Tuesday, November 19, 2019

Forty-One

I weighed in today and am officially down 41 pounds from the day I started my pre-op liquid diet, September 21st. I won't mind if this pace continues for another 40 pounds! People are really starting to notice now, which I didn't expect until I'd hit at least 50. That's what it took the last time I dropped a lot of weight.

I had egg salad from a local health food store for lunch. It didn't sit well. I'm going to dinner with my fellow non-meat-eating friends tonight. The restaurant has a special with butternut squash and vegan sausage. My tummy is still angry from lunch, so I'm a little nervous about dinner. But I want to support any restaurant that makes an effort to include creative vegetarian, pescatarian and vegan meals.

So my eating style is kind of hard, because I could and should be eating chicken and turkey at this point. But I don't want to. I did make some exceptions in recovery for some chicken broth and beef broth because I didn't have many options...or sometimes any options. But now that I'm mostly fully recovered, I'm back to only eating fish/seafood and no other meat. But I have to watch because I had tuna 4x in 2 days over the weekend, and I'll end up sick if I keep that up. Soon I can add back in shrimp which will help. Anyway, I eat low carb, low calorie, moderate fat, high protein. Nectar protein shakes are a huge help. But they aren't meal replacements, as they really only contain protein and no other nutritional value. They sure taste good though, mixed with Fairlife white milk.

Off to dinner now. I know this is boring, but I'm just trying to stay in the habit of writing.


Monday, November 18, 2019

Itsy Bitsy Teenie Weenie Slightly Smaller Non-Bikini

You guys. I SUCK at writing this blog. It's mainly because I don't have a computer at home, and I'm not about to start typing blogs on my phone.

But I do NOT suck at this diet. I'm so sorry I left you behind during pre-op. You've missed ALL of
the good parts. After that last blog post things got pretty easy on the liquid diet. Once my period GTFO of the way, my hunger left with it. By the second week I was forcing myself to drink Powerade Zero just to survive, but I didn't want much of anything. I'd make soup, taste it, then dump it.

I flew out at 6am on surgery day, October 5th. The whole way there I was thinking that I could just get off the plane, rent a car, and drive up the coast from San Diego to LA, visiting taco and margarita bars on the shore, ultimately ending up at Disneyland with a Dole Whip and churro in hand. Thankfully I had in-flight internet and my friend Laurie made me PROMISE I'd call the valet to pick me up and take me to the hospital.

When I landed I already had a text from my valet, Juan. He picked me up curbside and drove me 20 minutes across the border into Tijuana. It was shocking to see there was NOTHING to do to cross the border. You can get in with no questions asked.

Hospital BC is just another 5 miles or so, inside a gate, overlooking the city. It was a beautiful entryway, which made me feel so good right away. Sunshine and scenery! I started filling out paperwork right away, and then everything happened SO FAST. They drew my blood and took xrays of my guts. Then I went to my room where I got changed into my gown and compression stockings. At that point I met the surgeon, anesthesiologist, cardiologist, surgical nurse, and who knows who else...it was a blur. My test results came back clear so it was off to surgery.

Now, anyone who knows me, which is none of you, knows that I've spent my entire life avoiding needles at any cost. HUGE needlephobe. It was truly remarkable how skilled these pokers were. I didn't feel the bloodwork needle at all. The IV of course didn't feel GREAT going in, but it was not bad at all. And just about the time I started to get super nervous and was ready to say "I think I'm going to go get those beach tacos..." I was OUT.

I woke up 14 seconds later in recovery, feeling surprisingly decent. I slept in my room for about an hour and then they wanted me to get up and walk. I won't lie, I was feeling nauseous at this point, and full of air. They fill your abdomen with gas to provide room for the surgery, and that gas has to go somewhere...up into your body, which hurts. The gas pain actually hurts worse than the incisions or anything inside. Walking helps more than anything, so all night long I alternated between small dry heaves into a cup and walking the halls, with a little sleep. They managed my pain very well and they were super compassionate. More than anything I wanted a drink - because it was nothing-by-mouth from midnight the previous night until the morning after surgery. I could only chew ice chips and spit it back out. I met some nice people in the hallways - other patients, and the mom of a patient. I have remained in touch with all of them and expect to be friends for a long time!

The staff was the absolute greatest, and the facility just as good - BETTER - than anything I've seen in America. Every 8 hours we had a new valet to help us with anything we needed, and the valets translated for the non-English speaking nurses. They took care of me so well, I could cry thinking about it. Since I'm single I do EVERYTHING for myself, and even though I didn't feel well, I felt truly pampered, like a spa vacation.

24 hours after surgery my mind was blown by how much better I felt. I spent the day walking and hanging out with my new friends, watching TV and talking to my mom online, who was home freaking out for no good reason. I was FINE! I took a shower, did a swallow test, then got a tray of
jello and broth, juice and coffee. I slept very well that night and was dismissed the next morning. They took us to a beautiful hotel, called Real Inn Tijuana. We checked in and had an hour to rest, then
we went on an all-day tour of Tijuana. We had lunch in an awesome historic restaurant where Caesar salad was invented. We of course could only have broth, but the French Onion broth was like manna from Heaven! Just eating out on a patio in the sunshine and tasting something real was so amazing. We did some shopping, then went to the ocean. It was really sobering because the border wall runs right down the beach into the water. Kids were standing against it gazing into San Diego.

Then we visited another beach that was more of a party atmosphere. Lots of restaurants and people hanging out, followed by a secluded private beach...manned by a guy in a pop-up tent in a recliner who charged $2 to drive in. It was gorgeous! And right next to a 20th Century Fox movie studio with a giant pirate ship outside! We looked at art, and stopped at a pharmacy to pick up all of our medications. Including the worst part of the entire experience - BLOOD THINNER INJECTIONS.That's right...needlephobe me had to give myself injections for a week after surgery! I was absolutely panicked. But the doctor came to the hotel that night to check on me and she showed me how to do it. I wasn't reassured too much, but I was happy for the lesson. We were able to call room service and ask for a bariatric meal, and they brought me a tray of broth, apple juice and a popsicle. Plus the hospital had sent sports drinks and bouillon cubes.

The next morning the valet was waiting for me in the lobby and we made the 90 minute trip across the border. That's right...no questions coming in....90 minutes going out. It was like a street party the whole way. People selling tacos, churros, toys, magazines. Imagine how many people sit in that every day to cross into America to go to work!

The flight home wasn't too bad. My backpack was a little heavier than I should have been carrying I think. I found some soup on my layover and drank the broth on the plane. I'd booked first class to have more room to move around, which was money well spent. When I got home I drove myself home and faced my first injection. It wasn't great, I pretty much stabbed myself and bled. My nurse brother talked me through it the next day..."STRAIGHT IN, STRAIGHT OUT." I got used to it.

I spent the next day in bed, which was a Wednesday. on Thursday I picked up my dog, and by Monday I was back to work. It's truly unbelievable how easy recovery was, starting the day after surgery. Even the night of surgery, I would say I felt about the same or slightly better as having a stomach flu. Since then I've had no complications. My incisions are healing very well, and I've gone through all of the stages of eating and I have very few stages left before I can eat anything I can tolerate. I've had seared ahi tuna this week, sugar free ice cream, some soft veggies, protein chips.

And I threw away my swimsuit. I found it the other day and figured by the time I need one again, that one won't fit. I'll never be in a bikini with this cellulite and the inevitable loose skin, but I won't be in that grandma swimdress again, either. I've lost 40 pounds in less than 2 months. I've had a couple of stalls - I went 9 days without losing anything in October. Then I lost 7 pounds the next week. Screw you, period!

I blame everything weird on my gallbladder. Like if I eat too fast around other people and I feel sick. Or if I don't eat "enough." Plus I do say I'm dieting which helps. But for the most part I've been able to eat in restaurants without anyone seeming to notice me being weird. Well, 2 weeks post-op I went out with a group and I attempted to eat hummus and soup. Way too much of both. I felt like I was going to DIE and I had a complete panic attack. And we were seated at a weird table where I couldn't really easily get out to go to the restroom so I was really having a breakdown and trying to hide it. But once I got some fresh air and walked from the restaurant to the theater, I felt much better. That's the only time I've pushed my pouch too far.

If you are reading this and thinking about bariatric surgery but your insurance doesn't cover it, or you don't want to jump through all of those hoops, then I highly recommend Hospital BC in Tijuana. For under $5,000 you'll have a top-rated, certified medical team and a built-in vacation with followup care that goes on long after you come home. I have zero regrets, except for not doing this 5 years ago.

Wednesday, September 25, 2019

I lack enthusiasm

Sad but true: The most exciting part of my workday is normally deciding what to have for lunch. My days severely lack entertainment now, and my enthusiasm is non-existent. I feel like I'm just living from one beverage to the next, desperate for something that tastes like something. It's not even hunger, it's pure boredom. The pleasure center of my brain is definitely located in my mouth.

Pretty much everyone says the first 3 days are the worst then it gets a lot better. FAKE NEWS. The first 3 days were a breeze. Yesterday was a little worse, and today is a giant turd. I wandered through the food aisle of the drug store thinking that some magical liquid I hadn't previously considered might jump out at me. Whopper-in-a-Cup? If I mix peanut butter and frosting together with some Snickers coffee creamer is that considered a smoothie?

Only 9 more full days of this before surgery day. Things don't improve after that as far as taste and texture go. But at least I'll feel like crap and won't want to eat, so there's that. Of course, I started my period yesterday so that's probably why I feel like a monster now.

I woke up around 6am, and my first thought was "WHAT HAVE I DONE?" Like, is this real life? I'm really flying to fucking Mexico in a week to have someone I've never met carve out 80% of my stomach? I'm going to eat dime-size bites and 1/4 cup portions for the rest of my life? How did I let this happen? But I know if I bail on the surgery, I'll run face first into a pizza and that will be that. I've tried, succeeded, and failed SO many times since the age of 8....nothing is different this time. It has to be this way.

I'm down 9 pounds today.


Tuesday, September 24, 2019

I'm Souper, Thanks for Asking

Well last night was a breeze. I had a big mug of pureed cream of celery soup. When you eat a cup of soup with a tiny spoon it takes FOREVER. So you magically feel full. I ate outside with the dog by a fire, with my favorite playlist of songs. It made the meal a nice experience despite the lack of actual food.

Today I'm down 8 pounds. Not bad for 3 days! I did break my own rule and engage in some political banter on Facebook last night, and I can only blame the lack of food for that one because I NEVER do that. It wasn't even over the top, but the guy on the other end of it decided we aren't friends anymore. I'm a little bummed about that, but not binge on Reese's bummed. There's probably no chance of the world going back to the way it was before, right? Where people could just talk about important issues without drawing deep lines in the sand?

I've spent the day thinking about what flavor of soup I'll have tonight. The soup is getting me through because it feels like real food. I have a feeling I'll be a soup expert by the time I get to stage 3 soft foods post-op.

Boring blog, but it's all I've got. Go hug a friend and tell them love is stronger than politics.

Monday, September 23, 2019

The Great Gallbladder Bamboozle

Well, here I am again. Fatter than ever. I think I ended up losing around 35 pounds last year. I went back to Hawaii in July and never got back on my diet when I returned. I shot up to my new highest weight ever... 255 pounds. I did finally go to a real doctor, and amazingly, my tests were pretty good. Glucose was perfect. Cholesterol not too far off the mark. Had a normal EKG. Blood pressure is still a bit high but not enough to go on meds. So I finally made a decision I've wrestled with for many years.

Back in 2014 when I kicked B and took names on my diet, it all started with a conversation with a friend who was talking about gastric bypass surgery. I said I had to find out one last time if I could do this on my own before resorting to that. And I did! I started my diet and didn't stop til I'd lost 90 pounds. It took me exactly 2 years to lose 90 pounds and to regain 102 pounds. I realized I CAN lose weight on my own, but I can NOT keep it off. I HAVE to be on a diet at all times. If I'm eating more than 800-900 calories a day, I'm not losing weight. I see know-it-alls on Reddit all the time telling fat people that it's "simple science, calories in vs calories out." Well I'm here to tell you that I can eat 1200 well-balanced calories, exercise, and not lose weight. And at 255 pounds, I should drop weight like crazy at 1200 calories, even without exercise.

SO....I've decided to get gastric sleeve surgery. And in classic ME fashion, I'm not doing it the regular way. You know, like talking to a doctor, going through a year of psychological and medical testing, getting insurance approval. BOR-ING. No, I'm going to Mexico, alone, and getting sleeved for $4900 with exactly one month's time between my initial phone consult and surgery day.

I would never do this without some reassurance that this place and this surgeon are not back alley psychos. I have two great friends who have already been sleeved at this place, and the clinic and surgeon have the same accreditation as the top US bariatric facilities. The surgeon is a designated "master surgeon" for number of surgeries performed without complications. So I feel like I'm in good hands. As for being alone...my top two worries are just being really emotional when I wake up in pain. And, you know, dying...alone...in Tijuana.

I don't feel comfortable telling anyone where I'm going and what I'm doing. There's enough stigma with gastric surgery, and then add the idea of going to Mexico to have it done. I'm going through quite enough mentally at the moment without getting outside opinions on my poor decision-making skills. My mom knows, even though I didn't want to tell her. She didn't take it well, and I wish I had stuck with the OG plan of telling her when I got home. A couple of friends know. But everyone else thinks I'm having my gallbladder out. I had to come up with some logical reason of why I'm on a 14-day liquid diet for pre-op. I just don't need my co-workers to have this information. I work with a couple of real b-holes.

So the saga continues....I'm on day 3 of all liquids. Day one was depressing. Day two I pooped in my pants. And today, I feel ok. I can do this. I mean this blog all started with weeks of only drinking juice and I survived that. At least this time I can have soup and smoothies. If I had to drink mean green juice for 14 days I'd cancel the whole thing and use the money to go to Thailand to feed baby elephants.

But for now, I'm the baby elephant, and I'm going to see this crazy idea through. It's going to be really hard, and also really exciting. And if you're willing to go on another journey with me, I'll tell you everything you never wanted to know about Mexican gastric sleeve surgery from start to finish.