New adjustment and the end of hunger pains... I hope

I'm a little frustrated because I am still at 347. Now I am quite bloated this morning. I can tell because my home scale weigh -in should have been better and I took my lasix (water pill) this morning and I have already peed like four times and it's only 8am.

On the 2nd of November I had an early adjustment in  the aperture of the band. They added one more cc. I'm sure I am at at least 5cc or maybe 6cc. I got a little confused by the doctors notes from the previous saline addition. Nonetheless, it seems to have worked. My food is staying in place above the ring and water only trickles through. I have to be careful with my meds because I could easily get them stuck and then I would have to wait until they dissolved.

So now I am sticking to the 1/4 cup rule three times a day. I really want to kick this weight loss up a notch. Last night I measured out exactly 1/4 cup of marinaded chicken bits and they stayed in place until I started sipping water. The idea is to keep the food above the ring so your body (stomach) stops creating the acid that makes you hungry. My biggest foe has been my raging appetite. If I can rid myself of the physical and mental hunger than I can lose the appropriate amount of weight.

This morning I made a scrambled egg with some ham bits and a pinch of cheese. When I measured it, it was too much by two times. So I divided it and I will have the rest for lunch. One egg is too much. It surprised me too.

My estimates of loss were too optimistic. I think I can weight 330 by November 21st. In December I should be able to lose at least 15 pounds, so I should finish the year at 315. If I only lose 10 pounds per month then I should around 290 to 280 by my birthday. At that point I really won't be that freaked out by slower weight loss. After all, at 280 by March 19th would be an overall lose of 130 pounds. I would settle for 120.

The best part of this weight loss tool is that I shouldn't ever gain the weight back. Life changer.

The roller coaster of emotions- My father-in-law's deterioration

It has been a difficult two weeks. On Monday the 12th of September, my father-in-law, Jerry, had a massive stroke. We drove from Colorado to Little Rock Arkansas that afternoon and arrived the next morning. It is nearly a 1,000 mile trek and I had to abuse my manic tendencies to drive the distance so my wife would be rested when we got to the hospital.

After five days he wasn't responding, but he seemed stable so we came home so Cheri could go to work on Monday. On Monday morning I called to check in with my mother-in-law and she told me he was having strokes on the other side of his body. I freaked. I thought that this was it so we drove back down to Arkansas because we didn't want her mom to be alone during this crisis. The week wore on and one moment he seemed to know that we were there and then he would not respond at all, but he remained stable so we came home last Saturday. I haven't called in to see how he's doing today. At this point our next trip will be for his funeral.

All of this driving for 14 hours straight and eating truck stop crap along with hospital food and fast food and just plain crappy food coupled with the fact that I had intentionally threw myself into hypo-mania four times plus having recently come off of a bad bipolar episode not only exhausted me, but it also changed the weight loss trend from down to stagnant to up.

Frankly, I didn't have the emotional will power to stay on my diet, plus I really don't feel the lapband yet. I need a few more adjustments so I can actually feel it and so I am truly restricted in food intake. Right now I think I could pretty much eat anything I want so losing weight is pure will power.

While I stopped losing weight, thus solidifying the truth that the lapband is a tool not a solution, I didn't gain all that much and I should be back down to pre-Jerry levels by the end of the week. At this point I will be happy to have lost 70 pounds by the time I go to NYC Thanksgiving week. Today I am at 43 pounds lost and I will be back to 50 pounds lost quickly... unless I have to run to Arkansas soon.

Successful weight loss methods

Elk Meadow Evergreen Colorado

This morning I weighed in at 364.8. That is a full 45 pounds lost in the month of August. I feel great. While the lap band surgery has helped thousands reclaim their healthy selves, I believe my results are atypical.

My extreme weight loss is due to a variety of tools that I don't believe most bariatric patients employ. First, let me say that I have not missed a single meal; albeit small meals. I think my meals edge more towards 1/3 cup rather than 1/4 cup of food. I'm probably eating 3-4 oz and I am supposed to be eating 2oz. I should get a portable scale and keep a fold up 1/4 cup in my pocket when we go out and I do challenge myself by going out with my wife and friends as often as possible. It's like a test of my will and so far I have been resoundingly successful. I have also gone out for drinks at which time I have been quite satisfied with pineapple juice. Obviously with my stage four liver disease, drinking is off the board anyway.

August 20, 2011 380 pounds

I have also been taking all of my vitamins and supplements as well as my bipolar meds. I was worried that I would have to adjust or split or crush my meds, but it hasn't been an issue. That is one of reason's that I had the lap band rather than gastric bypass. I was afraid my bipolar meds wouldn't absorb well, but, since my meds still go through the same gastronomic system, that hasn't been a problem at all. Maybe it will be more significant after I get my next band inflation on September 9th.

So why do I think I have been more successful than most? Because I prepared for the surgery since last November when I started going to weight related therapy and hypnotherapy to peel apart the layers of emotional crap that was partially responsible for my weight gain. In therapy, I found out that the sins of my past and the numerous suicides in my family had a greater effect on my psyche than I thought. The hypnosis helped me break my addiction to food. Mentally, I was ready for this opportunity.

Elk Meadow

I also worked on calibrating my bipolar meds so I would be able to manage, with the supervision of my psychiatrist, a steady course with the caveat that they may need to be adjusted as I lose weight. So far so good. I've felt somewhat in control of my symptoms. That doesn't mean that I don't float up and down or have anxiety attacks, but the frequency hasn't changed with the weight loss yet. I thought my body was purging fat stored Seroquel and it may have been, but I have recently stabilized and restored my normal prescribed dosages. It's important to emphasize the need for a healthy mind because, in the past, I ate to sooth emotional pain or reward myself with treats.

In addition, sleep is incredibly important and that is still a challenge for me. I can only sleep with heavy medication support. I recognize the importance of sleep and will continue to work on it. Last week was real bad and I have just regained control over my hypo-mania... I think.

Elk Meadow

Possibly the biggest contributor to my rapid weight loss has been exercise. Much like I was in 2009 as a vegan fighting to lose weight, I have been in the gym five days a week and I have been hiking on very challenging Rocky Mountain paths on the weekends with my thin and fast walking wife. I just try to keep up. It's important to note that exercise alone doesn't really effect weight loss directly, but it does make you feel stronger, lighter, and more healthy which only encourages you to stick to the diet. I love exercise. I love feeling fit. Even at my weight, people are amazed at my success with physical challenges. I am a lot faster with far more endurance than you could imagine.

My workouts always begin with 20 minutes on the treadmill. I don't just walk, I walk so fast that I just have to adjust the speed to send me into a fast jog (a run as far as I am concerned). This is a technique that I picked up from a exercise guru. Walk fast then run as fast as you can to trick your body into thinking you are running from life threatening threats. It's about working on your animal instincts. Your body says run and it automatically goes into a weight loss mode to try to protect you from said threat. Believe me it works.

Elk Meadow

The method I use is to walk fast for two or three minutes and then run like hell for a full minute and then go back to walking fast. When I am ready, I run for a minute again. Overall, I "run" for at least five times during the 20 minute treadmill. Two weeks ago when I returned to the gym after surgery, I could only go about a mile in 20 minutes, but now I am going 1.25 miles in 20 minutes and it gets a little better everyday.

After I am completed with the 20 minute "warm up" in which I become a sweaty mess, I work on the weights to keep my muscle tone. I don't want my weight loss to come from muscle breakdown. Besides, I want to look and feel big and strong. I naturally have huge arms and a wide chest so I look more like a body builder than an out of shape fat man. At least I like to think so. That is part of the reason I want to eventually be 190 to 200 pounds because I used to be more muscular than thin even when I was thin. One time I lost weight for modeling and I felt horrible. 200 is good for me.

Finally, if time permits, I shoot basketball hoops and go through drills for at least an additional 20 minutes or more. My entire workout can last 20 minutes when I don't have time to an hour and a half to two hours when I have the time.

Colorado trail 2009 at 350 pounds

I really didn't think I would lose 45 pounds in my first month, but I did and I fully intend on keeping the pace. If I do, then I should lose another 25 pounds in September and October and November thus making my weight around 275 when I have to start traveling again. There's nothing worse than not fitting into air plane seats on an overseas flight. 275 pounds?? No, that's insane. If I'm anywhere near 300 I will be ecstatic.

Regardless of the insane goals, I will continue to fight because the Obesity Warrior is back baby. The very best part of the lap band opportunity is that I won't ever gain the weight back. That is if I don't screw it up, but I doubt that I will. I need to be slimmer as fast as possible in case my liver and kidneys decide to fail. I become a better candidate for a transplant if I am thinner. I don't know the exact cutoff, but I imagine if I am 250 or so, then my weight should no longer be an issue. Tick tock.

Doubting Thomas

Sometimes I think people want you to fail. This weekend we had relatives over and all they could talk about is how many people they know that have failed with the lap band. The story is always basically the same. Someone go the lap band and lost 50 pounds and then started eating bad food or overeating so they could stretch their stomachs. The lap band is a tool. It gives me a fighting chance at a normal life in which I can get a new liver and live forever.

It is no the lap band that has failed; rather, it was the lap band that was failed. Anyone can mess up a good thing and if someone gets the lap band and then overeats or becomes an alcoholic, then it's their fault. For every person that fails the lap band there are 20 that have succeeded. People just don't want to hear good news because it's not as fun. Maybe it's not the "fun" factor. I think it's probably that people need to talk poorly about other people in order to feel better about themselves.

Nonetheless, most statistics gauge the amount of weight lost by the various types of surgeries. In every case, without complications, people lose weight. How much and for how long is purely the responsibility of the patient and not the surgical procedure. The fact is that bariatric surgery is necessary in every super morbid obesity case I have ever heard of. In terms of success rates, the long term weight loss from bariatric surgery far exceeds any traditional diet or extreme weight loss like the television show "The Biggest Loser." I am more interested to see the tv show's long term success rate with people that lost weight on the show. I am sure it is dismal. Anyone can lose weight for 6 months, 9 months, maybe even a year, but morbidly obese will eventually gain the weight back. That is where the surgery is different. I guessing here because good data is hard to find, but I wouldn't be surprised to hear that 95% of surgery patients lose significant weight and, of those, 80% keep the weight off for life. Those are stats that I can life with.

Where does the fat go?

Since my surgery I have lost an estimated fifteen pounds. On the doctor's scale on August 29th I weighed 413 with my clothes on (polo shirt shorts and tennis shoes). This morning, without clothes on, I scaled in at 393.6. If there is is a difference of five pounds between the two scales then I still lost fifteen pounds. On Friday I will go to the surgeons office and we can see what the difference really is.

My infection is gone and I am no longer constipated. I did a lot of walking this weekend and I think I'm ready for the gym without lifting weights. The most important thing is that I feel better already. My clothes are fitting better and I can get into and out of my low profile BMW easier.

Day one after my surgery

My silly sons

I'll try to explain in detail about how I feel. I slept great last night. I started out sleeping on my back and then rolled to the side. Once I was there I got comfortable. Each of the incision points are sore, but my stomach muscles are the sorest so things like sitting up and bending down hurt, but it's not unbearable. I am on oxycodon so the pain is moderated. I am taking 5 mg about every four hours so I'm not all tanked up.

Last night I couldn't even feel any obstruction in my stomach, but I didn't chance it anyway. I took slow sips of my Boost protein drink and water. I was able to pee easier as the night went on. My walk down the block was uneventful. I didn't have any more pain than I do sitting down. I was able to take my medications without breaking them up. That was probably one of my biggest anxieties, but their rule about nothing bigger than a peanut is holding up.

Fat Man. No not me, the atomic bomb. Los Alamos NM

This morning when I woke I noted considerable bruising around the incisions, particularly the longest one on my right side. But no oozing or blood on my sheets this morning. Moving around is still easy. My bedroom is downstairs so I have to use them a lot and I haven't had any trouble. I did reach down and picked  up my nearly two year old niece without thinking. She's 28 pounds and I'm not supposed to lift anything over 25 pounds for two weeks.

Perhaps it the swelling, but I can now feel cold water slowing down before the lapband. I was once again able to take all of my morning meds without incident. I can feel the lapband when I swallow water or my morning Boost drink, but it seems to be completely bearable. I also don't feel real hungry like I did before. I've heard that the third and fourth week can be a bitch as far as feeling hungry, but then it goes away.

Realize Band

The lapband feels like a funnel at the base of my ribs. I have yet to venture with a large gulp so I haven't had any back up or any problems with the band. I don't think it's going to be as hard as I thought. I even sit with the family during meals and it's not a big deal watching them eat. Since I had been eating light over the weekend and having been on a liquid diet since Tuesday, I can already feel some of the bloating going down. I hate the feeling of being stuffed and I will never have to worry about that again. I feel pretty good in general this morning. I will be driving around a bit today and I will take the dogs for a much longer walk today.

I'M HOME!!!! The surgery went GREAT!!!

Just a short note because I want to go through all of the details later. And I made a video of myself in the recovery room. You are not going to believe it. The nurse that helped with the surgery is a patient herself. She had the lapband surgery two years ago and she's lost 175 POUNDS. She looked awesome!

My surgery started at exactly 7:30am as scheduled. I'm not completely sure how long it lasted, but I was in and out in the recovery room for about two and a half hours. I was supposed to be out an hour earlier, but I was taking a great nap! I went into the next recovery room where my wife was and stayed in bed for another hour.

I felt fine and my wounds looked great so they let me walk around and then they discharged me. I believe I got home around 2:30pm I was able to walk around including stairs with only a little bit of discomfort. The most painful spot was where they installed the fill port because it goes between skin and muscle and it was on TOP of my spleen!

I am just taking Oxycodone, but twice as much as I normally take. I had trouble urinating for about a half hour and then I went to sleep in my own bed. I slept for another two hours and then was woken up by a surprise visit from my in-laws who live in Booneville, Arkansas. And I was able to urinate.

As I write I am drinking a "Boost" chocolate protein drink very slowly and I will take another pain pill because I am a bit uncomfortable and I don't want to be "a lot" uncomfortable later. That's it for now. Thanks for visiting and pass my info to friends and family that are curious about the lapbad. I will also make a short entry onto the new website www.lose250.com .

July 30th 2011 - Video of an actual lap-band surgery!!!

BAD NEWS! I wanted them to video record my surgery for this blog, but they can't because of their insurance. At one point they would give every patient a DVD of their surgery, but then someone used it as evidence in a malpractice suit and now they won't let me film it!!!

GOOD NEWS! Someone else did get a video... 

Saturday June 25th 2001 - SURGERY DELAY!!!!!!

Our insurance is through my wife's employer and it crossed its annual renewal date July 1st. Since my surgery was scheduled for July 11th the insurance told the surgeon's office that they would have to refile the packet that had already been approved. It took the insurance eight days last month and, considering the July 4th holiday, we don't think they will be able to get the new approval before my surgery date.

Considering and estimating the timing of events, we have rescheduled my pre-op appointment for July 20th. By then we will have the new approval. The actual surgery is now scheduled for August 3rd.

While I am disappointed, I believe it was God taking care of me. For one, I'm taking a working vacation to Santa Fe, New Mexico the week of July 24th. It was never a good idea to travel so soon after surgery, but I wanted the surgery so bad I was willing to ignore the obvious red flag.

In addition, it gives me more time to formulate my funding strategy. I've marked down my cemetery plots to the point that I undercut all of the competition so I am sure I will sell them soon. Losing the previous sale was near disastrous for the July 5th pre-op meeting where I needed to pay my portion of the bills. I could have done it, but it meant maxing out three of my credit cards.

As I had written previously, the peer to peer loan wasn't working because most people are unfamiliar with the lending practice. However, I did receive an approval from a medical financing company for $3,000. The loan is fine, but the origination fee is $1,000. Their justification for the huge fee is that my credit risk is too high and the fact that they would have nothing to re-possess like a tangible item like a car or a house. So basically, this company would be loaning me the money without any security. I don't like it, but I get it.

I have until July 8th to accept or decline the loan. Hopefully I won't need it, but I would rather accept the fee than max out my credit cards or borrow money from family. If you look at the whole picture, I am saving $2,000 because the hospital classified my surgery at the lower rate plus I can save $1,800 by paying the anesthesiologist and the surgical assistant early. And, of course, its just money and I would have gladly paid far more than I am actually going to pay to have the surgery. If they had told me I needed $12,000 it would have been a challenge, but I would still do it.

The main thing is that I am frustrated and seriously depressed by my weight. I do not like being fat. No one does. This surgery will literally save my life by weight loss and increasing my potential ability to have a liver transplant. I hate the delay, but it is probably a good thing.

Tuesday June 21st 2011 - A better way to fund bariatric surgery!

I thought I was all set, but my financial plan needed the sale of two cemetery plots that I thought I had closed, but, on Father's Day, the elderly couple's grown children told them not to worry about pre-planning. Someone else could buy the plots, but I can't rely on that payment by July 5th when I need to pay the hospital. 

I could use my credit cards or a personal loan, but I decided to try a different route to close my $3000 gap. I have listed my loan request on Prosper.com which facilitates "peer to peer" investments. The idea is that any site registered investor could go to my request and invest as little as $25 or more towards funding my loan request. The collective investments will quickly fund my request in days. 

Unlike Kiva.com micro-loans, peer to peer loans generate a strong return on their investment. It's really a smart way to help out a friend without all the personal crap.

My loan request is for : This loan will be used to... prepay balance of $3,000 from a $16,000 Realize Band surgical procedure on the 5th of July for the surgical procedure on July 11th, 2011. 

To see my loan listing and hopefully invest in my request, go to https://www.prosper.com/invest/listing.aspx?listingID=512627&utm_medium=email&utm_campaign=system_event&utm_source=borrower_listing_created&utm_content=view_listing

Sunday June 19, 2011 - Insurance approval letter

I did a mental cartwheel when I received this letter from my insurance company approving my Realize Band procedure and I thought I might share it.

My favorite sentence is "Based on the information provided to us, we are pleased to authorize your admission for the service(s) list above." Procedure listed above: "Lap place gastr adj device."

June 17th, 2011 - READY TO GO: Surgery date July 11, 2011 !!!!!!

I just received the call from the surgeon's office! My insurance has authorized the surgery!


Important Dates:

• Meet with Swedish Hospital on July 5th for pre-surgery blood draw and medical review. It will take at least one hour. Apparently, there is a lot of paperwork and review of my doctors notes.
• Meet with Dr. Tillquist (surgeon) after I finish with the hospital on July 5th for final prep. It is at this time that I will pay the hospital $4500 and pre-pay the anesthesiologist $1080 and pre-pay the surgical assistant $270 (for reasons unknown, the assistant must be paid in cash or check).
• SURGERY DATE : JULY 11, 2011 !!!!!!!!!!!!!!!!!!!! I will find out the exact hour next week. It will be in the morning and I should be on my way home before evening!

At this point I have the $4500 in cash as well as the $270. I may have to use my credit card for the $1080, but it is a green light. It is going to actually happen. I'm so excited I could eat an entire cheese cake! (kidding) Actually, now that it is real I am going to hit the gym everyday (starting Monday) and try to lose a good 10 pounds before the surgery. YEA!!!!!!!!!!!!!!!!!! :-))