Two Year Follow Up Wrap Up

I’m done with my doctors appointment. My two year post gastric bypass surgery followup is complete.

To quote my surgeon, “I can’t believe it.”

What did I learn today? From a sugar avoidance standpoint, eating fruits that contain a lot of natural sugars (looking at you, apples) should be okay because it’s a complex sugar that breaks down differently than your more junk food sugars. Also, staying on the topic of sugar, if you’re having a low blood sugar episode it’s okay to have some sugar to fix it, even though the amount of sugar my diabetic step son was told to take in that situation is exactly the same as the amount I’ve been told will trigger dumping syndrome. Somehow my body will process that sugar in a different way when it’s combating an over abundance of insulin in my blood than when the insulin levels are okay. How? I don’t know. I’ll probably still avoid more than the tiniest amount of sugar. Finally, when I ask the question, “is this stomach pain because something is wrong or is it because I am hungry” I am apparently asking a question that all of us ask. It’s normal and common to not be able to tell the difference. You just have to get used to it and hope that someday you’ll figure it out.

My next follow up is one year from today. In closing, as I was leaving I overheard my surgeon talking to another staff member. They were both looking at me and the words “I can’t believe it” were uttered for a second time. I also heard one of them say, “he doesn’t even look like he needs to be here” or something like that. Yeah. Good work, Doc. I couldn’t have done this without you, but if you want to make a red head feel like a million bucks weight-loss-wise, then saying you can’t believe it is a really good way to do it.

Photos!

This was waiting for me as I was about to walk out the door to go to the appointment. Good morning, bird!

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259/365

The clinic is in this building. Let’s do this!

In closing, you bet your ass I am doing some sugar free celebrating tonight.

Two Year Anniversary Weigh In

I can’t believe it has been two years. It simultaneously feels like yesterday and a thousand years ago.

Saturday (two days ago) was the two year anniversary of my weight loss surgery. The full gastric bypass procedure that my guts and I went through on May 4, 2022 has changed my life, health wise.

When I list off the best decisions I have made in my life, Marrying Jen is first by a landslide. It is first by a tidal wave. Not just marrying her, but going on that first date, moving in together, meeting the kids, all of it. That’s number one and nothing else even comes close.

It’s a close call for the second most important decision in my life. It might be going back to school in 1997 and everything that came with it over the following seven years or so that lead to my Bachelors degree. If it’s not that, then it’s getting the gastric bypass surgery. From a health care stand point, the surgery is definitely number one. Even after all of this time I still cannot believe how different I feel. It’s starting to become less impactful as I am more and more removed from my former self, but I’m still close enough to the changes that when I stop and think of it I still can’t believe it.

I weighed 452 pounds when I started the process. I weighed about 431 pounds when I actually went under the knife. On Saturday I celebrated the second anniversary by stepping on the scale. I weighed 211.2 pounds. One decimal point placement away from a Rush reference. Ah, hells. I am down 220.2 pounds since surgery and 240.8 pounds since deciding to have the surgery. My brain can’t wrap itself around the idea that I have lost more weight than I currently weigh. I lost the equivalent of a mildly overweight adult male.

It hasn’t been easy. It will never be easy. I am always at the mercy of my newly redesigned stomach. Every now and then it’s going to rebel and show me who’s boss. It happened last Friday and it destroyed me for about 18 hours. Here we are three days later and I am still not quite right. I had a plan for lunch today and I scrapped it because my stomach was feeling weird. It was a little pain, a little gassy discomfort, and a little bit just a sense of being wrong. I’m on edge right now for all things stomach so I errored on the side of caution and went with something very light and simple and small for lunch. We’ll see how I feel in a few hours when it comes to dinner time.

Would I recommend this surgery to everyone? I don’t know. I don’t think so. The variables involved are a combination of how bad is your situation and how difficult is the post-processing. I almost went through with this thing a few years before I did, but the idea of all of the restrictions post-op scared me away. Never eating sugar again? Never drinking soda again? No, I wasn’t up for that at the time. Then in 2022 I was in such a terrible state with my weight that suddenly those brutal restrictions (not to mention the changes to how you eat and when you eat and how you chew and how you swallow your food and all of that) seemed like a small price to pay.

It worked out for me. I don’t want to be the kind of guy who encourages people to go through this sort of thing. You need to come to that conclusion on your own. For me though… I would do it all again in a heartbeat. No question. No hesitation. It is the best decision I’ve ever made for my health. Apart from being with my wife and my family, it’s probably the best decision I’ve ever made, period.

Wish me and my new digestive system a happy 2nd anniversary. Many happy returns, you wild and crazy, temperamental stomach.

Yesterday was the Worst Day

Yesterday was weird from the get go, stomach wise. I felt a little off, but not too bad.

Then I had lunch. I was off enough that I should have avoided lunch, or at least the normal lunch that I ended up having. I took my last bite, according to my food tracking spreadsheet, at 1:54pm. 10 minutes later it started. The “off” stomach turned into real stomach pain. I tried to ride it out, but by a little before 4:00pm I had left work sick.

The drive home was a nightmare. The stomach pain kept getting worse. I had to pull over once for a surprise foamies, then again for a foamie false alarm, then again to actually puke into a cup. It was a little paper coffee cup and my aim was spot on. I was impressed with myself.

When I finally got home I ran to the bathroom, puked again, cleaned up the mess, and went to bed. I’d sleep for 20-30 minutes then have to move to a new position. Always on my side curled up in a ball. If I straightened out the stomach pain was too much.

Fast forward to this morning. So far I’ve had a few ounces of water, the first anything I’ve had since 1:54 yesterday. It is 9:21am now and I am feeling okay. A little like a wrung out dishrag, but okay. I have a ton of errands to run this morning and I’ve already given way too much information so I am going to wrap this post up now. I might have more thoughts on this mess later. We’ll see.

The moral of the story is this: When I see my doctor in two weeks for my two year check in she is going to ask me if I have had any Dumping Syndrome. This time I think I have to answer yes. Shit.

Oh yeah, and today is the actual two year surgery anniversary so I am glad I got that crap out of the way yesterday so I can celebrate today. Yippee, babie! Happy Surgery-aversary to me!

Food Fun

My staff and I just went out for a group lunch. I ate too fast. It was really good and I got carried away so now my gastric bypass surgery’d stomach is complaining. I am dumb. I am bad at following directions. I am bad at eating in this new stomach pouch kind of world.

Oh well.

Here’s my photo a day challenge pic for today. I took it just after I finished my morning exercise at around 6:00am today. It might end up being the cover of Quarantine Tunes Volume Eight. The jury is still out on that one though.

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236/365

First Time at Work

Well, gastric bypass surgery fans, I just had my first mildly annoying post-surgical experience while at the office.

I scheduled a snack for three hours after breakfast. It was a protein bar. Not a big one, not a small one, just a Goldilocks style protein bar to tide me over until lunch and to avoid the empty-stomach-stomach-aches I get when I wait too long between eating anything.

I was fine until the last bite, then I felt the upset stomach that is a harbinger of The Foamies. That state I sometimes find myself in where something is hanging out just outside of my redesigned little stomach pouch (pouch is the technical term for it, I swear) and my body starts over producing saliva to help break it down so that it can get into my stomach. I end up spitting up a lot, and I sometimes end up gagging up whatever is stuck enroute.

Yes, it can be gross. Yes it can be uncomfortable. Yes it is annoying. It’s not really a bad thing, it’s just a thing.

The reason it is noteworthy today is because it was the first time it happened in the office. It’s not the first time it happened during work, but the previous weekdays between 9-5:30 instances were all while working from home. I had to excuse myself and go to the men’s room to spit up saliva and wait to see if my last bite or two of protein bar would come back out to say hello. They didn’t. I was all better again after about five minutes. No harm done. No co-workers grossed out.

I am going to keep a spit-up cup at my desk though. Hopefully I will never use it, but hopefully if I need to no one will see.

As usual, I feel I must state in closing that this is sooooo worth it. Yeah, it’s annoying and all but it is absolutely worth it given the weight loss and all of the other benefits to my health and well being. 100%. I would do it again in a heartbeat.

Month 23 Weigh In

Robert, if you’re not weighing in monthly anymore, why did you bother doing it on the 23rd monthiversary rather than waiting 30 days and doing it on the two year anniversary? I don’t know, leave me alone.

I walked past the scale yesterday and without thinking about it stepped on it. I was expecting to be around 220 pounds. I was less than that. It pleased me. It made me want to step on the scale today, which is the one year and 11 month mark since my gastric bypass surgery. It made me want to update my weight loss spreadsheet for the first time since January 9, 2024 (which was the two year anniversary of the first appointment at the weight loss clinic). So feeling thusly inspired (is thusly a word?), I stepped on the scale this morning… and I was down from yesterday. I was also down from January 9, 2024. Nice.

The last weigh in, almost three months ago, had me at 213.20 pounds. Today’s weigh in has me at 211.60. I am down 1.6 pounds over the last three months. That pleases me a lot. I thought I would be way up. I’ve actually had to start using a looser notch on my belt. I thought I was putting the weight back on, slowly but surely. Nope. 1.6 pounds over three months, I would say that I am officially maintaining. I’m up 13.2 pounds since I hit my low point, which was while I had Covid. I’d love to be below 200 pounds again, but I am more than happy to be at 211.6. It’s an indescribable improvement over weighing more than 430 pounds the way I did back in April of 2022.

Here are the totals over the last two years or so. I have lost 219.8 pounds since the last weigh in before the surgery. I told my father yesterday that I was at 220. Close enough. I am down 240.4 since the first weigh in. My BMI was 55 on that fateful first weigh in day back in January 2022. Today it is 25.8. That is technically still considered overweight, but given the circumstances, I freakin’ love it.

So there we have it. The current state of the weight loss journey. I plan to weigh in again on the second anniversary of the surgery. That will be May 4, 2024. After that… I might not weigh in again for another year. This was never about the numbers for me. It was always about the way I feel. That and being able to be there for my family, when prior to the surgery I had reached a point where I couldn’t function under normal circumstances. In those terms, this is the most successful healthcare experience of my life. The numbers are fun for the stats geek that I am at heart. For that reason, I’ll keep that weight loss tracking spreadsheet around.

Happy 23 months, everyone.

How Was Your Thanksgiving?

It’s about 8:30pm here in Eastern Massachusetts. Thanksgiving Day is fast coming to its close. How was your day, USA? Did you feast like it’s going out of style, surrounded by family and loved ones? I hope so.

We didn’t have a Thanksgiving today, at least not in the traditional celebration’s sense. Jen and I slept late, which was glorious, and then hung some cool new ambient lights in her office before cleaning up a bit. We then hung out for a while. She played World of Warcraft while I watched an episode of Invasion on AppleTV+. After that we went to visit my father. He had his Thanksgiving dinner at his assisted living place. My sister and her family joined him. They have had a super rough week so I am happy they got to share that with him. I hope it lifted their spirits a little.

Jen and I hung out with him for a couple of hours and then went home and made dinner for ourselves. After dinner we watched the last episode of JFK: One Day in America. It was pretty powerful and moving, even if it did not add anything new to what we know about the assassination. It happened nine years before I was born and yet it’s still tough to watch sometimes.

Now we are just hanging out in the living room listening to The Beatles on vinyl because it’s still the 1960’s, right? Look at me with my vinyl records and film cameras. Dead technologies live forever ’round these parts.

After writing a novel or two about stomach pain yesterday, how am I doing today? I woke up feeling a little sick still, and I have not been 100% at all today, but I have been okay. No real issues. There were a few instances of stomach aches but I think they stemmed from my tiny little rewired, redesigned, rebuilt stomach being empty. Once I ate something I was okay. I’m still a little gun shy today though. I should be over it by tomorrow. I still have to do today’s exercise, which is disappointing, and I still have 12 ounces of water to go before I hit today’s goal. I’ll get it all done. I’ll probably wait until Jen is asleep later then I’ll go down cellar and jog in place (pronounced “yog, with a soft J”) for about half an hour and that should close all of my activity rings on my Apple Watch.

Did you know that the US version of The Beatles Help album includes excerpts from the film score? I sure didn’t know that. I know the UK version of Yellow Submarine has film score, but Help does not. Interesting. Does the US version of A Hard Day’s Night have anything like that? Maybe I’ll visit the used record store in downtown Methuen tomorrow and see if they have a copy.

Okay then, that’s my summary of Thanksgiving Day 2023. I loved every second of it, despite not having the kids here. We’ll make up for their absence on Saturday when we do our official family Thanksgiving celebration. We should have a full house for all of that.

Happy Thanksgiving to everyone in the USA. Everyone outside of the USA, here’s hoping you just accidentally had an extra special good day today.

Goals

Despite the fact that I’ve spent the last 10 hours feeling seriously sick with stomach pain and gas and all sorts of badness, I still managed to hit my daily water goal (64 ounces) and my daily protein goal (80 grams) as well as closing all three activity rings (calories, exercise, and standing) on my AppleWatch.

I just hit the water goal a minute ago. I’m going to wait 30 minutes and see how I feel. There is a little part of me that wants to try to eat a little something before I sleep. I probably won’t, but let’s see how I feel in half an hour, yeah?

The Crappy Day Continues

I had a bowl of soup for lunch. Campbell’s Chicken Noodle. Classic. I thought that was safe, given that my stomach issues were fading at the time.

Nope.

The lunch time soup sat in my stomach like a dead weight for hours. At the same time, the back pain came back to me all fresh and new. I had some Tylenol before lunch and it’s safe to say it worked. I had some more about an hour ago and it’s working again. I haven’t had anything to eat in about 4.5 hours and I have to have something, but what?

I think I am going to just try a piece of bread or two. Maybe bread and butter. Something light and simple that hopefully won’t nuke my digestive system again.

Let’s see how this plays out.

In the meantime… cat picture.

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51/365

Sick Day

Didn’t we just go through a whole sick thing?

I woke up with back pain. That’s new. Yesterday Jen and I did a bunch of moving things around in her office and that involved me lifting heaving things and picking them up off the floor and putting them onto a table and back again, over and over again. I think I strained my back a little. It woke me up a little before 5:00am and then made it really difficult to fall back to sleep.

On top of that I was, gastric bypass recoverally speaking, really fucking stupid and I ate WAY too much last night. I knew I was doing it as I was doing it and for some reason I just kept doing it. Like some kind of moron. I felt okay when I went to bed, so I assumed I would continue to feel okay. I did not. My stomach was a gassy, achey mess this morning and it was all my fault.

Those two things combined made it virtually impossible for me to do anything. I tried to go through my morning routine, but 12 oz of water with my vitamins and a two-protein bar breakfast just made the stomach situation that much worse. Also, the existence of the stomach situation made the back situation that much worse.

Generally speaking the treatment for any gastric bypass stupidity is patience. Eventually it will work itself out. I think I am feeling that now. I feel better. Far from 100%, but better. That’s good. My back is a little better too, but it’s still there. The jerk.

So the moral of this particular story is this:

Don’t be a friggin moron.

QED