I had my three-month post-op visit with my surgeon yesterday. Well, really with his nurse practitioner, who is most excellent in her own right.
My overall milestones are pretty good: I’m down to 308 pounds & change from 396+ in April, and 362 the day I walked into the hospital on July 6th. I’m on track with my various medications and supplements, and so far there’s only two things in my blood work they want to keep an eye on. I’m hitting my protein and fluid goals every day, as well as exercise. My time at Viable Paradise excepted I’m sticking to the 1200 calories or less per day that I need to meet or exceed my goals.
Three months in, I’m finding some things are still pretty easy to conform with, while others are tricky. Eating out is definitely a challenge; even when I can find something properly healthy on the menu, American portion sizes mean I’m still lucky to eat half of what I’m served. Avoiding fried foods makes eating at some places challenging. And for any occasion, I need to either get something that holds up as leftovers, or be prepared to leave half my plate untouched.
There aren’t too many things I don’t tolerate. Unfortunately, bread is one of them. I don’t have the kind of reaction to it that someone with a bypass would from sugary or greasy foods, but I’m definitely uncomfortable if I have more bread than the hunk you get with chili at Panera. Ditto for pasta. Which is a shame, because I really, really like bread. Note that this extends to anything bread-like, such as pizza. I guess it’s a good thing I’ve always liked thin-crust pizza!
The most important lesson I’ve learned so far is to listen to my body. Paying attention to the “I’m full” signal is hugely critical. Believe me, when I don’t, I know that I’ve screwed up.
The weight loss hasn’t been on a continuous slope, and it can sometimes be frustrating to do everything right for a week and end at the same weight I began. Those weeks are usually followed by a 7-10 day period rapid weight loss. The net result is that I’m ahead of the 10 pounds per month rate at which most patients lose, so I have to keep reminding myself of how far I’ve come.
I think the rest of the family has gotten used to our new normal, which includes Michelle, Alexa and Ben eating something different than I do. But we’ve been trying some things lately that everyone can partake of. That’s a work in progress.
In the end, it’s pretty clear having the sleeve gastrectomy was the right decision for me.
Next check in at the six month mark in January.
And many thanks to Vienna Teng’s “Level Up” for the title here.
Updating this has been infrequent at best, but I’m trying to get into a more regular habit of blogging. I have a few things lined up for the coming weeks, but I thought I’d start out quickly recapping the big changes going on in my bit of the world at the moment. Because boy, howdy, at lot is happening in a short time.
Today’s topic: I had bariatric surgery in early July. This was a decision long in the making, and a long process preceded the surgery itself. I’d finally determined that it was a necessary step for me in combating my obesity. After kicking the process off in October, I made my way through the many preliminaries over the next 7 months, finally getting to the point of scheduling my procedure (a sleeve gastrectomy) in April. Two more months of prep and I entered Hopkins Bayview on July 6th for what turned out to be three days – right on track.
My recovery has been almost completely complication-free, and weight is coming off at a steady clip. I’m still in a transitional phase, diet-wise, having only recently graduated from “I can eat it if it’s on the list and I can blend it” to soft foods – all in small amounts. This week I’m finally back at work and trying to adjust that routine to meet my current requirements. I’m still pretty early in my journey, but being more than 60 pounds down from my peak weight, and nearly 30 since my surgery, I can see things working.
I cannot recommend the program at Johns Hopkins Bayview highly enough. The attention both before my procedure, the care in the hospital, and the follow-up care have all been top-notch. The program really seeks to find what works best and communicates that to their patients. The medical teams and support staff – nutrition, psych, insurance coordinators, and everyone else there – are fabulous.
Everyone who struggles with obesity has to find their own path in dealing with it. I’d tried a number of other weight loss measures in the past. Surgery was, in the end, the right path for me.