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In the beginning - My weight problem started a day or two after
I was born 54 years ago. The older I got the slower I got, the less I
did or felt like doing and the heavier I got. In May of 2001 I had a physical
and was diagnosed as type II diabetic, blood pressure 159/96 even with
medication, weighed 282.5 #'s at 5 feet 7 inches, had sleep apnea, and
all my labs were bad. I had read about Carnie Wilson having weight loss
surgery and later read about consumer advocate Benjamin Dover having weight
loss surgery, but had put it on the " back burner" so to speak until just
before my May, 2001 physical. That was when I started doing my on line
research about this surgery. I approached my doctor during my physical
about referring me for WLS. I was ready for a fight but much to my surprise
and delight he was quick to say that he thought I would be the perfect
candidate. Thank God for informed doctors that don't fall into the trap
of thinking that all fat people are just pitiful gluttons that have no
self discipline. Well before I went to the WLS surgeon I had done enough
deep research to know that I wanted Roux-En-Y gastric bypass and no other.
I interviewed the doctor with my detailed list of questions in hand (
by the way I also had the correct answers ), he didn't interview me. He
tried his best to get me to sign up right then and even submitted to my
insurance for pre-approval, without my permission. It didn't work! That
doc had it all wrong, he didn't understand that patient also means CUSTOMER.
He did not meet my standards and I never went back. The next surgeon was
really on top of things. He didn't let me ask my questions he just started
giving me the correct answers without me having to ask the questions.
In fact he tossed in a couple I had not thought of. An important part
of the process was to have my wife along with me so she could ask any
additional questions or raise concerns directly to the doctor. I had already
explained the surgery to her in detail so she would be prepared. She has
been extremely supportive through out the process and I believe that "including"
her in each step of the process helped her to be able to support me. I
had my surgery August 6, 2001 and spent 4 days in the hospital. I was
on nothing but IV until the last day, that was hard. I was out of bed
and walking the afternoon after my surgery. My surgery was "open" with
an incision from my breastbone to my navel and a drain tube off to one
side. I had never had surgery before and it really wasn't fun at all,
but I would do it again tomorrow without hesitation. I felt like I had
no other choice but the surgery and it needed to be done now before my
health got any worse. So far I had not suffered any physical breakdowns
such as back, knees, heart, etc, but as I mentioned above I had a lot
of problems already that could only get worse. Once the decision was made
I made a determined effort to get things rolling without any unnecessary
delays. The morning I entered the hospital I was prepared for what ever
happened. I was eating myself into death or disability so I didn't fear
death from the surgery; at least it would be fast. By the way the surgical
risk is very minimal, the same rate as any surgery where the patient is
under general anesthesia. Mine was uneventful except for some pretty high
fever due to "body insult" not an infection. The recovery was about 6
weeks but I could have gone back to work sooner if I had needed to, but
really needed the 6 weeks. I found a cane to be very handy to steady me
and to pull up my blanket, etc. I walked some every day to help regain
my strength. After 3 1/2 weeks the doctor removed my staples and my gastric
tube. He advised that I could begin soft solids and only advised against
bread, beef ( I ignored this one ), and high sugar items. Back to pre-surgery
days.... Food was my "DRUG OF CHOICE".... I would eat when I was sad and
depressed, when I was bored, when I was happy and any time between. I
so enjoyed eating that I lived to eat. One example - I could not resist
any kind of chips and was so bad that my wife accused me of being able
to "sniff them out." Of course the truth is my compulsion drove me to
search every where. I found them in the washing machine, under clean laundry,
in the pot and pan drawer. My wife actually set our kitchen on fire because
of chips hidden in the oven. Sounds pretty sick doesn't it but it was
my reality and I had to face it and myself while there was still time.
I wondered if anything could ever get me over the head hunger. I saw that
as my biggest challenge. The surgery could limit how much I could eat
but would I be left with an unsatisfied head hunger to make my life miserable?
Would I be "the one" that this didn't work for? Would I have complications?
This was a major and permanent life change I was entering into, would
I be sorry, would I be disappointed with the results? I studied thousands
of pages of on line documents and searched posts in WLS web clubs collecting
notes, hints, and problems so I could make a fully informed decision.
This was a decision only I could make and if it was the wrong decision
I would have no one to blame it on. Can I eat " real " food? - sure...
I so enjoyed eating that I lived to eat. I am proud to announce I now
eat to live. I can eat almost anything as before only much less. I have
very little "head hunger" now. Before I was driven by head hunger. When
I see the size of the meal I ordered before I can't believe I could ever
eat that much. I still enjoy my food but I order the children's meal and
a take out box with it. Before I eat I box up 2/3 of the meal and then
eat. By the time the 1/3 has been eaten I am full AND satisfied, not to
mention I have more time for conversation with my wife and friends. I
eat 3-6 times a day and that helps satisfy. WLS is a powerful TOOL.
February
2002 - a little progress report - Before surgery one flight of stairs
left me with hurting knees and out of breath. Today I train at a gym at
least every other day. As part of my training I do several hundred stomach
crunches at 125#, ride several miles on a stationary bike as well as assorted
other exercises for arms, legs, etc. This grew out of parking a little
further out on the parking lot at work each day until I reached the end
of the parking lot and had to add walking around the building to feel
like I was getting any exercise at all. It is all amazing to me. I would
have never believed that I would ever reach the place in my life that
I wanted to go to the gym for fun. I am down about 70# now and expect
to reach my goal weight of 175 or so by my first anniversary.
One year update August 2002 - My weight stabilized at 202 #. I
have lost 75% ( 81# ) of my excess weight which is within the expected
70-80% weight loss. I would like to lose another 15-20#s and could with
a little more self-control but my health, strength, and outlook are better
at 55 than at 35. I have never "looked back" at my decision to have this
surgery. If I knew I would never pass the point I have reached today,
I would still have the surgery without hesitation. I have been truly reborn
through this process.
Feel free to e-mail me Bill
if you have any questions. Please
sign my guest book.
On line Weight Loss Surgery ( WLS ) clubs - these clubs are comprised
of members that have had WLS or are thinking about it. These are real
people asking questions, answering questions, and sharing. http://groups.yahoo.com/group/wlshome
http://groups.yahoo.com/group/afterweightlosssurgery
http://groups.yahoo.com/group/gastricbypasspeople2/
http://groups.yahoo.com/group/Graduate-OSSG
- can view posts but can't join until one year post-op
Professional web sites about WLS - these sites explain the types of
weight loss surgery and what to expect. http://www.weightlossreduction.com/Roux-En-Y.html
http://www.bariatric.com/progsurg.htm
http://www.bariatric.com/roux.htm
http://www.gastricbypass.com/
http://www.surgery.wisc.edu
http://www.obesityhelp.com/morbidobesity/home.phtml
http://www.bendover.com/obesity.asp
- Ben's story http://www.dallassurgerycenter.com/
- Dr. John Alexander, my doctor
http://www.bendover.com/gbsinfo.asp
- Ben's help with getting insurance approval
http://www.obesitylaw.com - Help
with getting insurance approval, even when excluded by the policy.
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Retrospective Nov 2002 - I first must stress two things; 1. you must
make the decision yourself. Don't allow anyone to force you one way or the
other. 2. bypass surgery is not a magic cure, it is a wonderful tool but
will need your actions to be truly successful. I still struggle with food
as medication but have achieved a quality of life better than it has been
for more than 20 years. I had quit smoking 30 years ago, cold turkey, but
food was another matter. I could never control my eating for more than a
short time and the rebound weight gain was more than I lost. I could not
exercise due to pain, shortness of breath, stamina, etc. I had to learn
to exercise and now enjoy it. The surgery didn't make me exercise, that
was my job. The surgery did give me the ability to be able to exercise and
that created an upward spiral just as eating and getting slower created
a downward spiral. Complications from RNY surgery are normally no greater
than any other surgery, very small. I measure that against the known risk
of obesity and the associated health related problems. I don't actually
diet in the normal sense. The surgery has limited my ability to over eat
and that has helped me limit food intake. I do eat several small meals a
day and that also helps. I still graze some and try to keep these things
that tempt me out of the house. The food demons are still there, but I now
have the upper hand. The only surgery I would consider is the RNY ( Roux-En-Y
). The others, such as VBG just aren't as successful in the long run. Go
see the surgeon armed with a written list of questions and concerns ( so
you don't forget any ) and get first hand answers. Then make you decision.
I have lost about 75% of my excess body weight and that is in line with
the expected results of WLS. Personally I would have the surgery again in
the morning. You must make the decision because you are the one that will
live with it."
bill |
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