Sarah’s Weight Loss Journey – Blog #5 – Sleeve Surgery Experience

Monday, 11/21/11 Day before surgery:

Starving…. A little bit nervous. I drove up alone to Decatur…hubby had to work.  I had appointments with everyone it seemed like, but I met a lot of the people in the hospital that were going to be involved in the surgery.  They did an EKG, blood work, and chest X-ray.  Finally they put me up in a really nice motel across the street from the hospital.  Clear fluids all day today… it is kind of amazing to me how depressed you can get just knowing you won’t be ABLE to eat for several weeks. I put a lot of my life into eating. I love food.  This is going to be hard but it really is what I want to do.  Up at 5am in the morning. I am the first surgery tomorrow.

11/22/11 Surgery day. Tuesday: 

I got there at 6am.  The pre-op nurses were so sweet!  Met the anesthesiologist… he was great too.  He actually put caffeine in my IV! This place rocks!!! I didn’t know they did that. He said it decreases the amount of pain meds you need.  Hmm. Learn something every day.   I couldn’t have my coffee this morning so this is the next best thing!  Sat around for about an hour waiting for all the nurses and the surgeon to come in…then it was time.  They rolled me in the freezing cold operating room, and told me to think of a happy place.  Sadly, the happy place I thought of instantly was around the dinner table with my family eating.  Ironic huh?

 

I wake up from surgery and was told everything went well.  Details sketchy obviously, but I was moved up to the fifth floor where I slept and slept, and slept some more. I had a Demerol pump since I am allergic to morphine.  That was a great thing.  Demerol dose every 10 minutes… I was feeling GREAT.  But then learned I could still have NOTHING by mouth for that entire day.  They were going to do a Barium swallow the next day so I had to wait until that was done to start drinking anything.  Torture!  They asked me questions and I couldn’t even answer them because my tongue is literally stuck to the roof of my mouth.  More sleep!  It was a long night with all the docs and nurses in and out and the itching from the Demerol, but finally made it through the night.

11/23/11. Day One Post-Op. Wednesday

I went down for the Barium swallow finally about 10:30am.  The taste of that stuff is not even describable. They tell you absolutely, positively, do NOT throw up or it can mess things up, but then they make you drink THAT?   I drank a few sips and they said it wasn’t going down like it should. Too much swelling keeping things closed off.  It felt like when things were stuck with my lap band.  Brought back some bad memories.  They sent me back to the room, again with nothing to drink and said they would be back in an hour to do another xray and make sure it went down. .   Incision sites still didn’t hurt much. I felt like I had done about 100 sit-ups, but it wasn’t too bad.  I have six incisions total.  Belly kind of looks like a target with my navel the being the bulls eye.  I’m pretty swollen around the middle, but still, it’s not too bad.  I just need water!!!!!  X-ray folks came back about an hour later and did another x-ray . Good news. It all went down.   I can go home today if I can start drinking enough liquids to make them confident that it will go down.   Scott and Zach came about noon. It was so great to see someone and have someone to talk to.  I took my Kindle with me but all those pain meds made the words drift around on the page.  I apologize now to anyone I tried to email. I’m sure it was entertaining if nothing else.  So, I started sipping on water. Wow… water never tasted so good!  They gave me one ounce, got it down, then two… got it down.  No problems.  I was finally ready to go home to my own comfy bed!!  However, I learned pretty quickly never to judge how great you feel while you are still attached to a Demerol pump.

On the way home:  As soon as I get in the car, I started to get nauseous!  We had to go to the pharmacy down the road to pick up my anti-nausea and pain medications.  I hurt all over and really thought I was going to throw up.  Where is my Demerol?????  This was not going to be a  fun trip home.  Every tiny crack in the pavement hurts going over it.  My hubby brought a pillow along thank goodness, so that helped a little.  So we set off for home with the AC blasting in my face to keep me from throwing up. I finally got one of my pain pills and the anti-nausea meds down.  It should be okay from here.  I think I slept most of the three hours home and don’t remember much about getting into bed.  But I must have made it.  I woke up about 3am in my bed searching for more pain meds.  It wasn’t horrible pain, just kind of annoying.  I was still a little sick to my stomach too, but after another round of medication,  I finally slept through the rest of the night.

11/24/11 Day two Post-op.  Thursday.  Thanksgiving Day.

Woke up feeling pretty good actually. Not too much pain. I was up walking around the house.  Scott was worried I was going to get dehydrated so he gives me some water to sip on.  OUCH.  This pain was totally unexpected and very scary.  Every time I swallowed anything, water or even my own saliva, as soon as it got down to my stomach there was an excruciating pain!!!! Nobody mentioned this before I left.  I was afraid something was horribly wrong.  I fought Scott all day…he wanted me to get meds and fluids down, but honestly, I would rather die of dehydration at this point than have to swallow one more time.  It was THAT bad! This continued all day.  I was to the point of tears but I managed to get a couple ounces of water down and my pain pills…then off to bed again.  Enough of that!  I was up and down throughout the day. At this point I was honestly wondering if I had made the right decision. This was exactly the same thing that happened after my surgery last year when things totally fell apart.  Decided to just go sleep some more.  Scott made Thanksgiving dinner for him and Zach. I sat with them while they ate, but I don’t think either of them really enjoyed their Thanksgiving since I couldn’t eat.  It really wasn’t too bad, I can honestly say I have not been hungry since the surgery.  The only thing that got to me was the pie.  I didn’t realize how much of a comfort food pie was to me. I LOVE pie!!!!!!  It actually made me sad, which to most people is silly I’m sure.   The ham and everything else didn’t bother me, but I was pretty upset about having to miss my pie.  I can tell this is going to be a major change, not only for how and what I eat, but for my overall feelings about food.  If the pain is this bad tomorrow, I’m calling the doctor.  I hate to complain to Scott since he didn’t want me to do this anyway… so I just held it in and went to bed early. I hope tomorrow is better. This was the worst day of the whole thing so far. Glad when it was over.

11/25/11: Day three:  Friday.

I got to sleep late this morning.  I was really nervous to try the swallowing thing, so I started with some warm broth. ( I’m supposed to be on clear liquids for one week, then full liquids for a week, then I can start trying soft foods)  It’s a miracle!!!!!!!!!! No pain with the broth going down. It’s going to be a good day!  I didn’t take my pain meds this morning.  I felt quite a bit better.  I did take one of the antacids that the doctor prescribed.  There isn’t much pain, but it feels really acidic.  I’m just happy I can swallow!!!  I drank about 4 oz of warm broth, then tried a sugar-free popsicle.  Even whipped up a protein shake… Not bad!  I think I might live! I was beginning to wonder yesterday!  Okay, so I did make the right decision. I’m still not hungry, but by 2pm, I am starting to hurt a little bit.  Scott went to work,  Zach is at my brother’s house. I think it’s time for a pain pill and a nap.

(My son didn’t realize I had actually done the sleeve surgery until yesterday. He thought I was just taking the band out.  He did NOT want me to do this so he was a little upset with me…but I understand. I thought he knew.  We talked openly about it over the days before surgery.  I guess it’s too late now.  But with neither Zach nor Scott wanting me to do this, I try my hardest not to complain about anything.  Scott said he would support me either way, and he has been GREAT.  But still… I hate to whine about stuff and have them think, “We told you so”.  ) I laid around on the couch and tried to rest.  I managed to get down about 8 oz of protein drink, 8 oz of water, and probably 8 oz of broth. I also chewed a couple of gummy multivitamins.  Not a bad day at all.

11/26/11 Day 3 Post-op.  Saturday.

After today, I will probably go back to posting once a week.  Today was the best yet.  I didn’t take any pain medication at all and didn’t have much pain.  I got out a little and went to Walgreens.  I started picking up the house a little, doing some laundry… just trying to be more active.  I can get down just about any liquid now with no pain.  Just about 1/4th to ½ of a cup though, and then I feel really full.  I guess that is what I’m going to be able to eat in a couple weeks too.  Wow.  I read on the internet that a LOT of doctors only require the clear liquid diet for a couple of days instead of a whole week, so I tried a little bit of a Slim Fast this afternoon. It actually tasted wonderful after all that clear stuff.  I did fine with that, so I think I’ll go ahead and slip in a few full liquids for now too.  Not ready for steak and potatoes, but I don’t think a protein shake will hurt anything.  I did notice for the first time that I actually missed eating and I really wanted to take a bite of those Thanksgiving leftovers.  I’ve had to stay busy cleaning or messing around on the internet to keep my mind off of food. I’m not really actually hungry, I’m just bored and wanting to eat.  I’ve got to work on that mindset!!!  So, things are going great so far!  I will post my weight progress next time.  The batteries on my scales are broken… but I’m still off with my fluid balance and also still swollen, so it’s probably a good thing.  Again, thanks for reading

Sarah

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Sarah’s Weight Loss Journey – Blog entry #4: Tummy Tuck Nightmare

I was so excited to have lost 140 pounds!  Going from a size 22 to a 10 was an accomplishment I never thought I’d be able to reach.  So next step for me was the tummy tuck.  I was really excited up until the morning of surgery when I was sitting there in the pre-op room talking to the surgeon one last time. I suddenly had a really bad feeling and was scared to death. This was going to hurt!  She was going to do an extended tummy tuck so I was going to be cut almost all the way around…cut in half!!!! What was I thinking?  But I went ahead with it.  Looking back now, I can say it was one of the worst experiences of my life, and it was not the doctor’s fault. She was amazing!  It was after I woke up and was sent to a regular room that the nightmare began.

First thing, I am in excruciating pain unlike anything I had ever felt.  It was like I had been cut in half with a chain saw rather than a scalpel.  I think I yelled to the nurse that I needed pain medication and quickly!  She slowly waltzed back in at least 10 minutes later saying that she couldn’t find any orders from the doctor for pain medication.  You can’t even imagine what went through my head at that second.  If I didn’t hurt so bad, she wouldn’t be walking today!  I cried and cried and told her that I HAD to have something, to please call the doctor, anything. So she slowly walked out, came back in another 10 or 15 minutes later saying that all she could give me for pain was Phenergan.  I know my pharmacology, and Phenergan is NOT for pain.  I argued, cried, and yelled, and she shot me full of Phenergan anyway.  I’m not sure how long it took, but my surgeon finally got up there and told them to put me on a morphine pump and showed the idiot where it had been written the whole time.

So, things calmed down a little bit. Actually, most of the next day or two is a total blur.  I don’t remember much except them saying that I had to drink a glass of water and then I could go home.  I tried, and it went down slowly, but it hurt like it was getting stuck. I wasn’t too concerned a the time, but now I know I should have been VERY concerned!!!  Scott takes me home and props me in the recliner, which will be my ‘home’ for the next week.  I remember the pain being almost more than I could take every time I moved.  But, my first attempt at getting pain medication down was a complete failure.  It got stuck. My lap band was really really tight, if not closed off completely.  I threw that up, and after being cut in half, throwing up was torture.  A little later, I tried to sip some water, but it also came back up.  We tried crushing the pain meds up with a sip of water and even that wouldn’t go down.  I had antibiotics I was also supposed to be taking…and those weren’t getting down either.  I spent a lot of time just crying and sleeping hoping that maybe tomorrow would be better.

Next day was even worse.  I hurt worse, I could hardly get up to go to the bathroom, and still, nothing was going down.  After a couple of days, I was getting dehydrated, so Scott started calling around to the emergency rooms and the out-of-town bariatric doctors to find someone to take all of the fluid out of my band.  Nobody would touch me with a ten foot pole because they hadn’t been trained on the lap band system.

Next day I was desperate and it was getting pretty serious.  I was in so much pain my body just sort of shut off reality, and I was so dehydrated and weak, it was now an emergency.  We went back to my tummy tuck doctor and she gave me an IV for fluids.  By then end of that hour I already felt better.  She gave me some liquid pain meds and I think I got a few drops of it down.  But we had to find someone to take this fluid out.

Finally, I think the fourth day or so, Scott found a doctor in Wichita Falls that agreed to see me.  We drove over 3 hours in the car to his office.  He was a complete jerk and kind of creepy to me.  I didn’t like him, but he took all the fluid out of the band and charged me over $400 for this and that.  I was pretty angry, but relieved.  I could finally drink water, and eat, and I might live through this.

Things got a little easier over the next few weeks…it was still one of the most painful things I’ve ever gone through, but probably just because I had to do it with no pain medication.  I would NOT do this again, ever.

Over the next several months, the wound healed, but the swelling was horrible.  With my lap band now empty, I could eat whatever I wanted, and I did… to the extreme.  I felt like I could make up for the nightmare by turning to food.  And I was just hungry all the time.  We went back several times to fill the lap band back up, but it never gave me any constriction.  I was gaining weight back quickly…but every ‘fill’ I did cost me $150 and they weren’t working. So I just gave up.  Over the next 11 months, I just got in the mind-set that I was just going to be fat again.  My belly looked great when it healed, until I gained ~50 lbs back.  Now it was flat still, but just big.  So, that led me to the sleeve revision surgery.  I had to come up with the 12K on my own this time…and found a wonderful doctor in Decatur, and we got it set up for November 22nd, 2011.  So this brings me to present day.  My next post will be the experiences up to this time with my new sleeve surgery.  Again, thanks for reading!

Sarah

 

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Sarah’s Weight Loss Journey – Blog entry #3: I Finally Get the Band! (The first two years)

     I think I left off about the time of my lap band surgery.  I went in for surgery on December 14th, 2008.  I was going to get the 10cc Realize Band put in place.  The surgery itself was a breeze!  Maybe it’s just because it was almost 3 years ago, but I don’t have any memory of anything horrible. I was a little sore and there was some discomfort from the gas they fill you full of, but overall things went great and I was off to a new start.  So for the first few weeks I did everything as directed, ate tiny bites, and counted 25 chews for everything that went in my mouth, and to my astonishment, I wasn’t hungry. I was loving this so far.  My doctor was right here in the same town I am in, so it was super easy to hop in the car and go for my regular fills.  You go about once a month and let them put a little more saline solution so the band gets slightly tighter every time.  My first fill scared me to death!  THAT needle was going to go IN MY BELLY???  But the doc used Lidocaine so I didn’t feel too much.  Actually, the Lidocaine hurt worse than the needle as I would find out later.  This was amazing!  I was never hungry!  I would usually eat breakfast and then not even think about food for the rest of the day.  My poor family!!!!  I had to set an alarm to remind myself that people around here do still eat and I should probably do the motherly thing and fix them something.  Things were off to a great start!  The weight started falling off pretty quickly.  I thought this was the greatest solution to weight loss that was ever invented. Then…..something got “stuck”. 

     I thought I was going to die.  Every band patient does it… you get a little too complacent with the bite size or don’t chew, and you know it the instant you swallow it, but it’s too late.  I had company over so I had to run to my room and lock the door.  There was a horrible, excruciating, stabbing pain in my chest, my eyes started to water and turned red.  I started foaming at the mouth like a rabid dog.  I grabbed the trash can and it just poured out of my mouth while my body tried to water it down enough to make it go down.  I thought I was going to die!  This went on for a good 15 minutes before I finally felt this odd, “thunk” in my chest as the food finally went down and then there was an instant relief.  The whole ordeal scared me to death!  I never wanted to go through that again.  I had read that if you get something stuck, all you had to do was make yourself vomit and it would come up. But you are also told by the doctors that this can make your band slip and really mess things up.  But after that experience, I was pretty sure I would rather risk that than feel like that again.  I just had to be more careful!!!

     After that, I became more careful and didn’t have any problems for a while.  I probably lost about 10-15 pound a month at first… and you could always tell when it was time for a fill because the weight loss would slow down, or you could start to eat more than you knew you should be able to.  One bit of advice for you though… DON’T get it filled too much! I was lucky that my doctor was less than 5 miles from me, so on the rare occasion that the fill was too much, I could run right back and get some taken out.  Except for the one time my doctor left town before I realized I couldn’t get anything down.  That was a Thursday, and the doctor wasn’t in town until the next Monday.  It is not fun, safe, or healthy to go five days barely able to get even a sip of water to stay down.  It was so tight that I didn’t even have the option whether to throw up or not, everything I swallowed came right back up.  It was horrible.  I lived off of sucking on ice for five days until I could finally get back in and get it unfilled a little bit. On the plus side, I lost like 10 pounds in that week…but wouldn’t recommend it.  I had another round of it being too tight towards the last few months that it was working.  I had really bad reflux when I went to bed, and I was throwing up about once a day, if not more because things were getting stuck all the time.  I think it was more disturbing for my family than for me. I was dropping weight like crazy at the time, so I didn’t go back to the doctor.  Again, looking back, probably not a very good way to go about losing the weight.

     Overall, I was very, very happy with it.  I will skip a huge chunk of time… in two years I had lost just over 140 pounds.  I bounced back and forth between 155 and 160.  I went from a size 22 down to size 10. (I’m 5’10” tall so 155 to me is pretty good!)  It was SO much fun to go shopping!  I gave away all my old fat clothes. My high blood pressure went back to normal… People I hadn’t seen didn’t even recognize me anymore.  People treated me differently (this actually kind of irritated me but I was on the better end of it now so it was okay). I felt like a million bucks!  I even decided to reward myself and going the final step by getting a tummy tuck.  I can’t say that I regret the decision, but I do believe that is what caused my lap band to mess up.  It was a nightmare. I will pick up with that horrible experience next time.

At the current time: Saturday, 11/19/11.   It’s been almost a year since my tummy tuck and the lap band nightmare. I’ve decided that the lap band revision is the next step. I am two weeks in to quitting smoking, and five days in to my pre-op liquid diet before my Sleeve Revision surgery on Tuesday.  I’m really not sure which is harder… not eating or not smoking.  It is horrible!  I’ve questioned whether it is worth it or not, but after gaining 40, maybe nearly 50 lbs back, I have decided it is.  I got depressed after the tummy tuck messed up the lap band, and once again turned back to food.  I also think maybe the lap-band ordeal kind of messed up the psychological aspect of eating for me.  I went so long not being able to eat without throwing up that when I could finally eat, I lost control again.  I started eating all the time, anything and everything, just because I could. It felt GOOD to eat instead of it hurting when I ate every time.  And I am HUNGRY now all the time.  I wasn’t used to that either.  So,  yes, I think this will be worth it.  This blog about the sleeve surgery will be more “real-time” so I can give you many more details about it than trying to remember about things that happened three years ago.  I’m getting a little nervous now.  The weekend is almost over and my pre-op appointment is on Monday.  Surgery Tuesday morning.  I should be home on Wednesday, but I don’t know how goofy I will be on pain medication.  But I will be on and let you know how it went as soon as I can.  Thanks again for reading. Sorry it was a long one this time. 

Sarah

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Sarah’s Weight Loss Journey – “Catching Up”

Today is World Diabetes Day!  It is reported that the number of adults with Diabetes will DOUBLE by the year 2030.  This would mean 552 Million people would be diagnosed with diabetes.  This doesn’t count the massive numbers that go undiagnosed. 

Read Sarah’s blog below and support her and the millions of others who are fight to get the weight under control.

“Catching up.”

Most blogs are written about what is going on ‘today’.  This one is going to be a little different for a while until I can catch you up to current day.  I will talk first about my experience up TO this point with my lap band surgery.  But since I also have another surgery coming up in just over a week (Nov.22nd), I will also add a small “At The Present Time” section at the end of each post to keep you up to date with other and then I will just post about what is currently going on.   Those that know me will not be surprised. I could never do things the easy way. 

Lap Band:  So as I mentioned before, it was in the fall of 2008 when I decided that I really had no choice about losing weight.  It was do or die, literally. Having tried unsuccessfully at every diet plan out there, and being too big to really be able to exercise, I started looking online at the bariatric surgery options.  I was horrified with the description of the by-pass, but the newest and greatest thing at the time was the Lap-band.  So I spent many hours researching the procedure online and talking to as many people as I could find who had gone through this, and decided that this was the thing that was going to change my life.  Next step…funding.  At the time, this surgery was a little higher than it is now.  Most places in the Dallas area were charging well over $16,000 for self-pay, and the doctors here in Abilene were a little less than that, although not much.  I knew Blue Cross, my insurance carrier from the college, would not pay for it regardless how unhealthy you were or how many obesity-related issues you had.  I could blog for days ranting about how dumb this is!!!  But as luck would have it, my husband was currently active duty army so we were also covered under the Tricare insurance policy.  I found out that if you had a BMI of 40, Tricare would pay 100% of this surgery.  So, I called up Dr. Einspanier’s office here in Abilene and made the most important appointment of my life!  I was beyond excited!!  Cut to my first appointment. Imagine my disappointment when the doctor tells me that I am not big ENOUGH for this surgery.  Really???  My BMI was a 43.  But apparently Tricare felt that with a BMI of 43, you should have at least a few other health problems, and I did not.  So my sweet doctor told me that unless I had 15 grand to shell out, I needed to gain about 10 pounds.  I can’t say I was too upset.  Tell a fat girl to go eat cookies and ice cream for a few weeks?  No problem!  And I must admit, out of the three years of this whole ordeal, THAT was the easiest three weeks of the whole experience. It didn’t take long at all.  Cake, ice cream, Starbucks mocha lattes, Little Debbies… my last blow out only took about two weeks and I had hit my all-time high of 304 miserable pounds.  NOW it was time to start heading the other direction.  So I waddled, literally, back in to the good doc’s office and was finally scheduled for surgery on December 14th, 2008.  I had to wait until my Christmas break to ensure enough recovery time before going back to work.  My family gave me their full support and I was super excited.  I would soon be on my way to a new me.

At the present time:  I am currently scheduled for a lap-band to sleeve revision surgery on November 22nd.  My lap band has quit working.  I will tell you more about that in future blogs.  I had lost a total of 140 pounds over two years with the lap band, but in the last 12 months I have gained 40 of that back.  My new doctor believes that although my BMI is at 31, I still qualify for the revision surgery.  I am required to quit smoking, again, and also to start an all liquid diet for a week before surgery.  So this will start in a couple of days.  I will post more about this experience when I jump on the liquid band wagon. 

Sarah

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My Weight Loss Journey by Sarah Zell

Hey Guys!   Please read the story below!  This is blog from my friend Sarah Zell.  This is her story about her battle with weight, weight loss surgery and her quest to regain her life.  I went to high school with Sarah in a little town in West Texas (Cisco) and I know she can help a lot of people by sharing her story.  She will be guest blogging for me, telling her story about her journey.  Please join use for the ride!

My Weight Loss Journey by Sarah Zell

Thanks for stopping by!  I know there are a million weight loss surgery blogs out there, so why read another one?    Well, if you are anything like me, reading about someone’s real-life personal experience with something as scary and life-changing as weight loss surgery is far more informative than the thousands of websites out there that are obviously written by the doctors and manufacturers in the industry.  Don’t get me wrong… I’ve read all of those too, and they help a little. But most of the information that I found to truly be helpful has come from reading blogs and talking with actual people who have been through what I was about to go through.  So, I will do my best not to bore you to death, but I hope that by sharing my experiences of both the lap band and my upcoming sleeve revision surgery, somebody, somewhere can feel a little more confident about making the life-changing, even life-saving decisions of whether or not to get on this ride.  And I’ll be honest from the beginning…this ride is not for the faint of heart!

 

So let me begin with who I am and why you should bother reading my personal story.  I am currently 38 years old. I am a wife and mother of a sweet little boy.  (Well, he is 13 now, but is still a little boy to me.) I have a master’s degree in physical therapy from Texas Tech University, and I currently teach anatomy and physiology at a local college.  My education in both of these areas included extensive information on healthy eating, causes and risks of obesity, the importance of exercise, and the dangers of smoking.  However, regardless of how “smart” I became, I was still one of those who ate too much, exercised too little, and smoked entirely too often.  I can’t blame anyone but myself for my weight spiraling out of control.  I have been overweight most of my life.  Looking back, I could blame a thousand things for my weight problem.  I never did, and still don’t like to exercise.  I guess I just wasn’t raised thinking it was all that important.  I ate when I was bored and ate when I was stressed. I just loved food! Like most of us who fight the battle of the bulge, I have been on every crazy diet out there only to lose and gain on the proverbial yo-yo.  After getting married and having my son, it became even harder to lose weight.  My parents became ill and we fought a long battle only to lose them both within a year of each other.  Once again I turned to food to feel better. I was totally out of control.  So finally, in mid-2008, after being sick of the embarrassment, sick of shopping in the big girls’ section, sick of not being able to find anything cute to wear, sick of the doctors telling me I wasn’t healthy,  terrified to look at pictures of myself, being called the “Fat girl in room 1” at the emergency room, and ultimately getting on the scale and seeing I had topped out at 294 pounds, I decided that if I didn’t do something serious and do something quickly, I was probably going to die too young like my parents did, and I could not imagine doing that to my son and my husband.  And so began my long and interesting ride on the bariatric surgery roller-coaster.  There have been ups and downs, successes and as my son would say, “Ultimate Fails”, and with my upcoming surgery in two weeks, I’m sure there will be more of the same.  I hate cliché’s, but I can think of no better way to describe this journey than as a really long and tall roller coaster.   I hope you continue to follow my ongoing story and maybe find some hope, humor, and useful information to help you make the right decision about getting on the ride of YOUR life!

Sarah

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