A LONG, LONG over due update!

Wow… Yeah… I’ve been busy, to say the least, and updating this blog has not been on the top of my priority list. I have decided, however, that I am going to keep this blog open and will on occasion come by to offer some updates and discuss a few things that may come up on the topic of WLS. Here soon I will be starting a new blog with a different subject topic. It is still in the works in regards to what that subject topic will be. But…. to give an update….

It has now been one year 4 days since I had this surgery done and to date I have lost close to 80 lbs. For some that may not seem like a lot, but considering I was just barely above the 40 BMI and was 90 lbs over the BMI for my height and weight… I think that the 80 lbs lost is a very good accomplishment. Sure I would love to lose the last 10 lbs. and I am sure that I will in time, but I will say that for the most part I have pretty much reached a point where I am starting to plateau. Ten more lbs may be about the most that I would want to lose as the Nurse Practitioner for my surgeon has said that I have approximately 10-15 lbs of excess skin that will have to be surgically removed at some point. Many have asked…. “Well, can’t that just be exercised off?” For some areas, yes…. but there are other areas where the elasticity of ones skin is beyond the point of bouncing back, and in those areas it is where I will most likely have to have it surgically removed. It wouldn’t be that big of a deal to me if it weren’t for the irritation of the skin that occurs. Those of you who have lost a significant amount may know exactly the skin irritations that I talk of. I do hide the excess skin fairly well…. thanking whomever it was that invented ugly undergarments for this very purpose. I take it all in stride though.

On another note… I will also admit that at times I have the same issue that many who have lost a significant amount of weight, either through surgery or on their own, have. Sometimes when I stand in the mirror I will look at my reflection and I still see what I was for almost 7 years. But I think that reflecting upon those years when looking at what stands before me now can be healthy when we make a determination that each and every day we live now is going to be a healthy one. A day when we are going to get up and be active. But, yeah… I do get self conscious about ever looking like I used to ever again. I do get self conscious about ever having to deal with the health issues that I had.

Sizing…. I went from a 22/24 to a 7/8 (with a 10/12 in some style of clothes) depending upon how it is made. (BIG GRIN) I haven’t been in a 7/8 since high school… and although I know that since 1991 (the last year that I was in this size) the sizing of clothes for women have been revamped just a little… it is still a wonderful feeling. My oldest two children don’t know what to think about the fact that I can borrow their clothes now. I think on one hand they like that they can “teach” me how to have some sort of “style” and on the other hand don’t like so much that we share close to the same sense on fashion. “Hey… What’s wrong with that” I ask. Nothing… absolutely nothing.

Things have fallen into place exactly the way that I hoped them to do this year. I lost close to what I wanted to…. I finished my undergraduate degree with a 3.53 GPA…. I have been preparing for the things that I want to accomplish next year… and I have every bit of thanks going out to my family (husband, children, mother, siblings, nieces, nephews, friends that fall into my own personal category of family) and friends. I am happy, healthy, and I am ME again!!!! :O)

The pictures below (from left to right) were taken: 1 week prior to surgery date of Dec. 2nd 2008, 5 months after surgery (May2009), and September 2009.  Between the first picture and the 3rd picture (taken in September) I had lost 70 lbs.  The pic at the top was taken the day of this post (Dec. 6th) with 80 lbs. forever gone!!

WLS Update: NOTE stomach flu after the surgery is BAD… VERY, VERY BAD!

Well, it has been a while since I have made a post to my blog. The days just seem to be passing by so quickly. A run-down…..

Christmas was good. My ex-husband lives in Illinois so my daughters don’t get to see him too often. I had made the decision that while he was here in town that the girls’ could spend the whole time with him. My gift to him, I guess you could say. Was it hard for me to not have them at home on Christmas day? No. I was just fine with it… because I had made that decision to let him have them all of the time he was here over Christmas. That was my decision and so I was fine with them not being here with me. They needed that time with him. My husband, son and I spent part of Christmas day over at my in-laws. It was a very enjoyable day and I had no problems as far as the post-surgical diet went or eating stuff that I shouldn’t have been eating.

New Year’s was a whole different story. It started out well, but ended rotten. I started out feeling great on New Year’s Day, but then by noon I started feeling really, really sick. I thought that possibly it was dumping syndrome, but I knew that it couldn’t have been that as at the moment that it started the only thing I had had was a protein shake, that I still wasn’t done drinking. The protein shake had the only new thing in it that I hadn’t tried up to that point: egg protein powder. The egg protein powder was actually great in making the shake itself seem light and it wasn’t bad at all, tasting wise, however I have since no desire to attempt that particular product again.

The symptoms reminded me of being in labor with my children, and that isn’t an exaggeration (unfortunately). Vomiting wasn’t there. Probably would be but with the little tummy food does not sit there long enough for it come back up (sorry so graphic). Dry heaves was more the issues than anything (again, sorry so graphic but I know that there are people out there who are will want to know specifically). After about 7 ½ hours of dealing with this and not being able to must up the desire to eat (which is a must) I was on the phone calling Carmel Surgical Specialists. Dr. Jones was on-call for their office over the holiday. Because of the extreme of the level of pain I was having, the nausea, the dry heaves and the probability that I was quickly becoming dehydrated she made the suggestion that I go up to Carmel St. Vincent’s ER. I am not that far from there, 20 minutes, so that was not going to be a problem.

I will honestly say I have not been in an Emergency Room yet that is like that of St. Vincent Carmel Hospital. Imagine walking into an ER going right up and immediately having your vitals checked out and then being taken back to one of 18 “private” ER rooms, that look just exactly like most of the private rooms when you are admitted to other hospitals, having the admittance person come right into your room to check you in, etc., etc. I asked what they do when they have a crowd of people in the ER at once. Where do they sit outside in the reception area? They told me they don’t sit in the reception area that they have always had enough beds (18 rooms plus) that they have never had to have anyone wait at all to go back. I looked at my husband and in between a pain episode I told him, “If I ever need to go to the ER again bring me here!” I love my PCP, he has been my Dr. for 18 years now, but I am sure he wouldn’t mind if I went to the other hospital branch that he is affiliated with. It is the same hospital, just in different areas.

The ER nurse had a little bit of difficulty getting an IV started in my arm. I was dehydrated pretty badly. It took her 5 sticks (which most nurses won’t even consider trying again after 2 or 3 sticks) to get the IV into a vein that wouldn’t roll on her. They sent me over to have a CT scan after they gave me some Morphine for the pain. Finished the scan, went back to the ER, and the ER nurse was rather agitated with the CT scan tech who turned off my IV fluid line. I didn’t know she did. I pretty much slept the whole time of the CT scan because Morphine, like most all pain meds, knocked me out. I was lucky that I even got off the bed and on the table to do the scan, and then back into the bed after the scan… I was THAT out of it. The scan showed that everything as far as my tummy went was just fine, in other words I didn’t have any obstruction or leaks. They also told me that the scan showed the staple line was healing just as it should and in the right time frame that they expect them to heal. That was good news. :O) BUT… It still didn’t take care of my issue. The diagnosis was in agreement with what I figured it probably was… the stomach flu… and a NASTY flu it was too. JUST as an FYI… the Incentive Spirometer (which I am probably misspelling) does NOT prevent you from getting the stomach flu!!!

I was admitted and stayed in the hospital until the 3rd of January… probably could have stayed a little longer, but I seriously got tired of staying in the hospital. Next time I will remember to have brought up to me either my laptop or at least a book to read! The silly IV came out of the vein at one point and I had to again go through getting stuck in order to get the line restarted. Four nurses and 7 more sticks later it was finally in place again. That was 12 sticks… ouch! My arms looked like a purple pin cushion. While I came home on the 3rd it actually took a whole week for that stomach flu to work its course. The pain was under control by the 3rd and that to me meant that I was at least functional again.

Went back for my six week check up with Dr. Gupta on the 15th (which was last Thursday), as well as for a Nutritionist visit. Everything there went well. Nothing out of the ordinary to tell there, except that my next check up is in another 6 weeks.

So… that pretty much does it for my update on how I am doing with this Roux-En-Y thing. Oh… weight lost? I guess I did forget to put that down here, didn’t I? Sorry. Since my last blog post I have lost 8 ½ lbs. and 16 ¼ inches over total body. That is a good loss in my opinion. I am satisfied with that. I think that 10 lbs. / month is a good steady goal to shoot for with my height and weight average. REMEMBER, those of you just starting this process or are thinking about going through with having this procedure, EVERYONE IS DIFFERENT!!! What is a healthy weight loss per month for one person is not necessarily going to be lost with another person. Some may lose way more, some may lose the average, and some even less than the average. As long as your Doctor is not concerned, as long as your Doctor tells you that you are on track… then that is all that matters. ALSO… stay away from the scales except for once a week… and start measuring yourself, too. Measuring yourself is a great way to see where you are losing weight at first, the most often, as well as to know that even if you aren’t losing a lot in pounds in a week you may be losing a great deal in inches. FINAL THOUGHT…. STAY AWAY from anyone that you know has had this terrible stomach flu especially if you are fairly fresh out from having the surgery done!!!

Till next time………. Go see two new movies out: Marley & Me and also Paul Blart: Mall Cop. Awesome movies!

~Tammy~


RNY Post-Surgical Update

So yesterday I went over to the “Y” to do a weekly weight check. Lost a whole half-pound! I am okay with this. I mean after all I did lose 16 the week before. On top of that I have been doing a great deal of riding on the bike and I am probably having some muscle build up.

I called the Bariatric Center and had the nurse pull my record and give me my measurements that they had done so I could start keeping track of those as well. I am done 4.5 inches in the hip and 3 inches in the chest. My husband had a few remarks about the inches lost in the chest… I told him to get over it. LOL. MEN!!! GEESH!!! LOL! I made up a VERY cool Excel spread sheet where I am graphing my weight and measurements. IF you would like to have this spread sheet for your own use feel free to send me an E-mail (listed below) and I will send that to you for your own personal use.

A funny thing occurred when I called to get those measurements. There is ONE other Tammy with the same last name as mine here in Indiana. The only difference between our names is our middle name. Anyway… apparently she has had this surgery as well. I figured out that they were talking about the other Tammy when they had the wrong date for when I first went in for consultation. Apparently she went in on February 28, 2008 and I went in on August 28, 2008 and our measurements were VERY close to being the same. They did tell me that we didn’t have the same surgeon. They didn’t tell me what her measurements were just that they were VERY close to each other. NOW when I call I will remember to give them my middle initial and date of birth. LESSON: IF you know there are others who have the same name as you… ALWAYS check to make sure that places have the correct person. I found out that she was out there back in the day when I sold Pampered Chef and the company had her in their system as a customer. They sent her my stuff. I got her contact information from the company and called her to let her know that it was on its way to her. When it came in she called me and I went out to her house and picked it up. I didn’t meet her as she just set my stuff on the porch. BUT… it was still rather comical. HOPE she never gets into trouble… in my line of work that may make for some serious confusion within the courts. LOL :O) I am sure she would never do such a thing though. Back in the day when I talked to her that time she seemed really nice. IF she ever reads this… I wish you the best of luck on your recovery, Tammy. She would know who she is by the previously described incident.

Well… That about does it for this update. I don’t know what else to write about. (GASP… SHOCK! LOL… to those who know me well.) :O) I’ll do another weight check next week on Christmas Eve and will attempt to post on the same day. BUT… In case I don’t get around to it… MERRY CHRISTMAS!!!!

~Tammy~

To send an E-mail you can contact me at: TammysWebLog@aol.com


Happy Thanksgiving from Our Family to Yours!

Contact

I have had several who have asked if there were a way for them to contact me directly instead of having to post a message on here.  I have my own personal E-mail that I do not give out but to those who I desire to… I think we are all that way, right? I also have set up an E-mail address where you can E-mail me and I will get your message.  The following E-mail address is for those who want to contact me through this site.  If I do not know you I will not give you my personal private E-mail.  Thank you.

E-mail:  TammysWebLog@aol.com

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