So here I am… I’m finally getting around to starting my blog on here after lurking for a few weeks… commenting on a few posts and making a few new friends (virtual ones if nothing else). We all have a story right? How’d we get here? I got here courtesy of an angry failed (I guess you could call it the black sheep of the family) thyroid and a b!tchy thin doctor who told me I just needed to eat less and walk more as I packed on weight (my underactive thyroid was discovered YEARS later by another doctor when I’d finally given up – she was reviewing the old lab results). It’s been almost 7 years since it started failing and I’d be lying if I said I wasn’t still bitter… I’ve gained somewhere between 80 and 100 pounds since then. I’ve lost as much as 50 of it and gained back nearly all that I’ve lost.
About two years ago my doctor told me to have surgery (she had Lap Band in Mexico before it was approved in the US) and I joined Weight Watchers instead… I was convinced I could beat my thyroid if I just worked hard enough… I worked hard for my less than a pound a week losses only to find that when I stopped WW I gained it all back! Last year the same doc told me that at 29 years old, I was prediabetic , prehyperlipidemia, and that pain I was having was degenerative joint disease because of my weight and I had to lose weight immediately… Less than 10 years before that I was in the military! Needless to say I dieted a ton after that and regained everything immediately when I stopped…
This past winter I was doing a couch to 5K program (not losing weight though LOL) when I contracted pneumonia which was not a fun mix with my asthma. After the pneumonia was gone my asthma became severe and the steroids to keep me alive caused even more weight gain. As my medicine cabinet became more and more full between the asthma and other conditions I realized I can’t keep going like this and my doc was right two years ago – If I’m going to get to and maintain a healthy weight I need to have surgery and if I’m going to see my daughters become adults, I need to get healthy…. So that said, here I am.
I’ve done everything and now I’m waiting on the insurance company and a date. I’m here for support and to be someone’s support. In my life I’m strong for everyone and I always have been and the downfall of that is that for the first time I need people being strong with me and for me and I don’t have that.
O my goodness,my sleeve has shrunk!
After 2 day on liquids an no real weight change I decided screw this,I need food...lol
So today I had low fat cheddar (1oz) for lunch and then I had some edamame (eating them out of the pods) too many of them but hey,they chew down to nothing!
For dinner I put 2 oz of chicken and 2 tablespoons of spinach on my plate.Now after 1oz of chicken and about half of the spinach I am stuffed.....not really satisfied but full.
The question of the moment is,do I walk away from the rest or do I wait for a while and finish it?of course I know I should leave it.This is exactly why I lost weight so fast while on holiday.I would have a glass of wine and a teensy tiny bit of food and feel happy and satisfied.I didnt try to "make proteins" and worry so much about this.
However,my hair fell out loads.Now,the new strategy will be 1 protein shake with 120 cals and 25g of protein.For the rest of it I am just not going to worry about it anymore.I will go back to teeny tiny portions of great quality protein and some veggies and some wine every now and then....I will have a good meal again.
Anyhoo,my resolve will most prob just last until my obsessive compulsive nature takes over and start obsessing about the fact that I am not at goal yet!
I average 2800 calories burn per day.I exercise,I eat right and my weight should stay right here then C'est la vie! I am doing everything I can to get to goal and it will happen!
felt elated last night at getting through the first day, managed to stay under the 800 cals, and when i woke up felt good but oh my goodness, this is real, 14 days to go.
Got weighed and dropped 4lb but i knew i would because i had many visits to the loo.
Keeping busy again today, sorted out the small dishes and cutlery i had bought ready for post op food.
2 more dietitian appointments ( October & November )
My insurance has no other choice but to approve it because I have a case worker there & she says I NEED the surgery!
I plan on getting the surgery sometime in December... because I'll be on winter break. ( I'm in college )
I'm SO excitedddd
Talk to me ; tell me your stories ; I need support!! let's be friendssss!
I had an actual good day, today! I got a shower with relative ease!....Walked about .25 miles, maybe a little more. I took it easy, but nonetheless accomplished real walking. I felt my body get warmed up when I finished up. The walk took me about 25 minutes, but I did it...outside, in the sun, with my daughter-my angel, and best friend, at my side. I couldn't ask for a better friend, child, daughter. She is truly wonderful, and I admire her so much!
I also took the twins out to get some food to eat as a treat...my son got a crab sub with a ton of bvegetables on flatbread at Subway...it IS Subway's birthday, and it was only $5! That's what he said! My daughter got chili from Wendy's and both of them wanted french fries...hold the salt! I got chicken soup broth from Friendly's. It had some tiny chunks of chicken and very mushy, melty noodles that I smashed to smitherines in my mouth and swallowed, anyway. If I can have a tablet that is the size of an eraser, I think I can have a little teeny bit of substance.
I really wanted to go to a movie, and just sit there and soak it in...but movies are a rip off, and the lack of some goodie to enjoy while at the movie made me not go to a movie...plus, I was tired after the walk and didn't want to be away from my daughter. I stayed with her as she did her cyber school--which she loves, btw. Instead, when my boy got home, we left for food, and rented two Redbox movies...the Katy Perry movie--suprisingly interesting, and Hysteria--also very interesting, especially since I had wanted to be a doctor, and at an auction got this old doctor book that had one of the stages of life for women as "hysteria!" I thought that was interesting, and to see it played out in a movie was very enjoyable! I suggest both movies.
Once home, and watching Hysteria...I had made a real hot cocoa...it's on the stage 2 diet! 1 cup of organic skim milk...one scoop organic non-alkaline cocoa, and a packet of stevia...yum! I really and truly enjoyed my food, today. I had wanted to drink the cherry Nectar that someone sent to me...and I tried to drink it...but had a hard time because of throwing up last night...so I had some of it and let my son try it...and he drank it ALL! haha! Watching him drink it was funny...the straw was sucking air...yes, I know I'm not supposed to use straws, but they do not give me gas and I thought I could get more protein in.
I also lost two more pounds, today!...so I have 97lbs to go! After the violent vomitting of last night, I wasn't sure that I didn't have a leak possible, so I ate nothing until I could get the doctor's office to call me back, and I'm fine. Doctor's nurse said I may need to take Miralax for a while until fiber can be reintroduced. That stinks, but at least I have no leak!
It's been a good and blessed day. I am determined to actually go to the fair and do more than sit at a few locations and suffer. Tomorrow I will walk again...and hopefully , I will wake up stronger than I woke up today...just like the day before yesterday when I walked at the fair. Walking is healilng.
This is the first day I have felt satisfied with my meals, and happy, with a touch of normal....mostly for just the afternoon into this evening. I even think I'm going to sleep well. I am hungry, too, but I'll have a drink and that will take care of that, until morning. I also purchased some cold pack devices and have started putting them on my belly to try and reduce swelling, especially after walking. I hope it works, and I hope to lose all my extra weight. Hope is high, right now! It's a good day!
My skin will not moisturize up. I put olive oil all over my skin today...and my daughter helped me with one of my feet and lower leg...but I am dry, dry, dry. I wish I had a way to fix that. Even the rosacea on my face will not relent.
Well exactly 14 days ago I changed my life forever. I still haven't had any of the, "what have I done," moments, but I have been in absolutely excruciating pain since Thursday of last week. I can happily report that I am officially down 20 lbs from the start of my pre-op diet on 8/27. After gaining 6 lbs from surgery and feeling as if the bloating wouldn't ever go away I am really excited that I am starting to see results quickly. And yes I know, I do not want to see them too quickly to avoid a plethora of issues.
I have started using this handy dandy app called My Fitness Pal, (www.myfitnesspal.com) which allows me to track everything I put in my mouth and also the amount of physical activity I do. It tells me how many calories I have left to consume for the day and also breaks down my nutrition for the day letting me know exactly how much protein, fat, fiber, etc. I've consumed. I've seen similar apps that get to be a pain in the butt with entering what you eat, but this app has a scanner part where you can actually take a pic of the items bar code and it adds it to your list. Very cool and very easy. I know that many different weight loss programs preach writing a food journal to keep track of how much you are consuming and I have found it to be a great tool in making sure you aren't over indulging. I am notoriously not very good at keeping a food journal but so far for the past 7 days I've done it and I can admit I am kind of addicted to it.
Right after surgery I jinxed myself by saying I hadn't experienced any of the gas pain that some of the others on LBT (www.lapbandtalk.com) had mentioned. Well guess what has been keeping me company during the wee hours of the morning...gas pain. It started last Wednesday night in the middle of my back between my shoulder blades. Walking, Advil/Tylenol, burping, and Gas-X strips had helped make it possible for me to sleep Wednesday night. I stayed home from work on Thursday and Friday for the same reason. I started on Thursday walking around the park by my help disburse the gas pain. Needless to say by Saturday I was up to 2 miles and was still having gas issues in the evening. Sunday I did not have any pain and thought that perhaps I was finally getting a handle on this issue. NOPE! I woke up this morning at 0300 feeling like I was going to throw up the pain was so bad. After going to work with the heating pad attached to my back, the pain didn't let up and actually was making it difficult to breathe. I contacted my surgeon's office and told them that I was doing everything they had told me to do and the pain was getting worse and unlike before it wasn't letting up this time. My nurse told me that perhaps it was gallstones, since I was also describing those symptoms. Well after a very long visit to the ER and after several rounds of costly tests, I was sent home from the ER with no news. All of my tests came back normal, so I am back to square one with this gas pain. I really am starting to feel like a big baby always whining about this pain, but from what I have been told is pain very similar to a heart attack. And it is also frustrating that I can't manage to make it go away and stay away. My next step is to eat even slower than I already am and see if possibly my food choices are contributing to this issue.
Now that I am finally able to eat more real food as my co-workers call it, I sat down last night and wrote out a menu so I could figure out what I was eating at each meal so I didn't just wonder around aimlessly. I've also picked up two lap-band cook books, one is Bandwagon Cookery by Jean McMillan who is the author of the Lap Band Bible, Bandwagon. Her book is very funny reading all the pointers on how to eat well with the band, I am 95 pages in and haven't made it to her recipes yet but from what I've flipped through they seem to be good. The other is Eating Well After Weight Loss Surgery by Patt Levine. I actually prefer her recipes so far from what I've read. She also has a nifty guideline on each page that lets you know how much you should consume depending on what stage you are in on your diet. And the other thing I liked is that all of her recipes have been taste tested blended in case you are in the liquid stages. Very helpful information. I attended a birthday party on Saturday and managed to watch what I ate, made sure to not stuff my face with anything awful and put everything that I ate on my food journal. I was proud of myself at being able to control my choices. Thinking about what I would have eaten a few months ago astounds me, I would have gone bonkers and really stuffed my face, then wondered the next day why my pants were even tighter.
So that is the low down on the past week. I am hoping that the weight continues to come off, I continue to log my food, and that I continue to exercise on a daily basis. Oh yeah, and the pain STOPS! My one month anniversary from starting the pre-op diet is on Thursday, so I will update you all then on my final weight loss for my 1st month.
Until tomorrow,
Amanda
Monday, September 24, 2012
<a href="http://tinkrisegrind.blogspot.com/2012/09/change-attitude-and-recipee-book.html">Change attitude and recipee book
Changed my attitude, used my tools and tried cooking new things. I was down three pounds since Friday. Yesterday I cooked Bell Peppers stuffed with turkey meatballs and Barley Pilaf for the side dish. It was very good and a little expensive. Saturday night I cooked a Beef Barley soup ($12 to feed a family of 6 with enough left over for three lunches for me this week). It was also tasty. Tonight we tried spaghetti squash with turkey meatballs. Also yummy.
http://tinkrisegrind.blogspot.com/
Yea....finally got my appointment date for my psych eval. October 9th....then all can be submitted to the insurance. It feels like things are moving so slow. I am anxious to get the approval.
So, I have been worried about loose skin since before my surgery. I will admit I am a little vain when it comes to my hair/skin. I used to be thin and had a rocking body so the thought of being thin again and having my skin hang down everywhere has made me a little crazy. (I feel the same about my hair.) So, I have done my research and am going to give skin brushing a fair try. What do I have to lose??? Started this last night and it felt very strange. It did not hurt, but it was not that pleasant either. lol. Anyways, for those of you also worried about this, some people swear by it and I was able to get the brush and jobaba oil on amazon for less than $20. I am still somewhat young and have only been overweight for 6 years so I am praying I still have some elasticity left on my poorly damaged body. PLEASE, PLEASE!
Seems this has been moving along slowly. In May I went to the information seminar. June I met with the psychologist. July was the meeting with the bariatrics team (surgeon, nutritionist, physical therapist) and a battle to get the dr's office to do their work to get information to the insurance company for approval (have you ever pushed a rope?). August was the upper endoscopy, and finally today, almost the end of September, I had my EKG, Chest x-ray, and blood drawn for pre-surgery testing. Wednesday I will go meet with the nurse practitioner who will go over all the test results to determine if I'm healthy enough for surgery, and set a surgery date. FINALLY! According to her when we set the date for today's tests, the surgery has to be performed within the next 30 days, or the tests will have to be re-done, and the insurance companies don't like do overs. SO....with any luck at all, this time next month, I will have my sleeve and be on my journey into my new life.
OK, so today I got an unexpected, but exciting call from my Gastroenterologist office! I have been waiting to hear that our health insurance company has given the approval for my Sleeve surgery.
I have been on a weight loss program for the passed 7 months, and also exercising to satisfy our insurance company, and to show them I can lose weight, and I can eat better, and live healthier.
I have seriously made up my mind that I can do this, and I want the sleeve done. Well, today they called and said my insurance APPROVED me for the surgery, and it looks like I will only have to come up with a relatively small amount of money up front before I can have it done. I'm a bit nervous about it, kinda scared, but also excited! It will probably be about 3-4 weeks before my surgery date. I hope I survive the couple weeks before and the few weeks after that I can only have liquids! I know it will be hard, but I have already done so many things I have set my mind too in the passed 7 months, that I should be able to do this too! Right? Right! I can't wait to be able to wear a REGULAR size again instead of PLUS sizes! :wub: Until next time....
I've been in a funk, and part of that funk involved laying low and not coming on here. That funk also involved a little bit of a tale-spin with my eating, trying the theory of eating whatever I want (within reason) just limiting portions, as other successful banders have done. Turns out, that plan doesn't work for me. But, I still didn't lose or gain.
I have officially hit a plateau, my weight hasn't changed in almost 2 months and it's causing me truck loads of anxiety. I became a Super Star at managing anxiety until a few weeks ago, and it all came back with a vengance. So I started seeing a counselor again, this morning, and feel like I'm working towards getting on track (I'm not a crazy person, I just get so nxious that I feel like I can't sit still and never let myself relax or sleep because there are things I HAVE to do).
We talked a little about my surgery and she asked me how I was handling the weight loss. I told her that I still had a ways to go, I still want to lose another 30 pounds and she really questioned me. She said that I don't strike her as overweight at all, and why would I want to lose more if I was fit. I quickly corrected her, I am far from fit, and I feel like my weight loss journey is just starting. We talked a little about the emotional attachment to weight loss, and how even though I've lost over 50 lbs I still don't see any difference in the mirror. She assured me that although it's very common, it is something I have to work at accepting. I certainly don't feel any smaller, the only thing I've noticed changing are the numbers on the scale and my clothing tags. I still look in the mirror and see a fat somach, flabby thighs, and huge arms. So apparently, this girl has some self-image work to do.
I originally wrote a blog about my disappointment in finding a couple of posts that had gotten "nasty", then realize, no one cares and I can just ignore... So blog deleted... Moving on....Got my pre-op shakes today, 3 weeks worth ($189.00). I then proceeded to read the ingredients MILK CONCENTRATE... I'm bloody lactose intolerant! How did I miss this?.....I guess I'm going to be taking the Lactaid pills prior to consumption since I have to take them 3 times a day....sigh.....on the bright side maybe I will lose some more weight;)....Joke
Just scheduled my surgery - it is official now - I'm getting banded! My surgery date is scheduled for 10/11/12 (hmmm, something feels lucky about that date) and I'm really excited. I start my pre-op diet tomorrow and I'm anxious with anticipation.... more so just wondering how I'm going to manage a liquid diet for 15 days! I know I can do it, just have to think of the bigger picture.
I have to get my bloodwork, EKG and chest x-ray done before surgery. I was told by the hospital admissions department that I will get a call sometime next week with further instructions on when to complete that. Then it is sit and wait until 10/11, which is right around the corner. Ahhh!
I plan on taking a before shot of myself tomorrow, and then once a month going forward to track my progress. I am dreading that but I think it's important.
Eeek!
I'm 10 days post op, and up until Friday I was doing amazingly well.
Esophagram and post op visit was on Thursday (6 days post op) and was told everything looks great, scar and all. So I was upgraded to mushy foods early and was ecstatic.
I get home Friday and noticed that I had some dried blood in my navel. Then I pay more attention and blood, very slowly was coming out of a corner of my incision. The nurse on call told me that it can happen and so to apply pressure and keep it bandaged for it is bound to stop. Fast forward 24 hours, I get up from my couch and all of a sudden I feel dripping from the bandage.....it was gushing, i was soaking gauze like nobody's business and I personally went into complete freak out mode.
My poor boyfriend freaked out along with me and the on call nurse told me to go to hospital as its not typical to be gushing blood more than a week after the operation.
I hailed a cab and was in the hospital in less than 20 minutes.
The ER was packed but I at least got a bed within the curtains so I wasn't lying down in the middle of the hallway as most people. After a long time and various checks I was told that I had a hematoma and that the blood is old (it was dark colored all the time) and they pocked around my wound a few times (causing me some serious soreness and pain) and said let it drain. I was sent home 7 hours later, with a bandage and instructions to watch out for fresh red blood. That to put a stitch on the wound would be more hurtful than beneficial.
Sunday rolls around, still bleeding, not as much as my scary incident but pretty much non-stop.
This morning I finally got to see my surgeon and he was like, 'well we had to make a big deep cavity to place your port and its more than likely that the cavity filled with blood. It is better to just let it drain to avoid abscess or infection. As a precaution i'm going to send you with some antibiotics and it should be good as new in a few days'.
I'm still bleeding and even though I feel great in every other respect I am relieved, but had no clue that something like this could happen just because.
Has anyone else had something like this happen? How long did it take to finish bleeding/scar to heal?
Thanks!
It's Monday - and I usually don't care what day of the week it is, but today I did because I knew it meant that I could make more efforts to getting to a place where my life can change. So, I made another appointment with a different surgical group to add to my collection of potential surgeons. Oy. However, I am really liking the program and the accessibility of the program at a hospital that is a little bit closer than in NYC, though I could travel to either.
I realized while I was checking into their program, that I really like the people involved and the process they have in place, because it's designed to not let patients slip through the cracks after the surgical portion of the process. And you start to realize that it isn't just about the surgery, but it is embracing what will become a new way for me to live my life. Surgery is just the medical intervention portion of it. The rest will still be up to me and I know me - I'm going to need the nutritional advice through the rest of my life. I need someone to help me stay focused on healthy approach and healthy thinking about nutrition. That word also needs to be a part of FOOD for me. What is the NUTRITIONAL value of this thing I will eat? HOW will it benefit me other than just calories...
So I'm feeling renewed instead of so overwhelmed, and it's nice for me to feel hope instead of fear or burdon about decision making in this process.
Happy Monday, indeed!!
I had such an emotional day yesterday. I am typically not an emotional person (but things are changing....in a good way). So, Saturday evening I went out and I had a couple of drinks...and food. It wasn't a lot compared to how I would've in the past but it was more than I wanted. I got up Sunday and went to my Zumba class. After Zumba I started doing other stuff. All I thought was....Zumba was not enough. Although proud of myself for getting up and going to class after a night of celebrating with friends, I felt I needed to do more. About 6 hours later, I went back to gym and worked out on the elliptical to burn more calories. Going back helped me in so many ways because it was a better workout. I showed myself I am serious about this journey and even if I messed up, I can redeem myself by exercising more. It has set the tone for the week. I am not going into the week feeling like I screwed up...instead I feel like, I can pump it up harder.
I think I am emotional now more than ever because food used to help me mask my feelings. I can no longer use it and all the emotional baggage comes out. Wow, I think I read something related to this but this really hit me as I typed it. Deep stuff.
Well, wishing myself and everyone else out there, great things to come. We are victors.
Hard to be just a lil over 5 weeks ago, I was riddled with nerves wondering if I was making the right decision to have surgrey. Today, I know having the VSG was the best decision I could have made for my long-term health. It has re-engergized my motivation to work out and already so much of my confidence is being restored...
Last week, I blogged about how I was bothered and now I guess I realized I am hurt that my ex-boyfriend had not acknowledged my weight loss. Well I talked to him about it and how that makes me feel. I am not sure what I expected to get out of it because I as reflect on the conversation, I am not sure he ever said he has noticed I lost weight. In fact, I do not realize much of the conversation, only that I walked away from it unsatisfied with his response. But life goes on...
On the positive side, though my ex is not noticing so many other folk are noticing my weight loss and it is really a good feeling. I met up with friends over the weekend and none of them knew about the surgery and so I was worried about addressing the weight loss and not drinking. Well the not drinking never came up because I kept a cranberry juice in my hand and they only had good things to say about my weight loss...No questions as to what I was doing but just that I looked good...I also have began to see the weight loss in myself. When I was smaller, I always thought I had a long, giraffe neck so I hated my neck. Well I notice that giraffe neck coming back and I have never been happier to see it... And I am also noticing it in my midsection...It doesnt stick out under my boob like it used to...Shirts and dresses fix so much better...Yayy...
Oan: Despite the warning against tomato based things because of acid issues, I thought I would give chili a try. Bad move. Other than the protein shakes that i grew tired of, it is really the only food that I have reacted bad too. Other foods have made me feel bad but more because I ate to fast and not because of the food itself. So for now, I am not doing tomato based because I already have enough issues with heartburn. I am pretty much able to eat most things. I went to our farmer's market this past weekend and ate fried noodles...It was just about a cup but still I know I was so out of line. It made me work out harder. I got mile 3 mile walk/run jog done in 43 minutes. I started out at 60 minutes...
I am so happy that my stall/weight gain from last week did not carry on into this week. Last week I picked up two pounds by the time of weigh in. I actually picked up three pounds by Saturday evening. But today I am happy to report I got those pounds I gained off and then some...
VSG 08/17/12
HW 232 SW 227 (5'8)
Last Week 210.4
CW 205.4 ...
It may be ambitious but I am going for 199.8 by Friday's weigh in. I am already down to 204 today so I gt 4.2lbs to make it happen. I am going to push the workouts and stick to high protein/low carb for the week. I want Wonderland...I want Wonderland...and with it so close it makes me go even harder for it.
Happy Sunday evening. I wanted to tell everyone I really enjoy reading your blogs. They help to keep me going and show that anything is possible.
I am in stage 4 of my food plan. I make a super turkey stuffing with Ritz and cooked vegetables. Since I am allowed those, can I have some stuffing? Or is it too heavy? I am torn. I know I can eat the turkey.
One food that I really enjoy and eat too much of is jumbo lump crab. Does anyone else enjoy this? I eat it as is, no mayo.
Thank you fellow Banders, you're all great.
So not a whole bunch has happenend since my last blog, just hungry still. I thought it would become easier but it hasn't. Day 3 was the worst so far; I had headaches and was even nauseous for most of the day. However I'm still trying to stay posistive. I finally told my family about my surgery and they gave me some much needed encouragement. Most everyone in my family is small, like sizes 4 thru 8. So I'm excited about looking like I too am part of the skinny jeans family.
We had a yard sale on Saturday and I went ahead and got rid of a whole bunch of clothes. We made over $400, so now I have some funding for a new wardrobe when the time comes. I never really knew how dedicated you must be in order to do this. I knew it would be hard, but I guess food is a bigger krutch for me than I realized. I do feel great about getting rid of everyting though. I keep trying to focus on the payoff. No health problems and no uncomfortable rolls of fat. However like most people I'm so ready to get back to normal, and I haven't even really started. I have so far to go. 4 months before regular food.
I think we forget how much food is not only for nourishment, but also how socially it affects things too. Get togethers, BBQ's, social gatherings, dinner time with famiy, date night, all of these and a million more not mentioned all involve or revolve around food. So before I end this entry, a little advice... don't sit around like I am. STAY BUSY during your diet and try not to dwell on not eating. Try not to plan anything that has food involve. Wishing all good luck and would love to hear from those who got thru this that were weak like me.
I'm literally almost crying reading this. Mostly because I'mon this pre-op diet and these last two days have been difficult... but also because I needed this! Thank you! Congrats! And a BIG congrats on quitting smoking a second time! It was hard enough to do it once... So - when I say BIG congrats... I mean BIIIIIG congrats! ❤️
Was sind last resting-place besten Gewinnchancen in einem Casino? "Einarmige Banditen"
Einarmige Banditen
Casinos werden in erster Linie mit Roulette und Poker in Verbindung gebracht, aber Statistiken zeigen, dass 61 % der Besucher von Spielhallen ihre Zeit damit verbringen, einarmige Banditen zu spielen (Daten von 2013 von der American Gaming Association). Perish Regeln der Spielautomaten sind sehr einfach, und der niedrige Mindesteinsatz macht sie auch fur decease armsten Spieler zuganglich.