Surgery Timeline

Surgery timeline

Many people have asked me when I’m having surgery, what my recovery time is like, and what I have to do in the time until they cut my gut. Here’s a run-down of my next few days. If you want to get updates as things happen, join/like the Beauty and the Bypass Facebook Page. I will update when I can, and my husband will update the page for the times I can’t.

I’m starting out this morning fasting. I’ll be going to St. Mark’s Hospital radiology at 7:40 for a few tests. I will be getting an upper GI endoscopy to see if I have a hiatal hernia, and then I’ll be getting an abdominal ultrasound to see if I need to have my gallbladder removed. If I have the hiatal hernia or a diseased gallbladder, those will be taken care of at the time of my surgery.

After the radiology work, I can break my fast for a few hours. At 3pm, I can call the hospital to see what my surgery time will be for tomorrow. I’ll need to take a bowel prep drink called Citroma (yay!) and then begin a clear liquid diet. In the evening, I need to shower and wash my abdomen with a surgical prep antibacterial soap called hibiclens, which I’ll also have to use again in the morning. Beginning at midnight, I will be NPO (nothing by mouth) until I go in for surgery tomorrow.

My estimated hospital stay will be a day and a half. I’ll go into the hospital Tuesday morning, and likely be discharged Wednesday evening. I’ll be home recovering for 2-3 weeks. I’m glad that my husband will be home with me as I recover.

If you’re interested in visiting me at the hospital, send me a text, tweet, or Facebook message. I’ll let you know when I’m ready for visitors. If you don’t want to come into the hospital to visit, I’ll be anxious for visitors at home.

Birthday Food Diary 2-5-12

Yesterday was my 32nd birthday. Happy birthday to me! It was pretty chill, especially in comparison to my birthday last year. I hosted the #FridaTweetup at Frida Bistro in Salt Lake City, where 40 of my nearest and dearest friends, family, and tweeps came up. It was a fun birthday party…but it was totally centered on delicious and unique food. Because I’m now so close to surgery, I wanted to have a more people centered-day. But of course, I still ate. 🙂

The day started out with Rosie bringing me breakfast in bed. She made scrambled eggs with chicken sausage. Then we got ready for church, attended church, had a friend come over to visit, and spent time together for the afternoon. Rosie made me a birthday smoothie and birthday cake, then we headed down to Lehi to my parents’ house for a family birthday party.

One of my dad’s specialties is teriyaki chicken, so I requested that for dinner. I brought a big container of baby portabella mushrooms to saute, and they were soooo good. I kept my portions really small, and had a small piece of chicken, lots of mushrooms, ONE TB of rice, a little corn, and some green beans. It’ll be my last time for corn and rice for a year, so I savored it.

We have a family tradition called “the birthday circle,” where we sit in the living room, and go around the circle telling stories about the person whose birthday it is. We enjoyed telling stories, laughing, and spending time together as a family. I was sad that my husband couldn’t be there.

After the birthday circle, we had some birthday cake. I kept my piece really small. Rosie made a cherry cake mix with cherry frosting and fudge drizzle. So yummy. Once we were done with dessert, my dad wanted to give me a priesthood blessing to help with my upcoming surgery. His former bishop came over to assist with the blessing, and I was given a blessing of a safe surgery and healthy recovery.  When the birthday festivities were finished, Rosie and I left to pick Taylor up from the airport. It will be nice to have him home for the next few weeks to help with my recovery. All in all, a nice birthday indeed.

  • Scrambled eggs and chicken sausage – 360 cal
  • Peach, blueberry, almond milk protein smoothie – 160 cal
  • Teriyaki chicken and veggies – 340 cal
  • Birthday cake – 160 cal
  • TOTAL – 1020 cal

Blending Like a Ninja and Food Diary 2-3-12

Tomorrow is my birthday, but today I opened up and used my present. With the need for soft/liquid meal in the upcoming weeks, I decided to get a nice blender. I decided on the Ninja Professional blender after reading reviews and watching videos on YouTube. It was $89 at Wal-Mart, and I had a $30 gift card to use, so it was  fairly affordable. There’s also a food processor attachment on some of the Ninja blenders, but I decided to hold off on the full kitchen system.

I have to say, it’s SO nice to have a good blender. We’ve been using a decent Hamilton Beach blender for a few years, but it’s not very good at crushing ice. The Ninja took my ice, frozen peaches, frozen blueberries, pure vanilla extract, and almond milk, and pulverized them in about 3 seconds. I was impressed. It’s nice to not have to take a utensil to stir things up to break up the ice.

Now usually on this blog, I talk about my gastric bypass. But let’s talk now about beauty! Today I went out with my best friend Emily for birthday pedicures. There’s a place at Fashion Place mall that does an amazing full luxury spa pedicure. We sat in our massage chairs and chatted as we got pampered for almost an hour. With the mineral foot soak, cuticle clean-up, paraffin wax treatment, foot and leg massage, and a fresh paint of gorgeous pearly silver nail polish, I felt like a new woman.

After pedicures, we went to Chick-fil-a for lunch, which is so yummy AND easy to eat when you’re on a calorie-restricted diet. I got the chargrilled chicken salad, 6 waffle fries, and a few bites of ice dream. We also splurged by getting treats at Mrs Fields and See’s, but I just got enough for a little taste. We also got some goodies from The Body Shop. If you haven’t tried their Chocomania body products, you’re missing out.

This evening, a neighbor of mine invited me over to meet his family. We had connected on Twitter, but had never met in the year that we have been neighbors. We talked a lot about nutrition and my surgery decision. He wanted to give me his “two cents” about my decision for surgery. I told him, “If I had two cents from everybody giving me advice about surgery, I’d have about thirty bucks by now.” I think I’ll forever be answering other people’s questions about surgery, but I guess that’s what I get for publicizing my WLS journey.

  • Blueberry, peach, almond milk protein smoothie – 140 cal
  • CFA chargrilled chicken salad with fat free dressing, 6 fries – 200 cal
  • Part of Mrs Field’s cookie slice – 200 calories
  • Gala apple – 80 calories
  • Sweet onion chicken teriyaki on flatbread – 370 cal
  • 2 T hummus and celery – 70 cal
  • Total – 1150 cal

On the Radio

101.9 the end utah

Ever since they came on the Salt Lake City airwaves in the mid-90’s, 101.9 The End has been my radio station of choice. “Utah’s Rock Alternative” plays most of the music I love, and I’ve always loved the morning show. Jimmy Chunga has predominantly been the head of the morning show, and although he’s opinionated and a little full of himself, it usually makes for an entertaining radio show.

Every morning, Chunga and Tysen have a segment called “What’s Happenin’ Hot Stuff,” which is named off of a scene from the 80’s movie “Sixteen Candles.” Listeners can call in with a funny pseudonym (like ‘Ian the Token Gay’) and talk about what’s going on in their lives. Some will say it’s their birthday, some call to rant about something that’s happening in news or politics, a few call to say how much they love Chunga, and others call in just to be heard on the radio. It’s meant to be a quick call, usually less than 20 seconds each, and usually it’s pretty light and airy,

As I was on my way to St. Mark’s yesterday for my pre-surgery class, I decided to call into the show. Now, I probably TRY to get on the show every month or so, but I always get a busy signal. I was pretty surprised to get through, which kinda made me lose my train of thought. Chunga answered “Good morning! What’s happenin’ hot stuff?” And I said “Hey, this is Nicole the Blogger” (kinda lame, I know, but I couldn’t come up with anything more awesome on the spot).

I told him I was on my way to the hospital for some tests because I was having weight loss surgery next week. He said “Oh cool, are you getting the lap band?” and I answered, “No, I’m actually going for the gastric bypass.” Immediately his tone of voice changed, and he got all snarky on me. He started talking about how he “doesn’t advocate that surgery at all” and how he’s had some friends who have had really bad results and complications. He kept cutting me off, said it was gross that I’d be blogging about it, then hung up on me.

I was a little thrown off because when I tell people that I’m having the surgery, the response is usually pretty positive. Many people who are “against weight loss surgery” are still nice to me about it. Chunga made me feel awful about this very difficult decision I’d come to make, and it’s been a 3 year process to this point. He doesn’t know a thing about me, even though I have been on the radio with him in the past (and he was super nice). With how much he advocates plastic surgery and liposuction, I thought he would be less abrasive about weight loss surgery. I guess I was wrong. He wins a “douche bag award” with me, and apparently I’m not the only one who thinks so because I easily found this Chunga Douche picture of him on a Google image search.

The truth is, many people who have bad results with gastric bypass surgery are ones who weren’t a good candidate in the first place. Or, they didn’t follow the eating plans religiously enough and went back to their old eating habits too quickly. I do have a blogging friend Sue, who had major complications with her surgery. I was scared silly as she went through her hospital drama, which coincidentally went on as I was beginning to gather my medical records in preparation for my own surgery. It hasn’t been an easy road for Sue, but I am super proud of her. It’s definitely given me some things to seriously contemplate as I’ve made the decision for surgery.

So, I guess what I’m trying to say is…don’t call into a radio morning show about weight loss surgery unless you’re ready to be publicly berated! If you want to people to mind their own beeswax, don’t get near the hive.

Before Surgery Picture and Food Diary 2-3-12

Today was a slightly strange day. I started out by waking up at 3:30 am. Now, I usually have lousy sleeping schedules with my sleep apnea, but I really didn’t want to wake up early today. Especially because I needed to have fasting lab work done. I arrived at the hospital and went right to registration. I had to verify my information, pay the deposit for facility charges to St. Marks, and then meet with the pre-admit nurse.

The appointment with the nurse went a little longer than expected, so she told me I needed to wait until after my class to have my lab work. It wouldn’t have been too bad for fasting alone, but to go another 3 hours without water was frustrating.

Before my class started, I had to pay my surgeon’s deposit and “education fee,” which was $1125.  I dropped off a thank you card to Christina, the pre-approval rep in the office, thanking her for all of her hard work and persistence to get my surgery approved by Cigna. I really feel like she went above the call of duty. Next, I was given a big packet of paperwork to fill out and some “before” pictures were taken (both for the surgeon’s records and for a photo CD that I’ll get at my first post-op appointment).

The class was really interesting. It was taught by my surgeon’s nurse and one of  the hospital’s nutritionists. I found out all about what I need to be doing and eating before and after surgery. I will be getting a pain pump while I’m in the hospital to manage pain levels (since I can’t take pills). I will be on a clear liquid diet for the first few days. In addition to the class information, I met Barbara and Cori, who will also be having gastric bypass surgery with me next week. I have a feeling we’ll be good friends.

After class, I went back to the outpatient nurses area to get more pre-surgery instructions, as well as two items I need for the day before surgery – hibiclens (antibacterial soap) and Citroma (bowel prep drink). I had to give a urine sample, and then she took my blood work. I was upset when I found out that for the fasting labs, I didn’t need to stop drinking water. I was pretty dehydrated at that point, so she had to take blood from my inner upper arm (which left a little hematoma). The best part was that she took my weight – I’ve lost a whopping NINE pounds since Monday. This pre-surgery diet is working! Today’s weight was 363.2.

I finally broke my fast around 1pm, and I was ravenous. Because I had missed all my morning eating, I was good to be a little more flexible on what I ate.  I grabbed some food on the way back from the hospital, and later in the evening I went out to dinner with some Yelp friends. Because I sampled a few things at each meal, I really don’t know how to count my calories (and the restaurants don’t have nutritional information on a website).

  • Lunch -kid’s bean burrito, chicken soft taco, and a few nachos
  • Dinner – grilled shrimp and veggies, and veggie enchilada with rice and beans
  • Dessert – shared a single scoop of ice cream with Rosie

Did I stick to 1000 calories today? My guess is that I went slightly over, but I’m not going to beat myself up about it. I can tell my stomach has shrunk this week, and I’m not able to eat as much as I was even a few days ago. Because I didn’t let myself get over-full, I consider the day a success.

Food Diary 2-2-12 and “Before” Measurements

Today. Was. Hard.

Definitely my hardest day since I started the pre-surgery diet. I could blame the Groundhog for seeing his shadow, but it was my own darn fault. I started panicking about all these things I was craving and couldn’t have. Like nacho cheese – why on earth was I craving it? I wish I could say that I had another day on track…but I just kinda lost it.

The day started out great – fresh fruits and veggies. But as the day went on, I started craving carbs. I wasn’t feeling satisfied by what I was eating. I had a really bad headache. I was having computer problems at work, which made it so I was sitting around more than usual. I started looking around online about what other people were saying about pre-surgery diets, and got into my head how some surgeons allow a big binge the morning before surgery, then fasting till the procedure. I was weak, and I succumbed to temptation.

I decided to go to Costa Vida, and ordered a small sweet pork salad. I barely touched the dressing, but I devoured the meat, beans, rice, pico de gallo, and guacamole. And I ate the better part of the fresh flour tortilla. And because the pork salad was the special of the day,  it included a free drink. I filled the cup with pebble ice, and only had a little of horchata. Had I not been on a calorie restricted diet, it would have been a perfectly fine meal. I checked the website for nutritional information, but I couldn’t find the correct facts. I had to estimate what I actually ate, and the total may be WAY off.

  • Laughing cow light cheese – 2 wedges – 70 cal
  • Fresh fruit – 70 cal
  • Fresh veggies – 30 cal
  • Can of green beans – 75 cal
  • Muscle Milk light – 100 cal
  • sugar-free Jell-o – 10 cal
  • Costa Vida salad – 680 cal?
  • Horchata -100 cal
  • Chicken apple sausage – 170 cal
  • TOTAL – 1305 cal
At midnight, I need to begin fasting for my lab work in the morning. I’ll be meeting with the pre-admit nurse at St. Mark’s, and then have my pre-surgery class at the surgeon’s office. I haven’t decided if I’m going to go into work after my appointments yet, I may work from home. I’m going on FMLA, but I don’t have any sick time. Whatever time I take off will be unpaid, so I can’t slack too much.
Also, I decided to take my “before” measurements today.
  • Neck – 16.75
  • Bust 52
  • Chest 46
  • Upper bulge 53 (fat roll above my waistline)
  • Waist 49
  • Hip/butt 62
  • Thigh 34
  • Calf 23
  • Ankle 12.5
  • Bicep 20
  • Lower arm 14.5
  • Wrist 9

 

 

Food Diary 2-1-12

Today was MUCH easier than yesterday foodwise, and I attribute it to the grocery trip I made before work today. I went to Harmon’s, which I think has the best produce of any chain grocery store in the Salt Lake area. I got fresh produce and canned fruits and veggies. Even though it costs a lot more, I know that when I buy the pre-cut produce because it’s convenient.

Funny story – I was in the mood for Laughing Cow cheese this morning, and saw that I had a wheel of it in my fridge. I grabbed it to take to work, and thought I’d have a wedge in the car. It was COMPLETELY rubbery. I checked the expiration date, and it was JUNE 2010. How on earth did I last in my fridge that long? So I picked up another Laughing Cow at the store, and I’ve decided that I like to have the light Laughing Cow much better than regular string cheese, mostly because I can have 2-3 wedges for the same amount of calories as a string cheese. Then, once I got to work, I got an email pitch from Laughing Cow to promote it on my other blog. Seems like working with Laughing Cow is in the cards for me!

The big news of the day is that my surgery date has been moved up to February 7th, which is next Tuesday. Apparently, Dr. Smith is going out of town next Friday, and he wanted to see if I’d move things up so he could be there for my whole hospital stay. Now my pre-surgery class will be on Friday morning, and my abdominal ultrasound and upper GI endoscopy will be Monday morning.

To “celebrate,” Taylor, Rosie and I went out to dinner. I checked all of the nutritional facts online before we went, and I was able to keep right at where I needed to for my daily calories. I’m glad I filled up on veggies during the day so we could have this “last splurge” dinner as a family (because my husband was out of town for my Last Supper(s)). Afterward, we took a trip to Costco for a giant bottle of chewable vitamins, lots of fresh produce and other “crash diet” friendly items.

Today’s food diary:

  • three wedges of light Laughing Cow – 105 cal
  • 4 oz of celery – 20 cal
  • 4 oz of carrots – 45 cal
  • Sugar free Jell-o (3 times in the day) – 35 cal
  • lean deli-sliced turkey (2oz) – 50 cal
  • Honeycrisp apple – 80 cal
  • 2 T Hummus – 70 cal
  • Muscle Milk light – 100 cal
  • 6 oz sirloin steak – 320 cal
  • grilled veggies – 90 cal
  • 1/2 dinner roll – 100 cal
  • TOTAL – 1015 cal

Unsolicited Advice

One of the most difficult things I’ve encountered in the week since I’ve been telling people that I’m having surgery is the overwhelming amount of unsolicited advice. I feel like every sentence starts with “If I were you…” or “Wait, why don’t you try ____ first?” It feels good to know that there are so many well-meaning people who want me to be healthy, but sometimes I wish people would bite their tongue.

Even though I outlined the nitty gritty details of my weight loss struggles in my post about why I’m having gastric bypass surgery, people are suggesting weight loss methods that have already been unsuccessful for me. Yes, I’ve worked with a personal trainer. Yes, I’ve tried that weight loss supplement. Yes, I understand that I’ll have to completely change the way I eat after surgery.

And then, there are all of the people who are involved in multi-level marketing companies with nutritional products. I’m aware that these shakes and supplements are top-quality and will give me great results…but I DON’T want to sign up for an MLM. For instance, I’m really interested to try the MonaVie RVL shakes, but I can’t just pick them up at a retail store. I’ve reached out to people who are involved with MonaVie, and they want me to just sign up. And then they tell me that if I start the “RVLution,” I won’t even need to have surgery. Maybe I would have been interested 2 years ago, but not now. I’m having surgery, and I’m not going to give that opportunity up after all that I’ve been through to get approved. I have had too many unsuccessful weight loss attempts, and I am confident with my decision.

And for those who are still trying to talk me out of going under the knife:

  • I’ve been to surgery classes and am well informed about the procedure that I’m about to undergo. I am fully educated on the risks and benefits.
  • I have the backing of my primary care physician, pulmonologist, endocrinologist, therapist, and other people who have been professionally involved in my health care. And now, my insurance company has determined medical necessity for surgery.
  • My husband, daughter, and other family members are supportive, and understand the risks and life changes that will have to be made. And they’re excited to see me healthy again after all my illnesses over the past few years.
  • Most of all, it’s my decision. Not yours.

Food Diary 1-31-12

sipping waterToday has been much harder to stick with the low-calorie plan. Yesterday I felt like I was hungry all day, but the hunger level was manageable. I can’t say the same for today. I decided to try starting my day with scrambled eggs and sausage to get in some protein. Halfway to work, I was so hungry, I stopped for a smoothie, which got my calorie counts up even higher. I allowed myself a few *small* splurges…like 4 Cheetos.

Today I’ve been trying to make up for my hunger by drinking LOTS of water. I’d logged 60oz of water by 11am, and by 8 pm I was at over 130oz. I’ve been using Mio water enhancer drops to make it a little more interesting. And I’ve got bags of pebble ice from Sonic both at home and work so it’s nice and chilly.

  • 2 scrambled eggs and 2 links of sausage – 260 cal
  • 24oz fresh peach smoothie – 330 cal (half in morning, half in afternoon)
  • string cheese – 80 cal
  • dried apple rings – 70 cal
  • 5 Quaker multigrain fiber crisps – 40 cal
  • 10 pickles – 10 cal
  • 4 Cheetos – 32 cal
  • Can of light chicken veggie soup – 160 cal
  • Sugar-free strawberry Jell-o – 10 cal
  • TOTAL – 992

Food Diary 1-30-12

Today was my first day of the pre-surgery “crash diet.” The goal is to keep around 1000 calories per day. Here’s my food diary:

  • Bottled mango smoothie – 220 cal
  • Muscle Milk light shake – 100 cal
  • 2 light String Cheese – 160 cal
  • Carrots and 2 TB hummus – 100 cal
  • Quaker multigrain fiber crisps – 80 cal
  • Green beans – 60 cal
  • Del Taco chicken soft taco and regular soft taco – 340 cal
  • TOTAL – 1060

This morning I had an appointment with Dr. Smith. I hadn’t seen him in the office since last April, so he wanted to go over a few things with me. He gave me a quick physical exam, discussed my most pressing symptoms, showed me where the incisions would be for surgery, and answered a few questions. Next, I met with Cathy, who is the surgery scheduler. We went over more paperwork, confirmed radiology appointments, and reviewed the pre-surgery diet. I also got my FMLA paperwork submitted so my husband and I both have time off work.

I was FLOORED to see how much weight I’ve gained this month. I started the month at 357 (when I weighed in at Dr. Poor’s office when I had bronchitis.) Today I was 373.3, which is officially the most I’ve ever weighed. I’ve gone up 16 pounds in three and a half weeks. It’s a lot, and I expected to gain some, but not that much. I’ve been replacing diet soda with juice, flavored milk, and other drinks so I keep myself away from the bubbly. I was on steroids for over 2 weeks for bronchitis, which ALWAYS makes me gain. And then with the 5-day bingefest I had over the weekend, I guess it isn’t too surprising. I’m retaining fluid like crazy, probably because of all the high-sodium foods I had. Good thing I’m eating right, starting today!