JULY 25, 2010
A Life Changing Decision
My entire life has been a challenge. I was a latch key kid from age four and needless to say I have few early childhood memories to speak of. I had to be responsible and that meant looking through a window to the outside for years watching other children play while I was kept indoors due to circumstance.
As I matured I sought comfort in food. Food was my friend: my only friend. My mother would leave food on the table, in the frig, in a special cupboard and there was always soda, dessert, and snacks available because I was alone for hours while she worked. Food is not what I hungered for, but, it was the only thing I had to fill the void I craved for: my mother’s company.
The last time I remember being of normal size was age 6 –> size 6. After that it was all down hill. Age 11 –>110 pounds, age 16–> 160 pounds, age 18 –> 180 pounds. It seemed like I was predestined to add a zero to my age and that was to be my weight. Scary as it was: it went that way till I was 23 years old and 230 pounds. 230 pounds was my average weight for years. My body shape changed many times but the weight remained unchanged. Depending on my activity level I managed to fit 230 pounds into a size 16 up to a size 20. I have tried every diet known to man – some were successful for awhile but when I hit a plateau I couldn’t break I would give up the diet and look for a new one.
Bariatric diet challenge
A year ago I got very serious about my weight and as a last ditch effort entered a bariatric diet program through my PCP.
I followed the diet regimen prescribed to a fault, I consumed 90 grams of protein, drank the prescribed 8 glasses of water, exercised no less than 30 min, maintained an intake of less than 1000 calories each and every day for months.
I was prescribed metabolic stimulators at regular intervals in different combinations. The metabolic stimulators proved to be a waste of money. I was placed on Metformin, an oral medication used to reduce blood sugar levels, and wellbutrin an anti-anxiety medication because the side effects of both of these drugs were weight loss. I was immediately taken off of the Metformin as I had an allergic reaction to the medication.
During the second month it was discovered I had Type II Diabetes. My HgbA1c was 6.9, and c. peptides measuring insulin captured in the cells was 1749. I was plagued by severe edema in both legs. I was in trouble and I new it. I was started on Byetta injections twice daily and two forms of diuretics, Furosomide and Spirinolactone a potassium sparing medication.
I was determined and worked even harder. With the support of my best friend, Sarav I gave up cigarettes, caffeine, and sugar at the same time. I ate only dark brown breads. I even cut out all heavy carb vegetables. Withdrawal was evidenced by severe headaches for a total of four days and then all was back to normal. I reduced my caloric intake to 800 calories and used the food supplements purchased at the PCPs office since I could not consume enough protein as I had also gone total vegetarian. I extended my exercise time to an hour daily and week after week I would get on the scale and my weight remained unchanged.
I became frustrated and angry. I asked my nutritional advisor in the PCP’s office, “Why is my body rejecting all my efforts?” Her response was, “You need to make changes.” (Make changes?? What had I been doing for the last 10 months??) I asked her for suggestions and she retorted, “It is for you to decide. “ Why was I paying $75 a month for nutritional advice if it was up to me to decide?”
Well, I decided right then I was done! I was finished with the bariatric diet program. I was through paying someone else for my own advice! Ha! I only wish I had realized it before spending all that money on nutritional advice, prescription drugs, and nutritional supplements, not to mention doctor‘s appointments for reevaluation several times over the last 10 months!
The only thing left was to not eat.
First, I researched and purchased herbal supplements to complete a total body detoxification to cleans my colon, liver, lungs, and internal organs. I practiced 2 minutes of an extremely hot shower alternating with an extremely cold shower twice daily for ten days. This method is used to purge toxins from pores in the skin allowing them to sweat and breath. I literally drained my self. I was weak and exhausted. To my surprise after 10 days my weight was unchanged.
I was broken. I wasn’t sure I could continue the effort. I prayed endlessly. I cried daily and my best friend Sarav who was now my husband continued to give his never ending support and encouragement. I began counseling with a wonderful female counselor in Warwick, Helen Sheehan. She listened intently as I described the overwhelming issue of my weight and weight-loss efforts and made several suggestions. I went home and scoured the internet to locate all the information she had given me about malabsorbtion syndrome.
I studied the information and told my husband I wanted to enter the bariatric surgery program at Roger Williams Hospital for evaluation. I knew the surgery cured Diabetes Type II and that was reward enough to undergo the surgical treatment and I wanted the weight loss as well. I wanted to extend my life. I wanted all the time I could get with my husband and I wanted it to be healthy time.
Meeting the criteria
Because I was not one hundred pounds over weight, I would have to meet medical criteria in order to be accepted into the bariatirc surgery program. I must have a BMI of 35 or higher and at least one medical problem from the list.
Whoa!!!
I had eight medical issues from the list of fourteen and a BMI between 37 and 38. I am classified as extreme obesity! OMG I had no idea I was in so much danger I had always considered my self a healthy but overweight woman….and now I am scared!
I am a Registered Nurse. I have given much advice over the years and now I need to listen to my own advice and make a move to secure a healthy future. I made the call and I start the work up at Roger Williams Hospital August 11, 2010. I will blog about my experience as it unfolds. Follow my journey to good health. I am determined to beat this battle of obesity!
AUGUST 11, 2010
Orientation meeting for Bariatric procedures: Roger Williams Hospital
Dr Pohl and Dr Giovanni
I sat through a three hour informative orientation regarding all surgical options for obesity, watched videos of the surgical procedures, listened to all questions broached on the subject and reaffirmed my earlier decision. The procedure that affects diabetes type II most quickly is bypass surgery and I am prepared to undergo this procedure to effectively reduce the risk to my life diabetes type II can have. I will post the videos as soon as I have the time.
The following morning I made an appointment with Dr Pohl. I also made appointments for all of the required consultations. To my amazement I would complete the requirements within six weeks. WOW! Now it is time to break the news to my husband who is 7000 miles away!









