Jump to content
×
Are you looking for the BariatricPal Store? Go now!

First appt Tomm, super nervous!



Recommended Posts

Hello all,. I am a male, 37 years old….Living in Atlanta, GA. I’m having my first appointment tomorrow. I am about 5’8 in a half and I weigh 246. My BMI is about 37.4 … I am obese but do not LOOK obese. I have tried to get the weight down on my own. I have gained upward to 255 pounds in my life. I in my most recent trial to do it on my own have gotten down to 235 which took about 8 weeks to do so starting at 250 pounds. I have no gained 11 pounds back and back up there which has led me here to finally considering gastric sleeve. If I start the nutrition plan and lose 15 pounds before surgery, I will be at 230 and then my BMI will be at exactly 35. People will then look at me, maybe even the doctor who i have no met yet and say, “oh you look good, you dont need surgery”, I am afraid to start the process and have any kind of hiccups… I know how to “look slender” in certain clothes but to be honest, i need to be back to my 180 size. It’s better for my blood pressure and sleep apnea. At 230 pounds if I get there on my own, i still have BP issues. 5 years ago, i was able to get down to 218, but no lower than that. And now im back up to 246 again.I just dont know if this is right for me. I have a very physically demanding job which requires me to drink Water very often to hydrate. My concern is that I wont be able to hydrate properly after my surgery because i can only sip water. I need to be able to drink at least 1 liter of water per day on my demanding job. (One liter is 2 regular bottles of water)…. How did you all who are water drinkers overcome your water intake and hydration issues for those who must drink water as a necessity because of their physical demanding job? Also, did anyone who is my height 5’8 - 5’9 get surgery around 230- 240 pounds? What was your results? What did doc say?

Share this post


Link to post
Share on other sites

Congrats on your appointment tomorrow! Good luck!

I can't comment experience wise because I haven't has surgery yet and my BMI is MUCH higher than yours, but most insurance companies will cover weight loss surgery if you have a BMI of over 35 and a co-morbidity. It sounds like you have a few co-morbidities so you should be good!

One liter of Water sounds very doable after the first few days of recovery, so that should be easy for you to do with frequent drinking by the time you can go back to a physically demanding job. You may not be able to gulp it, but you should be able to drink it at regular intervals between meals just fine...

Share this post


Link to post
Share on other sites

3 hours ago, ReadybutScaredALittle said:

People will then look at me, maybe even the doctor who i have no met yet and say, “oh you look good, you dont need surgery”, I am afraid to start the process and have any kind of hiccups… I know how to “look slender” in certain clothes but to be honest, i need to be back to my 180 size. It’s better for my blood pressure and sleep apnea. At 230 pounds if I get there on my own, i still have BP issues.

They will not go by looks at all, they will go by what the scale says and your BMI and medical history. sleep apnea with high BP and a BMI of 35 will still qualify you for surgery. Once in the program, you will get the surgery unless you change your mind. Now if your BP goes down to normal and your sleep apnea disappears and your BMI goes below 35 your insurance may no longer consider you to be a candidate, and you might not feel like one either at that point. But I don't know about that for sure. This surgery will make it a lot easier to maintain and to keep those promises to yourself about staying on track and not letting your weight spiral, if you use this tool correctly.

Share this post


Link to post
Share on other sites

3 hours ago, ReadybutScaredALittle said:

How did you all who are Water drinkers overcome your water intake and hydration issues for those who must drink water as a necessity because of their physical demanding job? Also, did anyone who is my height 5’8 - 5’9 get surgery around 230- 240 pounds? What was your results? What did doc say?

I am like you, I need to drink a LOT of water. Before surgery, it was nothing for me to drink 80 oz. or more of water every day. I'm 6 days post-op with RYGB and the most water I've been able to directly drink is 56 oz. in one day. I'm still on a liquid diet, and that's definitely helping me get more water in. From what I understand, as time goes on we are able to drink more normally than we can right after surgery.

I started with a consult back in December of 2022. I'm 5'10, and always hovered around 250-260. I could focus on food and exercise and could never break 230. I also have been able to find flattering clothes and seemed to be able to "carry my weight well," like you, too.

As of yesterday, I was down to 220 from my highest weight ever at 276 a few years ago. When I saw that number, I could actually imagine being below 200 for the first time in my adult life, and I got emotional.

I don't wanna tell you what to do, but going in for a consult might help you make your decision. My program and insurance required me to be on a medically supervised diet for at least 6 months before surgery. And I had to prove that I could lose at least a bit of weight by tracking my food intake, taking nutrition education classes, and basically having them monitor my progress with an app on my phone. They were able to get Wegovy for me to jump start my weight loss, and I was at 224 the night before I went in for surgery. I weighed 263 when I began the program.

Hope some of this helps, and I truly wish you good luck as you learn more!

Share this post


Link to post
Share on other sites

I drink a ton of Water - and have been able to for a long time. It's really just the first few weeks that it can be an issue.

Share this post


Link to post
Share on other sites

I still pretty much still sip all day long 4 yrs out & I easily get in about 2 litres a day. It’s all about establishing new habits. Sip regularly - some find setting a timer helpful. Sip to a routine - e.g. I sip when I get in my car & when I get out & sip at every traffic light. Also sip during the night - e,g, I sip every time I get in or out of bed (which is often because of the peeing) so get in another good cup at night. You’ll work out strategies that work best with your job & in your life.

Yes it is a little harder in the beginning, much like hitting your Protein goal. but it gets easier. And remember, your shakes & Soups in your post op liquid stage all count towards your fluids goal.

We all should be aiming to drink 2 litres of Water (liquids) a day to keep us well hydrated, or more if physically active, it’s summer or live in a hot climate, regardless of having surgery or not.

Share this post


Link to post
Share on other sites

As a few others have said, for the first few days everyone struggles to meet their liquid goals. You will have a very swollen stitch line and until that settles, tiny sips are the only way to go.

This is big surgery and you will need some time away from work to rest and recuperate. Good luck

Share this post


Link to post
Share on other sites

i think i only sipped Water for maybe 2 weeks max. then one day just forgot to sip and guzzled down a whole bunch of water and was like: !!

haven't had issues with drinking any amount of liquids since (i'm almost 5 years post)

Share this post


Link to post
Share on other sites

Hello @Readybutscared I am similar in size to you 5'7 1/2" and currently 240 pre-surgery. My DS Loop surgery is schedule for 9/19. I guess we''ll see how it turns out. Of course I am nervous. I'm 68 years old. I feel like I should have looked into the WL surgery years ago. I've struggled with weigh for over 50 years. Like you I hide my weight well and don't appear to be obese. As I have gotten older I have developed weight related complications requiring medications; GERD, high blood pressure and recently type II diabetes.

As I said we'll see how this works out. I'm tired of being a fat guy and want to see what it's like to have a normal weight my remaining 25-30 years. I enjoy bicycling. I told my surgeon try riding carrying an 80 lb. bag of cement.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      I ordered the Barbecue Protein Crisps here from BariatricPal, and find them quite tasty. The Ranch flavour, not so much. They are very filing and have a satisfying crunch.
      I continue to shrink, and am amazed at the changes all over my body. Visually, it is striking to me. In the mirror, I look thin to my eyes, but I don't feel thin, although I can see more bones and veins and tendons and floppy skin. Cardio-wise, It takes a lot more effort to get my heart rate up and I'm now monitoring which heart zone I can get into and for how long. My resting heart rate is the lowest it's ever been.
      If I think about it, and I left myself feel it for a time, I weep (like, boohoo cry) with joy. I am so grateful to myself, and proud of myself for having the courage to have taken the leap to better health.
      · 0 replies
      1. This update has no replies.
    • Yearofme43

      Well round 2 fight, second attempt at this sleeve surgery.  First attempt found out i have situs inversus that was a year ago, so after another long journey i received a new date for December 1, 2023 for the sleeve. Started pre op diet Friday going well just waiting for the big day, for any tips for newbies look at my prior post alot there of what not to do under temptation,  lol 😆 😅 😀 hope everyone has a great outcome
      · 0 replies
      1. This update has no replies.
    • NickelChip

      Feeling a little sad today because a few weeks ago I had a call from the surgeon's office and they had a last minute opening on November 20 because of a cancellation. I am not scheduled until December 27, which is way later than I had expected when I started all this. My "ideal" date in my head had been November 13. I was so ready to jump at the chance, but I just couldn't make it work. As soon as I mentioned it to my mom, instead of being supportive, she had all sorts of reasons why I shouldn't move the date. Some were valid, like my teen daughter has a special (but not super special) thing going on later in the week that I would probably have to miss, and others were less valid, like she didn't feel ready and it might ruin everyone's holidays. Um, excuse me? It's not about her! And how would I single handedly ruin both Thanksgiving AND Christmas for my entire family by having a surgery? But she had informed me when I first got the December date that she planned on getting a hotel near the hospital and staying that night to be nearby, despite the hospital only being about 40 miles away from home. I didn't ask her to do that, but that's her plan, so there you go. She didn't ask me if I felt ready now, or what the wait through the holidays felt like for me with the surgery looming. So that was the part that hurt. I felt like I was having to make sure everyone else was okay with my choices instead of me, which is a theme in my life for sure. Don't get me wrong, my parents have been there for me so many times, and I don't want to sound ungrateful. But this really made me sad that what I wanted simply didn't factor in. Basically, I passed on what felt like a dream come true to get that call, and I've had to reconcile myself to it as best I can. I've found some silver linings, like more time to clean my house and test some recipes. But if I hadn't, I would be on my pre-op diet now (my surgeon only does a short liquid diet beforehand, so a Monday surgery starts the pre-op diet on Saturday morning). Instead, I'm getting ready to make dinner for myself and the kids, and I still have 39 days to go...
      · 2 replies
      1. New To This23

        I can relate to the parent's situation. I am 42 and still struggle with pleasing them. Yet they do whatever they want with no concern for how it affects anyone else, so why do I feel so obligated to them? I wish I had some advice that could help. One thing I have tried to do is stop sharing things with them that I really don't want to hear their opinion on. (like the business I am starting)

        Like with this surgery, I knew I was going to need their help getting to the appointments and back from the surgery, so I knew I had to tell them. But I did not tell them until I was almost at the point of getting surgery that I was doing this.

        I got hard judgment from my father, which I expected, I made him promise not to share this with his brothers (who are assholes) I told him whether he likes it or not I am an adult and I deserve respect and privacy especially when it concerns my health. (he begrudgingly agreed)

        My mom on the other hand was supportive, but she has the tendency to add some dramatic flair about everything. her typical M.O. is to pop onto social media and rattle on about how something that is not happening directly to her, is affecting her ( I get it there no talking to the man she married about this stuff, so it's nice to have someone to listen).

        I know they both struggled with trying to respect my wishes, they looked shocked when I told them that if I lived somewhere else, I would not have even told them I was having this surgery.

      2. NickelChip

        I'm glad your father did agree to respect your privacy by not sharing with your family. And I guess I should be glad my mom keeps the dramatic flair off of the socials!

        I'm both lucky and unlucky that my brother had VGS 15 years ago. On the one hand, my mom understands the concept and has seen my brother's good results from it, (we inherited the obesity from my father's side, and Mom has never dealt with more than those pesky 10 lbs average weight people always want to lose). On the other hand, my brother took exactly the opposite approach from me. He didn't live near family and told no one, had no support. He went to Mexico as self-pay and didn't say a word until about 4 weeks after when he was having some serious emotional struggles, living alone, and compounded by the fear of realizing that to get family support, he had to "confess." So his recovery was very different than what I anticipate for me. But because of all that, my mom definitely sees this as a "REALLY BIG DEAL." Which it is, but not the level she's at with it. Like, it's not an open heart surgery being performed in 1982, or experimental cancer treatment. I've also noticed that as my mom ages, she takes change a lot harder. She doesn't have the mental flexibility anymore to make an instant change of plans and roll with it, whereas I do that probably a dozen times a day.

        I'm grateful for their help, but it comes at a price.

    • Heidi911

      Has incorrect surgeon but won’t let me fix
      · 0 replies
      1. This update has no replies.
    • Chevygirl

      Gastric Sleeve Journey.
       09/07/23 Consult with Dr. Amir Aryaie of BMI Surgical Institute
       09/11/23 Cardiologist (EKG) Piedmont (Dr. Don Rowe)
       09/11/23 Labs done Labcorp
       09/18/23 Pulmonologist Piedmont (Dr. Zolty)
       09/27 1st Nutrition Appt Telehealth ( Paige Espenship)
       10/4 Home Sleep Study 
       10/9 Stress Test
       10/26 EGD done by Dr. Aryaie (Northside Hospital)
       10/27 2nd Nutrition Appt Telehealth
       11/6 Psychology Consult (Beal Wellness) 
       11/7 Psychology Evaluation
       11/17 Waiting on nutrition progress notes to be sent over to submit to insurance company
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×