First things first: I’m down a little over 10 pounds since August 1, so that’s a positive to report.
As I struggle to lose this regain, I’m starting to wonder if I made the right choice in having the sleeve done. When I decided to have bariatric surgery, I had three choices:
- Vertical sleeve gastrectomy (what I did)
- Gastric bypass (what I didn’t want)
- Duodenal switch (what I probably should have done)
Lap-band was not a choice for me–I’d seen too many people I knew eat around them, have esophageal erosion, and band slippage.
Three years later I’m starting to wonder if I made the right choice.
I suppose this is something I need to discuss with my doctor the next time I see him, which will be next summer. Or maybe I’ll go at my birthday like I did when I decided I’d forge ahead with the decision to have bariatric surgery in the first place.
I’m working on righting my behavior first. Then I’ll consider a second surgery if I feel it’s necessary to get me where I want/need to be.
I know it’s been a good long while since I last wrote. In fact, the last time I wrote, I had just had my gallbladder removed and was recovering from that surgery.
Earlier this year, one of my friends who follows (followed? since I haven’t written in so long) this blog asked me if I would be writing in it again. I danced around the topic, saying that life had gotten in the way and that I simply hadn’t had time to do it, which was partially true.
But really what stopped me from writing was this:
Posted in challenges, choices, dealing with regain, frustrated fat, habits, la guerra, maintenance, oh behave!, post-op, post-op life, self-care, the sleeve, vsg, weight loss surgery, WLS
This post is going to be fairly brief, as things around these parts are crazy busy these days. But the crazy busy is in a good way. So I’ll do a quick drive-by update with bullet points, because it’s about all I have time for right now.
- Gallbladder surgery went well. My recovery was smooth and uneventful. I did learn at my follow-up appointment that my gallbladder had stopped ejecting bile properly, and as a result, cholesterol and bile had accumulated on the inside walls of the sac. As my surgeon said, “It was definitely time for it to come out.” So it’s good that I had the surgery when I did.
- I also learned that I no longer have a fatty liver. When I had my gallbladder removed, my surgeon did a liver biopsy, as the lab work I had done on my trip to the ER in June gave him cause to want to poke around there. The path report revealed that I no longer had evidence of fatty liver disease. This is huge, given that on the day of my sleeve surgery a little over 2 years ago, my liver had 60% fatty infiltration. My surgeon was thrilled to learn that my fatty liver had been resolved by my WLS.
- Looks like I’ll be having more surgery this year. UGH. My right knee has decided it’s had enough of being patched together with a neoprene brace. I’m looking at getting it scoped over Christmas so that I can have 2 weeks off my feet, and more importantly, 2 weeks with someone around who can help me! And depending on what happens with my shoulder, there may be yet another surgery in the cards for me this year. My left shoulder has decided it’s had enough and can’t even. So I will be heading BACK to the ortho to find out what the hell is going on with my shoulder once I get back from being out of town this week.
- Regain is real, y’all. So for those of you who are early on in the process of having WLS, or who have just had it, please don’t delude yourselves into thinking, “I’m going to lose this weight FOREVER!!!!” or say stuff like “That’s ______ pounds gone FOREVER!!!!” Or at the very least, don’t say those things without realizing that while yes, losing the weight as a result of surgical intervention is fast and seemingly easy, keeping it off is much, much more difficult. I’ll be real with y’all–I’ve gained back about 35 pounds this past year (scary, huh?). I know exactly why and how, and I’ve decided to go back to a devil I know to lose it. I’ll be starting Weight Watchers online next week in an attempt to get back down to the weight I was at this time last year. I felt good, I looked good, I slept better, and I moved around better. I need the structure that the WW program provides because clearly I can’t provide it for myself right now. Also? All I have ever tried to do in my life is lose weight. I’ve never known how to maintain it. Losing weight is something I am good at; maintenance is not. I’m scared I’ll never learn how to maintain a weight I can live with. So in the meantime, I’ll be back to weight loss mode so that I can at least have a shot at feeling good about how I look and feel again.
Well, that’s all I’ve got time for…work and meal prep are calling.
Posted in challenges, dealing with regain, frustrated fat, la guerra, planning, post-op, post-op life, reflections, self-care, self-image
Tagged behavioral fatigue, being authentic, being real, benefits of wls, big things, challenges, changes, cooking, dealing with regain, fighting biology, fighting the fat girl, gallbladder removal, knee issues, la guerra, maintenance, moar surgery!, NSV's, oh behave!, orthopedic issues, post-op, post-op life, reflections, regain, self-care, self-image, shit is hard, surgery, the sleeve, the struggle is real, VSG, vsg realness, weight loss surgery, weight watchers, what's up doc?, WLS
This past week, I joined millions of others in the world who walk around without a gallbladder. Do I feel better without it? Probably. I wasn’t miserable before it came out, but when 4 doctors in 2 years tell you it needs to come out, it probably needs to come out. So I had it done.
The surgery went well, thank goodness because I was really nervous about it. It was a good thing I had it done. Apparently, my gallbladder loved my intestines so much that it was stuck to them, which caused my surgery to be a bit longer than planned. So removing it was a good plan, as this could have caused bigger problems later on had I delayed the procedure.
I was sent home the same afternoon. In by 10 am, out by 4 (I take a long time to recover from anesthesia, apparently). I was home and resting comfortably by 5, able to eat soup by 7 that night with minimal nausea. I’ve done pretty well since, but I’ve also kept my food pretty bland and low-fat. No major issues, just a bit of soreness at the largest incisions (not unexpected). I stopped taking my pain meds Thursday night as I haven’t needed them since. Besides, narcotic pain medication has some pretty undesirable side effects–itching and constipation to name a couple–so when I am placed on them, I take them for as short a time period as I can bear. I’ve been fine without them since. I’m on restricted lifting (nothing heavier than a jug of milk), and working out is off until next month so I won’t be back in the gym until September. I want to make sure my abdominal muscles have healed sufficiently so that I don’t cause myself to have a hernia (Lord knows I can’t afford another frickin’ surgery–this “pray you don’t get sick health plan” is bullshit, but that’s a post for another time and place).
I did have a few revelations the day of my surgery, though.
Posted in challenges, frustrated fat, la guerra, oh behave!, post-op, post-op life, reflections, self-image, the body is a funny thing, the sleeve, vsg, weight loss surgery, what's up doc?
Tagged abdominal binder, another surgery, being authentic, being real, challenges, cholecystectomy, frustrated fat, gallbladder, gallbladder removal, head trip, la guerra, little celebrations, moar surgery!, no regrets, NSV's, perspective, post-op eating, self-image, shit is hard, side effects of WLS, the body is a funny thing, the sleeve, VSG, vsg realness, weight loss surgery, what's up doc?, WLS, work that head game
If ever there was a week for my insurance company to make money off of me, last week was it. Of course this week is looking pretty good too since my gallbladder surgery is tomorrow. Thankfully, it’s only a day surgery so I should be home tomorrow afternoon if all goes well. My surgeon (another doctor in my bariatric surgeon’s office) seems to think it will be fine.
I had all manner of doctors’ appointments last week, some of which were routine maintenance, and some of which were prep for surgery.
Posted in big things, challenges, fighting biology, la guerra, NSV's, post-op, post-op life, reflections, the sleeve, vsg, weight loss surgery, what's up doc?, WLS
Tagged another surgery, being authentic, being real, benefits of wls, challenges, gallbladder, goals, la guerra, little celebrations, love thyself, NSV's, post-op life, reflections, shit is hard, sleeve gastrectomy, the body is a funny thing, the sleeve, VSG, vsg realness, what's up doc?, WLS, workin' on my fitness
So it’s been 2 years since my VSG surgery, and I’m on the brink of a second surgery.
Posted in challenges, dealing with regain, fighting biology, food funeral, frustrated fat, goals, la guerra, post-op life, progreso, the sleeve, vsg, WLS
Tagged acceptance, another surgery, being authentic, being real, big things, body image, challenges, changes, food funeral, gallbladder, i can do hard things, la guerra, oh behave!, post-op life, reflections, shit is hard, side effects of WLS, the body is a funny thing, VSG, vsg realness, what's up doc?, WLS, work in progress
Two years ago this morning, I gave myself an unusual gift: I asked a doctor to knock me out and remove 75% of my stomach in an attempt to get at least another 40 years of life. It hasn’t always been an easy process, but it has been worth it. I have no regrets, even though I’ve struggled this past year, and I have developed other health issues (gallbladder, joint issues).
I’d do it again in a heartbeat.
The biology nerd in me did some digging into my 23andMe data. Here’s what I learned about the snps in my FTO gene. Plain and simple: I have the mutation in this one snp that predisposes me to both severe obesity and type 2 diabetes. Awesome.
I’m fighting a battle that I will never truly win, and that I’m going to be stuck fighting the rest of my life. I’ve done a shitty job of taking care of myself for the past 8 months. I acknowledge this. I have finally gotten to the point where I am tired of my own bullshit, and I’m tired of letting Fat Girl win. I’m ready to get me back to feeling good and healthy (despite all my orthopedic maladies, two of whichhave popped up since my surgery 2 years ago).
I return home next week, and I’ve got a plan in place to reclaim my health. I owe it to me to put Fat Girl in her place and make her see that once and for all, I deserve to be healthy, happy, and comfortable in my own skin.
The smile is deceptive. Happy but not with how I look.
Posted in challenges, dealing with regain, fighting biology, frustrated fat, genetics, la guerra, post-op life, reflections, regain, science, the sleeve, vsg, weight loss surgery, work happens
A childhood friend shared this with me today. In light of my moving toward acceptance of the body I am currently in, I thought it would be good to post it here for posterity’s sake.
I remember a time when I longed for the body I have, and how I didn’t think I’d ever get what I have now. Now I’m here and struggling to love what is.
It is not constructive to want what I am not and what I cannot be or have because of my biology.
It’s time to stop fighting the genetic deck that is stacked against me and to accept what is.
It’s time to embrace the me that has become. It’s time to accept the me that is.
I will love this incarnation of me. As hard as this is, I will love this me, with all her imperfections, scratches and dents.
I will love the rolls, ripples, varicose veins, wrinkles and the stretch marks. I will love the curves and bumps, the saggy, the baggy, the bones that jut out, and the tendons I more readily see under my skin.
I will love this version 2.0, and I will accept it as me.
If I don’t love this me, it will be hard for others to love it too.
Posted in la guerra, post-op life, reflections, self-image, the sleeve, vsg, weight loss surgery
Tagged acceptance, la guerra, love thyself, loving me, positive self-talk, reflections, self acceptance, self-image, VSG, vsg realness, work that head game
My 100 days of summer started yesterday. I donned my summer uniform (tan, shorts, polo or t-shirt, sandals of some sort) and spent most of the day outside with my husband. Getting to spend time in the sun has done wonders for me. I am happier than I have been in a while, and dare I say, hopeful about what this summer is going to bring.
I’ve gained weight back. I know this. I see it in the picture above. I feel it in how snugly my jeans and skirts fit these days. I feel it in how clingy my t-shirts are around my midsection. I know this because I’m puffy in places I haven’t been puffy in quite some time. I’m not pleased with this, but I know what needs to happen, and I’m working on the steps I need to take to right myself.
I’ve revised my goal weight, because I think that my original goal is unreachable and unreasonable. Without plastic surgery to remove the extra skin around my belly, I will always have a gut and the love handles to match. This is a hard and fast fact of life. It is something I am going to have to learn to accept, whether I want to or not. It is also something I am going to have to learn to tone up so that it’s not quite so inner tube-y. I have my age and aging skin working against me as well. I will simply have to do the best I can with what I have.
I am also going to have to figure out new movement goals for myself, since my original goals will not be attainable given the health of my knees. I will likely never be able to play tennis or softball again. I will also likely not be able to run again. Both of these things are heartbreaking to me, as they were all things I’d hoped to be able to do once I lost weight. And now that my knees are in terrible shape (well not NOW, they always were; it’s just way more evident now), I have to find new movement goals to aim at. It’s tough because I am still so set on wanting to do the things I’d originally set out to do, and now I cannot do them. It infuriates me, and aiming for other movement goals makes me feel like I’ve settled. And I don’t like to settle for anything.
The plan for these 100 days of summer is to spend as much time as possible in the sun, the pool and the gym. I need to recharge my batteries, reset my behavior, and rejuvenate my soul. I need to clear my head of all the obstacles I’ve placed in front of Me 2.0 so that she can get to her new goal.
Posted in challenges, choices, dealing with regain, fighting biology, frustrated fat, goals, head trips, la guerra, oh behave!, post-op, post-op life, progreso, progress report, reflections, regain, the sleeve, vsg, weight loss surgery, WLS
Tagged being authentic, being real, challenges, choices, dealing with regain, doing the best I can, fighting the fat girl, frustrated fat, goals, head trip, I am NOT perfect, la guerra, oh behave!, post-op life, progreso, progress report, reflections, regain, shit is hard, sleeve gastrectomy, the sleeve, VSG, vsg realness, WLS, work that head game