Adjusting the Band

   I've been referring to this as filling the band, but I think a more appropriate term is adjusting the band.  This is a great advantage of having a band rather than a full bypass surgery.  They can go back in and tighten and loosen it to adjust the size of the stomach opening so you can have more control over how much you are allowing into your stomach when eating.  I went on Wednesday to have my Lap Band adjusted for the first time.  The idea of it is really more intimidating than the actual procedure.

   I was called back into the room and they have a cool x-ray machine that I have to stand in front of.  Many doctors don't use an x-ray to do the adjustments, but my doctor feels it is the best way to make sure everything is working how it is supposed to and nothing is out of place inside my body.  The doctor felt my stomach to feel where the port is since you can feel mine with even slight pressure.  After marking my stomach where she thought the port was located, she held her finger on it while they did an x-ray while I was standing sideways.  It confirmed that she had the right location so she stuck the needle into my stomach at the site of the port and then had to root around a little bit while applying pressure to actually get the needle into the port and injected 5 cc of fluid into it.  Once she confirmed it was in the right spot, I turned so they could do the x-ray video through me from the back to the front.

   While you are turning, the needle is simply hanging out of the port in your stomach.  They told me it would be lodged in pretty well so there was not much chance it would fall out.  Once they align the x-ray again to ensure they are seeing what they want, I had to take a decent swallow of barium.  It is actually a pretty cool experience.  I got to see the video of the barium passing down my esophagus and into my stomach.  They pointed out where the band and port were before so I would understand what was happening.  The barium shows up as black on the x-ray so I saw it flow down the esophagus and then stop at the stomach opening created by the band.  It is like it hits a little wall and backs up into the esophagus, then you see it slowly continue through the small stomach opening.  The main part of the esophagus is fairly large - I'd say you see about a 3/4-1" wide strip of black.  Then at the stomach opening, the fluid path is a bit smaller - I'd say about half the width of the average drinking straw.  After it passes through the opening, it spread through the entire stomach and turned it all black.  It was so cool to see and we watched the video several times.

   I am a few days after now and it is cool to really notice a difference in how much I can eat.  Today for breakfast, I made some egg beaters with a little bit of sausage and cheese.  I made how much I thought would be fine based on how I ate the past few weeks and I was able to only eat about half of it.  The thing is that even if you are eating foods that are good for you, it is easy to eat too much and still gain weight.  I like the fact that I finally feel the signals my body is giving me regarding hunger and  I know when to start and stop.  For lunch, I had a cup of soup and small salad for about 350 calories.

You can see a slight bruise where my finger is.  This is where the port is located.
 If you are not too uncomfortable with it, I'll let you feel the port through the skin.  

Post Surgery

The strangest thoughts go through your head when you are having surgery. I was worried about my family and praying that they would be taken care of. I was worried that something would go wrong and my bowels would be punctured and cause lifelong problems. The one thought that got me wax actually about why I was doing this surgery. For some reason, I'm sitting in the prep room 10 minutes away from surgery thinking about how many children starve to death every day and that I'm going to have surgery to limit how much I eat. It is a hard thought to wrestle with. The thing is that this is all normal. I'm so glad I had the surgery. I can't wait to lose weight and be healthier for my family.

I finally got to come home yesterday and the first thing I did was take a 3 hour nap. Every time I'm in a hospital, I'm blown away by how little they let you sleep, even though they keep telling you that you need rest. I managed to get another 3 hour nap today and have gone on a number of walks. Right now, my food intake is so limited that any walks I get are really helping to shed pounds already.

Speaking of eating...it's pretty hard so far. The first night back, our good friend Shelly made dinner for the family so Sandra wouldn't have to worry about it. She made jambalaya which I love, and sitting there with a little bit of jello, I wanted to eat it so badly. It isn't that I'm hungry because I've had pretty much zero in the way of appetite since Monday morning. It is just the mindset that I want a Snickers when Sandra is stealing the kids candy, or to just suck on the jambalaya to get the flavor and then spit it out, but I'm not ready to risk that temptation yet.

I ate 1/4 cup of sugar free Jello for breakfast and again for lunch today. I've struggled to drink enough water today because it gases really painful gas when you swallow air. It's something I'm working on because I REALLY don't want to get dehydrated. In effort to be a little more creative, I actually made a giant pot of soup for the family. I'm going to strain out the chunky stuff and drink the broth in hopes that I will want to eat more of it and keep liquid flowing. I'll probably go ahead and add a little bit of protein powder to it too.

In terms of actual weight loss, I need to create a starting point. The biggest I've weighed is 338, and the Thursday before surgery, I met with the doctor and weighed in at 324. I will probably pick one day each week to post the current weight, along with a picture so you can see the progress. Today isn't that day, but here's my "Biggest Loser" picture from the day I came home. If you don't want to see a large topless man, or see my bandages or whatever, then you shouldn't scroll down.