Heading back to work tomorrow

My restful healing time off is over and I head back to the office tomorrow morning.  After 2 1/2 weeks of sleeping until I woke up, the clock will rudely awaken me at 5:30am.  Tessie and I have gotten used to not hearing the clock, and I’m not sure which of us will be most deeply asleep when the assault comes.  She’s going to miss me lots, as I will her.

But I’m getting bored at home, and lonely.  I only had one visitor while on my leave and although I’ve talked to plenty of people by phone, email and Twitter, it’s just not the same as face to face people contact.  I’m guessing that close to 1/2 of the day tomorrow will be spent checking in with people and seeing how much stuff piled up in anticipation of my return.

I feel a little as though I’m in high school.  What will I wear?  What will I do for lunch?  What if I forget my password(s)?  What if no one likes me?  Well, okay, that one isn’t really an issue.  But still.  What will I wear?  I’ve lost 12 lbs since I was there last, and have clothes for it being colder but not so much for the 50’s.  But I want to show off a little and not go in on day one wearing ultra-baggy clothes.  We’ll see.

Food will be a little tricky.  I’m eating small bits 5-6 times a day and am bringing some of those teeny Glad plastic bowls so I can divide up some yogurt from the dining hall (I know they have some I can eat) so I can split it into different “meals”.  Tomorrow is the first day of Category Two, which means I can add fish to the menu, but it makes sense to try it at home first before bringing tuna to work, in case my body has problems.

As for the passwords, well, I’m hoping finger memory will bring them back when I need them.

Real Food Tastes Wonderful

Not that I’m eating a lot of it.  But still, it’s way more tasty than endless ounces of water, Crystal Light, and my small portions of ensure.   No, I’ve graduated to 8 oz of soft food per day.  This week that includes eggs, cottage cheese, yogurt, mashed potatoes, thin oatmeal, and canned or cooked fruit and veggies.

After seeing the doctor yesterday for my follow up, I stopped at the grocery store to pick up a few things to make sure I had the right stuff since my shelves were pretty bare of almost everything except at least a dozen little tubes of Crystal Light tubs.  I was almost overwhelmed by the amount and colors and aromas of food in the store and was glad I had a very small list and could spend not too much time.  I’m not ready to be around accessible food like that.

My first meal was 2 oz of 0% Fage with 1 canned peach slice.  It took me 30 min. to eat and tasted divine.  Dinner was 2 scrambled eggs, except I couldn’t eat both – it was too much food – so I gave the last part to the kitty, who gobbled it up.  She’s thrilled that mommy is back to having food she eats on plates for her to investigate.

My incisions are healing nicely, especially now that the bandaids are off (somehow everyone forgot to mention that I only needed them for 2 days post-op – I think they need to rewrite some of their documentation).  I go back to the surgeon in 2 weeks for my first saline fill.

For those who don’t know, the lapband system has the actual band part itself, which separates out a small pouch at the top of the stomach.  It holds about 1 oz at a time.  The band fits around the pouch and is connected with very tiny tubing under the skin to a port that’s sutured under the skin in the middle of the abdominal area.   Nothing is visible to the naked eye except the surgery scars.

Inside the little band is a tiny balloon that is filled with saline solution injected into the port, going down the tubing and filling the balloon, thus tightening the band to make it more restricted.  Except of course they only fill a tiny bit at a time, and sometimes fluid can be removed if the band is too tight.  My whole band only holds 10 cc of fluid, which is not much.   It’s a dance of sorts to find the “sweet spot” of fullness that allows me to eat/drink what I need but restricts me from overdoing it and eating everything in sight.  Not that that’s likely now, since I get full on an ounce of yogurt!

I’m feeling good, except for my continuing knee pain, and as of this morning, and down 59.2 lbs since April.  I don’t really know my surgery day weight, since I gained about 7 lbs of fluids while I was in the hospital and lost all of those plus another 10 lbs.  The doctor told me to expect only about 5-6 lbs more in the next two weeks, which still sounds pretty good to me.

I pulled some clothes out and realized I can wear things I haven’t worn in at least 4 years – and some things are too silly looking to keep wearing.  It helped that I saw Stacy & Clinton yesterday on a WNTW rerun, and their makeover victim candidate’s before clothes looked a lot like mine.  Major incentive to weed!

One Week Home Post-op

It’s hard to believe that I came home from the hospital a week ago today.  I still have band-aids and a gauze bandage over my incisions, but the stitches come out on Monday.  They’re starting to be itchy so I know they’re healing up.  Yayyy!

I went for a driving outing today, my first time out since I came home.  It was weird to be driving during the middle of the day on a weekday.  Usually when I’m out driving to run errands, it’s a busy weekend afternoon.  I’m on familiar roads and looking for lane changes and parking.  But today it was crisp and clear day.  The leaves are mostly turned and fallen to the yards and sidewalks in big piles, though there were some faded gold holdouts.

I went to Walmart looking for sugar free Torani syrups.  Hungry Girl talks about them a lot and uses the syrups, not in fancy coffee drinks, but to flavor shakes and in other recipes.  They’re popular on the banded community to add variety to protein drinks.  Though available online, I wanted to see what I could score locally, and rumor had it that Walmart had a small supply.  I bought everything I found (which wasn’t much) – vanilla, caramel, chocolate, and raspberry.  I can see myself adding some into yogurt when I’m able to eat it.  I’m really craving a gingerbread flavor and may resort to buying that from Amazon.

Coming home I got lost and ended up in a nice little meandering side trip that was calming and mind-clearing through back roads, soft hills, and the unmistakable feel of late fall.  I know we have some warmer weather coming up this week (62 sounds very balmy at this time of year) but I also know it won’t last, so better to enjoy what I have when I have it.

For exercise I walked up and down all the aisles of Walmart, even the food ones, as well as a loop at the complex.   I could feel almost every step and every deep breath in my upper left shoulder, something that seems to be not uncommon for bandsters.  Right now I have a heating pad on it and am planning to sleep on the right side tonight since it’s sore.

My body feels more sensitive, or else I’m just more aware of it.  My tummy is sore only in the middle; the other incisions itch but look pretty good (I peeked when I replaced band-aids). My hair is falling out a bit, more because I was cutting back on food pre-op than because I’m not eating now, tho I’ll pay for this later.  I get hungry but not in the before-hungry way; my small Ensure meals do fill me up and I’m drinking all the time.  My face looks thinner and every morning the scale drops a bit – not leaps and bounds, but I’m down to territory I haven’t seen in almost 4 years.

It feels good to have some time off work, to sleep until Tessie and I wake up (yesterday was our 2nd anniversary together).  To watch West Wing episodes in the morning, then taking walks, futzing around the house, playing with the kitty, and catching up on things left undone, followed by more walking.  All with a water bottle in my hand and my tiny measured sips of Ensure.   I’m almost completely caught up on my sleep and am ready for new things.

You Too Can be Satisfied with 2 oz per Meal

I read up on all of this stuff before the surgery – before even committing to the surgery.  And I sort of wondered at the time how it would actually work to be on clear liquids for two weeks.  Well, clear liquids plus 8 oz of Ensure or Boost, delivered as four 2-oz portions.  Sounded kind of silly but it was an improvement over the 1-oz serving they gave me at the hospital after I had the barium test and had proven I could actually swallow.

But the reality is different.  I drink  64 oz of water and Crystal Light a day, plus my single can of Ensure spread out into 4 meals.  And I’m really full.   I forgot that I could also have sugar free popsicles until today, but just nibbled on an Hawaiian pineapple pop and it was soooo tasty.  I don’t know when I move from one stage to another, but as long as I’m in the clear liquids stage, there’s no point in being whiny about it.   Changes will come when it’s time.

I should be out walking more and I promise that tomorrow I will take 3 walks outside instead of the one outside and one inside.   My concern is that as the pain meds become a thing of the past (yes, that quickly – go figure), my knee and back pains are coming back.  In the hospital, they didn’t hurt at all.  But now, yeah.   So it’s a line to walk between getting the exercise in, and I know I need it, and taking care of the other pains.  It’s also colder out so the arthritis is kicking in.

But excuses are not acceptable.  One thing that’s to my advantage while I’m staying home for this recovery period is that I have a crack at the fitness center here in the complex.  Mostly I avoid it like the plague because 1) it’s small, 2) equipment doesn’t always work, and 3) the student residents seem to have claimed it.  Hopefully during the day it might be easier to get in and use a treadmill or maybe the elliptical.

So the plan for tomorrow is to actually walk up to the main building and ENTER the fitness center to check it out.  The walk alone is more than I’ve done in quite a while (and it’s not even that far, I’m just lazy) and it will be a good goal.  If I’m tired, I’ll just rest up there for a bit before heading back, which is downhill anyway.  And I will come back knowing what, if any, the options are for me up there to use while I’m home and unable to drive.

I feel pretty good, just a little tired and sore around the middle when I move weird.  So far, so good!

Home Again, Home Again, Jiggety Jig

I sit here in my robe with my feet up, cat by my side, watching NCIS reruns, and sipping 2 oz of Ensure butter pecan supplement out of a Watford (not Waterford – better!) crystal cordial glass.  This is dinner, and I’m to take an hour to do it.  Actually, that seems pretty ambitious.  I also have a glass of grape Ocean Spray powdered drink, a much better version of Crystal Light.

My hospital stay lasted just under 36 hours, from admitting to discharge.  The surgery went very well and I was kind of shocked that I walked right into the OR instead of moving on a gurney.  Gave me more of a sense power even though I really didn’t have any.  The room was full of people, including a senior anesthetist and a nurse pretty much dedicated to holding my hand (at least while I was awake, which didn’t last long).  They all introduced themselves to me. told me their role in the procedure, and got me all settled.  I didn’t even have an IV until I got into the OR.

The surgery went fine. I have five abdominal incisions – four small 2 cm. incisions, and one much larger just left of center (or right as I look down on it), where the port was sutured to the muscle wall.  That’s the sorest spot.  But there were lots of very good drugs to manage pain and nausea, and since my surgery was at 7:30am, I was out of recovery and up in my room by 9:30.  With lots of time to doze and sleep and doze and talk to my mom while very groggy, and sleep again.  By afternoon I was mostly awake and making sense.

My roommate was a woman in her mid-30’s who had a gastric bypass with a surgeon in practice with mine (and a few others).  When we were both awake at the same time, we took walks down the halls together, pushing our little IV units in front of us.  The nurses thought we were cute.  We also spent time talking about why we chose the options we did, what we expected, what we were afraid of.   Very supportive at a time when we were pretty vulnerable and physically uncomfortable and in pain.

My hospital had two colors of those unisex double-sided hospital socks with little designs in rubberized stuff so you can walk down the hall without slipping – blah taupe and bright red.  The red ones are for people who are fall risks (which included me, because of my bad knee and recent lurchy walking).  There are pictures of the Ruby Slippers from the Wizard of Oz outside rooms of patients with that risk, and signs that say Call don’t Fall. The idea is that the Ruby Slippers patients need help to get up out of bed, into the bathroom, and walking around.  Once I was awake and alert enough to manage okay with close supervision, than I moved up to the “we just keep a watch out for you” stage.  At least the red slippers had more style than the other ones.

I’m starting to feel pretty sore and think perhaps it’s time for me to take a little walk. It’s good to be home.

Tomorrow is Lapband Surgery Day

Thanks, everyone, for your good wishes and comments as I’ve made my way to this point in the journey.  Now there is nothing left to do (except do more cleaning and I’m so not going there) except get a good night’s sleep, wake up at 4:15 so I can be clean, shampooed, dressed, and ready for the 5:30 am cab.  I need a lot of time in the morning to wake up, hence the extra time.  Plus I need to cuddle the cat.

I’m to be up in the surgery department at 6:30 am, which means I have to go to admitting first.  Sunrise is at 7:20 tomorrow morning, and I should be in the OR shortly thereafter.

I’ll check back here and on Facebook to let y’all know how I’m doing.  Thanks again for your support!