CWalters

Obesity & Me

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

I have been overweight the majority of my life, beginning in my teens. Right now I weigh more than I ever have in my life at 360+. I have been on every diet known to man, and some not known. My weight began to creep up when I reached puberty. Every summer I would lose a little, maybe 10 or 20 lbs, only to gain it back and more the next year. My struggle with medical issues because of my excess weight began in my late teens and early twenties. I was diagnosed with Hypertension at that time. My blood pressure would always be 160/80 or better and my weight continued to creep up every year. My first diagnosis of Diabetes came in 1978. It was treated with diet and oral medication from 1979 until about 1994. The oral medications became ineffective and I was placed on Insulin with injections twice a day. I began a real effort to lose weight at that time. I began walking everyday at least a half hour; most days more. I was placed on a 1500 calorie diet, but never saw a significant or permenant weight loss. I lost 30 or 40 lbs., but gained it all back. During that weight gain I reached about 280. At the insistence of a friend/co-worker, who is also an aerobics instructor, I began her two session a week aerobics class. I had stopped the 1500 calorie meal plan and was basically eating as I always did, however, I did TRY to watch how many carbohydrates I ate. My periodic 'binges' kept me from losing very much, but I kept going to class because I noticed an increase in my energy level. In the second year of that program I began to see some weight loss. I wasn't weighing myself, however, I went down two or three dress sizes. I added a day of exercise through my church's fitness program. We did a modified version of the Billy Bank's TaeBo Program. With the addition of that program I ultimately lost about 70+ lbs. and was in a size 18 for the first time since high school!!! Then I accidently stepped on a straight pin. The wound became infected and I was hospitalized for about 8 days. I had to keep my left foot elevated and was sent home with a pick line and 24 hour antibiotics for six weeks with a visiting home nurse administering wound care daily. The wound wasn't healing properly and I landed back in the hospital for surgery on the foot and my foot was placed in a non-weight bearing cast for another six weeks. Eight+ weeks of inactivity dropped my metabolism to 'zero', and caused a rapid weight gain that I still have not recovered from. By the time I was able to be up and around again, I had put on so much weight it was too exhausting and painful to work out so I stopped. Moving around started giving me chest pressure and pain in my legs and feet. The pain in my feet, especially the left one, became so bad some days I could hardly walk at all. I becan to notice something forming near the arch of my left foot and my foot would swell, especially if I was on them a lot. The right one would swell too, but not like the left. I noticed that more and more in my left foot it felt like I was walking on a 'wad' of rags or something and my whole left leg was beginning to swell. It was almost three times the size of the right one most days. In addition I started having pain in my knee and I thought it maybe arthritis. The doctor I had at the time sent me to Yanke Bionics to be fitted for a knee brace that I was told to wear when I started back with aerobics. I tried that, but the knee brace would not stay on moving around in aerobics, and I was still having the pain that was getting worse in my knee and seemed to be going down my leg and effecting my ankle and the swelling was getting worse. The 'wad' in my foot seemed to be getting larger too. I decided maybe I better see a podiatrist. When she saw my foot she immediately knew what was wrong. 'Chargot', she called it. Her explanation was that the bones in my left foot had collapsed due to diabetic neuropathy. I was sent back to Yanke Bionics to be fitted for a special brace that I have to wear daily. If I don't wear it when standing for long periods of time, my left leg collapses and I can't stand on it at all. I know this condition is aggravated by my weight, but I've gained so much weight now, with the pain and pressure I'm AFRAID to try and exercise. The last time I went to walk in the park, like I used to in the past, my hips hurt so bad I couldn't continue. The pain is unbearable just to walk more than 100 feet. Because of the pain and my weight any time I don't wear the brace, I have to walk with a cane. Most of the time I'm so embarassed by how long it takes me to walk around, or walk up a flight of stairs, I just sit around. My feet and legs hurt so bad in the evenings, once I get home, I can't do much else. Just to get up and go to the restroom is a very painful experience for me. I'm a gospel singer and I sing with my church praise team every Sunday. I also sing with another group from my vocal training school periodically. They have no idea how much pain I'm in when I participate with them. Usually on Sunday evenings or at the end of performances, I'm through. I have no energy for anything else. I was relaying all this to my primary care physician, Dr. Matthew Chung and he gave me the name of Dr. Zografakis. He told me with my medical problems I should be a good candidate for bariatric surgery and I agree. I'm 360+ and climbing. I've GOT to do SOMETHING.

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

I think the worst part of being overweight is that people you work with and interact socially with treat you as if you're not there. In group settings your input is not valued. Most of the time you are downright ignored. You're not always given the same respect as your 'normal sized' friends. Men tend to treat you like you should be so grateful that they took you out or talked with you, until you'll do anything to show your gratitude. ANYTHING!!! I think that some people even treat you as if you're stupid because you're overweight. It's a rough way to live.

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

This may sound funny, but I enjoy going out to eat with my friends! Now I'M the one saying, "Oh, I just can't eat another bite". Or after a half sandwich and a side salad, "My, I'm stuffed" (Smile) It's WONDERFUL!!!!!!!!

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

My first knowledge of bariatric surgery was hearing about the singer Jennifer Holiday having it done. That perked my interest because I'm a singer too, but I thought that I would never go to that extreme of a measure to lose weight. I thought that was for people that weighed hundreds of pounds. I didn't think I would ever consider it.

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

Since I had so many medical problems that were aggravated by my weight, my approval went through relatively quickly. The advice I would give pre-ops is to keep track of all your attempts at weight loss. Try to stay optimistic, and don't leave any 'stone' unturned. Never give up! If you're turned down at first keep getting all the information you can.

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

I was very impressed with my first office visit with Dr. Zografakis. He manuvered his stool directly in front of me and spoke to me face to face, one human being to another. He seemed to be very honest and open, and very interested in giving me as much information concerning the procedure as he could. He even showed me pictures of the laproscopic surgery incision sites and was very thorough concerning the possible complications. He was very cordial and put me at ease immediately. I regret I didn't have any questions for him but with my Web searches, the seminar in August, and Dr. Zografakis' wealth of information, all my questions were answered. I think for anyone to get the most from their first consultation with their surgeon, they need to listen carefully, and write down their questions before the meeting.

What made you finally decide to have the surgery?

Two things made my mind up for me to reconsider bariatric surgery. First, I am a gospel singer and from time to time my church, Harvest House Christian Center is asked to host the local Trinity Broadcasting System's, Praise the Lord Program in Louisville, OH. As a active member of our Praise Team I usually appear with the team at the tapings. On several occasions I have had a chance to catch a glimpse of myself as the TV camera sees me. OH MY GOD!!! I had no idea I had become so grotesque!!! Amazing!!! Besides, I promised myself when I reached 200 that I would never let myself get to 300 and here I am at 360+ Help me Lord!!! The MAIN thing that made me decide to go for the surgery is the fact that I have reached a point where I cannot properly take care of my personal hygiene. Certain areas of my body I have great difficulty reaching!!! (If you know what I mean!!!. . . .Smile) I can hardly wait to begin my journey back to normalcy.

How did you decide which proceedure to have?

I did not want to go through a surgery, laprascopic or open, for a lapband. I wanted whatever I did for weight loss to be permanent. When I heard about the Roux-n-Y something just clicked for me. I knew it was the right way for me to go. Turns out I was right!!!

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?

Any fears that I have are suppressed by the fact that I know if I don't get some of this weight off, I will die. Plus, I'm sick and tired of being sick and tired (Smile) I have so many medical problems I'm battling because of this excess weight. I am in constant pain daily. My lower back and hips hurt constantly, especially in the mornings. Not to mention the pain in my feet and ankles. I have what's called a Chargot deformity in my left foot and I have to wear a brace to keep it from getting worse. It is very painful. I have pain in my legs and feet due to diabetic neuropathy. I'm presently on four medications due to hypertension and I've gotten so heavy it's next to impossible to exercise; walking is out of the question. I'm at a point in my life where I feel the risk of complications from the surgery doesn't scare me half as much as continuing to live this way does.

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?

I didn't discuss it with my family. They didn't know about the surgery until after the fact!!! I felt they would have tried to talk me out of it and I wasn't having that. Plus, I didn't want any of their spoken negatives floating around in the atmosphere. The Bible says ' life and death are in the power of the tongue', so I didn't want to have anything negative being spoken about my outcome. The only people I let in on it pre-op was my church family and friends that I knew would be routing for me and thinking positively, as I was. Now, post-op, I've lost over 100 lbs, and everyone now knows I made the right decision. Even my family is happy I did it, especially when I told them how much pain I was in and how I was suffering before the surgery. They know now it was well worth it. I have one family member that is even considering taking the plunge. (Smile)

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

My supervisor was aware of my struggle just to get to work on time every morning. She saw how I had to sit at my desk and rest before I could go to the coat rack and hang up my coat. When I told her I was considering, not only was she happy for me, she began helping me with my research and helping me to info on my surgeon and my insurance coverage, etc. I was in the hospital five days and I was on sick leave for three weeks. I also took a week of vacation after my surgeon and pcp cleared me to go back to work. That was just some time for me. I felt I deserved it.

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

For the first three days post-op I thought I was dying. Seriously. I was violently ill. I couldn't keep anything down and I was so weak I could hardly hold my head up. If I laid down I was miserable and when I sat up I was miserable. I was on broth, gelatin, and popsicles. They made me more nauseous. My insides hurt and I actually thought I was dying. I was too weak to pray. Talking took energy I didn't have, so I prayed in my mind. God heard me, and the evening of the third day I started feeling better. My projected two day stay turned into five. So I would suggest when you're packing for the hospital stay, plan for one or two days more that expected, just in case.

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

The only complications that I am aware that happened during my surgery was my liver did not 'shrink' during the Optifast portion of my pre-op days and my surgeon had a more difficult time getting where he didn't to get to for my Roux-en-Y. There also was a problem with the breathing tube being inserted. I also feel that part of the reason for my extreme nausea post-op was the liquid that I had to drink in order for all the 'connections' to be checked for 'leaks'. There was nothing I could do to cope. I just had to keep doing what the staff told me to. It was hard, but IT WAS SO WORTH IT!!!!!!

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 was so happy I could hardly contain myself. I don't believe I had ANY anxiety. I was just so happy to know that it would soon be over and I could begin the happiest journey of my life. The fact that my surgeon, Dr. Zografakis, scheduled my surgery the day before my birthday was just awesome!!! It was like I was being reborn, AND I WAS!!!!!

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

Because of my hypertension and problems with adjusting my insulin to suit my new eating patterns, I was advised to spend the first two or three weeks with a friend. Also, my doctors didn't think it would be a good idea for me to be alone during that time. I thought they were just being overly cautious, but I found that it was a good idea as I was very weak during that time. I had a lot of bouts with dizziness and lightheadedness, and definitely needed some assistance with everyday tasks.

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

Not far at all. The Advanced Bariatric and Weight Loss Management Center is just blocks from my home and my work.

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 found out very quickly that I could not eat anything containing milk(lactose). In the first two weeks it was gelatin, broth, and popsicles. The next two weeks, I never expected to fall so in love with cream soups. (Smile) Puddings and yogurts were out though. They still are, I think. I'm six months post op now, and they only thing I still have trouble eating is milk(lactose), yogurt, puddings, and anything high fat.

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

My activity level in the first days post-op was low, because of the dizziness and lightheadedness. It picked up though once I was able to get back to my own apartment. At my friend's house she and her grandchildren waited on me hand and foot. In my own place stuff they used to do for me, I had to get up and do, and that helped me get my energy level up.

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

I'm constantly looking for good tasting protein supplements, and I think I've found it in IsoPure. I'm on a multi-vitamin, Calcium w/Vit. D, Iron, Magnesium, Zinc, Vitamin C, and B-12

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?

I think the dausea and vomiting were worse for me, and I did have about three dumping episodes. Unfortunately one of those was at work. It was very embarrassing, but I weathered it o.k. Shoot, no one's laughing now!!!(Smile) The problems that I had occurred during my first three months post-op. I haven't had anymore episodes since then. I don't think I'll have anymore of them now. Due to my being unable to find a palatable protein supplement, I have had serious hair loss, and I still have bouts of 'tiredness' sometimes. I'm over a year post-op now, and I'm down 8 dress sizes!!! I'm smaller that I was in high school. The size clothes I wore at my largest was 32. I now wear 18's and some 16's.

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

I think the worst part for me was the dumping episodes. I've learned more now about what I can and cannot do, so now, I'm in a good place. I think there's nothing ahead but smooth sailing. Thank you, God, (and Dr. Zografakis!!!)

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

My aftercare support group has been three young women at my church who have already gone through WLS. One of them is about five years post-op. Two of them are about one year post-op, and they have been there for me, encouraging me, every step of the way!!!

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

My surgery was laproscopic so I have seven little scars in the sign of the 'Cross'. Ironic isn't it. I have a cross on my stomach. That's why I KNOW I'm going to make it!!! Yes, it was just what I expected.

Please describe any plateau experiences you have had since surgery.

I'm almost eighteen most post-op and I still have not reached a plateau yet. However, I'm only losing about two or three pounds a month now. I'm still trying to remain active so my loss will continue. I need to lose about 35 lbs to reach my goal.

Do you notice people treating you any differently now?

Yes. Better. With more respect. Amazing!!!
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