Monday, March 29, 2010

Things are slowing down.

I continue to adjust to this new "post food" life.  As of a couple of days ago, my weight is hovering right about 270 lbs.  Dropping below that mark is significant because that will mark exactly 80 lbs of weight loss since December 28, 2009 when started the liquid diet in prep for the surgery.

That being said, my weight loss has slowed to some extent.  At one point I was losing 5-6 lbs a week.  Now, I think I'm doing 2-3.  And the weight loss is still a yo-yo type of a game.  For example, one day I stepped on the scale and I was 273.  A day later it says I'm 279!  That is enough is tick you off, especially when you paid as money as I did to get this surgery and even more so when you don't feel like you really at a whole lot in the 24 hours between weigh-ins.  Funny thing is, even prior to the surgery my weight would always fluctuate in that same way, sometimes as much as 5-6 pounds depending on what I ate or drank, etc.  So, I am not surprised that this should be the case, but that doesn't meant that it isn't somewhat disheartening still to see that happen.   So, to even that out a bit, I've made a concerted effort to NOT weight myself every day.  Ideally, I'd only do it every week, but I'm far too curious for that so I do it about twice a week.  I always weigh in the morning, before breakfast, and after visiting the restroom (because we don't want any extra ballast now, do we?).

Not to be overly graphic, but I have noticed that weight loss occurs more rapidly when my diet has enough fiber and roughage.  As I've noted before, I'm supposed to concentrate on proteins, but my digestive systems was never great shakes before the surgery, and it certainly doesn't care for loads of proteins now that I'm post surgery.  So, I bought a fiber supplement to help "move things along," if you know what I mean.  And I'm sure you do.  Not only does it make me feel better, it has help with losing weight.  I've never really studied the issue so I don't know if fiber cause malabsorption or not, but so far it has helped me.

Another thing that I'm supposed to participate in are some support groups that aim to keep me losing the weight.  I missed the one in January because I was stuck at a trial.  In March, I went to the place where it was being held, but couldn't find the meeting (it was at a local motel).  I asked the clerk and he assured me nothing was going on that night.  I found out later that he was full of it.  Suffice it to say that I have not made it to a support group as of yet.

I also need to start exercising more.  There was a time when I had a gym membership and could work out at will, but I let it lapse and now I've found it hard to find time to do it.  I've walked on a limited basis with my wife (but I still walk too slowly for her.  I think she's a power racer) but to really get this fat off I think I need to start breaking a good sweat.  I'd like to start playing basketball again, but haven't found a group of guys that are interested in doing it, so that's a non-starter right now.  I'd like to play racquet ball, but no luck their either.  Guess I will keep looking and walking.  I am a bit concerned about increased physical activity, however, because I STILL have the numbness in both of my thighs.  I think it is getting better, but the left leg is a bit worse that the right leg.  They are both tender to the touch and then can hurt when I run a little (though not so much that I think it would impair physical activity) and also tend to numbness.  My regular doctor (or at least his PA) said he knew exactly what it is (and I'd tell you if I could remember name.  It wasn't sclerosis of any kind, but it sounded like it) and said that it will continue to diminish over time.  He says it was caused by damage to the nerves, probably while my legs were strapped down on the operating table.   Well, at least I'm still mobile and walking upright.

I took some new measurements the other night and now I need to get some new photos, then I'll paste them up so you can all see them. . . assuming anyone is actually reading any of this.

Monday, March 8, 2010

New Post -- Sorry for the delay.

Well, sorry for not posting for so long, though based on the numbers I haven't disappointed very many of you.

I'm not sure what to tell you except that the surgery continues to be a success.  As of this morning I have crossed the 70lb mark.  I weighed in this morning at 278.9 pounds.  Up to this point I was losing weight at about 4-5 pounds per week, but this week only lost about 2 to 3 pounds.  That may be that I've retained some fluid or maybe I just ate more the past week than I have in the weeks prior to that.

Lots of people have started to notice the weight loss (who knew you had to lose 60lbs before anyone would sit up and take notice?), which is nice to hear.  It is a little awkward when they ask what I'm doing.  I just tell them that I'm on a low-cal diet...which is technically the truth since they never ask what I "did".  Furthermore, I guess in most cases I just don't feel like it's any of their business.  I did this for me and my family and not out of any vanity on my part (let's face it, once all the weight is off, I'll be a thinner bald guy instead of a really fat bald guy) and so I don't feel that I owe anyone any explanations.

That being said, most of my immediate family already knows.  I spent Superbowl Sunday at my brother's house in Wyoming and all of my brothers were there.  My younger brother was the first to notice that I'd lost weight and asked about it.  When he did, the other two noticed it also.  I was pretty forthcoming with them regarding what I had done.  To my surprise, they were all very supportive.  The oldest of the bunch (after me) even said that they'd been increasingly worried about my weight and so they were glad to see me do something about it.

The funniest comment award goes to my wife, however.  As I've noted here before, she's been attempting to take off some extra weight for some time now and has at times gotten quite frustrated with the lack of success.  She hasn't gained weight but it won't come off either.  She said that it didn't really matter that she hadn't gained weight because I had lost so much weight that when she stood next to me it made her look bigger!  Not sure what I can do about that!

The starkest change is in my relationship with food.  Whereas eating was once a source of enjoyment, pleasure and relaxation, now it is a chore.  First of all, I'm still trying to figure out what foods work for me now and which ones don't.  Bread seems to be hard on me which is something the doctor and all the literature suggested would be the case.  It's not that I can't eat it, it's just that it seem to be hard on my system.  I can eat about one hot roll at sunday dinner and that's about it (though I did discover that the hot roll goes down easier if I dip in gravy first!).  I have also discovered that I do much better with foods that have a sauce of some sort with them.  So, I do pretty well with something like Orange Chicken because the chicken they normally use is a darker meat, so it is jucier and the sauce helps it go down, though I can only eat about five or six at a time.  I also do pretty well with tender-type cuts of pork and, for the most part, chicken does okay too.  I haven't really tried a lot of ground beef, though I did order the little "shot" burgers at Chili's one day and while I could only eat one, it went down just fine.

A couple of weeks ago I was watching a program on Discovery Channel that actually talked about bariatric surgery and it was pretty informative.  The one thing they did say is that I should avoid four foods until I get to my target weight: 1) Bread; 2) pasta; 3) rice; 4) potatoes.   Apparently, something about the starches in those foods can hinder weight loss.  Who knew?  The potatoes thing is still a mystery to me because  I once read that potatoes are like 80% water and you eat something like 11lbs of them before you gained a pound.  Still, I have avoided them for the most part . . except on Sunday when I eat a small portion with gravy.  Hey, a guys gotta live.

Interestingly, I have also discovered that I don't tolerate plain water very well.  By that I mean that I can drink it, but it is kind of a chore and it makes me feel oddly bloated. On the other hand, drop a little lemonade mix into it and it goes down quite smoothly.   So, I've purchased some little Crystal Lite packets that I mix with water and that helps quite a lot.  Also, I still drink a lot of the low cal Gatorade that I've mentioned before.

On a related note, I've discovered: I tolerate sweet and sugary foods much better than I do salty foods.  Now, that may sound like a problem, but so far it isn't because I was never a big "sugary" foods eater before.  My problem was always the salty/savory type foods that I couldn't get enough of.  Cheeseburger v. Cheese cake, I take the burger every time.  That being said, I have also discovered that I tolerate chocolate VERY VERY WELL.  In fact, chocolate seems to go down very nicely, which is something that I will have to control in the future.

Beyond that, I don't watch so much what I eat as just how much.  Last Saturday my wife and I went to a little Japanese grill place her that we really enjoy.  The last time I went I ordered the orange chicken (told you it was good) but I had noticed that they have an appetizers menu, so this time I just ordered some breaded shrimp skewers.  When they arrived, they were a little larger than expected, so I was only able to eat two of them.  They rest were consumed for lunch today!  Prior to the surgery, I would have gulped all 5 of them and still been hungry.

That is something else that has changed.  Before, being "full" meant feeling exactly that: loaded up and contentedly uncomfortable.  Now, "full" just means uncomfortable and it's really easy to get to that point.  

So, what is the hardest part so far?  Really, I don't miss food that much.  I still get the tastes and and textures that I loved before, just in much, much smaller portions.  No, the hardest part is two fold: 1) I really struggle with the rate/speed at which I eat.  I never realized how I used to zip through a meal.  Now, I really have to force myself to slow down, an I'm not very good at it, so I note that "full" arrives quickly and it can hurt if I'm not careful.  Making my small portions last requires a real effort.  Second, I miss having a drink w/ my meal, but I'm told that I should not drink 1/2 before and 1/2 after I eat.   That is hard also, and it's probably the rule that I break most often (though I am getting better).

I missed my doctor's appointment for February, so now I need to get in for this month to make sure everything is okay.  The only on-going complication I have the surgery is the numbness in my thighs, which at this point I am almost sure is the result of a pinched nerve somewhere.  The condition has slowly gotten better because for the first month after the surgery, when I would sleep I would occassionally roll over and wake up with a suppressed scream because it felt the very skin of my thighs was literally tearing apart.  Thankfully, that has stopped.  Now, I deal with a low level numbness and a fairly constant muscle pain.  However, I can walk without pain now and that was a real fear for a while because one of the reasons I did this was to be able to go hiking with my kids and now it looks like I can do that.  In fact, I'm quite keen for summer to get here.  Also, as it is now getting warmer, I'd like to go play a round of golf and see how I feel during that activity.

That's it for now.  I'll try to get some updated pictures up soon along with new measurements.

Sunday, January 31, 2010

Still Improving, Seeing Results

January 31, 2010.

Well, I'll never be mistaken for a dedicated blogger of any sort.  My wife tells me that you have to post every to keep any interest  Obviously, I have not done that.  If you have been following this blog (which according to my count meter you have not), then I apologize for such a gap.  I am easily distracted.

Let's start with the "big news" as it were.  A day or two ago I crossed what was, in my mind, a magical thresh hold of sorts:  I am under 300 pounds for the first time in many, many years.  While it seems surreal, that means that I've dropped over 50 pounds since December 28, 2009.   Funny thing is, because the weight loss has been so fast and dramatic, it doesn't seem real.  Yet, it must be.  I went to church today and if it weren't for my belt my pants would have spent the day around my ankles.  My shirt won't tuck in properly anymore because the pants/belt combo are insufficient to keep the shirt tails tuck it, so I look a bit shabby.  Also, the other day I got the urge to go through all my clothes in my closet.  The vast majority now fit me again, or are very close to being my size again.  All of my shorts fit.  All of my jeans fit.  many of the shirts that I had given up on ever wearing again are now in play again.  It was kind of fun, actually.

That's the good side.

On the bad side, I am still on the "soft food" diet, but that hasn't been too bad.  It's a damn sight better than that horrid liquid diet  was on for the first two weeks after.  I do pretty well w/ deli style meats and soft cheeses.  When the soft diet started, I went to a little Japanese grill nearby and got a single meal of grilled steak and scallops, because I am allowed to eat most seafoods now.  Those teriyaki-grilled scallops were quite good.  I am learning, however, that my new stomach comes with a price.  First, I literally have to force myself to eat slowly.  And by slowly, we're talking like making one ounce of food last about 5-10 minutes.  When they sewed me up, the made the entrance to my stomach smaller, thus limiting how much food can be ingested at one time.  To this point, I'd been pretty good about trying to make myself eat slowly, but last night I baked a batch of shrimp and scallops scampi.  It tasted good, but I had skipped lunch that day (I was napping after a scout outing the in mountains where I slept in a snow cave all night) and so I was actually feeling a little hungry and I ate too fast.  I paid the price because a few minutes later I had to throw it back up, which is the first time that has happened since the first day after the surgery.   Strangely enough, throwing up in now a different experience also.  Prior to the surgery, when I vomited, it felt like my whole torso was contorting and being crushed.  Not so much  now, thought I would never call it a positive experience either.  Anyway, afterward, I actually felt pretty good.  I just made sure I took some liquid and didn't try to force any food for the rest of the night.

Another result of the surgery has been that I have bowel movements far less frequently than I ever did before.  And for some reason that has really bothered me.  I don't mean to be graphic, but prior to my surgery I was quite "regular".  Now, it seems that I go 4-5 days with no real need.  It actually kind of worried me (I was afraid I had a blockage or something) so I went and go some milk of magnesia and took a dosage.  Next morning, I guess I was assured that I have no blockage.  By the way, milk of magnesia is, quite possibly the foulest concoction ever devised, and it is only made worse by the addition of strawberry flavoring.  Just thought you ought to know. 

The numbness and tingling in my legs continues to be a problem. I did a little probing on the Internet (because we all self-diagnose these days, I'm sure our doctors love it) and I suspect that it's being caused by a pinched nerve somewhere.  Everything assures me that it should resolve itself and I should not worry about it.  That is, unless it's an early warning sign of MS, in whch case I'll be dying soon.  Guess I'll hope for the pinched nerve.

Suture lines on the stomach are all really good except one, which I think was the main one.  For the most part it's okay, but every once in a while I bend the wrong way and it let's me know it's not amused.  I turned to get out of my car this evening and had to stop and sit for a second.  It didn't like when I reached out to hoist myself out.  I suppose that means I won't be back to the weight room for a week or two yet.  I'd hate to have my guts squirt out of that hole like toothpaste.

Back to the food issue.  I do tend to get indigestion/acid reflux very easily, though it's not severe by any means and I can usually beat it back with fluids.  I'm still trying to decide if food tastes the same to me now as it did a month ago.  I'm certainly still stimulated by the smell of food cooking and advertisements on TV can get my attention, but I just don't feel "hungry" like  did before.  When I eat, I often have to stop for a moment as the stomach will go into momentary spasms that can be uncomfortable.   I hope that stops at some point. 
I eat cheese (including cheddar) and last week I even ate some pork w/ gravy that was actually good.  I do fill up in a hurry, so I don't eat a lot (which is the point, so that had better be the case).  And it's pretty much confirmed that they'd like me to follow an Adkins-type diet for a few months until I hit my goal weight.  In other words, lots of proteins and fat with not much carbs.  Do you know how hard it is to avoid carbs?  The noodles in pasta, the bread in a hamburger bun, potatos, rice, etc.   I guess I can do that, but I think I may keep tortillas in my diet because I ate a part of one yesterday and I tolerated it pretty well.  And let's face it, I am not exactly being tortured by having to eat eggs, meats and cheeses. 

I have noticed that I have a hard time keeping myself properly hydrated.  I was at church today and sipping water from the fountain.  Afterward I told my wife that I miss being able to "chug" a glass a water.  But, that's just not really an option any more.  Now, I sip and sip and sip.  I'm still happy to have the Gatorade, though.

I weighed this morning and I was at 294.9 pounds.  I should probably start to track that better so I can see how much I'm losing on a weekly basis.  I'll get my wife to measure me tonight and I'll post some new measurements tomorrow when I get the chance. 

Lastly, I was unprepared for how my weight loss has played games with my wife's head.  She's not really angry at me, but it is clearly frustrating to her how easily the weight has come off.  She is by no means fat, but she has about 10-20 pounds she has been trying to shed for some time now.  She diets, watches she eats and does a killer workout in the morning (so much so she could hardly walk for about 3 days after starting) but she struggles to get it off.  Thus, while she is clearly relieved to see me losing the weight, it's not exactly happy days for her either. 

Sunday, January 17, 2010

Getting Better All The Time.

Six days out from the surgeery now and feeling much, much better.  Most of the pain is gone and what's left is more than manageable w/ the meds I was given.  In fact, I'm only taking them at night to make sure I sleep well.  And in just a week there are some fairly major changes.  First, apparently I'm not snoring any more.  That in itself is a huge deal.  I've snored pretty steady for several years, much the chagrin of my dear wife.  Now, apparently that issue has resolved itself.  I'm not sure why, though.  I can't imagine it's just the weight loss because, while I'm down to 311, when I was on my way up to 311 I was still snoring.  The only thing I can figure that opening up all that space in my torso has made my night breathing easier.  If you ask my wife, that it itself might be worth the price of surgery. 

I am pretty much as mobile now as I was prior to the surgery.  There are a few things I can't do.  For example, i was lying on the floor this evening and rolled over to try and push myself up "push up" style.  That made one of my suture lines feel like it was going pop, so we won't be trying that maneuver for a while.  I'm still a little stiff getting out of bed and I try to avoid lifting much weight (though I have slipped on that a couple of times with no apparent pain).    I do still experience some of the peripheral "gas" pains that the doctor talked about.  They've steadily lessened, but this evening I got one stuck in my shoulder (yes, gas pains all the way to the shoulder, short of like a preview of what my heart attack would have felt like) and it won't go away unless I lie down.  So, I'll lay in bed and type this. 

The real "major" issue that I'm experiencing at this point appears to be something related to the nerves in my legs.  Prior to my surgery, I started noticing that the big muscles in my upper legs would get to feeling numb on the outside edge, especially if I worn jeans or something tight.  I has assumed the weight was cutting off circualation and that once I started to lose it would gradually lessen.  However, in someways it's actually gotten worse.  I went for a walk w/ my wife yesterday and my the time we got back my legs literally felt like they were on fire, but to touch the skin it felt numb.  That went away simply be sitting back and resting.  However, it's been happening more and more in the night was I sleep.  It's like when I lay down something is getting cut off so that when I roll over or make the slights move, it literally feels like the skin on my leg is ripping apart.  I keep hoping that will get better, but it is definitely something that I'll address w/ the doctor this week.

The fact is, in most ways I feel as good, if not better, than I did prior to the surgery.  That, of course, doesn't count the "eating" thing.  In many ways,  I have literally gotten a new stomach, and I'm still not sure what this baby can do.  Pain wise, it feels good.  I still get cramping here and there, but that seems to tail off more and more each day.  However, eating can still be a somewhat painful experience.  Cold drink can made it flop over.  Certain foods still make me want to blow chunks at the very thought of them (can you say chicken or beef broth?).  I have started drinking the protein shakes again, just to make sure I'm getting enough in my system to function.  I certainly don't feel hungry, but for several days the mere thought of food was enought to turn my new stomach.  That has changed a little.  My wife baked bread again today, and the smell was very inviting.  Also, the kids at Papa Murphy Pizza for dinner, and that made the ol' stomach growl a bit too, which I found heartening.  I wan't to be thin, but I still want to be able to enjoy the foods that I do eat.   I have eaten  a small bowl of Malt o Meal with a little butter, but next time that baby's got to have a little sugar because otherwise it's like eating wet sand.   Also, my sister-in-law made some potato soup and brought it over and for the past couple of nights I've been able to put down a few spoonfuls of that also.  In fact, I probable could have done more but there wasn't much left.  Fact is, I don't really know what this new stomach is capable of yet and I haven't learned to interpret the signals it's giving me.  Is that feeling telling me that I'm full?  Or is it a hunger cramp telling me I could do with a little more?  Or is it just pain from digestion? 

I also need to talk to the dietician about this apparent two week jihad against sugar in my diet.  I am wondering if that's just a calorie watch thing or if there is a medical reason for it, because about the only drink I can stomach right now, beside water, is a low-sugar G-2 Gatorade drink which I have been nursing for most of each day.  I could get more fluids if I can up the sugar content a bit.  And if it's just calorie intake they are worried about, I don't think they should.  Honestly, at this point I'm probably living off 500-600 calories a day. 

Finally, as promised, I do have some new pictures, so view at your own risk.  I guess I see a difference.  I certainly feel a difference.  However, former University of Utah basketball coach, Ric Majeris, was once asked about weight loss.  He said he'd dropped 30 lbs, but on his body that was like tossing a deck chair off the Titanic.  I know how he felt. 



Here's a close-up of my belly, complete with the incision scars.  Nice.

 

From the front.  By the way, the belly shave now itches like crazy.

 

From the side is where I see and feel the most difference.  Clothes that haven't fit right in a while now do.  That's a nice feeling.

 

Let's face it, is there anything sexier than hairy love handles?


Friday, January 15, 2010

Who was I kidding?

So, the last time I posted I noted that I was going to take my laptop with me so I could post about my surgery shortly after it happened.  Looking back, that was probably a bit optimistic.  And that wasn't the only irony of that day.

Let me walk you through how it happened.  First, the hospital called me on Friday and said that my surgery was scheduled for 8:30 a.m.  I immediately informed that that no, it was not, since I had specifically informed my doctor and his crew that I had a court hearing that morning and would not be available that early.  Long story short, we got it moved to Noon.  But then they called me back and said that I had to be their by 10:00 a.m.   That was a little bothersome as I had made that very clear and it bugged me that no one has listened. 

So, I went to my hearing and got in and out very quickly, drove home to pick up my wife and my bag of stuff and we headed off.  I kept expecting to panic at some point, but I guess at that point I was just too far invested (literally) to back out.  traffic was good and we got to hospital by about 10:05 and started the check in progress.  Funnily, the woman who checked was in was married to a guy who had a gastric bypass at 15-years old (she claimed he was the youngest ever) and we discussed his experience for a while.  Now, I realized that his procedure was done way back in the 80's but note to the hospital, it's probably best not to have the woman checking you in telling you hospital horror stories! 

After that, it seemed to go very quickly.  They came and got me, placed me in a small room, had me dress in a skimply little hospital gown, shaved part of my belly (no small task) for an EKG and stuck in my IV line.  That was the part that probably bugged my wife the most as she's had several IVs in her life and none was pleasant.  Mine was only slightly uncomfortable  The doctor came back by and spoke to us briefly, long enough to tell us 1) that my procedure had been delayed for about an hour and half and 2) that they had decided NOT to do the single incisiion procedure.  You know, that procedure that required me to go on the liquid diet for TWO WHOLE WEEKS rather than just one?  Yeah, turns out that whole extra week wasn't really necessary.  That also bothered my wife a lot more than it bothered me (by that piont I couldn't muster enough energy to care).  However, that does mean that I forwent cake on my birthday and some nice dinning experiences with my wife's family.  Then again, the point of all of this is to lessen the love of food in my life. 

After a while, the anesthesiologist  came by and  gave me some medicine in my IV which he said was just a sedative that would calm me down.  I have to admit, I didn't feel much but shortly thereafter they came and got me and rolled me to the OR.  I still wasn't feeling anything except, maybe, a tiny buzz in my head.  I as able to scoot myself over to the OR table and I remember lying down and looking up at the ceiling, after that I got nuthin'.  We're talking total black out, so if what they gave me was just a sedative, wow, I think they over did it.

Now, I'd like to paint a nice picture here about gently waking up and easing my way into a pain-free, narcotic controlled consciousness, but I can't tell you that it happened that way.  My first memory is of a monstrous pain in my stomach, followed by a rolling nausea that I don't recall ever having experienced (and I'm still not sure I did experience it since the whole thing has a very dream-like feel to it).  I know that I was trying to vomit and it hurt like the dickens and remember that even in my drug induced stupor I wondered what retching like that would do to my new stomach.

From that point on, it's all a vague haze until about 10 or 11 p.m. that night.  I remember my wife being at my bedside and stroking my head.  I remember her, I think, holding a small bucket under my chin as my stomach continued to rebel.  However, by that time I believe that had given me a pain killer, the kind that I could control with a little button.   Believe me, I held that button in my hand like it was my child that whole night.

I know that was in and out of consciousness for most of the rest of that day. I remember having conversations with my wife and speaking rationally, then just a few moments later my mind would wander off into a dream but I know I was awake.   I finally came around enough by about 9:00 p.m. to send my wife home.  I then slept for most of the night, or at least what approximated a night's sleep as it seemed like they woke me up every few minutes to take a temperature, blood pressure, oxygen level, etc.  Oh, and one thing no one bothered to tell me was was about the heparin shot I had to get every 8-hours....in my stomach!  Don't flinch too much, however, the needle was very small and the shot really wasn't that painful.

The next day was Tuesday, it started okay.  They took me off the IV narcotic and put me on an oral drug, which I drank down without any problems.  I felt pretty good morining ("pretty good" being a relative term).  I was sipping water and it was staying down.  At breakfast and again at lunch I was able to keep down a tiny bit of tasteless, sugarless pudding (though nothing else even sounded good).  My wife came back a little after noon and shortly thereafter things took a decided step downhill.  I took a sip of water and again thought my stomach was going to explode.  I started retching, but there was nothing in my stomach to come up, except a little bit of blood left over from the surgery and little mucus.  And it didn't stop most of the afternoon.  They gave me two types of anti-nausea medicine, one injected in my rear.  They didn't really help and everytime I tried to drink water or anything I'd just start throwing up again.

I was also experiencing the transient gas pains that they talked about.  They start in your check and shoot up through the shoulder and neck.  I'd walk the corridor a little, but I probably should have walked more as I think it would have helped.  

Anyway, it was fairly quickly decided that I wouldn't be going home that day and by that night they put me back on the IV and the self medicator.  That night was actually pretty good because I could control the pain better.  It wasn't a fabulous night's sleep, but it wasn't bad either and more restful that the previous night.  The next day the doctor came by and basically said that I could stay as long as needed and the hospital couldn't charge me anymore, so I stayed one more night, if for no other reason than to come home and make my wife wait on me.  At least the nurses got paid for it.

And that was about it.  I came home on Thursday morning and immediately took a two hour nap, which actually felt really good.  My wife found some low sugar, low cal Gatoraid that I tolerate pretty well and I was able to nurse that along for most of last night until I finished it.  This morning, I was able to eat a little bit of yogurt and I've been feeling pretty good today.

At this point, I get occasional stomach cramps, usually when I first drink something, that pass fairly quickly.  I also still get the transient gas pains but not as often and not as severe.

Honestly, I don't know how a person could prepare yourself for something like this.  Fact is, no matter what, it's gonna' hurt.  Period.  You might as well must accept that if you are considering this procedure.  Just get it in your head that the first week after surgery is going to be miserable.  Also, be advised that you'll be essentially useless for sometime after that also, as you are prohibited from lifting above 8 pounds of weight.   Still, I am much better today (Friday) than I was on Tuesday and expect by Monday I'll be feeling pretty good.  At this point, food isn't really an issue.  It's certainly not a temptation as I'm basically forcing myself to eat and drink at this point.  According to the scale, I'm down to 316 pounds, so that's what's supposed to be happening.    I'll post some more pictures (complete with incision marks) later on.  I'm actually curious as to the difference my self. 

So, there ya go.  Week 1 of the new life almost complete.

P.S.  This may be too much info, but while I was in the hospital, it was a big relief for me to pass gas.  That's yucky, to be sure, but it was painless relief and let me know that my system was still functioning despite this trauma I'd put it through.

I'd like to tell you how this effect my wife and family, but it's hard to say.  It's been hard for my wife but in ways I didn't anticipate (and I'm not sure she did).  She is worried about what my decision says to my girls and their views of themselves.  Of all my kids, I'd worry most about the second boy.  He's heavier and you can see him having a weight problem if he isn't careful.  He hasn't even hit puberty yet and he's probably 8 inches to a foot taller than all his classmates.  I think that once he hits puberty he'll grow out of it, so I don't worry too much about him.   I hope the only message my kids get is that I loved them enough to take this step so I could be around for them for a very long time.  

Beyond that, I don't know how to control the message it sends.   Hopefully, as I lose the weight and get more active, the benefits of what's I've done will become much more apparent.

Sunday, January 10, 2010

T'was the Night Before the Surgery.....

No sure what say.  The day is almost here and, yes, I'm getting a bit nervous...to say the least.  Actually, the fear kind of comes and goes.  Honestly, the biggest fear I have is that this thing is just so permanent.  Once it's done, it's done, and there is no going back.  I worry that on the other side I'll just miserable.  I feel like I'm giving up something that's been such a part of my life and there is a part of me that doesn't want to give it up.  Am I always going to crave those cheeseburgers and pizza?  Do I really want to give up the pleasure that eating has always given me? 

I think I'm starting to understand what my wife has been saying about the need to replace that.  The question is: with what?

Physically, I'm doing pretty well.  I've lost about 30 lbs on the liquid diet, though interestingly, the weight loss has tapered off the past few days and I seem to have bottomed out for now at about 321 lbs.  Still, even that loss has made a big difference.  My clothes are fitting better already, and I an actually time my shoes without so much straining.  I'm just so damn hungry!  This diet is not something that you should really do beyond what I've done.  Though to be honest, today has been worse because I've been limited to water for the past 48 hours on the advice of my PCP, who says that's the best way to really get that liver down to a manageable size.  We'll see.  I also live with this low level fear that they will crack me open tomorrow and then say they can't do the surgery because my liver is too big.  I don't think I could do this diet any longer and I don't know what more I could have done.  Honestly, I"m wiped. 

I had the final pre op meeting w/ the doc.  They gave us more info on the post surgery diet, etc.  Basically, I am still stuck w/ a liquid diet for the next two weeks, but that includes stuff like cream of wheat, etc., so that should be okay.  Two weeks after I move to "soft foods" which includes stuff like scrambled eggs, and I like eggs so that will be good.  I think that probably includes mashed potatoes and the like also, so that should be okay.    I also found out that the hospital has Wi-Fi so if I'm in any shape to do so, I'll try and post more tomorrow, post surgery. 

Tuesday, January 5, 2010

The Diet (week 2)

The diet has been interesting, to say the least.  I wish I could convey what it's actually like to go without solid food for a week.  The first three or four days were simply miserable.  You must understand that food plays a very large part of my life.  During those first 4 days, you really do obsess about it.  Every smell of food just threatens to send you over the top.  My first week was even worse because it came over a holiday and my wife's family was in town and there was food everywhere!  That makes it really hard.   However, as the week wore on I noticed that it got easier and easier, thought at times you think you're going to lose it.  The protein shakes do a reasonably good job of keeping hunger pangs in check, so if you can keep busy, that helps to get past the rough spots.  Although I must admit that at one point last week I would have killed for a Pizza Hut Meat Lovers.  At times I was woozy and light headed. At others I was nauseous and felt sick. One unexpected issue is the fact that the protein shakes have lost their appeal   For the first few days they were actually good, but now I have no desire to see another chocolate or vanilla protein drink in my life.  Honestly, at this point I'm surviving on about two of them a day.  The dietitian tells me that there are actually protein drinks that come in fruit flavors like lemon and berry.  That would have been better. 

Psychologically, this has begun to get harder also.  Actually, it would be stated that it is getting scarier.  As I was driving home from the court today I was struck by a mini paic attack as I realized that the surgery is less than a week away and my preop appointment with my doctor is just a few days away.  More than that, the hospital started calling asking for their money.   Having to fork out the case definitely drives home the point that this is for real. I was okay after I got back to work and chatted with my wife for a few minutes.  She's been very supportive of the whole effort, and is feeling her own fears at this point.  The same as previously described, only starting to intensify. 

Ah, one interesting thing of note.  When I went to my last doctor's appointment and they weighed me, I was 346 lbs.  This morning I jumped on my wife's scale.  I was 324 lbs.  Yes, I 've lost a little over 20 pounds in just under 9 days.  My wife says she can tell.  Personlly, I think that  is like tossing a deck chair off the titanic.  I do not believe that this is real weight loss.  I'm sorry, but you don't just strip 20 lbs off in 9 days.  My wife thinks that some bodies are different and can lost that much weight that quickly.  It doesn't doesn't feel real to me.  Still, I'll be interested to see what the final total turns out to be.

If the rest of the week is like the past two days, I think I may be able to do this.    I suspect that the weekend will again be the worst as I'm at home and time doesn't go as fast, etc. 

BTW, if anyone is actually reading this, I'd appreciate some feed back or a some comments.  just so I know I'm not talking to myself.