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Sleeve Truth

AND NOTHING BUT THE TRUTH

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It seems like maintenance is easier when things are going well, but this month (February 2023) has been very trying for me personally and I have noticed some of my old habit creep back up. The fact that I am aware of them and this pattern makes me hopeful that I will take control and change things for the better. 

I am under a lot of stress since my husband was hospitalized. His blood pressure was so high that he was on a verge of having a stroke. We luckily came to the hospital just in time. Thankfully, he is doing better but this gave us all a huge fright. He has drastically improved his eating, and I feel like that should have been motivating to continue with my own good eating habits, but for some reason I have been overeating on all the wrong things! Food has always been my escape and when I am under stress or scared, I eat and feel better. Except now, I am eating and thinking that I am feeling better but in reality I am not and I am feeling guilty and actually sad that I am allowing myself to get back to the overeating phase. 

I think I needed to write this to hold myself accountable (as always) and remind myself that I have the tools and skills, and I just need to get back to my healthy eating pattern. I lost a total of 182lbs and I have regained this year (January and February) about 25lbs. That number actually scares me, because it's not just a few pounds. 

I need to be able to take the stressors of life, like my husband's health conditions and work-related stress, and deal with them in such a way that I am not overeating and eating things that are not healthy for me. I am just going to leave this right here, and hopefully come back in a month or so - and update you and let you know that I was able to control my food intake and that I got back to my good habits and that I am back on track. 
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I cannot believe that my last post was in September!! My surgery was about 17 months ago, and during that time period I drafted several 'update' posts that I did not publish because I wanted to get the official before/after pictures off my DSLR camera. As you can imagine, my life got a little too hectic and I just never got around to posting those. Since I was detailed in the information that I wrote, I will make sure to go back (hopefully soon), get those pictures and post the blogs for reference/informational purposes. 

17 Months Post Surgery in Pictures 

So I am a very visual person, and often times I feel like I am 'the same' and not losing enough and then I am blown away when I look at the pictures. There are honestly times that I do not even recognize myself. I am officially 175 pounds lighter! The first picture was taken before the surgery, the second one was taken last 4th of July (about 5 months post surgery) and the third picture was taken today, July 6th (about 17 months post surgery). 

There is so much more that I want to write, but it is getting late and instead of leaving this blog in the 'drafted' folder, I will just go ahead and post what I have thus far and promise to come back and provide so much more information (I have 17 months worth of ' VSG wisdom' to share!)  

As always, thank you for reading this far and for following along! I truly appreciate all the kind words and messages that I receive (I am trying to get better at responding - I am new to this, but know that I see them and I am very appreciative!!)
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We have been so busy that I have not had proper time to sit down, without a worry on my mind and write. There were couple articles that I drafted, and had every intention to add photos to, and then it ended up getting lost in the shuffle. 

Currently, I am 222 days post surgery, which is approximately 7 months. My total weight loss, including the amount I have lost on the pre-op liquid diet, is 125lbs! 

I have lost a significant amount of weight, but even with that amount my AFTER weight it’s still high. Also looking at some of the FB posts, my current weight is someone’s before surgery weight (and their highest). I am still kicking myself for letting my self go and letting things get that bad for me and in return significant weight gain. 

I am still not doing my best when it comes to the vitamins, but I am adhereining to all the food ‘restrictions.’ I honestly don’t want to even use that word, because it’s mostly restrictions that I have placed on myself so that I would not revert back to my old habits. 
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My surgery was in February 2021, and this week I had my follow-up appointment with my nutritionist. She was very happy with my progress, but she did not seem very impressed with the fact that I was not getting my protein in. We reviewed my food logs, and I believe there was one day on there where I had 40g of protein (my highest). We looked at ways that I can increase that number and be within the range she wants me in, which is 60-80g of protein. We also discussed fruits, and she indicated that I am fine with the amount that I am eating. 

These are the guidelines that I was given and am to follow until I am six months out, which is when I have my next appointment with her. 

Calories: 600 
Carbs: 50g 
Sugar: 40g 
Protein: 60-80g 
https://drive.google.com/uc?export=view&id=1ssLa8ghBEXOAM9TuSJhpJ74R4X5Xc-Xk
I followed my prescribed diet after the surgery. The only time that I veered off was during my puree stage, as I progressed to that stage a day or so earlier than noted in my instructions. 

Right after surgery, I thought that I would never be able to eat normal food again or enjoy food – because eating was torturous for the first two and a half months. I found no enjoyment and I forced myself to eat so that I could get my nutrients. On top of that, I tried to add protein everywhere in order to get my required amounts and that just made eating stressful because no matter how hard I tried, I could not get my protein in. 

At three months, I am still not able to get my 60-80g of protein in every day, but I am able to eat more, and food is starting to taste like food again. I basically live off of eggs (scrambled/hard boiled), cheese, chicken, sausage links, and chicken salad (especially those in the pouches shown below). Those are basically in my rotation, but without the protein drinks I am unable to get to 60-80g of protein with the amount of food that I consume. Before surgery, I loved protein shakes and it was so easy to get the protein in, but after surgery my taste buds have changed so much and the sweetness of the protein drinks has been hard to tolerate. Now that my appetite (and tolerance for food) is coming back, I am going to try the protein shakes again and see how it goes. In the beginning, right after the surgery, I forced myself to drink the shakes and even bought flavorless protein powder and added it to everything, I overdid it and now when I try to have unsweetened ice tea, I want to throw up because it reminds me of protein that I added to it and made myself drink. 

 

My guilty pleasure is fruit now. It started with strawberries (I craved something sour and sweet) and this past month I started craving pineapples and watermelon. I am not sure what fruit is next. 

My advice if I could go back in time: don’t overdo it with the protein in the beginning, because it takes time to adjust. I think I was being hard on myself and trying to meet all the goals instead of giving myself grace and pacing myself. I should have added smaller amounts of protein powder and tried to eat more protein every other day, instead of forcing myself to eat it all the time and getting sick of it to the point of wanting to throw-up now every time that I smell/taste it. Listen to your body and take it easy, especially those first two - three months. 

https://drive.google.com/uc?export=view&id=1qkHM_Ao_k9qGzdEA1coeeNboyI5_CWju
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Well I never thought I would be writing this blog post. Prior to the surgery, I was someone to loved drinking water and never needed to flavor it or add anything to it. That is why I never thought in a million years that I would be having issues with consuming enough fluids and the fact that I couldn't would lead me to the urgent care and then the infusion center. 

Every time that I tried to drink water, I became nauseous to the point that I was afraid that I would throw up the little amount of food that I was able to consume. I became very dizzy, lightheaded, and the room was spinning and I was seeing spots. I endured this for about a week, if not longer. After almost taking a tumble, I decided that there was no way that I could fix this myself (as I tried) and decided to call my doctors and let them know that I could not take this any longer and really needed help. 

I called the doctor at the bariatric center, she has been so wonderful and even provided her cell phone number to text with any questions (I am trying not to abuse that privilege) and I explained that my blood pressure was extremely low, that the room was spinning, that I saw lights when I get up, and that my urine was extremely yellow. She indicated that I needed to go to the Urgent Care and get IV fluids. I also ended up calling my surgeon, and since it was after hours I spoke to the on-call doctor who also told me to get IV fluids. 

At the Urgent Care

When I called Urgent Care, they indicated that I would have to be assessed by their physician before they could give me fluids, and I indicated that that was just fine but that my surgeon  and bariatric doctor are saying I need them. They took a sample of my urine, and it came back that I was extremely dehydrated (surprise) and the doctor ordered two (2) IV fluid bags. 

https://drive.google.com/uc?export=view&id=1_h75z7nrD8KtlzgrXChu4ZgodyZqvyCG
At the urgent care

After the first bag, one of the nurses let the blood flow out of the vein and apparently could no longer use that vein and needed to find another one. I have never experienced this, but they kept saying that they don't want to keep "poking" me and the specific nurse that found my first vein was no longer available. I then put the two together, and noticed that it was almost closing time for the Urgent Care, and understood that they wanted me out. One of the nurses came back, and told me that the doctor was probably being "excessive" when he ordered two bags, and just to follow up with my doctor and that they would send me to the infusion center instead. 

https://drive.google.com/uc?export=view&id=1VAKc4wI6MzczhyXxGx_E57bkHN04RdeS
The vein that they were no longer able to use

I have to admit, I was upset at that moment because I felt like I needed that second bag desperately and even the Doctor agreed, but after taking a breather, I decided that it was not worth getting upset over or complaining. At least they gave me one bag, and I was feeling much better at that point and they were probably overwhelmed by the end of their day. I just wish they were honest, instead of placing blame on my veins.

Follow-up with the Surgeon 

The next day, I called the surgeon and spoke with his nurse and explained what happened. She called back and said that the surgeon set me up at the infusion center to get IV fluids for three days (Friday, Monday, Tuesday - since they were closed on the weekend). 

Infusion Center 

The infusion center called to set up the appointments, and when going there it was a relatively simple process, after checking in I was taken back and they inserted the IV and then I was taken back to these comfy chairs (see picture below) where I sat until the IV fluids were done and it took approximately 1 hour.

https://drive.google.com/uc?export=view&id=1uhya6vwf0vGEXj_ezevJlmsRVSNMkkBC

During these IV sessions, they had issues finding my veins especially since I was so dehydrated. So that was actually the most difficult part of this whole ordeal. Since I was back to work at this point, I was able to bring my laptop and work while there and it made the time go by super fast.  

https://drive.google.com/uc?export=view&id=16XnpDsrKGrGfCIurs0UuGg9h4kLnUEUF

Final thoughts: I never thought in a million years that my biggest struggle (so far) during this whole ordeal would be hydration. I thought it would be food (or the lack thereof), or pain from the surgery. I am determined to drink my water. The doctor prescribed anti-nausea medicine, which should make drinking water easier. Over the past week, I received four bags of IV fluids and hopefully this will be the end of this issue and I can get back to counting my protein intake and focusing on taking my vitamins. 

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My surgery was February 11th and I wanted to write this blog about the surgery itself, my hospital experience and then at the end I wanted to review the hospital bag list and let you know what I actually ended up using and my thoughts on what was most helpful to have during the hospital stay. 

Arriving to the surgical center 

https://drive.google.com/uc?export=view&id=1ys19VKiIWeglVoF7wKZ2siBw4_32-9F5

I arrived to the surgical center with my husband at 5:30am and I was pretty calm when getting there. I knew that I had a great doctor and I just had faith that everything would work out fine. I also think that going through two C-sections at the same hospital helped ease my nerves regarding the surgery itself.

https://drive.google.com/uc?export=view&id=1i5Ni8dRlddoA3e9GpH_QmQEc5NYzwA2J

After we checked in, we were sent to the waiting area to be taken back to the prep room. At the prep room, I as given a gown, socks, and a little hairnet and told to change and place my personal items in a plastic bag. My husband ended up taking that bag, along with my phone, when it was time for the surgery. 

Prep Room 

While in the prep room, I was greeted by my doctor early on and he let know that the surgery would be at 8 o'clock. He wanted to check on how I was feeling and answer any last minute questions. After speaking with him, I met my anesthesiologist and he answered all my questions and discussed what will happen in the operating room. Then, it was time for the nurses to get me ready by getting the IV in, and unfortunately that process took some time because they could not find my veins. They even used that little vein finder machine (I am not sure of the name) and after almost 40+ minutes, they found a vein and got my IV in! I think I was very dehydrated and in general the nurses have a very hard time finding my veins, because they are so small. After my IV was inserted, another nurse came by and told me that she would be in the operating room with me and I was off! 

https://drive.google.com/uc?export=view&id=1TZtMGsc-rtPbWIcU5nQKv5e6yKT1I4E1
We were in great spirits

https://drive.google.com/uc?export=view&id=1rh2m2vVMXVQm1JDMqzF8q2j6iWz4Zczq
My support during the hospital stay

While in the operating room, I remember them transferring me from the bed I was in to the operating table and asking me if I was comfortable. After that, they placed the mask on my face and I do not remember a thing after that. 

Getting out of surgery 

The next thing that I remember was waking up with this throbbing sharp pain in my chest. I thankfully had the most amazing nurse with me, who was so attentive and reassured me that the operation was successful. He gave me pain and nausea medicine, and I remember dozing off. I was somewhat asleep, but I was able to hear people around me. When the pain returned, I would wake up and he would again administer the pain medicine. I think I was in the recovery room for couple of hours and once they had a room open in the hospital, I was transferred from the operating center to my room. This is also the time that they informed my husband that the surgery was successful and that I would be transferred to a hospital room, which is where he met me. 

At my hospital room 

I was pretty much out of it for the rest of that day. I remember them administering pain and nausea medicine throughout the day and night. I did not move much, other than to change my position a bit, and I did not get out of the bed that first day. My heating pad was a savior that day (and the remainder of the time at the hospital). Also, I was not allowed to drink anything, but I was able to take some ice chips and move them around my mouth to help with the dry mouth. As you can see from the picture below, I was a hot mess. 


Day 2 at the hospital 

I saw my doctor first thing in the morning, and he came to tell me that the surgery went really well. I also asked him how much of the stomach he removed and he said 90% and I asked about the different incisions and which one was used to get the stomach out and which one was used to hold the liver back. When he talked about the liver, I asked if he had any issues or did my 14-day liquid diet help in shrinking it. He explained that there were no issues at all and they were able to get to my stomach easily, and that made me feel better in doing the strict 14-day liquid diet. He also informed me that they needed to an x-ray to check for leaks and that I will have to get out of bed and start walking that day. He also said that I could have clear liquids that day and that I needed to take small sips (about 2oz every 15 mins). 

https://drive.google.com/uc?export=view&id=1GWmhmKW1sLVBl4JHi-J_DpdK86sZQkw3

They installed this contraption (see picture below) on my bed to assist me in getting out of bed, which really helped because I was not able to use my stomach muscles at all. I got up and walked, but I was still in pain especially gas pains. The doctor explained that they fill the stomach with gas during the procedure and that in order to relieve gas pains, I would have to walk. 

https://drive.google.com/uc?export=view&id=1fLagalbR-Np1kZUmcMhAbxp_zkEM8OIQ

Day 3 at the hospital 

I felt like I was coming back to myself on day three. I was able to walk easier and sit on a chair more comfortably. They removed my IV and I was no longer getting my fluids through the IV, and my problem became consuming enough fluids myself. I noticed the difference soon, because I was not consuming close to enough fluids. I think they indicated that I have to have 48-64oz of fluids, and I think I was getting closer to 20oz. Below is a sample of my meals that they provided: soup, jello, popsicle and sugar-free lemonade. 


https://drive.google.com/uc?export=view&id=1IEWfjkXeXdoFeM0xTbONno66cUn9R-Tx

Leaving the Hospital 

The last day was more procedural and I was discharged early in the day. I was given information on the different stages of my diet and told to follow-up with the surgeon in two weeks. As you can see I was excited to leave the hospital and get back to my kids! 

https://drive.google.com/uc?export=view&id=1jcwDBqVNfCPdATnuY23sHhk3In3S4rSZ

https://drive.google.com/uc?export=view&id=16ti1m0zjjEO0k65dA8TolYIWZcujyUGB


My Hospital Bag Necessities Review 


https://drive.google.com/uc?export=view&id=1wQrNEA2Y0TI55g4k574RmbpQYHHlRabK

 Let’s discuss what I actually ended up using at the hospital from the list above. 

Essentials: 

  • ID & Insurance Card: I pre-registered and they already had my insurance card info, but when I checked in on the day of the surgery they did ask for my ID. 
  • Slippers/Flip Flops: I ended up using the socks they provided at the hospital and I used the flip flops when I was leaving the hospital. 
  • Robe: I used this as soon as I got out of bed and it was one of the best items I brought with me.
  • Loose Dress/ Sweats: I used this as my going home outfit (black dress and sweatshirt over it because it was cold)
  • PJs: I didn’t bring these but ended up using one of the tank tops on my third day at the hospital and I was so glad to take off that awful gown
  • Panties: Definitely glad I brought these. 
  • Socks: I did not use these at all, and again used the ones from the hospital, which were nonslip
Toiletries: I used everything on that list. Not right away, but I was in the hospital three nights and all the items listed came in handy. 

Health: Out of this list, I was glad I brought Gas X and the dry mouth spray. I did not use the hand sanitizer, they had one right on the wall. I also did not need or use the saline spray. I also kept dropping my masks, so I was glad that I brought extra ones with me. 

Electronics: The HEATING PAD saved my life! That was definitely a must for this surgery and I am so thankful to those that recommended it to me. I also brought the extension cord, which I used the whole time that I was there. I regret not brining my headphones, especially when I started walking. I feel like it would’ve been a nice distraction while walking the halls. As for the earplugs, I used them one night and I think that's the best sleep I got. 

Not listed: I brought my pillow and my blanket, and used those the whole time that I was there and I was very happy to have them with me. 

https://drive.google.com/uc?export=view&id=1BWoOvOpVZD-9VymeA8vsWUNKamZ2ZUtL

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https://drive.google.com/uc?export=view&id=1BdECPx5eU_PSm93Zs84VDZj4TVtD-9Uj
I used the comments that I saw on the support group to compile a list. I am still in the process of packing but wanted to share the list in case it can help someone out. I know I can’t live without lists, so I need it or else I would forget half the items. I wanted to include most of the suggestions made, but I will probably not pack every single thing on the list. Once I am done, I will be happy to share what I packed and what I actually ended up using. If you see what I missed something, let me know and I will add it. Good luck to everyone getting the surgery, I still cannot believe mine is tomorrow!

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About Me

Wife | Mother | Attorney| Blogger
With this blog I hope to share a glimpse of my world with you as I navigate life after my vertical sleeve gastrectomy (VSG) procedure.

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