Wednesday, June 27, 2007

The 501 Blues

Sunday we're getting ready to go to church, and I decide that it's about high time that I actually, you know, tuck my shirt into my jeans. A simple concept, true, but one that I haven't done in nigh a decade because you have to hide the fat somehow, right?

I tuck my shirt in, and look at myself in the mirror. I grouse that I'm not going to bother because the jeans that I'm wearing are too baggy at the moment and they "need to be tighter."

The Husband looks at me quizzically. Says "Take those things off. I'll be right back."

So I do. And he comes back into the bathroom. With his jeans. Size 36 waist Levis. 501s.

"Put these on."

Holy shit. They fit!

So yeah, my shirt stayed tucked in for once, and we hit Mervyns after church to pick me up my first ever pair of Levis that I have owned.

Life is good.

Wednesday, June 20, 2007

Eleven Months

Yesterday marked the 11 month anniversary of my Duodenal Switch. In that time, I have lost 114 pounds - something I would have never believed was possible. Words cannot describe how happy this time of watching the pounds drop away has been.

This all being said, I know that my weight loss to this date has not been on par with what it could be. The reason? Simple. I eat too many carbs. But I balance it with eating enough protein first and since the weight has been coming off slowly but steadily, it's been a trade-off that I was willing to make.

But no more.

This weekend, I decided to get down and dirty with this weight loss thing. No more dinking around. Carbs will be allowed, but only in complex or multi/whole-grain form and must be eaten in combination with protein. Case in point - my latest snack. Herb and garlic goat cheese piled high/slathered all over a wheat thin cracker. Five of them is enough to satisfy me. I get tasty protein as well as my hankering for a cracker all in one package.

My day has always started off with either a protein shake or an omelete loaded with cheese and bacon. That's staying the same. However no more cheating with getting the occasional sausage egg muffin or bacon egg and cheese biscuit (double the bacon, please!) even though I throw away the top half of the muffin or biscuit. Too many simple carbs there for the beginning of the day, and I always end up hungry too soon afterwards because of it.

I will be adding another protein shake at some point throughout the day, either as a morning snack or as part of lunch. Today I've already had my 50 grams of Isopure chocolate for breakfast but I've also slammed down another 25 grams of Isopure Mango Peach. This will be my new habit because it also helps me get in more fluid which brings me to my next resolution:

Double up on the water. Despite having something at my elbow all day long to drink, I need to up the consumption, especially as summer is now in full swing here and it's hotter than hades. I will be keeping a checklist to mark off how many 20 oz bottles of H2O or Crystal Lite that I drink. And if I don't have at least five before I go home from work, then I know that I have to drink at least four more at home. If I do drink the five, then I only need two to drink at home. More is always better.

Increase my fat consumption. I know that some of you will be saying "Whaaaa?" to this, but I'm serious. This seems to be the way I lose weight. Every time I loose a chunk of weight it seems to be because I am using the fat malabsorption this surgery provides the right way.

For example, this weekend, we went down to Lancaster to see the Fantastic Four Rise of the Silver Surfer. We also went to the mall, which meant that we went to Famous Dave's for lunch. I always eat their ribs as well as their beans. Which means I get a high fat content even though there is a high sugar content as well. And for the first time, we actually ordered desert because it was Thing Two's birthday. The Husband and Thing One shared their Chocolate Brownie confection, and the Birthday Girl and I shared a Bread Pudding. Oh my. Orgasm on a plate. I love bread pudding. This one is smothered in caramel sauce with pralines and ice cream. So worth the price, but you had better share it with at least one, if not two other people because it's monsterous. We left at least a third of it on the plate because to eat any more would have been so bad later on in the gas department. But don't think I didn't look wistfully at it sitting there - I'm not that good of a girl. Then again, I didn't WANT anymore, so that was good, too. Before surgery, I would have wolfed the rest of it down, full stomach be damned!

Anyway, the combination of the high fat and the protein levels that I had consumed earlier that day (42 gram bullet in the shower plus 50 gram shake on the way down) plunged me down the scale a full three pounds the next morning, where I've sat at since. The simple sugar for some reason, made no difference, but I'm not going to allow that to give me a free sugar pass. That would be the height of idiocy.

The key for me seems to be high protein plus high fat. Yes, I end up with poop that looks like styrofoam and tons of it. It's not explosive thankfully. But every time I do this combination, I promptly drop three to four pounds the next day and it stays like that until I dip down again.

Seeing as how I am now well and truly flirting with going under 200 lbs (this morning's scale read 200.8) I am determined to push this for all it's worth eating wise. For lunch today, I'm going to have my leftovers of Cheddar Chicken. It's made by sauteeing chicken pieces in a tiny bit of bacon grease along with olive oil and butter. Then you sautee the onions and garlic, add the cooked bacon back in, mix it all together with shredded cheddar cheese and cook in the oven until the cheese is melted. Heaven. Pure heaven. And good fats. The last time I ate the leftovers, I lost two pounds.

The DS is certainly a Your Mileage May Vary surgery. Everyone has to find what's right for them eating wise because no one can predict what your body can or cannot handle. Mine seems to have a cast-iron stomach (at least up until now) but needs the extra push of fat to get the pounds a-droppin'.

Who knows what I could do with this if I actually, you know, started exercising for a change? I mean, farm work can be tough, but it's not consistant to be sure. I need an aerobics class, preferably step. That's next on the list.

One hundred and sixty pounds? You will be mine before Christmas.

Tuesday, June 19, 2007

The Old Bait-and-(non)Switch Game

There is something afoot in the Duodenal Switch world akin to the strange things afoot at the Circle K. And it's something that I believe to be wrong.

More and more of the various DS boards that I peruse are getting posts from potential DS seekers saying that the doctor they consulted with is recommending that they get their DS in two parts - one surgery to perform the gastric reduction, a.k.a. sleeve gastrectomy, and then a second one, later on, to perform the "switch" part of the surgery on the intestines. Okay. Fine. I can see the benefits if the person weighs upwards of 500-600 pounds. Get some weight off of them before you go mucking with their intestines. Do the easier part first and then follow up with the trickier, more dangerous part later when the patient is healthier and more able to move around. Sounds reasonable. To use a visible example, the one woman that was profiled on the Discovery Channel during her plastic surgery quest was given a two-part DS by I believe Dr. Anthone. She weighed at least 600 pounds and needed a bunch of it to come off first before the intestinal switch could safely be performed.

But a lot of these people aren't weighing that much. They're weighing 250-350 pounds on average it seems from the postings I've read. So what's up with that? Why are you selling both them - and their insurance company - the DS but saying that they'll need a two-parter, which the insurance company may not be willing to pay for the second part of later on. This may leave many of these people in a ditch so to speak because the insurance companies will come back saying that there's no need for a "revision" (and that's what it will be) because they've lost some weight and no longer need the surgery. Aren't you really baiting and switching them?

If these surgeons (Prachand and Gagner seem to be the two most frequently mentioned at this point) are really wanting to sell these people on the vertical sleeve gastrectomy - a viable WLS alternative - then why aren't they up front about it? Don't go promising a person a full-on DS when you know that they'll more than likely have to pay out of pocket for the second part, which means that many will not be able to "complete" their surgery. Tell them that you recommend a VSG and be done with it!

What's even more disturbing is that some these surgeons are promising people the full DS, but are then going in and only performing the gastrectomy. The patient wakes up, and is astonished to learn that they didn't get the full-on surgery and always seem to be placated by being told that there were "problems" in the abdominal area that made doing the switch more dangerous than they needed to be - one happened before I had my surgery to a girl who flew all the way to Belgium for Dr. Himpens to operate on her. The patients are stunned. Devastated even. The girl I mentioned was given the run-around for days about why it wasn't completed and she was so upset and angry, feeling alone in a foreign country and being completely discounted.

These people didn't get all that they had bargained for. And considering that WLS is an elective surgery, their choice as to what they get should be given more weight (pardon the expression) than it would be for another type of surgery.

Now, before I get jumped on, let me say that yes, there are times when complications arise and it is just not possible to complete the switch. It is the doctor's discretion in the end, and there is a reason why we choose who we choose to operate on our bodies. But that level of trust that we have in these men and women should not be breeched just because they want to perform medical studies with these people by going with what they (the doctors/surgeons) want to do regardless of patient wishes. And it seems to be happening more and more often.

Yes, I just said it. I believe that some of these doctors may be doing this strictly to be able to gather research information. Why do I assert this? Because I had "complications" in my abdominal area and instead of simply taking the shortcut and only giving me the gastrectomy, my surgeon went ahead and painstakingly removed all of the gnarly adhesions that were in my abdominal area so that he could give me the full surgery that I had requested from him. Only if my life had been in danger would he have not completed it. He didn't betray my trust.

If these doctors want to offer their patients the VSG as a stand-alone option, please, go right ahead. But don't go selling someone a surgery and then fall short of expectations for your own personal agenda. It violates every ounce of trust these people have put in you, your skills and your ethics. If you want to set up a medical study on the benefits of doing the DS in two stages versus one, then give people the option of joining it with a guarantee that the original fees they and their insurance companies paid will pay for EVERYTHING - i.e. both surgeries.

This is our lives they are mucking around with. Most of us make serious, informed decisions about WLS before we step into the arena. We're not stupid. Don't try to pull the wool over our eyes, because it may just backfire on you.

Tuesday, June 12, 2007

Yes. The Naked One Over There. That One.

I finally got off my bony (heee!) ass and got around to getting a shearing machine so that I can give my herd a much needed clipping. I have been imagining coming home and finding one of them keeled over from heat exhaustion and it is not a pleasant picture to imagine. But we had been putting it off seeing as how The Husband is still a member of the walking wounded from our last sheep wrangling adventure (twisted/sprained/cracked ankle) so he is not up to helping in gathering them up for the task.

Because getting the darned things shorn isn't the hard part. It's the catching them that's hard. Very, very hard. They're quick, and heavy, and damn but their kicks hurt. But I was determined - I have a machine and by God I'm going to shear a sheep come hell or high water!

Thing One and I developed a plan. The smallest female, Oreo, was going to be our target. Seeing as how she was the easiest to 1) grab, 2) hang onto and 3) keep positive control over, she was our logical choice. This of course means that we're leaving the most difficult one, Rambo, for last. By then, we'll probably need to call in reinforcements, but for this first foray I just needed to figure out if I could actually shear the sheep on my own.

By sectioning her off from the rest of the herd, it was actually easy to capture Oreo, and the new halter I had purchased made a huge difference in getting her to where she needed to be and tethering her in place. Then I turned the machine on, and lo! within about 45 minutes, she was shorn! Success! Only a few nicks to her skin in some of the common trouble areas, no big gushing of blood, so only a liberal application of betadine was necessary for treatment. Not to bad for my first time ever doing this. I think I could actually get the hang of this!

We turned her loose back in the pen, and her baby (now nearly as big as mom himself) was in a frenzy because mom? Well, she just didn't get a haircut, she went totally bald! I have never seen a more confused creature as this lamb. Bleating and carrying on, sniffing at her, running away from her and then coming back. It was a fascinating sight to see. I've never really paid attention to what happens when one sheep comes back to the flock significantly altered before. At first they're rejected, but then recognization dawns, and the lost one who has obviously been tormented by The Humans comes back to the fold. Just like dying your hair chartreuse or something shocking like that.

A friend came over later in the weekend and we were looking at the sheep and I was commenting on how I felt like I had actually accomplished something by shearing just one of the herd. "So now which of the sheep did you do?" he asked.

"You mean you can't tell which one it is?"

"Oh, I suppose that it's the naked one, right?"

Yep. We've got a naked sheep running around at the Sheeple Ranch, people. And it is a very pretty sight. (Picture to follow this evening!)

Wednesday, June 06, 2007

Everything has a spin cycle

So I have discovered Jennifer Government's Nation States. It's an interesting little place, you create your own country, run it by your own set of rules, and you get to see if it fails or flourishes. Not too bad, eh?

The way you get it to work is you make decisions on various issues, such as taxes, laws, civil rights, etc. Your decisions formulate the policies the government takes.

For example, on my plate right now is an issue about public nudity. There are three stances - one, the hippy who wants public nudity laws to be banished; two, the liberal professor who wants public nudity to be mandated; three, the accountant who admonishes us to "think of the children" and reserve nudity to the privacy of the home because he doesn't want to see a naked person walking down the street dangling the fruits and berries. Fairly simple and straightforward. The country of Sheeple Rage is going to think of the children in this instance.

You also have the option of dismissing the issue. I have no idea what that will do for the government, but I guess I'll be finding out soon because there have been a few that I have dismissed. But more important was why I dismissed them.

One was about taxes and the other was about healthcare. There was two options for healthcare and three for taxes. All of the options were either so extreme on either side of the equation as for them to be unpalatable to me, or the middle opinion still left much to be desired. Since I had no desire to go in any of the directions, I dismissed the issues. We'll see if they come up again.

But even in a game like this, there is always a definite spin put on the prickly topics of the day. I was actually a bit put out that my viewpoints weren't even represented in such important topics as healthcare and taxes. In fact, they weren't even touched on, at least not in a way that I could swallow. In the taxes issue, I was given a choice of taxing the rich to give to the poor in the name of "evening things out," leaving taxes the way they were but giving subsidies to big business, or increasing taxes outrageously. Nothing that I find appealing as I'm a flat tax person. A straight 10% across the board, no deductions or adjustments allowed. That's all you need, and more importantly it's fair to every IMO. No more loopholes.

Maybe the topic will eventually come up again and I'll get something that tickles my fancy, but I somehow doubt it. It will be interesting to see how this shapes out. In any case, welcome to my new interest. Hope I hooked ya.

Monday, June 04, 2007

Tempus Fugit

We lost a dear friend this past week to a freak off-road quad riding accident. He leaves behind a wife who is too young to be a widow, a teenaged son, and a young daughter who was the apple of his eye.

Pappy lived life to the fullest, enjoying every moment, never having a bad thing to say about anyone. He loved children, and was the coach for our high school's wrestling team, coaching his son and all his friends. He was active in our church and was a friend to all.

We will miss you, my friend. Godspeed until we all meet again.