Getting "Stuck"

I have encountered one of the least pleasant side-effects of the band a few times now that I've been eating solid food for a while. Getting Stuck. Uck.

If I eat too fast and/or don't chew my food well enough, it can get stuck in my stoma-the small opening created by the band between the small pouch (upper part of the stomach) and the rest of my stomach. This results in a very uncomfortable sensation of extreme pressure in my chest which lasts for 10-15 minutes until the food works its way through, or comes back up...also known as a "PB" or productive burp (this has not happened to me yet). It is annoying, and painful, but it is a very powerful reminder to chew, chew, chew and slow down...which I should be doing anyway!

On another note...lots of folks are curious about how much weight I've lost..I think I am down around 25 pounds now, but I like to go by my doctor's scale for my official weight. The last time I saw him was on June 11 and I had lost a total of 20 pounds. My next appointment is on July 25th. I will definitely let you know the "official" new total then.

Free Yourself Portion Distortion

I'm always one to look for the easier way to do things. This holds true to trying to figure out serving sizes. Sorry, I'm just not too likely to pull out a food scale or measuring cups everytime I eat. Here is a "handy" guide to portion sizes put together by Witchita State University.

http://education.wichita.edu/caduceus/examples/servings/handy_reminders.htm
One of the easiest ways to visually estimate portion sizes is to use an everyday item that you carry around with you all the time, your hand.

-1 ounce of cheese is about the size of your thumb
-A teaspoon of margarine is about the size of your thumb tip
-1 cup of milk, yogurt or chopped fresh greens is about the size of a small hand holding a tennis ball
-1 oz nuts or small candies:About one handful
-2 oz chips or pretzels:About two handfuls
-1 cup: About the size of a man's fist
-A ½ cup of cut fruit, cooked vegetables, pasta, rice is about the size of a rounded handful
-3 ounces of meat, poultry, or fish are about the size of a women's palm
-1/2 cup of cut fruit, vegetables, or pasta is about the size of a small fist
-One ounce of snack foods--pretzels, etc. equals a large handful

Because hand sizes vary according to body, size, gender, and age, it may be easier to estimate portion sizes using some common household items.

-One piece fruit or potato: About the size of a regular (60 watt) light bulb
-One-half cup of vegetables is about the size of a light bulb
-1/2 cup: about the size of a racquet ball
-One cup of pasta is the size of a tennis ball
-3/4 cup: about the size of a tennis ball
-1 fruit serving = ½ cup canned or 1 medium fruit: is about the size of a tennis ball
-1 1/2 - 2 oz cheese: About the size of a 3.5" computer disk or a tube of lipstick or three dominos
-3 oz. meat/poultry/fish: About the size of a deck of cards or cassette tape
-2 TB peanut butter: About the size of a golf ball
-One bagel is the size of a hockey puck
-A medium potato should be the size of a computer mouse
-One teaspoon of peanut butter equals one dice.

Inspiration

http://www.stvhs.com/east/services/weightloss_testimonial.asp

The above link is to a testimonial page from patients at St. Vincents Hospital's (Alabama) Weight Loss Surgery Program. Their stories are amazing and wait until you see how wonderful, healthy and happy they all look now!

Just a Quick Post

I am exhausted! It is 10:30 PM and for the 3rd night in a row I'll be getting to bed waaaay too late. I love my job, but early mornings are really hard for me. As the week goes on and the sleep deficit accumulates, it gets harder and harder to get going in the morning. All that to say...this will be a short post.

I know that many people are following my progress. I find this to be such a great honor and source of encouragement. And, I don't want to leave you hanging! So, here is the latest.

As I already mentioned, my first fill was last Thursday. I had to go back to full liquids for a couple of days to give my stomach a chance to adjust. Now that I've been back on regular food for a few days, I can definitely feel a difference in the amount of restriction. Before the fill I had gotten to where I could pretty much eat as much as I wanted and I was having to really work hard not to over eat. But now, the band is starting to do some of that work for me. If I eat too much, too fast or if I take too big of a bite or don't chew well enough, I get an uncomfortable sensation in my upper chest. The food just kind of hangs there until it can start working it's way through my stoma and into the bottom portion of my stomach.

My head has not really caught on to the idea of my smaller stomach, however, and I still try to eat more than I can. For example, today's crazy schedule had me hitting Wendy's for lunch. I ordered one of their new "Go Wraps" which is basically a chicken tender, cheese, lettuce and ranch dressing wrapped in a tortilla. It's pretty small and I thought I would still be hungry, so I also ordered a small chili. Needless to say, the snack wrap was all I needed to be completely satisfied. But, I didn't want to waste the chili (duh!) so I tried to eat it. I got a few spoonfulls down, but that was it. I let Andrew have part of it and then ate the rest a couple of hours later.

This is a learning process, so I am trying to be patient with myself. I still feel that I am making really good progress and I am very happy with the way things are going. I am also confident that when my head, my stomach and the band all start working together, it's gonna be great.

First Fill

Today I saw Fuzz and had my first "fill". This is when he injects saline to tighten my band. I was ready because my hunger had really kicked back in. I was able to eat more than a cup of food at a meal and was hungry just a couple of hours later. All signs that I needed more restriction.

The fill was quick and relatively painless. Fuzz located the port by pressing on my belly in the area where he placed it. Once he found it he used a needle to access the port and then injected about1.5 cc's of saline solution into the band. The port and the band are connected by a thin tube. He had already put in 3 cc's when he placed the band so now I have about 4.5 cc's of saline. I'm on full liquids again for 2 days until my stomach adjusts to the new level of restriction. Then I can start back on regular food and see what kind of restriction I have.

After my fill, Jeff the Psychologist met with me for a few minutes. He said I seem to be doing really well and was pleased with my progress and my outlook. He reminded me about the June Support group meeting. I am hoping to attend this one.

So far I have lost a total of 20 pounds. That didn't seem like a whole lot to me until I picked up a 20 pound bag of dog food the other night. WOW! That put into perspective how much weight that really is! No wonder I already feel so much better. I am hoping lose around 120 ponds total, I am now 1/6th of the way there. 1 bag of dog chow down, 5 more to go!

BEWARE THE SONIC SMOOTHIE!!

I took the kids to Sonic after school today for some frozen concoctions as a last day of school treat. I scanned the menu for something that looked good but healthy. I decided to have a one of their real fruit smoothies. According to the menu, it's made from real fruit, skim milk and fat free yogurt. So, I figured it was a smart choice.

NOT!

For starters, the consistency was more like a slush than a smoothie. It had big chunks of fruit in it. It wasn't well blended like a smoothie and it was less creamy. It was pretty good, but I had wished it was more smoothie-esque.

Anyhow, tonight when I logged in my calories on thedailyplate.com I was shocked to discover that the smoothie (regular size) has 500 calories and 98 grams of sugar!!! So, guess how many calories I went over by on my diet today? 500!! On a stupid smoothie! I could have had a large order of cheesecake bites, a large root beer float or a hot fudge sundae for less calories!

On the bright side, the smoothie does have a lot of vitamins A & C and calcium. But, so do my daily vitamins and they are calorie free!

So, after looking at their on-line nutritional guide (after the fact of course) I now realize that the best choice, if I should find my self at the Sonic Drive-In looking for something frozen again, would be the vanilla ice cream cone...180 cals, 6 grams fat and 20 grams of sugar. Certainly, it's not health food, but it's not too bad as a treat.

An Easy, Yummy, Filling Dinner --Bean Burrito

Tonight I wanted something heavy to eat...that would stay with me for a while. I also looked over my food diary at www.thedailyplate.com and realized that I haven't been getting much fiber at all. So I threw this together and it was SOOOO good. It would have been better if i had fat free refried beans and whole wheat tortillas. But I had to work with what I had on hand. The best part is that I bought everything at Aldi...making this a cheap dinner, too!

1 Flour Tortilla
1/4 cup refried beans
1/4 cup shredded Colby and Monterrey Jack Cheese
2 Tblsp. Sweet Onion Salsa

Place tortilla on plate. Spread beans on tortilla. Sprinkle with cheese. Microwave for 30 - 45 seconds, just until cheese mostly melted. Spoon salsa over cheese. Wrap up and enjoy!

390 Calories; 14 g Fat; 6g Sat. Fat, 39g Carbs, 3g Sugar; 9g Fiber; 15g Protien, 916 mg Sodium

Food Wars...The Return of the Appetite

WOW! I have been really hungry today! My appetite is definitely returning and I am going to have to be careful! I see Fuzz next Thursday for my first follow-up appointment and possible band adjustment and I think I am definitely ready for a fill. Each day, I have been able to eat a little bit more and today, eating is all I've wanted to do. Some of it has been "head hunger" (wanting to eat even though I'm not physically hungry) and some of it has been real, physical hunger.

My food choices today haven't been great either. Someone brought Krispy Kremes by the station and of course I had to indulge. So, I took a small piece of several different kinds...the total was probably slightly less than a whole donut. I also ate about 10 cheetos today.

But, I am not going to beat myself up. I need to focus on the positive, right? So, here is the good stuff. First of all, the old me would have eaten two or three donuts. Secondly, at my daughter's class picnic today, I steered clear of the chips and cookies and all of the goodies. I ate a hot dog with no bun, some hot dog chili and some fresh melon. Those were good choices. Then, for a snack I had some light string cheese and 2 slices of of low-fat turkey breast. I also had a small dinner. So, even with a few bad choices, I managed to eat just a little over 1400 calories. My daily goal is 1200. I'll walk a mile tonight and burn off those extra ones. Not the end of the world.

More than anything, I just worry that I will, once again, slip right back into old habits. Those cheetos tasted SO GOOD today! Even with the the band there is still that part of me that so easily loses control around food. Yes, I stopped at 10 today...but I worry about tomorrow and the next day. I just do not want to lose control and I really felt myself slipping today. I'll be praying about that! Hopefully, having a tighter band will help, too.

Another positive, I have been faithfully logging my food and exercise on a cool website called www.thedailyplate.com . It is so important to write down everything you eat when you are trying to lose weight and this website makes it easy to do so. Check it out!

What a Great Day!

Today was my first day back in the world of REAL FOOD. To celebrate, my sweet hubby got up extra early (which means about 4:30 AM at our house) and made me scrambled eggs with cheese and toast. He brought me breakfast in bed. What a guy! I ate the eggs like a champ. I nibbled the toast a little, but I'm supposed to be eating mostly soft things, so I left most of the toast on the plate. I did scrape the butter and jelly off the top with a spoon and eat that. What?!?! It was my first meal...gimme a break!

I have truly enjoyed eating again, but it takes a loooooong time. I have to chew everything to a pulp and eat very small bites. I didn't have dinner tonight because I simply did not have time to eat. I went grocery shopping at Aldi and then had about 15 minutes to get to my friend Jane's house for a walk. So, I made a protein shake and had that on the way to Janes. Believe it or not, it hit the spot.

Jane and I walked 3 miles in her neighborhood. I felt great the whole time. I love walking with her. We talk and laugh the whole time and I forget that I'm exercising. It's a great way to catch up with a friend and burn calories.

Jane is the first person who is close to me that I've seen since the surgery but that I don't see every day. The last time she saw me was the day I came home from the hospital. Tonight, she said couldn't believe the difference in me already. She made her husband come in and look at me. He also seemed amazed by how much weight it looks like I've lost. According to my scale I've lost about 20 pounds, so I was really surprised by their reaction. She said my face looked a lot thinner. In fact, her exact words were, "Oh my gosh Tami, you've lost a whole chin!" (to get the full effect you have to imagine her saying that in her beautiful British accent). I loved it! She and Dave made me feel SO GOOD!

It is so great to have friends who are happy when you succeed. I thank God for people like Jane, my husband, my mom, my kids, my co-workers, my good friend Terrie and everyone else who continues to be my cheerleaders through this. Because of them I feel so special and so loved.