59 weeks on 7/11/17

Wow, is it seriously Summer??  And how did I go so long between posts?

Ok, well I can answer the second one...sort of.

I found myself in the hospital for 3 weeks, late January through mid-February, totally unrelated to surgery.  So, what is nutrition like when you're inpatient and you have to educate the nutritionist on what a bariatric diet looks like?  I'll tell you, it's not easy.  I had taken protein shakes and bars with me, as well as a few things for snacks - thankfully!  The nutritionist couldn't really meet my needs, but agreed to send up 2 hard-boiled eggs three times a week.  I know it's a bit debatable right now, but I didn't want to risk my cholesterol by having eggs every day and/or multiple times a day.

So there I was.  Stuck in the hospital.  Limited to shakes and bars, plus a few cheese sticks, carrots, and hummus.  Oh, and since water makes me nauseous, I had taken an insulated cup with me along with a pitcher and a ton of powdered drink mix.  Good thing or I would have been dehydrated in no time!  But I survived.  I was able to speak with the dietitian at my surgeon's office and get some tips before admission.  My hospital's nutritionist had little interest in talking with my dietitian.  Again, it was a good thing I did some advanced planning or I would have been in bad shape!

Back up until the beginning of January and I joined and gym and was meeting with a trainer twice a week.  Then the hospital hit, but after I got out, it was back to twice a week with SL (the trainer).

Plugging along, I get to March and start having problems with my right (and dominant) hand.  Alas, I have an EMG and find out that the carpal tunnel has gotten worse in that hand (I had surgery a few years back when the left one was the worst of the two).  A couple of visits later and I'm scheduling surgery.  More surgery, but this time it was going to impact my ability to function since I couldn't type or really do any chores at all.  It would seriously interfere with my training.  After getting the stitches out, I started back with the trainer, but hate to admit that it's been sporadic the past couple of months.

Some junk has come up, which I won't go into, but it's taken most of my time and all of my energy.  Ugh!  I feel like there's something at every turn really impeding my ability to be successful here.  I'm not making excuses, but this has been my reality.  Because of it, and surgery, I haven't been able to workout with my trainer much.  I had some consistency there, but that's gone, along with much of my motivation.  I need to get back there...or at least start walking (the dogs would love it if we took them!) or riding my exercise bike here at home.  Oh, one development is that we learned of a place where they refurb donated bikes and sell them for cheap.  We went there a week-and-a-half ago and ordered some bikes.  They had yet to be refurbed so we're waiting on them, but hopefully that'll get us moving, too!  This past weekend I did a bunch of yard work.  Especially when it's 90 degrees out, that's a workout, for sure!  It's something, right?

Ok, I had my ONE YEAR surgiversary appointment the end of May.  He seemed pleased and I was glad to be losing, albeit slowly at this point.

If you'll indulge me, I'm going to jump around a bit more here...

When I was in the hospital, it was like I was at a nursing home.  Breakfast was at 7, lunch at 11:30 and dinner at 4 (or was it 4:30?).  By nighttime I was famished!  Everyone around me was snacking and I had only no-sugar-added dried cranberries.  Blah.  There is only so much of one food a person can have.  At least with protein bars, there are oodles of flavors, so that didn't get dull.  Sometimes I had bars for breakfast since I didn't take my sugar-free coffee syrups to add to the shakes.  I had to mix it up.  Anyway, while everyone was snacking on cookies and chips at night, I sat there, ravenous.  And then it happened, I discovered sugar-free cookies.  It was a dangerous discovery and one which haunted me for months.  Just recently, however, on a call with my dietitian, we discussed the added calories these cookies are adding to my diet.  It took a bit, but I've given them up.  I keep fruit on hand to satisfy that sweet craving, but it's so much better than those cookies!

My cousin was married a couple of weeks ago and hubby and I went to the wedding.  Since I'm able to shop in actual stores and not limited to online, I got a great deal on a dress to wear just for the wedding (see picture).  I guess it's sort of funny, but I forgot my dress sandals and was forced to wear the ones you see in the picture.  Guys may not understand this, but most women will - there is something about heels that gives some level of confidence.  For me, I'm just excited that I can wear them and not (basically) know that I'm bound to fall.  But I forgot them...grrrr!  At least I had my non-dress sandals and wasn't forced to wear sneakers ;)

It's a funny thing.  When I was 326 lbs, I'd lose 20 lbs and nobody would notice.  Now, I've been stuck, losing only 20 lbs all year and people seemed shocked at how "great" I look.  It's a percentage game, I guess, but I feel like I've gotten nowhere and that's not what people see.  I think of how I lost 40-45 lbs before my wedding and went from 180 to 135/140 and the man at the bridal salon's jaw dropped when he saw me.  But at 300 lbs, 40 lbs feels like it doesn't even make a dent.  I find myself questioning if people feel like they have to say I look good because they know I had surgery and want to be encouraging.  Man, between that and the body dysmorphia, my head is messing with me - big time!  At the wedding last month, I definitely chalk it up to a good "gut-sucker-inner" - aka fake Spanx.

The guy that has operated on both hands now came up in a database of surgeons who also do skin removal surgery.  He has known me for several years and has seen the transformation so when I saw him yesterday, I said that I'd like to talk skin removal surgery at my next appointment.  My bariatric surgeon wanted me to wait until I was closer to my goal.  I'm praying that will happen by November when I see him.  Having my belly skin removed should be covered for medical reasons (rash), but I'd love to have my super gross thighs, arms, and chin done, plus (sorry guys), I'd kill for a boob lift!  Gravity is not a middle-aged woman's friend, let alone one who has lost a person in weight.  Since we can't afford to private-pay, I'll take what I can get.  Maybe for my birthday in January, I'll have this dang belly skin removed!

Vacation... we're going to Disney World!!  This isn't new for us and if you've read any of my blog, or know me in real life, you know that hubby and I are fanatical!  We're first doing a quick Disney cruise and then staying at WDW for several days.  Food is going to be very different from past trips.  In the past, food was a huge part of our trips there.  So many options, so many yummy options!  This year, I went through the menus available online and we chose places where I knew there'd be something I could enjoy and which (hopefully) wouldn't make me sick.  It'll be in the Fall but I'll still have to put on a bathing suit!  GASP!  What?  Yes, a bathing suit.  I did get a catalog which shows bathing suit bottoms which are capri pants (yee haw!), although I may go the longer shorts route.  I'll still have to display the bat wings, but I'm trying to keep a good attitude and say that they're war wounds.

I'm on a super supportive bariatric site.  I've been frustrated seeing people lose more weight than I have in over a year, when they're maybe only 6 mos out.  I admit, it's upsetting.  Someone wrote the other day that we each have our own journey and one person's isn't anothers.  It was something I needed to hear.  Heck, I'm on psych meds which slow my metabolism; I'm a woman and we have slower metabolism than med (super unfair, right?), and I'm in my mid-40s.  None of these things add up to quick weight-loss.  I've also been inconsistent with my workouts.  I have to keep my eye on the prize and know that I'm still down a lot of pounds and it's my journey and nobody elses.  Easier said than done, but I am so thankful to the woman who wrote that, just when I needed to hear it!  It's still part of the self-hatred, though....  Hey, what can I do but work on it?

Ok, well I'm going to try to keep this from getting any longer.  I'll also try to post more often.

Title-less

It's January 1st and here I sit at my computer.  I have no "resolutions."  I don't care.  Maybe because it's the fact that I'm stuck in an incredibly deep depression and my marriage is a mess.  Maybe it's because I'm super cynical find resolutions to be ridiculous.  I mean whatever we say today is usually broken by the end of the week or the month.  Very few of us actually do those things we resolve to do.  Whatever it is, I don't make them.

Ok, I got that out of the way.  I want to share that I've seen a bariatric surgeon.  He believes I'm a good candidate for a gastric sleeve.  Here is some information about the sleeve, but the site also includes oodles of information about bariatric surgery, including an hour-long webinar which offers a lot of information.  It's basically a doctor talking while you stare at Power Point slides.  It's not the most interesting of things, but it gets the job done, plus I had to watch it before my appointment.  It's not anything that's inserted, nor do they re-route any part of your digestive system.  They simply staple off part of your stomach.  This both makes your stomach smaller, but releases your body from experiencing the hormone that makes us feel hungry.

The doctor was wonderful.  He spent nearly an hour with me!  I recorded it so that I can refer back to it.  The city where the doctor will perform the surgery is in the city.  I saw him at a local office (30 mins, which is local for this area) and during the course of the appointment, told him that I don't drive in the city and he is totally willing to work with me.  There are a number of tests and evaluations necessary for the surgery to be performed.  One is a sleep study - already had one done and I use the C-Pap; one is a psych eval - since I've seen my psychologist for nearly 16 years, he will take a statement from him (who is the one who brought it up in the first place).  They also need an endoscopy.  I had one several months ago, but despite me telling them that I vomit with Propofol (they said it is the med of choice for those who do experience nausea and/or vomiting after a procedure), they gave it to me and the doctor couldn't finish the procedure because - guess what (?) - I vomited in the middle of it.  The bariatric doc wants to be in the room so he can watch the screen and know what to expect if there are anything which would interfere with the surgery, since my upper GI tract is involved.  Additionally I need a cardiac eval and he is comfortable with me seeing one locally.  I saw one many years ago and know that he's in the same practice as my husbands doc, but may wind up seeing whoever has an appointment available.  There is also a consult with a nurse practitioner and a nutritionist/dietitian, but he said those can be done over the phone.  I love this guy!  It doesn't hurt that he is the husband of one of the docs in the practice where my Mom (an RN) works.  It makes trusting him easier.

When we talked about the psych eval and my doc, he said that I understand the procedure and have done my research (I have a very full binder with tons of info, using page protectors, of course!).  He also said that I was asking all the right questions, so he feels comfortable with my psychologist covering that end of things.  Oh, and I have my entire medical history and a bunch of other things typed up since I'll never remember it all - it's too long and complicated, plus I'm on so many meds there's no way I'd know them all, especially if they want dosage and times!  He can see that I am "together" mentally, especially after seeing my OCD paperwork.

I asked how long it usually takes from the initial appointment.  I expected him to say 6+ months, especially after all of the testing.  Granted some of my testing is already "taken care of" but his answer was 6-8 WEEKS!  Ahhhhhhh!  That's soon.  While I'm excited, I'm also terrified.  This is an enormous lifestyle change and I guess it feels like that's a fast time to prepare mentally.  On the other hand, the sooner the better, right?

In other news, I became a consultant for Thirty-One.  My timing is pretty terrible as I'm dealing with the surgical stuff, but hopefully I can get something out of it, even if it's just a good group of Christian women supporting each other... and hopefully there are some close to me.

Well, "life" calls, so I have to say good-bye for now.  I'll try to write again sooner next time - I know I say that every time, but if I'm going to be down for a couple of weeks I expect to be online more.  So, happy new year!  I wish you all the best.

Dear Fat People (link), Followed by My Musings....

I'm going to just post the link to this video and a response.

I am one of those "obese" people.... I am super obese or morbidly obese.  You may have seen this video already.  In fact, since I've been gone for a while, I missed all of the hoopla surrounding this.  I'm glad I did.  I'm in a pretty vulnerable place right now and hearing all of this (I'm sure it was all over Facebook, too!) may have done me a lot of harm.  I am not a fan of the language they use, but I think it gets the point across.

I'd like to know who got together and decided what BMI is and what weight/height determines your BMI.  Several years ago I was trying to determine my BMI and came across these numbers (I'm sorry, I've forgotten the site so cannot reference it directly):

>18.5 = underweight
18.5-24.9 = "normal"
25-29.9 = overweight
30-34.9 = obese
35-39.9 = severely obese
40-49.9 = morbidly obese
50-59.9 = super obese

Another stat I found at that time was that the CDC says a person who is 5'5" and 180 lbs has a BMI of 30.  Yes, that is heavy, but obese?  I think we're putting ourselves in these boxes that force us to reach a certain number, be it weight or BMI.  We're trapped by that number, as if it defines who we are.  I am fat and it is the first thing people notice about me, making it the last thing sometimes.  Hubby and I switch between 2 different eateries before we go to the grocery store.  We often have the same servers.  They often won't recognize us until they see me.  I am fat.  I am memorable because of it.  That is truth.

Here is the NIH BMI calculator.  Frankly, I find it absurd.  I once found myself getting excited that I was severely obese.  I had lost enough weight that my BMI made me slightly less likely to die from the effects of being a fat chick.

What are your thoughts?  How do you determine when you've reached a goal you have in mind for losing weight?  Personally, I want to walk up a flight of stairs without getting out of breath.  I'd like to take my dogs for a long walk.  I'd like to fit in a bathroom stall comfortably.  I'd like to take walks with my husband.  I'd like to not squish my husband in an airplane - I mean you have to admit that you or someone you know is thankful they aren't next to the fat girl on an airplane.  I'd like to be comfortable in my clothes (being comfortable in my body is too far off to be realistic; I've spent 43+ years hating myself and my body so that won't get fixed by losing weight).  I'd like to go into a medical appointment and be told that I have to lose weight - some docs have gone so far as to say that I need to lose 150 lbs, as if that will solve all of my problems.  I'd like to shop in a store and not be limited to clothes in a catalog, hoping they fit.  I actually hit the last one about this time last year, but both my husband and myself went on some binges.  My emotional eating came out in full a lot and I gained back all the weight and more.  Now I have to lay on my bed and suck my stomach in after putting on jeans or shorts and sitting in them for a bit to stretch them out so they will hopefully button and zip.  Even then, it's quite a chore to get them on again.

So, those are my musings immediately after hearing of this video and watching it, as well as the response.  I do want to add that I accept the responsibility for each and every bite of food I put in my mouth.  It is my doing that I can't walk well.  I also want to say that my age (43), my medications, and both of those add in to a horrible metabolism, making it even more difficult to lose weight.

I'd really love to hear others' thoughts.

Please...I Need Some Advice

I'll keep this short and sweet.  If you are a person who is overweight, who is an emotional eater, who is bulimic, who is anorexic, who eats beyond to the point of being full, who thinks about food more than just at mealtimes (see other questions below).... what are your thoughts and feelings about OA (Overeaters Anonymous)?  Have you gone to any meetings or know someone who has?  Was it a good experience?

I have taken the following from their website:

Is OA For You?

Are You a Compulsive Overeater?

Now that you have found Overeaters Anonymous, you may want to make sure our program is right for you. Many of us have found it useful to answer the following questions to help determine if we have a problem with compulsive eating.

1. Do I eat when I’m not hungry, or not eat when my body needs nourishment?
2. Do I go on eating binges for no apparent reason, sometimes eating until I’m stuffed or even feel sick?
3. Do I have feelings of guilt, shame, or embarrassment about my weight or the way I eat?
4. Do I eat sensibly in front of others and then make up for it when I am alone?
5. Is my eating affecting my health or the way I live my life?
6. When my emotions are intense—whether positive or negative—do I find myself reaching for food?
7. Do my eating behaviors make me or others unhappy?
8. Have I ever used laxatives, vomiting, diuretics, excessive exercise, diet pills, shots or other medical interventions (including surgery) to try to control my weight?
9. Do I fast or severely restrict my food intake to control my weight?
10. Do I fantasize about how much better life would be if I were a different size or weight?
11. Do I need to chew or have something in my mouth all the time: food, gum, mints, candies or beverages?
12. Have I ever eaten food that is burned, frozen or spoiled; from containers in the grocery store; or out of the garbage?
13. Are there certain foods I can’t stop eating after having the first bite?
14. Have I lost weight with a diet or “period of control” only to be followed by bouts of uncontrolled eating and/or weight gain?
15. Do I spend too much time thinking about food, arguing with myself about whether or what to eat, planning the next diet or exercise cure, or counting calories?

Have you answered “yes” to several of these questions? If so, it is possible that you have, or are well on your way to having, a compulsive eating or overeating problem.

I am giving serious consideration to this (with "encouragement" of my therapist)  He has gone to the extent of researching which meetings are good and which are flops (like the one and only one I've ever been to) and finding me a contact he knows.  There is a Saturday morning meeting about 35-45 minutes away, but UGH!  However, I get up with the dogs at 7:00 am anyway, so I'm not really missing out on any sleep - except for the occasional nap after I feed them.

I am totally an emotional eater - good or bad - celebration or mourning/depressed/drowning my sorrows/etc.  That is something I need to address.  I'm terrified and simply want to know anyone else's feelings, thoughts, etc.

Their general webiste is oa.org; the above link came from here.  The site is jam-packed with information and is worth just browsing if you feel like you fit into any of these categories, or know of anyone who may - just don't push it on them.  They/I have to be willing to go independent of being told to do so.  Oh, I guess I should be clear here: my therapist isn't forcing me to go, but really is encouraging and helping get past the anxiety.


Any advice???

(PS: sorry for any typos or weird sentences, if I've gone to change something and didn't fully remove what I thought was a better way to say something; my wrist still hasn't totally recovered so typing is pretty painful.  I'm also exhausted - 11:30 pm and the depression gives me no energy to review it.  Thanks for your understanding!)

Question

For the few but faithful who read this blog:

I am a realistic person.  My life isn't of much interest to many and I've been pretty personal on this blog as opposed to the one about my critters.  I've been considering making this one public and posting my entries to Facebook.

Here's where you come in.  If this was your life, would you want this much information "out there?"  I know people can access it if they really want to... blah, blah, blah.  But I'm being serious here.  Have I put parts of myself out there that maybe shouldn't be?  Is this too personal?  Have I shared too much?  If my Mother reads it, would she be embarrassed that her friends who are on FB also see it?

It's a fine line.  As far as the mental illness is concerned, I'm not ashamed about it.  On the other hand, I don't want to go around with a sign around my neck telling the world.  If someone had diabetes or heart issues or any other illnesses for that matter, they wouldn't have the "scarlet letter" shown for all to see.

I really, truly want your opinions.

Thanks!

When is Enough Enough?

So, my appointments have been somewhat scattered and for that I am thankful.

As for the past few days:
Friday: migraine
Saturday: migraine hangover (which you understand if you get these monsters)
Sunday: left in the middle of Sunday school to head to the ER with what turned out to be kidney stones (which had, thankfully, already passed)
Monday: kidney stone hangover day

On a better note, a friend posted this blog entry to her Facebook page and with summertime nearing, I just had to share.  She is a woman I inspire to be; a woman who is comfortable in her body and accepting who she is.

I want to be a woman who accepts who she is as she is, even while trying to make changes.  We are all on a journey and if we can stop at any given moment and say "hey, I'm ok exactly as I am," well, that's success.  I know that God accepts me.  The problem comes in when I enter the picture.

Who else is touched by this blog?  Who can relate?  Who is accepting of yourself, regardless of height, weight, brain power, disability... and the list can go on and on...  Who respects themselves?  Where are you on your journey??