Showing posts with label pre-op. Show all posts
Showing posts with label pre-op. Show all posts

Friday, February 3, 2012

Pre-admission day

So yesterday I spent 8 hours at hospital C.  The first 1 1/2 hours were waiting for my pre-admission testing orders to show up :(  They had a packet from the Center for Bariatric Surgery (CBS) for me, but for some reason I wasn't yet registered in the computer, showing up with a surgery date, or with orders for my tests.  That was a little nerve wracking, but I figured it would get worked out, and it did.  Better now than on the day of my surgery!

I had 7 tubes of blood drawn, an EKG, a health history, a pulmonary functioning test, and an exam and medicine review by one of the center doctors who handles in-patients.  Then we had 1 1/2 hours of group classes with the nutritionist and the nurse.  The rest of the time was spent waiting for our turns with the various techs, nurses, and doctors.  We also had a taste-test for protein products that we could purchase at the CBS or elsewhere.   Not anything I'll ever crave, but several were tolerable. 

I was very lucky - all of my tests came back fine.  I was the last one of my group of 7 other bariatric patients to have the pulmonary testing, and she said "Ah, my first normal all day!"  Others came back with other problems - one has to have three iron treatments by IV in the next week to treat her PREVIOUSLY UNKNOWN severe anemia - Yikes.  At least know she knows part of the reason she's been so tired - it's not just the weight.  Some have to get clearance for things like their blood pressure from their primary care doctors, and everyone other than me has to give themselves blood-thinning injections before surgery, because of risks for clots.  At least one person had to go on a two week Opti-Fast diet before surgery, to lose some weight and shrink her liver.  The nurses and doctor all kept saying "Oh, you're the easy one!" when it was my turn.  I almost felt guilty, because everyone else was having so many issues come up. 

It quickly became apparent that my health was not the only difference.  As a group of 7 women about to have surgery for morbid obesity, we were all ready to spill our guts, share, and bond in our little conference room.  Over and over questions came up that I have read about on the Facebook groups I'm a member of, or in the local support group that I started attending as a pre-op.  Sometimes I volunteered what I knew, other times I said "I think that's something we should ask the nurse/ doctor/ nutritionist". 

I can not tell you how much more prepared I felt than most of the women in the room.  Emotionally, mentally, physically.  I heard comments like "You know, they make low-carb ice cream with protein in it now" and winced.  I tried to explain that while we might have an occasional bite of a treat after we're in maintenance, they really want us to stay away from liquid calories as much as possible.  That anything we eat (after the first 6 weeks, of course) should stay in our pouch as a solid so that we feel satiety.  Went right over their heads; "Well we're not talking about a big bowl of ice cream, just a little one".  Or the woman who wanted the dietician to say it was OK to put Cool Whip on her cappucino protein shake during the liquid phase.  She kept asking in different ways, and the dietician kept saying "Cool Whip doesn't give you anything.  You can add skim milk..." and finally I just said "I think what she is saying is NO."  The inquiring patient was disappointed, because she said she wanted to "pretend it was like regular cappucino".  Ummm.  Missing the point. 

Don't get me wrong, I don't feel better than ANY of those women.  I just feel that I have already asked those kinds of questions, heard the sad answers and started to wrap my head around them.  I feel like I got a head start because of my virtual online and local in person support group.  I know I will come up with crazy ideas, too.  But that's why I'm so glad to have connected with so many vets already - including self-declared "food nazis".

13 days until surgery, and I've got a lot of organizing, planning and shopping to do.  Plus, some local moms are taking me out to dinner and a movie tomorrow before I'm laid up :)  I'm very blessed to be in my situation, and grateful (SO GRATEFUL) for all of the support I've received already.   

Sunday, November 6, 2011

Bariatric Betty is halfway there in pre-op land

45 days down, 45 days to go.  I started my medically-monitored diet October 22nd, and have been adhering to it since - the diet, the exercise, the psych qualification, etc.  45 days in and I'm either 8 pounds or 11 pounds lighter (see earlier post on my lying scale).  Either way, I've lost a size.  My neighbors could see a difference in the first few weeks (I think when I was mostly increasing tone), and I have gotten several compliments.  Mostly I enjoy the fact that I can wear my jeans again (and without the waistband hurting 2 hours later), and my shirts are loser around my belly and arms. 

I had a morbid period where I couldn't stop thinking about "what if" - you know, the 1% mortality stats with the surgery.  I know that my remaining diabetic and obese is riskier than the surgery, and I've had laproscopic surgery three times before (ovarian cysts and gallbladder) and never had problems.  But that didn't prevent me from thinking about it a lot.  I've started letters to my husband and kids.  I've asked my brother to be there for them - maybe even co-parenting with my husband for a while.  I've even thought about recording a message to Ty Pennington at Extreme Home Makeover asking him to build a house for my brother and nephew next to ours in the case of my death. 

Mostly the morbid thoughts are over now.  I'm really excited to be halfway through the qualification period.  It hasn't been too hard.  My BMI has gone down 1.5 (or 2, see again lying scale) and I'm meeting with my nutrionist and the PA monitoring my diet this week.  Now when I worry, it's about the insurance.  What if they say I'm not approved after I've gone through all of this?  I know I would appeal, and I would keep trying, but I also know it would crush me. 

I planned a family weekend at a huge indoor waterpark approximately 1-2 weeks before I anticipate having surgery.  The date wasn't my choice - it's a fundraiser for our school district.  But I feel like it's nice to have something right before my body changes forever.  Something where I can spend a lot of time with my family, making memories for all of us.  And we'll have this AMAZING suite with a kitchen - so I'm going to be able to bring all the food (or liquid) that I'll be eating then and make sure I'm compliant the whole time.  In a perverse twist - it will also give me plenty of "before" pictures of me in a swimsuit to choose from ;)

Speaking of before pictures, I had my loving hubby take a couple of me, and I'm attaching them here.  At a suggestion of a WLS friend, I took them in front of a doorway, and I will take follow-up ones there as well, that way I can see more and more doorway around me.