Wednesday, July 28, 2010

“You are never too old to set another goal or to dream a new dream.”

- C. S. Lewis

10 months post-op and doing great!! As of last night I'm down 216 pounds from last April's high weight. Wow! I've now exceeded my goal and think I might be able to lose another 10 or so before moving into maintenance mode. Time for a new goal! I never dreamed that this could be me!! I feel great. I can eat pretty much anything now in "normal" quantities, the exception remaining fried foods. And I am very OK with that. My doctors are all happy with my progress.

My only physical issue results from a tumble I took at work about 6 weeks ago (yes, grace personified in front of several of my new colleagues). Last week I had 2 of 3 MRIs so far to try to identify the source of continuing pain in my left hip. I've not been able to walk pain-free since the fall, and Lord knows I never thought to see these words come out of my mind, but I truly miss walking! I had gotten up to half an hour to an hour every day and really, really miss it. I have great hopes that these latest MRIs will show something innocuous that can easily be fixed. At the moment of the fall I missed all that extra padding I used to have - until I realized that we'd have likely had to have the fire department paramedics come out to help me get up if I still add those extra pounds. I highly advise against falling after age 30...

I continue to enjoy my new job. I'm really impressed by the commitment to excellence my co-workers exhibit. I've hired some great new team members and am still looking for a couple more. I really like the start-up mentality compared to the old established culture - everyone wears lots of hats and there's never a dull moment. One or two dull moments might be appreciated, but I'll take the craziness over boredom any day! (I know, be careful what you ask for...)

John's job search remains frustrating. We have a couple of other friends with senior accounting backgrounds that are also finding this market less than hospitable. People with jobs aren't moving around much and contractor rates are coming down, down, down as employers have so many candidates to choose from. This too shall pass. In the meantime, it's been nice to have Chef John's famous meals almost nightly. Given the crazy weather we've had this year his garden is just now becoming productive so garden-fresh produce is starting to enter the mix. He's also had some fun renewing his bridge skills and working through some honey-do list items around the house.

Photo is of me last month helping to celebrate Gayle and Jim's 25th anniversary

Tuesday, June 1, 2010

Love


“There are four questions of value in life... What is sacred? Of what is the spirit made? What is worth living for, and what is worth dying for? The answer to each is the same. Only love.”
Don Juan deMarco (1995) as uttered by Johnny Depp

I think it's time to stop counting days after surgery -- it's over 8 months now and I continue to feel more wonderful seemingly every day!! Lots of energy -- it's quite grand.

As of today I've lost 196 pounds from last April's high weight -- truly amazing. Every time I think the loss is going to stop, it starts again, albeit more slowly than it was at first. I had some blood drawn for testing this morning, so fingers crossed those numbers will come back good in a couple of days. I saw my internist and she's hopeful we can knock another med or two off the list when those results come back. I see my surgeon and endocrinologist next week and hope they are happy too.

I'm still on my honeymoon with my new job -- I love, love, love it still. I hope I can hang on to that feeling for a while yet. My staff is great as is everyone else I've met -- a lot of people committed to doing the very best they can to make the company successful. Yes, it's a job, but the "feeling" of the people there overall is very positive, in spite of the hard work everyone seems to be putting in.

And of course I'm still on my endless honeymoon with John... I love, love, love him and always will! :) He continues to be my rock, not to mention chef extraordinaire. I am a little less picky about my food, but just a little. I still can't digest fat well so avoid that. My favorite dishes remain mostly vegetarian soups but I've found a strange (for me) new affinity for fish dishes -- quite odd for me. Our favorite Mexican restaurant makes a lovely chicken tortilla soup, and is happily modifying it by leaving out the tortillas and cheese for me so I'm getting some of those great seasonings back in my diet. And our local Thai place will make Tom Yum with scallops and extra vegies for me too. It seems I just need to ask and most places are willing to make the magic happen. It is very nice to be able to enjoy spices again. There are still some flavors I dislike, but if I like it, it doesn't have to be kept down to a pinch of this or that anymore.

The most recent downside to life lately is a broken tooth yesterday... yuck. I broke one over Memorial Day weekend several years ago too -- I hope the holiday's not trying to tell me something. It is unlikely to be related to the surgery -- the last broken one was pre-surgery and in a tooth that had a filling put into it the same day as the this one around 20 years ago.  I had a temporary crown put on today and the numbing injections are starting to wear off -- I've stopped drooling now. :) Of course it's starting to hurt a bit now too -- thank goodness for liquid Tylenol -- I suspect I'll be using a bit of that tonight. The permanent crown is due for installation in a couple of weeks.  

TTFN (for those non-chatters out there, Ta Ta For Now)

Photo is me last week with cousin Sophia (Phil and Christine Engstrom's 3 year old) at her and her twin brother Phillip's birthday party - and yes, it was very windy that day!!


Thursday, April 29, 2010

The secret to staying young...

“The secret to staying young is to live honestly, eat slowly, and lie about your age.” - Lucille Ball

Day 212 AS

What an incredibly fabulous glorious (add superlatives ad nauseum) day!!! And thanks to Lucy, I feel I can say I loved turning 33 today! ;)

I feel so very blessed on this birthday this year. As of Tuesday I was down 186 pounds from my high weight last April. I feel great! John and I went exploring today, the first exploration of which was to the Filoli mansion and gardens. While we were both struck by the abundant beauty, a couple of my favorite floral displays today included the garishly overblown (in the most fabulous way of course) tree peonies and the perfectly pruned wisteria. Our last stop of the day was at a local nursery where they still had some cut sweet pea flowers (the April birthday flower and one of my favorites!) for sale at an incredible bargain rate -- suffice it to say several bunches are now enhancing our table.

The VERY best news of the day is that our dear friend who underwent follow up to melanoma surgery last week got her lab results FINALLY today -- and the skin they excised around the cancer site and the two lymph nodes that were removed are all cancer free. Woohoo!! I was "reborn" on her birthday last year (my surgery day) and now we have great cause for celebration today on my birthday -- how cool is that?

The next best news is that I accepted a new job offer today and will start on Monday. The opportunity is VERY exciting. I'll be the Manager of Professional Services for a company that provides payroll, HR, benefits, time keeping and the like systems for mid-size employers. I interviewed with the VPs, the COO and the CEO last week and it feels like a great fit. I love the culture they are trying to instill and I know I can deliver a ton of value right out the gate. It's still operating with venture capital funding, but the last time I did this was at ProBusiness, and it turned out to be the very best job of my career to date. And the former ProBusiness CEO that took that company public is the CEO of this company... more cause for optimism, even in this yucky economy. John has a lead on a short term contract also, so with any luck at all we'll both be back in the work force soon... fingers crossed.

It sounds strange, but I feel like my weight loss helped a ton in landing this new exciting job so quickly. The company's in the same town as our home so is a wonderful commute. It's in a fairly large office building where it is the named tenant and inhabits the 3rd floor. Nice appointments... and very clean! I interviewed with the CEO in one corner of the building after which he escorted me to the COO's office at the opposite end of the building. A long walk at a nice clip -- and no huffing and puffing -- and no worry about having any either. This time last year I'd have had to ask him to slow down and might have even had to ask him to let me stop in the restroom on the way just to give me a moment to catch my breath... no issues at all of course. And I know I looked "right" for the job in my Jones New York suit.

Our support group this week was all about the numbers -- and statistically speaking, my numbers keep on continuing to get better. My BMI is still not normal -- I fall into the obese category still -- yet it's down to almost half of what it was this time last year... amazing. My waist circumference is still in the danger zone, but my waist to hip ratio is good now -- before it was bigger than my hips. I'm 26 pounds from a reasonably good BMI now and that feels so achievable. I'm down another size in clothing now -- and have hopes of going down one more yet. It's ALL good.

Thanks to all of you for your continuing support, not to mention the masses of awesome good birthday wishes I have received. Today has truly been special... thanks to all of you, and especially to my darling dearest John.

Wednesday, April 14, 2010

Ah ha moments -- sweet pleasures

"Partake in some of life's sweet pleasures. And yes, get comfortable with yourself." Oprah Winfrey

Day 197 AS

Happy birthday Mom wherever you are... I miss you a lot. You'll be glad to know it's a glorious day today! The sun's shining brightly and there's a cool breeze in the air -- I wonder if you requested it just for us? I like the thought if nothing else.

I'm doing great! I haven't been happier in ages. Support group last night was all about reminding us of the 10 good habits of successful weight loss maintenance. I'm still losing, but practicing those habits will no doubt stand me in good stead when the time comes that that has stopped. The three most important of the ten are exercise, 3 meals a day with no snacking and if you must snack for it to be a protein drink or a protein bar, and finally, no beverage with the meal and for at least an hour afterwards. Other than the first I'm doing great already -- exercise will no doubt always be the bane of my existence.

I'm officially on the record for minus 182 pounds now from last April's high weight, 60 before and 122 after surgery. John and I have had a chance to enjoy several day trips now in our couple of weeks of co-unemployment. Yesterday we went to Lake Berryessa but made a wrong turn and ended up at Lake Hennessey instead -- didn't even know it existed but it was beautiful and a lovely drive to boot! We ended up in St. Helena for a late lunch. My increased mobility is such a joy. John didn't have to drop me off and then hunt for a parking place -- I could easily keep up with him as we walked all over the down town area seeking our best option. Afterwards went to Dean and Deluca and drooled all over the fabulous food and wine offerings -- and I felt very grateful that I could live vicariously through the drooling on old memories without feeling any temptation to buy the place out and take all that decadence home!

I've had a few more fun ah ha! moments in the last couple of weeks too. The latest was today -- I enjoyed a yummy lunch with some former colleagues (it was great seeing them!). One wanted to sit in a booth -- I didn't think I could do it -- I haven't sat in one in an awfully long time because I didn't fit. And guess what? I do now!! :) It was nice having a cushy seat instead of one of those hard chairs.

I went clothes shopping in stores for the first time in years and years too. What an interesting experience. Being "normal" is an odd feeling -- realizing you have to try clothes on because even within a given vendor sizing is inconsistent. After trying on 40 "interview" garments, I came home with only three and felt a little disappointed. The next day I joined a friend at her home to try on her old "interview" clothes -- she's lost a bunch of weight over the last year and a half herself, is my height, and her high weight was about 10 pounds more than I am now. I discovered my problem looking for clothes the day before trying hers on -- I was looking at things that were too big! What a bizarre thing that was -- I was sure I wouldn't fit in any of her beautiful clothes when I saw the sizes, and surprised myself by finding many already fit and many are really, really close to doing so. She sent me home with suits, silk blouses, an evening gown and lots, lots more... What a wonderful friend!!! And better yet, we have similar likes in apparel -- I would have bought these myself had I come across them first and they had fit me back then.

My friend's timing was perfect as I had my first interview this Monday with a company that I'm very interested in and I believe is interested in my skill set too. I have been told I'll be invited back for further interviews which I take as good news. There are a couple of exciting opportunities, so fingers crossed!!

Another random ah ha moment: when John drives the Volvo he sits back really far and pulls the steering wheel back to meet him. In the past when he hasn't pushed the steering wheel back in and I get in the driver's seat it's bruised me badly as there wasn't enough room for my abdomen -- my key automatically moves the seat forward to my sitting position, but the steering wheel movement is manual. I got in the car after John one day and took off driving and it took a few minutes to even realize the wheel was too close to me -- my arms were not extended as I like yet there was a ton of space for my abdomen... it sounds odd, but it was a big ah ha moment for me.

And yet another random ah ha moment: my upper body strength has totally gone to pot. Not too surprisingly, Fern jumped on the thought in my last blog post of inviting me to her gym to check it out. I surprised myself a few times there -- some happily so. One less than happy was my upper body strength. Between the years and years of carpal tunnel syndrome issues, tendinitis, and that awful shoulder injury a couple of years ago, I've become quite a weakling. I'm going to have to add some strength training to my cardio work along the way here. I couldn't even do a shoulder press on one of the machine's without assistance -- even with zero added weight. Yikes. And we all know what a pain avoider I am -- I'll definitely be trying something different in the near term. Some of the good ah ha's though included finding how strong my legs are -- not surprising given all of the weight they've supported I suppose, but still nice to see -- and the fact that I could actually sit on some of the machines that I didn't think I'd fit on. I definitely have a warped perspective on my physical size -- I think my body's larger than it is now. It's one thing to know that, and another to really believe it. I suspect that one's going to take me quite a while to synthesize.

Tomorrow we're headed up to the Sierra Foothills to pick up wine for the next Tasters Guild dinner. The wildflowers should be spectacular -- fingers crossed. We did a day trip to Lodi last week and enjoyed lots and lots of mature lilacs in full, glorious bloom along with the first pink dogwood I've ever seen. Magnificent!! Fern and Roger are playing hooky with us which should make it even more fun. There's a cool day-lily nursery up there we'll visit -- not sure if they'll be in bloom yet, but no doubt there will be some grand sights to see.

Thank you for your continuing support and good wishes friends and family... sending lots of love and light right back to you...

Thursday, March 25, 2010

Hope

The Grand essentials of happiness are: something to do, something to love, and something to hope for. - Allan K. Chalmers

Day 177 AS

Today has been an "interesting" day. My work day started off with the dreaded white envelope and the words so many of us are hearing lately: "today is your last day of employment here." And remarkably, rather than feeling wildly emotional, I felt an incredible sense of relief -- like the Dementors have lost the battle and I've arisen victorious with joy and hope and optimism for a future that I haven't looked forward to in an awfully long time professionally. This in spite of now being a, as John coined it, 0ink family -- zero income no kids. He had a great interview himself yesterday, and although it may not pan out, there's hope that if this isn't the "one", the "one" will soon be coming his way. Now we need to hurry up and rush and see how much (cheap!) R&R we can squeeze in before the next round of insanity comes our way and enjoy some of this bench time together.

Does this mean I can no longer come up with excuses to not go to the gym with Fern? Hmmmm... I might actually have to consider it now! I feel more energetic already!! I've already threatened John with daily walks!! I'm going to miss Peggy threatening me, so I guess I'll just have to take on her role and threaten someone else instead -- pay it forward kinda.

Support group was good this week -- I'm now more than 170 pounds lighter than I was last April. Woohoo!! I suspect I might even look half way decent in that new suit or two I'll have to acquire for interviewing back in the real world. ;) I had been planning to start a new job search soon anyway as I've been so unhappy, but was holding back on investing in apparel until my weight stabilizes. Again, Fern to the rescue: buy a couple of good ones with good lines and get over it -- simply have them tailored later when I do. Sound advice. And shoes... hopefully these darn gout attacks will stop and I can wear some classy shoes instead of these lovely stretchy knit topped shoes. My feet have shrunk along with the rest of me -- it's all still a bit surreal to me.

Bumping up the protein intake has helped tremendously with my hair loss. While I still see some every day, it's lessened dramatically -- we're talking a few strands a day now vs. a few dozen strands a day.

John and I had fun toodling around town this afternoon, running errands together. I returned victorious to Tasters Guild tonight. The chef prepared a luscious sounding menu so I attended for the first course comprising some cajun-seared scallops over a bed of green papaya and other yummy things. It was so great to see the old gang, many of whom I hadn't seen since last April. The warmth of my reception was almost overwhelming!! The feedback was amazing -- the happiness for me and my new self surrounded me. I can't even begin to describe the feeling. Awesome awesome awesome!!

Saturday, March 13, 2010

82% (excess) fat free!!!!

Day 165 AS

This is the week for statistics I suppose. Some really amazing ones! I really feel like I'm doing very well and I so wish I had had this procedure performed years ago now!! That being said, you can't force this on anyone -- they have to be ready emotionally as well as physically, and I wasn't until last year.

Tuesday night's weight loss surgery support group was interesting -- a plastic surgeon came in to talk about body contouring post major weight loss. Wednesday morning I saw my surgeon for the 6 month post-op follow up and yesterday afternoon I saw my endocrinologist for our now back to quarterly visits. Following are the recaps:

Plastic surgeon: Cool guy in Danville. John joined me and we both liked his approach -- he includes occupational therapy with his procedures to limit your risk of injuries post-op and maximize your comfort. You know me, the comfort queen! This summer I'll go see him for a consultation -- I won't be ready for a year or so for any work, but it's good to start researching -- not to mention saving your pennies! The stomach and back lifts are $20K if performed at the same time -- yikes! Insurance may cover a small, small part, but it sounds like it's a long battle to wage. If money were no object there are so many things you can do it's amazing. No wonder Phyllis Diller became addicted to this! These guys really are sculptors. A little nip here, a little tuck there -- move this fat from one undesirable location to a more desirable location or take it out altogether. Fascinating.

Bariatric surgeon: She was really pleased with my progress. Here's where the stats start. As of Wednesday I'm down 168 pounds. I've lost 82% of my excess body fat. Triglycerides are still a wee bit high, but better than last time and still to be expected as I'm still losing weight rapidly. Vitamin D is at low end of normal range, and recent research shows that women who've had this procedure need to be at the high end of normal to help avoid osteoporosis so I'm adding some more Vitamin D to my supplement list. I'm not getting enough protein so need to bump that up more. It's hard now for me to do so since I still don't enjoy any meat, fish or poultry and I'm sick and tired of the protein drinks and powders, but I guess I need to suck it up and just do it. I got some new low carb protein bars and hope those will help. John's plying me with other options too (I love John!!). He made some more of my new favorite vegie soup and included some edamame beans in it -- delicious. It's not just vanity around my now-becoming-major hair loss, but it's also about losing fat instead of muscle -- not enough protein and muscle goes first -- not a good option obviously.

More stats: kidney and liver function tests along with all of the other metabolic tests -- all normal. Woohoo!! And another med is now OFF the list -- no more Prevacid. My new stomach should be healed enough now to tolerate food without help and I haven't had any signs of reflux in months.

Endocrinologist: Best news of all! My A1c (average blood sugar over the last several weeks -- normal for a non-diabetic is under 6 and for a diabetic like me is under 7) -- wait for it -- 6.1!!!!! This is awesome -- the lowest ever recorded for me I think. I'm still on one oral med for the diabetes, and may be forever, but this is so much better than two orals plus max insulin! We talked about reducing the dosage of oral med I'm on now, but I asked, and he agreed, that I will stay on this dose one more quarter and see what happens. The med I am on does not cause those dreadful low blood sugar incidents I used to get, so there's no risk there.

The other good endocrine news is that my thyroid is catching up with my new body finally so he reduced my thyroid supplement too. I have to retest in a month to see if we can take it down even more. I appreciate his conservatism -- when my thyroid level is too low I'm exhausted all the time, so I like taking the supplement down a little at a time and see what happens.

So that's it on the medical updates. As for personal updates, pretty much same old same old. John's new job search continues, not helped by the higher than the national average unemployment state in California. He is getting leads though, so there's hope! We had a few dear friends over to enjoy the Oscars on the big screen and had a lovely evening. My stupid gout attack is diminishing, so I can walk with limited pain again - yay. There continues to be more work on my plate at the office than this one human can perform so frustrations still abound -- this too shall pass.

It's a gorgeous day today thankfully after yet another day of torrential downpours yesterday. The hills are bright green -- you can see why the Irish named our home town Dublin! In honor of the upcoming holiday I'll close by sending the Old Irish Blessing to you:

May the road rise up to meet you.
May the wind always be at your back.
May the sun shine warm upon your face,
and rains fall soft upon your fields.
And until we meet again,
May God hold you in the palm of His hand.

Thank you for your continuing support, love and light!!

Saturday, February 27, 2010

Perseverence



"You've got to say, I think that if I keep working at this and want it badly enough I can have it. It's called perseverance." -- Lee Iacoca

Day 158 AS

Tuesday marked the 5 month anniversary of my gastric bypass. It was also support group so I weighed in and did the whole body fat analysis thing. I'm now officially down 163 pounds from my high weight last April, 60 pre-op and 103 post-op. Truly amazing. While I know the first of a couple of plateaus can come any day now, I'm still running at an average of a 4 pound weight loss per week.

As for BMI, I now no longer fit the criteria for the procedure -- I've moved out of the morbidly obese category into about the middle of the obese category for my height. I am hoping I can lose about 50 more pounds moving be to the overweight category... my goal has never been to become svelte, just comfortable and healthy. I'm getting there it seems!! Next week I go in for the next round of blood work and the week after see my surgeon -- I can't wait!

I've almost down another size in clothing -- I bought some pants in a lower size on a great sale so they'd be ready to wear in another month or so and wore them yesterday. And it's grand to buy panties in a package with multiple pairs for less than $20 when I'm used to paying more than that for a single pair. I look at some of the new bargain clothes I've purchased hanging on hangers and think I can't fit in that... and I do. It's really, really a surreal experience.

I still can't tolerate more than a wee bit of fat in my diet, but I suppose that's not such a bad thing. I'm not a vegetarian by any means, but all of the food I'm enjoying the most is leaning in that direction -- I still don't like any meats or poultry much and love tofu. I had a great salad for dinner last night (thanks to Robin for recommending Panera!!) with salmon in it. John had the rest of it for lunch today. :) Yes, I'm officially a cheap date now -- what can I say? He made a fabulous batch of a very hearty vegetable soup (you know how that stuff grows and grows as you keep adding different vegies to it? one of those!). Tonight he's making a batch of baby bok choi, mushroom and tofu soup -- yum yum.

The good news is I CAN tolerate a little sugar. Those of you that have not already heard this and who know me well will laugh when you read this: I can eat a chocolate chunk cookie now -- over 5 days that is! Too funny. The cool thing is that it's a very, very satisfying experience repeated over 5 days vs. the olden days where it was great for a couple of minutes.

The bad news is that I'm continuing to lose hair. I hate it. I avoid looking at my scalp when my hair's wet as best I can (it is a challenge to miss it). I'm spending a few extra minutes in the morning fluffing and spraying after using hair thickening products to try to keep it from being publicly noticeable. I'll be glad when this hair growing cycle ends and it starts to come back! Hopefully it will come back with even more of a wave in it than when I lost so much hair with the ovarian tumor I had 12 years ago.

On the job front still no major nibbles for John, but some interest is out there for his skills which is a very good thing. I'm a little embarrassed by the candidate experience he's gone through with my own company, but let's not go into that... hopefully future candidates will benefit from the feedback I've shared internally.

That social challenge I mentioned in my last post is still out there. I did join John for the last Pompous Twits event since it was at Steve and Elaine's. I had a great time visiting everyone for a little while and then moving off to the living room with Elaine, Carol and later Matthew and April. It was a very enjoyable evening -- particularly not feeling like I had to stay at the dinner table all night like I tried to at the last WAFFLES dinner. I continue to pass on Tasters Guild dinners, but may go next month -- the menu sounds great and one of the appetizer courses sounds like something I can enjoy -- and then spend the following week eating all of the rest! :) I eat about a cup of hearty soups now, and about 1/2-3/4 of a cup of solid food at a sitting.

My job continues to be incredibly frustrating, but I am very grateful to be employed. Every now and then there are glimmers of hope, but then they're dashed to dust. I'm campaigning for a hopeful week next week -- please send positive vibes my way...

Speaking of positive vibes, please send even more and more and more of them to our dear friend Tricia. She is recovering from surgery and we're looking forward to seeing her again very soon.

Next Friday, March 5, is Banish the Balrog day, known to the general public as Dress in Blue Day. Please help raise awareness about colorectal cancer and the importance of screening by wearing blue on national Dress in Blue Day! For all of my age 50+ friends, and for those younger with a family history of this scourge of the Balrog, please, please, please go in for your screening as soon as possible.

Take good care...

Monday, February 1, 2010

Existence today

“There is a point where in the mystery of existence contradictions meet; where movement is not all movement and stillness is not all stillness; where the idea and the form, the within and the without, are united; where infinite becomes finite, yet not” -- Rabindranath Tagore

Day 132 AS

I suppose the fact of my not posting for 37 days is the best indicator of all that this journey is no longer the center of my existence. That being said, it's still a very important part, and in response to queries from several of my wonderful friends I am posting an update.

Overall, I'm doing great! As of last week I've lost 146 pounds from my high weight last April, 60 pre-op and 86 post op. There are lots and lots of perks and a few problematic areas, but all in all no regrets for having chosen this path.

Categories of change and current state:

1. Health -- saw my endocrinologist last Friday and he's thrilled with my blood sugar numbers -- both fasting and late in the day. I'm still on one oral med for this which is so much better than two and max twice daily insulin doses. This is probably my biggest personal win. My blood pressure's great and my last blood tests continued to have normal kidney and liver functions -- yay. The awful gout problems I was having both pre- and post- op have finally subsided -- I appreciate being pain free. We'll test cholesterol and thyroid again in March -- the former will likely still be high and hopefully the latter will be a little high which would result in reducing the dosage of thyroid med that I'm still on. We'll see!

2. Mobility -- I can move with so much less pain it's hard to compare to this time last year. I love the human mind and our ability to block out bad memories!! Stairs are still really a challenge -- my knees aren't happy with them at all -- but at least they're possible now. I can walk without gasping for air and I can stand for much longer periods of time. I can get out of my chair without wishing for a crane -- it's all good.

3. Food -- I can eat a little more now, as long as it's the "right" food and I don't eat too much or too quickly. Anything with more than a wee bit of fat either comes back up or spends an hour or more of painful time passing through my digestive system. On average I'm eating 4-5 ounces of food unless it's a really liquidy soup and that might be closer to 8. My favorite lunches and dinners are dense soups -- I'm loving split pea, bean with bacon, hearty vegie soups and as strange as it may sound hot and sour soup made with tofu instead of pork. I generally don't enjoy meats much unless extremely tender and in a non-fatty sauce (I hate dry meat now -- too hard to chew when dry). John made a wonderful red bean and barley soup last week that we both enjoyed.

On the issue of too much -- this is going to be a hard habit to break! I am rarely hungry so eat when and what I'm supposed to most of the time, but if something actually tastes good, it's hard to listen to those signals telling me that it's time to stop -- particularly after eating what still seems like a small quantity compared to the old days.

On the issue of too fast -- this too is going to be a hard habit to break, particularly in a restaurant setting. I went to lunch with a great colleague last week and had some delicious, reasonably healthy pho soup. Although I ordered the smaller portion, there was still enough for four meals there for me. I knew that, so planned an appropriate amount for consumption, but the rice noodles were impossible to separate so my bites were too big, and although well chewed, too close together in timing and I had to excuse myself from the table to go lie in the car until he finished his meal. Hopefully lesson learned, but it's going to be a hard one to remember.

4. Appearance -- I look in the mirror and don't recognize me anymore. It's quite odd. I've gotten over the dark sunken eye phase thankfully -- God bless "Eye Hope" by Philosophy. I do miss some of the facial fat -- I'm seeing wrinkles I never saw before, especially in my neck. Ugh. Now I understand why old ladies where turtle necks and scarves -- camouflage! I suspect I'll end up there too before too long! My fear of hair loss, as happens at this stage with the majority of post-ops, has been realized. It started a few weeks ago and hasn't stopped yet. I hate it, but it's not as bad (yet) as it was with my ovarian tumor 12 years ago, and I do realize it's temporary, so I'm coping reasonably well. Thank God for a great hair-dresser! She simply cut in some more layers and told me to wear it more messy and no one will ever notice. :) Clothes are a joke -- even my skinny clothes have started literally falling off. I'm out of super plus and into regular plus sizes now for the first time in more years than I can remember. The good news is they're a little cheaper, so I'm searching sales for a few pieces to tide me over to wherever the end of this journey may take me. And I'm seeing bones and veins and other weirdness I had no idea existed within my body!!

5. Socializing -- this is the tough one. So much of our interaction with friends has focused around gourmet food and fine wines that this has been a challenge to overcome. I simply can not (nor do I want to) sit down at a table for hours on end plowing through course after course, each more decadent than the last. We went to our beloved WAFFLES dinner last week and I made the massive mistake of forgetting to bring my own dinner. While no doubt every course was delicious, none were "OK" for me -- each had too much fat and/or too many complex flavors and 3 had seafood that I haven't been able to stand the smell of yet. I don't enjoy any wine or alcohol smells/flavors and the fat literally makes me sick. I wound up with dessert as my meal -- a little fresh whipped cream (no additives) with fresh raspberry puree (no additives) and fresh raspberries in a whole wheat phyllo cup. Not exactly my typical protein first meal, but tasty and it stayed down at least. Note to self: remember to bring your own dinner next time!! It was great visiting with our friends, but I would have enjoyed it a lot more had we been playing a game or cards or had some other activity than just food and wine all night. Our hostess was great and I had pre-warned her that I am now a somewhat finicky eater and that I'd probably read a book part of the evening, and she graciously agreed it would be OK for me to do so, but I felt bad doing so nonetheless. I guess that's an issue I'll just have to get over if I am to keep on going. Either that or simply find others that like to play games too and keep trying other activities.

6. Miscellaneous -- I've moved my car seat forward three times now. It's so nice to be able to comfortably reach the pedals without having my tummy jammed into the steering wheel! A colleague "forced" me into riding with her in her cute new sexy two door vehicle, and although very low to the ground and as such a bit tough on my knees, I amazed myself by being able to use the seat belt without an extender and had plenty of slack to spare!! Compliments -- kind of fun! John gave me such a sweet one last weekend -- told me my skin looked better/healthier than it had in 20 years. Lots of people being really supportive -- it seems the physical difference has become most noticeable in the last month or so.

7. Those that know me won't be surprised that I think of this category last: exercise. I hate exercise. With every bit of my being. I hate to sweat and I hate to hurt. What possible redeeming quality could there be in doing something that almost always results in both? I'm fighting this with every bit of my psyche, kicking and screaming all the way. I do not want to exercise, even though intellectually I know I have to. I don't know that I'll ever conquer this one -- I need to just suck it up and do it, but I really really really don't want to. I miss Scott as a buddy in this space (and others too, but really need him here). We had great long walks debating life at the Lab distracting us from the reality of the walking we were doing. I went on a couple of nice walks at my current employer's place with another colleague last week and it was easier to bear with some distraction, so perhaps that's a strategy to capitalize on a bit. If I really have to... arghhhhh...

Moving on to life in general... John's layoff is still frustrating to bear, especially for him, but he's doing a great job organizing himself and getting out there in a new job search. He met up with some former Lab buddies and won a local contract bridge tournament last week -- go John! Sad that Coach Pete's left USC and hoping the new guy doesn't screw up too badly... We went to the Tech Museum a couple of weeks ago and visited the traveling Star Trek exhibit thanks to Santa -- very cool! I still can't get over how tiny those actors must have been after seeing their costumes. I figured out how to get lots of extra treasure chests in Facebook's Vampire Wars games so have been leveling up several times a day lately -- and you'll laugh at this: I won the "compulsive shopper's trophy" in the game yesterday for visiting Elder Jeremy 7 days in a row and buying (with vampire game money which they call blood of course!) his wares. John could have told you I earned a compulsive shopper's trophy in real life a long, long time ago! :) We shared a fabulous games/movie day/evening with some dear friends in January also -- I think we all had a great time. I still haven't put that great new lens to work yet, but the temptation is getting greater as the rain diminishes -- of course I write this as the skies are graying up again...

Enough ramblings for now... As always, I send you lots of light and love and wish you all the very best!!

Saturday, December 26, 2009

“Thousands of candles can be lit from a single candle, and the life of the candle will not be shortened. Happiness never decreases by being shared.”

-- Buddha, Hindu Prince Gautama Siddharta

Day 95 AS

What a lucky woman I am!! I feel most fortunate, and grateful there for.

Total food freedom day has arrived. I can now eat anything, even raw vegies and fruit, so salads are now officially back in the mix. I still have problems if I exceed my capacity, but now can have a LITTLE sugar and fat too -- moderation in all things, even moderation.

Christmas yesterday was wonderful. Santa was more than kind. John, on his behalf, provided some photography motivation in the form of a fabulous new macro lens for my big Canon SLR camera and a handgrip add-on for my little Leica. We had a lovely Christmas Eve celebration the night before with wonderful friends and family. My first one with "forced" moderation and it was OK!! I consumed half of a Triscuit with the most amazing mushroom pate that John made -- it was OMG delicious!! Made with porcinis, chanterelles, almonds and cream -- truly delightful. Later I had 3-1/2 Swedish meatballs and a couple of bites of Honey-baked ham (thanks to Fern for reminding me to slow down my eating process and to chew chew chew!!). I passed on all of the herring and other fish, meats and cheeses this year, but I heard rave reviews for John's chef skills, well supplemented by his sous-chef Roger. There is still a ton left, so I suspect I'll nibble on an item or two here or there over the next couple of weeks. The gravlax I'm told set new records for wonderfulness. John attributes it to the extra aquavit he used in the curing process. Of course no aquavit, beer or glogg for me this year -- but John did find a nice still bottled fancy water that I enjoyed immensely, along with the smell of the glogg spices.

Health wise all continues to go well. I saw my internist last week and am now down officially 130 pounds since that scary April high weight -- another 70 would be lovely if I can do it. I'm still plagued by lack of motivation to exercise and know I need to find a way to get into it. Ugh. That's the only way I'm going to do another 70 though I know. My internist also noted I have a ton of nervous energy now (weird to have any kind of energy I must confess after so many years with none!!) and suggested I look into some kind of meditation. There's a Buddhist temple in the hills about 20 miles from here. Her husband took a class there and really enjoyed it so I may check it out. The only issue I have with it is that it's Thursday evenings from 7:30-9:30 and I turn into a pumpkin at 9. We'll see!!

The gout finally seems to be under some degree of control -- yay. I can actually wear soft leather shoes again without wanting to scream in pain by the end of the day. My blood pressure is awesome -- no more dizziness or exhaustion. Cholesterol's a little high, but all my docs are attributing this to the period of rapid weight loss -- all that fat floating around in my blood instead of settling into my body waiting for excretion apparently. My blood sugar's still a little high, but my endocrinologist increased my oral med dose and it's almost right now... One oral med vs. the olden days of two plus max dose of insulin is quite a wonderful change in my mind -- one I could be happy with forever if we don't get any better than today's med routine. Of course, this is another big reason to psych up for the dreaded exercise thing -- that would help both the cholesterol and the blood sugar.

All in all, although this hasn't been my favorite year, I have to say it's been a good one for me. I'm so glad I made the decision to have the surgery. There are times I emotionally wish I could just sit down and eat a ton of some wonderful thing or the other, but the physical difference in my digestive system prevents me from making that bad choice. Feeling so much better, and having so many dramatic improvements in my overall health have definitely been worth the (fortunately fairly infrequent) moments of longing for the olden days. The other awesome benefit is the improvement in John's longevity that's followed -- he's lost a lot of weight trying to help me eat more healthily and looks great!! We're going to have to save our pennies in the first months of the year to buy both of ourselves new wardrobes. :)

Thursday, December 10, 2009

Good news!

“Everyone has inside of him a piece of good news. The good news is that you don't know how great you can be! How much you can love! What you can accomplish! And what your potential is!” -- Anne Frank

Day 79 AS


I hadn't realized it's been so long since I posted! Apologies to those who've been asking...

I saw my surgeon yesterday and my progress is astounding! I'm down 124 pounds now since my April high. She calculated I've lost 58% of my excess body weight. My blood tests came back great overall -- normal kidney and liver functions, calcium, B12, iron and other vitamins are normal (a concern with this procedure -- looks like my supplements are working!). My cholesterol was good although triglycerides a little high but that's to be expected with rapid weight loss I'm told. My fasting blood sugar's a little high too, but I test every day so knew that already. The surgeon was still amazed it was so close to normal with only one oral med now -- vs. two in the past and massive doses of insulin. I do so hope the insulin days are over... time will tell, but so far so good!

I was having problems with low blood pressure and those are now gone. I have a lot more energy as a result and no more dizzy spells -- woohoo. Still some annoying gout issues in my big toe, but I'm trying a different med now and it's definitely better. Hopefully after the next few months that will get back to normal too.

Thanks to my office neighbor, the headaches that have been plaguing me at work due to the fluorescent lighting may now be at an end -- fingers crossed. She had the great idea of removing the lights above my desk. That helped a ton, but the lights in the hallway still led to a low level headache. To the rescue once again, Robin loaned me a big umbrella that we set up in my line of vision to the hall lighting and voila -- not one headache today for the first time since I returned to work. Go Robin!! This is saying a lot as the stress level generally totally sucks at work right now, so headache free in spite of that is totally awesome.

I went out to lunch for the first time today with another wonderful colleague, Belinda. What a great time we had! The server was concerned that I wasn't enjoying my meal as I still eat so little, but it was delicious -- no worries. I felt quite odd telling her I just don't eat that much -- never something I ever thought I'd say. I drove -- still paranoid that seatbelts won't fit, even though intellectually I'm pretty sure most will now. I've been enjoying the little milestones as different accomodations for my size that I've made have been going away -- Belinda pointed out one I didn't even know was gone now, that being the ability to cross my arms over the steering wheel as I crank into a parking place. In the past my arms would be limited pretty much to the bottom of the steering wheel, likely because I had to sit back so far to fit behind it. I've had to move my seat closer to the wheel a couple of times now!

Catching up on a great past event -- Thanksgiving. Our visit with my dad and his wife was fantastic. It was so great seeing him!! We went to dinner at a Mexican restaurant the night before the holiday. I enjoyed some yummy Pollo de Caldo (their concept of a chicken and vegie soup) for that dinner and a couple of subsequent lunches. John outdid himself with Thanksgiving supper. He brined a fresh free range turkey using Alice Water's famous recipe, originally shared with us by our awesome home-chef friend Carol. He made some traditional stuffing, his now-famous ancho-chili sweet potatoes, perfect gravy and a Splenda-based pumpkin pie. I made some Splenda cranberries and found both of the Splenda dishes surprisingly tasty. I did exceed my half-cup collective limit by a bite or two and paid the price for a short time afterwards, but it was totally worth it. I learned my lesson and kept in line with leftovers. One of my favorite leftover creations of John's was a 1/8 of an Ak-mak cracker with turkey and low-fat jarlsberg melted over the top -- yum yum.

We hosted our first dinner party post-op last week in honor of John's birthday. It was great seeing everyone. I was worried about how I'd deal with 4 courses, but it turned out to be a total non-event. I am still seemingly full all the time so simply passed on appetizers, (in spite of how good they looked), had my normal meal portion of the entree and passed on the cheese course and dessert. I experimented with a Splenda flourless chocolate cake for me and it was a nightmare -- glad John picked up a decadent "real" one for everyone else. I guess I just need to practice modifying recipes a bit more. Fortunately no worries as I wasn't at all interested in dessert as it turned out -- another quite odd feeling for me. John opened some lovely (as I was told) old wines that everyone enjoyed. I'm glad I have no interest at all whatsoever in wine still and hope that continues, given the negative consequences for me after having had this procedure. The only downer of the evening is that it was one of my "bad" days -- I seem to have one a week or so where I just feel generally crappy. Thank God for such terrific friends though. I had to go lay down for a few minutes after the entree and when I got back up all of my lady friends were in the kitchen calmly (and wonderfully!) taking care of clearing the course. I am such a lucky person to be surrounded by so many awesome people.

Speaking of awesome people, John remains the awesomest. I'm so glad I broke that promise to myself to stay away from men for life a couple of months before we met! :) My life would be so sad and empty without him. He finished an incredible exterior holiday light display last week. He received the best ever compliment too for it. A lady had stopped her car in front of our home at dusk. He was rolling the trash cans to the curb and given it's a little odd for someone to do that around here he checked to make sure everything was OK with her. She had a couple of young kids with her and responded that all was well, they were just waiting for Santa to wake up. We have had a very jovial Santa blow up for many years now (some of you may remember the year some hoodlum slashed him and I had to stitch up his wounds. I'm extra glad I did so now!). Sure enough a couple of minutes later the timer switched him on and he lit up and blew up and "woke up." They stop by every night on their way home from day care to see Santa wake up -- how cool is that? :)

I truly hope you are enjoying this holiday season. There's so much to be thankful for. I love the Anne Frank quote at the start of this blog entry. I hope we all find our true potential.

Thursday, November 19, 2009

“When you are in the valley, keep your goal firmly in view and you will get the renewed energy to continue the climb.”

-- Dennis Waitley

Day 58 AS

Not a lot of change other than down a couple more pounds and the good news that I'm finally starting to get back my stamina, due in some part I think to normalizing my blood pressure. My internist switched me to a less powerful med at its lowest dose -- and at first that made me go even lower. She had me cut that in half (no mean feat as the tablets are the tiniest ones I've ever taken to start with!) and that seems to be doing the trick. I haven't had a dizzy spell in several days and I am starting to feel more energetic -- yay.

The lighting at work is still making me want to rip my hair out and scream at my inability to cope with it. I have a new incandescent lamp on my desk and a new glare screen on my monitor, so am hoping, hoping, hoping that this helps. Fortunately I can do a lot of my work remotely, as long as I can connect to a network and have a telephone available, so I continue to work at home part of the day.

I saw my endocrinologist a couple of days ago and we're increasing my oral med at night in hopes of getting my morning tests back under 100. The good news is that after a couple of days it's down to 125 again, so we're close. I'll try it a couple more days and if it doesn't make it there I'll increase my morning dose also. The great part of this is that if successful, I'll be able to continue without insulin and without a second oral med... a great improvement from my pre-surgical state! I'll be doing kidney function tests again in a couple of weeks and am hoping they come back normal as this particular med can sometimes affect them.

More good news (from my perspective at least!)!! "Food freedom" day arrived a couple of days ago -- I can eat whatever I can tolerate now (except salads (too hard to digest still the experts say)) which will have to wait another few weeks). Rules are protein first, vegies/fruits next and carbs last, and I can still only eat 3-4 ounces at a meal, but it's nice to have more options. I may just enjoy a spoonful of dressing for Thanksgiving with my turkey. Last night my dad called to let me know that he and his wife will be coming up from San Diego to visit for the holiday so we're really excited. Hopefully this visit will end better than his last one when I had to leave them to rush John to the ER. That was followed the next day by emergency surgery to remove the alien empyema from his collapsing lung... we definitely don't want to do that again!! I'm thinking maybe kicking back, watching the parade and some football may be a lot more fun.

The other nice thing about "food freedom" day was that my restriction on drinking vs. sipping liquids was lifted also. This has cut my vitamin/med taking time in half almost since I don't have to chop everything up into small enough pieces to swallow with a sip of water. After two months that was becoming quite annoying -- particularly in the morning trying to get ready for work in a reasonable amount of time. Yippee.

One last bit of good news to share. This morning we had our annual IT all-hands meeting at the Alameda County Fairgrounds. I had no problem walking and talking at the same time with everyone else -- no breathing issues and no pain. It was AWESOME!! Also AWESOME was the fact that a few colleagues I respect (and like!) well were awarded for their accomplishments in the past year -- one of which even was one of the overall winners -- very cool, and very well deserved. I'm so proud of them!!

Thursday, November 5, 2009

Back to work day!

"We don't do a whole lot socially yet, ... but when it comes to knowing you have a friend and a co-worker, it's pretty unique." -- Lisa Stone

Day 44 AS

Another milestone day: return to work day. I was exhausted before leaving the house, but managed to actually make it in at 8 -- my goal. Who would have thought showering, doing makeup and hair, and then dressing, could take so much out of a body? I found myself stopping to rest every 10 minutes or so -- insane. I'm definitely looking forward to getting my stamina back!!

It was lovely walking into my department's area -- the first thing I saw were some beautiful balloons (the crowning glory was a purple and pink dragonfly!) flying high above my desk. I love balloons -- nothing could have been nicer! On top of that, there was a great card and a lovely chrysanthemum plant. What a lovely group of colleagues I have -- I am most fortunate indeed!

The introvert in me had a hard time dealing with all of the attention -- a lot of people came by to welcome me back. I had psyched myself up for the once overs I suspected I'd be getting. I truly appreciated those who were direct and made no bones about it -- not so much the (very, very few) that gave me what I think they thought were subtle top to bottom glances. That being said, it was great catching up with everyone! A lot has changed in almost 7 weeks... and yet, very little at the same time.

The one thing I wasn't at all prepared for was the impact of fluorescent lighting on my eyes. Wow. About an hour after I arrived I had an awful headache that fairly quickly escalated to a blinding headache. And silly me left my liquid Tylenol at home (note to self, bring some in soon!!). At first I thought it was just my normal "I'm tired" headache, but after closing my eyes and trying to relax (which normally dissipates that in a matter of minutes), no relief. I had a couple of meetings after that, which (thank you guys!) my colleagues agreed to have in darkened conference rooms. After those, it went away. Within half an hour of being back at my desk it was back. Yikes. Another note to self -- bring in sunglasses (John suggested old-fashioned accountant's shades!) when next in the office.

One colleague had a plausible theory as to why the lighting may have been bothering me so much -- my senses of smell and taste are still hypersensitive. Perhaps my sense of sight is also?

It's great working with so many concerned, thoughtful folks... I'm going to work from home tomorrow in hopes it will be a pain-free day. Then back to the office Monday, liquid Tylenol and sunglasses in hand! Another note to self -- bring in some V8 as a back-up lunch plan in case you're coming down with a blinding headache during lunch (eating tuna salad, no matter how good it is, is not easy when you're on the border of becoming nauseous!).

A bunch of people pitched in and picked up different parts of my job while I was gone, so I'm incredibly grateful for the fact that the transition back is going to be a cinch from an actual work perspective. Everything's current, so my only catch-up need is to review where everything's at from a status perspective and to pick up the reins once again.

Monday, November 2, 2009

"Exercise is done against one’s wishes and maintained only because the alternative is worse."

-- George Sheehan

Day 41 AS

Back to work in 3 days on Thursday... I'm looking forward to it intellectually, but not quite so much physically. It will be nice to get my brain back to things that are a little more stimulating than Facebook games (although I must say my Mafia Wars and Vampire Wars rankings have improved significantly during this hiatus! :) ). It will be even nicer to see and interact with some of the wonderful colleagues I am blessed with. But... I hope I can make it through a full day physically. I'm glad I'll only have 2 days this week back before the weekend... I suspect it will take a little time to get my stamina back.

My first true "public" outing in months occurred Saturday night as we attended a Halloween Birthday party to help a dear friend celebrate a milestone birthday. I almost didn't attend as it was one of my less-than-good days, (it seems I have around one of those a week), but sucked it up and went anyway. I'm glad I did -- aside from celebrating the special day, it was great seeing so many friends and getting caught up on what's been going on these last few months. I lasted almost two hours -- not too bad!

Yesterday John set up our new Wii game and we both played Wii Fit Plus a while. It was kind of fun, for exercise, surprisingly enough. I was thrilled to not have to modify the balance board. I had been looking at this a few months ago when I was over the weight limit for the game and knew of some work-arounds, so was ready to implement them, but amazingly enough I'm substantially under the weight limit now... woohoo. Not only that, but if the scale is accurate, I'm down another 8 pounds from last Tuesday... not bad.

Now, if we could just get my blood pressure up a little. It's still running around 100/60. I hate to think this, but perhaps the stress of the work place will help later this week... time will tell.

Thursday, October 29, 2009

“Learn everything you can, anytime you can, from anyone you can - there will always come a time when you will be grateful you did.”

-- Sarah Caldwell

Day 37 AS

Some great news from Tuesday's blood work: liver function tests came back normal. Although that's what we expected, it's still a relief. We'll never know why they were high last time, but it does seem a reasonable assumption that the trauma of the surgery was a contributing, if not the only, factor.

Some not so great news from my blood work: my uric acid levels are elevatated (10 vs. normal range top of 7). That means that my foot joint pain is probably not anatomical, but gout flaring up. I guess that's better news than not. My doctor told me this is very common with rapid weight loss, and googling confirmed her statement. I suppose that's one of the reasons my surgeon told me the surgery wouldn't help get rid of my gout -- but she didn't tell me it might make it worse. Oh well... the prednisone should help. I just took my third dose and it doesn't ache as badly, but it certainly still hurts. Next week we'll talk about different treatment if need be. The sad side of this are that I've been taking medication twice a day to keep my uric acid levels lower and I haven't had any wine since May, and it's happening anyway. Kind of a bummer -- pain without any of the pleasure ahead of time to make it worth it.

Lest you think me ungrateful, I am very happy the results aren't reversed. I'll take a normal set of liver function tests any day over lower gout results if I can only have one or the other.

The support group meeting was great this week -- over 40 people there! I had my calendar mixed up, so the plastic surgeons weren't there (they'll be there next time). With that many people there were a lot of interesting discussions. One of the useful tidbits for me was the acknowledgment that my broken thermostat is normal. Even though I've only lost 100 pounds so far, it physically feels more like 200 when it comes to temperature -- I am cold seemingly all the time when I feel good now. The post-op only group theme was "change" with a focus on the psychological changes people may/may not have 2 or more years post-op.

Tuesday, October 27, 2009

"The tragedy in life doesn't lie in not reaching your goal. The tragedy lies in having no goal to reach."

"The tragedy in life doesn't lie in not reaching your goal. The tragedy lies in having no goal to reach." --Benjamin Mays


Day 35 AS

Another exciting milestone on this 5 week anniversary of my weight loss surgery: I have "officially" lost 100 pounds since my high weight in April - roughly 60 pre-op and 40 post-op. Woohoo!

I saw my internist this morning for a follow-up and she seemed very pleased. Even after cutting my blood pressure in medicine in half I'm still running low -- 100/70 today. I have to monitor it twice a day and if it stays here I'll have to cut it in half again... what an amazing thing. Now if only my blood sugar would follow suit -- my endocrinologist and I haven't quite gotten that where it belongs yet. It's lower than it was a couple of weeks ago with the addition of an oral med, but higher than I like it to be. I see him again in two weeks and we'll see what magic he can pull out of his hat then if it's not better. This seems crazy to me as I'm eating so very little, but it is what it is.

My walking's suffered over the last week due to a sore foot joint, so my internist looked at that today. She pondered whether to send me to a foot doctor for a cortisone injection or to try that amazing prednisone for 3 days again and decided to start with the latter. As soon as I eat lunch today day 1 will start. I remember taking this a couple of weeks before surgery and I felt great -- it eliminated all pain in my body for over a week. Hopefully it will do the same again, and by then clear up the inflammation in this joint altogether and I can dodge the cortisone injection bullet -- I hate those!!

The other slightly nagging issue out there was my last set of liver function tests. We're all assuming that it was just a post-op anomaly, but just in case, my internist had me retest that today too. Fingers crossed they come back normal this time...

This is one of those two outing days... late this afternoon is support group. A couple of plastic surgeons are coming to chat with us about that challenge. I'm more than a year away from that, but it doesn't hurt to get the information so I will attend.

My 100 pound "reward" (aside from the health improvements of course) is a Wii system and a Wii-fit plus game. Hopefully this foot will stop being so annoying and I will find the games somewhat motivational. Exercise remains my greatest challenge.

Showering still isn't perfectly normal, but for the second time in a row at least I didn't feel like throwing up after getting out of the shower today -- yay. Still exhausting, but better that than both. As for the nausea I felt every time I brushed my teeth, the good news is that switching back to an old-fashioned manual toothbrush has helped tremendously. Brushing my teeth is a pleasure once again. Ok, that may be an exaggeration of sorts -- at least it's a non-event now and I don't dread doing it.

Ending on a positive note, I had a lovely afternoon Sunday visiting with two of my colleagues. It was great seeing them and catching up on office and personal going-ons. I really appreciate both of them making the time to come over and say hi! I return to work next Thursday -- six weeks after surgery. I'm looking forward to seeing all of the great people I work with -- and hoping by then I won't be so darn tired all the time.

Thursday, October 22, 2009

On having a good right hand...

“I would rather have had one breath of her hair, one kiss from her mouth, one touch of her hand, than eternity without it.” -- Spoken by Nicholas Cage in "City of Angels"

Day 30 AS

I'll start today with the good news that John's hand surgery today went very well. If you ever need a hand surgeon in the Bay Area, he's batting 1000 -- he did a great job on my right hand last year and seemingly a great job on John's right hand today. Plus he's a really cool guy! And John's Mr. Mellow -- even more than usual. Valium is a good drug too it would seem. ;)

Tuesday was my red letter day -- real (albeit soft!) food -- something I could actually chew. What a relief from the prior four weeks of only liquid and pureed food. I can now report that I can eat processed turkey and low-fat jarlsberg swiss cheese and my new digestive system can tolerate both. I'll slowly add more foods like other processed meats, poached chicken and fish, eggs, cheeses, over-cooked vegetables, over-cooked pasta and over-cooked rice during this 4-week stage. The key is for the food to be soft soft soft. I'm still struggling with getting to my daily goal of 75 grams of protein, so hopefully this will help.

Monday, October 19, 2009

On eating and drinking...

Nothing would be more tiresome than eating and drinking if God had not made them a pleasure as well as a necessity. ~Voltaire

Day 27 AS

Not a lot to report. Same old - same old. Overall doing pretty well. Dizziness has thankfully subsided, I'm left with just feeling tired all of the time now. Yesterday was a little weird -- I had a hard time keeping pureed foods down, and was kind of sick getting out of the shower (yuck) but that seems to have thankfully subsided today.

The other weird thing is that I'm still not hungry. I know the head-hunger is going to hit me one of these days, but so far, so good. I am eating 3 times a day because I need to -- not because I want to at this point.

Next big milestone is tomorrow -- I get to start eating "soft" foods for a month. Just like a baby, I'm supposed to add one food at a time to make sure I can tolerate it. If it doesn't work (and I shudder to think what that means!) then I wait a week and try it again. John got me some good supplies to try -- an assortment of "processed" meats (recommended as it will be easier to chew to the required applesauce consistency -- I can also eat poached and boiled meats -- ugh), eggs, and some soft low fat cheeses. Ripe bananas and canned fruit (with any syrup washed off) are also on the list, as are overcooked potatoes, sweet potatoes, white rice and pasta. The hard part is that I also have to start the no beverage with meals for the rest of my life phase or for 30 minutes afterwards. I've always consumed tons of water with my meals so this will definitely take some getting used to. Hopefully with the meals only being 3 ounces (3/8 cup) in total I won't miss the water too much.

The number one priority remains getting all of my protein in. I am still struggling to get to my goal of 75 grams/day.

Thanks to John I have found another pureed food I like: smoothies. Yum! Yesterday he made a banana smoothie for breakfast and added some of Elaine's protein supplement -- it was delicious. We tried kefir for the first time with this and found it pretty tasty -- filled with protein. A few days earlier he made a banana strawberry one that was pretty tasty too. One thing I've noticed is that I still prefer "simple" flavors -- not too much spice or too many complex flavors. That seems to be getting better with time, so hopefully in another week or two that won't be an issue any longer.

Wednesday, October 14, 2009

Get started now.

“Don't wait until everything is just right. It will never be perfect. There will always be challenges, obstacles and less than perfect conditions. So what. Get started now. With each step you take, you will grow stronger and stronger, more and more skilled, more and more self-confident and more and more successful.” -- Mark Victor Hansen

Day 22 AS

I had a good visit with my surgeon this morning -- she is pleased with my progress. She confirmed the 30 pound weight loss over the last 3 weeks and said that it's better than expected -- typically this is more like 10-15 pounds. I asked if this was a concern then, and she said not -- that I'm one of the lucky ones whose body seemingly isn't reacting as though it's being starved as many do during the first month, causing them to hang on to some fat. Interesting.

I shared with her also my concerns regarding continuing exhaustion and occasional dizziness, and she agreed with my internist that cutting the blood pressure medication in half should help, but reminded me I will be tired for a couple more months. I also told her about cutting out the cholesterol med until my diet is normalized and she suggested I contact my internist and add this back -- perhaps at a lower dosage. She noted that during rapid weight loss there are a lot of lipids floating through your blood stream so that it might be a good idea to keep on that for the time being. I called her and she agreed, so half dose it shall be.

I also told her that I still can't sleep in bed because when I roll over onto my left side it feels like my stomach's falling out. She reassured me this was normal, particularly for someone like me that carries most of my weight in my abdomen. When I roll over onto my side it puts a lot of stress on the sutures, giving me the sensation of the stomach falling out. She suggested I either wear the abdominal binder when I try to sleep in bed or continue to enjoy sleeping in the recliner for a few more weeks and just don't worry about it -- I think I'll go for the latter!!

She also cleared me to try to ride my stationary recumbent bike now also, as long as I pay attention to how I feel. She suggested I may not be able to ride for more than a couple of minutes, and if that's the case to stop. It will be nice to add something to walking in my exercise repertoire.

Last night John joined me for the support group. It was a good meeting -- lots of good questions from pre-op patients. There was another 3 week post-op patient there (who'd had the lapband rather than the gastric bypass), so the facilitator let us ask about our biggest current challenges. The other 3 week patient is having a hard time with her fluids (thankfully I am not!) so the group gave her some ideas. I mentioned how much I am hating the pureed food in general and the facilitator (an RD) told me not to worry -- stick with fluids if I must. She went on to say most people eat inappropriate pureed foods anyhow, and that it's such a small quantity of food it doesn't really matter. Seems like an odd response to me... I will continue with my common sense approach I think -- the vegetarian soups with added protein powder. I mentioned this issue to the surgeon today and she said getting my protein is the most important thing -- so if I need to drink more milk, eat more yogurt and scrambled eggs, go for it. Just get to my goal of 75 grams as fast as possible. My last couple of days have been 50 grams, so I have some work to do on this. There are 8 grams of protein in a cup of milk and 6 grams in a quarter cup of scrambled eggs, so they are pretty good sources. It's really strange to think in terms of food's nutritional value, rather than just as something that tastes good...

After the pre-ops were excused, the post-ops had a discussion regarding exercise. I know this is going to be the hardest area for me to conquer during this journey. The good news is that my knees are already feeling better -- I don't wince every time I stand up. We each had to talk about our plan individually. The folks that are a year or more pre-op are all regular gym-goers now -- on average 5 times/week. Our facilitator warned us not to start a program we can't commit to -- because once you stop you will gain weight unless you start eating less. I don't see myself as a gym goer to be honest -- we'll have to see what alternatives I can come up with for me. A couple of people start their days off with hour-long walks with their dogs... I wonder if Ali or Cari would like to walk on leashes? :) Somehow I don't see John ever going along with a dog being added to our household...

I met Fern's friend Janet last night at the support group -- that was fun. She looks great 4 months post-op. She is jogging now for the first time in decades -- very fun. She had a lot of the same challenges in her first six weeks that I am having now, so it was encouraging to see her surviving these and moving on to feel better than she has in years now.

One of the interesting differences between Pleasanton and Oakland has been the difference in sizes of patients. I felt a lot more "at home" in Oakland -- there were a lot of patients my size and larger there... in Pleasanton I wonder how some of these people qualified for the surgery in the first place. There were a couple of pre-ops there that I'll be ecstatic if I look as good as they do today a year from now!

Two outings tomorrow -- I'll have to be sure to nap in-between. I can't believe how tired I am after just one small excursion. Wish me luck!

Tuesday, October 13, 2009

Independence

“Every human has four endowments- self awareness, conscience, independent will and creative imagination. These give us the ultimate human freedom... The power to choose, to respond, to change.” --Stephen R. Covey

Day 21 AS

It is great to be independent again -- I drove yesterday for the first time post-op and again today. Yesterday was to the phlebotomist who got it right the first time (yay) and today to my internist.

Climbed on the scale today and... was totally amazed. Since my high weight in April I'm down 89 pounds now -- depending on what you use as my last pre-op weight, I'm down approximately 30 pounds over the last 3 weeks. It's amazing how much you can lose and how quickly when you don't eat much... which is the point after all. Good to see it's succeeding so far.

My internist is making some med adjustments too -- cutting my blood pressure med in half, stopping cholesterol until I start eating "normally" again and cutting out my asthma med (let's see how I do). She thinks my bp is too low now (I never thought I'd hear those words!) and may be contributing to my constant exhaustion and occasional dizziness. Hopefully this will help both!

Another outing this evening -- post op support group. It will be a change of pace -- I'm used to being kicked out of the last hour (reserved solely for post ops) -- this time I'll be staying. It will be interesting to see if the group shares more gory tales (explaining why the pre-ops are excused) or if the facilitator simply wants to leave some time for this group exclusively.

More "outings" planned later in the week. I see my surgeon again tomorrow. Thursday I have my post-op nutrition class -- maybe they'll have some more ideas how to survive this pureed food stage. I'm finding this difficult -- the vegetarian approach with protein powder has made it bearable, but it is still difficult. I was discussing this with my internist today and she suggested I ask if ground meats without pureeing them are OK... I will check that out Thursday.

I see my wonderful endocrinologist Thursday late afternoon. My internist wants me to schedule him monthly, along with her monthly, staggering them by two weeks so I see one or the other every 2 weeks. Makes sense. She warned me there will be lots of blood work ahead as between the two of them and my anticipated weight changes over the next few months we'll be playing with what meds I can reduce vs. cut out altogether while keeping healthy. It is great having an internist now that really wants to be engaged and help me be the healthiest I can be -- she really feels like a partner.

The weather has been crazy today -- right now a fairly gentle rain, but prior to now it's been a non-stop down pour since the wee small hours -- very unusual for October here.

Thursday, October 8, 2009

Who knows what tomorrow brings?

Who knows what tomorrow brings
In a world where few hearts survive
All I know is the way I feel
When its real I keep it alive
The road is long there are mountains in the way

Love lift us up where we belong
Where the eagles fly on a mountan high
Love lift us up where we belong
Far from the world below
Where the clear winds blow

Some hang on to used to be
Live their life looking behind
All we have is here and now
All our lives out there to find
The road is long and there are mountains in my way
But we climb the stairs everyday

Chorus

Time goes by no time to cry
Just you and I alone

Chorus

Music by Bernard Alfred "Jack" Nitzsche and Buffy Sainte-Marie; Lyrics by Will Jennings

Day 16 AS

What a crappy wife I am, and what a wonderful husband I have!! I have no idea how I got to be so lucky, but I am certainly not going to complain.

Today is our 26th wedding anniversary. I woke up as John came up to start getting ready for work and he presented me with a lovely card full of sparklies (and we all know how I love sparklies!). He made me some lovely tea and proceeded with all of his morning things. Before he left he made me some Pea Soup Andersen' soup and it actually tasted good with no bad side affects -- woohoo. He had been inspired by the baby food aisle when selecting that particular soup. There were 3 stage 1 flavors, applesauce, squash and pea, so he figured if it was good for people when we learn to eat it will be good for us when we have to relearn how to eat -- and he was right!

Shortly before noon the doorbell rang and it was my favorite florist (La Petite Fleur in P'ton). The florist put together a lovely arrangement at John's direction full of red roses and my favorite rubrum (aka star gazer) lilies.

What a crappy wife I am -- I didn't do a darn thing to let John know how much I appreciate him.

I can now add one more thing to the list of foods that don't puree well: hot and sour soup. Ugh. We tried that for dinner last night, and all I could taste was the vinegar. I think I'll end up trying just vegetarian soups and purees for the next week and a half pumped up with some of Elaine's protein powder. For lunch I took some more of that pea soup and did just that -- and it was yummy. I'm about 1/2 way to my daily protein goal. It's so much harder to do that I thought it would be!

Other than that, nothing new -- still periodically a little dizzy and still a lot tired.

Wednesday, October 7, 2009

"Look ahead, not back"

“The young sailor at sea was ordered to climb a mast to adjust a sail during a violent storm. He got halfway up, looked down, got dizzy and sick. An old sailor on deck shouted up to him Look up, son, look up. Young sailor looked up, regained his composure, and completed his mission. Moral: Look ahead, not back.” - Unknown

Day 15 AS

Not a lot of excitement to report... I'm feeling a lot less pain but am exhausted seemingly all the time. So much for my big plan to go back to work after two weeks -- silly me. I spent almost all day Monday sleeping, and while I was awake I was dizzy -- kind of weird.

My big treat is an outing this evening to my hairdresser. I am hoping I'll be able to deal OK with a couple of hours in her chair. I am definitely looking forward to a little pampering. John is going to be my escort so I don't have to drive yet. I was a little dizzy getting out of the shower again this morning so I think this is a very good thing.

John made a couple of pureed soups for me last night. I'm finding my taste buds are hyper-sensitive -- he used just a wee bit of tarragon in the chicken with mushroom soup and it is still very strong to me. The soup's good, but 1/2 cup goes a long way now! The other was also chicken based with mexican flavors -- in this case the diced chiles he used are very strong flavored to me. It seems odd -- I usually love really strong flavors -- I guess I need to start thinking in terms of I used to love really strong flavors...

Sunday, October 4, 2009

"A true friend is someone who thinks that you are a good egg even though he knows that you are slightly cracked"

"A true friend is someone who thinks that you are a good egg even though he knows that you are slightly cracked" -- Bernard Meltzer

Day 12 AS

Another fun day, this time thanks to Elaine and Steve who stopped by for a lovely visit with John and I, bringing some lovely fall flowers (in a purple vase no less!!) and protein powder... bless you! :)

That is my next big challenge -- getting up to those 75 grams of protein per day -- I am up to about 14 or 15 now -- it seems like an endless way to go at the moment.

I am continuing to feel a lot better, but did have an uncomfortable dizzy spell after showering this morning. I checked my blood sugar and that was not the problem. Elaine asked me when the last time was that I had consumed any calories and that may well have been the issue. I will try eating something before my next shower to see if that helps. John also asked if I bent my head a lot and I did -- so caution there too I guess.

We had the best dinner last night in remembrance of my beloved God-daughter Allison. She loved Mexican food, so on her birthday every year we consume it in her memory. I was not quite sure how I was going to do that this year, (which would have been her 22nd birthday), until I hit on the idea of getting some good Mexican soup and enjoying the broth. John picked up some lovely Caldo de Pollo from Casa Orozco, portioned out some broth for me and ate the rest himself along with a beef quesadilla -- we were both very happy. I know Binky would be happy to know that thanks to her I had the best meal yet, post surgery. It is great to enjoy food flavors again. I confess to being a little worried about that last week.

This coming Tuesday (in 2 days) marks my graduation to pureed foods -- oh boy. I am almost looking forward to that. Fingers crossed!!

Thanks again to all who have called, stopped by, send emails, cards and other lovely treats. One of my favorite cards has been from Tricia and David featuring "Dr. Dreamy" who was sporting a great big GE surrounded by a heart on his white coat -- loved it! :)

Nap time (again!) now...

PS: A special congrats to the great PMs on the To9! program -- I knew you guys would bring this home today... awesome job!!! Thanks for keeping me in the loop!! I am very proud of you -- you have achieved the seemingly impossible.

Friday, October 2, 2009

“There is a harmony in autumn, and a luster in its sky, which through the summer is not heard or seen, as if it could not be, as if it had not been!”

“There is a harmony in autumn, and a luster in its sky, which through the summer is not heard or seen, as if it could not be, as if it had not been!” -- Percy Bysshe Shelley


Day 10 AS


Well, I still have quite a way to go but each day I continue to feel a little better. Today's been my first "fun" day -- John and I both needed to have some blood work done so we had a mini outing this morning to the phlebotomist. Can't say that part was fun (although thankfully I had a great phlebotomist who got me the first time -- yay -- clearly the blood thinners are still doing their thing I might add, given how well I bled after the fact...). But seeing the beautiful autumn morning light was quite grand. I love the light this time of year.

I had my first official visitors this afternoon too and somehow fittingly that was Fern and Roger. They've been great friends forever and I truly appreciate both of them. Leave it to Fern to come up with perfect gifts too (although not expected, they were quite lovely!) -- a fun book on cats that rule the world, an outdoor magazine featuring 100+ techniques for good outdoor photography (a dream of mine to return to) and the current issue of Vogue, so I can start thinking about what kind of clothes I want to buy again one of these days. How very thoughtful!

Fluid consumption is something I look forward to rather than a duty now -- yay. I've found some other things that are tasting good too -- strained "healthy choice" cream of chicken soup, watered-down protein beverages, lime jello and any sugar free popsicle. There's hope!! It's going to take me forever to get to my 75 grams of protein goal (I'm at about 6 now), but there's hope now!! My digestive track is definitely waking up finally -- have I mentioned lately how incredibly wonderful a great fart can be? :) I will never underestimate them again!!

I am trying a day without the anti-nausea medicine today as it makes me dizzy and I won't be able to drive until I'm off it. So far, so good, so fingers crossed... if I can wean off I can drive again in a week. This will coincide with the addition of pureed foods to my diet -- woohoo...

John found out last week that he has to have hand surgery now. Sigh. Thankfully I know he's in good hands (every pun intended) as he is seeing the great hand surgeon that performed my carpal tunnel release early last year. Different issue though -- he had a big knot at the base of his right hand middle finger causing incredibly painful trigger finger. When he wakes up it's totally locked and he goes through awful pain to release it. He will likely have that taken care of in a couple of weeks.

Monday, September 28, 2009

“The great thing in the world is not so much where we stand, as in what direction we are moving.”

“The great thing in the world is not so much where we stand, as in what direction we are moving.” -- Oliver Wendell Holmes

Day 6 AS

Yesterday was a red letter day -- not only could I actually get up all by myself, but I could wipe my own ass!! Again, something we truly under-rate until we can't do it!

I finally exceeded 40 oz. of fluid in the 24 hour period and consequently didn't have a dry mouth by the end of the day yesterday. The lower back pain that had been interfering with my sleep left also -- progress -- step by step. I managed to stay awake more than half of the day also. The other milestone -- feet, ankles, toes and calves that look like my very own!! Oh -- and one more -- I finally found something that tasted good -- sugar free orange jello.

Progress continues today -- although the outing to the doctor's office was exhausting I confess. I'm glad we saw her -- there are a couple of things she's concerned about so we can work on fixing those now. The biggest one is my excessive belching and urping -- the latter shouldn't be happening. So she's added another med (thankfully a small enough one to swallow without cutting up) -- reglan. That's seemed to help a lot -- no urping after 2 doses -- she wants me on it a month 4 times/day. The downside of it is that it makes me a little dizzy, so I may not be able to drive next week as I'd hoped -- we'll see. Not happy with my infrequent farts either -- I still have a ton of abdominal gas that just won't come out. So I'll keep on walking and try to wake that darn colon of mine back up. Another issue is skin breakdown around the drain site -- I think it just stayed too wet too long. I'll be trying some OTC hydrocortisone cream on that.

Some good news -- my blood pressure is great! It's usually good -- but rarely great! Not sure what to think about my blood sugar -- I have a call in to my endocrinologist to consult with him. I'd cut my insulin way down -- and I still had a low last night, so didn't take any. Pretty low this morning too, so again passed. I guess when you're taking in almost zero carbs and less than 100 calories a day there's not a big need to worry about it once the surgery shock wears off -- and seemingly it's starting to wear off. I had awful numbers in the hospital -- glad those days are past.

I have survived 6 hours alone this afternoon -- woohoo! John helped set me up nicely before he went to work -- what a wonderful man he is. He's on his way home now and is going to try to find me some more sugar free orange jello. Who could ask for more???

I'm grateful for a mature spouse! :)

“I would say that the surest measure of a man's or a woman's maturity is the harmony, style, joy, and dignity he creates in his marriage, and the pleasure and inspiration he provides for his spouse” -- Benjamin Spock

Day 4 AS Saturday, September 26

Hallelujah -- the drainage is slowing down to a very manageable level. I had been wearing an abdominal binder to add some additional support, but tried going without it today and finally feel better without it -- so away binder!!

My day is moving into a boring but consistent pattern. Force fluids, force tiny cut up pills down, sit up, belch and burp to relieve some pressure -- try to avoid the dreaded hiccups. Walk to the bathroom. Fart (if I'm lucky), poop, pee -- generally in that order. After this the abdominal pressure's released enough that I can comfortably walk -- I'm up to five loops of the upper level of the house now. Sit down, force some more fluids and pill fragments down, fall asleep out of exhaustion for around an hour or so -- repeat cycle every 3 hours.

We were looking forward to USC reinstating themselves again Saturday night and thankfully they did. I think I made it through about half the game -- not bad.

I still can't concentrate enough to read -- or long enough to even use a round of energy up in Mafia Wars or Vampire Wars on Facebook -- shocking! ;) I can almost make it through a one hour TV show. Glad there are a lot of new shows on the DVR from season starts last week.

John heads back to work Monday afternoon. I can't say enough times how great he's been. There's no way I could have done this without him. I'm truly grateful for the Lab's FMLA policy and his wonderful co-workers that put up with him missing most of last week to help me. He will be driving me to the surgeon's office Monday morning.

I'm praying I can take care of myself by then...

The very best part of the day -- a shower. Wow. It was heaven.

Sunday, September 27, 2009

“Digestion is one of the most delicately balanced of all human and perhaps angelic functions.”

“Digestion is one of the most delicately balanced of all human and perhaps angelic functions.” -- M.F.K. Fisher

Day 3 AS - Friday, September 25

I finally wake up nausea free and almost feel like myself. My temperature was under control and I was starting to recognize my feet, toes and ankles again. Nothing is going to keep me there another day!!

Thankfully my surgeon concurred, because although I hate to admit it, I know her vote was the only one that counted. She was really pleased with my overnight improvement and ordered my discharge. I finally was able to consume all 3 oz. of breakfast too.

The day charge nurse came by to commiserate over the loss of chair -- it turned out she was the one who had ordered these and had the procedure herself 3 years ago. She spent about half an hour with me. I was discouraged that I was still in pain and she reminded me everyone has different pain tolerance and different physiology. She herself lost her pain when the JP drain was removed. We all recover in our own time -- and we do all recover.

John returned shortly after that followed by my day RN who removed my IV. Wow, was that thing ever taped on good! She did a wonderful job minimizing the pain as best she could. She provided us with bunches of supples to help with the drainage site collection and butt wiping and skin pain I had developed (likely from sitting in that awful wheelchair).

John hauled all my gear down to the car, made sure my seat was all the way up and set back. The day CNA came by and helped me clean up once again, then wheeled me down to John and freedom.

How great it is to be home! I was still exhausted -- it was all I could do to try to keep up with my fluid goals in between sleeping -- still difficult to concentrate for more than a few minutes at a time. I was cleared for a shower but as much as I wanted it I simply could not muster up enough energy.

It's great to have chairs that are soft and fit again! Great also to have my own toilet. I hate that I still can't quite get up by myself on Friday or wipe myself on Friday -- but am incredbily grateful for a soul mate that would do anything possible to help with my comfort in John.

No nausea, but awful painful gas, belches, burps and hiccups.

It literally took me hours to consume my night meds after breaking them up into small enough pieces to swallow without risking their getting stuck. One of the pill fragments the night before had been too big and did stick for about 20 minutes -- painful. I definitely don't want to experience that again.

I am hating the continuing gas and digestive issues -- tons of reflux while I sleep in spite of a pretty high dose of meltable Prevacid. Hopefully this will all calm down in a few weeks. Trust me colleagues -- you definitely don't want me back in the office yet -- between all the noises and awful smells it's truly gross -- even to me. Trust me on this. :)