VSG Update - Almost Two Years Out from Surgery and Links

I thought that it was high time I write about my VSG surgery again! I am including links to all of my previous blog posts at the end of this post in case anyone would like to read them. I've been contacted several times over the past two years to talk about my story or to chat with friends who are considering having weight loss surgery so I feel like my previous blog posts were actually helpful to some people! Yay! That was my goal and if I can help even ONE person with any aspect of examining the pros and cons of weight loss journey and/or surgery, I'm happy I can do that! 

                               

Here's a picture of me today! Happy, more healthy, and while I feel like I could lose some more weight......and I might do that.....I am waaaaaaaay more satisfied than I have EVER been in my whole life with how I'm maintaining. I do have some frustrations and here are a few of them:

FRUSTRATIONS
- I still have to watch my weight. I knew that I would and the surgery is a tool to help you and a LIFE CHANGE. I knew that too. Sometimes though, I get mad that I still have to watch the scale, but overall, I watch it fewer times and I eat healthier so I did change my lifestyle. 
- Somehow, my eyes are STILL bigger (now much bigger) than my stomach. I still catch myself eating rapidly and sometimes eating too much. I've not thrown up, not even once, from eating, since my surgery. Most people throw up often, at least I think they might, if they overeat. When I know I've eaten too much, I hiccup a bit, feel tight in my esophagus, and feel kind of bad. Bad enough to not eat any more, but I do not feel nauseous. Well, I take that back. Twice in two years, I did feel nauseous from eating one bite too many, but I didn't push it and within minutes that went away.
- I have rediscovered "slider foods" such as chips, cake, and crackers. This is not awful, but isn't too good either because they go down TOO EASY and I can eat a lot more than I originally intended if I'm not careful.
- Drinking while eating: I still can't do this well and technically, most folks are told that you are not supposed to. If I go out after rehearsal and want to have a drink, I drink most of it BEFORE eating some of my meal and I just have to resolve to take home most of my meal.

GOOD THINGS
- I'm a size 14 which is what I was at the end of high school. I have  feeling I could be a 10 or 12, and maybe I'll want to be a 12 at some point, BUT I'M HAPPY so whatever.
- clothes are cooler and more fun to wear
- This is both good and bad......I've noticed that some of my acquaintances / friends, speak to me more, and listen more attentively to me. New people I meet, as long as they don't have the southern "Good ole' boy" syndrome, tend to look me in the eye and actually treat me like I'm present. In the past, I had many MANY incidents of (mostly men) being introduced to me and then immediately carrying on conversation with the person next to me as if I was not there. Damn shame, idiots.
- I CAN have any foods I want and so I do :-) Many folks are not able to eat certain foods.
- My hair has been able to hold curl since the surgery. It began to grow back from the hair loss I experienced so I still have many lengths overall, but it's a lot curlier!
- I don't think about my surgery or weight loss very much. I'm me and have settled into my new way of eating and I like it!

Here are PAST BLOG POSTS on my VSG SURGERY. I hope that some of these will help people. If anyone has any questions, feel free to contact me. It can be a pretty lonely place when you're researching WLS and aren't sure of many things!

1. Background, http://thewhiskeypalian.blogspot.com/2013/03/my-weight-loss-surgery-journey-part-i.html

2. VSG Journey Part II - Insurance and Going for it! http://thewhiskeypalian.blogspot.com/2013/03/wls-journey-part-ii-going-for-itand.html

3. VSG Journey Part III - Types of Bariatric Surgery - http://thewhiskeypalian.blogspot.com/2013/03/wls-journey-part-iii-types-of-bariatric.html

4. Part IV, Surgery Scheduled http://thewhiskeypalian.blogspot.com/2013/03/wls-journey-iv-surgery-scheduled.html

5. My Choice for VSG Surgery: Endobariatric - http://thewhiskeypalian.blogspot.com/2013/05/my-choice-for-vsg-surgery-endobariatric.html

6. A Day and a Half - http://thewhiskeypalian.blogspot.com/2013/05/a-day-and-half.html

7. My Journey to Endobariatric - http://thewhiskeypalian.blogspot.com/2013/06/my-vsg-journey-to-endobariatric.html

8. Discharge Day! - http://thewhiskeypalian.blogspot.com/2013/06/my-vsg-journey-discharge-day.html

9. Three weeks out from surgery - http://thewhiskeypalian.blogspot.com/2013/06/vsg-journey-update-3-weeks-out-from.html

10. Experimental Eating - http://thewhiskeypalian.blogspot.com/2013/07/vsg-experimental-eating-and-eating.html

11. 10-12 weeks out - http://thewhiskeypalian.blogspot.com/2013/07/staying-on-track-life-10-11-weeks-after.html

12. 5-month update - http://thewhiskeypalian.blogspot.com/2013/10/vsg-5-month-update.html

13. One year later - http://thewhiskeypalian.blogspot.com/2014/05/vsg-one-year-after-surgery.html

14. Hair Loss - http://thewhiskeypalian.blogspot.com/2014/03/vsg-hair-loss-yikes.html

15. VSG - What A, I Eating - http://thewhiskeypalian.blogspot.com/2014/03/vsg-what-am-i-eating.html 

VSG - ONE YEAR AFTER SURGERY

SOOOOOOOOOOO..... it has been a WHOLE YEAR since I had VSG (Vertical Sleeve Gastrectomy) surgery! WOW! I really cannot believe it. I suppose I must incorporate the "word" 
SURGIVERSARY into my vocabulary now, heh :-)
I thought that I would write this post to give some updates on my weight loss, daily living / eating, and to basically share what's in my head with regards to the whole process. At the end of the post, I'll close with some links to my previous blog posts in case you might want to read some, but don't want to search for them.  I don't really have great before and after pics, but here is a collage of some. I will try to take a good current picture soon and re-post.

A collage from the past year of pictures I like. You can see some differences!

WEIGHT LOSS SO FAR: 
- I have lost 92 lbs - THAT is AMAZING! It's also pretty much - a person. I have had MUCH longer plateaus this spring and I have been eating some salty foods at times so I think it has slowed my loss a little. 
- My goal is to lose 100 lbs and I'm pretty darn close!
HOW I FEEL: 
- Lighter, but the same.
- As friends put it.....they certainly didn't take out my sense of humor.
- Grateful that I had the surgery.
- I wonder what life would have been like if I had done this earlier.
- Men still don't seem to be able to take a chance - even with the smaller me. I think my sense and sense of adventure still scares them. It's depressing really, but that's another post.
WHAT I LIKE ABOUT IT ALL: 
- Myself
- Being able to fit better into clothes and of course SMALLER SIZES! Woohoo!
- I feel more "feminine" and pretty whereas I used to feel lumpy
- Not looking so puffed up / heavy
- Being able to enjoy food more freely in some ways....I suppose I'm not afraid to eat various things now that I previously would have avoided or berated myself for eating
- Crossing my legs with ease, scrunching up on the couch with ease
- Not feeling hunger in the same way as I used to feel it. I can easily ignore being hungry and sometimes I do not feel hunger at all
- Grazing. I am a grazer and for me personally, I can now eat on and off throughout the day without the fear as I had before
- Takeout lasts me a few meals, that's cool! $aving $ome $$$
- I like it when people smile at me. I always have liked that, but they do it more now.
- I always took the heat ok, but now, I handle it even better.
WHAT I DON'T LIKE TOO MUCH: 
- I still assume I can eat more than I actually can and I can't sample too much of what I'm cooking or I'll fill up! Boo!
- Some evenings I eat a little too much for dinner and then have reflux, but I suppose that happens to lots of people
- Sometimes I want to gulp down a cold drink, but I can't do that. I take several tiny swallows super fast and it seems to work well enough
- Some people that I work with and even some friends treat me differently now that I am smaller. I imagine that they do not even realize that they smile at me more, talk to me or listen to me more, or actually treat me like I am "worthy" of their time or that there is a difference between now and before. This statement is in this category of what I don't like too much because I think that MANY people treat overweight people in ways that are less than nice / appropriate and often, they DON'T EVEN REALIZE IT.  In the past, I have experienced my ideas or my conversational participation being ignored because of simply being a women and/or because of being overweight. Think what you like - it was not my imagination. Ok, rant over. 
- I don't really like the fact that I still hate more than one or two flights of stairs.
WHAT I CANNOT STAND: 
- When people make assumptions. In general, I dislike this, but we all do it sometimes. People seem to automatically assume that I have more energy b/c I lost weight or that I must certainly "feel better" or even that I was unhealthy (other than the weight). I feel exactly the SAME except that the mental angst and self-loathing I carried around with me my whole life is seriously diminished and often completely gone. I've always had an extremely high level of energy and have always been very active (when I'm not intentionally being a couch potato).
- I won't call it extra skin just yet, but my shape is not too.....shapely. At least I now have a waist and the girls are still where they're supposed to be, HA!
I'VE BEEN VERY LUCKY THAT:
- I was able to do this. I chose Endobariatric in Mexico for several reasons. One is the amazing Dr. Alvarez! He was also there for me afterwards for ANYTHING and ANY questions or worries that I had or still may have. People laugh at Twitter, but for me, it was a life-saver. Another reason for going to Mexico was that my health insurance did not cover the procedure. Yet another reason was that Endobariatric kept me for a couple of days whereas certain area programs here would have released me either the same day or the following morning.
- I have a support system! My dear friend Meg (who went with me) and my dear friend Chuck have been there every step of the way and numerous friends and colleagues have been supportive and excited about my efforts and my results. My choirs, my students, and my family and friends have all been so awesome! I even found out last year after I had returned from Mexico that the cathedral had put me on its prayer list as had a few folks at St. Paul's. That means the world to me! THANK YOU!!!!  I also count YOU as my support system. If you're reading this, you are interested or you CARE and I appreciate it! :-)
- I have not thrown up even once since surgery. I almost did when I was five months out and took that ONE extra bite of steak after I'd eaten enough. I didn't get sick, but I remember feeling very ill momentarily.
- I can eat anything that I want to - rice, cereals, Jones Cream soda, broccoli, nuts & seeds, etc. Nothing gives me texture or digestion issues. Sometimes, people have either something they cannot eat or a food texture issue that bothers them. I may be slightly lactose intolerant at times and sometimes I just have a day where stuff goes through me too rapidly, but that's always been the case. I feel safe in saying that most people have those days.
- I have been able to eat my favorite salad which includes: spinach, broccoli, sunflower seeds, sometimes pine nuts, with cheddar cheese and a dot of Ranch or Caesar dressing. WHEW! This is what I eat a LOT so it makes me happy that I can still enjoy it so much!
NEW ADDICTIONS:
- Some people worry about replacing one "addiction" with another. Firstly, I do not feel that food was a true "addiction" of mine, but I could be wrong...maybe it was in some ways. It was certainly something that I fought with. I'd say that drastic and yo-yo DIETING was more of an addiction. Anyway, my new food eating addictions would be..................
HIBACHI, Doritos, & Starbucks mocha frappuccinos & I can justify all of them if you ask me :-)

THINGS I'M LOOKING FORWARD TO:
- Getting to goal eventually
- Getting some more new clothes. I've been rather slack about it because I haven't been at the same weight long enough for to justify tooooo many new clothes.
- Mission trip to India this summer!
ADVICE TO THOSE THINKING ABOUT SURGERY:
- Do your homework (I did) on the best type of surgery for you (meet with your doc) and research the heck out of the place to which you are entrusting your life and to whom you are paying your money
- Ask yourself if this is the last resort for you. You cannot undo a VSG and you will need to be sure this life choice is what you want. 
- Do NOT let people's wide-eyed stares or snarky comments hinder you from considering surgery (if you feel it's a viable option for you) or surgery at a place such as Endobariatric. This is your life we're talking about, not theirs.
- Have a support system whether it's a formal group of WLS / VSGers, family, or friends
- Do NOT think that VSG or any WLS is an "easy way out". It is not an easy way out. I mostly eat right, I exercise (not a ton, but I do what I can), and I take vitamins, but I will have to be careful to maintain and take care of myself. For me, my inability to lose weight was a severe problem - SINCE I WAS 11.  I decided that since I had lived 31 years of my life on diets and being too concerned about it, I was NOT going to live the rest of my days with the same thing. 
- Do not be afraid of seeking counseling as you prepare for WLS. Your particular program may or may not require it. I followed one local program and did some counseling, but in the end, was extremely put off by my five-min. meeting with the surgeon so after the nutrition classes and counseling, I started all over. 

HERE ARE THOSE BLOG LINKS I PROMISED:
There are lots of posts. I hope they will be helpful to someone out there!

- My Weight Loss Journey Part I - A Little Background
- 
- WLS Journey Part II - Going for it and Insurance
-
- WLS Journey Part III - Types of Weight Loss Surgery
- 
- WLS Journey Part IV- Surgery Scheduled
-
- My Choice for VSG Surgery: Endobariatric
-
- I ALMOST ATE MY DESK
-
- A Day and a Half...
-
- My Journey to Endobariatric
-
- My VSG Journey: Discharge Day
-
-VSG Journey Update: Three Weeks Out from Surgery
-
- VSG Experimental Eating and Eating Abroad
-
- Staying on Track: Life 10-11 Weeks Out from VSG
-
- VSG 5-Month Update
-
- VSG - Hair Loss, Yikes!
-
- VSG - What Am I Eating?

Here endeth the blog post! 

Me on the right - with my UNO Choirs after our Spring 2014 concert!

VSG 5-month Update

Hello Everyone!
I thought I'd write a 5-month VSG update because...........................................................
I HAVE MADE IT TO ONEderland!!!!!!!!!!!!!!!!!!  72 lbs lost and I'm now 198! WOOHOO!
This JUST happened so I am excited about it :-)



Shrinking me! Pictures from April, early August, and the end of September!

So, I've lost 72 lbs and I still would like to lose about 30 more....
I'm keeping watch on my neck to see if it becomes goosey and I'm also watching how my skin is sagging in some spots. I exercise, but I have a feeling that even with strenuous and regular programming, the tone may never be regained even if stronger muscles are developed. Under my arms will probably remain flabby. I've decided to see how it goes for a year or more after I'm done losing and then re-evaluate and decide whether or not I want anything done about the extra skin. It's my descision and as I do with many things, I'll deliberate before moving forward.
I've gone from a size 24 (and sometimes 26) to a size 18 and can feel some of the clothes I bought in September becoming lose already. I saw an awesome red and black velvety pair of snazzy pants last week and went ahead and bought them for when I am a 16.

I WILL GET THERE!

A couple of people seem rather shocked at my weight loss even though they've seen me relatively often throughout the process. I'd be shocked too. Some have said "oh gosh, you shouldn't lose any more" and my response was "I'm still over 200 lbs"....followed by more shock :-) About 12-13 years ago, I made it down to 193 and before that, it was around 1994-8 that I was under that. I don't really feel very different except occasionally I feel "lighter" and walk "lighter".

I have noticed the following:

- People say I smile more. I'm actually not smiling more, it's just that my cheeks aren't so fat now and they can actually move the way they're supposed to
- One flight of steps is easier. The rest are the same crappy steps and asthmatic process
- I can cross my legs again. I LOVE this and I had missed it
- I have less padding so my butt sometimes hurts from sitting
- I always got cold in air conditioning, but now, outside heat bothers me a bit less - Y A Y ! ! !
- I still don't like eating in the morning and my sleeve doesn't seem to hold as much then....
- I do at least make an effort to eat breakfast though - and eat yoghurt voluntarily
- Airplane seats. HALLELUJAH, I CAN FIT!
- Stupid mini cans I used to make fun of are my friend when I want a Coke
- I seem to be able to wear more than just flat shoes again, YAY
- I can sit on the sofa with my legs curled up much easier now.
- I've actually packed my lunch like I used to do when I first began teaching HS in 1995. It's actually not a bad experience and when I have a bag full of tiny containers and snacks, I feel like a kid and it's rather fun :-)
- I can get a bag of things like mini Snickers or Peppermint Patties and be satisfied with ONE. That my friends, is a miracle. You might have noticed I'm drinking Coke and eating chocolate....and that won't stop....ever. I will not live in denial. This surgery has given me what I needed: portion CONTROL. The rest of what I eat is mostly healthy.

That's it for now :-) Soon, hopefully tomorrow, I'll finish my posts about hair loss and exactly what I'm eating these days! Certainly, I could NEVER have done this much weight loss, 72 lbs, without the aid of having a sleeve gastrectomy. I also certainly could NEVER have had the procedure done if I had not found ENDOBARIATRIC and Dr. ALVAREZ. He has been so helpful and encouraging!




My VSG Journey - Discharge Day!

After two nignts in the hospital, it was time to leave Endobariatric and Piedras Negras and head back to San Antonio.

The morning of discharge, the nighttime doctor and Dr. Rosales and Dr. Alvarez came to see me as did the nurses.

I must say, they gave me everything I needed: paperwork for my doctor here, vitamin/mineral panel recommendations, pain meds, acid reflux meds, antibiotics, instructions, a copy of Dr. A's helpful VSG book, a backpack and folder in which to keep everything, and personal contacts in case there were any issues or questions.

Here's a picture of me with Dr. A right before I got on the van. I am so happy that I chose to come to Mexico for my surgery. Down with any naysayers and all the skeptics! I received better care here than most of the US medical experiences I have had in my whole life combined. In addition, the doctors are extremely skilled, very caring, and concerned with your well-being. They took the time out to talk to me, answer questions, make me comfortable, and explain procedures. I have also been able to ask Dr. Alvarez my questions (via Twitter as well) and he gave me quick answers and asked me how I was doing!



They signed my pillow :-) (the Endobariatric signature stomach pillow, LOL). The pillow made me laugh, but I sincerely needed the support for the two-hour return trip which was BUMPY BUMPY BUMPY!

After crossing the border, we dropped off the other patient at the Holiday Inn and then got on the road. halfway through, we stopped at a convenience store for some water. I was sipping, sipping, sipping. It seemed like I sipped constantly, but the level didn't go down that much. When we got to the La Quinta airport, we went down by the pool for some sun and rest and SIPPING WATER. Then, in the room, I took a nap. It was HOT. I checked my Weather Channel app and saw that it was 106 in Piedras Negras! Yikes! Later, in the early evening, I was feeling less nauseous so we went to the mall to walk around and I did some mini-shopping and had some apple juice!

The next morning, we had a SUPER EARLY set of flights back to NOLA, but that was ok b/c we were back by 10:30 a.m. and I was back in my apartment by around 11:30. Kudos to Meg for being such a trooper on this whole journey and for taking such great care of me. Her husband picked us up at the airport and then drove me to my car. I stopped by GNC on the way home to see what a protein bullet was and to buy an Isopure drink to try it out. Sasha kitty was so glad to see me and she was LIKE GLUE, stuck by my side for the next three days!

I slept most of Friday and tried to sip water. Tthe next day, I tried the protein bullets and they were WAAAY too sweet. I tried apple juice and that was much better, though also sweet. One week clear liquids, Ugh! I failed in attempts to get my water in and to finish the protein bullets every time I tried one. Blech! Sunday, I decided I needed to go to church....not just to be there for my job, but I really needed to be there. I also needed some fellowship and normalcy. Everyone was so nice! It helped a great deal and I was able to also attend the NOVA rehearsal that evening. That was a lot harder than church and I sat down for most of it, but I wanted to see how it was to sing! That was also hard, but I figured that it would help. In between these activities and naps, those first few days involved reading various ObesityHelp.com  forums and Sleevetalk forums, and watching several movies. I took myself to watch the new Star Trek Into Darkness movie, t'was great! "Khaaaaaaaaaaaaa!" My next post will be an update as to where I am along the path now. I leave you with another picture of my dear Sasha kitty :-) 

My VSG Journey to Endobariatric

Wow, I'm a pretty terrible blogger with such giant gaps between happenings, but....oh well and Le Sigh on that. Finally, here is the 411 on my trip to Endobariatric for my VSG surgery! :-) There are lots of pictures so it may be a lengthy post, but you can handle it. Oh maybe I might split it up....who knows.

April 30 - May 13  Two-week pre-op diet -  I did pretty well, lost 14 lbs and cheated twice. One was a tiny cheat and one was huge. I basically got too hungry and couldn't stand it anymore. I made sure the last four days before surgery were fluids only, not even any puddings etc.

May 13 - My dear friend Meg and I left NOLA and flew to San Antonio. Check it out. We had more "legroom"....(LOL at United Airlines, but it is actually a word). We took a fast & free shuttle from the airport to the La Quinta hotel and waited there until our driver Rosy (Rosantina) arrived. She had just come into the area so needed a break before heading back for another two-hour ride! She was so nice and has been driving the route for about eight years, meeting tons of hopeful WLS patients.

I was greatly relieved to see that the van no longer had a picture on its side of a woman holding up a giant pair of pants.

The ride was SO EXTREMELY BUMPY, OMG. I had to take two motion sickness pills and by the time I got to Eagle Pass, I was EXHAUSTED. There, we checked into the Holiday Inn and went out a little bit later for some dinner. I had egg drop soup at the nearby Chinese restaurant and it was DELICIOUS! Funny feeling like it was a last meal even though it obviously wasn't! Then, we went down the precaiously-placed sidewalk filled with gigantic scary ants until it ran out and picked up some gatorade etc. from the gas station store. It was quite a happening place. Eagle Pass, TX appeared vast, dry and largely empty. Whole new-looking apt complexes looked deserted even tough they weren't.

Amazingly, it was getting ready to rain. I got the feelling this doesn't happen that often. It helped in cooling the place down though and that was a nice benefit. Meg and I went out to the pool area where there was a great breeze and we played Scramble and other ipad/iphone games. This really helped me be less nervous. We also met up with Fabienne, a patient who was going to have her surgery the same day. We had met via email and been in communication a bit so it was super nice to get to know each other a little. This also helped me be less anxious for the next day!

THE MORNING OF SURGERY

Wow, it was really time. After months of waiting and years of thinking about it, here I am about to be picked up for the long-awaited VSG. I was both excited and nervous.

 
We drove through the rest of Eagle Pass
(larger than I expected) and across the border.
I had forgotten that we would actually cross the
Rio Grande in the process so that was cool.
The drive to Piedras Negras and the
Endobariatric clinic did not take very long and
before I realized it, we were there! It was very
early so the parking lot was empty. The clinic
is attached to a hospital, but I guess their
parking was around the other side because
they seemed to have more action going on.

Once inside Dr. Alvarez's office, Dr. Rosales, another surgeon came out to greet us and said we would meet Dr. A in a few minutes. Then, Fabienne and I decided to take a picture. Just as we were smiling, Dr. A came up behind us and got in the picture! :-) That was great!

While they met inside his office, I saw a sign that said "Let us know if you check in using Foursquare and receive a gift" heheh so I checked in, of course! When I met with Dr. A, I told him that and he gave me a very nice, fancy water bottle! Cool :-)


I weighed, met the anesthesiologist (very happy about that), and talked a bit about the procedure, how long it would take, recovery, bougie size used, etc. I was very impressed that Dr. A suggested on his own that they use a pediatric intubation tube because
I'm a singer! I was going to suggest it and Meg was there and had mentioned that I suggest it, but I was happy I didn't need to.

So, now we were excorted to take a pre-surgery photo for records and then taken to our room. We entered the hospital and it was shiny, clean and well-built. The room was in the clinic side of the hospital. Outside our doors was an area of tile that was under construction. This was kind fo sketchy, but not bothersome. The room itself was next two a nurses's room and two patient rooms. It was VERY NICE! Huge actually. It had its own shower, window, air conditioning unit, TV, sofa (large, folded down to make a full bed), a refridgerator, and a big sturdy leather chair on the opposite side of the room. The shower had an enclosed bathroom as well. Here is a panorama shot of the room.

Certainly better than some of the hospital rooms I have stayed in.
Within 15 minutes, nurses were coming in and one took me downstairs for blood tests and a chest X-ray. Then, I came back upstairs, started my IV and chilled out until they were ready for me to go into surgery. I hate that important IVs have always gone into my hand. IT HURTS. I also hate that IVs cannot be butterfly needles as that is the size I need. It was nice to talk with two sisters from Canada who were being discharged that same day and to find they had a good experience and were feeling good. Soon, they came and told me to slide from my hospital bed onto a gurney and said something about giving me "happy juice". I actually do not remember ANYTHING after that moment. So funny that I aparently started saying "I love you guys" to everyone! When I had my wisdom teeth out, I remember seeing the lights go dim. I remember when I had a cyst out, the IV infiltrated and I was awake in the OR as they were getting ready and the surgeon said "get her to sleep, use the other arm" and that was it, LOL.

ALL DONE
So, THAT WAS QUICK! I woke up with an Oxygen mask on and within a few minutes (it seemed) someone removed it and I remember being super groggy and somewhat nauseous after a while. No water was allowed that first day and I mostly stayed in bed.

I do vaquely remember them trying to make me walk laps down the hall and back and that after one lap, I had to sit down from being dizzy and nauseous. I thought I was going to throw up,but I didn't and they gave me a shot "where the sun don't shine" so I felt better. Here I am trying to walk.

I also recall that the night was full of nurse and doctor visits. I think the assisting surgeon, the anesthesiologist, and Dr. Alvarez came to see me that day and in the night, all the nurses, one or two doctors etc. came every hour. I just wanted to sleep.

Tthe second day was much better and I was fully alert, though still nauseous when I tried to do much walking. Today, I was allowed ice chips (YAY!) and walked a lot. I even went with Meg to the neighboring coffee shop, in my pajamas, and sat there to eat my ice chips for a while. In the room, we had just been reading and doing emails....maybe watching a little TV - the "Border channel" (view of the Rio Grande bridge border and traffic) because it had music. It felt great to be "out and about" and Meg was awesome in taking care of me. I'll end this post with a picture of the tweet I wrote about the day :-)

A Day & and Half.....

Well......ONE DAY AND A HALF to go before VSG surgery!

Yikes! I'm super excited for all the lifestyle and healthy living changes ahead, but also have a case of pre-surgery jitters. I suppose that is understandable considering general anesthesia is involved. It was awesome to be able to communicate with the doctor about antibiotics (explain my bad reaction to Cipro after the Haiti trip last summer) and anesthesia. Made me feel more confident overall.

Everyone's been extremely supportive and I truly appreciate that. I also appreciate the kind words about my posts and the prayers. I received several notes after my FB post and I am greatly moved by them. We are all in this life together!

I've lost 14 lbs on my liquid diet  so far.....which makes me think....."hmmm. do I REALLY have to go through with actual surgery?......or can I simply do a longer liquid diet etc.?"

I know the answer and it is "yes" I need to go ahead with surgery. It's a longer lasting change than a fad diet and I would know because I have tried most of them and the weight came back on....plus a few lbs. Tired of yo-yos with the same pounds. So, all hail to the new stomach...er....sleeve that I will have. I hope it's not too picky and that it will tolerate most foods and I hope my capacity will not be impossible to deal with.

Here is my itinerary for the trip to Endobariatric in Piedras Negras, Mexico:

- Flights to San Antonio, shuttle to La Quinta hotel where Rosy, the driver will pick us up.
- Two-hour drive to Eagle Pass, TX where we'll send one night
- Tuesday: morning pickup, cross border, meet Dr. Alvarez, do tests, have SURGERY
- Be in recovery (we're hoping, LOL) and then will probably be walking and sleeping
- Wednesday: at the hospital, leak test, may graduate to ice chips, REST
- Thursday: discharge, Rosy drives us back to Eagle Pass, spend night
- Friday: Flights back to New Orleans and alternate between resting and walking
- Saturday: REST / WALK / sip on water
- Sunday: I am hoping to be back at the church on Sunday, but we shall see......

Wish me luck! :-)

My Choice for VSG Surgery: ENDOBARIATRIC

An Easy Decision

I am going to have my VSG surgery at the Endobariatric clinic with Dr. Guillermo Alvarez in Piedras Negras, Mexico. It was an easy decision to make after months of research and literally years of insurance issues etc. and I am fully confident that this is the right place for me. The more I see, the more I feel this way.

The very first reaction of many of my friends and colleagues, however, includes:

1. Facial contortion with raised eyebrows
2. A gasp
3. The questions: Is it safe? Are you sure about this? Have you looked into this place?

Really?
AS IF to imply that I haven't researched this or that somehow they have insights into the clinic they've never heard of. It's interesting how some are open-minded about it and how others absolutely feel they know more than I do. Now, I totally do understand that they mean well, but seriously.... I even asked one person who was acting as if I were crazy, if he had ever been to Mexico or if he knew what kinds of medical instruments the clinic used. "No" on both accounts. I am grateful that folks worry about my safety, but I will be fine! It's a FANTASTIC clinic with a world-reknowned doctor at the helm.

We've all experienced naysayers throughout our lives at one point or another. I have two things to say about that:

1. The last thing we need when making giant decisions and lifestyle changes is people undermining the validity of our choices. Be more supportive and less critical instead! They often do not realize the shoes we wear or how difficult our paths may be. It happened when I went for my MM, my DMA, and when I made the decision to take a job in Milledgeville, GA and happened a LOT from TONS of people when I decided to move to New Orleans after hurricane Katrina. Moving here has actually proved to be one of the absolute best decisions of my life. Some folks went as fars as to say that New Orleans was a worthless city and that I'd be throwing my career away if I moved here. BREAKING: They were wrong.

2. “When someone tells me "no," it doesn't mean I can't do it, it simply means I can't do it with them.”  - Karen E. Quinones Miller

A couple of years ago when googling VSG and other types of bariatric surgery, I found tons of helpful blogs, YouTube videos, and forums. One such forum was the VSG SleeveTalk site. It didn't take long to see Dr. Alvarez's name popping up along with mentions of surgery in Mexico and whole discussions of medical tourism. I visited hs website and was immediately impressed. In addition to that, it was the tons of positive testimonials (written and in video) from real people who had undergone VSG surgery with Endobariatric.

One of my reasons for choosing Endobariatric is that VSG surgery is not covered by my insurance company. I did research into this for several months and talked about it to state level and national level company employees about how to file a petition or how to file an appeal.
I did not want to do either. I was one of the first people to apply for the office of group benefits Head's Up program with Pennington Biomedical Research Center and OGB Partnership Benefitting Louisiana (which is an awesome start for state-level study of bariatric surgery and its effects). This program consists of a lottery and they will do 400+ surgeries over a period of several years. So far, I have not been chosen for the bariatric lottery and frankly, I am tired of waiting.

I took nutrition classes at a bariatric clinic and then paid $350 out of pocket to have a consultation with the surgeon directly. He basically gave me eight minutes of his time and was nice, but very busy, shuffling papers and the like. I noticed he gave me little eye contact. I FREAKED OUT and decided that I was NOT going to try and raise or borrow the 17-18,000 $ needed for this clinic. Instead, I'd save for a trip to Mexico!

SAVING. WAS.  HARD.
This past year, I chopped my paycheck by about $1,000 per month and had to move to reduce my rent etc. Worth. It. Now, I have the $8700 for the whole surgery package which includes two nights in hotels and transportation (two hours each way), and the care and concern of a staff that has already proven several times to be excellent and on top of things.

My doc here in NOLA will do any follow-up and she has had several patients go through bariatric surgery. One of them also went to Mexico.

Y A Y !  I'm excited Y'all :-)

I Almost Ate My Desk

I wanted to eat my desk.

Ravenous was exactly what I was yesterday. Being the first day of my two-week pre-op liquid diet, I did sort of expect this to happen. Talk about a reality call that surgery day is getting CLOSE! Tons of things going through my head: Excitement at FINALLY reaching this point, fear of the unknown and known lifestyle changes, relief, nervousness, etc.

It's not like I haven't done a liquid diet before. This time though, it comes after a year and a half of having given up on dieting - period. I have put forth many years of willpower in dieting and

When I go through a normal day, I hardly feel real hunger - even if I have eaten very little, but this was ridiculous and my inability to stop thinking about it was not helping. Also not helping was the fact that the one protein shake I drank....or tried to....was within four days of expiration. That was just plain sad as I know those boxes of shake bottles and cans sit on shelves for several years before expiration. To think that had been in my fridge for a year and a half....wow, just wow. 

Today is day # 2 and MUCH BETTER already. I attribute that to last night's Kmart run for protein shake powder, vitamin gummies, Crystal Light, and a new scale. I even found Omega-3 gummies and they do not taste fishy. When I got home, I made popsicles out of the Crystal Light and drank a real shake. I also turned my focus to reading my liquid options and found that my doctor allows broths and that some folks made soup and simply didn't eat the noodles. So, I had some soup as well and went to bed feeling full.

I FINALLY bought those little colorful popsicle thingies.

I admit, I had actually wanted them years ago, but YOWZA am I glad to have them now!

I tried Crystal Light, but I have a strong feeling that fruit juice is going to win this one for the taste and the texture.

Having communicated with my surgeon's office this morning about vitamins and more, I have  also been told I can add non-fat soups and have skim milk in my coffee so YAY! They even sent me some great recipes to try out for vegetable soup!

I plan to do a video blog in a few days. Yesterday, I also took some before and after pictures

Surgery in 14 days - wish me luck! :-)