In Weigh Over my Head: I'm cool because...

Tuesday, May 1, 2012

I'm cool because...

I did this today... :)

Yes, I worked out to one of those dorky, free cable workout shows. lol Yes, we have two bouncy seats and yes, I am one of the only people left on earth with an old-school tv. :) I was traumatized by the woman on the right. She was moving her body in such freakish ways and was WAY to excited. lol Anyway, it was HARD but I only had to pause once. I was sweating like a fat hog on a hot summer day and I felt very proud of myself. I plan to do the toning one tomorrow then this one again the next day. Like today, tomorrow I will close my blinds so I do not scare any neighborhood children or the postman during my workout. It's a win win for everyone. :)

Wish me luck.

6 comments:

Unknown said...: Yipee that is amazing good for you!! You can do it :); May 2, 2012 at 3:10 AM
Debbie said...: That is AWESOME!! Good for you!; May 2, 2012 at 6:06 AM
Sarah said...: Yea! Good for you for getting into the working out! Don't worry, I also close my blinds and lock the doors if I workout at home!

Sarah
notaneffingdiet.blogspot.com; May 2, 2012 at 7:25 AM
Linda Sherwood said...: I still have an old school TV too. Ours does this "split screen" thing where you can watch two different things at once (60 inch TV becomes TWO 30 inch TVs). This lets my son play video games while letting the rest of us watch TV.

I really want a flat screen TV, but they don't have that option, and I know I will MISS it a lot.

Congrats on the work out!; May 2, 2012 at 10:28 AM
Lori said...: Good for you.

You are too funny about not scaring the neighbors!. When I first started working out, I wouldn't even let my husband in the room because I was so embarrassed. Silly me.
Lori; May 2, 2012 at 5:20 PM
The Lovely One said...: You're awesome! Keep it up!; May 3, 2012 at 11:34 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!

Tuesday, May 1, 2012

I'm cool because...

6 comments: