10/24/2006 - 4th office visit

Doctor office scale = 268 lbs; UGH! went up 3 lbs since last visit; showed Connie (RN) the picture of the bruising from last month's visit & she said it was because of all the needle sticks; she was able to find it right away this visit; received add'l fill of 0.25cc. Total fill to date = 2cc.

Since last visit, have had difficulting passing foods; still trying to figure out exact causes, whether I'm eating too fast, bite-size too large, etc. Seems that most instances occur during the first couple of bites of food so the problem could be that I'm just taking too big of bites upfront and not chewing well enough to pass it. Connie indicated that I just need to be a more patient, take smaller bites, & chew well. Based on this information, the Intern doctor decided to only fill me with a minimal amount.