MAJOR milestone

This past week I reached a major milestone....I reached the 100# mark.  I officially have lost 100 pounds since I started this journey.

Some people would say it is only 70 since I lost 30 of it before surgery.  But I started keeping track on October 11, 2012.  So in just over a year, I lost 100 pounds.

Now on to goal #2, that is to weigh less than 200 pounds.  So my goal is set to weigh 199.  That is 28 more pounds from where I was when I reached goal #1.

To help myself with these goals, I followed my surgery buddy's idea of marbles in jars.  One jar for pounds to lose and the other for pounds lost.  Here is a picture of my current marbles.

The vase on the right has 101 marbles, the one on the left has 27.

My goal is to hit 199 by about February 1.  That is "around" 10 pounds a month which is reasonable and attainable.

I purposely have not put all my marbles in at once because I want my goals to be attainable, not overwhelming.  199 is NOT where I want to end up - I have more goals.  I am still technically "obese" at 199 pounds.  I have spent my entire adult life being obese or morbidly obese.  I would love to simply be "overweight".  In my DREAMS I could get to 'Normal" - but right now my goal is "overweight."  When I get there, we will see if I set goals to lose more or to maintain.  The number or the classification isn't everything - the biggest part is how I feel.  

So, the plan was to celebrate reaching this first, HUGE, milestone.  I tried to figure out what to do to celebrate.  I decided on a trip for just me and Mike - a long weekend kind of trip.  I have been researching where to go and prices, just waiting to reach the milestone and then set a date and book the trip.

Here arrives the stumbling block....2 weeks ago I discovered I have a uterine prolapse.  NOT something I ever even knew could happen.  But yep, believe it or not, it is possible for your uterus to try to escape your body!

So, got in to see the specialists today to find out the next course of action.  I knew the answer, but no one had said it out loud for certain until today.  The answer is a hysterectomy. 

Today I saw the OB/GYN and the Urologist who will do the surgery.  Yep - I am so special, I get TWO surgeons!  The OB/GYN will do the hysterectomy and then the Urologist will do the repairs to the front of the vaginal wall and make sure the bladder is supported well.

At the end of the appointment, they checked their calendars and set the surgery date:  December 9.  When they told me I started to laugh - that is my birthday!  So for my birthday, I am getting a hysterectomy!

Not the best birthday gift in the world - but, I will survive.  I'd rather do it then than have to wait even longer!

So - thought I should also post more current side by side picture of a before and after.

The following pics were taken in March of 2013...I was about 307 pounds.  Really not sure why I didn't smile that day!  The second picture was taken recently and I am at 230 pounds.  (Not quite the 100 pounds gone at that point - but the most recent picture I have!)

One Year Ago Today

One year ago today, October 11, 2012, I started my weight loss journey.

October 11, 2012 - the day had arrived, I started meeting with my weight loss team of doctors and nurses and dietitian.  It was a LONG day.  I met with the coordinator of the bariatric program, I met with the surgeon himself, I met with the PA with the surgeon separately, then we watched a 90 minute power point about surgery and all it entails, then we met with the dietitian for a good hour.

It was an overwhelming day, to say the least.  But it was a day that started me on my journey to where I am now, 87 pounds lighter than I was one year ago today!!!

I cannot tell you how thankful I am for the people I met that day and the gift they have given me by helping me in my journey.  I could not have done it without them and their fabulous help.

And they continue to help because there are monthly support groups.  These groups are awesome.  Once a month any WLS patients or people considering surgery or in the process of getting to surgery are welcome.  They bring in speakers most months to discuss different things.  We have had a plastic surgeon there to talk about reconstructive surgery post weight loss....abdominalplasty, thighs, arms (bat wings) and breasts.  All to remove the excess skin that results after significant weight loss.

One month we had the Fellow with the department talk to us about indicators of success and failure - in otherwords, what can you do BEFORE surgery and after surgery to ensure success and what can you do that will screw it up.  THAT was one of the more important meetings for me because I still needed to lose 10 pounds at that point to get to where studies have shown you have a greater chance of long term success.  That meeting jump started me and I did it by the next time I was in to see them - one month later.

The dietitian comes sometimes - that's up next month!

We had a psychologist there to lead discussion on goal setting.

But more than all these speakers that come and talk with us - it's getting a chance to talk with other WLS patients and compare stories, ask for help, ask for advice, give advice, get encouragement, give encouragement, etc.   It is the only place I go where I know everyone there understands what I have been through, what I will go through and the emotions that go along with the whole process.

It's a fabulous place where I am meeting new people!  I have what I call my surgery buddy who I see there.  She had surgery the same day I did.  Infact, she was right after me.  She gives me a hard time that because my surgery took longer than they thought (my ribs are small and they had to work around them!)...anyway because I took longer - her surgery bumped back a couple hours.  So she razzes me about having to wait for me!  LOL

But she and I have developed a friendship, encouraging each other and someone to talk to about what we are going through and the emotions, struggles, feelings of it all.  We email each other most days, chat on facebook, whatever works.  It is a great relationship.

And funnily enough, we both scowl (inside) at the man at support group who had surgery exactly one month after we did and has lost a LOT more weight then either of us have.  WE have to remind eachother that HE is a MAN and men lose weight more easily, usually.  Honestly, we are extremely happy for him - just a bit jealous!

So, here are "the numbers" from October 11, 2012 to October 11, 2013...

Weight:  327 to 239  (88 pounds lost)

Pant Size:  30W to 16W  (that's SEVEN pant sizes)

Shirt Size:  4X to 0X  (that's 4 shirt sizes)

Underwear:  (I know, what an odd thing - but when your underwear is falling down....)  13 to 11 - I should probably even go to 10, but well, they aren't falling down, so why buy new ones again?!?!

Bra:  44DD to 38DDD (wish the cup size would have stayed DD or gone down, but as you lose band size, the cups get smaller and I need the larger cup to stuff it all in!  It's weird how empty they are now.  Just bags of skin.)


Things you cannot measure by a number:

Health - no more blood pressure medicine, no more acid reflux medicine.  The only prescriptions I take now are for my asthma and my antidepressant.

Joint Pain - SO much better

Lower Back Pain - SO much better

Health again - I feel great and my co morbidities are dwindling!

Energy - believe it or not, by getting caffeine out of my diet I have TONS more energy.  And, being 88 pounds lighter, I have more energy for moving around and being active

Self Confidence - In some ways up, in others, the same.  This is due to me looking in the mirror and still seeing the "fat girl" I have always been.  I am working on this continually, but this is one I am looking forward to improving more and more.

Stress Level - wow, it has gone down.  It's amazing what feeling good can do to stress levels.

Pride - in myself, that is - through the roof.  This has been one heck of a year's journey.  It has been probably one of the hardest years of my life.  Why?  Because this is NOT an easy road I chose.  Preparing for surgery, having surgery and life after surgery is NOT a walk in the park.  It is a tool to HELP you lose weight, but it is NOT a magical thing that just takes off tons of weight and you do nothing.  It is a TON of work and FAR from easy.  I am proud of myself for not getting scared off when it started to get really tough before surgery.  This is THE BEST thing I have ever done for myself.


I think I could go on and on about the whole process and what I have been through.

I have set goals for myself so that I keep moving in the direction I want.

Goal #1 - lose 12 more pounds to hit 100# lost  - when I do this, Mike and I are taking a long weekend away as my "reward" to myself for this HUGE milestone!

Goal #2 - to make exercise MORE of my routine.  This is going to be a tough one for me.  I really do NOT enjoy working out and exercising.  But I am determined to be healthier (and to reach Goal #1 and #3 and #4, etc)  So I WILL figure out a way to make it more prevalent.

Goal #3 - to hit 200 pounds.  This is the goal that the PA I see when I go back for follow up visits has set for me as my "goal weight".  I, however, do not like this number as it will still classify me as obese.  I would like to AT LEAST get to over weight instead of obese.  Which leads me to my long term goal...

Goal #4 - to get to "over weight" instead of obese - I believe this would mean getting to 185 pounds.

In my heart, I would love to get to a "normal" weight...but the 4 goals I have already are going to be hard to reach and take a lot of work.  I do not want to set myself up for failure by setting an unreasonable goal.

I already worry with my Goal #4 - can I get there or am I just going to feel badly about myself?

That is why I broke them up...I didn't go striaght to I want to be 185.  I am giving myself stepping stones to get to my end goal.  I am hoping that this approach will help me reach my goals.

My surgery buddy emailed me a great idea yesterday.  She read somewhere about having two glass jars or containers (or plastic, but see through).  One labeled pounds lost and one labeled pounds to lose.  Then you put marbles in.  When you lose a pound, you move a marble.  A GREAT visual to see that you ARE making progress, no matter how slowly.

We both decided that we put marbles in the pounds lost jar for the weight we have already lost.  So in my jar I would put 88 marbles to represent what I have already lost.  Then in my Pounds to Lose jar I would put 54 marbles.

However, I am thinking of putting those 54 marbles in one goal at a time.  So first I will put 12 marbles in that jar to represent goal #1.  Once that is reached I will put 27 marbles in to represent goal #3, and then finally put in 15 marbles to represent goal #4.  And then WHEN I get there, I can make new goals to get me to a "normal" weight if that is still what I want to do.

Thank you for following me this past year as I have made this journey, and I hope you will continue to follow me as I reach to make my goals and continue toward the Inner Skinny Me.

To my students, past, present and future...

Have you seen the e-card that goes around on facebook that says,

 "I wish I was as fat as when I first thought I was fat!"

I have seen that many times and each time it rings so true.  Our self-images can be so skewed.  Helped along with our society's view on weight.

I'm not sure if I have told you this before or not, but in high school I was called "Moose" by a boy who was in the grade ahead of me.  Ironically, or maybe not so ironic, he was heavy as well.

Tonight I was looking through pictures for Maggie.  She needed a picture of my grandfather.  I found the picture she needed, but as I was doing so, I found my HS scrapbooks.  I called Maggie in to see some of the picture of when I was a freshman like she is now.

We were looking at some of the pictures and I realized - I may have been heavy, but I certainly wasn't obese then.  Where did that boy get off making fun of me and calling me names?!

I'm sure he does not realize what that did to me - what effect that had on me.  One would hope it would have the effect of making you want to lose weight to "show him" how wrong he was.  Unfortunately, I turned to food for comfort and ...well... got larger.

I remember a friend said to me once, "You have such a pretty face, it's a shame you are so heavy."  Again, a male.  I am sure he has no memory of saying that to me - but I sure do...I can remember where we were standing.  I can see the image in my head very clearly.  Why?  Because to have a friend say that to me cut through my heart.

It truly is amazing the effect a few words can have on a person.  The LONG LASTING effect those words can have.  I'm almost 45 years old - those things were said to me when I was 16-19 years old.  I have never forgotten them - they have been a HUGE part of shaping my self-image.  Maybe if someone had been complimenting me on how I looked it would have off set it?!  And yes, my family did - but family doesn't count!  They have to be nice to you!  LOL

Maggie was looking at my prom pictures from 10th grade.  I remember that dress was size 13.  Seriously - size 13 and they were calling me names for my weight.

Yes, I realize it wasn't a size 0, I was not a person with the "ideal" body.  But was it really necessary to make me feel horrible about myself - so horrible I wanted to never be in school.  I HATED school.  Not the classes - all the rest of it.

It's why I became a teacher - the way kids treat each other.

I don't think I'm an especially great actress - I don't hide it well when I am upset or sad or depressed.  Can I fake it and act happy - yes, for the short term, and when in a conversation with people.  But sitting in class, I was just "there" - pretty much going through the steps, waiting to go home.

Wouldn't it have been nice if just one teacher asked me if I was okay?  If one teacher noticed that I was detached?  If one teacher had showed me I mattered?

Luckily school was not difficult for me and my detached attitude during class did not affect my grades.  So I learned that getting good grades got the teacher's attention and they would acknowledge me for them.  But what I craved - what I NEEDED - was a teacher to notice ME.

Don't get me wrong - some of you reading this are former teachers of mine - I had great teachers.  I learned a lot and was prepared for college and the world.  But I didn't feel cared for as a person, just as a student in class.

Like I said, it's why I became a teacher.  I have always said, "If I can help ONE person through the hell we call high school, I will feel like I have been a success in my career."

I am fortunate - I have had former students tell me that I DID have an impact on them and I did make a difference to them.  And for that, I am forever thrilled.

If my students past, present and future read this - I hope they think of me as someone who did care about them more than just a student in my chairs in my classroom.

Many times I have pulled a student aside or talked to a student before school or after school.  What have I said to them?  "Are you okay?"  Yes, I asked them if they are okay because I noticed that they were not their "normal" self and I was concerned and wanted them to know that I noticed, I cared, and I was there to help them if I could.

I have contacted parents when I see a student that way for a few days.  Why?  Because as a parent, I would want to know if a teacher was noticing that my child was not their "normal" self for more than a day or so.  I want to know if someone is noticing my child is struggling with something.

As a teacher, I want the parents to know that I am there for their children.  I see their children as a whole person, not just a kid in the seats in my room.  I want the parent to know that I am with them if they are working to help their child and that I will do anything I can to help.

Boy it would have made a difference in my life in high school if someone had noticed what was going on with me.  I was desperate for friends, desperate to be noticed.  I spent SO MANY hours trying to get "in" with the popular crowd.  They were never going to accept me - hell, at our 20 year reunion, they would barely even say "Hi" to me.

But what a difference it would have made if a teacher had taken the time to talk to me and ask me if I was okay.  To ask me if I needed anything.  Taken the time to SEE me.  I felt invisible.

Someone might read this and say that I am wanting teachers to cross that line and be the friends of the students.  NO, that is not what I am advocating at all.  A teacher is a person of authority and just like a parent, we need to be teacher first - not their friend.

You can "be there" for your students without crossing that line.  No students call me by my first name and think they can be my friend.  No students want to hang out with me.

BUT, students know that if they need to talk, they need help - I am there for them.  When I was teaching in Wapello I had my "happy place" which was the entry way of the school in the mornings.  I was there before the kids came in for the day and I stayed there until the tardy bell rang.  Why?  Because I got to interact with the students and get to know them outside of the classroom setting.  Was I their friend?  Did I cross the line?  No way.  But did I talk with the kids, ask them how things were going, remember important details about them and their lives and ask about them...Absolutely.  I built up a rapport with them so they knew I was there for them.

I had students come in crying and come and get a hug and sit for a bit - just needing someone to be there.  OK - I can do that.  Would I follow up with them - you bet your ass I did.  The next day I was sure to talk to them and ask if things were better, how had they made it better, how could they help fix it for the future.  My goal was to help them see that things do get better, there is hope - and a lot of the time, you can do things to help yourself for the future.

Yesterday I had 2 girls come up to me as I was walking out of the building where I was subbing.  I had subbed for them the week before.  They told me how they missed me and wished I was still their sub.  (It was a long-term job that I stopped early due to some issues.)  These girls told me how they wished I was still there and they missed me and tried to convince me that I need to come back and be their sub.  Funny thing - you certainly can't say I crossed any line or got to friendly - they didn't even remember my name!

That conversation made my day...heck, who am I kidding, they made my month!  Evidently in the two days they had me, they figured out who I was.  They felt comfortable enough to talk to me when they had only seen me for a total of like 90 minutes.  I came home yesterday knowing that I may not have been in their lives for long - but I had at least some impact on them.

This all stems back to that darn e-card I started with in this entry.  As a teenager (even before that) I thought I was fat.  It was reinforced by classmates/fellow students who felt justified in making fun of me, belittling me and making me feel awful about myself.  And when I think of that I remember high school and how all I wanted to do was be out of there and away from those people who did that to me.  I did not feel safe and protected by my teachers.  I did not feel like my teachers were "there for me" and cared or even noticed what I was going through.

So to my students - past, present and future - I hope you all know that I am there for you, I care and I will do what I can to help you through whatever you are going through.  I can be a shoulder, a sounding board, whatever you need.  But mostly know - that I DO notice when you are struggling, I do care and I WILL ask you about it.  You may think I'm just a dumb adult when I ask you if you are okay - but that's okay with me.  As a dumb adult, I feel a responsibility to make you feel important, worthy and acknowledged - not just when you are being an awesome student, but when you are struggling and you need support.  Or when you are just a little "off" and think you are hiding it from the world.  I notice you on your "off" days and I care.  I WILL ask you if you are okay.  I WILL call your parents if I see you having several "off" days - Why - because I care about you.  Please know - you matter, you are awesome, and no one should be allowed to make you feel differently!

Mirror, Mirror on the wall...

So in August I started seeing a therapist.  NO, not for my "many" issues (LOL) - but for my relationship with food.  I say she is my food therapist!

I had to see her once before surgery to get psych approval for the surgery.  I liked her.  She is the person they have us all see, so she is used to talking with weight loss surgery patients.

At my support groups I have heard others talk about how helpful she has been for them.  They, the other WLS patients, have encouraged us newbies to utilize her.

So, toward the end of August I was struggling when I look in the mirror.  Honestly - it's not the relationship with food that I am struggling with.  That is going well.  I am eating the right things, I am making good choices and honestly, I don't even want all the "bad" stuff I used to eat.

My problem is when I look in the mirror, I still see the fat girl.  I see the rolls and flab.  Yes, it's gotten looser, but when I look, THAT is the first thing I see.

So I made the appointment because I want to start accepting my new body and seeing a new me.

The funny part is, my head gets it.

• I am very aware that I now have only like 1 1/2 chins instead of 4-6.
• I am very aware that my face is much thinner.
• I am very aware that my old clothes fall off me (bottoms) or I swim in them (tops).
• I am very aware that my old bras are laughable now.

 

I am down from a 3X or 4X shirt to a 0X.  (yes, for those of you who are not plus sized saavy, that is a size and it is still bigger than a "normal" sized XL.)  

I am down from a 30W pant (at my largest) to today's purchase of 18W jeans and dress pants.

I am down from a 46DD bras (again at my largest) to currently a 38DDD.  Honestly - this one pisses me off some.  Everyone talks about how with WLS they have lost their boobs.  PLEASE - can I loose them!  Or at least some of them.  I had to order in the DDD.  They don't carry it in the store.  Actually, they don't carry many 38s at all where I shop - becaues most plus sized people need at least a 40.  So that part is good. But as my band size goes down, the "girls" jump out of the DD I used to wear.  And since I really don't want to look like I have 4 boobs - I had to get the DDD to hold them all in.  THAT frustrates me.  But...oh well - a small price.

When I started this process last October - I bought 2 belts because I started losing some weight pre-surgery and even though I couldn't go down a size, the pants were getting to where I needed a belt.

Anyway - until today, I had no long pants that fit me.  I had one pair that was like 3 sizes too big that I wore last week to the football game.  The hilarious part - I grabbed one of my belts - you can see on the belt that when I was wearing it last year I was on the largest or 2nd largest notch.  Now on the smallest notch it slides over my hips.  So - guess those won't help!  LOL

OK - back to my point tonight.  When I look in the mirror, I just don't "see" the new me, I see the old me.  Last week my therapist said something that really got me to thinking.  She asked me if I could imagine being any smaller.  My answer - NO.  I do not remember wearing size 18 pants.  It was so long ago, I simply don't remember it.  I don't remember ever weighing 241 pounds.

Her point - maybe my plateau and my making excuses to not exercise are coming from my brain telling me that I  am proud of myself, I am happy with the new size and I can't imagine being smaller so this is a safe place to be.

Wow - that gave me a lot to think about.  I told her today when I saw her that she was probably right.  I am so thrilled with my progress that I am holding myself back.  

This weekend I made the decision that I cannot do that any more.  I have a goal - that goal is to see 200...or really, I would LOVE to see 199!  I would love to hit "onederland"!  

I am a goal oriented person.  And, as much as I hate to set my goals on what the WLS calls "scale victories" - I have NO WAY to set a goal for a size I would like to hit in clothing because I have no clue what size I will fit into when I hit that goal!  So - for now, my goal is a scale-based goal.  It is tangible - and I need tangible.

Some of the ideas my food therapist has had is to give myself visuals to help remind myself that I have changed.  So tonight I took this picture.

This is the ONE pair of pants from the old me that I kept (30W) and my brand new pair I bought today (18W) that fit perfectly.

Seeing images like that really help me internalize that I am changing.  

I was in the dressing room today at the consignment store trying on several pair of jeans and dress pants.  I had grabbed all 18s - or so I thought.  I was putting on one pair and was freaking out that they were too big - they were 20s.  Yes, I saw the size BEFORE putting them on, but figured, what's one size, I'm sure they'll fit.  I was shocked when they were truly too big.  I never dreamed a pair of 20s would be too big for me.

As is normal for me and pants - I tried on many and bought 2.  But hey - I bought 2!!  This weekend I plan to do a little more shopping because like I mentioned earlier - except for the 2 I bought today - I have NO long pants and we are getting to long pants weather!!

Like I said, I made a decision this weekend that I WILL start exercising and I WILL reach my goal.  I had not shared that with anyone...but tonight, a friend contacted me and said she needs an exercise buddy to help her stay on track.  OMG - this is just what I needed.  Having someone else exercising with me will hold me accountable - I can't make excuses when I have someone coming over to exercise with me.  THIS is exactly what I needed.  I am so happy that the "stars aligned" and she needed me as much as I needed her!  We start tomorrow.  And yes, tomorrow will come - it will not be put off.

Time for some complete honesty now.  I LOVE seeing people I haven't seen in a long time.  I think that is one of the most motivating things for me.  Because they have NOT been looking at me every day.  THEY can see the transformation I am making.

Tonight I ran into someone I hadn't seen since about a week after my surgery.  She just kept going on about how I looked.  This may sound vain - but wow does that feel good.  It really helps me take another look at myself and attempt to see what the other person is seeing.  

Mike just shakes his head at me sometimes because I tell him I want to keep running into people we haven't seen for awhile.  It's not that I am fishing for compliments, it's that I am trying very hard to see myself through the eyes of others.  Other eyes that are not jaded with the day to day struggle I have.  Other eyes that don't see the rolls and the flab, but instead see the nearly 87 pounds lost.  Other eyes that can see that I have lost over 25% of myself.  

Mirror, mirror on the wall...thank you for giving me those other eyes to help me see myself as the world sees me.  Thank you for giving me a therapist who has some of these "other eyes" and "gets" what I am going through.  Thanks for those other eyes that encourage me to look for ways to see the change in myself, like taking the picture I took tonight.

I may struggle with my normal day to day eyes that see the "gumba" in me.  (that would be the brown mushrooms in Mario Cart on the Mushroom Gorge race track.  They are brown mushrooms toward the finish line.  I picture them every time I look at myself unclothed and see my tummy roll hanging.  Sad, but true.)  Anyway, I may struggle with my self-image and my "normal" eyes.  But I am lucky enough that I am finally starting to use those "other eyes" to look at myself.  Now if only I can get those to be my normal eyes.

Plateau....the dreaded word

In all of my reading about weight loss surgery, and now on the facebook sites I belong to for bariatric patients, plateau is a dreaded thing.

Dictionary.com defines plateau as  (I took out the land form!)

a period or state of little or no growth or decline: to reach a plateau in one's career.

Psychology . a period of little or no apparent progress in an individual's learning, marked by an inability to increase speed, reduce number of errors, etc., and indicated by a horizontal stretch in a learning curve or graph.

to reach a state or level of little or no growth or decline, especially to stop increasing or progressing;remain at a stable level of achievement; level off: After a period of uninterrupted growth, sales began to plateau.

So why is this so tough?  Unlike the sample sentence above, I have not had uninterrupted growth, but rather, uninterrupted LOSS.  I was losing at a consistent rate.  But now, it is slowing down, a LOT.  Am I now hitting a plateau, or leveling off?

I do NOT want to level off yet.  I have 43 pounds to go til my goal weight of 200 pounds set by the doctor.  Honestly, I would love to lose even more and get below 200 pounds.  I remember being 200 pounds in college - that is the lowest weight I remember being.  It would be phenomenal if I could achieve my lowest weight in memory!  I just have to get below 200 pounds to do that.

So why is my weight loss slowing down now?  Why the possible plateau now?  I can tell you the #1 reason without even thinking.   I HATE TO EXERCISE and now the pool is closed and I can't go swim every day.  

People say that they love to work out.  Or, they feel so much better after working out.  WHAT?  They must be sick in the head!

I know, I know.  I have to exercise.  But I am so good at finding every single excuse to avoid it.  

I have a recumbant bike and elliptical and could easily go use them every single day.  I have a Wii fit board and discs.  I have exercise DVDs.  I have the "equipment" to do what I need to do.  But still I don't do it.

It's frustrating because I have worked my tail off to change my eating habits.  And I truly have changed them.  I don't eat crap any more.  If I eat the "dreaded cracker" (not supposed to eat them - empty calories and carbs that give my body NOTHING that I need).  But if I do have some crackers, I have them with some 35 calorie cheese that gives me some protein.  AND, I only have a serving of the crackers - that, by the way, is FOUR club crackers.  Yes, only 4.

I make sure to eat my protein first so that when I am full my body first has what it needs.  I pick protein heavy foods, I add things to recipes to add protein.  I stay away from pastas and other carbs. 

I am truly doing the food part right.

So why is this exercising thing so hard for me to just do?  Yes, I dislike it.  I feel stupid doing it.  I get all sweaty and nasty.  I get winded and feel dumb that it makes me feel winded.  And I have yet to feel "great" after exercising.

Some people say they pay a gym to hold themselves accountable.  Here are some issues with that...

1)  I have equipment at home, it is stupid to pay a gym to go and use equipment that I own.

2)  I feel like I look stupid when I exercise and I really don't want others watching me or seeing me.

3)  I don't have a job right now - and though we certainly aren't going to the poor house because of that, we also don't have the extra money to pay a gym right now.

4)  If I WERE going to pay to exercise, I would pay to swim because it works so many more muscle groups and burns so many more calories.  BUT - the nearest indoor pool is 30 miles away.  That means $$ to join, $$ to drive and instead of a 60 minute work out it becomes a minimum of 120 minutes to include the drive time.  If I am having trouble carving out 60 minutes a day, how will I find 120 minutes a day?  

Ok - see.  Told you I was great at finding excuses.  

I had applied for a job in one of the nearby towns that does have a YMCA.  I was so excited at the possibility of getting that job because I would already be there and could swim before coming home each day.  Unfortunately, that job was not offered to me.

Now, I am substitute teaching.  Many times I find out at 6am that I am working that day.  Makes it more difficult to find a consistent time to work out.  If I KNEW I wasn't working every day...or I WAS working every day.  

UGH - like I said, excuses, excuses.  

OK - I am telling you, here and now, I have to put the excuses aside.  I am going to start working out at night before I go to bed.  I HATE getting up in the morning, am much more of a night owl.  So that will work better for me than earlier in the morning.  Tonight I have to paint a bathroom.  When I complete that, I will head out to the bonus room and find that DVD I bought last spring and just DO IT.

If you feel so inclined...ask me if I am doing it.  Maybe the pressure from you will hold me accountable.

Motivation

Today, a bariatric blogger I follow asked the question, "What motivates you and has it changed over time?"

I answered quickly...it was success.  Then I added how I looked/clothes fit.  Then I added how great I have been feeling.

Then I thought about it more. And I added how recently I was visiting a town I used to live in and hadn't been there for over a year.  The reaction people had to me was incredible.

Some people did not recognize me at first.  One woman told me I was "melting away."

This all made me feel very good, but also made me look in the mirror with new eyes.

When I step on the scale, when I buy clothes - I feel the success I am having.  The scale tells me I am nearly 75 pounds lighter than when I started in October.  The clothes I am buying - pants a full 5 sizes smaller - show me I really am thinner.

But when I look in the mirror, I still see the same fat girl I have always seen.  Yes, I DO see that my face is thinner...but I see the flabby arms, the puckered cellulite of my thighs, and the rolls of my stomach.

Mike tells me that I look thinner - heck, he calls me "shrinking boobs!!"  OK - he has only called me that once.  But he is right...they are shrinking.  But I still see that they are quite large.

I have read and heard that wrapping your brain around your new body is one of the hardest parts of weight loss surgery.  I am starting to believe it.

Seeing old friends and "seeing" myself through their eyes granted me the opportunity to look at myself differently, to look in the mirror differently.

In fact, it prompted me to do a side by side picture of me a year ago - the way they saw me last, and me now.

That is me in June 2012 at 327 pounds on the left and me two days ago at 253 pounds  on the right.

Honestly, I look at the current picture and I still see the flaws, the areas I want to improve, the areas of fat.  But I DO see the difference now.  I especially see it in my face - but I see it in my thighs, my stomach, even across my shoulders.

I suppose it is normal, even human, to see the flaws in oneself.  I do not know if I will ever look at myself and see thin.

Honestly, even if I reach the doctor's goal of 200 pounds, I will still be technically obese.  The goal is a BMI of 30 - that is obese.  Yes, obese, not just overweight.  I am currently morbidly obese.  So it will be a downgrade, that is for sure.

For my height, the target weight is 143.  By 164, it is considered HIGH.

My current BMI at 253 pounds is 39.6  - but that is down significantly from the 51.4 I started at in October.

But it's difficult to process that after all this work, after everything I am doing and everything I have done to get where I am, the goal is still obesity.

I know in my HEAD that a BMI of 30 and a weight of 200 pounds is significantly better than a BMI of 51 and weight of 327 pounds.

But in my HEART I still think obese.

The head and the heart are such difficult things, at times, to reconcile.  I need to work on having my heart see things the way my head does.  I need to work on accepting that even though the "charts" say obese ...it is so much better than where I started.  Charts are simply charts - they are not what rule me.

I am healthier, I feel better.  I am off all prescription meds for my co-morbidities.  The only prescription I still take is for my asthma.  THAT is what I need to focus on...I am healthier.

Health is why I started this journey in the first place.  Not because I wanted to "win" on the chart.  But because I want to be here when my children have children.  I want to be able to play with my grandchildren and have fun, not just watch them have fun.

I know that I am being successful, that I am doing wonderful things for myself.  The scale and the sizes of my new clothes are concrete ways for me to know that I am making strides.

Wrapping my heart around the new me is proving a little bit more difficult, but I know that I will get there.

In the mean time, my recent visit with old friends has made me look at myself differently.  I need to start seeing myself through the eyes of others and see the success that I am having.

I need to focus on the positives and keep moving forward toward a healthier me.  THAT is my motivation each day.

Size doesn't matter....but....

OK - several years ago, after many years of being depressed over what size clothes I wore, I took on a different attitude.  I didn't care what size it was, I cared how I looked in it.

I had been convinced nothing looked good on me - and my amazing husband convinced me otherwise.  He "made" me throw away my frumpy dresses and get nicer clothes and better quality clothes.  He said I needed to dress better because when I dressed better I felt better about myself.

And he was right.  It started me feeling better about myself and made me more confident in my dealings with difficult people.  It was easy to be bleh about things when I was dressed in a frumpy dress.  But when I dressed well, I felt better about myself, I looked better.

It has carried over to how I dress even when not working - I no longer want to wear jeans and a t-shirt...I want to look better than that.

So, I became a clothes hound of sorts.  I had LOTS of clothes and since they were good quality they lasted for years.  I really liked my clothes.

I don't have those clothes any more...they are all too big.  That's a cool feeling.  But it was hard to see them go - they helped define me, they were what helped give me confidence in myself.

Now I am down to a couple of pair of pants and about 7 shirts - all new.

Now the exciting part.

Warning - girl information!

Before surgery I wore a 44DD bra.  I didn't think my breasts were shrinking - well... a few weeks ago I realized, my bras were simply too big.  Mike even, out of the blue, called me "shirnking boobs"!  LOL

Over the 4th of July I went bra shopping.  I am now wearing a 40DD.  OMG - I don't remember wearing a 40!

Last summer at this time some of my capris were a 4X - which is a 30/32.  My shirts were mostly 3X, some were 4X.

The beginning of June I bought one pair of capris....size 26.  I then ordered some 2X and 24 and waited until they fit.  2 weeks ago I started wearing those.  I ordered 2 more pair because I was sick of having 1 or 2 pairs of pants and that was it.  Saturday I put on the new pair of 24s and realized...THEY ARE TOO BIG as well.

Today I returned the 2nd pair of 24s I ordered.  I tried on new clothes and got 1 pair of 22s and TWO PAIR OF 20s!!!!!!!!!!!!!!  That is right - I bought pants in a size 20.

Now for those of you who say 20 is large - yes, it still is large.  But last year I was wearing a 30!!!  I am down 5 sizes.  OMG - that is incredible to me.

Shirts - I have been wearing some 2X shirts and they are getting too big.  I bought 1X shirts over the 4th of July.  They are fitting nicely.

So size really doesn't matter - but it sure is cool to be in sizes I simply do not remember wearing.  My wedding dress was a 22 or 24 and needed alterations to fit because it was the largest size available.

I feel hypocritical being so excited about a size...but it's a tangible thing that proves to me that my weight loss efforts are being successful.  So for now - I am allowing myself to "get hung up" on the size of my clothes.  I am excited to see where I end up a year from now!

The "Easy Way Out?"

I've been thinking about this for a few weeks now.

The University of Iowa Hospitals and Clinics has a monthly support group for people who have had or are considering having weight loss surgery.  It is held on the first Tuesday of every month.

At the July meeting, we were talking after our speaker had left.  There were 5 of us who had all had surgery - ranging from 4 weeks out to 5 years out.

We were discussing many different aspects of life after surgery.  But something came up that has been bothering me since then.  ALL of us have had at least one person say that we "took the easy way out" by having surgery.

This made all 5 of us laugh.  Easy way....I think not.

Let's start with the 6 months leading up to surgery.  During this time you have to change the way you have lived for your whole life.  MANY, MANY people said to me during this time, "You're doing so well and losing weight, maybe you won't need the surgery."

The problem is - I was in a constant state of hunger.  I was having to keep a food diary and monitor every bite that went into my mouth.  I was on a 1,400 calorie diet.  That sounds easy enough....until you start keeping track of calories and figuring out how quickly 1,400 calories is gone.  I can honestly say that during that time, I never felt satisfied, I always had a gnawing hunger pain.  But, I had to see the dietitian monthly and she reported to insurance.  And if I wanted insurance to approve my surgery, I had to prove I could change my ways and stick to a regimen.

After 5 months I had lost....ready... a whopping 20 pounds.  I had followed every single rule, done everything they asked and I had lost a whole 20 pounds.  And this is what people said would make it so I didn't need the surgery?!?!  I think not.

I remember talking to a friend who was saying that I was doing so well and she hoped I wouldn't need the surgery because it would be so hard to live the way I would have to post-surgery.  I told her that honestly - it will be a WHOLE lot easier to live after surgery than it was then.  I was eating very little, doing everything "right" and still lost only 20 pounds.  When you have 6 times that to lose....that is daunting.

So - that first 6 months was horrible.  I was hungry all the time, felt lousy about myself that even doing everything "right" I still couldn't lose weight...I felt like a failure.  And yet people think I was taking the easy way out?

Now it's the 2 weeks before surgery.  During that time they want you to lose as much more weight as possible.  Why?  The lower your BMI going into surgery, the lower the risks.  The more weight you have lost, the more your organs will have shrunk making surgery easier.

I went onto the 800 calories one day, 1,200 the next rotation.  Oh, and it was a liquid diet packed with protein.  And lucky me - since there were so few options I had the same exact thing for every meal for 14 days.  Just some days I had less of it because it was an 800 calorie day.

But this is easy...right?

Now I'm at surgery.  Honestly - that was the easiest part - they put me to sleep and I woke up like 6 hours later on a morphine drip!  I DID, however, have 6 holes in me and a tube sticking out of one of them draining this nasty looking crud.

After a few hours they made me start getting up and walking around.  But first they had to take the compression things off my calves - they were on the whole time in the hospital, squeezing my calves to help circulation and reduce the risk of blood clots.

I can honestly say that yes, my 6 incisions hurt, but the morphine did a nice job of controlling that.  What hurt worse was my shoulder.  When they do abdominal surgery they puff you up with gas so they have room to work.  They do suck it out, but there is residual gas - and it goes to your shoulder.  And the morphine and tylenol does NOTHING to touch that pain.  They had warned me about that - but I had no clue what I was in for.  Wowsers.  Luckily that lasted only a couple of days.

Oh wait - but this is easy.

Now I am at home.  I have NO energy, I hurt, but I MUST get up and walk every 2 hours.  I had to look quite a fright when people saw me and Mike walking around outside.  I could NOT stay awake, so I was constantly sleeping and then going for walks, then sleeping, then walking, etc.  When you are used to being constantly moving - it is weird to fall asleep waiting for your 3 minute timer to go off.

Why a 3 minute timer?  Because I had to take tiny sips of liquid.  It was supposed to take me like 8 sips to drink ONE ounce.    One ounce is the size of those little medicine cups you get with children's liquid medicine.  They sent me home with a bunch of those to use to drink my water, broth, milk, etc.

But I can't just take the 8 sips right in a row - I am supposed to space them out and take 20-30 minutes to drink that one ounce!  Talk about an effort in patience!  So I set a timer for 3 minutes and seriously would fall sound asleep after taking my sip.  I had to mark tallies for when I finished a 1 ounce cup because I was so sleepy I could not remember how many I had drunk.  And let me tell you - I know I forgot to mark tallies and sometimes double marked - I was so out of it.

AFter a day or so - I could do 2 ounces in 30 minutes and eventually 4 ounces in 30 minutes.  That is how my first week went - sleeping, drinking, walking, sleeping drinking, sleeping, drinking.

But remember - this is the easy way.

Then came FULL liquid diet - now I can add creamed soups and yogurt and pudding and jello.  Woo hoo.  I craved chewing SO MUCH.  And this phase lasted THREE weeks.  Yes, THREE WEEKS.  But remember - this is easy!

I was so sick of liquids and yogurt and pudding and jello.  I haven't had yogurt, pudding or jello since.  I should again, but it may be a little while.

During this stage I really struggled.  By 2 weeks post surgery I had lost 20 pounds...then I stopped losing.  For the next 2 weeks I lost nothing.

In addition to being down about that, I was so weak it was crazy.  I couldn't be alone if I needed to shower.  Mike had to be there because more than once I nearly passed out in the shower.  WE finally figured out to put a chair in the shower so I could sit and wash my hair.

I learned the hard way that I MUST eat (in this case drink) something before showering or I would collapse.  I would get so weak and so light headed, it was crazy.  But hey, don't worry - this weight loss surgery stuff is the easy way out.

Finally I talked to a friend who did surgery last year in July.  She made me realize that my body was telling me I was starving - and when our bodies go into starvation mode, they hold weight rather than lose it.  So I "cheated" and started pureed foods a few days early.  AND, actually I majorly cheated and skipped puree and went straight to soft foods, like fish and mashed potatoes.

What happened?  I started to lose weight again, and I had more strength and energy!

At my 1 month appointment I was cleared to swim and now that is how I exercise rather than walking.  Why?  It burns like 4 times the calories and I enjoy it MUCH more than walking and sweating and getting eaten by the gnats and mosquitoes.

Now I am on to a "normal" bariatric diet.  What is normal?  Well honestly, what I want.  I tried red meat for the first time tonight and it seemed to go okay.  I have been nervous because red meat is hard to chew to applesauce consistency.  But I had a hot beef sandwich (minus the bread).  So it was shredded beef already and that helped.

Now comes the "easy" part...right?!?!  NOT!

I have now had 5 incidents of dumping syndrome and other than one of them - I did nothing that I would have thought would cause it.  The one time...well, I had some monkey bread.  Nope - I learned that sugar is NOT a friend to me any more at all.

But seriously - the other 4 times, I had eaten something that I had eaten before and for some reason this time it caused me to get sick.  I never know if I am going to get sick or be okay.  Eating is a constant guessing game.

A couple of weeks ago we were travelling to my in-laws' place.  I needed to eat something along the way.  WE stopped, I found something that I had eaten before and it had gone well - so I got it again.  I was fine.  TWO hours down the road, horrible cramps - like breathe through the labor pain type of cramps.  And then all of a sudden - I knew I was going to be sick.  I grabbed the tub we use as a garbage in the car and vomitted several times.

I prayed and prayed that I would only vomit, since usually I get diarrhea as well.  Luckily, I was able to only vomit and then hold the rest for 15 miles until Mike could find a gas station to stop at so I could "finish" the job.

But remember - this is the easy way.

What I am trying to say through all of this.  Weight Loss Surgery is NOT an easy way out.  It is NOT a miracle cure.

Weight Loss Surgery is a "tool" to help the severely obese lose weight.  It is most certainly NOT for everyone.  in order to be approved, you have to show them that you are serious - you can change your habits and commit to a new, changed life.

PEople who choose weight loss surgery have struggled with their weight, have tried diet after diet after diet and feel like a yo-yo.  People who have surgery often times feel horrible about themselves and their inability to lose weight.  We can eat the same thing as the person next to us and they lose weight and we gain it.

Being severely obese is a horrible feeling and you feel like you can never win.

I was given a tool on May 7 and I am using that tool to my advantage.  I now eat 800 calories a day and exercise 60 minutes.  I drink lots of water.  I have given up all pop for the rest of my life.

Every surgery patient is different and finds what they can and cannot eat.  I found out this last week that eating sugar is NOT something I will try again for a long time.  I do not want to feel like that again.

I used to enjoy eating, going out to eat.  I would look forward to planning meals and what I would have.

That is gone.  I now eat because my body says it needs food.  I can't say I am scared of food, but I am defintiely tentative about what I will put into my body now.  I don't look forward to food, I eat because I need to.

I have been told that will change and I will enjoy food again.  I just know that right now it is easier to stick to the things I know won't make me sick.  Trying "new" things is an adventure - I mean, who thought cantaloupe would cause me to be sick?!  I simply do not know how my body will react to food that I have eaten my whole life.  So I add things one at a time and make sure they are okay before making them a staple in my diet.

Surgery is most certainly not the easy way out.  Deciding to do this and doing this and now living this is the hardest thing I have ever done.  But I would do it all again in a heart beat.  Why?  Because I have accepted that it is a tool to help me lose weight and be healthier.

Today I have lost a total of 67 pounds since last October when I started the process, 37 pounds since surgery.  Today I am able to listen to my body in a way that I was never able to before surgery.

That is a key thing - surgery patients really learn to listen to their body and what it is telling them.  We don't get full like you do - it's a VERY different feeling.  Hunger, too, is a VERY different feeling.  And learning what those feelings are and what they mean is difficult.

So to all out there who think that people who have weight loss surgery are just taking the easy way out - I say, NO.  We chose the hard path because we desperately wanted to make a change in our lives and we took this chance to gain a tool to give us some extra help.

So please - if you know someone, remember, this is the hardest thing they have ever done in their lives and they need your encouragement and support, not your condemnation and judgement.  Help make their path a little easier.

EVERYONE is beautiful!

UPworthy.com  is a web-site that's "tag line" is

Things that matter.  Pass 'em on.

Today, that is what my blog is - seriously - just passing on a 7 minute video that I hope you will take the time to watch.

This young woman is an inspiration.  She has figured out what WAY too many people in our world have not.

She shares her thoughts and rather than me trying to tell you mine and how they are the same....you should just watch the video.

EVERYONE is beautiful.....God makes NO mistakes.

http://www.upworthy.com/she-had-a-pretty-woman-moment-at-a-dress-shop-but-her-response-is-way-better-than-julia-roberts?c=ufb1

NOT a Choice

Way back in October when I first blogged I talked about how people/society feel that it is okay to treat people poorly because they are obese.

I talked about a friend who had shared with me an experience with her doctor at her annual exam.  A DOCTOR felt that he was free to say he wished he could take all "you fat girls" and put them on an island without food so they would lose weight, etc.

Seriously - if a doctor, who is educated and should know better, feels that he has the right to put people down and belittle them for being obese....no wonder the average person you encounter feels they can as well.

People in general do not understand that obesity is NOT A CHOICE.  It's not like I chose to be fat.  I didn't sit down one day in 1st or 2nd grade and say, "Hmmm - you know what, I think I want to be overweight."

Why do I say 1st or 2nd grade?  Because I know that when I was younger I was thin.  But I have pictures of myself in 3rd grade - and I am no longer thin.

I spent junior high and high school being teased, called names and being belittled because of my weight.  One boy in high school decided that he had the right to call me "moose" every time he saw me.  I saw this "boy" again as adults.  We were both at a music teacher convention - and he decided then, as adults, that he should call me names and put me down in front of other professionals.  Needless to say, he is NOT one of my favorite people.

Is it any wonder that obese people struggle with weight loss?

Last week a former student of mine posted something on his facebook page that hit a nerve for me - big time.  He wrote (I may not have it exactly right - he has blocked me because of my response so I cannot go back to verify the wording):  "Dear Morbidly Obese Person:  Maybe instead of the triple cheeseburger you should spend that money on a gym membership.  You're welcome."

I replied about how rude I thought that was and that until you have walked a mile in someone's shoes you do not know why they are who they are.

He replied that this person needed "tough love" and needed someone to be rude to them and tell them the truth because being nice didn't work.

OMG - I was frustrated.  I attempted to explain that as a morbidly obese person who has tried over and over to lose weight and have failed over and over...there is more to it than that.  I tried to explain that most obese people feel horrible about it and wish with everything they have that they were NOT obese, but have failed SO MANY times they often give up.

I guess this incident really hit me hard.  Here is a 20 something who had me as a teacher at age 10 and heard my first day talk about how we don't EVER put people down.  That it doesn't matter if you are 45 or 7, when someone makes fun of you, it hurts.

As an obese person I can say that when you have tried over and over and over to lose weight and failed, over and over and over.  Your self-esteem goes in the toilet.

I can honestly say that I have had no self-esteem for as long as I can remember.  As people get to know me, some have been surprised to find that out because I always seem so happy.

I decided long ago that it was safer to be happy - or appear that way - than to let people see how little I believed in myself.

OK - total truth time - never put all of  this into words before....

High School was complete hell for me.  I was not treated well be people - but some of it was brought on by my own behavior.  I so desperately, desperately wanted to be liked and have friends.  I so desperately wanted people to notice something GOOD about me instead of always pointing out my weight.  So what did I do?  I bragged about my grades or anything else that I did well.

Did this help me - NOPE.  It only made things worse.  Now not only did they think I was fat - they thought I was vain.

A classmate did a "great" job of bringing it all back to me at my 20th reunion.  There was a slide show that a classmate had put together.  One of the pictures I submitted was a birthday party picture from when I was like 6.  The other kids there were mostly from my class.

This classmate, at age 38 for goodness sakes, when he saw that picture said, "Look, it's when Molly actually had friends."

Those 7 words pretty much summed up all of my feelings about school.  In 7 words he ruined my class reunion for me.  In 7 words he pretty much determined that I would not be back for another reunion.

NEVER in my life have I stood up to those people who felt it ok to belittle or make fun of me.  NEVER in my life did I have the guts to say, "Yes, I'm fat.  Yes, I wish I was thinner.  Yes, I need help."

So when this young man posted that rude comment last week - I spoke out for the young woman he was putting down.  Why?  Because I remember the years of silence and pain.  I remember how horrible it feels when someone teases you, puts you down, belittles you and thinks they are "helping" you.  I also remember the pain of wishing I could tell them how they made me feel, but not having the guts because I was sure all that would lead to was more teasing and belittling.

To this day I cannot stand up for myself.  I have been taught through years and years of "training" or "conditioning" that I am paranoid and think people are out to get me.  That I "make more of things" than I should and I "take things too personally."

Yes, those are honestly the words and phrases that have been said to me by a person whose opinion mattered more than anything to me.  I learned to believe that I should allow people to treat me this way and just take it.  So now, at age 44, I still cannot stand up for myself for fear that I'm just making too much of it.  I have been conditioned to believe I should allow people to treat me that way.

My last 8 months have done much for my self-esteem.  Writing this blog has allowed me an outlet for my emotions and my thoughts.  I can write here all the things I wished I would say to these people who feel they can treat people rudely.

Before I started this journey, I would never have replied to this 20 something and told him how wrong he was.  I would have read it and fumed silently.

What is bringing this all out today?

The American Medical Association has adopted a new policy that officially labels obesity as a disease "requiring a range of medical interventions to advance obesity treatment and prevention," according to an AMA statement.

That's right - as of today - Obesity is a disease.  Something that every obese person has known in their heart.  

"Obesity has been considered for a long time to be a failure of personal responsibility -- a simple problem of eating too much and exercising too little," he said. "But it's a complex disease... we're hoping attitudes will change."

I am thrilled that the AMA has made this statement and hope that it means that obese children will not have to grow up thinking that their weight is their fault, that they are a failure.  

It is my hope that with this newly adopted policy, obese children and adults can get the help they need to defeat this disease.  

I am not naive enough to think that just because the AMA has adopted this policy that all public views will change.  But I hope, as they do, that attitudes will change.  

I became a teacher to "help kids through the hell we call high school."  I wanted to be a teacher that kids  knew they could trust and count on.  A teacher that kids knew would be there for them.  I wanted to be able to be a place for kids to come and feel safe and respected.

I hope this new policy will help make our society a place that helps obese people through the hell we call life as an obese person.  I know it won't be immediate, I know it will take time.  But if it can help save ONE person from feeling like I have felt my whole life, it will be awesome.

Eating and Drinking after Weight Loss Surgery

Weight Loss Surgery (WLS)  patients have many "rules" to follow post surgery but the one that was hardest for me to understand until recently was the following.

Nothing to drink for 30 minutes before you eat.

Nothing to drink while you eat.

Nothing to drink for at least 30 minutes after you eat.

So that means, since you are supposed to take 30 minutes to eat, that for 90 minutes  you may not have anything to drink.

Now I don't know about you, but drinking has always been a part of my meals.  I mean, forever.  That's when we make our children have a glass of milk...at least that's how it was when I was growing up.  It's what we have done with our kids.

For breakfast, you have juice - some of you have coffee.

Some people have wine or other adult beverages.

It's a part of our culture - we drink when we eat.

So I asked the dietitian why it's so important.  She talked about how it causes the pouch (my new tummy) to empty faster and can lead to over eating.

I asked, "What if I drink my milk while I eat, but I only eat what I am supposed to, I stick to the rules, even if I am hungry and want more?"

She was insistent that NO, I need the milk a few hours after my meals to regulate blood sugars and to get my protein and maintain satisfaction.

Last week, on another WLS person's facebook page she shared a link to the following youtube video.  It's not very long, but click on it and take a couple minutes to watch.

Why you do NOT drink during and after meals.

After watching this, I will NOT drink...not even sip...during a meal or for 30 minutes after I finish.  I admit, I was a sipper...I mean, come on, what could a little sip harm.

Well, this demonstration has cured me.

So how do you deal with this when our culture is so centered around drinking while we eat?

 Waiters and waitresses are trained to make sure people have full drinks at all times, they kind of get thrown if you order nothing.  So, when I go to a restaurant, I simply ask for a water and then I put it to the side. That way I don't have to explain to the server why I don't want anything.  Servers already look at me goofy when I ask for a to-go box as soon as my meal is delivered.  But that is how I do my portion control...leave my appropriate sized serving on my plate and put the rest in the to-go box and close it to take home.

The first time I tried that to-go box thing, I failed miserably.  Luckily, or not, it was months before my surgery.  We were out to one of our favorite places in the area, The Thirsty Camel.  They have THE BEST meal...Camel Turds.  Yes, you read that right, camel turds.  Sirloin tips lightly breaded and fried.  DELICIOUS!

So, I got a to-go box and put 2/3 of the meal in there and close it.  Well, before we left, I had eaten it all.  It is just so darn good!  But on future visits I was successful - and that just meant that I got to have those delicious turds the next 2 days!!!

After watching the video - if you read my blog on dumping - you can see how drinking while eating or to soon after eating can also cause dumping.  Dumping is the food getting to the intestines too quickly.  You saw what happened when he simulated drinking just a half glass.  That equals food passing through too quickly.  And after my experience with dumping, I do not want to do that again.

I have yet to figure out exactly why the 30 minutes before are supposed to be drink free.  On this fb page of the other WLS person, many of the people have said that they were not given that rule and they were told that they could drink right up til eating.

I, however, am not willing to risk it and I try very hard to not drink for the 30 minutes leading up to eating.  I fail at times, but try to only have sips.

But I will no longer be sipping during my meal and will stick to those 30 minutes following the meal as well.

Dumping

Dumping Syndrome:  according to Mayo Clinic's definition

Dumping syndrome is a group of symptoms that are most likely to develop if you've had surgery to remove all or part of your stomach, or if your stomach has been surgically bypassed to help lose weight. Also called rapid gastric emptying, dumping syndrome occurs when the undigested contents of your stomach move too rapidly into your small bowel. Common symptoms include abdominal cramps, nausea and diarrhea.

Most people with dumping syndrome experience symptoms soon after eating. In others, symptoms may occur one to three hours after eating. Some people experience both early and late symptoms.

In layman's terms....eat too fast or something that disagrees...cramps, vomiting and diarrhea.

Nearly everyone who has gastric bypass surgery has or will experience this at some point.

Well, I have now had my turn.  On Wednesday, at 5 weeks and 1 day out from surgery, my lunch did not agree with me.  I was putting sunscreen on Matthew so he could go to the pool.  I had to stop I had such extreme cramping.  Well I have had gas cramps before - so I didn't find it all that odd.  It passed, I went back to doing the sunscreen duty.

Off and on, the cramping continued but I could survive.  Then I decided I had better go to the bathroom because it wasn't just gas.  On my way to the bathroom I quickly detoured to the kitchen and grabbed a large bowl because I realized I was going to vomit as well.

Maggie followed me, all worried and wondered if she should get dad.  She was so concerned, it was wonderful.

I was SO tired after that I slept for over 2 hours and still felt kind of blechy all evening.

Upon thinking through my food choices and speed of eating, etc I recalled that the day before I had also had the same meal and had cramping - but that was it.

The culprit?   Cantaloupe.  I guess that will be a food that I avoid, at least for awhile.  Not real willing to try again right now.  Do NOT want a repeat performance from Wednesday!

So, last time I blogged I was excited about my upcoming interview.

It went well, I was very pleased.  i was very optimistic...too optimistic, evidently.  I received the phone call today telling me that they offered the job to someone else.  They said it was a difficult decision and that I interviewed well, but that they went with another candidate.

I had already figured this out since I was told that they would know today and my phone call did not come until after 4:00.  In other words, they were calling their first choice and waiting for the response before calling me to say no thanks.  If I had been their choice, I would have received the call earlier in the day.

This has posed a dilemma for me.  In the past when I have felt extremely down and worthless, cheetos with dip were my comfort.

At this point - I have nothing to use for comfort!!  I guess I could get some cheetos and dip - but the likelihood is that I would dump again.  And since I  really have NO desire to dump again...

So, I have spent WAY too much of my day feeling sorry for myself.  I keep replaying the interview over and over trying to figure out what I did wrong.

It's frustrating have 18 very successful years of teaching and not being good enough for the job.  Especially frustrating is applying for 9 jobs and having 8 of them not even bother to interview me.  Some of that, I assume, is that I DO have 18 years of experience and that means I am more expensive than a new teacher.  So not getting an interview, although it bothers me and hurts, is much easier to deal with than getting an interview and then being rejected.

There are no more job openings in any surrounding areas at this point.  So now I sit and pray that another job opens up and that it will be the job I am meant to have.

In the mean time...I need to figure out my new way of coping.  My dietitian would probably recommend water since I never seem to get enough of that.  So... that is what I will try.  I don't think it will be quite as tasty as my cheetos and dip, however! 

Plateau has been broken

Friday, June 7...exactly one month from surgery.  I went to my one month post-op appointment.

My weight - Like I reported in my last blog - had plateaued.  On their scales I weigh in at 19 pounds lost since surgery.

I expressed my frustration because I had lost all of that 4 days after I had last seen them, 3 weeks ago.

They informed me that I should not be worried, I was right on track for weight loss at one month.  THAT made me feel much better.

Evidently I read something back in October that said 6 pounds a week after surgery.

They assured me that I had NOT heard that from them.  That is unrealistic.  That realistic weight loss expectation would be about 10 pounds a month....which is still accelerated weight loss from "normal".

So I see them again in 2 months and they said the goal would be 20 more pounds by that point.

So...my weight loss has started up again.  I owe it to two factors.

1)  I am eating "normal" food again.  A friend who did this surgery last July was reminding me how in the past when we would try to diet and starve ourselves, etc...our bodies don't lose the weight, they hold onto it because you go into starvation mode.  She said her advice was to add some food.  (i was still on liquids)  So I started my pureed diet a few days before going to my 1 month appointment.

For my first "meal" I had a scrambled egg.  That was the most delicious scrambled egg I have ever had!

So, I was diving into my pureed diet.  However, I "cheated" because there was simply no way in heck I was going to puree my meat.  NO WAY.  And I don't like cooked veggies much at all, and the idea of pureeing them - no way would I eat them.

So, I picked the softest meat I could think of and that was flaky fish.  And soft cooked carrots.  Again...delicious.

I am on day 7 today of eating food.  And according to my scale, I have lost 6 pounds.  So I think it is working.

2)  At my 1 month appointment I was declared "water proof"!  In other words, I was cleared for swimming.

That night I started going to the pool during adult swim time and started swimming laps.

I made a delightful discovery.  When I entered my swimming into myfitnesspal.com  I found out (should really probably have known this...but ) anyway, I found out that 30 minutes of swimming laps burns FOUR times the calories of waking for 30 minutes at the speed I am currently walking that causes me to sweat and be out of breath.

So - hmmm - swim and burn tons of calories or walk and huff and puff and sweat for 1/4 the calroies burned?

I'll swim, thank you.

And I have continued to swim each day.  Some days I am unable to go during the "adult swim" time.  So I go during normal swimming time.  Today I was there at the height of the day.  It was actually a lot of fun because everyone there (practically) were students of mine.  So I was throwing kids, racing kids, running away from kids...having fun.  Mind you, this was after my 30 minutes of laps!

Whatever the cause of my weight loss starting again, I am thrilled.  I am getting to eat food and enjoying it thoroughly!

But it's very different than eating before surgery.  My meal consists of, first and foremost, protein.  Then some carbs and some veggies.

My new daily allotment is:  5 servings of protein (7 gms a serving), 2 servings of carbs (15 gms each), 2 servings of non-starchy veggies, 1 serving of fruit, 3 cups of milk, 1 serving of fats (5 gms), and 6-8 cups of water.

So a meal for supper?!  2 ounces of protein (fish right now), 1 serving of carbs (homemade baked fries), and  some veggies.

The dietitian says I can have fruit for my fruit and my 2 servings of carbs if I want.  So if I don't feel like bread, potatoes, etc - I can have some fruit.

So, the other night I had on my plate:
2 ounces of fish, 1/2 cup of baked fries and 1/4 cup of cooked carrots.

What was left on my plate when I was completely full??  1/2 ounce of fish, and half of the fries and half of the carrots.

And I was completely satisfied and full.  What a wonderful feeling.  There is NO MORE clean plate club in my world.  When you begin to feel full - you are DONE eating.  And the full feeling lasts quite awhile for me.  It is wonderful.

So eating real food, swimming everyday - these are my current answers.

On the very good side of everything...I am 5 weeks out as of today and other than the small blip with the double milk problems in week 2...I have had no problems.  I have had no vomiting , nothing!  So life is grand.

Clothing - this is starting to prove interesting.  Last week I took two big boxes of clothes to a consignment store in Coralville.  I had to do pants, they were falling off.  But 2 Sundays ago when I was getting dressed for church Mike told me I looked like a little girl dressing up in her mom's clothes.  So it was time to take a bunch of shirts/blouses out of the closet as well.

I did buy ONE new pair of capris.  They are a little large, but the next size smaller was too small.  A couple of days ago I went on-line and ordered 3 new pair of capris in the next size smaller and 5 shirts.  I need some clothes that actually fit me.

This has become a slight issue as tomorrow I have a job interview.  I have NO blouses, dress pants or skirts that fit me well.  They are all too big.  So today I tried on a dress I have that would be interview appropriate and went to Mike's office for the approval that I wasn't playing dress-up again.  He confirmed it worked.  So, I have something to wear for the interview - whew.

Now I just have to knock em dead so I get the job.  I love teaching and I really want to be working come fall!