Category Archives: Lap-Band

lap band follies

It’s a good thing I’m not doing NaBloPoMo this year, considering I just remembered to change my banner today. What? Is it November already?

So I went to my follow up appointment last Tuesday – again without alerting Dad about any of this – and my favorite nurse practitioner grabbed me instead of the surgeon or his PA. In many ways, I preferred that but it meant I didn’t get my questions answered. I was concerned because I was having the same symptoms that brought me into the office to begin with – reflux and irritation of the band area. Surprise, the surgeon did not unfill the band as he told me he would during the stupid surgery – so I had an extra week of reflux and irritation from a too-tight band. At any rate, Wendy took some fluid out and I’m gradually improving.

The thing to do now is to get back on my lap-band eating plan and start losing weight again. And yet, I’m still not doing that. If the reflux doesn’t stop, the band may have to come out. It could be creating an ulcer or, worse case scenario, the band could infiltrate the wall of my stomach. I really don’t want either of those things. This week, I couldn’t help thinking about the victims of Sandy and friends who are going through some very hard times, and here I am worrying about having too much to eat. There’s something very sad about that. It’s not that I want bigger problems in my life – but this is something I surely should be able to solve.

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adventures in day surgery

Forgive me, in advance, for the random flow of this post. The first question is surely did I get there in time? Absolutely, Bob was early! He’s apparently like me and heads out with extra time in case of unforeseen factors. I’m usually early wherever I go. I was worried about not waking up in time so I set both alarms and needed neither. We got there in plenty of time.

And then we waited. I sent Bob off, expecting to see him again in a few hours. Had to be there at 9AM right? It was 10AM before anyone even talked to me. And that very nice nurse told me that there were two people ahead of me and I would have a long wait. What? I totally get that you never know what’s going to happen in surgery and they probably overbook a little in case someone doesn’t come – but I waited 6 hours before they even had me change out of my clothes. 6 Hours. It’s not the hospital, they told me, it’s the surgeon’s office. And I am now waiting anxiously for them to send me the questionnaire they always send me because I have a few words to say about a 6 hour wait.

And I waited another hour in pre-op. Let me recap (or bitch and moan) – had to be there at 9AM and finally went into surgery around 5PM. As much as I was annoyed for myself, I was feeling tremendously guilty over poor Bob waiting forever. He told me later that he expected it and was surprised when I called him around 1PM to tell him that nothing had happened yet. I mean, he was surprised that I was calling because he thought at first that meant I was ready to go already.

Anyway, the surgery itself was quick and easy. They put me to sleep but I guess it was still not general anesthesia. It was just deeper than I expected. No big shot ahead of time so I remember right up to the gas in the operating room. And apparently they gave me some bronchodilators during surgery so I came home with a spare Albuterol. (I hardly ever use it but it’s good to have around and now I have one to throw in my bag) Next thing, I was waking up in post-op. I don’t know, I was probably there a half hour or so, then went back to a room and got dressed and left shortly afterward.

I was a little sore last night. Getting out of Bob’s truck and into the house was an adventure – and feeding Zoe a little special num num was difficult because of that whole bending over part. Something felt like it was pulling. I talked briefly to a friend and emailed a few others and ate some soup and went to bed around 8:30. I’m supposed to ambulate to help myself recover – I got my ambulating in by getting up every hour or so to pee. On the plus side, I got more and more comfortable moving around overnight. The incision is a little bigger than he planned – I suppose I’ll find out why next week when I see him – but it hardly hurts at all this morning. Not that I’ll be going dancing and I’m not supposed to lift stuff.

So, the surgery itself was the non-event I expected. Just the long freaking wait and the stress leading up to it. Oh, I called Dad from Springfield. I had told him I’d be in Springfield but I knew if he realized I still wasn’t home at what? 6:30 ish? (Drugs, people, my times may be a little off.) Anyway, I knew he’d work himself up into a state if he realized I wasn’t home. So I called him and told him things had taken longer than expected. And my story is that the doctor was running way behind – which he was – and that they had to do a little adjustment. The word surgery never came up and never will. But my fibs are close to the truth which is how I prefer fibs. And probably today he won’t even remember any of it.

Oh, and an FYI – one of the nurses told me that they have had to remove a lot of lap-bands and are no longer doing them so often. Apparently a lot of people are having problems with them – not me. I’m having trouble following the rules and gaining weight back but I haven’t had any problems so far. Interesting, though.

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really, it was funny

Well, we’re on the home stretch. I should find out tomorrow just when the surgery will be on Monday. I really hate this last minute thing. But I wanted to tell you about the funny part. I’m just afraid that it’s going to come out on screen as whining – but really, except for a really brief moment of stressing out, I spent most of the time laughing.

I did my pre-admission screening over the phone last Tuesday (um, last week last Tuesday). I was really glad of that since I’ve already driven to Springfield twice for this non-event 5 minute surgery. I needed to get a blood draw and an ekg done but I could do them in Cassville, where I go anyway. I was sick last week so I didn’t get around to it until Monday and when I did, the lady I spoke with said she had the fax in hand. Someone would call me back, she said, to schedule the ekg, I could get the blood draw anytime.

So far, so easy. When the scheduler called, she said she didn’t have the orders. But then, she was at another facility. So she made an appointment for me for Wednesday afternoon.

Still pretty easy, nothing unusual.

Wednesday morning, someone from Cassville called and said they didn’t have any orders. No, wait – the surgeon’s office called first. They didn’t write any orders, they said. They didn’t need any tests, any orders must have come from the pre-admission screening nurse and basically, it wasn’t their problem. I should call the pre-admission office and get this straightened out. I did! They didn’t have any record of any orders for testing. Plus they couldn’t figure out who I’d spoken with but, they’d get back with me. THEN the lady from Cassville called. No orders. Specifically, nothing on the computer which knows all. She had talked to the pre-admission people and they didn’t know anything about any orders. The surgeon’s office and the anesthesiologist’s office hadn’t written any orders.

Now wait, I said. The woman I spoke to – who answered the phone – in Cassiville said she had the fax in her hand.

The pre-admission nurse, by the way, still hadn’t gotten back with me.

Shirley, who must be a very nice lady, was on the hunt for the fax. She did call back. She found the fax. The fax was sent on the same letterhead as faxes that go to medical records and medical records had it and didn’t know what to do with it. And – it was signed by the surgeon. You know, the one that didn’t order any tests.

And, by the way, who the hell uses faxes anymore anyway?

And it just doesn’t sound as funny when I write it down. But it was. Shirley and I laughed out loud. I stopped short of rolling on the floor, however. The smilies make it funnier, right?

Oh, and the pre-admission nurse got back with me a little after 7:00 pm.

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stress

I’ve stressed myself out overnight, certain that when I get to rehab today I will find that Bob is not going to be able to drive me after all. God, I just want this stupid thing over with. The surgery itself is such a non-event, why does all the crap leading up to it have to be so nuts? I need to call this morning and get the blood work and ekg scheduled.

I also spent half the night reading what I have come to think of as “The Potato Peel” book. I’ve read a number of books over the years about the war, most recently Sarah’s Key, and they all have had an emotional impact. I have a friend who spent some time in a concentration camp when he was four, though he never talked much about it. But this is different. I haven’t read the story behind the book but I hope it is based on real stories. Not that I want people to have suffered, but I have come to know these people and care about them and I want them to be real. The only thing that hasn’t rang true to me so far is Juliet’s relationship with the rich man who has felt insufferable from the start. But I suppose, given the time and circumstances, it would be understandable to be swept away for a while. I am hoping she ends up with Dawsey and I cried when we found out about Elizabeth’s death. I am a little sorry that I waited so long to read this but I’m also rather dreading it being over.

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Filed under Books, Lap-Band

no clever title

It’s been such a week. I’ve had a rotten cold most of the week though I’m much better now. It’s interesting, sort of, with this stupid surgery coming up that I totally stressed about a cold. Nothing you can really do about it. I think I just like to worry.

On the plus side, I think I finally have a ride to the hospital. I wish I was still in Wyoming where I’d have half a dozen friends willing to do this. Other potential rides fell through but my friend Bob from rehab looks like he’s going to be able to do it. I really hate asking anyone – I hate HATE HATE not being independent. I did my pre-admission thing over the phone on Tuesday and she not only wants someone to drive me – and to have proof of that – but thinks someone should spend the night with me. Dad is in the house, that’s good enough. This is a 5 minute surgery that doesn’t even require general anesthesia. I refuse to worry about that part. Have you had surgery lately by the way? Special soap for two showers, must have clean sheets and clean towels and clean jammies. For a half inch incision.

On the minus side, I was finally well enough to go to rehab today and made it not quite a mile from the house when my tire blew out. It was, of course, raining. But, could have been far worse. I was barely moving and was able to pull right off into the driveway of my storage unit. I could have gone and visited my stuff while I was waiting for the fellow from the shop to come and change my tire. I also had a brand new full sized spare and so I was able to replace just one tire and put the somewhat used tire in the trunk as my spare. Got my oil changed, too, since I was there and it only cost me $186.

Did I mention I’m trying to save money? I’m really trying not to spend money on things I don’t really need. Oh well. We didn’t crash or mess up the rim or anything like that.

I found today (on dooce.com) a link to Letters of Note. I think I’m developing a real fascination with other people’s letters. I’m still reading As Always, Julia. I’ve found I need to break it up a bit but whenever I pick it back up I am right back into that “just a few more pages” place. Anyway, THIS LETTER totally made me cry. I’m loving the glimpse into other people’s lives. It’s a little voyeuristic, I suppose. And now I’m feeling compelled to read Simone de Beauvoir’s Letter’s to Sarte. It’s been on my mental list for a long time but there’s just something about reading letters that I’m really enjoying right now. Feel free to recommend other letter collections.

A somewhat strange book recommendation I’ve been meaning to make is Cake Icing, Butt Budder and Tea Lids. It is, I suppose, basically a romance and not something I’d typically recommend. I don’t completely agree with the main character’s search for the “right man” – but I absolutely love the author’s voice. The story is completely secondary. Plus, even the right man thing is not what you expect. I love Jezze’s mother who feels more creative topless and decorates the cakes for their business semi-nude. If you want to read something light and just enjoy the hell out of listening in your head, give this book a try. And by the way, I don’t know about you but I always hear the accent when I’m reading. When I’m reading a British book I end up talking with a light British accent. I was a tiny bit Cajun after this book. I really hope someone reads this (it’s still only 99¢ on Kindle) and tells me what they think.

Nothing much else going on this week.

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Filed under Books, Lap-Band

today

There’s nothing I like better than driving an hour and a half to see a doctor for 2 minutes. The flipping the port surgery, he says, should take about 5 minutes. Of course, that doesn’t count the sitting around and waiting time or the recovering after time. It’s not general anesthesia, more the twilight drug and if worse comes to worst, I’m driving myself. Has to be a Monday or Wednesday which knocks my first volunteer driver out of the running. We’ll see what I can arrange. Surgeon wasn’t entirely opposed to my driving myself and I imagine I could sit around in the lobby for any remaining sleepiness to go away. We’ll see.

On the plus side, I finally got to PetSmart and bought Zoe some furry mice and feathers on a stick. Plus some food. If she’s going to eat canned food I’d rather it be more nutritious than Fancy Feast. She liked the first option I bought. We’ll see about that, too. I also bought her a small bag of Blue Buffalo – which if she likes I may or may not be able to buy at the Tractor Supply store over in Cassville (but in a larger bag). I’m a big fan of the science behind Blue Buffalo. Stasia didn’t like it but she was a much pickier eater than Zoe. You’d think she’d like a food that is mostly actual meat better than meat by products and wheat and corn gluten. Zoe seemed to think it was a treat. They didn’t have those beds Lel suggested. I really want to see one in person but they aren’t that expensive – I think there was one for about $12 on Amazon – so maybe I’ll just order her one and see what she thinks.

And that was my day.

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Filed under Kitty, Lap-Band

catching up

First, a gratuitous kitty picture…

hot spot

Zoe has decided that my heating pad is the best place to sleep – whether or not it’s actually on. The poor heating pad is near the end of it’s life so I may have to buy us each one. Or I may buy her one of those heated cat beds but what are the chances that she will sleep on something I buy specifically for her? She has gotten a lot more stripey, don’t you think? Still colored like a siamese but stripey all over except her tummy.

So….. catching up. About three weeks ago I suddenly developed heartburn and that is a bad thing with the lap-band. I haven’t been in for a lap-band check in a long time. I feel so humiliated. I lost a lot of weight, I’ve gained a lot back. It doesn’t seem like it should be so hard. Millions – if not billions – of people manage to eat fairly reasonably and stay at a good, even if not perfect, weight. I go to the trouble, pain, expense and risk of having actual surgery and I still gain weight back. I feel like a failure, not just because of the weight – but a failure as a human being. And please don’t give me excuses. Other people can do it, the fact that I always go back to old behaviors is my own fault.

At any rate, I finally went in and I’m having reflux which is what happens when the band is too tight. It doesn’t feel too tight. I kept waiting for it to feel too tight since I’ve gained weight. I figured I would have to go in and have it unfilled some but then, I also figured that tomorrow, or next week, or at some mysterious point I would get back on track and lose the weight again then I would need to have the band filled (or tightened). I guess, looking back, that I may not have noticed it getting tight since there are so many foods I can’t eat because of digestive issues. Many of my trigger foods are the foods that would be very hard to eat with a tight band. Soft foods? No problem.

Normally, filling or unfilling the band is easy. There’s a little port sewn onto my stomach muscle and a needle is inserted to inject or withdraw fluid from the band. But, my port has flipped. Wendy-the-always-encouraging tells me this just happens. It can happen very early on after surgery or later but it’s just one of those things. I’m pretty sure it’s my fault. It must be. I’m the one not using this expensive tool the way it should be used. But the upshot is that the needle can’t be inserted in the port to withdraw some fluid and it will require surgery to fix the port.

I see the surgeon this Tuesday to get more information and decide what to do and when to do it. It depresses me greatly. Fortunately, it’s outpatient surgery. I have a friend who can take me on her day off if we can schedule it that day. I can’t tell Dad because I cannot deal with him – he would argue about how he could drive me and how he has to be there, and then forget all about it. And I can just imagine trying to get him out of the house since you know it’s going to be scheduled at some god awful time in the morning. So, at the most, I’m going to tell him that I am having a test and a friend is going with me. Or maybe just that I’m going to Springfield for the day. It does have to be done, tight bands can lead to big problems. And I never know what’s going to irritate it. I ate yogurt for my snack Thursday night and somehow triggered massive amounts of pain. Yogurt? Seriously?

I was going to catch up on more stuff but I’ve already been wordy enough. It is ultimately not that big a deal but it’s stressing me out big time. If it weren’t for Dad, it’d mostly just be the humiliation of the thing but dealing with Dad complicates everything.

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fat and ugly

Warning: It may be that few of the people who drop by here regularly won’t see this topic as triggering or even know what triggering is. But someone might drop by through a search or link and I think, for some, this post will be very triggering. Read at your own risk. Don’t read if the topic makes you uncomfortable, if you don’t want to know this much about me and what goes on in my head, or if it just bores you.

I’ve been thinking lately that maybe I could – should – be happy with who I am. Right here, right now. I know I’ve made lip service to this before, but in my head the voice is always saying, “Sure, be happy with your self. Just be someone else first.” No matter what I’ve said outside my head, I’ve never accepted myself. Never been happy with who I am – well, not since I was maybe 3 or 4. I’ve spent at least my entire adult life believing that I could only be happy if I could be someone else. And I’ve tried.

Mostly I blame it on the weight. I’m fat and I’m ugly. I’m not heavy, I’m not overweight. I’m fat. I can kind of accept that. I’ve tried to change it. I had lap-band surgery a few years ago and I lost a lot of weight. Was I happy? Sort of. It was fun losing weight and buying new clothes or fitting into clothes that I hadn’t worn in years. I was in a store trying on pants – because all my pants were falling off and I had to buy new pants. And I had no idea what size I was so I couldn’t just order them online. This is a traumatic task for me. I picked the largest pair that store carried and went to the changing room. I was afraid that they would be too tight and there weren’t any other options. But those pants were too big. So I went and got the next size down. And they were too big. And the next size. And the next. I actually went down 5 sizes before I found a pair of pants that fit. And I sat in that dressing room and cried. They weren’t really tears of happiness, they were more tears of confusion and fear. I wasn’t who I thought I was anymore and I didn’t know who I was now.

I kept losing weight for a while. Looking back this morning, I started the process of regaining weight after Mom went into the nursing home and Dad started deteriorating. It wasn’t their fault, it was me not coping with the stress. At first it was not losing weight and that lasted for quite a while, a year, maybe a year and a half. I said I was okay with that. I was a lot less fat and a lot healthier, after all, and even if I never lost another pound it was such an improvement. Then slowly I started gaining weight, then faster. Now I’ve gained most of the weight I’ve lost back.

I haven’t bought many new clothes, just what I’ve really needed. Because, of course, I need to lose that weight again. I wouldn’t really even need to lose that much – or at least I didn’t need to lose that much – to get back to where most of my clothes would fit. Except the clothes I bought when I was at the lowest weight in this cycle. I have all these clothes that don’t fit. It was fun to get rid of the fat clothes. I’m finding it’s no fun at all getting rid of the less-fat clothes.

And yes, that’s how I see it. I may never be thin but I was less-fat. Less fat is better. Less fat is healthier. But I didn’t accept myself at less-fat any more than I accept myself right now. The thing about losing weight is every time you reach a goal, there is another goal to reach. And another, and another. And there is a voice inside that I know would never be happy. A voice that sees 74 pounds as a good weight to be. Oh, and yes, I was anorexic and bulimic in my teens and early twenties. There must be some physiological difference between people who “successfully” starve themselves to death and those of us that hold on to the fat even when starving. At least that’s what I tell myself since I never lost to a remotely dangerous level.

So anyway, I was having an imaginary conversation with Clinton Kelly this morning. I’ve been watching the Chew lately – thank you ABC for streaming it on Hulu. I pretty much don’t see any television show that isn’t streamed. (So please, networks, get it through your head that a lot of us are watching primarily through streaming, not on traditional television. And more will do so.) I was, in my head, talking about what I want, what I think I want. To accept myself as I am, for real, right now. To be happy, confident, and stylish as I am. Not to think that I have to be someone or something else before I can be happy because I don’t know if I will ever be that person. I’ve never been that person. Maybe that person doesn’t even exist. Maybe most of us struggle with wanting to be that person. But some of us, some of them? don’t seem to have that struggle. At least from the outside, there are some fat women who really do seem happy and confident with themselves, just the way they are.

Some women are pretty and confident and stylish and at least seem happy at whatever size they are. Not Oprah. She is pretty, at least to me, at whatever size she is but she seems to fight with who she is just as much as I do. But Ina Garten seems happy and confident in herself. Other, not necessarily famous women seem happy and confident whatever size they are. I want that secret. Is it a secret? I don’t know what it is. But for me, I have trouble even getting a haircut because, right now, I feel like it doesn’t make any difference. I’m fat and I’m ugly and nothing I do will change that. Clothes don’t matter. Haircuts or makeup don’t matter. Maybe even the weight doesn’t matter. I feel ugly inside. I believe I’m ugly outside. I don’t really know whether that is true or not. People tell me my perceptions are skewed. Maybe they are but when I look in the mirror, I see ugly. And I still saw ugly when I lost weight. Perhaps that’s why it was so easy to gain weight back. My dreams of being happy and confident and pretty once I lost weight just didn’t come true. I was still neurotic and worried and scared and seeking comfort from my oldest friend, food.

How do you get that? How do I get that? The last few days I’ve been thinking about clothes. Or getting the damn haircut. What’s my style? Do I have a style? But all of that is outside. Will it make any real difference to me if the inside is still messed up? Maybe it does make a difference? The books talk about not holding on to the thin (less-fat) clothes. They say to buy things that fit and flatter you now, to feel good about yourself now. Is that even possible? The ugly inside makes me feel ugly outside. Clothes that fit don’t flatter because there is nothing to flatter.

Oh, and that was what I was talking to the imaginary Clinton Kelly about. Shouldn’t there be clothes – affordable clothes – for those of us on the fat end of the spectrum? Are there and I just can’t find them? Maybe the large sizes look like tents because that’s what we have to wear. Deserve to wear. But no, I’ve seen women my size (I think) who look good, fashionable and oh so confident. If they can do it, why can’t I? Or maybe it’s the inside issue, again. Maybe no matter how good I could make the outside look I’d still feel ugly. Or, to be honest to those voices, maybe I really am just ugly. Not everyone can be pretty, right?

I’m not going to spend a lot of time polishing this. This is mostly stream of consciousness, which I think for this topic is more honest. So, I’m sure I’ve put things badly or in a way that might upset some people. I’m sorry if something upsets you. My advice, let it go. It wasn’t intended to hurt or upset anyone.

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Filed under Depression, Lap-Band, Ponderings

as usual

What some call health, if purchased by perpetual anxiety about diet, isn’t much better than tedious disease. – George Dennison Prentice

I am, once again, working at finding balance between what I need to do and what I want to do. Financially, I’m doing pretty well with the want v. need thing. I may splurge in small ways occasionally, but I’ve got pretty decent balance. Food? Well, I remain fairly crazy. So, I’m trying to apply the want v. need thing in my eating patterns.

While I agree, for the most part, with Mr. Prentice up there (though I would apparently be unlikely to agree with anything else he said), there has to be balance with health and diet. We all know this. All of those “eat whatever you want and still lose weight” diets are so much bullshit. I seriously don’t believe there are “bad” foods so much as there are bad portions, out of balance portions.

My long diatribe on compulsive eating and addiction is out in the ether – also known as my unreadable archives – but the issues remain. I’ve accepted, at least for now, some of the things I can’t do. When I want something, I try to figure out whether it’s something I really need. And I don’t buy the things I don’t need. Mostly. I really need to lose some weight to get my blood sugar back under control. I’m trying not to be unrealistic. I’m trying to live within the limits that I know I can live with. I still make insane plans which of course I can’t maintain. But I know they’re not realistic and I am trying to come back to the balance idea.

One day at a time, as usual.

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Filed under Diabetes, Lap-Band

forward

It’s strange when something bad happens. It doesn’t really matter what the bad thing is – I’ve noticed the feeling when I’m grieving or had a household emergency or been really sick. It feels like the world should stop for a while, let you have the time you need to deal with things. It seems too weird that it keeps moving forward.

I have a friend with cancer, her sister’s husband was recently injured and they had to put their two dogs to sleep. I have another friend in prison and another who lost her sister last month. I’ve got internet friends with just as big of challenges and bad things in their lives. Everyone, don’t you think, is facing their own hurts and demons.

Life doesn’t stop. It ought to give you time to breathe, but we keep moving forward.

Part of my forward is getting back on track with my eating. Not a lot of point in whining about how deep I let myself get in trouble. It’s time to stop putting things off.

This is not a resolution. It’s small steps toward my goals of being happier and healthier.

Toward this, I’ve made an actual grocery list and planned a menu. I know how to eat and not deprive myself and stay within goal. If I don’t graze between meals I have no problems staying within my calorie, protein and carb ranges. I’ve put this off long enough.

Small steps, not perfection. Not unrealistic weirdness. Just a menu plan and a grocery list.

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Filed under Kitty, Lap-Band