Hi!:thumbup1:
Wanted to let you know about my TJ, Mexico experience.
Disclaimer
a) I have no allegiance to anyone in this company or its representatives and I have not been coerced, cajoled or otherwise persuaded to write this chronology of events;
:crying: I write this because I know what it's like to need the surgery but be prevented from having it, for one reason or another.
Saturday- Jan. 23: I've not been surprised about the surroundings or the people here. From the airport the driver and I drove directly to the lab to get my bloodwork done, which took about 10 minutes.
By 1.00 p.m. we got to the clinic that yes, is among retail stores in a mall-type setting. Across the parking lot is a "Love Boutique". The clinic is on two floors; not one. The top floor is for patients waiting and admin. The bottom has the surgery and recovery rooms.
Every hallway and room I was in was clean and cleaning people cleaned all day long. I remember seeing that I was wearing white socks that stayed white.
For me, things were a little tough because I had no 'real' water for more than 24 hours. I knew my surgery was to be the last one on the board but wasn't sure what time that would be on what I knew was a very busy surgery day. Because I'm pretty well an "all-in" type of person, I also had my eyes done (Dr. Lara).
Sunday - Jan 24, 12.30 a.m.-3.30 a.m.ish: I was in surgery for 3 - 3.5 hours. While coming out of anaesthesia, I remember saying (or perhaps yelling?) "Silencio, por favor...Silencio"! I must have had a headache then...or at least I hope so When I came to, fully, my coordinator and Dr. Betancourt were looking over me and asking me how I was feeling. Yikes? Do you think I was telling them to be quiet? Ah, the things we say when we're partially under...
Yes, my coordinator waited for me to get out of surgery to ensure I was doing well. Her name is Melissa Bracker. Yes, she is business minded but she is also a caring person who was there for me.
Sunday - Jan 24, 3.31a.m. - to Monday, a.m.: The worst parts -- post-op acid reflux and severe headaches that were so bad I couldn't rest. I really needed to take a Prevacid a few hours before surgery. And I really needed that night nurse to make sure my IV was working properly so I could get acid reflux meds through it. On the headaches, they were from dehydration and the eye surgery and yes, stress. I really wished that night nurse would have remembered that I hadn't had anything to drink for more than 48 hours.:sad0:
Monday, Jan 25, - 10-11.00 a.m. I had my blue barium swallow at the clinic. Since I couldn't get down more than that, I used it to get down a Prevacid. This was my "McGyver move" and is not sanctioned by any of the staff. Yep, teeth and lips turned blue from the dye.:biggrin0: The stuff was tricky to get down because it tasted 'metallic'; not because I was necessarily in any pain. Actually, the coolness made my esophagus feel better.
Then we headed off to x-ray to make sure there were no leaks. I would have paid not to have to take the next swallow of some clear stuff that I first, had to hold in my mouth until the camera was ready and then gulp. As for taste, it was like, like, oh! like a weak version of the bitter apple you'd spray on something you didn't want your puppy to chew. I haven't figured out what that was yet, but we all had it, we all had various stages of nausea afterward, we all lived. Oh yes, if I wanted to, I could have paid $10.00 for the x-ray photo of my new tummy on a t-shirt....c'mon! I'm just kidding -- There is no such thing...But, I claim patent on the process and copyright on the idea!
Then we were taken to one of two recovery houses. Everyone had their own bedroom but perhaps, not their own bath. This is unless you were able to negotiate the Master bedroom in your package, as I did. In my house, there was one cook and 1-2 caregivers every day from 5.30 - 5.00 p.m. Every night, 5.00 p.m. to 6.00 a.m. there is also a caregiver for you, who will also heat up food for your companions.
Dr Betancourt saw me Monday afternoon, checked out my stitches and drain, told me I had a reaction to the tape, changed my dressings and made sure I was o.k. He offered to have my hair dried and/or to have my feet rubbed.
Dr. Lara saw me and replaced tape with glue -- yep, glue -- on my upper and lower eyelids.
Yesterday, Tuesday, Jan 26th: One of the caregivers removed my drain -- after the Dr found out if the reaction had stabilized, etc.-- and in moments, it was out. How does that feel? Well, I liken it to putting your thumb in very firm Jello and then pulling it out slowly. The feeling was one of suction rather than any pain. The caregiver then bandaged the 3/4" wound (no adhesive tape for me).
Today, Wednesday, Jan 27th- Before I had a shower this morning, I removed the bandage, showered and then left everything to breathe. After about 5 hours, I saw a 'dime's diameter' of leakage, sprayed no-alcohol antiseptic on the wound and rebandaged. It feels fine but the incision needs cleaning and less of me sitting-up and walking 14 stairs, 10-12 times a day.
Dr Lara saw me in a happenstance way and said my eyes were healing as they were supposed to.
Dr Betancourt showed up and looked at my incisions again. Then he asked the caregiver to give the drain incision a 'good' rub with antiseptic. I've been ordered to do the same as many times in the day as I can.
Improvements I would like to see
a) Since I've been here, I've met only one person who was somewhat unmotivated and perhaps over her/his head. But s/he was not in a critical care giving position. However, s/he did work in the clinic. I am not giving out the name because I don't want to have her/him discharged. I have however, given the name to my coordinator so the person can get more training? more sleep? both? as I believe s/he is still a good asset to the team, who could become better.
I talked to both my coordinator and Dr Betancourt about the situation. They listened attentively, and promised to address issues with that team member.
Best Ofs
a) one-hit IV
excellent coordinator (Melissa Bracker)
- she and Dr. Betancourt kept their promises
c) the care in the recovery house, 24hrs/day
d) the warming saltiness of chicken broth
e) Actually, it's Dr Betancourt who sells the t-shirts across the street from x-ray!
Suggestions
a) do your research about the country and culture in which your surgery will take place
- If you want to have done full research about having surgery done in Mexico, go to where you'll be having surgery, meet the people and understand the culture of the service industry, then find a coordinator who has the same understanding. Then make your decision.
negotiate your package
c) In all cases, Mexicans' first language is Spanish -- learn some Spanish or be patient with the various levels of English
d) if you really want something you're not getting, then ask for it
e) do not be afraid to leave tips
Thankyous to Other Patients and their Families
Because I came here alone, I thought I would be alone. This was very far from the truth. I would like to say a public thank you to those other Posters/patients and their families (I will not post their names) for checking in on me, for buying me sunglasses, for giving me a couple strips of gas-X and for being so very caring:
Tyrza and Family
Brett and Family
Margie
Cynthia and Family
Kerri and Family
Braden, The Rock Star
Take care for now,
Cheryl
Emmanuel Jerusalem Clinic
Tijuana, Mexico
Dr Almanza: VSG Jan 24/10
After 2.5 years of trying to get a normal relationship with my mom, it has all hit the fan again.
I can't even express my hurt, and true anger. I don't know if we'll ever get passed all of this, and if we do it isn't going to happen anytime soon.
Why does life have to be so difficult? Why can't we just get a long? When will I learn that it will never change?
Happily, I'm not seeking comfort in food. But, I am tired of allowing her to hurt me. I'm tired of trying to have a normal relationship and getting backhanded comments, and mean-spirited things said to me.
I tried to talk to her about it tonight, and it turned into a huge clusterf*ck. Now, I'm stuck going to Texas without John because he can't get leave, and nowhere to really stay because I don't want to stay with her after this episode. It's so complicated, and I'm so hurt. I don't think I'll ever be able to have a normal, healthy relationship with my mom. I've already lost the relationship with my father. I just want normalcy, and will admit that I am so jealous of other girls that have great relationships with their mothers.
I am so confused, and hurt. . .
I was banded on 2/22 and my weight loss is at a stand still... I am discourage too, but I am trying really I am. Keep in touch I will be your buddy during this journey, we can encourge each other.
35 days ago..... I had a sort of awakening. I had a very intense moment of realization...that if I didn't fight for me...who would? Today I was able to feel that incredible rush of emotion that consumed me during those first few minutes of deciding to change my life over a month ago....and it was great! I had the "talk" with my primary care physician about my desires for the LAP-BAND® procedure. I waited a month after deciding to pursue the LAP-BAND® because I wanted to be educated with as much knowledge my brain could hold. I wanted to know the risks; I wanted to know the benefits. I wanted to know the difference between the realize band and the LAP-BAND®. I wanted to know how other people felt after their surgery. Basically I wanted to be well armored with as much info as possible. It was as if I was preparing to fight and defend my feelings to the world why I deserve to have this procedure. And then it happened....as I was explaining to him my feelings(yeah....I had a whole speech prepared in my head of why I was a candidate for the band....and I wasn't afraid to use it!!! ) he just smiled at me....and said "lets do it"! he told me that he would support me 100% and that we would start the 1st month of a supervised diet today.....so that leaves me only 5 more months to go!! Yay me! I realized going into my doctor’s visit today that regardless if I did or didn’t have the support of my physician....I would be able to find support elsewhere. BUT... I really wanted him to embrace this idea for me like I embraced it for me. I needed that extra little bit of confidence from someone who knows my medical history...it just kind of validated my feelings. Trust me, there are not very many times I have left the doctors office with an extremely positive outlook about my weight....but today it was just the opposite. Today was just for me...and I have the feeling it’s just the first of many to come….and when I finally made it into the “safe haven” of my car I was able to give release the river of tears that have been levied back for way too long.
199.2 this morning! Yay me! I really didn't think that I would ever get there. I chose the band partly because I didn't want the weight loss to be too fast, or obvious, to other people. I guess I got what I wanted. Love my band!
Seems like my post-revolt body didn't take too kindly to the Nemo Patty I had for dinner last night. Dude, my system had NO problem trying to evict that joint & all its baggage. *whew* Then, today, with my "healthy" lunch (rice w/veggies & chix, yummy waldorf salad, cherry pepsi zero), I wanted a handful of my "favorite" UTZ Smokin Sweet potato chips. 5 chips in, I realized that wasn't a good idea. *bubble guts* I guess that's a good thing. My body is reminding me to stay focused, even when my cravings are saying "Might I have another, please?" *in my best Madonna/british accent* Interesting how that works, huh? Now, if I could just find a pair of full body swimming SPANX (complete w/a pair of Tina Turner legs - because even "reduced fat" cottage cheese is still too much for some to digest)... A fatgirl can dream, can't she??
On October 1, 2009, I met with Dr. Kuldeep Singh and Arlene Swantko - who were to become my Bariatric Surgeon and my Nutritionist as of that day.
Dr. Singh is a fan of the liquid diet. He wants his patients to be on it for 2 weeks before and 2 weeks after surgery. He also made the suggestion that I try it. I looked at him as though he had 3 heads and responded "NOW???" Well, his answer was yes and his rationale was that I could sample some of the protein drinks before I HAD to drink them and that it's always a good idea to lose weight prior to having surgery. At this point I had no idea when I was having surgery, so the idea of the full liquid diet was extremely premature for this brain!
I didn't see Dr. Singh again until January 2010. After being excited about collecting everything the doctor's office requested so that they could submit a clean package to the insurance company we realized that if we waited until January 1, 2010, then we wouldn't have to file an appeal and get into a big hassle because my husband's company had finally wised up and added the bariatric coverage to their insurance plan! YAY!!!!
More waiting...and waiting...and waiting...it seemed that January 1st would never get here. It arrived, and along with it came a very nasty case of double pneumonia, pleurisy and a sinus infection that landed me in the hospital on New Years' Day 2010. Wow! I'd never had pneumonia before and this was nothing to mess with! I was in a lot of pain and I couldn't catch my breath. I was coughing like crazy and feeling as though someone was stabbing me in the side and back. Yet all I could think about was that this would delay my LapBand surgery and that even I got approved for the surgery I would have to wait to be cleared of this disgusting illness!
The approval came on January 14, 2010. Just as I was starting to feel semi-human again and was making plans to have follow-up pulmonary, primary care and CT-Scan appointments. I wanted to do a happy dance! Problem was, I didn't feel well enough to do a happy dance! LOL
So, I waited some more and even though I wasn't yet released from the pneumonia, I scheduled my surgery date for March 12, 2010. Surely that would be enough time!
It was and I started the dreaded liquid diet on March 1. I decided that I was going to start on a Monday and didn't care that I was actually going to be on the diet for more than 2 weeks. Nothing really mattered anymore except that this was REAL!
I was following the liquid diet perfectly, doing pretty well, losing weight and feeling a little bit better with each day. Until that fateful Wednesday night a week and a half into the diet. Looking back - WTF was I thinking???
I offered to make dinner for my husband while I was on the liquid diet - even though he had been perfectly supportive and wonderful with taking care of his own meal needs. Nope - I was going to make him a meat loaf! Was I kidding? Well - NO, I wasn't kidding, and he only wound up with about 2/3 of the meatloaf left because I couldn't help - one small piece with ketchup - ummmm - it was SO good...but not quite enough - one more small piece with mustard this time! Oh, YUMMMM...I hadn't had meatloaf in SO long!
You get the picture! Before I knew it I had about 1/3 of a small loaf and was feeling full, bloated and disgusted with myself. The good news was - it was the only slip in the 2-1/2 week process. The better news was - it was a protein at least - it could have been a whole lot worse! So, I dealt with it, refused to feel guilty about it and went on with the liquid diet - finishing up the night before surgery with no more interruptions of the spirit or the brain!
I'm 4 days post-op and I'm starting to get some of my strength back, starting to feel pretty good. SO - I look forward to the support and the friendships that I will develop here - those that have gone before are a wealth of knowledge and information that I intend to use to the fullest!
Thanks for being here and I am viewing my future with hope and excitement for the first time in many years!
Second day of liquid diet, First day was not so hard but today i am hungry, any suggestions? How did you make it through 2 weeks of no food in a big stomache? HELP:eek:
This morning I had a gastroscopy. It was a follow up from a year ago when I was in the process of discovering that my gall bladder doesn't work. Things are still icky; to be specific, gastritis, ulcers, and the worst part: an irregular z line. The doc didn't say it is out and out Barrett's espophagus, but I got the impression he'll be monitoring it indefinitely. Frankly, it scares the crap out of me. The frustrating thing is that I don't get heartburn since I had my band. So, was this damage done before I had my band? Or, have I caused it since by pouch packing and the like? Ugh. Bottom line: one more piece of motivation to eat correctly.
Down to 246, so I've lost six pounds since my surgery. Having a hard time getting in 1,000 calories, but doing better with the protein - about 60g a day. Over did it a bit yesterday with chores and by 6pm was down for the count. Off the Loratab and finish the muscle relaxer today - good thing as it makes me dizzy and I can't focus to read. Positive side effect to all the protein - my nails look amazing!
Working at my desk on the ongoing sage of the "Psycho PsyD". Despite numerous calls from BCBS she has yet to reimburse me what she over charged and incorrectly collected, so I'm having to file the claim myself and hope for a positive outcome.
Why is health insurance so much like organized crime? I have morbidity factors, and because I lost weight after an obdominal diverticular surgery, for one month ( below required BMI for a whole 3 weeks maybe ) the are trying to tell me no. I will not quit! My husband said that a lot of times people would drop their carriers and move to another Insurance carrier when such a thing happened, but he said NO! we'll make them pay for the mistake they made IF I do not get approved for this surgery. He said we'd stay with them forever and they can pay for everything that happens to me due to the fact that they refuse to see the behefits of this procedure for me.
WOW! I did it. Just a mear 23 days ago on 02/22/2010 I had Lap-band®. I made the commitment and now I am on my way. I know there will be highs and lows but I will keep on trucken to get and stay at my goal of 130 pounds. 42 more pounds to go. I started out at 209 and that's a loss of 37 pounds as is.
The sweetest man I have ever know and the love of my life asked me if it was clothes shopping time? I had to inform my Honey Bunny that I bought stretchy pants before surgery so I could go for a while with out having to buy clothes.
(laughing) I should have said yeap and gone a pre-bought jeans for myself for when I am skinny, but I just can't think that way. I am always just right here with the glimps of what can and will be but realisticly knowing I'm not there YET! But look out when I am!!!! I don't know what you'd have to look out for but...look out just in case.
Loves to YA!!!
I hit onederland today. :thumbup1:
I went to my doctors apt yesterday to do a follow up on the clots. Last time I was in they also did an array of blood work to see if I had any other issues (like clotting problems) etc. I'm not really sure how to take the results. The doctor said several areas showed borderline issues, but yet she couldn't really say there is a problem because they are borderline. Not sure what that's suppose to mean!! In the past they had run blood work and said that I had some elevated SED levels that could indicate issues, but they still haven't a clue. I've often wondered if I have Lupus or Fibro as I've had so many issues with joint pain etc. Hopefully all will resolve itself. Back to the blood clots...they are still there. :crying: She was a bit surprised and thought they would have disolved by now. She was also concerned as that arm has a spotty look to it, almost like leopard spots. They are faint and just red around the edges of the spots. I'm scheduled for another Ultra sound at the hospital this week. She wants to compare the ultra sound from 7 weeks ago to see if there is any change. If not, we will need to take a different approach as the aspirin doesn't seem to be having much effect.
It's so discouraging because One, it's painful and two I want to start lifting weights and building up some muscles and I can't until the clots are gone. I have been doing 4 miles 3 to 4 times a week. Either bike riding or walking fast paced. So I'll continue doing that until I get clearance from the doc to do strength training.
Things overall are going well. I'm getting so accustomed to my sleeve it's almost second nature anymore. It's easy to forget you have one, and take a gulp of something and then spit it out because "oh yeah you can't do that"!!! lol
I have had no real food issues. I've been very slow to introduce new things and have tried my very best to avoid bad choices. For the most part I've done really well. Food just doesn't have the same appeal to me anymore. It's not the main focus anymore. How blessed am I? I did try popeyes chicken nuggets as I used to love those preop. Nah....didn't care for them at all. I ate two and tossed them. I won't be trying those again. :sad0:
Wishing everyone a fantastic week!
:biggrin0:
Okay so I am here at work on the liquid phase after the surgery. My clothes are fitting looser everyday. I find the need to get on the scale every morning (I know its a bad habit) but I need the motivation. I am really scared to eat anything these days. My doctor told me I could eat mushy foods but I just did not feel ready. I tried soft broccoli and mashed potatos but that did not feel good to me. So today I had a banana vanilla optifast shake. That was satisying. I guess I'll have chicken broth for lunch.
My unfill, as suspected, has led to basically no restriction whatsoever. It's PMS week and I have totally lost control. I am practically jamming in food - taking big bites, not chewing all the way and gulping it down. It's like I was starving for a month (I kind of was with the vomiting and all) and now that that I can eat again and there's plentiful food I'm like a dog....gotta eat, gotta eat.
I know I need to get this under control now but honestly, if I had that kind of control I wouldn't be huge and need weightloss surgery in the first place. I'm trying to take it one meal at a time but it's not even 10 o'clock and I've blown breakfast!
My unfill was only last Wednesday.... is it too soon to get a fill??? I'm not scheduled to go back until 4/7 and I'm afraid I'll explode by then if I keep up this pace.
Guess what happened to me....... Well I have recently started a new job as of March 1st and of course that means a change of insurance. So I have to work a full 30 days before my insurance will go into affect. :thumbup: The funny thing is that my New Insurance does not require me to do any of the 3 month supervised diet. :wink2: The other funny thing was that I could have started this job back in Jan so I could have already had my surgery completed..... But I guess it wasnt all bad because I learned alot about myself over this past year. So Hopefully I can get the approval around the first of April and then I can get to the sweet sweet BANDLAND.:tongue2:
WHEW, what a weekend I had. I traveled to Virginia to visit my best friend. Well, least to say, we partied down on Saturday night for the St. Patty's day celebration. I drank like a fish, rum and cokes, several shots of Goldschlagger, and then the eating was out of control, but only by the choices I made, not quantities.
I had an amazing time on vacation. It was by far the best 4 days I've had in a long, long time. I partied, got hit on, danced, got hit on some more, was told by SOBER men that I was "damn sexy". My best friend told me I look much smaller in person which was kind of creepy, but she said that I didn't even remotely look sick or malnourished. Of course, I had to shop, and she took me to colonial Williamsburg.
Overall, it was an awesome trip. Well needed, and I promise it was a blast. I didn't gain 1 pound while gone either. So, that rocks.
Now, I truly feel normal. I did drink way, way, way too much, but no hangover, no headache. And, when I say way too much, I mean, we ran through over $120 bucks in 5 hours between just the 2 of us, and that doesn't include all the drinks that were bought for us. I haven't drank like that in over 3 years. I'm not bragging, but I am admitting that I'm living a normal life. I wasn't binge drinking, just partying, having a good time, and got a good party night out of my system. If I only do it every 3 years or so, how can that be horrible?
Ehhhhh, it was great. Zero regrets, no issues, I didn't have one low blood pressure episode while traveling. Not once did I feel faint or dizzy. The fluids, and salt have definitely helped.
Anyways, so for those out there that wonder about drinking. Well, I didn't get super drunk quickly. I maintained a good buzz until about 1am, then everything, all the little details are a little fuzzy, okay a lot fuzzy ha ha ha.
I'll upload some pictures later on tomorrow or Wednesday.
Last weekend I took my toddler to a gymnastics gym for play hour. They open the gym up to parents and kids for an hour to play on all the equipment (bars, balance beams, foam pits, trampolines, you name it). For $5, you really can't beat it.
My little stinker was happy just running up and down the tumbling runs (springy!) all the while yelling "Ruuuuun! Ruuuuun!" in her cute little toddler voice. And I was running with her, of course, because the tumbling runs happen to be 2 feet off the ground. I was having a great time just watching her enjoy herself, and then I realized... I was running! Well, maybe more of a shuffling jog, but STILL! It felt so good, I thought for a minute that I might just have to yell "Ruuuun!" right along with the kiddo! I bounced on the trampolines with her, I climbed the matts, and I even dove into the foam pit. Ok, so it took me ten minutes to get OUT of the foam pit. Working on it, people!
The next day, I was paying for it. My hips and knees were stiff, my leg muscles were a little sore, and I must have wrenched my neck in my epic battle to remove myself from the foam pit. And you know what? I liked it. I can't wait to do it again.
It got me thinking about what I'm going to do for exercise as my action phase kicks into gear next week. My dear hubby is going to pick the kids up from daycare a few days a week, so I can hit the gym. Weights and treadmill, here I come! This is good, but in an effort to forge new pathways, I need to find ways to fit in exercise on a daily basis. At work, I get an hour for lunch. As a bandster, I only need about 15-20 minutes to eat. This leaves 40-45 minutes I can make some serious use of. Weather permitting, I'll take a walk around the building. Or, as I get stronger, perhaps a few flights of stairs and some pushups in the locker room. Creativity will be key. I will keep you posted on the implementation of my lunch time frolics!
Ok, here is my problem. My boss decided to play musical desks and had several of us move around and I am now sitting right next to her. As her team leader it makes sense. What doesn't make sense is she has two food drawers. IN MY DESK!! Yes she has taken over 2 of my 5 drawers to put her food in because she doesn't have room at her desk. I am left with two skinny drawers and one that my file folders hang in. That is it. I have no room for the things I need to have on hand. I tried to move it but she got ticked off. When I start the all liquied diet I can't have that food in my desk. I have tried bringing it up but she doesn't want to hear it. Any advice?? I don't think it is fair to me when I am going through this but I also don't know how to get her to see it my way. Usually she is open to what I have to say.
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.