Showing posts with label Lapband Pre Op. Show all posts
Showing posts with label Lapband Pre Op. Show all posts

Thursday, November 11, 2010

The LB Story Part Five

The Pre op diet from Hell..... or so I thought.

The pre op diet is required because we being fat people, have fat....with the fat it collects around organs, and since they have to move your liver out of the way to do the surgery, they want as little fat as possible around your liver. The pre op diet helps to shrink the fat....

The pre op diet our doctor had us on was as follows.

breakfast: 1 egg and 1 piece of toast
lunch: 1 protein shake
dinner: sensible foods
a few hours after dinner: protein shake

Well, we bought Vanilla muscle milk, thinking, we can add chocolate flavoring and or make all sorts of smoothies with it....
that stuff was G.R.O.S.S.

I gaged on it with every smoothie I made. The peanut butter smoothie wasn't bad till you got to the after taste. UGH.

We tried Strawberry EAS.
NASTY
Even Jason couldn't do it, and he has a strong tongue that can tolerate lots of gross stuff....like liquid medicine and nasty protein shakes.

Then we ended up with Special K premixed shake, less protein but do-able. Until I finished the whole one, and had the after tastes, and it was gross again.

I would cry almost everyday because I didn't feel like I could do it, the diet part wasn't all that bad, but the shakes *gag*

So I modified my diet, I did no protein shakes.....and sensible lunches instead.....i got over it. lol.

I did for real cry EVERY DAY. lol.....it was bad. Poor Jason. I love him so much for putting up with my crying. lol.

The day before our surgery was our one year anniversary. And luckily it was the one day we could cheat on our diets and eat whatever we wanted.

We went to Golden Corral (because we figured after all said and done we will never eat a buffet again).....we I was excited to get my food on. I made the usual huge salad I always made, and got my chicken .... I make a big chicken salad then go back for dinner then dessert. I began eating, and I didn't even get half way through it when I realized that I was way too full to even go back for regular food....WHAT? my stomach had shrunk a little because of the preop diet.

That night we went to Chilis with friends and ate and we shared our new traditional white molten lava cake.

We were sooooooo full it was horrible.

As of midnight though, we were unable to eat or drink anything......and so the day of surgery is next.

The LB Story Part Four

Surgeon Consult.
Oct 18th,2010
We went to Dallas for our Surgeon consult. I was for sure that since I couldn't get my PCP to clear me the Surgeon would say no....no lapband for Layla.
Getting to the office, we were in a group setting, there were several people there who like us needed to schedule their appts, there was a woman there with her husband who just had lapband the day before our appt. And there was a lady who was there just for information, she hadn't had any meetings, consults or anything up to this point.
In the group meeting, we were greeted by an advocate who had lapband done three years before. She lost over a hundred pounds and is now in the "maintenance" process. She explained she is keeping her weight off herself, there is no saline in her band to give her restriction, so she is doing it on her own.
After the advocate went through the do's and don'ts of lapband, pre and post operation diets and any questions we had, we went one on one with the surgeon.
In the office, we were weighed, and our date of surgery was scheduled. We had the choice of two dates, November 8th or November 22nd.
Our wedding anniversary is the 7th of Nov and having the surgery on the next day would put a damper on our celebration, because we would be in our pre op diet.....or if we waited for the 22nd we would then be on a post op liquid diet for Thanksgiving. Being my choice, I chose the 8th.
Choosing the date was fun and all, but I was still convinced that the doctor would not operate on me because of my diabetes.
Dr Marsden came in and proceeded to tell me how he would still operate on me as long as my sugars were not over 400 on the day of surgery. He was saying that Diabetes basically kills your metabolism and that if i tried to lose weight right now it would be an uphill battle.
He was very laid back and easy to talk to. He made me feel really comfortable and eased my mind. He also thought it was cool Jason and I wanted to go together, when everyone else in our lives freaked out saying we needed to stagger our days so we can take care of each other.
We went home from the appointment with the surgeon with a week before our two week pre op diet was to begin.....eeeeek.....it was closer than I realized.

Monday, October 25, 2010

The LB Story Part Three

On October 8th, True Results submits our paperwork to our insurance. Expecting a month or two before they would send an actual approval TR called and let us know they sent it and would call when there was an approval. TWO HOURS LATER they call and said we have approval from our insurance.
Now the ball is rolling high speed.
The next week we get busy getting his X Ray, Blood work and my cardiac clearance. The blood work came back for me and TR required me to get a PCP clearance because my sugars were high. They said without clearnnace I probably wouldn’t get to have lapband, without controlled sugars, wounds do not heal well…..I got sad.
I went to my PCP and she flat out told me she would not clear me, and then told me to go to overeaters anonymous.
She told me horror stories she has heard about. She told me that my lapband doc probably didn’t give me the correct blood tests. So instead of approving me, she ordered more testing, upped my metformin, and told me to come back in two months.
So what do I do??? I called my old PCP who is basically a pill pusher and who I knew would approve me….I talk to his nurse, she said the doc does like lapband and I should make an appointment.
I decided to wait and talk with the surgeon before trying to get around my current PCP decision.
Isn’t the point of the lapband is to get healthy and get rid of diabetes?
arg the pain of it all.
I got worried about getting approved, but I have always been ok with Jason getting it even if I didn’t….but still wanted to talk to the surgeon first.
I had to go in on Oct 18 for an echo stress test to see my mitral valve prolapse, and come to find out they cleared me because they didn’t even see MVP. Woohoo!
Next up Surgeon consult.

Sunday, October 24, 2010

The LB Story Part Two

We go to Jason's lapband consultation. They take us back into the room, we watch a dvd about what lapband was and then we talked to a consultant.
As the consultant asked Jason to voice any questions, he had mentioned how I was on the fence so I can wait and talk with my gyno. True Results checks our insurance benefits....and with the crazy things insurances have people to do get lapband....psychologist reviews dietitian consults, 6 months of other dietary treatments..... our insurance only required a 40 bmi and over the age of 18.
Trying to convince me to jump on the bandwagon.....The consultant said that most of my causes of infertility could probably be chalked up to my weight. And she also said the running joke is that the lap band is nicknamed "fertility band" because it helps get women healthy enough to be able to conceive. She gave the personal story of her sister who had lapband, got pregnant within a few months, and then had the baby, all the time still losing weight and having a healthy baby...
I was still not 100% comfortable, so instead of Jason going ahead with the medical consult; we rescheduled both of us (me "just in case") for after my gyno procedure that way I could talk with him.
I go to my Gynos appointment on September 13th. Have the Sonohystogram. And then has the consult with the Gyno with his findings. He explains to me that my ovaries look like super chocolate chip cookies, between the eggs that are in there and the fibroids......The doc said I am in the beginning stages of polycystic ovaries. He says best thing to do is control my diabetes, and lose weight. I then ask him about lapband. He was all for it. He wasn't going to suggest clomid till after I lose a little weight.
Two days after the gyno appointment, we have our lapband medical appoitmtent. I tell them that I want lapband, everyone is excited.
Our insurance doesn’t require any testing from us, but True Results does. We have a breathing test done, and I pass. Jason doesn’t so TR asks him to go get a breathing treatment, and with that, blood work and XRays. From me, they want the blood work, cardiac clearance and that’s it. (The cardiac clearance is because I have been diagnosed with Mitral Valve Prolapse as a kid, which will require antibiotics)
In the next few weeks, Jason has two sleep studies, finds out he has slight sleep apnea, and if he loses weight it should go away (His Cpap machine will only be with him until a few weeks after the surgery)

Saturday, October 23, 2010

The LB Story Part One

August 2010
I made the declaration here on my blog that I wanted to lose 30 pounds during my 30th year.
Mid-month, Jason's coworker had lapband surgery.
Almost end of the month I see my gyno, had a follow up pap smear due to an abnormal one. Gyno said that i needed to come back to his office for a sonohystogram to check for possible infertility causes. September appointment is set.
About the same time as my gyno appointment, Jason sees a billboard for lapband.....he sets his consultation.
Jason had discussed with me his feelings about lapband, and he left the offer on the table whether or not I felt that it would be a good choice for me.
I have several friends that have had some kind of gastric surgery to lose weight. So the idea wasn't foreign to me. I just never thought I would be in a spot where either I could afford it, or if we had the kind of insurance that would cover it.
Because Jason's appointment for his consultation was before my gyno appt…I was unsure how to make a choice on whether or not I wanted to pursue the idea of lapband. My reasons for wanting to talk to my gyno first were....
1) Gyno told me that he would want to do the sonohystogram then talk to me about putting me on clomid.
2) How would he feel about lapband and me carrying a baby in the future?