In Weigh Over my Head: Do you see this bump??!!

Monday, July 25, 2011

Do you see this bump??!!

This is my leg being pulled at physical therapy. Yes, I took a pic with my phone. lol Why? Because I saw a bump on the left hand side of my foot. I figured out what it was... an ankle bone! Yes, I have ankles now! :)

20 comments:

Amanda said...: Hee -- awesome! I love it when stuff comes back that we forgot bout :D; July 25, 2011 at 3:26 PM
Unknown said...: Beautiful ankles at that! I can't wait to have ankles again. Presently my left calf has a cantalope growing out of it about 3 in the afternoon every day.; July 25, 2011 at 4:02 PM
Lori said...: Bones!! Yahoo for bones!
Lori; July 25, 2011 at 5:36 PM
Carbie Girl said...: Awww and you took a pic ^_^ thats awesome :0); July 25, 2011 at 6:03 PM
Sarah said...: Yea for ankles!!

Sarah
notaneffingdiet.blogspot.com; July 25, 2011 at 7:36 PM
Christine said...: lol...I still remember the first time I reached down and felt that 'bump'. I thought I had CANCER lololol...then realized I was supposed to have that...no more cankles for me...just calves and ankles.; July 25, 2011 at 9:03 PM
Manda said...: Yay! Great job Lisa...

http://thebookofme80.blogspot.com/; July 25, 2011 at 10:37 PM
Annalisa@Gracie'sGarden said...: Hi Lisa. It's been, oh, probably about A YEAR since I've seen your blog. Reason: drama. Drama you posted about not long ago. I despised the way that guy was tormenting you, and I decided not to listen any more. I am SO pleasantly surprised to check up on you today and see you HAPPY you are! I am SOOOOOO Excited for you. I know you are well on your way to a healthy life. Lisa: Congratulations. You are awesome :); July 25, 2011 at 11:05 PM
The Lovely One said...: LMAO! You're so stinkin' cute!; July 26, 2011 at 12:08 AM
pinkgigi said...: I love love love the happiness and beauty in live that you are discovering. You deserve this life and you are savouring every moment of it. And boy are you GORGEOUS!!; July 26, 2011 at 12:14 AM
Diane said...: That' s just great.......congrats!; July 26, 2011 at 2:13 AM
Diane said...: That's just great........Congrats!; July 26, 2011 at 2:14 AM
KeepinAllanHonest said...: http://keepinallanhonest.blogspot.com/2011/07/wtf.html; July 26, 2011 at 9:25 PM
Beth in NC said...: Ha! I was concerned at first. Sheesh. Good for you!!!

Come check out my new home. I moved from blogspot. http://mydestinysharinghope.com/

You're doing great!

Love,
Beth; July 27, 2011 at 5:35 AM
Beth in NC said...: Oh, BTW ... you need to change your name in your "about me" section. Not "fatty" ... but "Happy" ... :o); July 27, 2011 at 5:36 AM
Melissa said...: Little things some us take for granted..wtg!! I am excited for you..such awesome progress!; July 27, 2011 at 10:08 AM
InWeighOverMyHead said...: thanks for all the nice comments everyone!; July 27, 2011 at 1:24 PM
Karen said...: Lisa
I missed your blog after you turned it off in the spring. Every now and again I would try the URL and in the end, I assumed you wouldn't be back. I'm SO pleased to see you back on line, wonderful up beat music playing and to see your wonderful success. It's simply thrilling to see you so well and happy and I am so delighted for you. Congratulations. Many of them. You deserve every bit of your sucess.; July 27, 2011 at 2:33 PM
Karla said...: lisa you so silly :); July 30, 2011 at 9:12 PM
Teri said...: That is so cool. I cannot wait to say the same thing! (although my ankles are like tree stumps) I'd like to ask you about the therapy. Are you now able to sleep in a bed? I have been sleeping in a chair for 5 yrs and am hoping to be in a bed after surgery/weightloss. Thanks!; July 31, 2011 at 6:45 PM

My Weight Loss Surgery - NOT THE BAND OR BYPASS!

Vertical Sleeve Gastrectomy (VSG) - Also known as Sleeve Gastrectomy, Vertical Gastrectomy

The Vertical Sleeve Gastrectomy procedure (also called Sleeve Gastrectomy, Vertical Gastrectomy, Greater Curvature Gastrectomy, Parietal Gastrectomy, Gastric Reduction, Logitudinal Gastrectomy and even Vertical Gastroplasty) is performed by approximately 20 surgeons worldwide. This forum is titled “VSG forum” to include the two most common terms for the procedure (vertical and sleeve). The earliest forms of this procedure were conceived of by Dr. Jamieson in Australia (Long Vertical Gastroplasty, Obesity Surgery 1993)- and by Dr. Johnston in England in 1996 (Magenstrasse and Mill operation- Obesity Surgery 2003). Dr Gagner in New York, refined the operation to include gastrectomy(removal of stomach) and offered it to high risk patients in 2001. Several surgeons worldwide have adopted the procedure and have offered it to low BMI and low risk patients as an alternative to laparoscopic banding of the stomach.

It generates weight loss by restricting the amount of food (and therefore calories) that can be eaten by removing 85% or more of the stomach without bypassing the intestines or causing any gastrointestinal malabsorption. It is a purely restrictive operation. It is currently indicated as an alternative to the Lap-Band® procedure for low weight individuals and as a safe option for higher weight individuals.

Anatomy

This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces (30-150cc), depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary. Note that there is no intestinal bypass with this procedure, only stomach reduction. The lack of an intestinal bypass avoids potentially costly, long term complications such as marginal ulcers, vitamin deficiencies and intestinal obstructions.

Comparison to prior Gastroplasties (stomach stapling of the 70-80s)

The Vertical Gastrectomy is a significant improvement over prior gastroplasty procedures for a number of reasons:

1) Rather than creating a pouch with silastic rings or polypropylene mesh, the VG actually resects or removes the majority of the stomach. The portion of the stomach which is removed is responsible for secreting Ghrelin, which is a hormone that is responsible for appetite and hunger. By removing this portion of the stomach rather than leaving it in-place, the level of Ghrelin is reduced to near zero, actually causing loss of or a reduction in appetite (Obesity Surgery, 15, 1024-1029, 2005). Currently, it is not known if Ghrelin levels increase again after one to two years. Patients do report that some hunger and cravings do slowly return. An excellent study by Dr. Himpens in Belgium(Obesity Surgery 2006) demonstrated that the cravings in a VSG patient 3 years after surgery are much less than in LapBand patients and this probably accounts for the superior weight loss.

2) The removed section of the stomach is actually the portion that “stretches” the most. The long vertical tube shaped stomach that remains is the portion least likely to expand over time and it creates significant resistance to volumes of food. Remember, resistance is greatest the smaller the diameter and the longer the channel. Not only is appetite reduced, but very small amounts of food generate early and lasting satiety(fullness).

3) Finally, by not having silastic rings or mesh wrapped around the stomach, the problems which are associated with these items are eliminated (infection, obstruction, erosion, and the need for synthetic materials). An additional discussion based on choice of procedures is below.

Alternative to a Roux-en-Y Gastric Bypass

The Vertical Gastrectomy is a reasonable alternative to a Roux en Y Gastric Bypass for a number of reasons

Because there is no intestinal bypass, the risk of malabsorptive complications such as vitamin deficiency and protein deficiency is minimal.

There is no risk of marginal ulcer which occurs in over 2% of Roux en Y Gastric Bypass patients.

The pylorus is preserved so dumping syndrome does not occur or is minimal.

There is no intestinal obstruction since there is no intestinal bypass.

It is relatively easy to modify to an alternative procedure should weight loss be inadequate or weight regain occur.

The limited two year and 6 year weight loss data available to date is superior to current Banding and comparable to Gastric Bypass weight loss data(see Lee, Jossart, Cirangle Surgical Endoscopy 2007).

Let's Shrink!

Monday, July 25, 2011

Do you see this bump??!!

20 comments: