feel very fortunate.

What was your first visit with your surgeon like? How can people get the most out of this meeting?

He was terriffic. He was very thorough, assembling 5 of us at a time for a "class" where he explained everything in great detail and answered questions as a group. Then he took us privately to his office one at a time to answer any personal questions and discuss any concerns we may have. He is awesome. (And I can say that post-op as well.)

What made you finally decide to have the surgery?

Two things: First: My researching it and studying about it made me less hesitant. I watched TV shows where people had the surgery, and had great results. I had seen friends with great results. I knew I needed to do it to save my life. Secondly: I had come to a point in my life that I knew if I didn't make it through the surgery, it was better than living the rest of my life in pain and suffering.

How did you decide which proceedure to have?

I was more confident in the doctor and his choice than to make my own. I could have went with a doctor that did laproscopic rather than open, but again, it was the confidence in the doctor and his method of choice. I also liked the hosptial he is affiliated with.

What fears did you have about having complications or even dying from from the surgery, and what would you tell other people having the same fears now?

Fear of pain before, during and after the surgery, fear of dying on the table, or of a major complication such as stroke. What I would tell people now is YES, there are reasons to be afraid, and unless you're willing to risk it all, don't do it. Don't expect the doctors to be GOD, but find a doctor you trust and meet people who he's performed the surgery on and get their opinions. Attend bariatric meetings first, research all you can, and finally if you think the gain in your quality of life outweighs the risk of a possible complication, then decide from there.

How did your family and friends react to your decision? Would you have communicated anything differently if you could now? How supportive were they after your surgery?

My friends and family have been completely supportive. They were hoping I would chose to do this to improve my life, and have been thoughtful and caring every step of the way. I am blessed.

How did your employer/supervisor react to your decision? What did you tell him/her? How long were you out of work?

I am self employed.

What was your stay in the hospital like? How long where you there? What things are most important to bring?

I went to a good hospital. I was there for 3 days, and recieved excellent care. There may have been a few nurses assistants a little slower than the others, but even they tried to make me comfortable and attended to my needs without a fuss.

Did you have any complications from the surgery? If so, how did you deal with them?

I have to admit to one complication that was MY fault other than the hospital. I had written down under "allergies" that I had an allergy to aspirin. I do not have an allergy to aspirin, it just upsets my stomach when I take them. Well, that little mistake cost me about 45 minutes of intense pain after recovery, because the morphine was not taking effect, and the other pain-killer was aspirin based so the hospital did not give it to me. My mother told them I was not allergic to the aspirin based pain-killer, so once that was administered I felt much better. I would suggest that each detail you give the hospital be 100 percent accurate to help avoid a problem like this.

In the weeks after you got your surgery date, how did you feel? How did you cope with any anxiety you might have felt?

I ate like a horse. Finally, I was guilt-free and able to have ANYTHING I wanted. I ate potato chips. I ate bread. I ate everything that I denied myself and did it with pleasure for two weeks. I ate out of nervousness, I ate like it might be my last meal EVER, I ate with all the pain and sorrow of a poor little fat girl and a big fat grown up woman. It was wonderful to get that all off my chest! Fortunately my doctor didn't give instructions not to do this, as I have heard some will not perform the surgery if you gain weight in the process of the approval.

Describe your first few weeks home from the hospital. What should people expect from this period?

Soreness and having a hard time getting comfortable. For example, I always slept on my stomach, but can't yet do it without pain of my still fresh incision. The pain meds made me groggy, and I find I function much better without them. After being home two days I only took/take the pain meds at night before bed so I could get comfortable enough to fall asleep. Boredom will set in, and a little bit of depression when you smell the food others are cooking and eating and you are drinking your chicken broth a spoonful at a time. Keep your eye on the prize, and you'll get through it.

How far did you travel to have your surgery? (If far, how did this affect your aftercare?)

35 miles. My husband drove me home and provided help up the front steps and into the house.

Please describe in detail what things you could and couldn't eat in the weeks and months following surgery. What foods have been off limits? Please explain how your dietary tolerance changed week-by-week, and then month-by-month since surgery.

I am only 9 days post-op, so I'm still pretty limited. 6-26-04 I am now 6-1/2 weeks post op. So far I am doing fine with eating. In the first few weeks I was on clear liquids, then full liquids, then puree and on to soft foods. I have been given the OK now for all foods, in moderation of course. I have only been sick twice, once I ate tomato soup too fast and it came back up, another time it was broccoli, same result. I've lost 37 pounds. I don't feel deprived of food and am not having any cravings for sweets, or foods I know are destructive to my goal. I am very comfortable at this point.

What was your actvity level in the days and weeks after surgery?

I have been active since the 5th day post-op. By active I mean able to get up from bed, do my walking, prepare my own foods, that kind of thing. Fortunately my mom has been here every day to help with the dust bunnies and light clean-up. I still have trouble picking things up off the floor at 9 days, but I feel great.

What vitamins and/or dietary supplements have you taken since your surgery?

Two chewable Tums Ultra for calcium, one Flintstone Complete for a daily mulitvitamin, and my daily intake of prtotein supplements.

What side effects (nausea, vomiting, sleep disturbace, dumping, hair loss etc.) were worse for you? For how long after surgery did they persist? How did you cope with them?

None, thankfully, so far. (9 days post-op) Update 3 yrs post-op: The hardest part was the pain from the incision and not being able to sleep on my stomach for weeks. I have to admit that was tough for me. Also the first 2 weeks of the liquid diet was tough. However, I had very little ill-effects. I am very fortunate. I did lose some hair but it came back, and I did "toss my cokies" now and then, but it was easy to get used to not overdoing things so it didn't happen often. One of the best side effects was when my hair regrew. It came in naturally curly! I love it now. It's long and curly and...yes...I went lighter with it.

What was the worst part about the entire bariatric surgery process?

The fear of the unknown. The pain before I got the proper meds after the surgery. The fasting and cleansing before the surgery was kinda tough for someone used to eating a lot, but even that wasn't so bad.

What aftercare support group/program do you have? How helpful/important is this?

There are many support group meetings I can attend. My surgeon has provided excellent after-care and follow up appointments. His office holds monthly meetings for all to attend. My surgeon also attends these meetings, as does his entire office staff, and usually an excellent guest speaker. My dietician also holds a monthly meeting, and there is another meeting held at a local church. In my area I'd say there is lots of support if you want or need it. Also I come to ObesityHelp.com daily for information.

What is your scar like? Is this what you expected?

My scar is much smaller than I expected. It's five and a quarter inches long, and I tease my surgeon about it being very "pretty". (I show it to everyone.)It's nice and straight and healed very well. I'm almost proud of it. It's a battle-scar of a fight I intend to win.

Please describe any plateau experiences you have had since surgery.

3 years post-op: I have had a huge plateau and a regain of 15 pounds. I am not happy about this at all, but am here again trying to get a handle on it before it gets worse.

Do you notice people treating you any differently now?

I "fit in" now. People don't stare, they don't point, they talk to me and tell me I'm pretty. Before they would just say I had a "pretty face". Now, almost every time I go out, someone I don't know will come up to me and tell me I am pretty. (Men, women, it doesn't matter.) It's embarassing sometimes, but I have to admit I like to hear it. I am also more confident and I think that shows, and people respond to it. And yes, I think people are much nicer to me now. People who knew me "before" are always telling me how good I look "now".... meaning (I suppose) that I really looked bad "before". LOL
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