In Weigh Over my Head: I've been busy with... :)

Sunday, November 13, 2011

I've been busy with... :)

(the photographer came to our house to do the newborn pics. She is taking a shot from above in this pic. :)
This perfect blessing... :) Live is amazing and YES! I owe it to my surgery! I was holding the baby the other day, bouncing her in my arms while STANDING. like a normal mother would. It hit me all of a sudden.. I am standing and holding my baby! Soooo normal for most people but something that brought me to tears. I feel like I am over the weight loss phase of my life. I know 237 is still massively fat for most people, but coming from 360 it feels pretty good. At this point I focus on health. Weight loss is a bonus... lol My appointment with my surgeon is this Wednesday and I will find out if he recommends a revision. If I need it, I won't be able to get it done until the summer. If he recommends the bypass I will NOT do it. I know many have had success with that but the malabsorbtion issues would be too dangerous for me considering my need to take blood thinners from my strokes etc. Again, my first surgery was to save my life. I don't agree with surgery in order to just look better. I will rely on the gym and physical therapy to help with that. :) Anyway, I am a happy girl right now. I am sooo blessed with my family and some good close friends. I am happy to be rid of "friends" who are only around when they want something from you. I feel free from so much baggage by cutting back on the negative influences in my life. It is so much easier to see the blessings you have without all the darkness effecting your vision. :) I feel about fat the same way. I am STILL AND ALWAYS WILL BE AN ADDICT. I still think of food. I imagine the type of binges I could have if I had not had my surgery. I STILL fight regret when faced with the truth that binging is not a way I can cope even if I wanted too. It is so weird for your mind to still want something it knows you are not capable of giving it anymore. That part never turns off and for those who think surgery will kill it 100%, PLEASE know that is NOT true. BUT... it does keep you from giving in because you have no choice. Anyway, I feel that the layers of fat were barriers from real happiness. It's so hard to see through them to the world outside. Sorry, I am all over the place today but I will try to update after my appt. as far as the results. If I am some kind of freak show who has had her stomach grow back, I will not be surprised. :)

7 comments:

Amanda said...: That baby is just the cutest thing, and it sounds like you've really got a good handle on your life :) Yay!; November 13, 2011 at 4:59 PM
Kareen said...: Congrats on your new addition. Your perspective on life is refreshing.; November 13, 2011 at 9:45 PM
Sheila said...: Good luck on your appt. I am hoping you don't need a revision so I'm sending you a little prayer.

Your new bundle of joy is just precious, I'm so glad you are able to be the kind of mom you always wanted to be.; November 14, 2011 at 10:09 AM
Sarah said...: Congrats. I hope that you post the pics when you get them!

Sarah
notaneffingdiet.blogspot.com; November 14, 2011 at 11:45 AM
Dea said...: I don't think 237 is massively fat. A lot of women are in that range and exhibit health in the form of controlled blood sugar, physical functionality, good blood pressure, etc. I'm glad you are focusing on the positive.

The baby is scrumptious!; November 15, 2011 at 10:56 AM
Mary :: A Merry Life said...: Congrats!!! I'm glad to see you are doing so well. :); November 17, 2011 at 10:28 PM
kristi said...: I am still over 200 but I am happy and feel healthier than I have in years! You look great and feel amazing and you have your life back!; November 22, 2011 at 6:28 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!

Sunday, November 13, 2011

I've been busy with... :)

7 comments: