Wednesday, October 31, 2007

my goals for after this surgery

ride a Roller Coaster
be able to shop anywhere and know they have my size.
Wear a bathing suit with confidence.
feel normal in my own body to improve my self-esteem and social anxieties.
smile when I see a photo of myself
walk up one flight of stairs without getting winded.

benefits of RGB

the benefits of RGB that i hope to gain...


High Blood Pressure can often be alleviated or eliminated by weight loss surgery

High Blood Cholesterol in 80% of patients can be alleviated or eliminated and in as little as 2-3 months post-operatively.

Abnormal Glucose Tolerance, or Borderline Diabetes is even more likely reversed by gastric bypass. Since this condition becomes diabetes in many cases, the operation can frequently prevent diabetes, as well.

Asthma sufferers may find that they have fewer and less severe attacks, or sometimes none at all. When asthma is associated with gastroesophageal reflux disease, it is particularly benefited by gastric bypass.

Sleep Apnea Syndrome sufferers can receive dramatic effects and many within a year or so of surgery find their symptoms were completely gone, and they had even stopped snoring completely!

Gastroesophageal Reflux Disease can be greatly relieved of all symptoms within as little as a few days of surgery.

Gallbladder Disease can be surgically handled at the time of the weight loss surgery if your doctor has cause to believe that gallstones are present.

Low Back Pain and Degenerative Disk Disease, and Degenerative Joint Disease can be considerably relieved with weight loss, and greater comfort may experienced even after as few as 25 lost pounds.
Weight loss surgery is a highly personal decision; it is also a medical decision. Your doctor should discuss the risks and help you measure the probability of benefits so that you can make an informed decision

how it works...RGB

if you don't know what RGB is...

Roux-en-Y Gastric Bypass (RGB) This operation is the most common and successful combined weight loss surgery in the United States. First, the surgeon creates a small stomach pouch to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This reduces the amount of calories and nutrients the body absorbs. Rarely, a cholecystectomy (gall bladder removal) is performed to avoid the gallstones that may result from rapid weight loss. More commonly, patients take medication after the operation to dissolve gallstones.

Advantages of this weight loss surgery: greatly controls food intake, leading to rapid weight loss
dumping syndrome dumping conditions to control intake of sweets reversible in an emergency though this procedure should be thought of as a permanent
Disadvantages of this weight loss surgery: ulcers, narrowing/blockage of the stoma, vomiting if food is not properly chewed or if food is eaten to quickly, weight re-gain is known to happen if dietary changes are not followed long term.

ultrasound/meeting surgeon

i had my ultrasound! after a long and painful hour, they let me go. the tech scanned all the neccessary areas and organs but spent a lot of time on my gallbladder. she went and got the radiologist and the doctor came in and did a scan herself. OMG. she spent over a half an hour looking at my gallbladder asking me to describe the pain. on a scale of 1-10 and scanning every inch of it. i am such a worrier...i knew that they had found a huge ass tumor...but she assured me that this was normal and she just wanted to get a good look at it.

after that i went and got some coffee and read for 2 hours until my appt with the surgeon. i went a little early because i had to get some lab work done checking for the ulcer gene and clotting. i had to wait a little bit to see the surgeon, but it was definitely worth it. dr. pratt was so cool. she was welcoming, encouraging, and really nice. she started by asking me all the medical questions, then she examined me, and then she explained the surgery details with me. she explained the results from my gallbladder ultrasound. she is definitely doing the lap gastric bypass surgery. however, my gallbladder is swollen and filled with stones and it definitely has to come out, but it might not work lapriscopically. so that might have to be open. but definitely lap GB. dr. pratt also said that i need to watch my fat intake because it could need to come out before the gastric bypass is scheduled on 12/11/07...it's that bad. she welcomed any questions that i had, she was funny, and really knowledgable about all areas of medecine. i am so glad that i waited for her.the scheduler met with me for a few minutes and gave me an idea of what my last few appts will be.

i am just a little nevous about insurance authorization..that's next! i am so happy!

surgery date

so it's official!!!! i am having gastric bypass surgery on dec. 11th!!!! i am having it at MGH in boston, ma and dr. janey pratt is my surgeon. i am so excited!!!

a lil bit more about me

during high school i was active so i was able to maintain a weight of about 260 and was a size 22/24. i went off to college and stopped doing any physical activities so then the weight started piling on. I have slowly gained the weight and now i am up to 340 pounds. i have tried all the diets. i have joined the gyms. i have finally accepted that obesity is a disease like cancer and that i need to treat the disease like cancer and that is agressively!! in 2004 i researched WLS and decided on doing the lap gastric bypass at tufts NEMC in boston. i went through the whole program (about 4 months of intense groups and classes) to learn that i had the worst kind of insurance and that i was denied. i gave up and now i am back! i have different insurance and more determination. look out world, there's about to be a new hottie on the block.