I decided I didn't want to keep my surgery a secret from my closest family but I also didn't want to have to keep explaining it over and over and I certainly didn't want to argue or debate with anyone (something my family is known for, including me! )

So I sent out an email in advance and the results have been great. No one argued or disagreed, at least, not to me. I received some well wishes before and after surgery. And while there may be questions when I see them over the holidays, my hope is that I've cleared up a few things in advance.

Here's my email:

Subject: Do you know what Lap Band Surgery is? (Warning: this is long!)

It's a procedure in which an inflatable band is placed around the upper portion of your stomach. There is a tube attached that runs to a port that is placed just below the skin. Saline is injected into the port to inflate the band. The idea is to create a pouch of the stomach through which food initially passes. When this pouch is full, you feel full and so eat less.

I am having this procedure on Thursday. I have researched it extensively and have visited the surgeon, a nutritionist, a psychologist, and my own family doctor. All have been supportive but I was especially pleased with my own doctor's opinion, since he has no affiliation with the others, though, coincidentally, he knows the psychologist. (She has a regular family counseling practice and does not work for the surgeon.) My doctor said that he has about half a dozen patients who have had the procedure and all of them are doing great. He was very positive about me doing this. Also, he performed all of my pre-op tests and I am in excellent health.

I have about 70 pounds to lose. The Lap-Band will not cause me to lose it especially quickly. However, it should help me keep it off. You may recall that I lost 70 pounds four years ago, too. I fought to keep that weight off with continual dieting and exercise. Unfortunately, diets don't work, and 95 percent of people who lose weight will gain it back. People tend to be blamed (or blame themselves!) for this regain but there is more and more evidence that our bodies are programmed to regain this weight. I read a recent study with rats: two groups of rats were given the same amount of food. The rats who had previously lost weight GAINED while those that hadn't stayed their normal weight. Of course, those of us who have struggled with our weight for many years don't need these studies to convince us this is true!

Here's what's going to happen to me: I go in for surgery at 7 a.m. at Austin Surgical Hospital. It's a laparoscopic procedure that should take no more than an hour. After I've recovered, I'll go home the same day and I'll go back to work Tuesday. For the first week or two, I will be on a diet of Clear liquids. Then I'll be on full liquids (anything that can go through a straw) for another couple of weeks. Then I'll be on soft foods (foods that can pretty much be swallowed without chewing) for a few weeks. Finally, I'll be able to start adding normal food. I will need to chew thoroughly and slow down the eating process. I will also not be drinking with my meals because liquid just pushes the food on through. Eventually, I'll be able to eat most foods but more slowly and in smaller quantities. The process is slow in order to allow my stomach to get used the band while I get used to learning to eat differently.

After six weeks, I'll go in for my first adjustment, called a "fill." My surgeon is conservative about filling the band, one of the reasons I chose him. I want to take my time and adjust to each change. I am not in a hurry about losing the weight, especially knowing that this will be the last time! The perfect amount of restriction is being able to eat almost anything I want in small quantities without being hungry but still losing weight. While some people get exactly the right amount of restriction with no fill at all, it is more typical to get three or four fills, or more, several months apart. Also, as one loses weight, there is less pressure from fat on the outside of the band, so the band can loosen up, requiring a fill.

The band can be unfilled a little or completely if I ever get too much restriction or have a medical reason for needing more food. Also, the band can be removed completely in a similar surgery and my stomach would return to normal. However, this is only done if there is a medical reason for it. It's considered permanent like a knee replacement or defibrillator. This is a big difference from gastric bypass surgery, which is a permanent reconstruction of the stomach and cannot be reversed.

One of the best articles I read that summed up the procedure is an ABC news article about Khaliah Ali's book, "Fighting Weight." She is Mohammed Ali's daughter and she had the Lap-Band surgery. An excerpt from her book is in the article and she does a good job of summarizing: ABC News: Excerpt: Khaliah Ali's 'Fighting Weight'

I have other links if you would like to learn more about it.

Mr. Longhorn and the girls will be taking care of me after the surgery, though I shouldn't need much. The surgery is considered comparable to gall bladder surgery. I'll be up and walking a lot that weekend to get rid of the CO2 gas that the surgeon will pump into my body during surgery to create room to work. Many people have very little pain afterwards. I'm getting the latest version of the band, made by Allergan/Inamed. While complications have been rare, this band has improvements designed to address those complications.

I'm sorry this is so long but that's why I decided to let y'all know in an email. I didn't want you to confuse what I'm doing with gastric bypass surgery. I also wanted you to know what to expect when we're together for meals in the future. And I didn't want to have to repeat this "lecture" over and over! :eek:

Love,

Longhorn

Feel free to use any part of my email if you find it helpful.

great letter Longhorn-I wish I had this example when telling some of my family...very well stated

Thanks, Stacy! Of course, I couldn't force my family to read it. My sister asked me when I would have my band taken out. :woot:

I saw most of my family last weekend for my mother's 75th birthday party. I was so pleased with the comments I received. Nearly every person said I looked great and asked how I'm feeling. Not one person asked me how much weight I've lost and I didn't volunteer it. This is exactly the kind of reaction I had hoped for! Education works! :confused: