Friday, January 30, 2009

Days are going by fast!

Not much to tell today. I'm at 279 lbs - not much change. I realize that I've got 17 months to lose 80 lbs, so a pound a day isn't feasible, but I still get a little depressed when the scale doesn't show a loss every day.

The last three weeks have flown by for some reason. It seems like every time I sit down in the living room, it's time to watch Battlestar Galactica. I think going to the gym after work makes the evenings pass faster for some reason.

Bernie got laid off this week. I've been waiting for this for 2 years and so has she, but it caught her by surprise nonetheless. She's happy about it, so no need for sympathies, everyone. She got to work from home 4 days out of 5 for 3 years doing something that bored her to tears, so she's actually happy it's over. The job was too good to quit but too boring to enjoy. We're glad it's over and she can go find something more rewarding this time. Coincidentally, we got a bunch of checks in the mail from other sources this week - almost like a higher power wanted to send us something to tide us over until she gets another job.

That's really about it for now. I have managed to eat 'soft' but normal food without puking this week. I had a broken blood vessel in my eye last week and it still looks bad, but it's getting better. That's what happens when you throw up too vigorously or too often, so I've pledged to stop making mistakes with food from now on.

Sunday, January 25, 2009

Chinese New Year update

We had a nice family celebration lunch for CNY today. Bernie made a lot of stuff and we supplemented with food from the local Chinese take out restaurant. I managed to eat half an egg roll and a couple of forkfuls of lo mein, but it was uncomfortable going down. After the party broke up and Bernie and I went to the gym, I ate leftover orange chicken for dinner with no qualms whatsoever, so there is still absolutely no rhyme or reason to what I'm able to tolerate.

The good news is I am now at 280lbs. Since I worked out today, I bet I'm at 278 tomorrow.

There was a little bit of "changing of the guard" in my closet today. My waist size is still 44, but I no longer need elastic at that size, and in truth, normal 44s are a little loose in the waist. I went through the pants in the closet and took about 80% out of circulation because they were too baggy. This also wiped out the current roster of blue jeans.

So I went to where I had stored the skinny clothes in vacuum bags 3 years ago. I got 8 pairs of slacks out that were once too small and they now fit (some of them are actually loose), including several pairs that still had tags attached. An old, reliable pair of jeans that once fit me are now back in service because they fit again, as well as a pair that never got worn. I've apparently shrunk in height, because almost all the slacks need to be re-hemmed by about an inch. The sad thing about all this is that these pants probably won't be worn long before they are also too big, and then I'll start opening the vacuum bags that are even farther back in the spare closet.

I'm starting to work on my laundry, and I bet there are clothes in the hamper that won't be going back into the closet, too.

It's a good thing I've hung on to clothes that I 'outgrew' while I was gaining weight. Otherwise, I'd be going broke replacing them right now. I expect I'll be wearing t-shirts and shorts from my college days when summer arrives.

Wednesday, January 21, 2009

Weight Loss Update

I've officially graduated to the 'soft foods' diet that I've been doing illegally for the past couple of weeks. I'm allowed noodles and crackers again, whee!

After a less than 50% acceptance rate, I am crossing grits off my list of approved foods. I have no idea why I can't handle them, but such is life.

This morning, I weighed in at 282.4 lbs. I've hit and passed the 50lbs lost mark. Another ten and I'll have to change to 42 inch waist pants. My mom measured me and I've lost a ton of inches on my chest, stomach, waist, arms, legs, and neck. On the down side, skin is starting to sag and stretch marks are beginning to show. Some of them sting! Couple this with the dry skin that winter brings, and I'm having to slather on lotion when I get out of the shower every day just to keep that crawly sensation from happening.

Bernie and I joined a gym on Monday and we each did 20 minutes on the treadclimber. No issues, no soreness, and 180 calories burned. I wonder if that spurred the drop from 285 to 282?

In any event, I've already lost half of what I originally expected to lose. That's cause for celebration in itself.

We went to a restaurant on Monday night after the gym and the waitress told us she had a friend that had done gastric bypass 3 years ago, had gotten her plastic surgery and everything after the weight loss, then she rediscovered candy and wine and gained it all back. Thank heaven I don't drink or love sweets much.

One disappointment - I cannot tell when I'm full. I guess I'll have to measure portions for the rest of my life. That's a fair trade.

Thursday, January 15, 2009

Hudson River Plane "crash"


I'm sure everyone's seen the news about the NYC to Charlotte flight that was landed safely in the Hudson River after having both engines damaged by birds immediately after takeoff.

Amazing that no one was seriously hurt. The passengers were all rescued by the ferries on the river, and the plane was towed to Chelsea Piers. The wings didn't even come off.

The newspaper here in Charlotte has comments on the article from people that recognize the flight crew from the photos. That's pretty surreal.

Anyway, the pilot is a hero and I salute him and his extreme competence under pressure. He can pilot my plane any time.

Funny, though...all I can think of is: What happens to the plane now? Do they refurbish it and put it back into service? Or does it end up getting sold to some 3rd world nation's airline? I don't think any American would want to get on a plane that's been crash-landed before.

Wednesday, January 14, 2009

Weight Loss Update

286.4 this morning. 47 pounds lost.

I'm going to start investigating gyms next week. I have a good recommendation from a friend at work about Energy Sports and Fitness, which is close to the office. They have a "cardio cinema room" where you can use the treadmill or elliptical machine in a darkened movie theater and enjoy the show while you sweat.

I think I'm going to concentrate on cardio fitness at first - something I usually shun for the weights. I think the rapid weight loss will keep me interested.

The lightest I've been in memory is 265. I can't wait to break that barrier. After that, I'm going for college-level weights.

Eating is still officially puree, but I've been cheating with soft foods from time to time. Bernie and I went out to eat the for the first time and shared a plate. Baked Mac & Cheese, Mashed Potatoes & Gravy, and fried shrimp. The shrimp were a religious experience. They just disintegrated in my mouth and the flavor was out of this world. We took most of the meal home and I had leftovers for three days.

On another interesting note, the budget has never been in better shape in our household. Eating at home has saved us a bunch of money this month.

I went to my first rehearsal with the concert band since the surgery and both me and my recently repaired saxophone did great. The dent in my lip hurts, though.

Monday, January 12, 2009

A Better Version of Star Wars (Ep III)

I saw Star Wars - Return of the Jedi on Spike TV tonight, and I realized that I actually prefer the new trilogy to the old one (blasphemy!). Especially Ep III.

Why is that, I wonder? Maybe it's because Lucas semi-successfully managed to shoehorn the whole fall of Vader into one two-hour movie, since he failed to advance the plot very much in the first two movies. He had so much ground to cover in Ep III, that I consider it a triumph that he managed to get it (mostly) all in there.

Not that there's not room for improvement, of course. What's that you say? Prove it? Okay. Here's my personal treatment of Star Wars Ep III - Revenge of the Sith:

First change - the movie picks up 5 years later than Lucas's version. Anakin is 30 years old, a full Jedi Master, and ambitious. He and Obi-Wan are still close friends, but Anakin feels like he's left Obi-Wan in his wake, force-power wise, and is a little bit condescending towards him. Anakin has become the hero of the Clone Wars in the meantime, and has established a home on the planetoid Mustafar, a volcanic world. Padme lives on Coruscant, and they secretly see each other whenever he can get there and stay for awhile, which isn't often.

Act I, Scene I - The Jedi Council Chamber. Anakin is informed he's lost another bid to join the Jedi Council. Anakin takes it calmly, but stiffly inquires of Windu and Yoda why they refuse to let him join the council. Windu bluntly tells him that they know he is the most powerful of the Jedi, but they are aware of his tendencies toward attachment and love of power, and they don't completely trust him to follow the "Jedi way". Anakin says his record of accomplishments in his short time as a Jedi should be sufficient cause for their trust and that he "finds their lack of faith disturbing". (Anakin has gotten over his whiny teenage ways, and speaks slowly with a deep voice).

Act I, Scene II - The hallway outside the chamber. Anakin and Obi-Wan walk and talk. Obi-Wan warns Anakin that the council suspects of his marriage to Padme and that it could be the reason they will not let him on the council. Anakin says that if the council wishes, he'd be happy to leave the Jedi order, because he's fed up with their philosophy and stupid rules forbidding love and expansion of knowledge of the force. Obi-Wan quickly backs off and changes the subject. An alam goes off - there is an attack on the Coruscant - the Chancellor has been kidnapped by General Grevious. Kenobi and Anakin rush to their Jedi fighters to join the persuit.

Act I, Scene III - in orbit of Coruscant. This stays the same. The Jedi fight their way to Grevious's ship.

Act I, Scene IV - the lightsaber duel with Dooku. Almost the same as actually shot, but less encouragement by the "chancellor" is required to cause Anakin to kill Dooku. After beheading the count, Palpatine congratulates Anakin and remarks that he simply can't believe the Jedi are treating him so poorly after all the things he's done to win the war for the Republic. Anakin shows little or no remorse for slaughtering Dooku, or for tapping into the dark side to beat him.

Act I, Scene V - Kenobi and Anakin fight General Grevious. I'm expanding this scene to an epic battle where Grevious intentionally disables his ship and sets it to ram and self-destruct on top of the Republic Senate chambers. Obi-Wan convinces Anakin to take the controls and prevent the crash, while R2-D2 stops the self destruct. Meanwhile, Kenobi kills Grevious.

Act II, Scene I - Republic Senate. Palpatine honors and gives medals to Kenobi and Anakin. He declares Anakin to be the Chancellor's Protector, a new title which gives him a seat on the Jedi Council. Yoda and Windu look shocked and abruptly leave the podium. They whisper that the Chancellor has no such power to name council members among the Jedi and wonder whether they should refuse Anakin his seat. Windu wonders whether they should go further and intervene and force Palpatine from power, since the war is all but over and he hasn't given up his emergency powers. Yoda convinces Windu to allow it, but not to give him voting rights. Windu says maybe this is the time to confront Anakin with their knowledge of his illicit marriage and use that as their basis for refusal.

cut scene to the Seperatists being arrested and hauled in for trial.

Act II, Scene II - Padme's apartment. Big 'ol love scene here. Padme shows Anakin that she's preggers (and barely able to hide it at this stage). They discuss what happens when the Jedi find out, because there will be no hiding the fact that she's pregnant with twins soon. Anakin says if they press the issue, he'll just resign from the Jedi and they can be a real family. Awwww. Later that night, Anakin has his dream about Padme dying. He wakes up abruptly and several of Padme's breakables in the room shatter as he wakes.

Act II, Scene III - Palpatine's office. Palpatine discusses Anakin's new job with him. More sweet talk about how Anakin is being abused by the Jedi council and how ungrateful they are for all he has done to advance the order's prestige across the galaxy. Palpatine tells the story of Darth Plagueis to Anakin and how he was able to prevent death by use of the dark side.

Act II, Scene IV - Confrontation in the Jedi Temple. Windu and the rest of the council deny Anakin a full seat on the council and reveal they know about his marriage. Anakin gets angry (eyes glow red a little) and raises his hand towards Windu. Lightsabers ignite amongst the council members. Anakin resigns from the Jedi order and tells them what he thinks about their philosophy and rules. As he storms out, in the hallway, Kenobi attempts to talk him out of it, warning him that this is what Dooku did. Anakin walks away, saying that maybe Dooku had the right idea all along.

Act II, Scene V - Padme's apartment. Anakin and Padme deal with the aftermath. Padme won't leave the Senate to go with Anakin to Mustafar. They argue a little. Anakin packs his things and prepares to leave, telling Padme to come to him whenever she can. At that moment, a messenger from the Chancellor arrives and tells Anakin that the Chancellor needs to see him urgently.

Act III, Scene I - Palpatine's office. Palpatine lets Anakin into the office. He begs Anakin to stay on Coruscant and remain his protector. He suspects a plot to overthrow the Senate from the Jedi. He shows Anakin a tape of Yoda and Windu talking about removing Palpatine from office (Act II, Scene I). Anakin isn't convinced.

-cut scene to Padme's apartment. A masked assassin breaks in and takes a swing at Padme with a lightsaber. Padme gets away, although wounded across the belly, and sets off an alarm and the assailant flees.

-cut scenes around Coruscant showing several other senators being murdered by assailants with lightsabers.

- cut scene to a hospital room. Anakin sees Padme fighting for her life. The medical droid tells them that she will live, but the babies lives are in danger.

Act III, Scene II - Palpatine's office. Palpatine tells Anakin about the assassin and the fact that he had a lightsaber. Anakin loses his cool completely. Eyes glow red. Palpatine calms him down a little and reveals his true identity as Darth Sidious (shows his real face, which he disguises with Sith science). He tells Anakin that with Sith training and study, he could learn Darth Plagueis's secret to preserving life.

-cut scene to the Sith apprenticeship ritual and naming of Darth Vader. This will be so damn cool that geeks will show this scene over and over again for years to come. Vader will wear a black suit and cape and cowl reminiscent of the one we'll see him in later on, but not full armor.

Act II, Scene III - Anakin and an army of clone troopers march on the Jedi temple.
-cut scene with Palpatine addressing the Senate and showing them evidence of the Jedi treachery. Massive outrage in the senate.
-cut scene with Anakin mowing down Jedi in the temple. This includes padawans, apprentice, and full Jedi Knights. He cuts them down like tall grass, interdispersed with some pithy comments like we've come to expect from Vader.
-cut scene to Palpatine declaring the first Galactic Empire amid massive acclaim and applause.
-cut scene to clone troopers setting fire to the Jedi Temple.
-cut scene to Padme's hospital room, where Yoda and Kenobi witness Padme's unexpected death, and the babies are delivered by cesarian section. At that moment, they feel the disturbance in the force, and rush to the temple in a speeder.
-cut scene to Vader and Windu fighting in the burning, collapsing temple. Lots of angry words exchanged here during the fight. Windu starts to get the better of Vader and manages to disarm him and cut off his mechanical arm. As he prepares the final blow, Vader gets madder than we've ever seen him before, and blasts the holy heck out of Windu with force lightning of such power that the roof comes off of the temple, the walls collapse outwards, and we're left with a shot of Vader standing in a clearing with a charred corpse at his feet. Exhausted, Vader collapses. Yoda and Kenobi arrive to see the total destruction of the temple, get shot at by the clonetroopers and decide to head off-planet.

Act III, scene IV - Bail Organa's ship. Yoda and Kenobi flee on Organa's ship. They have the two babies. Yoda gives Leia to Organa to raise as his own. He tells Kenobi to take Luke to Tatooine and give him to Owen Lars and to wait until an opportunity arises to train Luke as a Jedi to fight the Empire. Organa drops off Yoda on Dagobah. He prepares to fly to Tatooine, but Obi-Wan tells him to go to Mustafar instead, as he has unfinished business with Vader.

Act III, scene V - The confrontation on Mustafar between Vader and Kenobi. First, we see Vader getting a new arm. Then an alarm sounds as Kenobi's ship lands. The confrontation begins and the duel starts. This will run pretty much as originally shot, but when Kenobi gets the higher ground at the end, Vader will blast him with force lightning, which Kenobi will deflect with his lightsaber. The robot platform Vader is standing on will lose power and plunge into the lava, leaving Vader knee deep in molten metal, clothes on fire. He manages two steps toward Kenobi, who reaches and grabs his hand (the mechanical one). Vader suckers him and swings his lightsaber with the other (meat) hand and Kenobi deflects it and cuts off the arm, causing the saber to go flying. Vader ends up lying on the hot sand, on fire, legless and armless except for his mechanical arm. Kenobi says his piece about the chosen one, etc etc, and leaves him for dead, picking up Vader's lightsaber as he leaves.

Act III, scene VI - The emperor arrives and saves Vader's life.
-cut scene to the rebuilding of Vader, pretty much as Lucas did it. The Emperor tells Vader that Padme is dead and so are the babies at the hands of the Jedi. Vader swears to exterminate the Jedi.
-cut scene showing Kenobi going into exile on Tatooine.

Roll credits.


So, what I have done is start the conflict between Anakin and the Jedi earlier, and have a lot of it occur before the movie starts. Then, I've made Padme's pregnancy further along at the beginning, avoiding the conundrum that she gives birth before getting a baby bump. I got rid of Grievous early on, and I've answered the fanboy cries to see Vader at full power, which Lucas didn't give us. I gave the audience one more chance to see Windu fighting and kicking butt. I've also deliberately blurred the line between good and evil, making it easier to sympathize with Vader and casting aspersions on the Jedi and their motivations. I've reduced the role of the Emperor to being a schemer rather than a fighter, making that consistent with the original trilogy. Most importantly, I've gotten rid of the ridiculous "one swing, three limbs" end to the battle between Kenobi and Vader, and made Anakin/Vader less whiny and full of teenage angst.

Friday, January 09, 2009

First Checkup with the Surgeon

I had my one-month appointment with the surgeon yesterday. He was really impressed with the 43 pound weight loss. My blood pressure is high (which I know - we've been checking it) but not dangerously high, so he wants to wait a couple more weeks before doing anything about it. I have an appointment with my regular doctor on the 24th, and he says if she wants to, she can put me back on the Vasotec, but not the diuretic, since I am already fighting dehydration.

Everything else looked fine- he was pleased with the healing of the incisions (they're all new pink skin, except for the drain wound, which is still a scab).

I totally forgot to ask him about playing the saxophone, which I will resume next week. I was planning on doing the old joke about "Well, I never could before!", but now I've missed the opportunity.

Bernie and I went to GNC and bought some pre-packaged Myoplex protein shakes, which will now be my breakfast that I take to work. That should take care of the problem with instant cereals, or eating too fast on my way out the door in the morning.

I made some crock-pot chili last night and had it for lunch today. Delicious, and it's sitting nicely in the stomach pouch.

You know, life ain't bad.

Thursday, January 08, 2009

Not Much New

Not much new to say, except I fell below 290. 289 and declining.

Friday, January 02, 2009

Bernie's Got A New Ride


Well, after a week or more of test-driving, researching, pricing, negotiating, changing her mind, test-driving again, etc., Bernie finally made up her mind and chose a new Toyota Corolla.

...then had buyers remorse 5 minutes after signing the papers. Too bad - it's ours now. She likes it, but she misses her old car, too.

Four Little Things

Four little but very positive changes I've noticed since I had surgery:

1. My face has totally cleared up. I used to have an outbreak about once a month. Now I don't even have blackheads on my nose.

2. No more C-PAPs machine. I haven't used it in a week, and the last two times I tried, I woke up and wanted the mask off. I'm sleeping great without it, and no back pain, either.

3. No more blood pressure medicine. I swear, when I was 26 and started needing BP meds, that's when my hair turned gray. I think some blond might be creeping back in now, but that could just be my imagination.

4. I'm cold. I'm cold all the time now, and I never felt cold in my life before this. Maybe this means I won't be hot and sweaty all the time this summer.

Thursday, January 01, 2009

Wednesday, December 31, 2008

First Mistake

Today marks my first screw-up. I made instant grits at work and didn't water them down enough and they swelled up in my stomach. I nearly threw up - had a couple of weak dry heaves - but they eventually went the right way, after some discomfort. I called the nurse and she congratulated me on not screwing up before this, and told me that I had no need to worry, just be more careful with grits and oatmeal in the future.

I'm 292.6 this morning. 40 pounds lighter. It seems like I'm losing about 2 lbs a day.

Sunday, December 28, 2008

Sunday Morning update

This morning, the scale upstairs (The one that reads heaviest) said 297.

Dec 26 meals:
Breakfast: soft-scrambled egg
Lunch: pureed hot dog with cheese sauce
Dinner: refried beans with cheese sauce
Protein goal met
Water goal met

Dec 27 meals:
Breakfast: soft-scrambled egg, milk added
Lunch: Soft cheese (I chewed until it was liquid before swallowing)
Dinner: Beef rib puree
(I cooked this for four hours at low heat in the oven, then put in the food processor with the broth that cooked out of it and it was delicious)
Extra: A scoop of sugar-free ice cream
Protein goal: Failed - I didn't make a shake all day.
Water goal: Failed, but I drank a whole 20 oz bottle of G2 over the course of the day.

We walked around the neighborhood on the 26th for exercise, and yesterday, though we didn't walk, we did go to the Super Wal-Mart twice and walked around the store while shopping.

Friday, December 26, 2008

Thursday, December 25, 2008

Season's Eatings

First of all - the bottom line: Dec 25 - 301 lbs. That's 32 lbs lost. I expect I'll be well below the 300 mark by Monday, when I go back to work, and I'll never ever see that "3" digit in the first position on the scale again. Once I'm cleared for strenuous exercise, I'm going to work my butt off to get to 250 as quick as I can. I'm beginning to think that sub-200 lbs is a distinct possibility by the end of 2009. I've been slack on the walking due to the holiday. That will change tomorrow, I promise.

I got a totally cool 3-cup food processor for Christmas. The huge one we have was impractical to keep cleaning for such small portions.

Meals (approx 1/4 cup portions):
Dec 24 - breakfast: grits
Dec 24 - lunch: shepherd's pie
Dec 24 - dinner: refried beans with guacamole, cheese and sour cream
Dec 25 - breakfast: runny scrambled egg and grits
Dec 25 - lunch: ham puree with green pea puree and turkey broth
Dec 25 - dinner: organic peanut butter

I probably didn't get my protein goal on Christmas Eve. I'm pretty sure I did today, since I had a double-strength protein shake in the afternoon, and three high-protein meals.

Christmas Eve dinner and Christmas lunch were absolutely delicious, and Christmas lunch was made using my new food processor. Awesome!

Wednesday, December 24, 2008

Good Tidings

Not only do I convey good tidings to my readers for the holiday, but I have good tidings to convey of my recovery as well.

No more stitches. They all dissolved today. The tape over them was itching like crazy, so I peeled it all off after softening them up in my shower this morning and there were no stitches underneath. The wounds look 90% healed, and after getting rid of the tape, the itching has stopped.

I did hit up against the stomach capacity limit today while drinking a protein shake. Felt like I had a reflux coming up (not a burning acid one, though). I kept it down, but now I have been reminded to not drink thick liquids so fast. Cheap lesson.

Tonight we go over to my folks' house for Christmas Eve dinner. We'll see what I'm able to eat.

Tuesday, December 23, 2008

Arguments

I would like to reflect on an issue that will come up for just about anyone having weight loss surgery.

Family - and what to do about their opinions and attempts to control you.

I have in front of me a printout of the pureed/blenderized diet guidelines that the doctor and nutritionist gave me. To summarize, it says:

  • You will be on pureed/blenderized foods for a month, in addition to the clear liquids you have already been taking. (and it explains why)
  • You may not have concentrated sweets or simple sugars. (and it explains why)
  • No gum (for obvious reasons, but it explains why anyway)
  • Avoid gastric irritants like chili powder and hot sauce and caffeine.
  • No carbonated beverages.
  • Don't drink within 30 minutes of a meal.
  • Portion size should be 1/4 of a cup of pureed foods, 3 times a day.
  • Increase fluids to 64 oz a day.
  • Protein goal is 70-90 grams a day.
So, my mom calls me yesterday and asks what I've had to eat. I tell her I had grits for breakfast, and had mushed up Turkey Spam into a puree with chicken broth and mayo for lunch. She went ballistic. You see, the rules given above - which couldn't be any clearer to me - were interpreted differently by my mother. She thinks it means:
  • Only eat wholesome foods
  • Don't mix ingredients
  • Nothing out of a can
  • Nothing fattening
  • You should be eating baby food
So we argue. Despite having written in black and white the absolute rules and the freedom between the lines - she wants to criticize my choices.

Folks, being fat means that you are at the mercy of every well-meaning person out there that wants to criticize you. Because, as we all know, if we had just followed their advice, we'd have never gotten fat in the first place. There's an idiot on a sports message board that I go to whose opinion is that fat people are all losers because we're incapable of following a few simple rules regarding burning more calories than we take in. Like it's that simple. Well, he thinks it is and therefore all the fat people in the world are just losers.

Anyway, one of the most important reasons for having this surgery was to get "My Diet" off the list of things that it's OK for someone else to criticize. Really, who asked for their opinions in the first place?

So get ready, anyone who wants Weight Loss Surgery in the future - these people will not give up their favorite subject easily. Critics will be critics, and after you lose your hundred-or-so pounds, they'll find something else to criticize.

Monday, December 22, 2008

Advice for Future Roux-en-Y Patients

Here's my first round of advice for those who are contemplating doing this surgery in the future:

In the hospital:

  1. Gas-X strips (the ones that melt on the tongue). Take them to the hospital with you.
  2. Walk as much as you can while still in the hospital. Do it 30 minutes after every dose of pain medicine - right when it kicks in. Walking prevents pain.
  3. Get someone to stay with you in the hospital. If you wait for a nurse to help you walk, you won't walk enough. Don't be at the mercy of the call button.
  4. Males - get the catheter out as soon as you can. Make whatever deals you have to make with the nurses or doctor or devil. Walking with the catheter really sucks. If you prove to them that you can get to the bathroom whenever you need to, they should agree.
  5. Learn your pain meds and how long it takes for them to kick in and how fast they wear off. Try to be asleep when they wear off and plan activities for when they're fresh.
  6. Sit up in a chair as much as you can. Heck, you can use the hospital bed to do no-effort sit-ups. The idea is to move things around in your abdomen to get the gas to settle out.

At home:
  1. Continue walking as much as possible.
  2. Find a nice recliner to sleep in, preferably one that rocks so you can use momentum to get out of it instead of your abs.
  3. Figure out ways to avoid using your ab muscles.
  4. You won't start passing solid waste until you start on pureed foods. Have Milk of Magnesia around in preparation for that day. Take it before you have to. Your pain meds cause constipation, and your ab muscles are NOT ready to push that hard.
  5. Ever consider a bidet? Mine saved my life today. It beats a hot-water bottle.
  6. Get off the pain meds as soon as you can.
  7. Don't get impatient with your 'nurse'.

Checkpoint 1: Start of Week 2

Original Weight: 333 lbs
Current Weight: 305 lbs
Total Weight Loss: 28 lbs
Weight Loss Since Surgery: 15 lbs

This morning, I ate some thin grits made with chicken broth - about 1/4 cup. They seem to be digesting comfortably. After eating that much, I am no longer hungry. So far, so good.

UPDATE:
Lunch and dinner were Spam Turkey mushed up with mayo. The big news is that the digestive system became fully functional today, with the help of Philips' Milk of Magnesia and the bidet I installed in the master bath. Thank God for that thing.

No pain meds today. I am now officially medication-free. We're going shopping tonight at Wal-Mart to find some tastier things to puree. I have in mind some sort of pizza-mush, or hot dog with mustard puree. I haven't had meat in weeks, folks.

Sunday, December 21, 2008

Some Questions Still Remain

Here I am, six days removed from surgery, and some mysteries haven't been solved yet.

For instance:

  • So far, all I've had are clear liquids and I haven't noticed any "full" sensation from my new small stomach pouch. Either the fluids (and this includes Jello) are pouring right through the stomach without pause, or I haven't approached the limit yet. Not that I'm anxious to push it. I wonder just how small that pouch actually is?

  • I've had "interest" in food, but no hunger pangs. I wonder when this will occur, or is that something I'll never have again? (God, please let it be so)

  • I keep wondering what will happen to the larger part of the stomach that no longer has a full-time job. It's still complaining loudly and producing gas and nothing else of benefit. Is it eventually going to accept its new role and shut up? Is it going to go crazy and dump a bunch of acids into my bowels when I start on pureed food?



  • Also regarding the unemployed stomach - what happens in the future if I catch a stomach virus? Do I have two separate cases of nausea?

 
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