Monday, July 6, 2015

Dear Diet Coke...

Dear Diet Coke: I will miss you.

Today was day one of my diet coke cleanse. I can not lie...this is difficult. However, it has to be done. Not drinking Diet Coke will be my biggest challenge and therefore, is going to be the first one. It can only get easier...right?

Symptoms: headache, neck ache and overall I am feeling tired and run down. I also find that I am craving sweets, which could just be a coping mechanism. None the less, the craving is there.

I have tried other forms of caffeine, however it isn't helping curb the headaches. I think all that will help is time and avoiding drinking any pop.

 photo signature_zpsb79c2af6.jpg

Sunday, July 5, 2015

The holiday and the dietician

I hope everyone had a great 4th of July weekend - I know I did!! I got to spend quality time with my family and enjoy the great outdoors. It has been a few years since I was able to spend time in the lake - since the weather has been so cold, it hasn't warmed up enough. This year we were finally able to enjoy it again!

Anyways, before I ventured up north for the weekend I met with my dietician for the first time. It was very enlightening. The appointment started with her asking me quite a few questions, which led to me having to say all of my bad habits out loud in a matter of 10 minutes. Talk about a stomach punch.

However, this is a very necessary part of the process. I have bad habits, which has led to me being overweight. I am a snacker. I eat too much fast food. I don't stop eating when I am full. Plus many more. It was an overall great appointment, I learned quite a bit. Some tips she shared with me included:

1. Only eat at a table. Even if it is a snack. If you aren't hungry enough, you likely won't eat at the table unless it is time for a meal.

2. Avoid routes on the way home that take you by fast food places so you will be less tempted.

3. Stop eating when you are full. It takes 20 minutes for your brain to catch up to your stomach.

She also set nutritional goals for me to start working on now, which will overall help when I have surgery:

1. Eat 3 meals per day and eliminate snacks
2. 64 ounces of water each day
3. Remove beverages from meals
4. Eat 60 grams of protein per day
5. Keep a food diary
6. Use measuring cups and spoons
7. Remove trigger foods from home
8. Exercise plan: 3-4 times per week 20-30 minutes
9. Avoid pop and juices

So, my first goal is to cut out pop completely. My second is to clean out my kitchen and start meal planning every Sunday. I meet with the surgeon again tomorrow. Stay tuned...
 photo signature_zpsb79c2af6.jpg

Monday, June 29, 2015

Decisions, decisions...

Well, as you read in my previous entry I have decided to have weight loss surgery. Which procedure has yet to be determined. The surgeon I have decided to work with provides three options:

1. Lap Band - which I do NOT want. I have been witness to way too many complications as a nurse in the ER. I don't like that a foreign object is wrapped around my stomach, which in a lot of cases, ends up eroded into the stomach tissue. Plus, the success rates for this surgery are very slim and most insurance companies will not cover the costs of your band revisions. So...take this one right off the list!

2. Gastric sleeve - Otherwise known as the laparoscopic vertical sleeve gastrectomy. This is the surgery I was the most sold on until I went to the bariatric seminar and have research more. This surgery involves permanently removing 75% of the stomach, which limits the amount of food you can eat and helps you feel full sooner. This is becoming the gold standard and has increased in popularity. The problem I am finding is that most patients complain of severe gastric reflux and the long-term results are not as good as the bypass. Quite a few patients re-stretch their stomach and can back the weight- which can happen with the bypass, but not as easily.

3. Roux-en-Y - Otherwise known as gastric bypass involves creating a small pouch out of the top of the stomach and rerouting the intestines to create a restrictive and malabsorptive component. Patients lose approximately 80% of their excess weight and the long-term effects are well documented. The risk is relatively the same as the sleeve. I am leaning toward this procedure, but I am still deciding.

However, I have time. Lots of time. The testing and time and energy that goes into this process is plentiful. So far I have had a gamut of labs drawn, which led to me being placed on 4 vitamins: Vitamin d, Vitamin A, Calcium, and a multivitamin. I also had to have an exercise screening and an upper GI to test for reflux. I am in the process of trying to schedule a psychological evaluation. I have a meeting with a nutritionist on Thursday and I go back to the surgeon on Monday to find out what is next on my list of pre-op work. 

I am anxious to find out what the nutritionist has to say. This is very exciting, and yet terrifying, at the same time. I appreciate everyone joining me on this journey. My family and friends have been nothing but supportive. It will be a long road and I am excited to share the journey with you all.

 photo signature_zpsb79c2af6.jpg