TRAVELING SLIM

I went on a trip which involved 3 airplane rides.  It is the first timeI traveled since I lost 130 pounds and boy is it a different experience. This time it was my luggage that was overweight!

 When I traveled by air I was never shaped so that I had to request a seat belt extender.  I did prefer being able to lift the arm between the seats to give my bottom more room.  Which was fine on a plane with no one next to me or a family member who didn't mind sharing a little extra space.  But there were a number of flights in my life where I was very crammed in and working hard throughout the flight to keep myself in my own space.

The other thing is the tray table.  I could use it if the person in front of me didn't recline. I didn't have much room to maneuver, but I could get it down and put a drink and a book on it.

The hardest thing of all was walking down the aisle.  Not the walking kinda sideways part; I am pretty graceful no matter my size.  No, it was the fellow passengers watching me approach with that "don't even think about sitting next to me and taking up my space" look.

This trip no one glared at me, I had no problem fitting the seat, using the tray table and was, frankly, surprised by how roomy my seat was.

It was a revelation to me to feel comfortable on a plane. I made a pledge to myself that if I sit next to a large person in a future flight I will raise the seat divider and do my best to make the trip pleasant for us both.

A BARIATRIC SURGEON SPEAKS OUT - NOT THE EASY WAY OUT

I just read this great article written by a Bariatric Surgeon.  He is tired of people commenting about his profession - that he is an "enabler" for lazy, unmotivated fat people taking the "easy way" out of obesity.

He lists not only the difficulties of losing weight and maintaining that loss, the hoops people have to jump through to even get surgery and the fact that the AMA this year has declared obesity a disease and not just the cause of other diseases.

As a life long exerciser, a healthy eater and someone with knowledge of nutrition and of my own psychological issues - I can attest that it is not just a matter of eating less and exercising more.  Yes, for many people there is an issue with eating poorly and not exercising.  For many more of us it is far beyond that simple formula.  No one can really explain all the factors involved but the medical researchers are gaining awareness of the multiplicity of factors which affect different people.

Just as some people can smoke cigarettes all their lives and not get lung cancer, some people live long lives on a high fat diet and others drop dead in their 30's following a spartan diet and running marathons.  None of it is simple.

I had wanted to try weight loss surgery for over 10 years before I was given the opportunity.  As soon as I was aware of the Duodenal Switch I knew it was the solution for me.  I have never been a volume eater.  I have generally been a healthy eater - yes I have binged like pretty much anyone, for the most part I have been eating a high protein, low carb diet for 15 years so I knew I could maintain the dietary requirements.  When people "fail" following weight loss surgery and gain weight, it is probably because they didn't learn enough or know themselves well enough to commit to what it takes to be successful.

The surgery is a tool, not the final solution to the problem.  After all, we still have to eat!

8 MONTHS POST BPD-DS WEIGHT LOSS SURGERY

I am just past the 8 month mark following my surgery.  I have lost 120 pounds.  I bought a size 12 Land's End dress last week.  I haven't worn a 12 in over 20 years!

I am fairly settled in to my routine.  I gave a good system for keeping track of my vitamins and supplements.  I get all of them in pretty much every day. 

I also have a good routine for my protein requirements.  I have a small breakfast before work, usually something added to Greek Yogurt (5-10 g).  Then on the drive to work I get a protein drink started and finish it at my desk (30g). I munch on a protein bar during the morning (20-30g).  I am especially happy I found Quest Bars because they have such a great variety of flavors. (I am so very sick of fake chocolate and peanut butter flavored stuff.)

Lunch can be a challenge because I am usually pretty full from the drink and bar; so I have something small like some almonds and cheese or leftovers (5-10g).  Then another snack at my desk later in the afternoon, like protein chips, sunflower seeds or more nuts (5-12g). 

Dinner varies a lot.  If my protein is on the high side I relax and don't worry about stuffing something down.  Today I needed another boost so I made my taco salad mostly  ground beef beans and avocado. I'll probably have another protein bar or drink this evening to get to my 90 grams of protein.

I do find that the evening is hard for me, my stomach is much more fussy at the end of the day so I find I graze a bit in order to find what feels right going down. Also I notice by evening, my stomach will not tolerate a lot of food.  We went out the other night and all I could eat was  3 shrimp.  Then I  waited a couple of hours and had 2 more from my "doggie bag."

My family is concerned that I am not eating veggies and fruits - I do eat a few bites of salad greens, broccoli, spinach or other veggies most days.  I indulge my love of fruit more often eating berries and grapefruit every day.  This week I have had some watermelon and peaches, too.

Sometimes I wonder if I will be able to keep up with the protein requirements in the long haul - I hope that my stomach capacity will grow so I can get more of my protein from food rather than supplemental drinks and bars.  For the time being I am very mindful and just do what it takes!

ELASTIC, SPANDEX AND SLEEVES

I miss elastic waist pants. It was so much easier and faster getting in and out of the ladies room when that was my usual pant option. 

I know there is a lot of negativity around elastic waist pants - it's harder to recognise when you are putting on the pounds being the main objection; that they are not stylish being the second one.  For ease of wear - they were nice.  Now I have all kinds of fastening and buttoning and zipping everytime I make a trip to the ladies room. After so many years of slipping pants down and up in a single motion, it seems so time consuming.


Wish they would lengthen the sleeves!



I don't miss the limited clothing selection I had for years.  My daughter commented that she is enjoying seeing me express myself more through my clothes.  We went shopping together and I am getting more accustomed to having multiple departments to move through in search of things I need to fill in my wardrobe.  I don't really understand why there are so many departments with pretty much the same things being displayed, but I am getting used to it. 

I even bought a couple of pairs of work out pants at Costco.  Taking Zumba class is very different than just working out with weights and I need more supportive spandexy pants to sort of hold things in check.  New workout bras have helped, too.

My single frustration is the sleeves thing.  Losing over 100 pounds has left me in no position to leave my arms uncovered.  I have a lot of baggy, saggy skin going on and sleeves to my elbows are my preference.  For the gym I have worn shorter sleeved tee shirts, but I am not comfortable with the sleeveless or cap sleeve options most workout tops come in.  Luckily I have found a few long sleeved tops and shorted the sleeves for bike riding.  Gym wear is more challenging.

A COMPLIMENT?

I went to a meeting last night for the new business I am starting.  I saved a seat for my friend and was keeping an eye out for her arrival.

I missed seeing her come in the door but saw her approach from the other direction.  Apparently she didn't recognise me when she came in.  I asked her if I really looked so different - she gave me an "are you kidding me?" look.

It is hard to see it in ourselves.  I certainly see it in my clothes,  most of which are hanging off me or new.  I feel it when I am putting lotion on after a shower; seems like every week I feel new bones emerging.  I even noticed that my behind hurt after a long drive - that big ole' cushion is missing!

But to look so different that someone who has known me for 10 years had trouble picking me out in a crowd?  Wow.

YUMMM!

Just had this soup for lunch and I am thinking I might run out to the store to get more...so good.  It is two servings which I ate about an hour apart - so I got a whopping 18 grams of protein from this meal.  I especially liked the crunch of water chestnuts.  The mushrooms are a bit few and far between but there are some nice big carrots and other tasty veggies and chunks of chicken. The broth is super delicious...okay - going back to the store for more!

FOOD NOW

I was on You Tube looking at some videos a friend directed me to - nothing to do with weight loss or surgery - but I saw there were also some videos done by weight loss surgery post-op people so I clicked over.  Guess those Internet cookies do hook people in...

Anyway.  there was a young woman talking about her experience 12 weeks out from surgery. She sounded very sad and I can relate.  While it is exciting to lose weight at such a fast pace, to hear the compliments from others - having your world turned upside down is difficult.  For many people, food is a pleasure.  Planning meals, cooking and eating is a big part of our lives. Those of us who indulge in too much food have a set of problems that people who can enjoy without going overboard don't have.

One of the little talked about effects of weight loss surgery is that you not only lose your appetite, you lose your enjoyment.  Things taste different, things you liked to eat not only don't taste the same they make you feel bad when you eat them.  And I am not talking about indulgences - I mean things like eggs or yogurt or chicken.

The young woman in the video was sad about this, worried that it wouldn't change back and she wouldn't achieve her dream of becoming a chef because of it. I worry , too.  I struggle to get the 800 calories a day I am supposed to be eating.  Most days I don't.  It is hard to eat when you feel bad and nothing tastes right. 

I went to the movies the other night and took a chance on a small bag of popcorn. I felt pleasure in food for the first time in 10 weeks.  It tasted good.  I nibbled slowly and made it through almost half the bag in the 3 hours I sat there.  I am not "supposed to" be eating carbs - but  it was worth bending the rules to know I could feel that pleasure again. Then yesterday I was cutting up a pineapple and I ate 3 chunks of it - oh, my.  It was so good. 

So the old pleasure is there to be had - right now not in the protein foods I need to be focused on, but it's there waiting for me to be healed and healthy again.

LOTS TO CELEBRATE

I was reading around on the weight loss surgery sites over the weekend.  It is amazing how many people who have had surgery in the past 3 months and how differently they are doing.  Somehow I missed that when I was researching the process. 

One woman wrote about how much pain she still has after a month - I had none after a week.  Another wrote out her daily food log and after 3 weeks she is eating practically normally - including beef ribs.  A bite of beef puts my stomach into a knot and I am 8 weeks out.  I noticed a post from someone about how great brie cheese is - well, I loved it going down but the "back end" was anything but great!

I am just happy that I have made it through the holiday season - made wonderful meals for my family and ate at the table with them.  We dined out and I ate my little portions without it being a big deal.  I still made cookies and desserts and, my favorite,  "Monkey Bread" without eating any of it. 

I have lost 65 pounds since September, I am into some 1X  clothes and practically everything I was wearing in September has been taken in or donated away.  My body looks alarmingly different and I hope that exercise will help tighten and lift things.  I need to buy new Spanks because my current pair are too big.  And new bras because I can't fill in the ones I have!

While my husband considers it a waste to go out to celebrate New Years because I can't drink or eat much - I know there is a lot worth celebrating for my health and my looks and the benefits to both in the year ahead.

GIVE IT A REST

It's been a bumpy ride for the past month.  My healing stomach is not happy about most things I put in it and suddenly the day before Thanksgiving it decided it didn't want ANYTHING in it.

Doctors advice - just give it a rest.  So 24 hours with nothing - yes, on Thanksgiving - and then sips of tea and juice for 24 hours then try some chicken broth.  So far those 3 things are the only things that don't make my stomach cramp.  But I keep trying clear and blended soft things.  Am I worried about my lack of protein and nutrition in general?  Yes.  Can I do anything about the state of my stomach?  No. Got to give it time.

If I believed in a higher power that wished to teach me a lesson, I would say this is one of humility.  I went into this with an attitude that I would just sail through the recovery steps.  Clearly not happening!  So I must back myself off my expectations and do what I can. There is no point in forcing anything in this process and if I am the oddball that can't eat an egg or tolerate protein drinks 4+ weeks out, I need to find what I can tolerate and eat until then.

What I am doing is walking more, and using some small hand weights for upper body strength training.  I am working pretty much full time again. 

TURNING THE CORNER - POST-OP DAY 13

Okay now.  I feel like I may just make it after all.  First of all, I had managed to misunderstand the instructions about taking the antacid medicine and should have started it right away.  Oops.  The first time I took it I felt terrible, but now that I have taken it for 4 days - well, it may be the reason I feel so much better, or it may be because it is just 4 more days into the healing process.

Today is the first day I have managed all of my fluid and 46 oz of protein.  Whoo-hoo.  I would still rather not eat at all, but I am doing it.  In a couple of days I will try adding in some of the whey protein again.