Thursday, December 25, 2014

Gastric Bypass Update #1



Well, it’s been about a month since the surgery, so I figure it’s time to give everyone an update. I’ve been navigating the slowly-expanding diet over the course of the last few weeks, and I’m now at the penultimate stage: on January 5th, the reins are officially released. Suffice to say, restricted diets are awful, which is why I got the surgery done in the first place. But, I will survive. Currently, I am allowed a fairly large selection of foods, but they must be soft, unsweetened, and low-fat. The last two requirements chafe, particularly around the holidays. But, I’ve added dairy, spices, and pasta (with sauces) on this latest round. That has made life much more bearable. I am still prohibited any form of red meat, or things which might damage the pouch, like chips and nuts. And, I’ve been pretty good about keeping to the diet, mostly. I’ve been a little looser than I probably should have, but not without reason. I’ve been feuding with the nutritionist at the doctor’s office. Let me explain…

The nutritionist constantly exhorts me to call with any questions on the diet. And I have, several times. But, some of the answers she’s given haven’t made good sense. Case in point: I am allowed toasted breads. I am allowed cheese and dairy products. I am allowed tomato sauces. However, when suggesting that I could get a cheese pizza, I was immediately shut down. She claims that the whole is greater (more dangerous) than the sum of its parts, yet she was unable to convince me of how or why. So, I tried it, taking things slowly and carefully. I did fine. This leads me to question the rest of the diet as well. On conferring with another dietician I know and trust, I was told “You sound like all my patients. They test the bounds of the diet until they dump or puke. Then they go back to the diet.” As it stands, I have neither dumped nor puked in my explorations. So, I think I’m doing pretty well. It wasn’t just the cheese pizza. I came home for Christmas, and one of my many vices are Krystal hamburgers. I tried a couple on the way down. Two is my new limit, down from eight. So, the pouch is working completely as designed. Those two were also the best damned hamburgers I've had in years, let me tell you. Today, we were invited to my sister-in-law’s parents’ place for Christmas dinner. Her mom is of Italian descent, and makes the most wonderful meatballs. I had half a meatball, some penne and tomato sauce, and a bite of pepperoni. Again, no problems. I had some of Mom’s famous chocolate éclair cake for dessert. Again, no problems. So, while I’m not technically off the leash for another couple weeks, I think I can try off-diet soft stuff, so long as I’m careful about it.
I’m not ignoring it completely, mind. There are some things I’m avoiding because the logic is very sound: namely things like potato/corn chips and nuts, things that have sharp points, sodas, and are harder to digest or might pop the pouch. They might damage the pouch, and put me in a real world of hurt. Also, all the meats I’m consuming are very soft or ground: no steak yet. 

Regardless of the food itself (which is to say with on-diet foods as well), the pouch and I have not yet completely come to an understanding, but we’re working on it. Sometimes, when the food is really good, I will miss the early fullness warning signs or eat too much. This causes lots of hurt, and a nauseous feeling that lasts about half an hour. Fortunately, I’ve not had anything serious happen yet. Mostly, the biggest problem has been gas, in more than one regard. See, when you normally eat, gas gets pushed to one side, where it gathers, and you have that awesome belch to release it all at once. Now, there’s nowhere for it to go or collect. Things back up, and it hurts. Gas-X helps a little, but not much. The other part is that gas escaping the back end is a lot worse than it used to be. Nothing ever smelled like roses, but it’s gotten far worse since the surgery. I accidentally crop-dusted some CRG people when the wind gusted behind me, after I had taken the time to walk away to release it. This will be something to check with the doctor about.
Other than the gas pains and remembering to eat slowly, things have been pretty good. I can’t wear my good jewelry anymore, since it slides off my fingers. I just had to order some new underwear, since what I’ve got has started falling down, even inside my pants. Chest size is still about the same: 6X shirts are still fairly comfortable, if starting to get a bit looser around the neck.  But, things are progressing. And with that, it’s time for questions and answers!

Since I’ve had this done, I’ve had lots of questions, and several of them are the same ones. So, I’m going to answer them all here. And, question #1 has been: “How much weight have you lost?” As it stands, I have no bloody idea. I know I’ve lost some, but I can’t put a number on it. I’ve not yet been back to the doctor since surgery to weigh in. That happens January 2nd

Question #2: “How do you feel?” Honestly, about the same. Stairs still suck to go up and down, and I still get winded from them. My body doesn’t really feel any different yet, even though I know I’ve started losing the weight. I also can’t tell any difference in how I look, since I see the same face in the mirror everyday. 

Question #3: “What’s your goal?” Honestly, I don’t have a numerical goal. I have an idea of how much I will lose, which I discussed in the last post (I think), but as for an actual number, no idea. 

Question #4: “What do you want to do with it?” Maybe I should call this 3a. Regardless, people have wanted to know what the reason for getting the surgery was, beyond the obvious, which is to be healthier and live longer. There are a couple answers to this. The first is kinda what you would expect, the second requires a longer explanation, as well as opening myself up a lot more. But, I promised to document things, so here it goes. I want to learn how to skate. I tried learning how when I was with CoMo, and it ended rather badly. The falls were too damaging to my ankles and feet, particularly when I couldn’t land as you’re supposed to in derby, forward on both knees. I.E.: I landed sideways and ended up in a boot for six weeks (Beat Me Halfway '12, remember?), in addition to filling a bunch of kids’ ears with new and interesting profanities, shouted as I writhed there in pain. Once I drop some serious pounds, I should be able to strengthen my ankles, and falling should be less of a hazard. Maybe I'll don stripes after I learn.

Q4, cont. The other part is a lot more emotional. See, I’ve wanted to settle down and start a family for years. But, I’ve not been able to find the right person for it, and not for lack of trying. I’ve had some dates, sure, but the ones I could convince to go out with me always ended badly. I think that, by losing the weight, I will be able to expand my available dating pool, and therefore my chances of finding the right one. Now, there are those who say “But, if she doesn’t accept you when you’re big, you don’t need her/she’s shallow/you can do better/etc.” These sentiments are noble, but sadly naïve. The truth, as I’ve gleaned from my own experiences, is that cute, intelligent women don’t go for fat guys. There are exceptions, and I know several couples who defy convention. But, those are exceptions, not the rule. So, long story short (too late, I know), I got this done in part because I’m lonely, and I’m tired of being so. Man, that’s a rotten note to end things on, but there you are. 

I think that about covers it for this update. So, I will say that, if any of you have questions about my surgery or progress, let me know, and I will try to answer them here.  Thanks again everyone for your support and kind words.

D.J./Hayek