I still can’t get over the fact that I just wrote that title. After all of the preparation and struggles last year, the three months since the surgery have pretty much flown by. And, despite some of my self-confidence issues in the first few weeks, the staff today said I am a model patient.
I was not able to see everyone today. I had to reschedule with the psychologist for April 11 as yet another transportation company dropped the ball this morning. I was supposed to be there for 9:00, but reserved for 8:30, giving myself a cushion. I received a call last night from the company saying they would be here between 7:00 and 8:00. So I was down in the lobby by 7:00. The hour passes by, and nothing. So I call Reservations. She checks, and says the driver is about 15 minutes away, okay. After 8:30, the company calls and says the driver is running very behind, but they will call the doctor to see if I can arrive late. No problem, the office says that they will try to fit me in to everyone today if possible. Well, the driver does not pick me up until 9:15, and after a couple stops, I reach the doctor after 10:00. Luckily, the office made accommodations for me where they could. One of these days things will go smoothly!!
Anyway, back to the more important news. My first stop, weigh in. I am officially at 388, pounds, exactly 50 less than at surgery! And 170 pounds total!!!
Saw Jessica, the dietitian, next. She said that she liked where I was at in my calorie intake, 700-800 daily, and recommended increasing to 900-1000 on gym days. I am still reaching my protein and liquid goals every day, and still focusing on about 3 ounces of protein, and then if I have room some veggies. She also said that now I am at the stage where I can add a cup of vegetables or fruit daily if they fit into my goals. She likes the protein supplement choices I am making as well. I had one question, mainly because I still have some in my apartment, and she said that sugar free hard candy is okay, and just not to overdo it. I said I would only do one a day if any, and she said that is perfect. She only cautioned on being careful not to accidentally swallow a piece, as that would not be fun on the new stomach. She mentioned again that she wished I could make it to one of their support groups, as I am doing all the right things nutritionally.
Up next was the exercise physiologist Valerie. She was also very happy with how much I have grown in my activity since my last visit. I asked her about the heart rate issue, and she had good news. She says that there is less and less concentration on the actual number, and that now it is very subjective. I told her that while I was on the treadmill, I definitely felt my body working, but was not short of breath, winded, or fatigued. I also said that I have always heard that you should be able to carry on a conversation while exercising, and since I am by myself, I sing along (quietly LOL) to my headphones and kind of dance my head to the music. She said that is perfect, so just continue to do what I am doing, with working on increasing speed some, and if not that, incline. And, I have noticed in the past couple weeks that I am getting a nice size set of bat wings, so I asked about arm exercises. She recommends concentrating on the cardio and fitness still, but starting to incorporate some dumbbells and machine exercises for this. My homework is to investigate whether Planet Fitness has a machine where you can do a one-arm pull (row) and one-arm push, while standing. She said they may also have a tricep press down machine to sit down at. Also start some arm curls and lateral raises with 8-pound weights. It’s a little overwhelming at first, but I am going to ease into it, and maybe see if I have some heavier jars or cans at home that I can use here to start with.
Before I saw the doctor, the nurse checked my blood pressure, and it was 122/61, very happy about that! Now I am going to start monitoring it more often at home to watch out for low BP. I had not seen this doctor since about September in the other office, so it was good to catch up with him. He showed my a chart that says average weight loss at this time is 40 to 60 pounds, so I am right on target! When I reminded him of my heaviest weight, he said, “you’ve lost two of my kids!” Still unreal! He said I might want to consider staying on the metformin for a while as it helps with weight loss, and that I may want to stop taking that trazadone that I started in the fall for help sleeping, as it acts like an antihistamine and makes people hungry, leading to possible weight gain. As it does not seem to be helping me much anyway, I have stopped that. I will look for another solution, because I can’t tell you the last time I got a full night’s rest. He didn’t realize that I was living on my own now, and said that me accomplishing all this (mostly) by myself was amazing. I told him how much this blog and the support from all of you has helped.
After that, I got another B12 injection, and that was that for the day. As much of a pain it can be to get to and see everyone back to back like that, the office is so wonderful. Everyone on staff is incredibly friendly and supportive, I really miss it after a while. I will see all of these same people again May 10, and they will probably do some lab work then as well.
Well, I hope you are all still reading this after today’s novel, but I will let you go for now! Tomorrow morning is my eye appointment, which is the third attempt at seeing this doctor, so hopefully the third time is the charm. I love you all, have a wonderful day! Continue being the best people around!