Tuesday, May 25, 2010

Are you choking?

Yesterday, I got home from work and was in a hurry to leave to take my daughter to an appointment. Since I was hungry I grabbed a piece of smoked salmon (about 3 oz) I had been given on my birthday on Sunday. I ate that piece of salmon in about 2 minutes. The next thing I knew I was choking and couldn't get the food down. The salmon seemed very moist (oily), but I guess that is a different kind of moist. Eating it very quickly and not chewing it up properly didn't help I'm sure.

I stood by the kitchen sink trying to throw up and dislodge it from my throat. I sipped a few handfuls of water and finally was able to get it down.

That is definitely NOT a good feeling.

I highly recommend chewing your food thoroughly and not rushing. I don't know if smoked salmon is out or not but maybe a little piece would work. Frankly, as oily as it is, that is probably all one could tolerate at a time.

As an update, my incision sites are healing nicely and I am putting vitamin E oil on them twice a day. The scabs are coming off on a few of the sites. I'm careful not to pull them off because it heals better if you leave it alone. The biggest site, the port site, is still tender and it's hard to sleep on my stomach still. That site is healing slowly. I don't have any discomfort in my shoulder or my stomach area anymore. I also feel pretty energetic. So far I've lost a total of 28 lbs.

Friday, May 21, 2010

Wow, that was fast (and other questions)

I thought I'd answer several questions which people have asked. Hopefully this helps others considering getting a Lap Band.

Q.) How did you manage to have surgery the week after you saw the doctor.
A.) A lot of arm twisting. :) I had attended two seminars that the clinic, Northwest Weight Loss Surgery, had hosted and had met with the doctor and asked lots of questions there. Once I decided to get the Lap Band the clinic required me to have a meeting with a Psychologist (I guess to make sure I was committed to the program... or maybe to figure out whether I should be committed. ;) ). I also had a meeting with a nurse to go over the whole process including what to expect, what to eat before and after surgery, nutrition, etc. And finally I had the appointment with the doctor. He remembered me from the seminars. The doctor required me to have a sleep study which I really didn't want to do. The doctor's office actually called a sleep clinic for me and there was an opening so I could have that sleep study that night (Thursday, May 6th). I had the review of the test on the next Monday and walked out with a CPAP machine the same day. The doctor wanted me to bring the CPAP with me when I had the surgery just in case. The doctor, nurse, and psychologist took thorough health histories. The only other requirement was that the doctor wanted me to lose 10 lbs the week before surgery. After meeting with the doctor I was cleared to have the surgery and I told the scheduling people I wanted to do it as soon as possible (I'm going on vacation in July and wanted to be healed and have had a Lap Band adjustment before then.) They managed to juggle schedules and created an opening a week later for me to get the surgery. Since I was self paying I just had to whip out my credit card and put the charges on it and not have to worry about getting all the insurance approvals (my insurance has very clear wording that they don't cover weight loss surgery in any form.)

Q.) You didn't have to do any routine tests?
A.) Other than what I mentioned above there were no other tests. I'm in good health and don't have high blood pressure, diabetes, or anything else.

Q.) In 1 week you were able to get the money from your mortgage? How did you manage that?
A.) I took out a home equity line of credit from my credit union. It took about two weeks. It's a lot faster than refinancing a mortgage and still tax deductible too. The rate is 4.99% so it's very reasonable. Once I attended the first seminar the clinic held I decided I would get a Lap Band. After looking at all sorts of funding options I decided to contact my bank and apply for a HELOC. The value of my house has fallen so much that I only qualified for a little more than the costs of the Lap Band system. I called up the bank to apply for the HELOC and was approved the same day. Then, I had to go in and sign the papers then wait 3 days for the account to be available. I paid for the Lap Band system with my credit card but plan to use the money from the HELOC to pay my credit card off. That's one way to get lots of frequent flier miles. :)

Thursday, May 20, 2010

Postop Checkup

Today I had my postop check up. I have lost 22 lbs since I first started this process, down from 361 to 339. That's 5 lbs since my surgery. Currently the lap band isn't inflated and I will have my first lap band adjustment on June 14th. This is all my own weightloss so far.

I explained to the doctor everything I have went through since the surgery. The doctor said I have a lot of swelling inside which is going down but which explains some of the strange sensations I have had. For instance, a couple days after my surgery the muscle from my neck to my left shoulder has been tight and aching. I thought I have just been sleeping on it wrong or my neck is out, but according to Dr. Michaelson the healing from the swelling in the stomach and diaphragm area radiates the pain through that nerver. I've been taking Ibuprofen for that.

The knot like feeling in my throat is still there. That's also from the swelling around the lap band and stomach according to the doctor.

The doctor told me a little about my surgery. During the surgery they tilt you up to make it easier to get to the organs and they put a board behind your feet and strap your ankles so you won't slide off the table. Towards the end of the surgery as the doctor was ready to close, evidently I became a wild man and started thrashing my left leg around and broke the strap holding it down. I kicked a lever to inflate an air mattress that is used to move you off the operating table. Oh my gosh! That would have been funny to have on video. I can imagine the look on the doctor's face as his patient is breaking loose!

My feet must have been flexed against that board and my calf muscles contracted for the time of the surgery. This could explain why my calf muscles burned and were sore for several days. It would be a good idea for the nurses to make sure the feet aren't flexed the whole time or to adjust the leg positions.

This week I will start eating soft foods per the clinic's original instructions for week two after the surgery. I think it's going to take a little getting used to portion sizes -- but I don't want to overdo it and feel terrible afterwards.

Wednesday, May 19, 2010

Ok, so why am I hungry?

This first week after my lap band surgery I have been following the doctor's advice and continuing on basically a liquid diet (no big chunks of food). I have been having protein shakes for breakfast and lunch, but I've noticed that I'm starved by lunchtime and dinnertime.

The week before my surgery when I had protein shakes I wasn't hungry at all.

I think I finally figured out why. To make the plain protein shakes tastes better I've been adding a couple scoops of unsweetened cocoa to the mix. Cocoa has caffeine in it and I think it is causing me to be hungry. Caffeine makes your system digest things faster and increases your metabolism. So I guess I'll have to cut out the cocoa -- it's too bad I couldn't find the protein powder mix I use in chocolate!

Tomorrow is my post op checkup. I've been taking walks everyday and I feel more energy than I have in a long time. It will be interesting to see how much weight I've lost -- on my own (the lap band isn't even inflated yet -- the doctor won't do that until a month after surgery to give my body time to heal.)

I decided not to tell anyone not even my parents or kids that I was having weight loss surgery. I wasn't sure how I'd do and didn't want anyone else's expectations. It was hard keeping it from the kids. I told them I was sick when they asked why I was home on last Thursday after I had my surgery. I want to show them that I can lose weight and so can they if we watch what we eat. All 3 of my kids are overweight. My two boys, 16 and 11 are extremely obese. My daughter has been losing weight and has been very conscientious about what she eats.

It's interesting that noone except my wife has noticed or mentioned my weight loss to date though. I look in the mirror and see that my face is thinner and I look healthier. I'm sure I look different to others. It's kind of odd.

Tuesday, May 18, 2010

The Week After Surgery...

In my consultation with the doctor's office before the surgery I was instructed that for the first week after surgery I should only have liquids. This is because there is swelling and inflammation from the surgery and there can be swelling where the band is attached.

I continued living on two protein shakes a day and then having a blended up soup for dinner. I have also supplemented this by having vegetable or tomato juice. Those little cans of vegetable juice are only 30 calories and they taste good too! I also occassionally have a little pint size container of Silk chocolate soy milk.

Boy, trying to find a protein shake or powder that doesn't have milk or whey is nearly IMPOSSIBLE! I'm allergic to milk and gluten so when I was looking for a protein drink or powder I had to look through a lot of them before I finally found only one, GenSoy, which doesn't have milk or whey. Stepping on my soapbox... I don't understand why companies put whey in products. I grew up on a farm and we raised pigs and fed them whey so they would grow really fat. Whey is what you feed pigs, not Humans! Manufacturers should leave out the whey. Even SlimFast has whey in it.

One thing I've been experiencing since the surgery is like a lump in my throat, a feeling of constriction that sometimes drives me crazy. It doesn't seem to be related to anything I eat or do - it is just there. I got quite worried about it and went into the clinic and had a flouroscopy to check my band, etc. Everything was completely fine - no problems. I was reassured by the doctor that I wasn't having a complication, but that lump in the throat is still annoying. It feels like my band is wrapped around my throat instead of my stomach! I've been told by others that this should go away in a couple weeks or a month. Supposedly it happens very rarely and is something that only a few people experience after surgery. Maybe this is the way my body is "feeling" the band until it is fully healed. In any case, it's a weird feeling.

I feel like I'm losing weight, but to be honest I'm getting tired of the protein shakes and don't feel like I'm getting enough nutrients. At this point the band isn't inflated. The doctor said they don't do that for a month after surgery to give the body enough time to heal first.

I go into the doctor's office on Thursday for my post op checkup.

Monday, May 17, 2010

The Day After Surgery...

The day after surgery is really when I noticed discomfort. I have not been in a lot of pain but the site of my port (the biggest incision) is a bit inflamed and uncomfortable -- especially to sleep on my stomach. Putting an ice pack on it is all that is needed to take care of the discomfort. I was given liquid pain meds and anti-nausea medicine but I haven't had to use them.

The other complaint I have had is that my calves still burn and it makes me feel like an old man trying to walk as I hobble along.

Lap Band Surgery...

As I mentioned, the doctor wanted me to lose 10 lbs before the surgery by having protein drinks and between 1000 to 1200 calories.

The first two days on the protein drinks and reduced calories were HELL. I felt like I was going through withdrawls. But after already paying for the lap band system I was dedicated to sticking with it. (It's a heck of a lot of money to go to waste!) After the first two days I had no problems with the reduced calories and protein drinks.

I went in for my surgery on Thursday, May 13th, 2009, and when they weighed me I had lost 17 lbs in just one week -- even before getting the lap band surgery.

They prepped me for surgery at 6am and Dr. Michaelson performed the surgery. I awoke about 9:30am and felt very unsteady and shaky from the anesthesia. I kept telling the nurses, "I don't feel right. I don't feel right." I've had several surgeries in the past and have never woke up feeling like this. I imagine the anesthesia used didn't agree with me as well as what was used for my gallbladder or hernia repair surgeries. The doctor told me that the surgery went just fine with no complications but I felt extremely anxious and unstable and for ME who's very mellow and low key that is an extreme. I kept trying to calm myself down saying outloud, "Just relax John. Just relax." The nurses told me it was the anesthesia and suggested that as soon as I could walk I should try. I decided to try right away and found that I was extremely unsteady as I fell back to the bed. I tried again and managed to walk around the nurse's desk twice. I didn't feel any pain, but did notice that my calves burned like I had done extreme exercises and overused the muscles. (The burning calves has continued to stay with me for several days.) I had no pain my shoulder like they suggested I might have after surgery.

After about an hour they let me go home with my wife. Driving home I felt very motion sick and kept trying to stay calm to avoid getting sick. Once we got home I took a nap for a couple hours.

After I awoke I felt perfectly fine and decided to go out and mow the front lawn. My wife was very concerned I might over do it but I continued anyway. Once I finished I felt tired but still ok.

The Decision...

Our local TV station ran an ad for Northwest Weight Loss Surgery and a free lap band drawing. I decided to attend a seminar and hope that I got lucky and won the drawing.

After listening to the seminar I decided I was going to go ahead and get a lap band. Northwest Weight Loss Surgery specializes in lap bands and also has a holistic approach with a lot of resources and support to make sure you succeed. This quelled my fears about failing like my former coworker. But, how to pay for it. I waited for the drawing but unfortunately I didn't win. I looked into financing and found that I JUST qualified for enough of a home equity line of credit to cover the cost of the lap band.

I went in and talked with the various team members. The doctor, Dr. Michaelson, required me to have a sleep test and get a CPAP because of my history of sleep apnea. Having used a CPAP before (and hating it) I didn't want to but I complied when they arranged for me to get the sleep study the same night. My surgery was scheduled for a week later, Thursday, May 13th, 2009 and the doctor wanted me to lose 10 lbs before the surgery by having protein drinks and between 1000 to 1200 calories. The doctor decided that the Allergan Lap Band would work best for me. So I decided to go with that brand.

A Little History...

All my life I have extremely overweight. From the time I was a child in 5th grade and on I had tried about every diet imaginable. I had managed to lose weight but it always came back -- with interest. Unfortunately I had inherited FAT GENES and a very slow metabolism (my heart rate is 60).

After going through a divorce in 2001 and multiple surgeries and getting up to 355 lbs, I decided to start working out vigorously. I worked out one hour a day everyday and managed to lose 110 lbs and get down to 245 lbs. No matter how much more I worked out I could not get below that. I felt great and reduced my workouts to 2 to 3 times a week and managed to keep the weight steady and in check until 2005 when I got remarried. My new wife was a transplant from Texas and had no family in the Seattle area. She was close to her family in Texas and I vowed to become her support system and develop a very close relationship. The first year of marriage was tough for her because she missed her family and she needed me home directly after work. I soon was missing my workouts and within a year had stopped working out all together. My fat genes once again kicked in and I started gaining weight like crazy.

Within a year I had gained over a hundred pounds back once again. My wife wondered what happened to the guy I used to be???? As time has continued I've continued to gain weight to my highest weight of all time, 361 lbs.

When I was single I had talked to people who had a lab band and had lost lots of weight and managed to keep it off. Two years ago I started considering getting a lap band. One of my former coworkers, an extremly obese woman, said she had a lap band for a couple years but it obviously had not worked for her. This made me very leary of getting a lapband.

It wasn't until my wife started saying she wasn't as interested in sex and that I was squishing her that I decided I needed to rethink getting a lapband. Like a cocaine addict I had become addicted to food. I felt hungry all the time and was eating extra meals in the evening to keep satisfied.

The Adventure Begins

Welcome to John's Lap Band Adventures.

Just a little background before we get into my story. I'm a 46 year old caucasion male, 6'1" tall and as of May 6th, 2009 weighed 361 lbs. I live in a suburb or Seattle, WA.

I had Lap Band surgery on Thursday, May 13, 2009.

What follows are my experiences and adventures in trying to make a life long change for me and my family.

Enjoy!

- John R.