Hello darkness, my old friend... and heading back to the light

It's been a few months since I blogged, and for all the new WLS friends out there, when I go radio silent that usually means I'm struggling.  At 2 1/2 years post-op and having surpassed my goal, I'm dealing with some weight regain.  6 pounds from my set-point, 9 pounds from my all-time low.

How did that happen?  I stopped jogging, maybe only doing it once a month.  Still getting in lots of steps, but doing less cardio has a consequence. I started grazing - mostly eating things I shouldn't (carbs) or don't need to (peanut butter), and mostly when I'm preparing food for others, but not always.

Why?  Stress and old habits.  There have been lots of stressors - but we all have them, and mine weren't particularly horrible (nobody died, nobody lost their job, my husband is very lovable).  I came off my 5 day pouch test feeling great, and that lasted a couple of weeks.  Then we had the stress of my father-in-law's health declining some more and the resulting anxiety that brought upon my husband.  And getting my son prepared for some very difficult testing - in that last month I baked like a fiend to reduce my stress, but instead of giving it all away I nibbled at some of it (just in small enough doses not to dump, like any addict learns to avoid the crash).   The testing went well, and all of the stress was worth it, BTW, but I HAVE to remember I have other coping mechanisms I should use.

Then I started looking into a new direction for myself - a new career, starting with a Master's program in School Counseling.  It's very exciting, and it set off a roller coaster of emotions.  The principal and guidance counselor I work with think it's a great idea and will write recommendations for me - Whee!  Up I go... Finding out my undergrad GPA was even lower than I remembered - crap.  Taking a practice GRE was painful but assured me that I could meet the requirements with room to spare - yay!  Realizing that the idea of my going back to school part-time was freaking out my husband and increasing his anxiety and depression - ouch.  Talking that through with him over our anniversary and having that reverse into his full (albeit still typically anxious) support - whew.  Realizing I could take the 1 hour MAT instead of the 4 1/2 hour GRE was good, and then when I took it and got stellar results was WONDERFUL.  Now my applications are turned in, and I'm just waiting - for the recommendations to get turned in, the transcripts to arrive, and the decisions to get made at the two different programs... and waiting is hard. I'm settling in for about 2 months of it.

Last week I started with the mental tweaking.  I changed my Facebook profile pic to the one of me about to do the triathalon I did in March.  I needed the daily reminder of what I can accomplish.  I reconnected with some old friends that I haven't visited in a while.

The last two days I have been making better choices.  I've eaten clean, surpassed my step goal, and yesterday I jogged 25 minutes and felt good.  I've reminded myself that I can manage my stress in healthy ways now.  Now I just have to re-establish the habit.  The scale hasn't started moving back down yet, but it will.  And when I'm thinking about baking, I'm back to asking myself - are you wanting to bake for a good reason, or because you want to eat the cookie dough?

I also found a new fun way to enjoy my jogging (especially good when our weather has been so stormy).  I've been taking my Kindle Fire to the gym and setting it up on the treadmill so I can watch movies/ shows while I work out and my kids play.  It's a great distraction, and yesterday I was actually looking forward to it so I could finish the movie I started the other day.  Anything that works, baby.

I'm feeling like I'm training for a race, but unlike my 5ks or triathalons, this one is the ultra-marathon of life.  I need to build up my endurance, because there is always stuff to endure.  Starting something new is exciting, but the challenges will come and I have to be strong enough to meet them.  To prepare myself physically and mentally.  To know when to ask for help and support.  To keep my priorities in order.

The journey goes on, one step and one day at a time.  It's easier on days I get a good sleep.  And more fun some days than others.  But I have the tools, and I can do this for the rest of my life.  We stumble, we fall down, but we pick ourselves up and get back up stronger and wiser.  All the other WLS vets out there - if you are struggling you are not alone.  If you are doing well - share!  We could all use reminders of success for inspiration.  

Naked girls, Head Hunger, and Ups and Downs

I haven't written for a while - I've felt like I've been treading water a lot since graduation.  Not specifically with my weight loss, just juggling a lot of family things.  Anyway, the news blackout ends today thanks to my 10 year old son!

My son has apraxia (a motor planning disorder) and aphasia (a language disorder that makes it hard to find/ understand common words sometimes).  I mention this because when he wants to discuss something, it's often something that he's been thinking about for a while and trying to figure out how to say it.  As a result, he comes up with some thoughts you wouldn't expect to hear from a 10 year old, and today was one of those days. 

I was driving him to a birthday party and Miley Cyrus was singing "Wrecking Ball" on the radio.  For those of you lucky enough not to know this, Miley is a 21 year old former Disney star who is desperately trying to shake the Disney-good-girl image and swung naked on a wrecking ball for video for this song.  So, out of nowhere, my son starts this conversation.

Him: "Mom, you know, I think Miley is pushing it too far."
Me: *Chuckle* "Yeah, I think you're right."
Him: "I mean, she's just pushing it to far.  I have a hypothesis. You know, boys like to see naked girls."
Me: "Okay"
Him: "But I think, really, that truly boys want to see girls not."
Me: "Oh, you mean not naked?  That they would like to see them with clothes on."
Him: "Yeah.  That's better.  It's kind of like with you, Mom.  Your brain tells you that you want to eat some frosting.  But you really don't because you know it will make you feel bad.  And it's kind of like that for boys."

Yup, my 10 year old just summed up Head Hunger and hypothesized that it's the same as boys thinking they want to see naked girls.

Oh, and he explained that they were talking about hypotheses at school, but that he had already learned it from watching The Big Bang Theory.  That's my boy.

So what's been going on otherwise.  Well, one thing that hasn't been going on is my jogging.  I'm still getting in 10,000 to 15,000 steps a day, but I haven't jogged more than a couple minutes in a few months.  I haven't signed up for any 5ks for about 6 months.  So is it being lazy?  Yes, that's part of it.  I haven't been motivated to pick up the pace much. 

I do have a couple valid excuses that make it easier to justify walking.  One is our new rescue dog who is 5 pounds and part Chihuahua.  He just can't run fast/ far.  It took a while to build up his endurance to even being able to walk over a mile.  Now that it's freezing out, he also can't be outside for long.

Sharing some personal health and potential TMI (feel free to skip to the next paragraph) - another is my rectocele problem.  Apparently I'm now experiencing pelvic organ prolapse, which means that things aren't suspended in my pelvis the way they used to be.  Sometimes that causes pressure that is a little uncomfortable, and is continuing to cause some difficulties in voiding bowel movements.  In addition to that, it causes occasional incontinence, which is often brought on by bouncing (like jogging).  Now there is a way around this - I can do my best to void ahead of time and not drink a lot before jogging, and wear a pad or something to catch leakage... I've talked to my doctor and she says she's ready to refer me to a surgeon anytime, but that it won't cause any harm for me to wait as long as none of my internal parts start permanently protruding externally, and it's not causing me actual pain.  Neither of those things are happening.  I know I will have to have the surgery at some point, but I'm just not looking forward to it, so I'm postponing it for now.

So what affect is this decrease in activity intensity having?  My weight remains stable, but I have lost some muscle tone.  That means I must have also gained a couple pounds of fat in exchange, but I'm not bothered by it.  I'm wearing the same sizes, and I use my weight stability as a measure.  I've been baking like a fiend for the holidays, and for 99% of the time I have done remarkably well in not tasting the things I bake.  I have more temptations with everyday things in the house, but tend to see any change in my daily weigh-in as a reminder to "Eat Clean, D**n It!".  I have decreased my daily intake to match my lower calorie burning.  Seems to be working, but if I started to see creep on the scale, it would definitely be a motivator.  Maybe I will start swimming laps again... no bouncing there!

I have been feeling an overwhelming sense  of gratitude most days - gratitude that I'm healthy, that I have the energy my family needs from me, that my family is safe and happy and whole.  As we come into the holidays I'm reminded of people who don't have these things.  The anniversary of the Sandy Hook shooting is another reminder.  I decided to do the 26 Acts of Kindness again this year, inspired by the Sandy Hook families.  I'm getting the whole family involved, having them help think of things we can do other than waiting for opportunities to present themselves.  I don't just want to buy something or donate money, I want to do things that make somebody's life a little easier or bring them a smile.  I also think it helps keep us focused on others during this season of rampant consumerism.  Don't think I'm preaching or trying to be an inspiration, I've got a closet full of Santa's surprises that I'll be paying the bill for this month.  I'm just trying to balance that out a little :)

I hope all of you will find smiles of your own, and hopefully getting to spend some quality time with the ones you love this month.  I hope you all had a Happy Hanukkah, have a Merry Christmas, and a Happy New Year!
 

New swimsuit Pic, and could Bariatric Betty be losing more??? Obsessing about weight.

I may be losing more weight, at 17 months post-op.  It is boggling my mind.  For the last 8 months my weight has been stable for the most part.  I went well past my goal and hit a one day low of 140.6 (my goal was to be in the 150s, and dream weight was to be in the 140s).  My weight then seemed to stabilize at 142 and except for my flirtation with some compulsive popcorn consumption adding 5 pounds temporarily, it has stayed there.  A couple days after I stopped eating popcorn and I was already back down to 145.  Another month later and I was down to 143.  Last month I was back to 142 and happy, lesson learned.

I usually weigh myself daily knowing that fluctuations happen, and not taking the number to seriously.  I can be up to 144 pounds depending on how much salt and carbs I have had in the past day, as well as where I am in my cycle.  One of the funniest things I have found is that the day before my cycle, I actually drop 1 to 2 pounds for a period of a day or two.  And all these years I thought I gained weight when I was PMS-ing!  So last week I had already had my PMS drop and seen 141 pounds.  Then my cycle started and I was back to 142.  A couple days later, and I was 140.6 - Hey, long time no see!  Weird, this would not be when I would expect to see my all-time low again.  Imagine my surprise on Friday when I weighed myself and saw 140.4!

OK, I know this is silly, it's 0.2 pounds lower than my previous low.  And the numbers shouldn't have such a big impact on me.  There is a lot of fluctuation and I wouldn't be mad for going up 0.2 pounds, so why did it cause this illogical feeling of glee that I had a new low??? 

I weighed myself several times and got the same reading.  Then I checked my body composition meter, and it has stayed stable.  I haven't been running much with the heat, more walking and swimming, so I thought maybe I had lost muscle.  But if my body fat percentage is about the same, then if I lost muscle I also lost some fat.  Hmmmm. 

Then I thought about the last couple months.  Other than cutting out the popcorn I have decreased my intake a little because of the decrease in running/ burning calories.  Maybe my body isn't at it's new set-point?  Maybe there is room for some more loss?  I don't know.  My doctors say I'm at a healthy weight, I feel healthy and happy.  I don't need to lose any more weight.  On the other hand, I am at the top of the healthy range, so it wouldn't hurt me if I lost a bit more. 

Meanwhile, my new bathing suit came I from Lands End.  I tried ordering tankini seperates to help with the fact that my lower half is a very different size that my upper half.  The lower half is a high-waisted control top skirt, so it smooths out some of the folds and flaps nicely.  If you are self conscious about your middle, I highly recommend it.  The top is their D-cup underwire, which actually contains the girls, saggy and prone to floating as they are.  Again, recommended by me for endowed post-ops.  Here's the pic.

 

 

 

In comparison, here is a picture of me pre-op in a bathing suit (25 pounds already lost) and then about 9 months post op, already pretty close to my goal (but maybe not final) weight. 

Now it's a couple of days later and I'm hovering around 140.6 - 141.0.  So, what does this all mean?  It means that maybe I shouldn't just worry about not gaining.  It means that maybe I will lose more, and I should be open to that.  Either way, I'm going to keep working my program, following the rules.  1) No drinking with meals or for one hour after.  2) Eat protein first, trying to get in 20 grams at each meal.  3) No liquid calories (alcohol, milk, ice cream, soup, etc.) and 4) Eat meals within 20 minutes, no grazing and only eat until I'm full. 

Where am I headed?  Forward, never back.  I have bad days, I give in to old habits occasionally.  I am not perfect and never will be.  I commit to staying healthy, to making the best choices I can.  It requires a lot of time and energy to keep my new lifestyle, but it is worth it.  To all my friends and family who support me and my unusual needs - I thank you.  I couldn't do this without you.  To all the WLS friends out there who read my blog, we're in this together.  You inspire me. 

Bariatric Betty's Summertime, and the living is sometimes too easy

Ahhhh, summer.  I'm off work (since I work at an elementary school), and my boys are home.  No homework or tests to deal with - just daily reading to keep them from regressing over the summer.  Only thing is, they think that I should be providing FUN!!!! all day every day.  Um, no, that's what summer CAMP is for, which both of you declined to attend repeatedly.  So now you have be bored at home with me! 

My day starts making breakfast for everyone, unless it's one of the days my 12 year old has gotten up early and hungry and has made his own.  I don't eat for about an hour after I wake up so I have time to drink my first 24 ounces of liquid for the day.  I see my husband off to work with the lunch I've packed and eat my breakfast.  Then the kids and I go over the plans for the day.  That starts out with a reminder that they each need to read 1/2 hour.  The complaints start then, and sometimes last for hours. I walk/ jog the dog, do a load of dishes and remind my 12 year old he needs to run a load of laundry.  I get in my second 24 ounces before lunch, and another 24 before dinner.  We usually go somewhere in the afternoon, and eat early.  Since the boys are both playing baseball this summer, we often have 3-4 hours of overlapping baseball games in the evening.  My sweet husband eats a dinner I bring at the community park where the games are being played at least once a week because the games start before he can even get home from work.  Sometimes the games go until after 10pm!

I spend at least a chunk of time every couple days cooking large amounts of my staple foods so that they are ready for daily consumption.  I scramble 6 days of egg beaters at a time - that doesn't take that long.  When I sauté my 5-6 days of onions and julienned zucchini (think non-noodle spaghetti) it takes a bit longer.  When I make up a pot of my lentils with carmelized onions it's over an hour, but that will last me for a couple of weeks.  I am also cooking for a family of friends once a week who have a mom recovering from a serious illness.  It's been fun finding things that are vegetarian that her family enjoys - my family has had such a predictable diet for years that it's taken me out of my comfort zone a bit - but it has also increased the quality of meals my own family is getting.  Eggplant parmesean has entered our regular rotation, as has fried tofu.  The other night I made fried rice with broccoli, pea pods, carrots, peas, water chestnuts, asparagus, and eggs that was a hit.  It's weird that I can't enjoy most of these things myself - they don't have enough protein or sit well in my pouch (with the exception of un-fried tofu) but it does feel good to see everybody eating well.

I do try to plan at least one fun thing a day for the kids, whether it's going to our local rec center/ pool, going to a movie, going to the local waterpark where we have season passes, etc.  We won't do anything like that until they have done their reading, however, and on some days that means it's afternoon before we get to go.  Like today.  It was 2pm before my 10 year old finally finished his reading.  He spent all morning complaining about how he didn't want to read, and he wanted to go do SOMETHING.  No matter how many times I explained "You do your reading, and I will take you somewhere, you get to decide how soon that happens..." the whining WOULDN'T stop.  Augh.  I took my dog for a longer walk just for the peace and quiet. 

Speaking of walking the dog, that's my only predictable exercise right now.  I miss my job!  It's nice to be able to have other options during the middle of the day during break, but I miss working with the kids, talking with other grownups, and most of all the 5000 steps I would walk while I was working. 

Thank goodness for my fitbit pedometer.  If I didn't wear it every day then my exercise would be pitiful right now.  It's a great motivator - because I HATE not hitting at least 10,000 steps a day.  During the school year I average about 15,000.  But now I average around 11,000.  I actually have to work for those, too.  When we go to the park I walk circles around the playground.  When my kids have a baseball game I pace back and forth for the second half of the game.  When we're camping out at the rec for a long time, I walk a couple miles on the track. 

I don't enjoy running in real heat, so I'm not jogging much right now.  I have decreased my food intake a bit to take into account that I'm not burning as many calories right now, and that seems to be working well because I'm staying at goal.  The daily struggles with making good food choices is harder some days than others - although I haven't had a crazy obsession (like the pie crust) for a while, thank goodness.  I usually stay away from white carbs because I find they trigger cravings for me and I don't need the extra stress. 

My house continues to be a disaster zone, but most days I feel like I am getting the level of cleanliness incrementally better.  My focus has been on getting the boys to help clean up their own messes (definitely works in progress) and keeping counter-tops and kitchen/ dining room tables at least partially clear.  At the moment my 12 year old has his basketball shoes on top of my papers on the kitchen table, and my 10 year old feels that since he has set up his lego building area on half of the dining room table for the last 6 months, I am being unreasonable to think that should change.  Baby steps.  This last week I tackled the outside mess - pulling up 7 bags of thistle and other assorted weeds that had started looking like trees. 

Speaking of trees, the other night a severe thunderstorm took down half of a 30 foot tree in our front yard.  Besides being stunned, everybody is fine.  Mostly I am overwhelmed with gratitude that the tree didn't fall on the house and that we weren't home when it happened - because my car is usually parked right where it fell.  It didn't even knock over our basketball hoop!  It was definitely one of those moments that I felt someone was watching over us. 

I am so grateful for the every-day blessings my family enjoys.  Our health and our home top amongst them.  But it's up to us to maintain both of those things if we want to keep them as blessings.  My sons arguing for more snacks and less work can be tiring, but I try to remind myself that I am teaching them life lessons - and that if I want them to value those things as highly as I do, they need to see our commitment to them every day.  It's easier to think of it that way when the whining isn't happening.  There will definitely be times when the overwhelming thought in my head is "Do it because I SAID SO!" although I try to be calmer in explain the importance of the issue at hand.  And there are times that I tell them "You've worn me down.  I am taking a break.  Be nice to each other and work on xyz while I go lay down for a bit/ take a walk/ run to the store."  It's lovely that they are old enough that I can do that now. 

I remain incredibly thankful for not only the support of my family on this journey, but my local support group.  The other night we had a meeting, and as I was walking out the door to attend we discovered that while my 10 year old had been "bored" he had used scissors to scratch and poke on our black leather couch.  Augh!  I went on to the meeting and vented, and we all agreed that the "old" us would have then eaten a large amount of junk food to handle the frustration.  Now my son is responsible for cleaning off said couch and his own favorite chair every night to help him learn to respect our things more.  His response "For how long?"  Our answer "Until we decide to ADD more chores.  This will be your responsibility, period." 

I am also thankful for all of the health professionals that have helped me get to where I am, and where our family is going.  I found out a couple of weeks ago that my surgeon and his team are leaving St. Vincent and it really feels like a loss.  I will have to work with new people for my follow-up.  But, they gave me my pouch/ tool and a good foundation to work with.  I will miss you Drs. Ben-Meir and Salomone!  I am also so glad we found a great family psychologist to work through issues with our sons, and have found a wonderful rheumatologist for my husband.  Never underestimate what have access to good healthcare can mean for your family.  I wish everyone had it this good!


 

Bariatric Betty tackles Self Hate and Sabotage

Last Friday I stopped at our local Sears/ Lands End store to try on some tops.  I'm still building up my wardrobe at my goal size - my clothes from last summer are two sizes too big.  I have become a big fan of getting clothes second hand, but also hit the sales racks at places like Talbot's Outlet, Lands End, and of course Target and other places as well when I need something. 

I picked up several Medium Petite (still boggles my mind) tops and went to the dressing room.  Walking in there was a woman trying on a winter jacket (Lands End has GREAT deals on winter clothing right now) and I commented "Cute jacket!".  She replied "Not on a fat woman like me, maybe on somebody like you."  My heart fell.  I hate to hear people being cruel and calling people names, but one of the worst is when they are hateful towards themselves.  I couldn't just let it pass.  Here's a chunk of the conversation that followed:

"You shouldn't be so hard on yourself"
"No, it's true!"
"You know, a year ago I had bariatric surgery to lose over a hundred pounds, and I know it's really hard to lose weight.  Beating yourself up isn't going to make it easier."
(pause) "Wow, you lost 100 pounds!  You look great.  You would never know."
"Yeah, I feel great, too.  But for decades I tried Weight Watchers, Nutrisystem, and all sorts of diets.  When you find something that works for you, you will lose weight.  For me it took surgery to get it all off - otherwise I just kept losing the same 30 pounds.  Until then, you should give yourself credit for doing the best you can."
"I guess.  It all came on after I had my kids - I was never heavy before then...."

I felt so bad - here she was berating herself to a stranger in a public changing room.  I said a supportive comment and ended up hearing her whole weight loss history.  Of course, I shared mine first (heaven knows I like to share happy stuff with everyone) - but can you imagine how much she needed to talk to someone sympathetic that she was willing to talk about something that made her ashamed and mad with a total stranger?  She was perfectly willing to say mean things to herself, and I'm sure has heard cruel comments from others.  The sense that fat people deserve to be made fun of or be the targets of snide comments - or the even more twisted thought process that targeting them might make them more likely to lose weight and be healthy - it's RIDICULOUS.

Here's a link to an interview on the Today Show that showed up yesterday after I started writing this blog. http://www.today.com/health/my-butt-so-huge-fat-talk-common-harmful-6C10109738   It talks about how women hurt their self-esteem and that of others by participating in negative self-talk or negative comparisons to others.  What many may think is trying to help support a friend unhappy with their body, i.e. "Oh, no - my hips are SO much bigger than yours!" is not helping.  It is leading into an almost competitive cycle of trying to make others feel better at your own expense - where the original unhappy person then feels the need to point out that her "flaws" are even BIGGER.  So instead, talk positive.  About yourselves, about others.  When your friend says "My muffin top is turning into a whole CAKE top!", say "I think you look beautiful" - not "my muffin top just filed for it's own zip code".  When you are frustrated that your own physical fitness goals aren't showing up the way you would like,  i.e. "Why can I now see some ribs outlined but still have a jelly belly???" think "I have worked hard, I feel better, and I look better.  I can't control where my body decides to lose fat, but I can make the most of the parts I'm proud of."

Now, fast forward to yesterday, when I tried on a new pair of shorts with an older shirt.  I didn't think they necessarily worked together, so I asked my husband.  He agreed.  I tried a different shirt, and he tried to explain that my top is so curvy, but the bottom half is so straight, and the original combo just seemed to over-exaggerate it.  He was right, I have a large chest and then very little hips or butt.  So I needed an outfit that created a little more balance.  I had unrolled the legs on the short to about a 10" inseam, but originally they were rolled to about a 7" inseam.  I rolled them back up and with the new shirt felt better.  Still, I looked in the mirror several times yesterday morning, and ended up asking my 12 year old son what he thought.  Warning Sign Alert - if you have to ask your 12 year old son for fashion advice, it's a sign you are feeling a little insecure!  The following is a recap:

"Justin, does this outfit look OK?"
"Ummm, that depends... where are you going to wear it?"
(internal alarm, uh-oh, what the heck?  Maybe my tucked-in shirt is showing my extra-skin flaps too much???) "To work"
"Oh, then it's fine."
(???) "OK, just wondering , where WOULDN'T it be a OK to wear it?"
"Ummm, to drop me off with my friends"
"OK, I promise I won't be upset, but I want to know what makes you uncomfortable about your friends seeing me like this." (Oh boy, I hope this doesn't hurt too much)
"Well, Mom, could you wear jeans or something?  I'm not used to seeing your knees, it just seems weird..."

LOL.  Yes, my son wasn't embarrassed by my flaps of skin, or my large chest - he felt that my shorts falling just above my kneecaps was embarrassing!  Watch out - I'm a hootchie mama!  Looking back, I shouldn't be surprised, he told me that if any of his friends wear shorts that don't come below their knees some of the guys at school call them "bootie shorts".  It gets even more funny when you know that I wear skirts above my knee (about the same length as the shorts yesterday), but that doesn't bother him.  But shorts that showed the ENTIRE KNEECAP???? Gasp.

We can be our own worst enemy.  Don't give in to the negative trash talk in your own head.  It makes it easier to do it again, and easier to believe that others are thinking/ saying even worse. 

Speaking of our own worst enemy - I caught myself before I sabotaged myself yesterday.  Yay for the catch, boo for the constant vigilance required.  I have been making meals for a friend once a week - she's been very ill for several months, and a couple of us bring meals a couple times a week to take some of the pressure off the family.  This week I offered to bring "Breakfast for Dinner" - French toast casserole, quiche, and a carrot/ yogurt/ craisin salad.  They have a severe peanut allergy in the family, so it's important to read and re-read the labels.  I started being concerned about the quiche crust.  In the past, I have found it a little tricky to find ready-made pie crusts that don't have lard.  And now I would have to find one without any peanut oil/ exposure to nuts in the factory.   Hmmm.  I started thinking about making my own crust.  OK, that's simple.  Then I remembered how much I like to nibble on pie crust dough.  Yeah, I know, weird.  I don't know why it tastes good to me, but it does.  And then I found myself thinking about nibbling on pie crust dough probably 50 times over 24 hours.  Not exaggerating.  And about how I should probably make a little extra to make sure I had enough dough - but knowing it was really so I could eat some but still have enough.  Yikes.  So I started thinking about going back to finding a pre-made crust.  But they usually come in two packs.  I would have a whole extra pie crust.  Extra pie crust, mmmmmm.  Seriously?  Then here comes my AHA moment.  Wait, I can use that whole extra pie crust to make another quiche for another meal for them.  So I can't break off a piece and eat it, because I will need it for the next week!  Restraint engaged - logic wins!  It was that hard.  You never know where your brain will take you on these weird cravings/ food addiction trips.  Every day is a journey, where we have to make the choices that will keep us healthy.  Some days are easy down-hill paths, other days we have to climb the mountain in the way. 

On a positive note - I saw a wonderful friend this weekend who hadn't seen me for over a year.  She has seen my pics on facebook, and knew all about the surgery, but it was still a shock for her.  I loved getting to visit with her and her family, and of course the complements felt wonderful.  Mostly though, I loved seeing our kids together.  Except for maybe when two of our sons demonstrated their "feedbag method" of eating a bag of popcorn.  Gross. 

Getting ready for summer break to start next week - and it turns out I registered for another 5k I forgot about.  Now I have to figure out if I can do it with the kid's baseball schedules.... 





 

Bariatric Betty's 1st surgiversary! Pics, measurements, and excitement

Yesterday I celebrated my first surgiversary - and it was AWESOME!  My day started off with my husband, 12 year-old and 9 year-old having me sit on a bizarre contraption.  My husband had balanced a pillow on top of a folded folding chair, on top of an upholstered storage unit.  Then he took the chair legs, one son took the chair back, and the other one grabbed the chair side behind me and they lifted me up!  I felt like there should be trumpets playing - or maybe Hava Nagila ;)!

I don't have a picture of that - everybody in the house with opposing thumbs was involved and I didn't know to get my camera set up with a timer!  I did try to take a picture of me "planking" sideways while they held me up later (I was trying to copy something I'd seen someone else do) and could have gotten us on America's Funniest Home Videos if we had been taping...  Also, word of advice to WLS patients who might think that sounds good - loose skin hanging sideways in a picture is NOT your friend.  So... this is a picture of two of them presenting me with roses later on :)

 

My family has been such a support to me during my journey, and I have great confidence they will continue to be.  Here's a picture of me one year ago:

 

 

 My family stood by me then, and they stand by me now.  They understand I can't let my social interactions revolve around food.  And when we do eat out together, they try to find places I'm comfortable to eat.  All day I kept thinking about "a year ago I was in pre-op right now, a year ago I was coming out of surgery, a year ago I was talking my first walk..."  It was very emotional. 

Here's another thing that was emotional for me to do.  Make a new composite.  This is 3 months pre-op, 1 month post op, 4 months post-op, 6 months post-op, 1 year post-op.

Now for some hard figures to spell it out.  My highest weight was 243.3 pounds.  On my surgiversary I was 143 even, just over 100 pounds lost.  In the picture on the left, my weight was 237.  Here is a comparison of measurements from 3 months pre-op to today:

 

                     November 2011                2/16/2013           Inches lost

Waist            45.3 inches                      33 inches               12.3

Hips            46.5 inches                      34.5 inches               12

Chest band         41.3 inches                   33.3 inches             8  

Thigh            24 inches                     18.8 inches                 5.2

Bicep              16 inches                      11 inches                  5

Total inches lost 43.5!  I didn't measure my neck, but I can guess I lost at least 6 inches there as well.  Insane. 

Volunteering at a school event that required standing for an hour used to leave me sweating like a pig.  Now I run 5ks. 

I used to be diabetic, taking oral meds and insulin injections 4 times a day.  My diabetes was reversed the day of surgery, and now my only concern is my Reactive Hypoglycemia, which I can avoid. 

I am still being treated for depression, but my meds have been cut in half.

I now have enough energy to work outside the home, at my son's elementary school. 

I no longer need to take naps to make it through the day (although occasionally I will take one for fun)!

My biggest change is one my husband helped me realize at about 4 months post-op.  He came down one morning, looked at me and got very concerned.  "Are you OK?  Is something wrong?"  "No, why?" I replied.  "You're not smiling.  You ALWAYS smile now.  I haven't seen you not smiling since your surgery!"  It's true, I'm a much happier person now.  I still get upset occasionally, the kids can still get on my nerves, and I can still have grumpy days, but for the most part I'm very happy.  I feel like I've got everything I have ever really wanted.  Loving friends and family, a safe home, being appreciated at work, and being healthy. 

This is GREAT, but now comes the hard part.  My sense of hunger is coming back.  My pouch can hold more than it used to.  There won't be much more changes in my measurements.  My weight is stable +/- 2 pounds daily.  I am going to keep trying to get my body fat percentage down a bit, but as it will be replaced by muscle, it won't show up on the scale.  The compliments will decrease as more and more people get used to seeing me, or never knew the bigger me.  I have to keep working the program, eating according to the rules, exercising the same - or I will regain.  My calorie consumption will need to stay about 1200 calories a day at my current activity level.  I dump, so I will not be able to indulge in carbs without getting sick - and that's a good thing. 

I will eat to live, not live to eat.  I will find ways to treat myself that don't have anything to do with food - like yesterday.  I was properly fitted for new bras by a pro named Nancy at Nordstrom's.  My 4 new bras cost over $300, but I'm going to be wearing the heck out of them so I know I'll get at least 100 wears out of each, and they do EVERYTHING I needed them to do, plus - they're PRETTY.  People who have never been obese might not know but it is very hard to find a really supportive and comfortable bra size 44DD/EE.  Forget about it being attractive.   It was hard to swallow that bill yesterday, but it was harder to swallow the similarly ones for bras that looked awful. 

My next treat will be getting my rings re-sized.  I have been winding medical tape around them to keep them from falling off.  It will take a while to save up for it, because I'm going to incorporate some stones from other rings (my 10th anniversary and my late mother-in-law's ring) as well. 

It comes down to making the right choices every day.  Most days I do really well, but some days I don't.  I recently read Al Roker's "Never Goin' Back" and feel the same way.  This will never be "over", but I will never go "back" either.  It is worth everything to be here for my family longer, and be able to enjoy life more.  I give thanks to my family, friends, surgeon, and God for this second chance at life.  Forward!
 

Bariatric Betty's 5K with pics

Yesterday was the big day; 6 months after beginning Couch to 5k I ran my first race!  It was a lot of fun, and I was thrilled to have my 12 y.o. son jog it with me (for the first half anyway, then I left him in the dust because he hadn't trained as much and needed to slow down).  The Jingle Bell Run is for the Arthritis Foundation - an organization I loved supporting because my dear husband has had rheumatoid arthritis since he was 12.  Here's a pic of all of us before the race.

I had a great NSV (non-scale victory) before the race even started - I traded in my pre-ordered Adult Large race shirt for an Adult Medium!  Woo-hoo!

The atmosphere was wonderful - people were decked out in all kinds of holiday gear - I gave in and bought a Santa Hat that said "Jingle Bell Run".  Everybody was given jingle bells to tie through their shoelaces along with their tracker chip, so there was a constant faint bell ringing the entire run.  There was a singing group doing Christmas carols and other upbeat holiday tunes.  Lots of families jogged or walked as a team, and I saw dozens of parents who ran or walked with strollers.  Here's a pic of us at the very start of the race.

The course was a bit of a surprise - from the map we had been given at registration I guessed we would have one hill about halfway through the race, and it would be uphill on the first half, downhill on the way back.  Nope. There were four hills (two repeated ones) on the course and that meant that we had to finish on an incline.  One of my friends ended up running as well, and she told me later "Boy, this was NOT a good race for your first - those hills were killer!"

 I'm happy to say for me it was more a psychological challenge than a physical one.  All my training was definitely more than enough to prepare me for this race - even with the hills.  Who would have guessed???  I jogged the whole thing, running 3.1 miles in just under 36 minutes.  Afterwords I felt really proud and happy, but my body was like "So, that was pretty normal..." How wonderfully unexpected.

This is me crossing the finish line...

I was inspired by many people in the race - there was a whole team of people from the University Hospitals Medical Center running in honor of an 8 y.o. girl named Taylor with Rheumatoid Arthritis. There were people like the mom behind me in the picture above who ran up and down those hills pushing a double stroller!  There was a wonderful 76 year old woman named Jean that I chatted with on the second half.  She runs races every weekend, so she's well known by most of the regulars.  She talked about how she had ANOTHER race today, and I couldn't have been more surpised. "You run two races in one weekend???" "Oh, just when they're small ones like this..."  LOL!  It's good to see things from a different perspective.  She said that so many young people are all impressed when they hear her age.  I told her that they should be impressed with her running all of these races even BEFORE they hear her age and she laughed.  She said she's glad to be able to run when so many people her age can't even walk much, but also confessed she enjoys seeing youngster speed up when they realize she just passed them.  ;) 

My son crossed the finish line just a few minutes after me and I told him I was so proud of him for hanging in there and finishing!  He was exhausted, but said "Mom, we have to start training on HILLS" so I guess he might be willing to do this again.

Doing it again... yeah, probably.  I didn't hurt afterwards (or this morning) so I think I might start looking for maybe a race every month or so.  It's way more fun than just jogging with my dog :)  But I'm not feeling driven to start training for a half marathon or anything.

There was another woman I met that left me with mixed feelings.  She was a friend-of-a-friend and when my friend introduced her she said "She's lost 100 pounds, you know!"  I laughed and clapped for her and then said "Me, too!"(well, rounding up)  We chatted for a little while and I found out that unlike me she didn't have bariatric surgery.  I was very impressed - to be able to lose that much without having the help of a pouch as a tool... that's rare!  She said two years ago she started walking two 5ks every weekend.  Then she started jogging them.  Then she started running half-marthons, and now does marathons as well.  Whoa.  Cool!  Then she explained that she is just working on keeping the weight off, so she has added Zumba a couple of times a week and recently personal training.  OK, so she is running at least two 5k races (if not a marathon) in addition to daily training runs, taking 2-3 Zumba Classes, and having a personal training session every week JUST TO MAINTAIN HER WEIGHT.  Uhhhhh. Great?  For her, it's great.  This is a really good demonstration of what happens to the metabolism of a formerly morbidly obese person.  To lose this much weight, our bodies and metabolisms change a LOT.  In her case, presumming she eats healthy foods in reasonable portion sizes, it means she has to become a fitness machine.  I am all for being active and staying active, but I would never want to dedicate every weekend of my life to running races.  They're fun, but I want to have time with my family doing other things.  I can commit to spending 30 - 60 minutes a day doing cardio for the rest of my life and having a severally restricted diet/ calorie intake.  For her, that wasn't a good choice.  Either way, there is no easy way. 

So I'm looking into doing the "Color Run" sometime this spring, and keeping my eyes open for other fun opportunities.  I heard that Coco Key (a water park in Sandusky, OH)  has a Santa Run that I can imagine the family enjoying this time next year.  Today I'll just be walking my dog a couple of miles and celebrating my father's 70th birthday and other every-day miracles.  Happy Hanukkah to everyone celebrating!
 

Bariatric Betty - broken records

The last week has been a good one.  Thanksgiving went according to plan - I kept things simple and relaxed at our house and everyone had a good time.  We even got some good family pictures!  I really enjoy having my picture taken now, which still strikes me as funny after years of dreading it.  We got to see a lot of family, including one Aunt who is considering weight loss surgery.

My uncle asked me if I would feel comfortable talking about my experience with her.  LOL. Yeah, we don't talk much anymore, so he didn't know the answer to that question.  My main concern was if he or family members were pressuring her to consider surgery since mine has gone so well.  I am HAPPY to talk about my surgery with anyone, and encourage people who are interested, but so many people don't realize that the surgery doesn't solve the problem.  They think "If my loved one just does this, then in a year she'll have lost all this weight and we can go on with our lives with her healthy."  If only it was that easy.

First, you have to understand why you're obese to begin with.  Why do you eat what you eat?  Are you a volume over-eater? Are you a sweets junkie?  Are you a sugared soda or coffee addict?  Are you a carbaholic?  Do you drink alcohol often?  Are you an emotional eater?  When you've been on diets do you "cheat" often?  How active are you, and how active are you willing to be?  Are you trying to hide under your layers of fat - trying to make yourself disappear?  Are you trying to push people away with your size?  These issues have to be identified and addressed before surgery- yes, you can change how much and what you're going to eat, but if the reasons you got this way don't change then any loss will be temporary. 

Then there are the risks of the surgery.  People die.  Other people have serious complications.  Some of us have none (like me) but you can't expect that outcome.  Does your insurance even cover weight loss surgery?  If it does, can you afford your portion of the cost?  Are you prepared to be on a pre-approval medically supervised diet for 3, 6, or even 9 months before you even find out if your insurance will approve your surgery?  Do you have medical records documenting your obesity for several years?  Do you log/ journal your food - every bite?  These are things you will have to do.  There will be ongoing costs after surgery - you will be on supplements for the rest of your life - over the counter supplements that will not be covered by insurance.  Then there are the extra labs and doctor's visit you will need to pay for as well (again, for the rest of your life).

Are you ready for the scrutiny that accompanies the knowledge that you are a WLS patient?  The feeling that people are watching what you're eating (either out of curiosity or concern) all the time.  Sometimes they watch with judgement.  Are you prepared for "bad pouch days" when food gets stuck in the new stomach's stoma and makes you sick?  Can you give up drinking while eating (and for an hour afterword) for the rest of your life?  Can you limit yourself to eaing mostly protein for the rest of your life?  No, you will never eat like "normal" people do.  Yes, sometimes you will be able to fake it, but you will spend a large chunk of time figuring out how you will satisfy your nutritional needs and restrictions every day FOREVER.  Going out to eat requires pre-planning/ homework.  It won't feel fun and like a treat.  Going on vacation bring s similar planning and stress.  Eating at a friend's house can be uncomfortable because of your situation - imagine being allergic to gluten and dairy.  That's an example of how some people have to change their diet post-op - some can't handle wheat products at all but those who can eat it can't have much, and some become lactose intolerant.  There will be no more alcohol.  Your doctor may give you permission to drink a small glass of wine or beer after a year post-op, but most will say "No."  We are at high risk for alcohol related problems because of how our modified bodies metabolize the alcohol.

Family support can mean everything in the chances for your success.  If your spouse is supportive and encouraging it can go a long way.  But does your spouse have a history of sabotaging previous efforts to get healthy?  Encouraging you to cheat "just one little bite" or insisting on having snacks around for him or her that are too tempting for you?  Your new lifestyle will change your family's lifestyle as well, and while it will likely make them healthier they won't always like it.  Many people with rocky relationships see those relationships deteriorate after surgery.   The non WLS patient partner can feel jealous of the attention you get (especially from the opposite sex) and the time you are spending focusing on yourself that you used to spend on them.  If you have problems in your relationship your weight loss will not fix them.  I'm a firm believer that all WLS patients should seek counseling before surgery.  Sometimes couples therapy is also helpful. 

Are you prepared for the ongoing struggle both mentally and physically that will not go away?  This surgery fixes your stomach to a small size, but it does not fix your brain.  90% of our struggle is in our brain.  Sometimes I feel like a broken record talking about it, but it's true.  

Having gatric bypass surgery is one of the best things in my life, but it is not to be done lightly. 

Speaking of broken records, I had a couple this week.  I reached a new "low" on the scale, which is always fun.  My weight is fluctuating up and down +/- 2 pounds these days, but I'm losing about 1 pound a month on average.  My other broken record was a jog I did. 3.3 miles!!!  It felt great, especially because it was on new fallen snow and I felt like celebrating that I didn't fall once!  The adreneline from the fear of falling probably hyped my endorphins up a bit.  My 5k is in 8 days, and I can't wait.  I hope my 12 year old can keep up with me :)
 

Lost and found, Bariatric Betty embraces hard stuff

The fitbit is lost, long live the fitbit!  Yes, I lost my second fitbit, and have been trying to manually calculate my steps and calories burned all week - boy did it have me spoiled!  My clip/holder had broken the week before and I had contacted the customer service for a free replacement.  For that week I was clipping the fitbit directly on to my belt loops, bra straps, etc.  And on that last fateful day - I jogged with my dog after clipping it on, and came home to find it gone.  I traveled my path again twice, trying to find it to no avail.  Fitbit had already given me a replacement once for free - it wasn't reasonable to expect them to do it again.  And then a ray of light - they have a new (cheaper!) fitbit - the Fitbit Zip.  It does everything but counting flights of stairs and sleep monitoring.  That's not bad - I don't even use the sleep monitoring function.  And instead of $99 it's only $59.  OK!

So I sent an email to customer support reporting the loss of my fitbit, and on the next business day... it happened.  "We would be happy to send you a complementary replacement..."  No way.   OK, I will once again rave: Fitbit - BEST CUSTOMER SERVICE EVER.  So here is my unsolicited ad - in addition to the newer cheaper Zip, the Fitbit One (which should be out for the holidays) will have all the initial capabilities as the Fitbit Ultra - but it and the Zip will be able to interact wirelessly with Apple devices and soon select Android devices.  No more base with a cord.  Woo-hoo!  I'm just getting a replacement Ultra, but for those of you who might be considering a splurge (or who want to whisper a wish to Santa) - this will be even more amazing.   Here's a link http://www.fitbit.com/one

OK, so my scale is hovering around the same number it has been on for the past 4 weeks; we are in a stall, Houston, we are in a stall.  But, I'm not worried.  I have continued to lower my Body Fat Percentage a little at a time, so I know I'm replacing fat with muscle.   I also got my test results back from my primary care physician and they were ALL NORMAL.  All my supplements are doing their jobs, no deficiancies, no diabetes, nothing wrong :) 

I'm enjoying my job, I really get a lot out of being an elementary school monitor.  Other than basically functioning as a lifeguard/ babysitter in the lunchroom and playground, I get a chance to impact the lives some of the kids.  The kid who are bored and need a challenge - have you tried running around the track - see how fast you can get around it!  Wow - you went around the whole monkey bars by yourself look how strong you have gotten by trying every day!  Watching the girl who just lost a parent find solace in helping a special needs student.  The student that told me his "heart hurt" and the resulting conversation that ended up with a referral to child protection services.  The daily boo-boos that give me a chance to talk about how amazing and strong the human body is, that it's already working on healing itself while we walk to get a band-aid.  Explaining to the children who are sad or mad that their friend doesn't want to be their friend anymore that even friends can have disagreements - that real friends will forgive each other and play together another day.  Talking about being fair and sportsmanlike, about including others, and watching the kids grow.  It's very rewarding.  In another life I think I would love to be a guidance counselor - but in this one I appreciate the chance to help when I can and refer them to someone better qualified when it's beyond my level.  One of my NSV's (non-scale victories) this week was that I was able to run around the playground track with my 1st graders when they asked me to join them - without breaking a sweat.

Dealing with stress seems to be going better - in addition to talking with my husband, I'm choosing to walk or jog more than any other coping mechanism.  Of course, last night I had a mega-wave of PMS hormones triggering some huge irritability.  It was late, and since I was finding myself getting ticked about things that I could see weren't worth getting upset about, I elected to send myself to bed early.  I just announced that I was worn out, and asked my hubby to take over - which he graciously did.  This morning I explained why, and he actually thanked me! 

Earlier this week I realized I was starting to eat progressively more of the delicious caramel calcium chew supplements than I needed every day.  Not good.  After chatting with a reader who was asking MY advice about staying away from temptation I recognized it for what it was - an addictive behavior.  Enjoying something, turning to craving something, turning to increased consumption/ usage... That might sound extreme labeling to those of you who haven't been morbidly obese, but most of us recognize that are our overeating could be classified as addiction.  So, I threw the caramel supplements out.  Bought boring tablets.  Did I overreact?  Not in this case - I know because 1) late that day I thought about pulling them out of the trash (they were in a sealed bag) and 2) because I craved those caramel supplements for the next three days.  Were they going to make me fat again?  No.  They might have led to kidney stones because of the large doses of calcium - that wouldn't be good.  But it's more the fact that I recognize that I can't allow myself to have something that I'm going to "crave" because it grows out of control too easily with me.  Will I ever let myself have treats again?  Yes, but definitely not in my first year, and then it will be a small amount, rare, and not keeping it in my house.   Eating too much of anything is unhealthy.  Even calcium.

Yes, my head is a constant work-in-progress.  But I didn't get morbidly obese because of stellar mental health, and I am definitely earning my improved health.  By making good choices over and over again, I look forward to it not being so difficult some day.  It's not difficult every day now, and I am so grateful I have my pouch to help me! 

 

Bariatric Betty CANCELS Click-a-thon!!!

Hello sweet readers!

I recently found out that it is forbidden by Google and Adsense to ask readers to click on ads, or use them for fundraising, etc.  So please only click on ads that you want to see information about, keep your normal browsing behavior, etc.  As for my plans, I will continue privately donating to causes without mentioning them on this blog so as not to cause any problems.  My apologies for any confusion! 

Bariatric Betty 5 days before Surgery

So, here it comes.  The big day is less than a week away, and I'm tying up lose ends.  I've labeled where lots of things are kept in the house for the benefit of my family and my mom who will be coming over to help for 5 days.  I've done extra grocery shopping, made lists of food suggestions that the kids like, written down how they like things prepared.  I've written just-in-case notes to my husband, kids, and sent emails to the kids' teachers letting them know what is happening just in case they see behavior changes in the kids because of anxiety or anything.  I'm continuing to go over the plans for the day before surgery (now called "Poop Day" by my boys), surgery, discharge, and when I first get home with everyone.  I've bought all of the suggested post-op supplies and meds the bariatric center suggested and set up my little "liquid protein station" complete with shakes, whey powders, blender, and a sieve.  I've bought some books I'm looking forward to reading on my kindle.  I've set up some post-op playdates for the kids. 

All of that stuff is logical and healthy.  Now here's the other side - I've been enjoying my farewells to carbs. In the last week I've had a small serving of ice cream and a medium size fro-yo.  I've been choosing my meals to include some of my favorites that I won't eat the same again (or modified for a long time) - pasta, pizza, calzones, eggplant paremesean, and big salads (OK, that's a healthy one, but still).  I haven't been binging or going outside my calorie allowances, but my total carbs per day have definitely gone up.  My blood sugar is still fine.  But it's still part of giving up loving to eat to become healthy - the mind change that I have to make that the scapel doesn't touch.  I've asked my son to let me make chocolate chip cookies for his birthday in March instead of the cake balls he wanted - because I hate chocolate chip cookes, and love cake balls, and don't want to be faced with temptation too early.

I think that in all my previous diets there was this feeling that "after I make goal I can eat like a normal person again" and a big difference here is that I am choosing that I will never be normal, and I'm OK with that.  That it's worth it.  That this change will be permanent.  That I will NEVER get an ice cream cone again.  Not because I couldn't, but because I will choose to follow the RULES, and the RULES say no liquid calories.  Will I ever indulge in a taste of something?  Yes, but not for the first or maybe even second year and then it will be something solid so it gives me statiety.  I've heard from the vets and know that the more you let carbs in, the harder it is.  So I'm going to think like I did when I was feeding my kids their first solid foods.  Start with vegetables not fruits. Focus on protein.  It's easier to like fruits, so hold off on them until later.  I want to re-program my taste buds during my honeymoon period.  I would LOVE it if I no longer wanted chewy bread and pizza crusts, or sweet/ salty carbs.  So I will stay away from them.  Protein and fluids, protein and fluids....

I wonder what things I might enjoy post-op when I can eat normal food that I don't like now.  Could I learn to like squash or cooked cauliflower?  Kale?  Tomato soup?  I wonder what size I will be in 6 months.  In a year.  I pray that I will no longer be diabetic by the time I am discharged.

We're planning an extended family trip to Williamsburg, VA in a few months, and I gingerly explained to my parents that I won't be comfortable eating with some of their friends who live nearby at that point.  They totally heard me and said they understand that my dietary restrictions will be tough and that I will still be working through what stays down and what won't (which could change on any given day).  They also made sure that the place we're staying at is a condo with a full kitchen, so I don't have to depend on food from a restaurant.  I have to say, my parents are being really supportive.  My mom has totally taken my request for positive-only comments to heart, and has become my biggest cheerleader (well, maybe second to my husband). 

I've also been getting a lot of support online from my WLS surgery friends - which means so much.  My traditional friends have been taking me out, writing me emails of encouragment, and offering to help with the kids - which is all VERY much appreciated.  But my WLS friends know where I am because they've been there, and they know where I'm going.  They are able to handle my panicky questions, like "If I dump after surgery from having too much carbs, I'll have pretty much have the same symptoms as when I become hypoglycemic as a diabetic - but I won't go into a coma and die, like I could now, RIGHT?"  They know my personal brand of crazy, because they've have it to.  It's still there, just in remission.

Everyone has a different story, a different outcome.  All I know is that whatever my best possible outcome is will only happen if I do the best following my surgeon's guidelines.  I trust my surgeon, and I trust God.  How I use this tool, this gift, is up to me.

Bariatric Betty is happy to still be diabetic, but faces a sad reality.

Today I went for my 3 month check-up with my primary care doctor.  She hadn't seen me since I started the medically supervised diet (this is day 67 of 90).  She was thrilled with how I'm doing.  She agreed that I was right to lower my nighttime (long-acting) insulin when my morning numbers hit the 70's.  According to her scale I was 17 pounds lighter than 3 months ago!  I love her scale.  But, it lies.  I weighed myself three times at home before the 9:30 appointment this morning.  Once before I ate of drank anything and I was still in my pajamas.  Once after I drank 12 oz. of water and 12 oz. of diet coke (I will miss you, caffeine) and scrambled egg beaters with whole wheat bread.  And a third time after I was fully dressed.  Either her scale is off or I lost three pounds during the 1/2 hour drive to her office.  My scale is weighs me 1.5 pounds lighter than the one at the bariatric surgeon's office.  I'm not normally one to weigh myself numerous times in a day - just was wondering how much my weight fluctuated between eating / dressing/ etc. 

Anyway, she was really proud of me, and said she couldn't imagine how the insurance company would turn me down as a surgical candidate.  From her lips to God's ears!  I stayed and waited to hear my Hemaglobin A1C number... 6.4!  That is wonderful in many ways - first, it's the lowest it's ever been since I've been a diabetic.  Second,  while it shows my diabetes is marvelously controlled, it also shows I am still definitely considered a diabetic.  If it was under 6, my insulin would have been reduced (possibly discontinued) and then the question of my qualifying with the insurance company would have come into play.  Since I now have  a BMI under 40, I need to have at least one co-morbidity to qualify.  Diabetes is my only one.  Now I'm breathing easier, because my last set of labs before sumbission for approval from the insurance company show I'm still diabetic as well as compliant.  Yay!!!

Last night I got to go to my second local support group meeting.  It was just as fascinating as the first time.  Bunches of new people to meet, each with their own story.  Two women had lap-bands and one just a revision to the vertical gastric sleeve 6 weeks ago.  The other had hers a year ago and hasn't lost much weight or noticed it helping. Everyone was very encouraging and positive with her, suggesting that she talk to her new doctor about running some tests to see if the band is functioning.  One woman was a "lightweight" (BMI under 40) like me 15 months ago but has lost 90 pounds!  Another accidentally got pregnant just two months after her surgery.  Whoa.  Not recommended, but she and the baby are both fine.  She lost all the weight (including not gaining any during the pregnancy) she wanted to, and shared some great recipes with us.  She also recommended a latte machine at Bed Bath & Beyond for $30 - she said it reheats and reblends the latte during the day, and has a great recipie book with it that included a mocha latter with egg whites (it heats it enough that there's no samonela risk).  If I liked chocolate or coffee I would have been all over that.   Another woman who had just had plastic surgery to remove excess skin (and looked FABULOUS) and shared this recipe:
Kate'a Frozen Protein Treat
2 cups skim milk
1/2 cup greek yogurt
3 scoops unflavored whey protein powder
6 packets of splenda (or other sweetner)
1 1/2 cups of frozed strawberries

Blend and then pour in a sealable container and freeze.  She eats it as a high protein snack and said it's super.  THAT one I'm trying for sure.

On the topic of recipes, I came to a realization.  I may not be able to handle baking next year.  This may sound funny, but it's a huge tradition in my family.  We decorate our christmas trees with gingerbread, have a new year's eve cookie party for our kids and their friends, and after 3 years of practice I've finally gotten down the art of slovenian potica (a nut roll) making.  I'm very good at controlling my consumption of baked goods - it's before the baking that I am tempted.  Licking fingers and taste testing can sabotage a diet.  I've found a good way to handle it is to have other members of the family join me in the baking and to chew gum while I do it.  That works well for this year, but next year chewing gum will be a no-no (too much air being swallowed and the possibility of gum blocking my stoma) so I'm considering things like wearing a mouth guard, sucking on sugar free mints, etc.  Several of the members of the support group last night said that they can bake for their families without temptation now, so that gives me hope.  However, I have realized that if I find myself tempted, it would be better to give up this part of my identity than foil my brain re-training next year.  So I'll try; with company, mints, and mouthguards.  But if I taste one thing, that's it.  No more baking.  It's not worth ruining my tool.  And my friends and family would rather I was around than a plate of cookies.

For now I'm hopeful.  Hopeful I will qualify for surgery.  Hopeful I will make healthy choices and succeed.  Hopeful that I'm setting up good habits and supports that will help me in my new life.  And just having had Thanksgiving, I'm thankful that I not only have such a supportive family but that I found a way to work through all of this by blogging.  My thanks to you for reading.

Bariatric Betty meets with her surgeon, babbles, and bakes

Whew!  This last week was super busy, and the biggest best news was that I had my first appointment with my surgeon on Thursday.  Unfortunately, he was delayed by surgery, but that's fine with me - I would want him to take his time if it was me on the table!  That's how he keeps his complication rates so low.  Anyway, I got to chat with some other women who were waiting for their first appointments in the waiting room, so it was a win-win. 

He was incredibly friendly, open, and gave me as much time as I wanted to talk about the procedure and answer questions for me.  He says that he think that the RNY (rous-en-Y) gastric bypass is a great choice for me, and that just by the questions I asked he's sure I'm going to do well.  I was so nervous until he said that (like my systolic BP was 35 higher than normal, nervous).  He laughed and said they do that to everyone!  I was so worried that there would be something that made him think I was a poor candidate!!!  I was also worried about my blood sugar during and after the operation.  I've had some hypoglycemic episodes, and even though I know I will likely not be diabetic within a couple of days of surgery I'm really worried about them (or god forbid diabetic coma).  He reassured me that they will be monitoring my blood sugar during surgery, and will keep it slightly high rather than risk it going too low.  If I am on insulin at the end of the surgery then I will recover in ICU so that it is being checked constantly.  If not, then his partner that handles the inpatient care will continue to monitor and adjust my meds as needed until discharge.  I feel so reassured.  Here's the funny part - I asked when I should come back, and he said - as soon as your insurance approves you!  I don't need to see him again until after my 90 day diet is completed, the packet is submitted to my insurance, and they call me to set up the surgery date and pre-op tests! 

I have to give thanks for all my friends and family supporting me, but I especially want to thank my non-bariatric friends.  I have become self-obsessed with this.  I'm thinking about the surgery almost constantly - am I following the supervised diet well, did I do my exercises yet for the day, try not drinking while eating...  And my conversations include advice and stories from my dietician, trainer, psych, and even fellow bariatric patients and veterans.  My family is even taste-testing the Nectar protein powders with me.  My friends are learning more than they ever wanted to know about weight loss surgery, and I can't thank them enough for listening to me.  I promise I will try to remember to talk about other things and remember to ask about YOUR lives more. I was just visiting in Central Ohio for a few hours yesterday and was so grateful that I had the chance to talk to some of my friends who are so supportive.   Even knowing that others are reading this blog gives me a sense of a whole global community supporting me.  Who knew that I would have readers in 5 countries????

Now, for those who have not known me for long, there is something I need to tell you.  I bake.  A lot.  I love the act of baking - it appeals to the chemistry major in me.  Creating fun and delicious things that people enjoy.  I love sharing them - most of my long time friends are used to receiving cookie platters for Christmas and Hanukkah.  I even make some rocking gluten free cookies good for celiacs and during Passover.  It makes my day to hear that people enjoy my cookies, and it makes my year when a child asks "When are we getting your cookies again?"  Yesterday I saw a boy I haven't seen for over a year and as he ran by he stopped, pointed at me and said "LOVE your cookies!" and then took off again.  It's also quite a family tradition.  Growing up we always decorated our christmas tree with cookies, and now I put gingerbread on ours.  On new years even we invite friends, family, and kids from my children's classes to come and have a cookie party.  I have even been indoctrinated into the sacred order of Poticia makers (slovenian nut rolls).  Using family recipies is so much fun - and sometimes humorous; "You must use butter.  If you don't want to use butter, please do not make poticia.  If you use margarine the angry ghost of old slovenian women will haunt you!"  Did you know that you have to roll out the dough thin enough that you can see the print from a table cloth through it?  Paper thin.  What a sense of accomplishment when after 24 hours of work they come out well! 

So how am I going to balance diet and baking?  It's actually not impossible.  I start baking things for the holiday now and then put them in a downstair freezer.  I have baked while on Nutrisystem and Weightwatchers, and usually chewing gum while I'm baking is all I needed to get through it.  Then I let myself try a small piece of something when it's done (and count it in my food diary/ balancing it with exercise).  Next year I won't be able to have that small taste - but it will be SO WORTH IT.  And I won't be bringing any platters to my support group - sorry but I don't want to sabotage anyone!  In a couple of years when I'm at goal, maintaining, and not in danger of craving too much, I'll let myself have a bite or two.  If I'm not feeling full :)  I can't wait to feel full!

Bariatric Betty gets shrunk

Well, this week I took my MMPI.  I told one of my friends before hand that I hope it didn't show that I was any crazier than I already knew I am! That was no joke - with my depression and PTSD, I don't expect a totally clean report.  I did joke with her that I was hoping my other 15 personalities kept quiet enough for me to focus on the test.  She said if they spoke up, just promise them a donut to keep quiet.  I love having a friend who's already had bariatric surgery.  She can say something like that and I KNOW that she is totally behind me. 

Before I started the test, my designated psychologist for the insurance documentation collected my co-pay.  He told me to take my time, and I assumed it would take about 2 hours.  Instead, 1 hour and 567 true and false questions later I was done.  If any of you have not yet taken the MMPI, it's alternatingly funny and sad.  It has statements like "I believe that spirits and/or demons control me" immediately followed by "I would like to be a singer".  Several times I read questions that made me wonder.  For instance when comparing "I would enjoy covering the theater as a journalist" and "I would enjoy covering sports as a journalist", what exactly are they differentiating?  Is there a condition that excludes theater appreciation?  Or is sports counter-indicative of another? 

When they ask "I sometimes lie to others" - don't you feel like it's a trap?  Who hasn't told at least a white lie to spare someone's feelings?  So you answer yes.  Unless you are a pathologically liar, in which case you would answer no.  Unless you are also an attention seeker - which I would imagine most pathological liars are - so you would answer yes. 

Here's what I think.  I think they should add two more questions. First, "I spent time thinking about possible reasons for different responses to these questions while taking this test".  Then, "I skipped at least one question accidentally and had to go back and correct my answers".  Hmmmmm, maybe my results will indicate I'm borderline obsessive compulsive? 

When I finished, the psychologist said "OK, so it will take me a couple weeks to write up a report, and then I'll send it to Diane at Hospital C".  Fine.  So I asked "When should I come back?" and he looked at me blankly for a moment before saying "Well, you don't have to.  Unless you want to come back?"  Huh.  I guess this guy is not part of my new lifetime commitment to a bariatric program - luckily Hospital C has their own that I can consult with forever if needed, I guess.  I ended up telling him that maybe after he reviewed the results if he felt that there was anything that would be useful for me to know from the results he could let me know and I would make an appointment.  No wonder he collects the co-pays up front - he doesn't think he's going to see you again! 

I also discovered something wonderful this past week.  Facebook has private groups for weight loss surgery patients and veterans.  Some of these veterans have over 10 years and hundreds of pounds lost under ther belt!  So I joined two lists and can ask other questions without all of my friends seeing them.  I also found several other blogs of current and past bariatric patients that I really enjoy.  Seeing the pictures of before and after is just amazing.  It inspires me to see that so many have taken this tool and used it to change their lives so completely. 

I have told several friends about my plans to have bariatric surgery, but I still feel hesitant to make it common knowledge.  It's hard enough to discuss it with friends who don't understand the committment involved, let alone having people I haven't seen since high school or relatives that I have nothing in common with question me.  They can ask when they see me in a few years and wonder why I look so good! 

This week should be fun!  I have my first meeting with my physical trainer, my first pre-op support group/ education session, and my first meeting with my surgeon and his team!!!  I guess I'm a little excited - too many exclamation marks :)