Sunday, August 28, 2011

I wish I had a dollar

I wish I had a dollar for every time I have heard the following questions:  Have you really researched this surgery?  Do you really know the risks involved?  Are you sure you want to put yourself through surgery to lose weight?  Will you promise me that you will think about this long and hard before you make a decision?  Do you really know what you are giving up by having this surgery?  Why did you lose so much weight to have 'weight loss' surgery?  You have lost so much weight without the surgery, why don't you just keep doing what you are doing and forget about the surgery?

I began seriously researching RNY, gastric bypass surgery, in 2007.  I read everything on the internet that I could find.  I watched thousands of videos on youtube.  I watched the "Big Medicine" show on tv, as well as every other program that dealt with super morbid obesity.  One of the prerequisites of the surgery was to be smoke free for 6 months before surgery.  August 12, 2008, I quit smoking in order to meet that prerequisite.  I began calling surgeons in February of 2009 to get information about the different programs in my area.  I was completely devastated to find out that not one doctor in east Tennessee accepted my insurance.  I cried for weeks. 

A series of events late last summer, that can only be explained as 'sent from God' shed new hope for me.  Darin was dating a sweet girl who worked at the University of Tennessee Medical Center.  She had inside information that eventually led to me being referred to the UT Weight Loss and Surgery Center.  Sadly Darin and this lady didn't work out, but we all agree that their meeting was not for themselves, but rather for me.  That's how the Lord works sometimes.

Do I understand the risks?  You bet I do.  When one researches to the depths that I did, one sees all angles:  the good, bad, and the ugly.  Yes, I saw it all.  I saw pictures of surgeries gone wrong, where people were disfigured for life.  I saw emaciated people because 'something just didn't go right.'  I read obituaries of people who died due to complications from the surgery.  Did this alarm me?  Sure it did!  But you know what alarmed me even more?  Having chest pains for no apparent reason.  Becoming out of breath from only walking a few steps.  Being afraid to go to a restaurant because I may not fit in the booth, or the chair may break out from under me.  Going to a store and having people yell hurtful things to me from across the parking lot.  Personal hygiene becoming difficult.  Not being able to stretch the seat belt around me in the car.  I could go on and on!

Do I really want to put myself through this major surgery?  I've considered all aspects of this procedure, and yes, I want to proceed with it.  Let me be very clear!  I have been on every diet known to man!  I have lost probably thousands of pounds only to regain it.  NOTHING that I have tried gave me long term results.   I understand that this surgery isn't a miracle cure!  I understand, and I want you to understand, that this is not the easy way out!  I understand that I will still have to work very hard to reach my goal.   I am a chocoholic.  I could live on chocolate candy, and anything sweet.  I understand that this surgery can assist me to resist sweets that are my ultimate downfall!  Sweets will make me deathly sick, and just won't be worth the effort. 

Will I promise that I will think long and hard before deciding to have the surgery?  Done.  Let's see, I began seriously researching in 2007.  It is currently 2011.  Would you agree that 4 years is 'long?'  'Nuff said!

Do I really know what I am giving up by having this surgery?  Yes, I know that I will never be able to sit down to a Thanksgiving meal and pig out with the rest of the family or with others at public functions.  But that doesn't mean that others can't!  This surgery only effects MY eating habits.  No one else need be concerned that Wanda can only eat a couple of ounces.  A couple of ounces will have Wanda FULL and satisfied!  This is Wanda's choice!  It is not a terrible condition or affliction that causes me to be miserable and unable to eat like others.  It is MY choice!

Why did I lose so much weight if I am going to have the surgery to lose weight?  I know it sounds like a contradiction.  My insurance requires me to lose 1/2 to 3 pounds per month for six months.  The program that I am utilizing requires every weight loss surgery patient a 6 month waiting period.  I don't know about anyone else, but I don't know how to diet just a little.  How do you know each month that you have met that 1/2 pound loss?  Do you diet just a couple of days out of the month to reach that amount?  Really!  If I have to diet, then I'm going all out and DIET!  And why the heck not?  I have to wait 6 months anyway, why not diet and just have that much out of the way before surgery?  It will make it easier on me, the surgeon, and the recovery will be much more pleasant.  This gives me an opportunity to get the necessary self-discipline in place.  It's a win-win, no matter how you look at it!  Why can't people get this?  It sure beats spending that 6 months where every single day is looked upon as 'the last meal' that only leads to further weight gain that could have been avoided had folks just used their brains!  What may have been 150 pounds to lose could become 200 pounds or more!  Can anyone convince me that is OK?

Why don't I just continue to diet and not put myself through the surgery?  OK, this is the Big One!  I have lost this much weight and even more, several times but have always gained it back.  It doesn't last!  I have a history of bulimia.  It hasn't reared it's ugly head, yet, but it would be certain to do so if I continue losing on my own.  There would be a time when I would begin to want that candy bar, or that chocolate chip cookie, or anything sinfully sweet and with nothing preventing me from binging and purging, I would find myself in serious trouble again.  The characteristics of a food-aholic are very similar to an alcoholic.  When I start eating sweets, I can't stop!  Then, after I have consumed enough calories in one sitting that could have lasted me 3 weeks, I panic.  I have to get rid of it!  It will make me gain weight!  So, I'll make myself vomit, and/or take a handful of laxatives to 'get rid' of it.  Now, after having gastric bypass surgery, my stomach (pouch) will only be able to hold a couple of ounces.  If I try to to binge, I will rupture my pouch.  If I rupture my pouch, I will die!  Sound like a good motivation not to start practicing bulimia again?  Yeah, I thought you would agree!  This is for good measure:  You wouldn't tell an alcoholic, "Go ahead!  A little won't hurt you!"  Why would you tell a foodaholic to go ahead and have a little?  Honestly! Don't encourage us to cheat!  It is senseless! Honestly!

Yes, I wish I had a dollar for every time I have been asked these questions!  I would be driving a Cadillac!  No one can possibly know that I would love to respond in this manner:  Yes, I have!  Have you done your research?  Spend your time researching instead of questioning, and then those of us who are taking the giant step toward taking our lives back will have more support and less criticism!

       

Friday, July 8, 2011

Too many ways to spell Discouragement?

I'm struggling.  I am fighting the urge to indulge is something sinfully sweet, chocolate, and full of empty calories.  But, it's not because I really want it, I guess it's because I need some comfort.  Day in and day out, I follow my diet to the letter.  I haven't cheated on this diet, not even a smidge since day one.  I keep a food journal, take my vitamins, calcium and probiotic faithfully, every single day, and the scales won't budge.  In fact, the scales say that I have gained one pound this week.  I'd like to shake my finger in the face of my surgeon who avowed that this Thyroidectomy wouldn't cause me to gain weight.  For the most part, I haven't gained any weight, but I can't seem to lose any more weight either.  Very, very discouraged. 


I am so very thankful that I was able to lose a good deal of weight before having the thyroid surgery.  It's the only thing that is keeping me going now.  I've got to be strong, and trust that the weight will start coming off again as my thyroid medication is increased.  My clothes are still baggy as can be.  I don't know if it is my wishful thinking, or if anyone else can see it, but it seems that my clothes continue to get bigger and bigger on me, as though I'm still losing weight, but the scales just aren't showing it.  I just knew that I would see a loss this week.  Instead, it is a 1 pound gain!?!  I just don't understand how it is possible. 


I go back to the weight loss center in about a week and a half.  I know they understand that I'm going through a valley right now, but this will be the first time since I've been going that I will not have a significant monthly weight loss.  It's just so stinkin' unfair!  And it will be my 6th appointment, which means that my case is very close to being turned over for insurance approval.  I wanted so badly to have 80 pounds off before a surgery date.  I suppose that could still happen, if my medication will allow it, as I'll have to delay a surgery date until my hormone levels have stabilized and my body has recovered from radiation.  Dental work is going to factor in some further delays, too.  

I must keep on keepin' on and pray for God's will.  I'm glad my Lord's walking through this valley with me!  He may have to carry me soon.......

Friday, July 1, 2011

Meet My Beautiful Family!

Sitting on floor:  Brandon, Brenna, James;  Standing: Jeremy, Tabi, Pam, Gary, Wanda, Darin, Andy;  Seated: Daddy and Mama
Thank you Lord, for my amazing little family!  We have extended family scattered all over the United States, but for immediate family, this is our little family unit!  I love them so very much!

Thursday, June 30, 2011

Christmas 2010, highest weight ever!

4-29-11, 50 pounds gone!

4-29-11 50 pound weight loss

Day 133

I can't believe it has been 2 months since I have posted.  So much has happened, I don't even know where to begin.  It took a very long time to get an appointment with a doctor who would take my insurance and decide what treatment would be necessary.  I didn't have any thyroid replacement hormone during this entire time, so my levels being totally depleted left me lethargic, exhausted, and weak.  My skin is drier than the Sahara, my face has gotten puffy with under eye bags, my voice is hoarse and raspy, muscles ache, and the constipation---good Grief!!! This entire journey (thyroid) has been one roller coaster ride after the next!  I didn't have any weight gain through all of this, but I certainly didn't lose any either.  I just hit a wall.  My appetite was gone, and had to force myself to eat.  It was a struggle to get 600 calories in a day, but I didn't lose weight.   

The discussion towards radiation went something like this:  you may not have to have it; you definitely will have to have it; no, you absolutely will not have to have radiation;  well, we just don't know if you will have to have it or not;  no, there is nothing there to indicate radiation is necessary; to finally----yes, you are going to have radiation.  Bear in mind that I am in the "dangerous" degree of hypothyroidism, and it takes much more effort for me to process information in this fog that I live in lately.  The doctors have had me in such a turmoil, I can't even describe it!

I did indeed have the radioactive iodine on 6-24-11.  I stayed at Mama and Daddy's where I could have a bathroom all to myself, and be away from others while I was 'hot.'  Hee, hee!!  Imagine that:  I was actually 'hot' for 3 whole days!  I'm to exercise common sense now, and not get in crowds or around children nor pregnant women.  I guess I'll be staying home this Sunday, again, and watching Liberty Baptist Church broadcast on the internet.  I'm so thankful that Liberty has so graciously extended this option to us!  It's been such a blessing!

As it turns out, I could have been on a low dose of thyroid medicine this entire time, but 2 different doctors told me I'd have to wait until after radiation.  Oh, well, I am on a low dose now and will be slowly raising the dosage over the next couple of months.  I can tell you, I can already tell a difference!  Can't wait to get to my ideal dosage and start to really feel better!  I probably won't know how to act!  The doctor says it could take up to 6 months to fully reach goal levels, but I refuse to believe it will take that long!

The Endocronologist that I am seeing is just awesome!  She is a tough cookie, and I wouldn't want to make her mad!  She knows her 'stuff' though!  The only foreseeable problem that we are going to have is that she is insisting that I drop out of the weight loss program and concentrate on getting through radiation and getting my levels up.  I understand the importance of this, honestly, I do.  But quitting the program----well, that's just not an option!  I am 5 months into a 6 month program!  Just too close to the prize to simply quit!  Now, if it means a delay in the process for a few extra months, I can do that.    Oh, yeah, I nearly forgot another issue.  The Endo doc found a spot in my mouth that she is worried may be some kind of oral cancer.  Oh, great!  Now that I've had radiation, I can't see a dentist nor have any kind of invasive procedures for 6 weeks.  I just get to sit here and worry about it for another month!  Can I say just how much I hate roller coasters?!?!

You know, my Lord has brought me through so much!  He has been my strength and my shield!   He has never let go of my hand!  Why would I ever doubt that through Him, everything is possible!  So, "6 months to reach goal thyroid levels" well, I turn you over to the Lord!  And "oral cancer scare," I turn you over to the Lord!  I claim my healing!  Satan, you would like nothing better than to interfere with the progress and success that my Lord has already provided and promised me, but even on your very best day, you are no match for my Champion!  Go and warm your feet by your own fire!  This girl is trusting and leaning on the Lord!  AMEN!   

Thursday, April 28, 2011

Thyroid Body Scan

Hello everyone!  My sweet, sweet Daddy drove me to Knoxville today to have the total thyroid body scan.  It was so nice to be in the passenger seat, and just enjoy the trip there and back.  I love to hear my Daddy's stories! 

Thank goodness the weather that went through Tennessee yesterday has all passed us now.  It was the worst weather event that Tennessee has seen since 1974!  That was a year before we moved to Tennessee from Indiana.  The last count that I heard was 129 reported tornadoes from this system, throughout several affected states!  It lasted several hours with one storm after the next!  It just wouldn't stop.  Some folk in parts of Knoxville had hand-sized hail!  Yes, Hand Sized!  There are photos and video all over the Internet about it!  Where I live, we had strong winds, heavy rain, thunder and lightning, but that is all, thank you, Lord!  We never lost power!  My directv was out most of the evening, so I listened to WIVK on the radio.  They did an awesome job reporting the weather, as well as letting folks call in and give updates on what was going on in the surrounding areas.  My prayers are with the people in Alabama where the worst devastation and loss of life happened. 

I'll see the surgeon on Tuesday to get the results of this scan that I had today.  I feel like it is going to be fine, as the fella who administered the test came back smiling and said that I didn't have to come back any more!  I thought: "Yeah!  You just told me that I don't have any more cancer in my body!"  I'll get the official word next week, and I can't wait!

My next weigh in is tomorrow.  I'm just hoping that I maintained the weight loss from last week.  I don't really expect to lose any more, but hey, I lost 11 pounds last week!  Maintaining that loss will be fine with me! 

Tuesday, April 26, 2011

Murphey's Law

I was scheduled to have a nuclear scan yesterday, Monday.  I got up early, got a shower, and was drying my hair when the phone rang.  Considering it was 7:23 AM, I knew it had something to do with the test.  Turns out that the medication that was necessary to perform the test was on a damaged plane in Missouri due to a tornado.  So, the test was rescheduled for this morning.  We have major storms nipping at our heals----not a good day to be away from home.

It didn't take long to realize that something was wrong after I got to the hospital this morning.  Heads were together, the words 'thyroid scan' were being mumble all over, and a statement that left no doubt they were talking about me.  There was a miscommunication between the Dr's office and the scheduling department at the hospital.  The test that was ordered is only done on people who still have their thyroid gland.  The test that I was supposed to have required a larger dose of radiation.  After taking the capsule, I would return in 2 days and then have the scan.  Long story short, the technician left no stone unturned until it was all sorted out, and cleared with the insurance company and I got the medication.

So, medication taken after a rather lengthy delay, and buddy, I'm ready to get out of there and go home!  Not so fast!  I turned my valet ticket in, and waited.  And I waited.  And I waited.  Approximately 15 to 20 people came got their cars after me.  I finally asked the fellas where my car was.  An attendant who took my ticket, apparently never pulled my keys!  (I'm pretty sure he was on his way to lunch, and just didn't want to deal with a car with a flat tire.)  When my keys were pulled, there was a note attached that said I had a very low tire.  I started to cry, because here I am:  I'm still recovering from surgery, and I can't change a tire.  I couldn't have changed a tire if I hadn't had surgery!  I told them I didn't know what I was going to do.  One attendant said that security would change my tire if it were flat.  So, I felt a tad bit of relief.  The joke was on me, when the attendants didn't call security, and told me that I would have to drive to the Pilot and air up the tire.

I made it to the Pilot and tried to get someone to help me.  I was crying so hard, I could barely talk, but absolutely NO ONE would help me.  I told them I didn't even know how to use the air pump and the girl simply said it takes quarters.  OK!  Good!  It takes quarters, that tells me exactly how to use it!  So I scraped up 4 quarters and loaded the machine, but no matter what I tried, I couldn't get any air to go into the tire.  I had a melt down!  I had to call Darin and asked him to come to Knoxville and help me.  People drove by, and just looked at me as if to say, "Woman, you know you got a flat tire?  You need to change it!"  Where are all the good Samaritans in Knoxville?  A motorcycle cop rolled up and asked if I had called, and did I need help, but before I could tell him that I didn't call, but I DID need help, dispatch told him where he was supposed to have gone, and off he went. 

Darin finally got to me about 45 minutes later.  He tried to get air in the tire, but apparently the tip that was supposed to be on the hose was missing.  The only thing he could do was put the spare tire on.  He had so much trouble trying to figure out the crazy jack.  After about 35 minutes of frustration, he got the car jacked up, and got the tire off.  But, when he was loading it into the trunk, the car rolled off the jack!  It almost rolled into the front of Darin's truck, only missed it by about 2 inches! I was praying that God would send us a good Samaritan, but everybody just looked, and drove on.  He was finally able to get the car back up, and put the spare tire on.  I walked back to the Pilot, and asked a nice fella if he knew if there were a place nearby where I could get a tire fixed, and he told me how to get to Pep Boys.  It was only about a mile away.  Thank you Lord!  I knew I couldn't drive all the way back home only going 45 miles per hour on the Interstate!

I sat in Pep Boys, and convinced Darin to go on back home and go on to work.  He would be late, but not too much, I don't think.  I sure appreciated all that he did, frustration and all.  I suppose I waited about 45 minutes, and was told that my car was ready.  Now, I only had about 25 dollars to my name, and I didn't know what I would do if I needed a new tire.  But, the nice clerk told me that I had a leaking valve stem, and there would be no charge!  Thank you Lord!  Here was my Good Samaritan!

I've tried to look on the brighter side of most situations.  If I get behind a slow car, forget something and have to go back home, get stopped by every, single stop light, then perhaps the Lord is sparing me of trouble that I could potentially be in up the road. I was really upset over the neglect of others to help another in need.  In the end, I got what I prayed for!  I believe herein is another lesson learned.  God worked, just like he said he would----on His time, not mine!  Thank you Lord!

There is a painful truth, however.  Had I been a pretty little whisper of about 140 pounds, people would have been bending over backwards to help me!  I know this and it hurts more than I can say.

Friday, April 22, 2011

Day 64 of Diet

Today is day 64 of my diet, and I have lost 51 pounds!  But, I'm sure 4 or 5 will come back, because I haven't had any appetite since surgery, and I've had to force myself to even get 450 calories per day. 

I saw the surgeon yesterday for a post-op visit.  I can leave the bandage off now, and start applying vitamin E several times a day.  Right now, the scar is looking somewhat keloidal.  It's raised and bumpy and quite ugly.  I hope it smooths out after some time.

The cancer was a stage 1 Papillary cancer.  There were several other words with it, but I dare not try to quote them without a copy of the report to refer to.  I have to have a nuclear test next week which will tell if I need any radiation treatment.  I'd have to move out of my house, and in with my parents so that I could have a bathroom to myself, and be away from all family members.  The radiation is shed through bodily fluids.  I can't get within several feet of people, and will have to eat with all things disposable.  Not to mention, I'd be leaving my house to my two sons who don't like to do anything close in appearance to housework!

I'll see the Dr again toward the end of next week to get the results.  Please keep me in your prayers.  I asked the Dr. if at sometime in the future, the lack of a thyroid could potentially cause me to gain weight, or make it difficult to lose weight, and he said that it wouldn't affect it at all.  Just keep doing what I'm doing. Right now, I'm really struggling.  I know I need to get more nutrients into my body, but I just can't eat.  I don't think I've ever experienced any prolonged time of inability to eat.  This is new to me, and to be honest, I don't much like it.  Sure, the weight is dropping off, but will it stay off when my appetite returns as it were pre-surgery?

More and more people are noticing my weight loss.  I had to go to the pharmacy today, and I ran into a dear friend whom I haven't seen in a while, and she commented on my weight loss.  It makes you feel good when people acknowledge you hard work!

Tuesday, April 19, 2011


I know, not pretty!

Complete Thyroidectomy--Thyroid Cancer

I am 4 days post-op from a complete Thyroidectomy due to thyroid cancer.  I was nervous going into the pre-surgery holding area, so I was grateful when the wonderful 'La La Land' injection finally went streaming through my veins!  I remember the nurses positioning and stabilizing my arms, then realizing I was being rolled toward the elevators in the 'new' part of the hospital.  I knew when the elevator doors opened that we were on the 4th floor, and they rolled me into a room with a glass wall---ICU.  I remember the position of the nurses station, and immediately knew that I was in the same room that my grandmother was in after her massive stroke.  But, I was OK with it.  Thinking about it now, I could cry, but at that moment, I found it rather comforting.

After a few minutes, my family came in to see me, and they saw the confused look on my face as if asking why was I in the ICU?  Mama told me that the hospital was full, therefore it was in overflow mode, and the ICU was the only place they could put me.  Talk about a gigantic "WHEW!"  Then I looked at the clock and saw that it was 6:30 PM, and I knew I went into the surgery suite at 1:15.  One of my boys realized I was upset about the time, so they had to tell me that the surgery was a lot longer than expected.  Mama told me then, that it was cancer, so the surgeon had to take the entire thyroid out. 

Everyone had left the room when I felt the nausea coming on, and I knew I what was coming.  I didn't have a call light, so I started banging on the tray that they had rolled up beside me, as I could barely make a hoarse whisper.  A nurse finally heard me, and I told her what was about to happen, and she tried to get the "courtesy pan" and remove the goodies out of it, but she didn't get all the plastic off of it, so much of it went down the front of me, all over the bed, and the icepack.  This is the first time in many years, since the addition of nausea meds and reflux meds have been administered before and after surgery, that I have gotten that sick from anesthesia.  So they got me cleaned up and a new ice bag, a big dose of Zofran, and Lortab, and about an hour later, a shot of Morphine.  This kept me comfortable for only about 3 hours.  I couldn't have any more medicine for 3 more hours.  Needless-to-say, I was miserable.

It's true what they say, the hospital is the worst place to be when you are sick, and need to sleep through it.  I'm not like most people.  The magnitude of drugs that they pumped into me should have knocked me out for hours!  Not me, no, it has the reverse effect on me.  But it wasn't the only thing preventing me from sleeping.  Though the staff were good as can be to me, they saw to my every need, and did everything they could to see that I was comfortable, they talked as loud as they would in their own homes, even yelled to one another from across the ward!  One nurse came into my room, when I had just dozed off, yelling something to the other male nurse in another room! I nearly jumped out of the bed!  People are there because they are sick, and though it's not the staff's time to sleep, it is the patient's time to sleep!  Why is this so difficult?  Now, I'm at their mercy, so I don't say anything, because I knew I would continue to need help through the night.  I just knew that no matter what, I was getting out of there they next day so I could get some sleep at home!

I slept well the first night at home.  The pain meds were doing enough that I could sleep, but I was no where near pain free.  The next morning, Sunday, I managed to watch a little bit of Liberty Baptist Church's broadcast on the internet.  I couldn't sit up long enough to watch all of it, though.  I had to lay back down.  When I got up, I knew that I had a fever.  So, I took some medicine, then got in the shower.  The fever didn't come down.  Chills set in next, making the pain I was in magnified by 100!  So, it was a trip to the Hospital ER.  They were very busy, and I understand this, but I layed on that hard gurney for nearly 2 hours before they did anything.  My Mama had to go out and nearly drag the nurse in because I was having a meltdown, crying uncontrollably, fever spiking up, pain out of this world and a raging headache!  The nurse finally drew my blood.  They couldn't do anything until they got the results back, which took another hour.  If they had only drawn my blood when I first got in there........

I was given a CT scan with contrast, don't know why, but an hour after that, I was told that it was clear.  The only thing they found was a slight white count elevation.  So they started me on a sulfa drug, gave me a shot of Zofran and a shot of Stadol, which made me high as a kite!  But, my pain was finally gone!  The boys said that I was saying crazy things, even refused to get into Darin's truck because I didn't think it was his truck.  He said I pointed to Andy's truck, and said:  "There's your truck!"  I guess I was messed up!

All those drugs, you guessed it, no sleep that night for Wanda!  I forced myself to stay awake all day Monday, so that I could sleep that night.  It worked.  I slept very well!  I think I overdid it by talking so much yesterday.  So, today, I'm going to try more voice rest, and see if my voice will return to normal in a faster manner.  My voice is lowered about an octave!  Folks, that is 12 half steps, or 6 whole steps on the piano!  It's insane!  Right now, I can't sing, not a lick!  I have only about 3 tones to my voice.  There is no rise and falls, just monotone.  I surely hope this isn't permanent!  When people call, they can't believe they are talking to me!

Thank you everyone, who has been so faithful to pray for me!  I know that the Lord was holding my hand through this, and He hasn't let go!  I praise Him!  Your support through this ordeal has been priceless!  Thank you Lord, for your faithful children, my brothers and sisters in Christ!

There is so much more to tell, but I'm exhausted from sitting here.  More later.

Thursday, April 14, 2011

Day 56

Here I am at day 56, and I have lost a total of 42 pounds!  I am well pleased! 

I attended the mandatory seminar last evening.  It was definitely informative, however, I don't recall anything being mentioned that I didn't already know from all of my research and chronic YouTube video views! But, it is one more thing to cross off the lists of 'must dos' and still there are several more.  I did find out last night that there may in fact be more 'must dos' before the surgery can be scheduled.  I thought I may breeze by without having to see a cardiologist, but it turns out that it probably will be recommended.  It's OK, I suppose, I guess I just wanted to hurry up and be post-op!

Tomorrow is my thyroid surgery.  I am getting so scared.  I feel like my 'insides' are jello, as if I am trembling.  All I really want to do today is cry, but I have so many things to do, I don't have time to cry.  I have to get Mama and Daddy's groceries, and I want to get to Kroger and get some Greek yogurt. A good friend at church told me about it, so I thought it may be good to have it one hand after surgery so that I can get more protein, if I have difficulty eating.  I probably wouldn't be stressing so much, but I know what my Mama went through.  Mama was in agony with pain in her neck.  It was necessary to hyper-extend her neck during surgery, in order to gain access to the masses.  Like my Mama, I have a terrible neck!  I've had 2 whiplashes, and there is narrowing of the cervical spine that will one day have to be addressed surgically.  I really dread what this hyper-extension is going to do to me.  Dear Lord, please hold my hand through this and protect me and comfort me...... 

Friday, March 25, 2011

Thyroid update

Ok, I saw the surgeon concerning my thyroid nodules.  My fears are confirmed --- I have to have surgery.  There really doesn't seem to be any other way to confront the issues.  Because such a tiny amount of tissue was extracted from the last biopsy, there is a chance that the pathology report may be a false negative.  The nodule in the right lobe is considerably larger than the last scan in November last year.  The 2 nodules in the left lobe have also increased in size.  While he has me in surgery, he is also going to remove the mass in the dip of my neck.  It is about the size of a golf ball.  He thinks it may be an enlarged lymph node. 

I would be lying if I said that I am not scared.  My mother went through a life altering thyroid surgery in August last year that has left her unable to talk.  She can barely talk in a coarse whisper.  Not only this, but I remember the complete agony she was in immediately after surgery. Her neck had been hyper-extended during surgery, but it was necessary in order to get to the 3 huge masses. (The right side mass was the size of 1 man's fist, and the 2 left size massed were the size of 2 mens fists and had grown inward and downward behind her breast bone.) It was heartbreaking to see her in so much pain.  I'll never forget how bad it was for her.  I have a really bad neck, so I fear the pain that I could potentially be in.  But, I don't have masses of that magnitude either.     

We won't know until the next day if it is cancer.  The Dr. said that he would probably keep me in the hospital over night, and that way I'll already be there if the diagnosis comes back positive for cancer.  If it is, he will take me back into the OR and remove the entire thyroid.  Oh, Joy!  He also said that he has never had a patient to lose their ability to talk, so that makes me feel a little better.  He assures me that this should not affect my anticipated gastric bypass surgery.  I have the utmost confidence in my surgeon, but I still want to run it by the practitioner at the WLC at my next appointment. 

Now for a brighter note:  I have lost 31 pounds total!  I was absolutely shocked when the scales showed an 8 pound loss this week!  I'm tickled pink!  I can tell it in my clothes, now.  I'm actually wearing a size smaller in pants, and I can really see it in my face! The staff at the WLC are going to be so proud of me!  I can't wait till my next appointment!  I have purposely set my surgery date for a few days after the seminar that I'm scheduled to attend in April, just so that I won't miss anything!

I'm doing so good, with not eating after supper!  The Lord is truly holding my hand through this, because I was a chronic nibbler from about 4PM until I went to bed at around 2AM.  I have experienced a few days where I could have eaten the baseboards!  But, that has only been a couple of times, and I worked through it.  One night, I just went on to bed and read.  That worked. Another night, I knew that I was on the brink of a binge if I didn't do something!  So, I steamed a package of broccoli, and ate the entire thing, which was only 125 calories---opposed to 5,000 or more that a binge would have led to, and I was satisfied!

One day at a time............

Wednesday, March 9, 2011

It's always something........

Well, I heard from the surgeon's office today.  The nurse said that he would like to have me come in and discuss the findings and decide what to do next.  Ok, obviously something showed up, and the nurse couldn't tell me over the phone exactly what it was, just that they want to keep a very close watch on me, since my mother had thyroid cancer last summer.  I have an appointment 2 weeks from today, giving me 14 more days to worry that something is going to interrupt my progress towards gastric bypass surgery.  My worry up until now, was that I would get right up to the last few weeks before approval, and my insurance would suddenly decide that they are no longer going to pay for the procedure, knocking me out of getting it.  Now I'm going to be worrying that another health issue will be the culprit instead.

I didn't see this coming.  I had actually forgotten that I needed a follow up ultrasound.  My numbers were good (thyroid) so I didn't have my guard up in anticipation of something to show up again.  I really don't want to sound like a whiner, but if you were in my shoes you could understand better.  I've been obese nearly all my life.  I lost weight in '94-'95, 200 pounds to be exact, so I know what it was like to be slim for 3 1/2 years, before I started gaining it back.  I made some miserable mistakes, and the consequences of those mistakes have certainly kept me humble, and unable to stay on a proper, healthy eating plan and exercise.  I'm doing so good, now, and I just can't stand the thought of being derailed.

"Learning to lean.  Learning to lean.  I'm learning to lean on Jesus.  Finding more power than I ever dreamed, I'm learning to lean on Jesus."

Tuesday, March 8, 2011

Encouraged!

I had my second appointment at the WLC yesterday.  I have lost 14 pounds!  I am thrilled!  The staff is thrilled as well!  I'm told that it is unusual that someone actually does what they are told to do, and returns with such an impressive weight loss!  I am determined!  I will not quit!  My resolve is strong!  I will be healthy!

I've been worried that I may not get approved for the surgery, but I was assured that everything seems to be moving in my favor.  It still is not a 'done deal,' but I think that the WLC will be as shocked as I will be if it doesn't work out.  I have to wait for 6 months and still jump through a few more hoops before I'll know.  During this 6 months, I can lose all the weight I want to lose, and not have to worry about losing so much that the insurance company will try to keep me from going through with the surgery.  It makes me feel so much more at ease to know that the staff will represent me and champion for me until we make this real!

I'm still doing very well, having very little hunger issues.  The only time I'm getting hungry is when it is naturally time for my next meal.  Thank you Lord!  I'm drinking tons of water.  I hope to try some light exercise while seated in a chair.  I can't even stand long enough to wash dishes, so the only way I'll be able to do any at all will be while seated.

I can really tell a difference already!  Because I'm not eating such calorie dense foods, my stomach feels better, and I've even reduced the amount of acid reflux medicine by half.  I haven't had any hot flashes since I changed my diet.  The doctor said that studies have shown a distinguished link between the consumption of sugars and the frequency of hot flashes. 

Now on a different note:  I had a follow up ultrasound on my thyroid, today.  Almost 4 months ago, a cold nodule was diagnosed on my thyroid.  During the biopsy, several CC's of fluid was drained from it, and Praise the Lord, there was no evidence of cancer!  I'm a little concerned, as I could see the monitor this time during the ultrasound, and I saw either several different marble sized dark round spots, or the same one from different angles.  I know that the tech was taking a LOT of measurements.  I hope I find out the results this week. 

So that's it in a nutshell.  I am definitely encouraged, and don't have to go through the next 5 months so stressed out.  Better health is not too far away, and I can already see the outline of it several miles away yet.  I'm in it to win it!

Tuesday, March 1, 2011

I'm Eating Tofu!

You have to know just how serious I am about this diet when you see me say that "I'm eating Tofu!"  It's not too bad!  I made a very health conscience breading of bread crumbs, Parmesan cheese, and pulverised imitation bacon bits!  I marinated the sliced tofu in a cup of double strong chicken broth for about 4 hours to give it some flavor.  I lightly sprinkled the breading over all sides, then 'fried' in a nonstick skillet with a little cooking spray.  It is different, for certain!

I haven't blogged since I weighed on Friday February 25th.  I'm so happy to report that I lost 8 pounds!  The healthy eating is going very well.  I have had only a couple of episodes where I was really hungry but me and Jesus worked through it!  My carb intake has been extremely low, but I tell you, I don't miss them at all!  When my evening meal consists of 4 oz of meat (and it's really more than your mind will tell you it is) and 2 cups of steamed broccoli (or cauliflower, tomatoes, onions, carrots or cabbage or any variety of) how can anybody still be hungry after that?  I also have to fit a fruit in there too!  I'm usually so stuffed after eating, that I'm still stuffed when I go to bed 5 or more hours later!

I can already tell a difference in the way that I feel!  I think of it as a detoxification of my body.  Everyday just gets a little better.  I don't miss the sugar at all!  Praise the Lord!  I pray that He will take my desire for sweets away from me, completely!  Sweets have always been my great defeat.  Chocolate is to me as alcohol is to an alcoholic.  It has always been that way.  I'm fine if I never eat another fried food, or potato chip, but chocolate will always be the tempter for me.

I am faithfully taking Calcium with vitamin D, and a multivitamin everyday!  I split the horse pills into quarters, not because they are hard to swallow, but because I remember a fella who worked for Harriman Utility Board telling us that one would be surprised if he/she could see how many vitamins and calcium pills get flushed down the drain, having not dissolved in the body first.  (Don't mean to be graphic.)  I figure quartering them will result in more exposure of the internal surface of each pill having a better chance to dissolve instead of ending up in the septic tank!

The Lord has truly blessed me!  My resolve is stronger by the day, and I know that with Jesus, I can do anything.  Luke 1: 37--For with God nothing shall be impossible!      Philipians 4: 13---I can do all things through Christ which strengtheneth me. 

Monday, February 21, 2011

Wrapping up Day 4

Day 4 is coming to a close, and Praise the Lord, all is still well!  I am truly amazed that I'm not having bad cravings and hungerpangs!  I even tossed out a bottle of fudge sauce and a chocolate poptart!  Now that's strength from the Lord!  I think I have most all of the tempting items removed, now. 

I'm looking forward to trying some new recipes.  I want to try some tofu!  We will call this 'interesting' and not gross!  I've actually found some pretty tempting recipes on the Internet.  I've also found some really good web sites for people like me who are trying to diet on a low budget.  I'm encouraged  even more, now that I see that others have found a way!  I'll share some of these in future posts.

I'm keeping up with my food journal.  The food guides that I received from the weight loss center (I'll refer to this as WLC now) have been great!  Ok, here's an example:  a one hundred calorie portion of cooked broccoli is 2 cups!  Yeah, put 2 cups of steamed broccoli on your plate!  There won't be room for anything else!  I'm telling you, the quantity of food that I can have is phenomenal!  I won't have a chance to be hungry!

I will weigh in no more than once a week.  Speaking from experience from a past weight loss adventure, it is dangerous to weigh yourself every day!  Some may disagree with me, but if you have, or have ever had an eating disorder, you will understand the dangers that are crouching in the corners of one's mind when you get discouraged, or desperate.  I've even considered not weighing myself here at home at all, and just wait for my monthly visits to the WLC.  I guess this is something that I will figure out as I go along.

Saturday, February 19, 2011

Day 2

So far so good!  The hardest thing that I'm dealing with is coffee with no creamer.  I really think that I'll have to simply do away with coffee all together, as I just can't stand it with skim milk, or sweetener, or heaven forbid---straight up black!

I was told that snacking is a no-no.  For the life of me, I don't understand why?  Perhaps after surgery, that will be a must, but right now, I can't make it without a couple of snack per day.  I'm actually dividing the food that would make up each meal into a couple of light meals.  For example:  the apple that I would have with breakfast, I'm saving until a couple hours later to have as a snack.  In doing this, I'm having very few hunger pains.  I think that 'head hunger' will eventually be more of a problem.  Right now, I'm dealing with it.  Perhaps it is the 'honeymoon' phase of the beginning, or perhaps it has something to do with the Farmers Almanac actually being correct!  Whatever it is, I'm sure that the real credit belongs to my Lord, who has given me the strength to face each day when it would be so much easier to pull the cover over my head as stay there.

It is going to be difficult to have a variety of food in my diet, as my income is so low, and I just can't afford it.  I'll end up having tuna fish, instead of talapia or flounder.  Fresh fruit, this week is a bag of granny smith apples.  Everything else was just too expensive.  If it were only more affordable.......but then, if it were, we probably wouldn't have so many obese folks out there needing this help!  We live in the land of opportunity, to the point that we have shot ourselves in the foot. 

  

Friday, February 18, 2011

So it Begins

Today, I started my diet to lose the required amount of weight before weight loss surgery can be performed.  I chose this day in a scientific way:  I consulted the Farmers Almanac!  According to the Farmers Almanac, today is the best day in February to begin a diet to lose weight.  Don't laugh!  I consulted the Farmers Almanac in July 2009, in order to see what day would be the best to quit smoking.  Turns out, that particular day in July had already passed, so I looked into August.  The August date was the 12th.  I'm proud to report that I have been smoke free since 8-12-09!

I wanted to quit smoking, so that I could pursue weight loss surgery.  I had been told that one had to quit for 6 months before he/she could be considered for weight loss surgery.  I made the commitment to quit, only to find out 6 months later that no weight loss surgeon in East Tennessee took my insurance.  To say that I was devastated would be a gross understatement!  I cried for weeks, as I was sooooo ready mentally to charge ahead!  I had all but given up, when a year later, a sweet friend discovered that there was a way after all! 

Several circumstances prevented me from making the appointment with the Weightloss Center in August.  (I'll address those in future posts.)  Long story short, I saw the practitioner on February 2, 2011.  It is not absolutely certain that I will be approved for the surgery.  I am praying that the Lord will see fit to allow this to happen for me.  I want to be healthy for so many reasons.  I'll post most of them in future posts as well.