2018-07-22

First Weigh In & Pics After Surgery


Start of day 4 after surgery.
Sore and still tired.

I did get some good news.
While in the hospital, they did my A1c and it was 6.5%.
Normal on that scale is under 6.4% so am getting closer to that.
Between surgery and the food changes, it should definitely go down.
Now to learn how to use my new Medtronic 670G so I can switch out my Vibe for it.

Struggling to get the 64oz of fluid.
At 1oz every 15 minutes, that is 16 hours of drinking.
I have started keeping a bottle by the bed and drink when I wake up at night.
That has helped since I can get up to 10oz over night.
Currently I am doing 2 protein shakes, 1 clear protein, 10-12oz of dulcalax powder, and the rest is in powerade zero.

Elsolel went out and got some wedge pillows.
Turns out I only needed 1 but we have a spare now.
Sleeping on my back is difficult under normal circumstances but I CAN'T sleep on my side yet.
So having the wedge pillow is letting me sleep on my back fairly comfortably.

Measurements are off if you look at the trend.
I am up a little from the weigh in on Wednesday before surgery.
Back to about where I was last Sunday.
Weight and actual measurements both.

Pictures are harder to tell but you can tell how bruised my stomach is.
Between that and the hematomas from taking the blood thinner, I seriously look like I was abused.
I did save some side by side pics tho.
20180624 to 20180722 in these pics.
The current pics are on the left here.
You can also see the massive bruising




Was able to take a walk, about 1km, but that wiped me out.
Got back and was very light headed.
Need to take water on the walk so I can keep the drinking while I am out.
Will see what I can do again today.

Only took 1 pain med last night and none today other than regular tylenol.
Will see if I can go without the heavy pain med overnight tonight.
Not sure if I can sleep overnight without it but will try.

I switched out from Novolog U-500 insulin to Novolog U-100.
My doctor had me reduce my basal numbers to about 70% of my normal pre-surgery numbers.
Since surgery, I have had to bolus only a little bit and have kept my numbers under 120.
I have to load new insulin in this morning so it has lasted since Thursday late morning until today.

Throat is still sore from the intubation tube.
Nose is really sore and I wonder if they used something in my nose during surgery.
Feels bruised a bit and have had several bloody noses since.

I was supposed to do my Buddy Check today but there was no way I was going to be able to walk any real distance.
I will walk in a bit and see what I can do, maybe the 1km again.

Doing the spirometer to help my breathing.
I can definitely tell when I use it.
I can feel my lungs for sure when I do those deep breaths.

Follow up appointmens on Tuesday.
1 with my primary care physician and one with the surgical staff.
Hopefully I will be able to poop by then.
I haven't gone since last Wednesday but have been taking stool softener to help.
But I was only going every other day during my pre-op diet and I am getting even less now.
I will be on that same diet on Wednesday so who knows.

2018-07-08

Tired

Took a couple walks this weekend.
Frak, wiped out tired.
Even distances I used to be able to do just kick my ass.
Kept having to stop and rest.
Got a bit light headed on the last walk, partly due to low calories and partly due to it being really hot.
Yesterday was 2k and today was 1.65k.
At least yesterday we got out early before it got hot.
Still very slow but I did go out.
Pokemon Go helped motivate. :D

I need to make sure that I keep moving.
Going so low calorie will put my body in shutdown/storage mode.
I need to make sure that I keep enough activity to prevent that.
And the more I can do before, the easier it will be to do it after the surgery.

Been feeling very tired this weekend.
Not sure if it is due to adding more activity or what.
I am on day 12 of sub 1000 calories a day.
DATE Calories Carbs Fat Protein Cholest Sugars Fiber Total Calories Day #
20180627 877 41g 25g 132g 104mg 21g 11g 877 1
20180628 880 75g 16g 115g 85mg 50g 15g 1757 2
20180629 840 33g 25g 130g 106mg 15g 9g 2597 3
20180630 770 28g 22g 123g 98mg 13g 9g 3367 4
20180701 750 30g 19g 123g 98mg 13g 9g 4117 5
20180702 695 37g 11g 118g 80mg 13g 15g 4812 6
20180703 840 45g 15g 136g 113mg 17g 9g 5652 7
20180704 885 50g 13g 145g 111mg 21g 15g 6537 8
20180705 910 48g 21g 145g 121mg 25g 11g 7447 9
20180706 782 31g 19g 130g 104mg 15g 9g 8229 10
20180707 795 33g 21g 132g 108mg 15g 8g 9024 11
Keeping it over 100 grams of protein and under 1000 calories.
Trying to keep the sugars and fat down as low as possible.
One compromise, I am using 4% cottage cheese as I was really feeling hungry on the 1% stuff (nurse approved).
It could just be catching up to me.

Think I will contact the bariatric nurse at the clinic and find out about the support group.
Might try to go to it to be able to ask more questions about what people went thru and how they felt.

So numbers looking good.
DATE 6/24/2018 7/3/2018 7/8/2018
Weight 374.9 353 343
Around Shoulders 64.25 64.5 64.5
Chest at Armpit 58 58 55
Chest at Nipple 60.25 59 57.5
Chest at Sternum 60.5 58.5 56
Waist 66 63.5 61.5
Hips 50 49.5 48
Bicep 22 21 20.25
Forearm 16 15.5 15
Wrist 8 8.25 8
Thigh 29 29 29.25
Calf 20.5 20 19
Ankle 11.5 11 10.25
Weight 374.9 353 343
Waist 66 63.5 61.5
Hip 50 49.5 48
Forearm (clenched) 16 15.5 15
Wrist 8 8.25 8
LEAN BODY MASS 226.1618 212.841 210.321
BODY FAT WEIGHT 148.7382 140.159 132.679
BODY FAT PERCENT 39.67409976 39.70509915 38.6819242
Body Fat Formula For Men
Lean Body Mass
Factor 1 - Factor 2
Body Fat Weight
Total bodyweight - Lean Body Mass
Body Fat Percentage
(Body Fat Weight x 100) / total bodyweight

Elsolel took pics this morning.





I need to put marks on the floor to ensure I am in the same spot every time.
I am not sure that I was at the same distance from the scale board each time and that will change the view and benefit of the measuring squares.
Then did measurements and weighed myself.

We got a new scale off Amazon that allows me to pull the numbers to my phone.
We took it up to the medical clinic and compared it to the scale there and it matched on several different tries to I figure it is fairly accurate.
It also calculates body fat, lean muscle mass, total fat weight, and a couple other things.
I can then pull that into FitBit, which Elsolel is using but I don't since I have a Garmin, Google Fit, or some other one I don't use.
So I am letting it go into Google Fit for now.

I think I can see a difference in the pictures from the first ones to now but hard to say.
Elsolel says she can see a difference already but hard for me to see it.

Maybe I can do some editing and put them in a single image, side by side and make sure the scale is the same.
The first week, the lighting and flash weren't the same.

Since my final appointment on May 31 until this morning I have lost just under 32 pounds.
This has had me thinking in the back of mind, could I just use this for 3 more months and avoid the surgery.
I have never done low calorie this strictly or for this long.
It has put some doubts in my mind that maybe I just didn't try the right type of method to lose weight before and could do it without surgery.
Point to ponder.
Again, a reason to find a support group.

2018-07-03

Improvements Already

So I went in to the doctor for my final Pre-Op physical.
Got hooked up to an EKG and they found out that my heart works.

Talked to the doctor.

I will stop all my meds on the morning of the surgery and then not start them back up until I meet with her on the 24th.
She will decide at that point what I should pick back up on and what to hold off on.
I do know that she wants me to stop taking Gemfibrizol after surgery.

I got my blood tests back.

Everything came back good except my A1c which is still at 7.0 where 6.4 is top of ideal.
That is the lowest on any test since 2016 tho so I am happy.
I know it will go down after surgery too.

My triglycerides are at the lowest they have been since 2016 too.
Still too high, 276, but they have been too high for as long as the tests go back on Allina Health page.
My LDL is only 67 but my HDL is only 29.
That should go up as I can exercise more.
My overall cholesterol is down to 151 so as I can get my triglycerides more under control it will come down more.
The formula for overall cholesterol is HDL + LDL + (Triglycerides/5) so 67 + 29 + 276/5 = 151.2.
Getting my triglycerides down to under 200 and not changing any of the other numbers would get me down to 125.

The biggest news, which I am burying this far in, because I am a putz, is my weight.
When I went in on May 31 for my final appointment with Dr Dock for my surgery approval, I weight 373.9 lbs.
When I went in this morning, I was 353.0 lbs.
That is over 20 lbs loss in 33 days.
I just have to make sure that I stay active or my body will shut down to starvation mode.
With the weather it has been difficult but I have been getting in some walking.
Even to the point of just walking in place for 5 minutes at a time at home.

I have been super hungry today but this is the first day that I have had to deal with a lot of hunger pangs.
My meal plan has basically been, 3 protein drinks and 3 snacks.
The snacks are 1/2 cup of cottage cheese or no sugar added apple sauce (not something I really like) or yogurt (Dannon Triple Zero) or tomato soup (I do V8 which is better for me and Nurse approved).
I switched from 4% fat to 1% fat cottage cheese.
I will go back to the 4% which I think will make a big difference and the nurse said it was ok.
I can have unlimited clear liquid so have been doing chix broth but don't want to do too much due to how much salt there is in it.
Lots of crystal light tho.
And yes, several times a night I am up to pee.

Pics were taken on Sunday.





Along with measurements.
Lost a couple inches, I think, off my waist, or we measured at a different spot.
We designated spots this time so measurements should be consistant after this.

I need to find a body fat measuring tool.
Either a scale which I don't like or a hand held.
But I need weight to do fat percentage anyway.
Something to think about.

Over all a good set of numbers and check up.