Friday, November 30, 2012

Grateful For What I Have Lost

Today was my 3 month post op visit with my surgeon.  I was actually really looking forward to this visit.  I knew I had passed the 60 lb loss mark and was excited to tell about my recent blood test results.

I arrived right on time - 8:45 am.  There was a lot of traffic driving into Nashville and I was sure I was going to be late.  As soon as I checked in and sat down, they called me back to the lab to have blood drawn.  I was expecting this too.  They check for vitamin and mineral deficiencies every 3 months post op.  It doesn't bother me at all to have 6 test tubes of blood taken out of my arm.  In fact, I thanked the lab tech for doing it BEFORE I was weighed.  I am looking forward to the results of those tests.

Next stop was the nurses station.  I hopped up on the scales - crossing my fingers and hoping for minus 66 lbs.  I was so excited when she said I was down 68 lbs!  I started at 285 lbs and I am now 217 lbs.  She did some quick calculations and said that I was at 50% of my excess body weight gone.  I asked her what they were figuring as my ideal body weight.  I was a little surprised when she said 149 lbs.  She further explained that they go off the standard Metropolitan Insurance chart which does not take into consideration body frame size.  I told her that if they wanted me to be at 149 lbs, they were going to have to take off a limb - probably a leg!

She said for my height of 5'10", my ideal range would actually be between 149 lbs and 175 lbs. She asked if I had a personal goal and I told her that I was aiming for 160 lbs.  She was very happy with that - it is in the middle of the range and would put me at a healthy BMI of 23 which is also in the middle of the range for IDEAL BMI.  My BMI is already down from 41 pre-surgery to 31 currently!  I am just one point away from being considered overweight rather than obese.

In summary, I have lost 54% of my excess body weight (for my goal weight) and have decreased my BMI 10 points.  Pretty impressive if I do say so myself!

Off to see the good Doctor.  He told me that I am at a point that he would not normally expect to see until 6 months post op.  He was very pleased.  Then, I got my normal lecture.  I MUST eat 3 meals a day.  I MUST get in my protein requirements.  I MUST get in my fluid requirements.  These are things that I continue to struggle with every day.  He explained the necessity for 3 meals a day is mainly for developing a habit.  A healthy habit of eating.  Something I have never experienced and will really need to work on.

Spent some time with the Dietitian who gave me the same lecture, but followed up with some suggestions for helping me get my protein intake higher.  

Waiting for the results of my lab work.  I don't have to go back to see the surgeon for 3 months!

I would like to take this opportunity to thank all my family and friends who have extended such support and encouragement.  It means more to me than you can imagine.  I know that some would have rather I didn't have the surgery - felt that it was too drastic of a solution for weight loss.  Even with the difference of opinion - you continue to cheer me on.  Your encouragement is so motivational for me.  

Thank you.  Thank you. Thank YOU!




Tuesday, November 13, 2012

Best.Doctor.Appointment.Evah.

This morning I saw my Primary Care doctor for a routine visit.  I have not seen him since 1 month prior to my surgery.  (Surgery was 12 weeks ago today.)

Results:
I am down 60 lbs!
My A1C (blood glucose) is down from 12.4 to 6.0!  That puts me out of Diabetic status and into PRE-Diabetic status.
My good and bad Cholesterol are both completely normal.
My Vitamin D level is normal.
My blood pressure was 117/72.

He has cut my Metformin dosage in half.  (Diabetes)
He has taken me off of the expensive - no generic available yet - Crestor for my Cholesterol.
He has taken me off my blood pressure medication.
He is scheduling me for another sleep test in 6 months to determine if my sleep apnea is cured.

He wants to see me in a month to check on whether anything else needs to change.

He printed out my lab results for me to put on the refrigerator.  I love my Primary Care doctor!  He spent 1 hour with me today just going over lab work and making changes to my medications.  I never feel rushed or like he doesn't care.

Every time he said "Normal", his smile got bigger and bigger.  He would always add - "for the first time" at the end!

Every second of regret is forgotten.
Every minute of doubt has been erased.
Every bad day is history.

I CAN do this.
And I WILL.





Tuesday, November 6, 2012

My New Life: Dry Heaves and Constipation

I realize it has been forever since I updated this blog.  It wasn't that I didn't have anything to say.  Or that I didn't have time.  I think it was because I felt like most of what I would say would be complaining.

I can't believe that my surgery was over two months ago.  It has been a rough two months.  I won't lie and say I haven't regretted my decision more than once.  I have.

Eating has become more of a chore than ever before.  I actually dread it.  And I very rarely enjoy it.

That being said - would I do it again?  Absolutely.  I know this will get easier - I am just not a very patient person.

The details:
Surgery date was August 21, 2012.  That was 11 weeks ago today.  I am currently 100 lbs lighter than I was at my highest lifetime weight.  That doesn't mean I have lost 100 lbs since my surgery.  At my 2 month checkup - my official weight loss was 49 lbs.  I had lost 36% of my excess body weight. I was disappointed, but my surgeon was thrilled.  He explained that he wouldn't have expected me to be at the 36% mark until my third month.  He said since my BMI was ONLY 41, my weight loss would be much slower than someone who weighed considerably more than I did.

Before Surgery:
Pant size:  26 Tall
Shirt size:  3x to 5x
Bra size:  48D
Glucose level:  225ish

Currently:

Pant size:  18 Tall
Shirt size:  Large to 1x
Bra size:  42C
Glucose level:  90 to 110

I honestly don't miss my Diet Coke as much as I thought I would.  I have not had one piece of candy, cookie or pastry since my surgery.  No ice cream either.  I don't even crave these things.

I do crave carbs.  More than anything.  I want potato chips, bread and potatoes.  Pasta!  I am learning to live without these things.

My new mantra:  I need to drink more fluids.  Eat more protein.

More to come.  Soon.