Hello, my name is Nancy and I am overweight. I love food. Eating is my most fun thing to do. haha How sick is that? I have a huge stomach and feel like I am pregnant. I used to be out going and full of energy. For the past few yrs i like to stay at home and hide. I am sick and tired of being sick and tired. WORLD........I am on my way back so watch out. :thumbup:
Well you guys were right. Things have gotten better or I've adjusted to the menu :-) I'm loving that the numbers on the scale are going down. It seems as if 7/02/10 is right around the corner!!!! I fighting yall!!!!!:thumbup:
well on my second week of mushies cant wait to go to the drs next week and get a fill. I am feeling a bit frustrated this week dont feel like i have lost anything and i am hungry. Cant wait for a fill:confused:
Help Center -Department of Managed Care This I my appeal letter to ask that you reconsider and approve the Sleeve Gastrectomy Weight Loss Surgery that was denied by Anthem Blue Cross because they consider the procedure investigational. I believe this surgery is exactly the tool I need to improve my health and the quality of the rest of my life. I have been told by several of Anthem Blue Cross customer service representatives that 43775 is a covered procedure and that as long as my HMO approved they would pay for the surgery. This is not what I am being told now. I have been getting the runaround on this for two months. I received a letter from my HMO dated 2/6/10(copy enclosed) stating this is not a denial of service but Anthem considers this procedure experimental and has to go to the Utilization Dept for a decision. The number to call this department was on the letter. I called this Dept. a minimum of 5 times and was told they don’t know what I am talking about, this dept. doesn’t handle HMO. So I call my HMO and they say “oh you have to appeal” so I send my appeal letter to Anthem on 2/16 and wait the 30 days for a decision. On the 28th day they inform me that I cannot appeal because I haven’t been denied, oh and the people in the Utilization Dept. don’t know that their department handles this?? So they send it back to the Utilization Dept and now I have officially been denied. This part of this process has taken two months, very frustrating. I. PATIENT BACKGROUND My name is Jeani Xxxxxxx and I am insured under group plan xxxxxxxxxx. My member ID # xxxxxxxxxxxxx. I am now 59 years old. I am 5/5 tall and at this time I weigh 233 lbs. I am seeking approval for weight loss surgery. I have been overweight to one degree or another since I was a young child and was advised by my pediatrician to diet at age 10. I have made numerous efforts at weight loss throughout my teenage years and adult life. I dieted frequently as a teenager and young adult. Numerous times I have lost 40-80 pounds or more but eventually the weight returns. Weight loss programs I tried include juice fasts, traditional calorie counting on quite a few occasions, Weight Watchers, Slim Fast, Nurti-system, the Atkins diet, Cabbage soup, Mayo Clinic diet, the Zone, gym membership, lap swimming, weight training, water aerobics, walking programs, various buddy-system diets and individual, self hypnosis, ”Think yourself Thin” “ Think yourself Thin Automatically, tape you listen to in the car” Dexatrim, Metabalite, Hoodia, Green Tea Extract, and numerous other fad diets. In all cases I lost weight but each time the weight crept back, usually with a little more. Eventually I realized that traditional dieting seemed to actually cause weight gain due to increased hunger that seems to occur after significant weight loss. I believe science is only now beginning to understand the reasons for this phenomenon which is consistently reported by clinically obese people. Studies also show that genetics plays a larger role than once thought and there are morbidly obese people in my family as well as slim people. My co-morbidities include high blood pressure, high triglycerides, low good cholesterol, have had abnormal EKGs, borderline diabetes, and osteoarthritis in my hip, which my doctor said weight loss would help significantly. I have also had sever back pain most of my life. I take hydrochlorothiazide and verapamil for high blood pressure which is effective. I take medicine, Niacin for high triglycerides. I have a family history of cancer as well as strokes, heart disease and severe arthritis. I take nabumetone almost daily and ibuprofen to help with severe leg pain related to arthritis in my hip. I have taken ibuprofin for back pain that i have had most of my life even when I was not overweight. I believe I will need NSAIDS even after WLS which is why I need the sleeve as this is the only WLS that you can still take anti-inflammatory medications. I buy over the counter ibuprofen as I can get 500-200mg pills for $10.00 which last over 6 months, whereas when getting prescription I only get 30 -800 milligrams for a co-payment of $10 which only last a month. My excess weight and other health issues makes everyday activities difficult including housework, shopping, standing, walking significant distances, working and recreation. It effectively makes my world smaller limiting the number of things I can do each day. I have lived with obesity for years and strongly wish to change this aspect of my life. I fear the consequences of my high triglycerides especially considering the family history i have of heart disease. Many members of my family died of heart attack and stroke. I was stunned to learn that my weight is in the obese category but heartened to learn of this newer treatment with fewer side effects and shorter recovery. I am highly motivated to succeed with VSG and understand that food intake will be significantly limited for the rest of my life and that I must continue to exercise to be successful. Before I found out about the arthritis, which is the result of a subtle fracture at some point in my life that affected the curvature and angle of my right hip bone (this was found by an MRI that was done after pain medication didn’t help and physical therapy made the pain worst), I used to walk a minimum of 30-60 minutes a day at least 5 days a week. Since this pain in my leg as a result of the hip arthritis I no longer can do that and I am afraid that the weight will just continue to creep up on me. My particular problem is in volume eating. I eat good food, lots of chicken and turkey, lots of fruits and vegetables, the thing is I am always hungry and I eat until I am full. Having a smaller stomach and feeling full sooner seems like exactly the kind of help I need. I had given up on traditional dieting as it always resulted in failure and am pleased to have found the VSG surgical option which appears to be the only tool offering a realistic possibility of lifelong weight control for me. I believe VSG is the best surgery for me because it offers restriction like the lap-band and the RNY but without the malabsorption of the RNY. The RNY is not an option because I very much need regular doses of nabumetone and ibuprofen for the leg pain related to my hip pain and even once I lose the weight believe I will still need ibuprofen for my back pain which I have suffered with most of my adult life. Tylenol is not effective for me. I am allergic to codeine, vicodin, any pain medication of that type I cannot take. Narcotic pain relievers make my head seem fuzzy but do not help with pain. I have the same concern about the lap band. I also understand that as many as 27 percent of lap band patients require band removal and weight loss is often unsatisfactory (I think the number is even higher now). Most importantly, the VSG removal of a large portion of the stomach removes many of the cells that produce the hormone ghrelin which is known to cause hunger and appetite. The RNY and lap band don’t have this advantage. At age 59 I am concerned about the side effects of the RNY and do not want to spend 6 or more months with dumping syndrome and feeling rotten. I also worry about the ability to take and absorb other medications I might need in the future as I age. The VSG appears to offer the fastest recovery, weight loss similar to the RNY and the least amount of side effects. One recent publication, “The Best Bariatric Operation for Older Patients “ by Drs Lee, Cirangle, Taller, Feng and Jossart, 2005, concludes that “These data suggest that the best bariatric operation for older patients may be the laparoscopic VG because it achieves the greatest weight loss with the shortest operative time and the fewest complications”. I have investigated this procedure very thoroughly including attending support groups and talking with others who have had it. I have completed most of the preoperative testing and strongly believe this is the best procedure for my circumstances II. THE VSG SHOULD NO LONGER BE CONSIDERED INVESTIGATIONAL The only stated reason for denying approval for the VSG is that it is investigational and …” current available medical studies do not show that this service improves health outcomes, is as good as or better than standard alternatives, or shows improvement outside the research setting”. It is respectfully submitted that this conclusion is incorrect. The conclusion ignores the 36 studies now available on the effectiveness of VSG which indicate that excess weight loss is similar to the RNY and that complications from surgery are actually lower than RNY. It also ignores the fact that the VSG is now widely performed and is routine for many bariatric surgeons and has long been performed outside the research setting. Anthem’s policy on Surgery for Clinically Severe Obesity is set forth in a document with an effective date of April 22, 2009. This document reviews the various forms of bariatric surgery and explains when weight loss surgery is considered medically necessary. VSG is excluded from ever being medically necessary because it is designated as investigational and that “…there is insufficient convincing evidence in the peer reviewed medical literature, in terms of safety, to support the use of …sleeve gastrectomy…other than biliopancreatic bypass with duodenal switch, in individuals with clinically severe obesity.”. Nevertheless, the lap band and Realize band procedures are approved as medically necessary in this same document based upon what appears to be two three year studies involving 219 and 352 patients respectively. There is now a considerable body of data and studies supporting the safety and effectiveness of the VSG as a primary procedure for weight loss. The June 2009 Supplement to Bariatric Times reporting on the Second International Consensus Summit on Sleeve Gastrectomy (available at www.bariatrictimes.com) includes 10 papers pertaining to the safety and effectiveness of the VSG presented by leading bariatric surgeons. In Reducing Risk in Bariatric Surgery: Rational for Sleeve Gastrectomy, Dr. Eric J. DeMaria concludes that “A growing body of evidence suggests sleeve gastrectomy may be an appropriate primary bariatric surgical procedure primarily due to low risk and ease of surgical revision when required.” In the paper presented by Drs Jossart and Cirangle, four years of data showed a 68% excess weight loss by VSG patients, a figure not largely different than RNY patients of the same time range. Most significantly, in Debates and Consensus: a Summary by Dr. Michael Gagner, important questions concerning the VSG were debated and conclusions reached by the 400 conference participants. Question 6 was as follows: “Question 6: In your opinion, is there currently enough published data to support the sleeve gastrectomy as a primary procedure to treat morbid obesity on par with adjustable gastric banding and Roux-en-Y gastric bypass? Several groups presented cohorts of patients with follow-up periods of 4 to 8 years the day before. Jossart and colleagues in San Francisco presented eight years’ experience including 1,200 cases, whereas at more than four years, weight loss resulted in a similar curve to gastric bypass. At higher BMI (greater than 55kg/m2) a plateau of nearly 40kg/m2 demanded a second stage, but below a BMI of 55, the operation was terrific. Schauer and colleagues assessed the literature from 35 reports, studied more than 3,000 published sleeve gastrectomy cases, and found an extremely low mortality rate (near 0.12%). Results have shown excellent weight loss and co morbidity reduction that is comparable to or exceeds other bariatric operations and that the sleeve gastrectomy is safe and efficacious. Himpens of Belgium analyzed his patients from 2001 through 2002(sic) to attain six-year follow-up. Sixty-five percent of 46 patients were considered a “success” (%EWL greater than 50 ) at two years. At six years the success rate was maintained at 59 percent. Weiner from Frankfurt and MacMahon of Leeds, who started in 2000, also had similar results. *** Certainly, the audience thought there was enough evidence published to support the sleeve gastrectomy as a primary procedure to treat morbid obesity on par with adjustable gastric banding and Roux-en-Y gastric bypass with a yes vote of 77 percent. This is perhaps the strongest contribution to this second consensus conference.” A review article entitled “Systematic Review of Sleeve Gastrectomy as Staging and Primary Bariatric Procedure” was recently posted on the web site of the American Society of Bariatric and Metabolic Surgeons dated May 26, 2009. The authors are Drs Brethaur and Schaur and Jeffrey Hammel M.S. of the Bariatric and Metabolic Institute of the Cleveland Clinic, Cleveland, Ohio. Thirty-six studies involving 2570 patients who had the VSG procedure were analyzed. Their conclusion was: “From the current evidence, including 36 studies and 2570 patients, LSG is an effective weight loss procedure that can be performed safely as a first stage or primary procedure. From this large volume of case series data, a matched cohort analysis and 2 randomized trials, LSG results in excellent weight loss and co-morbidity reductions that exceeds , or is comparable to, that of other accepted bariatric procedures. The postoperative major complication rates and mortality rates have been acceptably low. Long-term data are limited but the 3- and 5- year follow up data have demonstrated the durability of the SG procedure. “ To date ten thousand patients have had the VSG surgery with good success. Many are going to Mexico or other foreign countries because their insurers refuse to pay for the VSG even though it is less expensive than the RNY procedure, the so called “gold standard” of weight loss surgery which takes several hours and requires a hospital stay of 3 or 4 days. The VSG can be completed in one hour by a skilled surgeon and most patients stay only one night in the hospital. While there is certainly follow up care, the repeated fill and unfill procedures required by gastric banding are unneeded for the VSG. Nutritional supplements are much less of a problem than with the RNY. Many insurance companies are recognizing the value and cost effectiveness of the VSG and have approved the VSG for at least some patients, including BSBC Federal, Tri-west Tri-care Prime, United Healthcare, the Veterans Administration, Aetna, Blue Care Network HMO, Healthnet, Anthem BC of Connecticut, Definity Health/United Healthcare, PPO, Empire Blue Cross Anthem, and UHC. The VSG sleeve gastrectomy is now routinely offered by Kaiser Permanente to all patients that qualify for Weight Loss Surgery and would not do so if this surgery was not proven to work. I don’t think it is fair that if you have five people, one with Kaiser, one with United, one with Aetna, one with Cigna and me with Anthem Blue Cross of California, the other four will be offered the sleeve and I will not. The California Department of Insurance has recognized that VSG is widely accepted by the American Society for Metabolic and Bariatric Surgery as a standard procedure at medical centers for excellence. In Decision #EI09-9645 the physician reviewers reversed the health plan’s denial of the patient’s VSG request and concluded that VSG was the most appropriate option for the patient. The same conclusion was also reached in EI06-5882 though the patient had significantly more co-morbidities. That decision noted the important fact that the VSG is nothing more than the first part of the duodenal switch operation which includes the second step of intestinal modification and as such, the VSG portion has been performed for many years as part of the DS procedure. Some patients have the VSG first as part of a two stage procedure and find that they do not need the second stage. Thus, the VSG is not as new and investigational as Anthem’s conclusions seem to imply. Anthem does cover the DS procedure which includes the VSG as one part. According to an article published in the Detroit Free Press on August 17, 2009, Blue Cross Blue Shield of Michigan, in conjunction with the University of Michigan, has been compiling a large detailed data base on bariatric surgery in order to improve surgical outcomes and provide cost savings. In three years of data collection, it appears that the VSG now accounts for as much as 12% of all bariatric procedures. This percentage indicates that the procedure is far beyond investigational status. This data base indicates that 10,000 VSG procedures are known to have been performed. My Anthem group policy excludes investigational procedures and defines that term as procedures: “ 1) that have progressed to limited use on humans, but which are not generally accepted as proven and effective procedures within the organized medical community; or 2) that do not have final approval from the appropriate governmental regulatory body; or 3) that are not supported by scientific evidence which permits conclusions concerning the effect of the service, drug or device on health outcomes; or 4) that do not improve the health outcome of the patient treated; or 5) that are not as beneficial as any established alternative; or 6) whose results outside the investigational setting cannot be demonstrated or duplicated; or 7) that are not generally approved or used by Physicians in the medical community. It appears that the VSG, based upon the articles cited above, has been performed on thousands of patients, has been accepted by a consensus of participating members of an international conference devoted to this subject, is widely accepted by the ASMBS, does not require FDA or similar government approval, is in fact supported by at least 36 studies analyzed by highly respected physicians, is as effective as the RNY and more effective than gastric banding in terms of percentage of excess weight loss, has fewer complications than the RNY, has as good or better reduction of co morbidities as other procedures, and has results that are similar in studies by both United States and foreign physicians. The VSG therefore no longer falls within the definition of investigational procedures excluded from coverage. The conclusions stated in the previously cited Anthem Policy on Surgery for Clinically Severe Obesity are simply no longer correct and that policy should be updated to include VSG coverage or disregarded. With the VSG patients lose about 68% of excess weight and lower BMI patients like me often do much better. Weight loss will most certainly help my back and hip pain and improve ability to exercise. High triglycerides, high blood pressure, and borderline diabetes are corrected in about 76 percent of WLS cases and I am hoping for this result. It is therefore highly likely that my health will be improved by this procedure and I respectfully ask for your reversal of this denial. I am a mother and soon to be a Grandmother and I want to improve the quality of my life so that I will be healthier and able to help raise my grandchildren and be able to take an active role in their life.Thank you for your review of this matter. I greatly appreciate the fact that the state of California has a procedure to help insured patients who find themselves in disagreement with their insurance companies. I strongly believe this decision will greatly affect the quality of the rest of my life. Thank you for your time. I eagerly await your decision regarding this. I can be reached as indicated below if further information is needed. Enclosed is a copy of my denial letter from Anthem Blue Cross My HMO is Healthcare Partners Primary Care Provider is xxxxxxxxxxxxx Gastric Surgeon xxxxxxxxxxxxx Sports Medicine xxxxxxxxxxxx who ordered MRI and diagnosed arthritis Cardiologist xxxxxxxxxxxxx did my last EKG and stress test All these doctors agree Weight Loss Surgery is a good option for me. Respectfully yours, Jeani Anderson xxxxxxxxxxxxxxx xxxxxxxxxxxxxxx (xxx) xxx-xxxx Work info: xxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxxxxxxx CA 91101 (xxx)xxx-xxxx ext. 244
I went all day with just tylenol today:thumbup:. I was actually ok. The port is the only painful incision right now. Still very tired. The gas is a whole different story:sneaky:. During the night I had a lot of gas pain in my left rib area.:thumbup: I walked for an hour around the house and then took pain meds and was ok after I slept for 2 hours.
Anytime I try to take liquids I hear this intense gurgling in my stomach. I was actually a little hungry today. One more day of liquids!! Anyone else start to feel hungry day 3?
The "secret" is getting a little difficult because neighbors are calling. Trying to avoid everyone! One actually left a message saying, "Hi I see your husband and kids going and coming but I havent seen you, is everything ok?" In my neighborhood no one needs an alarm system, we got a couple of neighbors that are the local watchdogs :tt1:!
My surgery is Monday June 28th, 2010. I'm currently on Day 6 of the liquid Pre Op diet.
3 months prior, I met with Dr. Sunil Bhoyrul for the first time. He said he was going to do everything in his power to help me and get me ready for my new life. He wanted me to first lose 40lbs. I pushed really hard, working out 3 days a week, eating healthy-ish meals, smaller portions. May 21st I received the call that I was Approved for the Lap Band. I then had to start the 2 week liquid Pre Op diet.
I knew I could do it, since I already conditioned myself the last 3 months, but I also knew that I would have those hard times. Surprisingly enough, it hasn't been that bad. I'm rarely hungry and I pretty much only drinking chicken broth, protein shakes, and LOTS of water.
My surgery is in 5 days, I'm getting nervous but also excited. I hope everything goes well and I'm not in too much pain.
Hello! If there is anyone with a support group in Arlington I would love to hear about it and plug in. I don't mind facilitating one either. Something along the lines of recipe ideas, possible potluck,support for new changes, clothing and fashion ideas and general fun. Thanks ~Brandi
I am adding fruit to my shakes for a diffrent taste is that OK? Also, I am going to eat with friends to night I am thinking about having fish salad and light dressing. My docotor says I can have a lean dinner and do the shakes for breakfast and lunch does that sound right?:thumbup:
I am feeling so great! Yesterday I had a lot of gas and it really hurt to get up from a seated position. Much of the gas has passed, thank goodness, and the pain is less intense when getting up and down. I did not take any pain medication yesterday or today, so far, except for a tablespoon to help me sleep last night.
I really wasn't hungry yesterday at all, but this morning I had a 1/2 protein shake and a few sips of decaf coffee. For lunch I had a 1/2 cup of cream of chicken soup. It was great not having only clear liquids. I have been trying to get my water down - slow and steady.
I can't wait until the mushy or pureed food stage starts. I already have a wish list!
I have been hearing from so many wonderful people with good wishes and great ideas. Thank you all. Please keep them coming. I love opening my blg and finding responses to it.
Today is 3 days - I can't wait for 3 weeks, 3 months, etc. I can't wait to say I have lost 20 lbs. What an exciting day that will be and a great start to a long haul.
Have a great day everyone.
Yesterday was just bad. Blah. I'm over it!
Anyway, today I got up super early (thanks in part to the crack of lightning and thunder just outside!) and went to the gym! I did about 30 minutes on the treadmill before the Zumba class started. Then joined the class for the first time. It was fun! Though I didn't pick up all the choreography, but maybe next time I will. It's DEFINITELY a workout! Took a shower at the gym because I just felt gross! Haha!
On the way home I got a call from my corporate office. They have my headshot on file from last year and wanted to know if they should use that one or a new one for the awards ceremony this year. I said use that one because I don't feel like getting a new portrait taken! Ha! Last year's was nice and I don't need another official headshot until I lose about 50 pounds. :thumbup: Besides, that one has already been retouched. LOL
I think I've already had my recommended protein for the day! I had a protein shake for breakfast before I ran out the door. Then a protein "shot" -grape flavor!- after I worked out. Then I had some greek yogurt. That's 57 grams of protein so far today. Can you have too much protein??? I really am wondering that.
Thankful for a better day today and hoping it continues!
xoxo
I was huge. I weighed in at 431 pounds (and was probably lighter by about 20lbs than I had been in a while). I knew that the Doctor would want me to lose some weight before surgery as a 2 week pre-op diet was part of my particular surgeon's best practices. At my initial consult, the Doc weighed me in and after some review, assigned me a 14 pound loss target (Go/No Go). I was self pay, so my timeline was accelerated. I was to drink two shakes per day and have one sensible meal (yea, I enjoyed the irony of that as well).
First off, the shakes were to be mixed in water. I suspected that might suck and wouldn't you know it, it did. But I reckoned that I could do ANYTHING for two weeks. So my Magic Bullet (the BLENDER!) and I became fast friends.
What I noticed was after the first week, the meals were not as critical. The weight was coming off (funny what a 1200 calorie diet will do to you) and my energy level was acceptable given the duration I had to endure. I stayed with basic, low calorie proteins and vegetables at dinner and was all in all, a damn good patient.
At the end of the 2 weeks I had lost in excess of the target and was greenlit for surgery. While that was the goal, the reason for the post is as follows:
1. The pre-op diet is not as hard as you may believe. You are simply angry that your lifestyle is being changed in exactly the ways that have never worked for you over the long haul before. Suck it up and count down the days. There is no easy way to tackle it and to cover it in candy and flowers is not empowering but condescending.
2. It is medically necessary and jump starts your new journey. You have work to do. The band is a tool but you have to learn skills like portion control (which it will help with) so doing this for a short duration is a great boot camp and when combined with the the first few weeks post involving fluids does a great job of de-emphasizing food as a pleasure center or reward and re centering you on using it as energy.
3. The psychological battle, for me, is the toughest part. The social interactions. The expectations of your social network around consumption that you may not even be aware of. Using this time to strategize your next phases was critical for me to get into the interactions that life offers.
So, while a pain in the ass, I think the pre-op diet is a GREAT tool and not something to be worked around over or through to minimize change. If you are taking this step, embrace it and use all of the aspects of the process toward your end goal.
I am in a place where how my clothes fit means everything to my happiness for the day. I put on a pair of pants that was baggy before surgery and they are actually tighter now (4 weeks later) than they were then. Nice.
I work out hard. I have little if any restriction, but my "cheating" consists of eating 1200 calories a day of good foods instead of 1000.
The car dealer hasn't called me back about the damage they did to it during an overnight stay. I shouldn't have to keep tracking them down. My trainer raised their rates a lot, and I won't be able to afford her for much longer. My family is getting tired of me talking about my new life. I'm tired.
I guess I should have gone back to bed and tried to get up on the other side...........
I'm attaching the three recipes from the support group healthy eating cooking class on Monday. Enjoy!
This true Moroccan Fish recipe is both healthy and low in calories. You will love this lite Moroccan Fish recipe it's great for a hot summer meal.
Makes 4 servings
184 Calories Per Serving
Active Time: 8 minutes
Total Time: 20 minutes
CHECK OUT MY BLOG FOR MORE INFO ON THIS RECIPE AND SO MANY MORE:thumbup:
http://life-after-lap-band.blogspot.com/
Nighttime is the worst time for me and last night was no surprise. I just couldn't stop eating, it's like no matter what I ate it wouldn't fill me up. I was still hungry. It felt physically that I just couldn't get full. I just kept eating stuff and nothing would do it. Then finally I hit my breaking point and was so stuffed I could hardly stand it. I say I will never do that again but usually that thinking lasts until the next time. I wish I would never do it again. I have been fighting for a month to get under 225 and haven't done it yet. Now I get on the scale and it says 229.5. I can't believe how fast I gain weight. I did 5 min on the elliptical and took the dogs for 2 walks but I guess that wasn't enough. Maybe just enough to keep me from gaining another pound. I'm so sick of myself for doing this. It is like a continuous fight inside of my head that won't stop. A battle of wills. I say stop eating but my mouth won't stop, it just is on a path of destruction. I need some advice or tips on how to stop this. I am reading about emotional eating and that isn't helping yet because I just started the book. I get very bored at night and I know that is what is causing this but I don't know how to stop it. I keep telling myself I will go to the gym but by the time I get home from work I am pooped from the day and don't want to leave the house again. I feel bad when I don't come straight home and see the dogs and take them for their walk. Maybe I just need to take them for their walk and then go to the gym. I have to push myself to go or I'm not going to lose any weight. I have to get back on track. I'm so happy for the people on here that are losing at a good pace, I wish I was one of them. So tonight I vow to hit the gym before going to bed. I'll write tomorrow and let you know how this works but if anyone has any suggestions on how to stop the night binges I would love to hear them.
:eek:Ate a little cheese and crackers mid morning, Water, and one protein Shake, Gosh did I get hungry before last night at Dinner.
I worked straight through 13 hrs yesterday helping a friend staff over 100 workers for the Gulf Oil Spill! By the time I got home and tried to eat something it was just too late, same thing today. But I sent out for some food to have and I munched on it all day, then ate tonight. Whew, I don't eat that much, but when you DON'T get food, you will not feel good! I packed a lunch yesterday, but did not have time to eat. THE OIL IS COMING! We have tarballs on the beautiful white sand beaches in Santa Rosa Beach, FL. I have lived here all my life and NEVER thought I would see this day, it will be a LONG time before they are clean. :tt1:
We take some things for granted like a beach, that it will always be pretty! We have to pitch in and work hard to make sure that this is done. I am trying to do my part. Many good people will be out of work because of this, so maybe the cleanup will help them replace income they have lost.
I feel very blessed to have grown up on these beaches! :sad:Very Sad Day to see it come to this! I will take some lunch tho or snacks for the day tomorrow, short day tomorrow, but it is my husbands birthday and I will take him out to eat tomorrow night.:thumbup:
I am going to be banded on 7-8-10. But I am having a hard time sticking to the shake diet. Has anyone ver cheated and had the surgery done? If so, how did it go?
Today was a bad day. Nothing to do with the band, though! But just not a good day. Everything that could have gone wrong, went wrong I think. Which of course put me in a bad mood for most of the day. Ugh! Suckage.
I won't go into the details, but the stress and frustration didn't help my healing today, that's for sure. For the first day in 2 days, I had pain in my port incision. So I'll be using an ice pack a little bit tonight I think. PLUS I didn't get to work out today. Double ugh!!
But I bought myself a super cute red dress tonight! That made me feel better. It's 2 sizes smaller than I would have bought a month ago and it's only the tiniest bit too tight! Still fits ok though. :thumbup: I have a month to fit better into it! I know I can do it!
Tomorrow morning I'm going to Zumba for the first time ever. We'll see how I can handle it! I've heard a lot of good things about it, so we'll see. I'm going to try to make up for the lack of workout today.
Hoping for a happier tomorrow!
xo
I am trying to plan what I will be doing for my exercise. Will I do
it in the morning, or wait to afternoons? Will I work out and then walk or will water aerobics be the Key? I am a bit confused of what I am going to do.
And while I am healing, I am feeling like the old me, TV, naps and nothing much. That is where this life has to stop.
Do I need a Jillian Michaels? Maybe. Will I need a Fit WII? Probably. Will I fail? Sometimes BUT I am going to try. If not why do this?
I am writing this to tell myself, YES YOU ARE GOING TO SUCCEED! YOU ARE GOING TO GET OFF YOUR BUTT AND DO IT! YOU ARE GOING TO KICK YOUR OWN BEHIND! START NOW!
Is there a difference between sugar free and fat free? Iwas told i could have sugar free pops and bought fat free ones by mistake. Whats the difference?
well today I washed clothes, walked around walmart. bought some myplex protein shakes..(which are really good)...took the trash out...and found out my 4 year old has cat scratch fever...so Im stressing about him now...how do kids get into so much dirtiness lol...tomorrow is my first day back at work, I must say I am excited!..Its kinda like the first day of school with new clothes lol...I have lost 4 pounds since friday...guess thats about a pound a day.. I feel way better than I have these 4 days..Im expecting tomorrow to be even better! Just ready to start my diet with real food and get on this road to health. I cant wait!!....my back still hurts kinda and my incisions are still sore, but Im hoping that will go away soon..:thumbup:
Today I had to go to the doctors office which is a good 35 minutes away. Potholes and any bumps were not good!:thumbup:
Very sore today and VERY tired. I slept on the couch during the night so I could keep moving if I needed to without waking the husband. Sleeping in the bed is difficult anyway. I attempted a nap and any time I moved I woke up. I do have gas today but it usually goes right away after I get up and move. I tried to just take tylenol instead of the pain meds but its too soon. I have no hunger what so ever and have been sticking to broth, jello and icepops. I had an isopure today..yuk! :eek: Dr. said I can start pureed food Friday after my next appt with them. :tt1:
The hardest part of this whole thing is that I am keeping this a secret from a lot of people. Only about 8 people know. The people I trust the most. No one at work knows ( i teach so I am off for the summer) nor do my neighbors know. I am not a good liar but I just felt like I don't want anyone to judge me or "monitor" my progress. So avoiding people this week is hard. Did anyone else keep this a secret?
Maybe in time I will tell but I just feel its no ones business.
I am new to the banding, I was banded on yesterday. I was very nervous and
afraid. I am still in the same state of mind. I am sore and filled with gas.
I made it home about yesterday about 1 pm. very sore. I did take my meds and
cat napped for the rest of the day. i drinked water and a little juice to take
the pill down for naseau. I crushed my pill, don't know if it was the right
thing to do or not. I walk every now and than and I do the breaths in the
spiral. As the days progress, the inhaling into the tube is becoming harder.
This morning I got up out of bed around 5am. I walked around before heading to
the bathroom. Its hard sitting down on the toilet and getting up. I really wish
I could have a bowel movement but don't seen like that going to happen. The gas
moving inside of me is getting the best of me, I have been chewing Gas X like it
candy. i have been sleeping with a heat pad, it helps.
I drink some water today and half of a protein shake that's all I have had.
Waiting to see what the rest of this day holds.
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.