Weight loss surgery to baby Feb update

It's already February.. Time is flying- So- a few weeks ago I was at a fellow staff member's home and saw a newsletter on the fridge talking about how we spend our time. It got me to thinking.. 1% of the average day is roughly 15 minutes. Do you spend 1% of your day working out? reading your bible? praying? working toward your goals? Often times when I say I just don't have time for _________.. I stop and think umm- is this important? If so then I make time for whatever... I mean we all have 2% of our day to take time for ourselves..


I had my 2nd appointment with the baby psychiatrist doctor this week. I was in a mood- first I was a few minutes late.. then the scales weight me in at 10+ pounds than usual... I told the doctor I thought his scales were crap- he says well, actually we occasionally adjust the scales to panic folks. Looks like it worked on you... Umm yeah, I did not think it was funny..  then he kept on with his humor- calling the baby (that is not been created) the "twinzies".. He thinks red headed twins would be so fun. I didn't really care for his humor- and he didn't stop calling the baby "twinzies".. I am rolling with it on the outside- but, inside I am like not one bit funny. Haha. I love babies but, the thought of having twins is overwhelming.. We did a lot things at the appointment- blood work and psych evaluation- He talks about stuff I never think about- like the plan to lose weight post pregnancy- He is committed to working with me. I guess I can get over his funny sense of humor.  haha.. I am totally off melatonin and using essential oils. I am a fan of Young Living essential oils- I hope to keep tracking my experience so I can share with you. I know to some folks it's hocus pocus- I understand. 




I have pretty "relaxed" about losing weight- it's been a while since i have made real progress. It's time to step on the train- and seriously finish what I started- how many times have I said that?? So, I am pretty much going hard core with weight loss the next 30 days. I have been making changes and not seeing weight loss- if this continues I will probably start checking in with doctors..  I need to do my part- tracking calories, seriously working out and and following the plan post surgery. 

My hubby John is a beachbody coach and has purchased the 3 day refresh for me. I start it Monday- Shakeology says: In just 3 short days, you can get your health, energy, and vitality back on track—all without starving. Don't worry, I am not expecting miracles- I think of it more like a cleanse. Then I plan to do a higher protein diet- which is what I am suppose to be doing.. I also am committing to 4 days of working out a week. I hope to do more.  I have worked to hard to not finish what I have started!!!  And, since I will gain weight during pregnancy- I need to be in shape before we get started.As far as our goals for 2015- we are standing strong. We finished our foster parent classes. We are eating better at home..  We are "gazelling" our way through debt. If you have not taken the time to learn about Dave Ramsey's Financial Peace University- then let me step upon my soapbox- we did it as a part of our premarital counseling process- it is great. We got off track for about year or so but, we are more committed than ever- because we are committing to our budget we are able to travel and do things we had planned. By committing to our budget we are hitting our goals by decreasing debt- You can do it too!
So I know what you are thinking.. Rhonda is like one big networking scammer.. Haha. It's okay to think that.  More updates coming soon. Make sure you take time to make your goals happen!  

Breakfast Casserole

I should tell you.. I got this in my D1 notebook.  Easy breakfast and keeps well!

INGREDIENTS

4   large eggs

4   large egg whites

1 cup  nonfat milk

2 tablespoons  Dijon mustard

1/4 teaspoon of dried italian seasoning

1/4 teaspoon  freshly ground pepper

5 cups  chopped spinach, wilted (see Tip) or 10 ounces f frozen spinach

4 cups  whole-grain bread, crusts removed if desired, cut into 1-inch cubes (about 1/2 pound, 4-6 slices)

1 cup  diced ham 

1/2 cup  chopped jarred roasted red peppers or pimentos

3/4 cup  shredded  Swiss cheese

DIRECTIONS

1. Preheat oven to 375 degrees F. Coat a 7-by-11-inch glass baking dish or a 2-quart casserole with cooking spray.

2. Whisk eggs, egg whites and milk in a medium bowl. Add mustard, rosemary and pepper; whisk to combine. Toss spinach, bread, ham and roasted red peppers in a large bowl. Add the egg mixture and toss well to coat. Transfer to the prepared baking dish and push down to compact. Cover with foil.

3. Bake until the custard has set, 40 to 45 minutes. Uncover, sprinkle with cheese and continue baking until the pudding
is puffed and golden on top, 15 to 20 minutes more. Transfer to a wire rack and cool for 15 to 20 minutes before serving.

Tips:
Tip: To wilt spinach, rinse thoroughly with cool water. Transfer to a large microwave-safe bowl. Cover with plastic wrap and punch several holes in it. Microwave on High until wilted, 2 to 3 minutes. Squeeze out excess moisture before adding the spinach to the recipe.

MAKE AHEAD TIP: Prepare casserole through Step 2; refrigerate overnight. Let stand at room temperature while the oven preheats. Bake as directed in Step 3.

NUTRITION FACTS

Calories 290, Total Fat 10 g, Saturated Fat 4 g, Monounsaturated Fat 3 g, Cholesterol 167 mg, Sodium 813 mg, Carbohydrate 23 g, Fiber 4 g, Protein 23 g, 

Challenges along the way..

I know without a doubt my biggest challenge is mental- Mind over Matter..  

I am realizing that it's so challenging to drink enough water- to feel hydrated- especially working out. It's so important but, first off there is no more gulping- just sipping water... 

Then I know I need to eat more but, a few bites and I am full. Something salty like cheap pizza- I would rather drink water.. And something really sweet- is just too much.. I am just a real piece of work at this point. 

And then I start thinking - what if this weight loss is not working.. I know how stupid is it to let negativity creep back-- I should wear a shirt saying I am proud of me-- I have lost 47 pound in 2 months  that is a major accomplishment yet, when I look in the mirror I don't see it. Yes, yes this is something for the therapist. Sometimes I need to be reminded this is my journey to be healthy. That's it.

I also really want to empower people to take back control of their health. Just one step one day.. I know stop laughing - it's a whole lot contradictory. 

And I get people being embarrassed about being overweight.. One of my friends says yesterday- I could never go to D-1- I mean I can barely run 4 miles. I wanted to say without using lots of expletives "Shut up- I have never ran 4 miles- wait I can't run at all! If you can run 4 freaking miles- you can go work out." Negativity hits everyone and sound absolutely ridiculous to the others who are hearing it. 

I have friends who encourage me everyday- one friend who I have not spoken to since my wedding - sent me a card. I have a huge team of folks (probably you) who keeping me going.. Thank you, Jesus. I am thankful- for you- for those of you who encourage me daily- and for Jesus.  

One Month (and some) Anniversary of Surgery. Where are we?

Photo on the Left was taken today. Photo on right was taken
on surgery day. (July 9th)

August is super busy for me. School begins.. I work longer hours.. And this month we several drs appointments happening right in the middle of everything. I realize it's been a week since I've blogged. Actually started this on Friday.. 

Ladies and gentlemen, I am happy to announce we have a breakthrough.. And some exciting results.. 

Victories:

Clothing.. down a complete size and then some.. I actually bought some clothes to wear for the fall when I get to that size.. 

I am off my acid reflux meds. 

I am suppose to be limiting my NSAIDs meds.. This is really hard.. I am cutting back but, it's rough.. Tylenol doesn't cut it! 

Starting Weight VS Today:  
350 (ish) and today 299.1 (this varies between morning and night +/- 3 pounds) 

Inches lost as of today:  (since 6/21)

Chest 7.5 inches

Bust 6 inches

Hips 5.5 inches

Belly button 7 inches

Where I feel the most difference? my hips

In this picture- you can hardly see my knees today! 

Goals for next month: To be never in the 300's when I weigh-in-- right now, it's on the border and I want them gone! More exercise!! More Protein! Get medications straightened out!! Continue therapy!  

Thanks for your love and support. 

love, RDB

Mama said there'll be days like this...

Today was rough... Not sure if I can say why but, it was.. 

7:30 am..  Knocking on the door.. Is the babysitter early? Another solicitor? I put on my robe and a young

mans says "A man drove by and his tire came off and went through your fence." I look at him and I am like "what?" So, I go out in the back yard and find this. Call the police for a report...  Thank the Lord there was no in the way of the tire!!!

Then it was time.. Time to the doctor for follow up from you know that weight loss surgery I had three weeks ago.. He said "You are making great progress... 22 pounds since surgery is awesome..." We also discussed my problems with my adderall. Apparently, we need to adjust it because my body is not "processing" the XR component. So, I am not crazy.  I was diagnosed with ADHD a while back. You can read that blog here. My life is so much better with meds. I also can start working out for real in a few weeks!

Then lunch with my sister was a delight.  She is all grown up and studying Nuclear Medicine Technology.

And it's Wednesday. Therapy day. I enjoy therapy time.. Several things are going on with our family.. Please pray for us that timing of things will work out...  As for now- I will be thankful for the 22 lbs gone! 

Today is the last day of July... Tomorrow means game on for me... Summer break is almost over... 

Day 3 of Post op and first day "home"

Type of surgery I had..

First off, I should never doubt my friends support for our family. You guys made the hospital stay bearable.

Overall, I feel good for just having major surgery. Slow, very sore and still groggy. 

I am still on my liquid diet till Monday. We have that covered. It's very challenging for me to drink what I have. I have no hunger and no desire to eat. I just have cottonmouth and some gas.

On top of all this I hurt my knee- very minor scrape but, using my knees to position myself make it very painful. I also stub my pinky toe in the hospital on my IV cart. Bruised and bleed a lot.  So, if I could quit

My minor knee injury

injuring myself maybe I could start focusing on my stomach healing!!   Above in the picture in the incisions. (See I am keeping this real!). 

If you want to bring food for us- just bring enough for John and Lauren (2 servings max). Next week while I will be eating soft/mushy foods- I will be limited and I need to make good food choices..  Each meal I get 1/8 of a cup of two different things. So my portion sizes are way small. My first goal over the week is to work on getting plenty of protein and drinking plenty of water.. 

I am hoping I can quit pain meds tomorrow and once I am off of them then I can drive. I know that will not be today or tomorrow. So, perhaps driving Monday will be more realistic.  I am walking like an elderly person still yet.

NO REGRETS! Thankful to be on the flip side!

My favorite simple Coffee Protein Shake

For those who missed it... Here it is again..

4 ounces of decaf coffee

4 ounces of skim milk or water

2 sugar substitute packets

1-2 scoops of vanilla protein powder (lots of people say chocolate is delish too)

5 ice cubes (more if you like a thicker consistency) 

Blend and drink!

Day One- Pre Op Diet

Ahhh! I made it! We have 13 days to go. Day 1 was what I called a success. And I didn't have to apologize to any of my friends for my unkind words. I had a physical this morning. Just happen to be scheduled. My doctor is Dr. Robertson. She came in and sat down and listened. She is so happy for me. So supportive.. Speaking of support - I had a lot of friends call, text, email, message me... You have no idea how much that means to me. I worked from 11a-530p today. So, I think I did okay. I felt great. My headache started around 7 and I think it's just bed time. No exercise today but, mentally I kicked butt. So, again we will try tomorrow. 

So, here we are by the numbers.
I had 57 grams of Protein
I had 51 ounces of water
I had 930 Calories
I am not a person who shares the numbers of my weight.. But, it's time because we are going to say good bye to each set of the next digits.  When I decided to make a change in my life I weighted 350 pounds. <<<not going back up>>> I have lost 15 pounds since I decided to start this journey. So, yeah, I needed to desperately make a change in my life!  

So not a bad first day. I had 3 protein drinks, bowl of tomato soup and some yummy sugar free jello. 

Best thing I had was: AdvantaEdge Carb Control Strawberry Cream Protien Drink
Worst thing: sugar free Strawberry Shaved Ice (threw it away)
My secret Power: Sugar Free Gum! 

Tomorrow's goal: Drink 70 ounces of water. 60 grams of protein. 30 minutes of walking

We did it friends. We made it through the first day and no one got hurt. Again, love you and thanks for rooting for me! 

And we are finally ready for the next phase.

I totally forgot to publish this yesterday (Sunday)!  

I had a great day with my family. We started off with breakfast at The Diner in Cabot. Then we went to church. 

Then Lauren picked lunch- her favorite Old Chicago Pizza in North Little Rock. Then we took Lauren to Camp Aldersgate. John and I got some stuff done before my mom came down for a visit and we took her to our favorite Asian restaurant Haru in Cabot. I came home cleaned out the freezer and the fridge of crap we didn't need. Let's begin this new way of life.. Ready to leave this fat behind!

Educating your friends and family about bariatric surgery

Lots of people advise you to keep your weight loss surgery hush hush. Now, I have over 100+ pounds to lose. (Don't worry photos and actual weight # will be revealed later) I am not going to fool you folks into thinking that I just woke up one day and "lost all this weight". According to my research it will happen quickly. My friends and family are way smarter than that. So, I want to help educate others about my surgery. So, education about my journey begins now. 

What type of surgery will I have??  

We have not had our final decision appointment but, with the information I know- I plan to have Gastric Sleeve (also called sleeve gastrectomy) procedure. A sleeve gastrectomy is a restrictive surgical weight loss procedure that limits the amount of food you can eat and helps you feel full sooner. In this procedure, a thin, vertical sleeve of stomach is created and the rest of the stomach is removed. The sleeve or stomach will be about the size of a banana. You can read some good information here. The majority of weight loss sleeve gastrectomies performed today use a laparoscopic technique, which is considered minimally invasive.  As far as weight loss goes, most people who have gastric sleeve surgery lose 50 to 80 percent of their excess body weight over the first six months to one year after surgery. There is lots of information out there

When is my surgery?  

That is the magic question. Everything moves quickly once certain decisions are made and my team knows I am ready. We are hoping that it will happen in the next 3 weeks so, I am recovered when school starts. 

After much reading they say to help those who are "worried" for me- that I need to take time to educate you specifically about this: 

How did you make this decision? 

I encourage you to read my blog. I have been blogging along the way. But, I went to Baptist Health for my seminar. It was so helpful. The information was very helpful and honestly- if you want to learn more about weight loss surgery- you should go. But, don't delay- go now. It actually changed my whole opinion on weight loss surgery. It's free. Check out the website here. You might ask- what exactly changed your opinion: The doctor was very upfront- he took questions- For example: I assumed I would have the lap-band  Come to find out- in order to be successful - the lap-band isn't my best option. For women who need to lose over 80 lbs studies show that it's not as successful. Also, I learned that attending a support group is part of the success. The information was plentiful. 

Have I prepared for this? I feel so overwhelmed with this question. Get Ready:

• I started with the seminar. 

• Then I had 8 monthly appointments with my PCP and we created a weight loss plan. This included medication.

•  I also met with my chiropractor.

• Made an appointment with my OB/GYN. Lots of women end up pregnant in the middle of this journey. While it's not immediate failure- It's not healthy. We decided a long term birth control so, I could spend the next 3 years on being healthy and ready to have a baby if I choose. (Don't worry- they are aware of my age- my weight is more of an issue than my age). Plus while motherhood is a dream of mine- I never dreamed I was pregnant. So, I feel good about this decision. 

• Meet with a nutritionist. She was awesome. We did a couples appointment. She told me the reality- what to expect during the liquid phase. We also discuss what the transition would be like. My husband is such a rockstar. 

• Therapy. At first this was just to say "I am okay for surgery". But, turns out- I needed it for more. Part of behavior modification is finding out your food issues.. they also work on your problem areas. Caffeine was my biggest challenge. My staff will tell you- I was on edge, mean and hateful for the first month. If I knew my husband would let me - I would have started smoking. It was rough. Come to find out- I wasn't honest about my addiction. I will do a whole post on saying good bye to caffeine. Sonic was one of my problem areas. Also, learning to drink a glass of water before every meal. Also, avoid using straws- can't have them with surgery anyhow-  I also had to figure out how to keep my friendships alive without going to lunch. I was already working on this before- Dave Ramsey helped me saving money. My free friend Sarah is my favorite lunch friend and I know we are going to be okay. She is super supportive and our friendship is going to only get stronger. My cousin had weight loss surgery and she warned me about how she really "missed eating out". I am so glad I talked with her because I had not realize that could be an issue.  I have come a long ways on all this. This is somewhat personal and I am happy to share more with you.

• Had a sleep study and met with a Pulmonary doctor.  I do have sleep apnena. I hate my sleep machine. I am not following what the doctor says on this. I struggle with it. But, I also learn something else-

• Meet with ENT. I was over the whole 2 strep throats plus I was having issues in the middle of the night. Yeah, I have early symptoms of GERD. They looks like middle of the night panic attacks where I take off my sleep mask and nearly throw up from choking. We are working on this and we hope surgery will change this.

I also have 3 other doctors on my team. But, I am prepared for weight loss surgery. 

Will your insurance pay for this?

Insurance is a red tape process that is very slow when working with a doctor's office. Getting approval took around 2 weeks. My weight loss nurse actually knows her stuff. She knows exactly what they want and need. It takes her probably 4-6 to put together your information. 

Then we work on financial stuff. (This is where we are right now). I have already spoke with insurance but, they get this in writing and then the doctor's office and I work out a plan. Insurance says if you used a "Center for Excellence" and they are in network they pay 90%. Due to Maddie's hospitalization we have met our deductible  So, insurance has told me that me they will pay 100%. 

Another concern: Have I thought about the lifelong lifestyle changes you have to make and how will you maintain weight-loss?

My biggest challenge will being able to eat the right amount of protein and drink water each day. I need 60 to 80 grams of quality protein per day.  They say it will take me weeks to be able to meet this goal. More about the protein below. 

Numerous websites and experts have told me this about protein:

What is insufficient protein? 

The first sign of lack of protein is often fatigue or weakness. Not just the feeling that I didn't get enough sleep last night, but deep fatigue….or weakness you know where it’s hard to get through the day. 

A second sign is weight loss plateau. When we don’t get enough protein, there is increasing evidence that the body tries to store calories rather than burning them.  I have heard those who focus on protein intake are successful in reaching their weight loss goal. 

A third sign is hair loss, which is preventable - they say. While one cause of hair loss following the surgery is the “shock” of the surgery to the body, another reason of hair loss in weight loss surgery patients is insufficient intake of protein. 

My nutritionist also said  after the surgery, if your protein status is low, your body will heal more slowly, sometimes very slowly. 

Another challenge- keeping this loose skin under control. Chances are I will need a breast reduction after the weight loss. A lot of unknowns.. But, as soon as I am cleared I plan to be very focused on working out and being proactive. This is one reason why I am a fan of Rodan and Fields. I am wanting my face to stay firm and healthy. Check out my R+F. The exercise will be very intense for 6-8 months- so my results will be optimal. Also, I am learning to eat my veggies FIRST at every meal. I also will meet with a nutritionist and my therapist often in helping coach me through my next phase of life. It's not a diet- it's a lifestyle change. 

Thanks for reading about my weight loss journey. I am happy  to allow others to reuse or share my content, as long as link it to my blog and give me credit. -Mama Rho