Kristi N.

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Obesity & Me

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

I have been considered overweight all my life, or at least that's what my parents/family lead me to believe. When I was about 9 or 10, my father enrolled me in the very old Weight Watchers plan. He had to get a waiver because I was so young. Granted, I was 10 years old and weighed about 75 lbs. When I look back, that wasn't outrageous, but they thought so. Encouraging physical activity would have been more productive than starting a life-style of yo-yo dieting that brought me to the need for such a drastic change. They never encouraged any the 4 of us kids to be active in anything other than to get out of the house and go play. We did not have any family activities or were allowed to compete in sports. The family meals always consisted of fried meats, heavy starches, and inedible veggies. My mother was not a creative cook and seemed to think that large portions smothered in gravy would hide that fact. We were required to eat everything on our plates...and sit until we had indeed cleaned them off...or suffer the speeches about starving children in 3rd world countries...or worse, hear Mom whine about how she was failing as a mother because we wouldn't eat her cooking. Guilt is a powerful weapon. Desserts were equally as large and we were wasting precious money if we didn't eat the entire serving. When I was in 10th grade, my dad filled out my electives for high school. He enrolled me in a "weight lifting" class for gym. I was excited, until I showed up on that 1st day. At 5' 2" and 112 lbs, my instructor was wondering why I was in her class of girls that easily outweighed me by 50, 75, even 100 lbs or more. She tried to get me transferred to the swim team, but without my parents permission, her hands were tied. My body image was imbedded in my brain...I was just like the other girls in the class. We had a separate room in another part of the gym where no one could see us herded around walking in circles around the perimeter as our "activity". I dieted. I watched everything that went into my mouth, and I cried. My 40th birthday, Mom called me to come to her house after I got off work. She had baked a cake for me...nice thought. Then she cut the cake in 4th's. One piece each for me, my step-dad (I loved that man), and herself, with the last for me to take home. Really??? A fourth of a cake??? Who in their right mind would eat a 4th of a cake? When my step-dad and I told her we couldn't possibly eat that much, Mom got upset and said I never appreciated anything she ever did. Then she told me that she hated to rush me, but they would need to leave for church soon. It was the pastor's wife's birthday. The church was having a party for her...and she was the most beautiful 40 year old woman my mother had ever seen...and again, it's pounded into my brain that I am not worthy. Even now, my mother takes absolutley no responsibility for not teaching better nutritional habits. She tells everyone that I gained weight because I had my tonsils out when I was 4 yrs old. I had a partial hysterectomy in June 2002, after which I ballooned up from 192 to 230 lbs in a couple months. When I spoke to my doctor at that time about the drastic weight gain, he told me it was because of the change in my hormones and it would either balance out or not. He didn't want me on HRT because I still had my ovaries. He used all the right words...you're a smart woman and not unattractive...some people just can't lose the weight, so learn to accept yourself as you are and move on. So I did...to my current doctor...a woman who is encouraging and has applauded my decision for wls and is very happy with the results in my labs, etc. I'll keep her. I'm still not on HRT, but that's ok.

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

The way people treat you and the way you treat yourself is the worst part of being overweight. The nasty comments. I could overlook a child saying something about "the fat lady" but when your own family makes snide comments, it's destructive. I had gone to visit a friend in CA when I was in my 20's and hadn't seen my dad in about 5 years. When I asked to hold her baby, my dad told my friend that I didn't have a lap to hold the baby on...and laughed histerically, like that was funny. I weighed about 200 lbs at that time. Back-tracking and fast forwarding at the same time...both my parents were obese and dad died from an occlusion of the main artery going into his heart, caused by many years of cholesterol build up from fatty foods...ya think he had any right to treat me the way he did when his own life was imminently in danger? Regardless, it was the fear of dying like my dad that lead me to start changes in my own life. I refused to be like "them". Treating yourself as if you deserve the ugly comments, cowering away instead of standing up and blocking them, accepting that it's your fault, so you should take what's coming to you. Pretty self-abusive. Hearing someone say "you might as well marry me because, well, you aren't much and no one else is beating down the door asking you for a date". That was supposed to make me feel grateful that at least someone was willing to take me. That lasted about 11 years, until I got tired of seeing him with skinny women and hearing about how hot they were. I was about 175-180 lbs then. I left.

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

My gastric bypass was 7/28/11. I'm coming up on my 6 month surgiversary...dang...I love that word. I also love being much more active, wearing smaller sizes, looking good, eating healthy, and wearing heels. I also love it when my sweet man wraps his arms around me and says he loved me before my surgery (I was 50 and weighed 244 bs when I started my journey), but he loves the self-confidence that he sees in me now...and to him that is what makes me sexy. I love feeling my collar bones, my hip bones, seeing my feet, and sharing the recliner with several grandchildren at once. Having my 6 yr old granddaughter show me with her hands how small she thinks my waist is...so sweet...I'm sure she is exagerating. I am currently 51 yrs old, 157 lbs, and wear a size 8-10 jeans. I'm looking forward to reaching my personal goal of 20-25% BMI...whatever weight that will be. One of my goals is to go try on some beautiful evening gowns and have my picture taken in something exquisite. Having the surgery was the best thing I ever did for myself...besides the divorce :) I don't preach that gastric bypass is what everyone should do. It is what has worked for me. The type of surgery is a personal choice. Getting your head straight and understanding that you must make life-style changes and stop "dieting" is key. Make positive choices, be proud of each accomplishment, no matter how small other people might think it is. When you get off-track and get yourself right again, don't suffer with guilt. Celebrate that you recognized that you were headed in the wrong direction and got turned around.

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

I had heard about bariatric surgery for years. The old "stomach stapling" routine. Many years ago, a friend of mine at a little country church was morbidly obese and had looked into having gastric bypass. I remember the church laying hands on her and trying to pray the demons out of her. They discouraged her at every turn, shaming her into thinking that if she had the surgery, she was proving she had no faith in God. Stupid people... Then a few of my co-workers had gastric bypass in the last 2 or 3 years. I saw their success and started investigating further to see if it was smething that my insurance would cover and if I physically qualified.

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

I have an HSA through BSBC of NC. I went through all the preliminary physical and mental exams that my surgical team required, Provided documentation of chronic obesity from my PCP, and was approved with no problem. Oh...I love my HSA...

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

My very 1st meeting with my surgeon was when I had my endoscopy...what a nice nap. My 1st consultation in his office was wonderful. He immediatley put me at ease. I was able to ask all kinds of questions. He didn't make me feel rushed. I was embarrassed that my cell phone went off a couple times. My fiance's father is 94 yrs old & in a nursing home with alzheimers. When I told my surgeon that it was the nursing home calling, he insisted that I take the call.

What made you finally decide to have the surgery?

Desperation...I looked at myself and said I had wasted too much of my life. I want to be healthy and strong, play wih my grandkids, and be the best possible me that I can be.

How did you decide which proceedure to have?

I opted for the bypass because it seemed to be the best choice for me. I wanted to lose the weight quickly, but at a healthy pace. I didn't want the lap-band because I didn't want to be driving back and forth 120 miles one-way for fills, etc. each month. I explored some of the other options, but they just didn't seem to be a good fit for me.

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?

Of course you have those thoughts. And you could die sitting on your couch from a heart attack if you don't do anything about losing weight. You should have your affairs in order anyway. I tried not to think negatively and avoided talking to anyone who I thought would give a negative outlook.

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?

...like my mother. I finally told her about 2 weeks before my surgery. She had fallen and broke her hip. I was in the ER with her, knowing she would have surgery and rehab. I told her that I would not be available for a while because I was going to another city 120 miles away for the gastric bypass. The day of my surgery, she left a message on my cell phone that she checked herself out of the physical rehab unit and got a cab home because "those people" were telling her what to do and they wouldn't let her have salt. Ah...Mom...what can I say... My friends at work were all very supportive. All my co-workers have been awesome. My friends outside of work are great and encouraging. My family have all been wonderful. I have a 33 yr old daughter who is a body builder and fitness model. Even though she does it her way...and has the time to spend hours in the gym...she has been a rock for me, providing me with very goood advice about protein and vitamins...and WATER. My younger son and daughter are both morbidly obese...I did try to teach them better than my parents did, but I can't stop what they bring into their own homes. Both are very please with my success and are looking into the procedure themselves. I will be there to back them up every step of the way.

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

My male boss kept a respectable distance, but I kept him in the loop. He just doesn't want to hear anything personal. Although, he is the 1st person, besides my sweetheart, who contacted me the day of my surgery. I was coming to when I heard my cell phone buzzing...yep, we were allowed to have them...and my honey said it was my boss. Good guy.

What was it like attending your first information seminar on weight loss surgery? Were you glad you attended? if so, why?

I'm so glad I went and would encourage every one to go. It was very informative. One of my co-workers attended with me. She had gastric bypass 2 1/2 yrs ago with the same surgical team.The questions from some of the other attendees were great, things I hadn't thought about. I often think about the other people in the room that day and wonder where they are on their journeys.

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

The hospital staff were great. I did have a hard time standing and couldn't walk for a while. I felt like I was going to throw up and pass out. But I kept trying. I was in 2 nights, but by the end of the 2nd day I was walking pretty well, if slowly. I overpacked. My surgery was in July. I took a soft cotton sundress to wear home. It was so hot and humid, the a/c in the car couldn't keep me cool enough. Make sure you have something adequate to cover your rear while walking. I took my laptop and Nook, but didn't feel like using either. Shoot, I didn't feel like talking to anyone and slept when I wasn't walking. The hospital provided everything I needed for toiletries, even though I brought my own. I did think it was kind of strange that the woman in the room next to me had her family bringing in KFC and McD's. They ate the whole time she was in there.

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

I have had no complications so far and do not anticipate any. If I follow my surgeon's advice, my nutritionist's guidelines, and common sense, I should be good.

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

The first few days I was in the "WHAT HAVE I DONE" mode. The more I moved, the better I felt, and the more I moved. It's great the way that works. I was back to work within 10 days and so happy to be there. My boss actually smiled when I came in that day.

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

I tried to get back to my normal routine asap. Eating was an issue and packing my lunch for work. Make a plan based on your daily routine and stick with it. Get your protein in, drink your water, and walk.

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

I drove 120 miles one way. I schedule my visits on my days off so as not to disrupt my office routine. It has worked well.

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 ate a scrambled egg when I got on soft foods. I wasn't ready for the yolk and even though it was the most delicious thing I had eaten, it made me cramp and suffer. I do not drink anything with caffiene, no sodas, nothing sweet. I use splenda as a rule. I tried a small grilled burger when I went to solid foods, but the texture was terrible. I can do chili and meatloaf. I have stayed away from "white foods". No pastas, potatoes, rice, bread. That is my choice and it may be that my nutritionist will tell me next week that I can add in small amounts. But will I want to? I do eat sugar-free instant oatmeal and instant grits on occasion, and sometimes a couple crackers with peanut butter. I just tried bagel chips today. So far, so good. But I don't want to load up on carbs and miss my protein.

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

I tried to walk inside the house as much as possible right after surgery. It was so dang hot outside, I couldn't breathe, and we were having alot of smoke from wild fires in our area for months. Once the temps started dropping, getting out was much easier and I also started doing stretches and pilates inside. My heart says it wants to start running now, but my legs say "are you nuts?" I think my heart with over rule my legs soon.

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

I take B-12, D3, chewable calcium with D & K, and Opurity multi-vite.

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?

If I eat something heavy, I have to relax on the couch until the feeling passes, not really nausea, just regret. No vomiting or dumping. My hair has been coming out for the last 4 months. I have always had very thick hair so it isn't noticable to everyone, but I can tell, and I have bought stock in Drano.

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

That I didn't do it sooner...plain and simple.

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

I have support at work with others who have has wls and I come to OH a lot.

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

I have 5 tiny scars that are fading fast. No problem.

Please describe any plateau experiences you have had since surgery.

I had reached a personal goal of getting to 160 lbs on Jan 1st. I actually weighed 159.8. By the following weekend, I was back up to 162.6, I freaked, panicked, stressed. I was also stressing over my fiance's dad's health, he fell and had a nasty bruise and large bump on his head...again alzheimers and in the nursing home, and also worried about my fiance's job. They are downsizing and still don't know what to do with him. I stayed off the scale, re-evaluated everything I was eating & drinking, waited a week, weighed again and was down to 160.2. YAY! Since then, I have dropped down to 157.

Do you notice people treating you any differently now?

I have had positive experiences where most people have treated me as if they recognize I have more self-confidence. My job has changed slightly. My boss has given me more responsibility...along with a small raise. I do enjoy knowing I make a good impression when I walk into a room. Maybe I see things differently because I hold my head up and look people in the eye. Maybe it wasn't them to begin with. Maybe it was because I couldn't see what they saw. And the heads turning is a fun thing.
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