Today’s lesson from My utmost for His Highest was puzzling to me.
Waiting on MRI Results
As a result of some pain believed initially to be gall bladder related, I’ve been through lots of testing over the past few weeks – blood tests, a sonogram, a CT scan, a HIDA scan, and today an MRI scan. so far, there is no explanation for the five days of pain I experienced. And the pain has been gone since Christmas Day.
No worries at this point – just waiting for results.
Sacrifice and Prayer
Some thoughts on being a “living sacrifice” and being a better pray-er.
Why am I Making Videos?
2024 – A New Year – Goals
Nearing a Year Post-Op
It’s only early June, so it is not quite 11 months since my gastric bypass. It’s been a hard year, but it has also been a good year. The hard part is the ongoing battle against deeply ingrained habits related to food. They’re much harder to change than I’d ever imagined. It’s a daily struggle to not eat too fast or too much, and it’s a struggle I fail many times. Those failures typically result in my feeling nauseated – which is a powerful motivator to change. I’m slowly VERY SLOWLY making progress.
My fear is that I will stretch out my stomach. I never want to regain the weight I’ve lost and have to deal with all those health problems again. It feels good to feel good!
The “good” part is that this morning I weighed 143.6 – a new low. I think the last time I weighed that low was sometime in the late 1960s or early 1970s. Even when I lost a lot of weight taking Phen-Fen in the mid-1990s, I only got to the upper 150s.
I’m enjoying doing Pilates on M-W-F when I’m at home. It’s good for me, and I don’t dread it like I used to when I’d work out at a gym. I like that it doesn’t make me hot and sweaty – and yet it’s a good workout. I can see more definition in my muscles.
One thing that has surprised me is the loose skin. I was under the mistaken impression that I was not so overweight that my skin wouldn’t bounce back. Nope. My arms, stomach, butt, and thighs have loose skin that bothers me – especially sitting on my butt – it’s like the skin folds in on itself and is uncomfortable. My arms and legs just have that old-lady look. I’m sure if I’d had gastric bypass 10-15 years ago my skin would have bounced back better. As so often is said, “It is what it is.” And I am 73 years old!
However, I will take all that any day over the excess weight and health issues I had before. I am happy with my weight now, and am perfectly satisfied to stay right at this weight the rest of my life.
We are at the lake right now, and most days here I hike up and down the driveway – about 1.34 miles – without having to slow down and without getting out of breath. All three dogs usually go with me, and they love it. And I’m loving wearing smaller size clothes, too.
I’m glad I had the surgery, but it is MUCH harder than I ever imagined it would be. It’s funny but the nausea I experience when I eat too much or too fast doesn’t even bother me as much as I thought it would because it is over fairly quickly. And, if I remember to eat very slowly and chew my food very thoroughly, there is no nausea. Like I wrote earlier, though, eating fast is a very hard habit to break. My body reminds me frequently to be a deliberate and mindful eater.
Some good news is that I had elevated bilirubin and liver enzyme numbers, but they’re going down. I will have a liver scan in a couple weeks. However the doctor thinks the elevated numbers are likely related to my surgery and that it will all even out soon. My liver panel blood test last week showed improvement. So hopefully he is right.
The Highs and Lows of Losing Weight
I’ve had a lot of highs and lows in the past six months. I’ve lost a little over 57 pounds, which is incredible! With the weight loss, I’ve gone down several sizes in my clothes. I have gotten rid of most of my clothes and replaced them with smaller sizes. I wore a size 10 pair of jeans today, and they were a little baggy. So I’ve got several size 8 jeans ready to go.
I’m able to do more without getting out of breath. When I go walking, I don’t have to stop to catch my breath. I can walk as much as I want. I need to do more of it, though. Along those general lines, I will be doing Pilates starting tomorrow – one on one with an instructor that Larisa, Lily, and Sophie use. I’m looking forward to starting that because the weight loss has left behind some flabby skin. I need to build muscle and tone, flexibility and stamina.
I still have significant restriction in how much I can eat. However, if I stretch a meal out to 30-40 minutes, I can eat a fairly regular (but smaller) portioned meal. Ron bought a single filet mignon steak the other day. We always cut a filet into two pieces crossways with the thinner portion for me since I like mine not quite as rare as Ron likes his. I assumed I wouldn’t be able to eat my entire portion, but I did. It was probably only 3-4 ounces at most, but that’s good because I’m able to get more protein in.
The lows are mostly fears of returning to previous bad habits. Over the past month I’ve seen how some bad habits and cravings are rearing their ugly heads again. Thus I am working to stick with my healthier and smaller-portioned food choices. I’m still drinking my homemade protein shake every morning for breakfast. Nothing else sits well with me. Eggs make me sick. I have a slice of bacon most mornings because Ron makes bacon and sausage most mornings and always adds a slice for me. So I get about 40 grams of protein each morning for breakfast.
Another improvement is my daily pill intake. Only four pills a day – my big multivitamin with iron, my blood pressure med, my cholesterol med, and my anti-depressant. Since Vandy monitors my vitamin levels, I’ve learned I don’t need all the supplements I was taking. That has cut down on my daily pill intake tremendously.
Updated Reality
Here it is December 2022. So much has changed since I last posted in Living Real With Carol. First, in August 2021, my mother died as I held her hand. In August 2022, my sister Beth died. Both of them died as a result of strokes. My life has changed forever. Beth was my youngest sister, and I still can’t comprehend that she is truly gone.
2022 was a year of major surgeries for me. In January I had total knee replacement in my right knee. The recovery was fairly easy. That’s in retrospect. At the time it was rough. I had to sleep in a recliner for several weeks because my knee was too sensitive to sleep in bed. I did all the physical therapy required, and although there is still some tenderness and numbness in my knee, I can walk all I want with no problem at all. I am so grateful for the surgery since my activity was so limited before surgery.
In July – just a couple of weeks before Beth died (which is why I couldn’t travel to be with her after her stroke), I had gastric bypass and hiatal hernia repair. Recovery from that surgery is STILL ongoing – although the first two months were particularly difficult. It was much MUCH harder to recover from than the knee replacement. When Beth had her first few small strokes and then her major one, I wanted so much to go be with her, but I couldn’t. And the doctors were right because it was such a difficult recuperation. However I did attend her funeral and even spoke at it three weeks after surgery – which took all I had at the time. The night before her funeral, I was so sick in the hotel room, but was okay by morning.
There is a story behind getting gastric bypass surgery. Last year I decided to look into bariatric surgery because I’d been through so many diets starting from when I was a teenager – Weight Watchers, Jenny Craig, Nutrisystem, Phen-Fen, Phentermine by itself, low-fat, Atkins, Keto, counting macros, fasting, and so on. Except for the Phen-Fen and Phentermine, I was not able to lose enough or maintain weight loss. And the drugs had horrible side effects which made me unwilling to continue them long term. I didn’t really plan to get surgery, I was just curious to see if I could qualify for it.
Most importantly, by last year I was battling so many health issues – high blood pressure, high cholesterol, pre-diabetes, fatty liver, mild sleep apnea, IBS, frequent diverticulitis, and horrible GERD. I had to take Nexium (proton pump inhibitor) every day and still sometimes the reflux was bad.
So I went to the Vanderbilt weight loss clinic since they were the only ones who would consider surgery on someone over 70 years old. That’s a good thing because Vandy is a “Center of Excellence” for bariatric surgery. I talked to the surgeon and he felt I would qualify for surgery. There was a long list of requirements from my insurance, and one of those was an endoscopy. I’m so thankful for that requirement because when I saw the photos of my stomach taken during the endoscopy, I was horrified. My stomach was basically wall to wall polyps – small, medium, and large. Dozens and dozens of them.
What is associated with the development of stomach polyps? Proton pump inhibitors like Nexium. I had taken Nexium every day for probably twenty years. I never even thought about possible side effects. it kept me from having heartburn and so I took it every single day.
I immediately went from casually considering bariatric surgery to being absolutely certain that I needed it asap because one thing gastric bypass does in almost 100% of cases is end acid reflux immediately. And with no acid reflux I could stop taking Nexium. I felt an urgency to get the surgery as soon as possible. With all my digestive issues, I felt that those polyps were at least part of it all.
I barely qualified for the surgery based on my BMI – and was told to definitely NOT lose weight before insurance approval. With my BMI I also had to have at least one serious weight-related condition to qualify. I had several. So I fulfilled all the requirements – psychological testing, nutritional counseling, support groups, a second endoscopy to “de-bulk” my stomach polyps (they removed about 40 polyps). On July 21st I had gastric bypass and hiatal hernia repair at Vanderbilt.
I’m almost five months post-op now. I’m ahead of my weight loss goals. I had hoped to be down 50 lbs by Christmas. I made that by Thanksgiving. I’m now about 54 lbs. down. Weight loss has slowed, but that’s fine. I’m content to lose a pound or so each week. At the beginning I was losing about five pounds a week. Then it gradually slowed down – which is exactly what is expected.
Most importantly, a week after surgery I stopped taking Nexium and haven’t had heartburn at all since then. I’ve cut my blood pressure meds in half. I’ve stopped taking daily gout meds and IBS meds. Since the Vandy weight loss clinic monitors my vitamin levels carefully, I’ve got those in balance now.
However, since my mother’s and Beth’s stroke – plus another sister, Joan, had a stroke in her eye last spring that left her blind in one eye, my pcp and I both agree that I don’t want to stop taking my cholesterol med since that’s my best defense against strokes. So Lipitor will likely be a part of life from now on.
The only negative is that one of my liver enzyme level and my bilirubin level are elevated. So I’m going in tomorrow for a ultrasound to make sure my liver and gall bladder are okay. I sure hope I don’t have to have gall bladder surgery.
2022 was a challenging year – so sad with Beth’s death, and so hard with my surgeries and recuperations. But also encouraging in other ways.
Making Sophie’s Famous Chocolate Chip Cookies
Sophie, my 17-year old granddaughter, came over last week and showed me how to make her Famous Chocolate Chip Cookies. Here’s our video about them. And it is truly NO exaggeration when I say that those cookies are AMAZING!
Please “like” the video – and then subscribe to the Living Real With Carol YouTube channel. Thanks!
Meal Prep: Quick and Easy Bread Dough
I made bread dough for the week – six portions worth. Two of the portions will be used for pizza (Recipe here). Two will be used for two meals of Pigs-in-a-Blanket (Recipe here) one for now, and one for a second meal that I will freeze for later. One portion will go for Cheesy Biscuits with Eggs (recipe here), and the sixth portion will be used for Chicken Pot Pie. That recipe will be posted later.
This is a great way to meal prep or the week. When the dough is already made and in the refrigerator, then those meals that use the dough are so much simpler to make.
You will see from the video that it’s easy and quick, too.
The recipe I use made 6 portions. Each portion includes 1/2 cup self-rising flour which is either 5 or 6 points (WW Blue plan), depending on the brand.