"Life ain't always beautiful...

...but it's a beautiful ride." So says Gary Allen. And I happen to agree with him. Today, anyway :)

It's been a long time, but I went running today. (I did about 3.5 miles - an average run - and it nearly killed me. Here's some advice - if you exercise regularly, and you should ;), don't stop for a couple of weeks. It's amazing how quickly you lose everything you've gained) While I ran, I listened to my iPod - of course - and did some deep thinking about my life. Here are some of my thoughts:

- They say that God never gives us more than he can handle. Clearly God knows that battling depression and being fat and single are all that I can handle. (He's right, by the way - those things have broken me more than once) Because he has given me so many good things - an amazing family, a career that I enjoy, and more good friends than any one person deserves. Building 429 has a song where they say "I believe always, always our Savior never fails" that I was listening to while I ran. And I believe that, too. Here's the thing about me - I make a lot of bad choices. And I tell God about them. But so often I don't want to ask him to help me stop. I'm perfectly happy making bad choices. So I just tell him - "Hey, God. Here's what I'm doing. And I'm happy about it. So deal with it." It's probably not the best thing to do, but I figure at least I'm talking to him. Not keeping him out of my life. And I figure he is big enough to deal with it.

- I asked my doctor to put me back on Lexapro, an antidepressant. He gave me 4 weeks worth of samples, and I just started the 4th week. I think it's really helping. I think I need to go to counseling as well, and I'm working on getting there.

- Yesterday was the one year anniversary of my surgery. Hard to believe. I can't even begin to list the ways that my life is different than it was last year (although I probably will soon), or to adequately express my appreciation for the support from everyone in my life. I have never had one person say something negative or unsupportive to me. Not one. That is a truly amazing gift. I celebrated by doing something I couldn't have done a year ago - going to King's Dominion and riding roller coasters. I also went to support group, went over to the Masinick's for dinner and cards with the Palmers, then went to karaoke with the WEPC crew, followed by a late-night meal at Waffle House. Altogether a completely amazing day.

- As I told them at support group last night, it's been an up and down year for me with 9 months of hard work and 3 months of complete failure. I'm still working on not grazing and getting my eating back under control. Slowly, slowly, one day at a time....

Getting knocked down a peg....or two

So......
You know how I told you Dr. Elliot wanted me to come and speak at his seminar? And I made my little picture book and put my contact information and blog address in it in case people wanted to talk to me? Because, really. How could anyone even CONSIDER wls without hearing my story? Aren't people as eager to hear my story as I am to tell it?

I got a message Friday telling me that Dr. E. wanted me to come speak on Monday at 6. So I left a message at the office telling them that was fine and I would just go to the classroom at 6 on Monday. If they needed to talk to me about it, I left my cell #. I didn't hear from them, so I went on. Turns out the class was at 5 and they just wanted someone to speak at the end - which actually I appreciate because I didn't need to sit through that whole seminar. So I slipped in and listened to the end of Dr. Elliot's spiel. Then he said that he would answer a few questions and then have one of his "star patients" come up to answer questions (CLUE #1). So after a few minutes, he puts up a picture of some woman I don't know (CLUE #2) and asks "Sandra" to come up (CLUE #3). Still, I think he means me and I'm about to correct him and tell him my name is actually Sarah....when some other chick walks up there.

So yeah. They didn't want me after all. (Although I would like to point out that I've lost more weight than this chick. Not that it's a competition. Or that she had as much to lose as me.) This girl gave all the right answers to Dr. E's questions, whereas mine would not have been so "right". (For instance, he asked "Do you get hungry?" and she said, "No" Ummmm, really? You never get hungry? In over a year? Well, I do.) So it's probably best that she went and not me. I tend to say the wrong things. I'm not sure that Dr. Elliot even knew who I was or that I was there to tell you the truth.

That's what happens when you start thinking you're important. God shows you otherwise. I was pretty upset and embarrassed - more than the situation warranted. Because I was way too full of pride. Thanks, God. I guess.

P.S. - I ran 5.5 miles today. I haven't run that far in a long time and I am SORE!!!

Today

So my landlords royally ticked me off today. Royally. I was as rude to them as I have ever been (intentionally) to anyone. Anyway. It's been pouring down rain for ages and ages and ages. I was so frustrated that I went running. In the rain. For 4 miles. It helped somewhat.

Then I realized - wow. I didn't want to nap. I didn't want to eat. I wanted to run. When did that happen? When did I become one of "those" people? I never ever ever in a million years thought that I would. I love sleeping - and eating - too much. But it was the right thing for me today. Although I'm not sure that it would have been as satisfying if it had been sunny.

I also went bathing suit shopping today - *blech* That's never fun. Even after losing 140 pounds. It was actually harder, I think. Before there was no expectation of looking good. It was "find one that fits and covers a lot and just go with it" But now....there's still a lot to cover and I'm not "looking good". It's just hard. But I got one that I ordered from Land's End that I think I'll keep and I'll keep looking for a second one. I love love love to swim, so I'm not going to let the fact that I look ridiculous in a bathing suit stop me :)

I also bought a cute little summer halter dress - at Express, no less. We'll see if it makes it to the "keep" pile. I'm loving summer dresses right now!

Where have I been?

Ok, I know. It's been a long time. There's been a lot going on. I haven't really talked about it very much, but I think it's time for me to go ahead and at least write about it. I feel a little weird - ok, more than a little weird, I'm petrified - about putting all of this out there, but I'm doing it for two reasons - one is for me, to help me process and to help me have a record of my journey. The second is for anyone else out there who is considering or has had the surgery - I want to be honest with you about my experiences. Not to say that everyone's experience is the same. But if you're interested in my story, I want you to hear it all - the good and the bad. So here comes a big 'ole batch of honesty. Probably more than you ever wanted.

I know - have always known - that this surgery is not a magic cure for anything. It's not a quick fix, and it doesn't make you into a different person. But knowing that in my head and really believing it are two different things. I've struggled with depression for a long time - I've been on and off medication; in and out of counseling. I've never really wanted to deal with it, so I've dealt with it as little as possible. Truly I thought that it was just because I was fat. (When the really fat guy in Austin Powers says "I eat because I'm unhappy. And I'm unhappy because I eat." I always tear up even though it's Austin Powers. Because that's how I felt.)

So when it came back about two months ago, it knocked me flat on my back.

And come back it did. It felt like an actual, literal, weight pressing down on me at all times. It makes normal life extremely difficult. Without really being able to explain it, I just have a hard time making it through each day. It's hard for me to work up the motivation or the energy to get things done and bouts of sadness will hit me out of nowhere so I just want to find a corner to curl up and cry. (Interestingly enough - and I use the word "interesting" very loosely here - I rarely actually do cry. Or if I do, for more than a minute. I used to cry a lot. I think I used up all of my tears) But because I am my mother's daughter through and through, I fake a smile and force myself to interact with people and be social.

Some other thoughts that are frequently in my head right now:

- I feel nothing but fat. Fat, fat, fat. In my head, I know that's ridiculous. That after losing 140 pounds, I should be absolutely thrilled to be able to go shopping and pick up a pair of size 12 pants. 6 months ago I would have told you that I would be. A year ago, when I was barely squeezing into my size 24s, I would not have even imagined that it was possible. But now - all I see is the smaller sizes on the racks. I still have a lot of fat and loose skin all over me and I hate it. Even in pictures, I still look like the fat girl. I have rolls of belly fat, enormous calves, and saggy arms. It's not a pretty picture.

- Still no one wants to date me. No one has so much as asked me out to dinner. Which is forcing me to confront the idea that it wasn't the fat that made me undate-able - it was just me.

- My eating habits are seriously slipping. I find myself eating more and more throughout the day and I hate myself for it. It's the same pattern I was in before surgery - I'm not hungry, I don't want it, I know I'll be upset if I eat it, but I can't seem to stop myself.

Now here's the thing. This feels like one big pity party for Sarah and, in many ways, it is. But it also feels like I'm just digging for compliments and I truly am not. (They don't really make me feel better anyway because it feels like people are saying it b/c they have to in response to my whining) It also feels like I have no right to say/feel this way because of how blessed I have been to have gone through this surgery.

I don't know for sure if these are typical post-WLS feelings or not, but I feel like they probably are. I did start seeing a counselor, but I haven't been back in a while. I'm working up the courage to go back. I'm spending a lot of time praying, which to be honest, involves a lot of me yelling at God. But he's big enough to handle it. I've considered going back on medication, and that may end up being a good choice for me. It's very hard for me to want to even deal with this, but I'm fighting.

So, there it is - honest, sappy confessions by Sarah. Now that I've put that out there, I hope to get back to more regular blogging. There's a lot going on out there in the world just waiting for me to comment on it. :)

So I did it. I finished the Monument Ave. 10k! I finished it and I ran the whole time, which were my two big goals. My secret goal was to finish in under 70 minutes - I finished in 70 min exactly. So 1 second faster.....But that's ok. I finished 14,527 out of 26,242 finishers. I was surprised at how hard it was, but I'm glad I did it. I'm actually doing another one this Saturday - the bridge run in Charleston. I'll be down there for Spring Break anyway and my brother-in-law was doing it, so I said I'd do it with him. I figure if I run 10ks 2 weekends in a row I can then justify taking my spring break week off from running :) I'm not sure what I'll do after that...still thinking about it.

The Monument Ave. 10k also has a costume contest and my friends won it! I was so excited for them! Their Ms. Pac-Man costume was awesome.

2.5 days to go until Spring Break....I can't wait....

P.S. Yes, I realize it has been almost a month since I posted. I apologize. I'll just say that this whole WLS journey has been like a roller coaster - up, down, up, down. This has been a down time. I will post about it at some point - you know how I believe in putting it all out there for others to see :) - but I'm just not quite ready to do that yet. So I've been avoiding it.

Overestimating my running abilities

So this morning was a 3 mile group run with the training program. Let me first mention that two days ago I ran five miles - FIVE MILES - around my apt. complex. I was so excited and proud :)

This morning's 3 mile run nearly killed me. I mean, it was bad. I was slow, I felt yucky, I didn't think I was going to make it. I don't know if it's because it was so cold or I was running in the morning instead of afternoon like I usually do, or if I just felt worse about it b/c I could see how many people were running faster than me. But it made me, truly for the first time, doubt my ability to do this race. I know that I have 2 months to go. And, truly, I should be absolutely thrilled to be able to do anything close to what I'm doing considering where I was a year ago. But you know my family motto - "Good enough is never good enough".

*Ugh* LIFE. Why does it have to be so complicated?!?!

What 100 pounds feels like - Sarah style

**Author's Note ;) - I've been working on composing this post for a while now. I went back tonight to edit it down to a manageable, readable length. But then I decided not to. Because I want to be able to go back and re-read it and remember how I felt. So, it's awfully wordy - 10 words where 1 will do kind of thing. But that's just me! So feel free to skim/skip at your leisure, as always**

Well, I posted my before and post-100 pound pictures. So I thought I would also post about what losing 100 pounds feels like. I’m always a little leery about posting things like this – things that make it sound like I’ve met my goal. It’s easy to forget that I still have 50 pounds to go. But I want to remember how I felt along the way. And try to enjoy how far I’ve come, because I get very frustrated very easily. So, because I can, here is...

How it feels to lose a 5th grader...
- HARD WORK. It’s cliche, especially in the WLS world, but in no way was this surgery “easy way out”. I don’t know if that’s still the perception among people who don’t know much about it or not.
- There are about 13,782 rules governing all my meals - what to eat, when to eat, how to eat, how much to eat. I can’t ever just not think about it. There is no cheating when I’m frustrated. I can get sick at any time – sometimes I know what caused it, sometimes I don’t. I miss food, and I miss it being easy. Imagine being on an extremely restrictive diet and knowing that you have to do it every meal, every day for the rest of your life.
- I have to exercise. Have to, have to, have to. And it’s a lot of work. I try really hard to push myself. Both to burn those extra calories and to build the muscle that will burn more calories at rest and help me avoid the excess skin.
- I have to be vigilant about vitamins and supplements. At least 5 pills a day, each one 2 hours apart from all of the others.
- Although, just to confuse you (and me) a little bit, and to bring out my multiple personalities it’s also...

- NOT AS BAD AS IT SEEMS. Yes, it’s a lot of work. But people see me eating such a little bit, or not being able to eat things, and are always talking about how bad they feel for me. And really, once I get past the head hunger thing, I don’t really miss it. My little tiny bit of food really is enough for me. I eat it slowly – it often takes me longer than it takes other people to eat their regular size meals – and it feels like a real meal to me. Someone asked me today about cravings and I’ve found that they’re getting less and less. Because when I crave something and eat it, a lot of times it doesn’t taste very good. After a few times of that, it gets easier not to eat it. I know it sounds like I’m contradicting myself. It’s hard to explain. Roll with me here :)

- RUNNING. I talk about this a lot, so I won’t expand on it too much here. But the difference in what I’m able to do when I exercise is amazing. I can run! I can do an entire aerobics class (remember way back when Zumba kicked my butt?). In fact, the other day I did a Zumba class followed by a Body Pump class. And smaller things – I don’t get winded walking up stairs. You can’t imagine how much time I spent when I was bigger trying to hide the fact that I couldn’t breathe after walking just a few stairs.

- SITTING. I’m not as scared to sit in chairs anymore. I had a constant nagging fear of breaking chairs before. Also of spilling over into people’s chairs next to me at church. (Ok, this is still somewhat of a fear) I’m sitting here right now on my sofa cross legged. Earlier I had my knees up in front of me. I can cross my legs. It’s not super easy, but I do it pretty much every time I sit down. As early as this summer, when I was only like 50 pounds down, I rode on an airplane and didn’t need a seatbelt extender. I feel now like I’m almost to the point where I won’t be embarrassed for people who have to sit next to me on planes or buses.

- BAGGY CLOTHES. I have to tell you – I’m getting a little tired of wearing clothes that are too big. Which is strange, because I’ve always worn my clothes fairly big. I can buy clothes that are too small because I know I’ll fit into them soon. It’s amazing how quickly my clothes get to be too big, while at the same time I feel like I haven’t lost enough sizes. (I know, another crazy contradiction from the crazy head of Sarah) Which leads me to...

- FRUSTRATING. It’s hard for me to know what kind of realistic goals to set. Good enough is never good enough for me. I never feel like I’m losing quickly enough, or I’m doing well enough. I get frustrated about the clothes thing frequently – they’re too big, they’re too small, I don’t have enough.... (see the “hard work” point for other frustrations)

- ON DISPLAY. It feels like people are watching me constantly. They’re not obviously – or if they are it’s out of curiosity, not judgement. I can’t blame them because I do the same thing. But still, whether it’s what I’m eating or how I look, I often feel like a sideshow act :) Of course, I bring a lot of that on myself – I talk about my surgery a lot, and I blog my every action and thought. And I don’t mind answering questions or sharing my experiences at all.

- CONFIDENTER. So confident, in fact, that I dare to use the word confidenter instead of more confident.

- COLD. I’m cold. All the time. Very, very cold. Yes, part of it is losing my 100-pound coat. But part of it is my body adjusting to all the changes.

I’m sure there’s other stuff, too. But that’s quite enough for now, don’t you think?

The image in my head

So this is how I motivate myself to keep going on this whole weight-loss thing: I imagine that there is a skinny girl inside me. I'm eating right to get her out. But I'm exercising so that when she gets out she's already fit and toned and ready to go. Every time I'm exercising and I'm exhausted I think "Come on, skinny girl. Get stronger now so you can bust out!" I know. Crazy talk.

Something else new and amazing today - I swear I find something exciting every day. I finally went swimming again. I ALWAYS swim over to the ladder to get out because I'm not strong enough to pull myself up out on the side. I've tried once or twice and it's embarrassing. I figured it was a combination of weak arms and a lot of weight to pull up. Well, today I decided to try it while no one was around. I like flew out of the pool! It wasn't even hard! Amazing.

One of my cousins posted her pictures from the reunion and I swear when I see myself I just look like a fat girl. Which makes me think - if I look so much better than I did before, but I still look like a fat girl......wow. Anyway, there's my Debby-Downer moment of the night.

My scale is broken.

Yeah, let's go with that.

Now if I could only find an excuse for why my face is breaking out like a teenager the day before prom...

FInding clothes that fit.

*UGH*

Here are some clothing fit issues I'm having - I knew y'all wanted to hear about them:

** You know how there are some people that look like a caricature of a person. Like from the chest up and the thighs down they are of normal size but then they have an enormous stomach and butt? No? You don't know those people? Come visit me, my friend, and you will... I can tell that I've lost some weight in my boobs and face. Mostly the boobs. (I don't know about my legs, b/c I don't have a full length mirror. Because I'm super together and organized), but my stomach and butt are still enormous. It's NOT a good look.

** I don't know what size underwear to buy. In the past, this has been my underwear-buying philosophy: Go to Wal Mart. Find the multi-pack bags of underwear. Find the cheapest one. Buy the biggest size they have. Now I can still wear my underwear, but it's getting kind of baggy and I don't have any idea how to figure out what size to buy next.

** I put one some Goodwill jeans today (I have like 4 pairs of those) and they fit me perfectly - except for the left calf. I'm serious. Everywhere is perfect, but the left calf is tight. Only the left one.

** I would like to say hello to..... my neck! I just saw it in the mirror. Who knew I had one under all those chins?

Some thoughts from the head of me!

I met with my nut, Pam, again today. She was pleased with how I've been doing and even said that she thought she was too hard on me last time. (She wasn't, by the way - I needed to hear it. I honestly had thought I was doing ok but I wasn't) She gave me a lot of new helpful suggestions. *note here - none of these suggestions were for foods that I hate followed by "just try it". This was my old nut's way. This is why I no longer see her* She's very sweet and non-judgemental, which makes it easier for me to be as honest with her as I can, which makes it easier for her to help me. So it's good all around. I told her today that I worried that I never hear from anyone else who is not completely in love with their WLS. I tend to be pretty honest about admitting my doubts and frustrations about my surgery. And she told me that there are other people who feel that way, they just don't go to support groups and follow up appointments like I do. So that made me feel good. I'm going to keep fighting for this!

I'm still so tired it's almost dangerous for me to drive, but I went to bed earlier last night and I'm headed that way tonight as well. I need to give this "getting enough sleep" thing a legitimate shot. ;)

3 month follow-up

I also went for my 3 month follow-up appointment today. I had lost 17 pounds since my last appointment a month ago, bringing my total lost to 81 pounds. I, as usual, was frustrated with that but my dr. was pleased. He said that starting month 3 (which this past one was for me), bypass patients should lose 15-20 pounds a month. This is not fast enough to satisfy me! Of course, I think I'm starting to feel about losing weight the way that one of the Rockefellers did about money. Someone asked him once how much money was enough and he answered (quite cleverly, I thought), "Just a little bit more" So I need to watch that I don't drive myself crazy over this. I have a family reunion at the beginning of November though, and I really want to have lost 100 pounds by then. It's 6 weeks away so that's a fairly realistic goal, but I'm definitely going to have to work on it. Although to be honest with you, most of my family there probably won't even notice I've lost weight. A lot of them are 2nd cousins and such and at the last family reunion I was actually at my lowest weight with Weight Watchers, and I should be right around that weight again. Which means, yes, in the last 5 years I have gained and lost 100 pounds. How scary is that? (well, not quite yet but you see what I'm getting at)

So I took my food journal in to show my dr., even though I really didn't want to. I know that I haven't been making the best food choices and I'm frustrated with myself about it. I exercise, I get in my water, I take my supplements, I eat appropriate portions - I'm just not choosing the best foods. Which was my problem pre-op, too. He acknowledged that but was much nicer than I thought I had a right to expect. He focused a lot on the weight that I've lost and the things that are going well and said, "Well, you can't argue with the weight loss" Not that he let me slide on it - he talked about what I should be doing and tomorrow I see the nut and have to really face the music there. She's very nice, too. I don't know why it is that I have so much trouble with this. It seems so easy when we talk about it, but then I drag myself through another day and it's all I can do to get off the couch and eat anything at all. I know all the good things to do - cook ahead, plan meals, only keep healthy things in the house, even just forcing myself to cook something and it's never as big a deal as I make it out to be. I guess I'm just a crazy whack job. But I have come a long way. The choices I'm making now, while not great, are way better than what I was making last year at this time. So I just have to keep working at it. Like Dr. E. said today, I need to develop good habits now b/c in 5 years the surgery won't be helping me so much and it will be up to me to keep the weight off. I know I talk about this a lot - and at length.

Tonight I went and took a Zumba class at the gym! I did this once way back in the spring when I had to wear my heart monitor. I remember that I had such a hard time getting my heart rate down where it was supposed to be - the class kicked my butt. Tonight I definitely worked, but I didn't die! If you're not familiar with Zumba, then clearly you've been living under a rock. The Zumba craze kind of reminds me of the Tae-Bo craze 10 years ago. (I bought into that one, too - I had the tapes! Go Billy Blanks!) It's like a dance class with salsa, belly dancing, Latin moves, stuff like that. It's really loud and high energy and fun - and a lot of work. My class tonight had probably 50-75 people crammed into it. That's a lot of people to hide behind, and trust me - there will be someone there less coordinated than you. There was a man in his 50s in our class tonight! But you can't really be shy and do Zumba - and it would probably be better if you had some dance experience. Or some rhythm. So, if you were not me. But as much as I stress about it, no one is there to watch me. I know you find that hard to believe, but I've come to learn it's true. I'll probably go back. Anybody want to Zumba with me? (If you get the chance to take a class with Angela at American Family West End, I highly recommend her)

Tired and Whiny

A kid at school asked me if I was pregnant today. Awesome.

I'm having a really hard time getting my head around this whole new-way-of-eating thing. Which is frustrating to me b/c I spent a lot of time getting ready for it and knew what I was getting into. Fully. But I get so irritated that I have to think so much about what I have to eat, and I never feel like eating when I should, or then I get really hungry but I don't feel like fixing anything so I just mope around and get grumpier. Then I get frustrated and start chastising myself, which makes me defensive (with myself, naturally, because this is a normal thing) and even more irritable and want to do/eat something I'm not supposed to just to prove that "I can". To myself. (picture Napoleon Dynamite saying "idiot!" here)

To top it off, I'm just not feeling good. Not sick - nothing that I should actually complain about. Just tired, with frequent feelings of nausea and light-headedness. Plus the whole grumpier-than-Oscar-the-Grouch thing. Maybe I'm PMSing. That would actually be great, because then I would have a reason and know it will be over soon.

To be fair, I had a lot of these same feelings about eating before surgery. But then I would just order a pizza or go to McDonalds to resolve it, and those are not viable options now. Which is good, because that's why I ended up in this position in the first place. But I need to find another way to resolve it. And it has to be one that makes me happy when I'm this irritable, and that's no easy task. As anyone who knows me well knows, once I get into a grumpy-funk pretty much everything just makes it worse. A lot of times, honestly, I just have to take a nap and sleep it off.

Back to Real Life

I continue to be frustrated with my weight loss. I'm losing about 2 pounds a week, which is actually pretty good weight loss if I was doing Weight Watchers. However, one of the reasons that I chose this particular surgery is that I'm impatient. And it's a lot harder than WW. So it should be coming off faster. I'm trying not to get too frustrated and be patient, but it's hard. I'm eating real food now, which I love, but it comes with some challenges of its own. While in Charleston, I ate things that I'm allowed to eat, but I didn't make the best choices I could possibly make. Does that make sense? I didn't cheat, per se, but I could have done better. Another hard thing was eating slowly when I was with my family. I got food stuck after a lot of meals, which isn't fun. I actually threw up on the street in Charleston, which was totally embarassing. It just came out of nowhere.

That was yesterday, and food hasn't been sitting very well since. It's weird - I get hungry and then as soon as I get to the point where I'm going to eat, I don't want to eat it at all. Tonight I went over to a friend's house and I ate some chicken - just a little bit of chicken breast on the grill. I've been eating chicken for a long time now! But boy did I pay for it tonight. I was back and forth to the bathroom. I threw up 4 times, which is unheard of for me. I couldn't imagine that there was anything left in there to throw up! I had my papaya pills, and they helped some but it finally just took time. I have no idea why it happened - the only thing I can figure is that the chicken was too dry. (Not an insult to the cook, by the way!) They were cooking with barbeque sauce, and made mine without it b/c of the sugar in bbq. He seasoned it - it tasted good! - but maybe I need to make sure there's something giving it more moisture. Who knows.

Here's a little warning, which is going to contain TMI, so feel free to skip:
After surgery, pay attention to your poop. If you haven't gone for a few days, you're going to want to take some fiber or something. Don't just not pay attention and ignore it. Because eventually, it's going to want to come out. And it's going to hurt.

Attitude adjustment needed

Ok, I just want you all to know that I KNOW I'm being whiny and pitiful over this whole thing.... I've been reading other WLS patient's blogs (I never know if it's ok to link to them or not? What is the proper etiquette there? If someone has posted their link publicly, is it ok for me to link to it? Or should I check with each individual person? Who knows) and they all seem to have so much more of a "This is hard, but it was a good decision and I'm glad I did it" attitude.

So my goal is to work on that. Know that, despite how unhappy I may feel at any given moment, deep down I know that I prayed about this for something like a year before deciding to have the surgery, and then worked for 6 months pre-op to get ready. So I know it was the right decision for me. But I don't handle pain or discomfort well. And I think my hormones may be raging out of control at the moment and making me crazy.

I came back from Lynchburg tonight after 5 days to find that my rent hasn't been paid (I gave them an automated debit form - this happened last August as well. Frustrating) and that the tickets I bought to go to Charleston next week were both for the same day. Surprisingly, I didn't actually want to fly down to Charleston and leave 30 min. later. So I have now doubled the cost of my tickets in change fees. So you can see why I feel cray.

John 16:33
"In this world you will have trouble. But take heart! I have overcome the world."

Hello from Lynchburg!`

So I've had a few intervals of feeling better this weekend, but for the most part the nausea/pain continues to stay with me. Sometimes it's bad, others not so much. Yesterday while my dad and I were at the mall, it hit me badly and suddenly so I made him leave. It had been about 4 hourse since lunch, so I can't imagine that it was something I ate.... I've been off the Actigall for almost a week now. I'll call my dr. either today or tomorrow and report back in on how that hasn't helped and see what they say. I'm also allowed to start eating real food today! Hooray!!!!!!!!

Emotionally, I'm a bit of a mess as well. Yesterday I went to church with my parents and they were having communion. At their church, the bread is actually homeade white bread cut up into small cubes (less than 1"). They use grape juice. Neither of these are things I'm supposed to have - however, I figured the grape juice in such a small quantity wouldn't have enough sugar to hurt me and that would be ok. The bread, however, I wasn't so sure about. Bread - especially soft, white bread - can get gummed up and stuck in the opening leading out of my pouch. So I figured I was going to have to pass on that, at least for now. My mom assured me that God would understand :) And I knew he would, but it sent me over the edge anyway. I had a moment of "As if I didn't feel different enough being fat and single at 30, and not being able to get the weight off without surgery, then I can't eat what everyone else can and now I can't I even do communion!" I left church, went to the bathroom and cried and cried and cried. Eventually my mom came to check on me, which made me cry some more. So I left and went home.

If you're not, or never have been fat, there's a lot of things about it that you've probably never thought of or wouldn't understand. One of the things that struck me this weekend is how I hate going places in Lynchburg, like their church - where I grew up- with my parents. Because they always introduce me to people and I feel like they must be embarassed to say "This is my daughter." I'm fat, single, and haven't done anything really exciting - I'm not a doctor or a missionary. I'm not really very interesting at all. (So why are you reading this? ;) ) Of course, my parents absolutely deny feeling this way - and they may not. But it's still how I feel every time I get introduced. It's the same way I feel running into people I knew from growing up. "Well, here I am. I haven't really done such a good job of growing up, huh?"

I know, it seems like I'm just having a pity party for myself and doing some whining here - and let's be honest, I am. But I'm just trying to "let people in" to the mind of an overweight person. It's amazing how it affects anything and everything that you do. I'll share some more fat secrets with you another day :) - like how I come up with excuses to avoid trips to amusement parks because I won't fit on any of the fun rides.

As usual, I've gone on too long here. Happy first full week of August everyone!

***Warning - May contain TMI***

I'm going to post briefly b/c I am not feeling well at all - however, if people are considering this surgery they need to know everything that goes with it.

I'm still feeling nauseous all the time, and eating and/or drinking seem to make it worse. It's making me exhausted and very, very cranky. I'm wishing that I had never done this in the first place. As my sister pointed out, if this were Weight Watchers and I felt this way I could just cheat. But I can't. I'll get sick. And I know that's why I chose this surgery still....

So if you've looked into WLS surgery at all you've probably heard of a phenomenon called "dumping",which by the way is a name that I hate. I "dumped" yesterday for the first time. I had gone out to a Mexican restaurant with some friends, and I ordered a quesadilla with chicken. I ate just a little bit of the shredded chicken and cheese, which I figured would be fine since basically all I've eaten the past 2 weeks are eggs, chicken, and cheese. But I guess the restaurant cheese had a lot more fat than the cheese I use at home b/c a little while later I was in my friend's bathroom. I felt like elephants were stomping on my stomach, I was sweating like crazy, I was shaking, and I didn't know which end to point at the toilet ;) I stayed that way for about 20 minutes. It was awful, and left me feeling worn out and weak.

I'm just so freakin' tired of feeling bad and not being able to eat things. When you feel nauseous, what do you do? Well, you can drink some ginger ale. No can do - no carbonation allowed. You can eat some crackers - no can do. No bread or crackers allowed. You don't keep eating and drinking stuff - no can do. Have to get a minimum in. So I could go on and on ranting about how sick and angry and frustrated I feel, but I won't.

This is why - first of all, who wants to read that? Second of all - and it pains me at this moment to write this - it will pass. I know it will. I know that lots and lots of people feel this way at this point after surgery (especially the what have I done? thing. I don't know about the nausea.) Ok, off to feel sorry for myself some more.... :)


P.S. - Added later - I wanted to add that I have yet to actually throw up since the surgery. I've wanted to - plenty of times. But I haven't. I very rarely do, as a rule. But if I had a stricture, a serious concern post-op, I would be actually throwing up everything I ate or drink. So it's good to know that's not the problem. And, by the way, I'm updating this at 11:30 at night when I should be in bed because I'm too nauseous to lie down quite yet...

1 month checkup

Ok, well it hasn't technically been a whole month...more like 4 weeks tomorrow. But I went back to see Dr. E today, and I met with Pam, the nutritionist as well. Let me remind you that I am smack in the middle of the why-in-the-world-did-I-do-this-crazy-thing-I'll-never-make-it-
when-can-I-eat-real-food-like-a-normal-person doldrums, in addition to constant nausea. Yesterday I got a sudden pain across my abdomen that was killer bad. I waited it out about 20 minutes and finally took some of my pain medicine and slept it off. So when I got to Dr. E's office and was meeting with his awesome nurse, Michaela, and she weighed me and I found out that I have only lost 6 pounds in the last 2 weeks...... let's just say it took all the strength I had to sit in the exam room waiting for Dr. Elliot and not bawl. But Dr. E said that was a total of 27 pounds the first month (53 pounds lost now total), which was average for the RNY (Since when has average ever made me happy?) and that it was just my body adjusting and getting used to the changes. So he didn't seem worried about it. Me? Worried. Stressed. Unhappy. In other dr. appt. related news...

• ****WARNING***** This bullet may contain a little TMI for some of you. You may want to skip to the next one. Dr. E thought that my stomach pain could be from a number of things, but that it wasn't worth worrying about (clearly he wasn't the one doubled over in pain :) ) unless it happens repeatedly. Michaela, the nurse, said that it could be from constipation and suggested that I start taking Benefiber. So I am. See, that wasn't too bad now was it?

• As for the nausea, Dr.E said that wasn't terribly unusual, but that some patients got nauseous from the Actigall that I'm taking. So he said to stop taking it for a week and see if it improves. Although I don't know what he's going to do if it does help, b/c I'm supposed to take this stuff for 6 months. Maybe there's something else he can give me? We'll see.

• Dr. E and Pam were both pleased with what I'm eating - how much protein and liquids I'm getting in, etc. I talked with Pam for a long time about ideas for things that I can do once school starts b/c it's going to be much harder when I have to get up and get out the door, and pack my lunch.

• Next Monday I get to go to solid foods! Wooo-hooo! Pam suggested still staying with softer foods, but a whole world of food choices are going to open up to me :) I don't even know yet what I'll eat. But I can't wait.

• Dr. E didn't look at my incisions, which I thought was strange. But I didn't think of it until after I left.

Dr. Elliot basically told me that the next few weeks were the hardest time and that once I get through those I'm going to feel much better. I'm clinging to that promise!!!

I posted earlier about not getting all of my protein in, and Dawn had a good question. She wondered how I was not getting it in when 2 protein shakes should easily meet my requirement for the day. Here's the answer - and when I go to see the dr. for my 1 month follow-up on Tuesday I'm going to double-check on this - my surgeon wants me to eat 3 meals a day and nothing else. He will (grudgingly :) ) allow one small snack mid-afternoon if I have a long time between lunch and dinner. He counts a protein shake as a meal, not as part of the liquids that I do during the day. So I've been trying to eat actual food rather than protein shakes - mostly because I like it better :), but also because long term that's what I need to be doing and what my doctor prefers. So I'm not doing many protein shakes at this point. I have been doing one for breakfast a lot of days, and that's helping. The past few days I have gotten to my protein and water goals, which is good. I worry some that Dr. E. only asks me to get in 40 g of protein, while Pam (the nutritionist) said 60, so I try and go higher than 40 when I can. I have to keep reminding myself that he's the doctor and I'm not.... a little bit of knowledge can be a bad thing :)

I'm still feeling kind of generally run-down and nauseous. Not in a hugely major way, more in an annoyance kind of way. I'm exhausted, but having a lot of trouble sleeping. Last night (now, don't fuss at me. I know I shouldn't do this and am NOT going to do it again - it was a one time thing) I was so tired that I took some of my pain medicine just to help me sleep. It was awesome. I conked out quickly and was dead to the world for 9 hours. I really needed that! I also have nausea medication that Dr. E prescribed for me when I left the hospital, but I haven't taken any of that yet. I think that makes you sleepy, too, and I just haven't felt like I feel bad enough to take it. I'm going to talk to him about all of this on Tuesday,when I go to see him. I have been trying to notice if I feel worse after I eat certain things, and I haven't noticed anything. Just a general feeling worse in the morning.

I'm also in the "Dear-God-what-have-I-done-this-is-insane" stage where I'm totally freaked out and a little regretting that I had the surgery. However, from what I understand almost everyone experiences this at about this point, so I'm confident that it will pass. Probably when I start noticing significant weight loss. I'm still at the point where I can hardly tell. I'm wearing all the same clothes, although they're a little big. But I still feel like 50 pounds down they should be bigger than they are. Patience, Sarah, patience!

3 week post-op tidbits and observations

• I rarely feel hungry - more like I eat because I'm supposed to, measure it, and eat how much I'm supposed to. On the flip side, I don't really feel full either. I do have "head hunger" quite often where I really want particular foods, though.

• I've found that water doesn't sit in my stomach very well, especially in the morning. By evening I can usually tolerate it. If I add any kind of flavor to it, though, I'm fine. Even sipping throughout the day, it's hard to get in my 64 oz. If I drink too fast, it hurts! It kind of feels like someone is stepping on my chest.

• Interestingly enough, I tolerate protein shakes better in the morning than I do in the evening.
  

• It's hard to get in 40-60 grams of protein when your total food intake for the day is only 3/4 of a cup! (40 is what my surgeon says, 60 is from the nutritionist)
  

• I've been dizzy a lot more since surgery. You know how when you stand up too fast you get dizzy for a minute? That happens to me almost every time I stand up now. Weird.

• My incisions look awesome. The lowest one is the worst, because my clothes rub against it. It's REALLY hard for me not to pick at them!

• For the most part, I feel as good as I did pre-op, energy wise. I still get tired a little bit easier, though. It seems like so long ago - it's hard to remember that I'm still just 3 weeks out!

• I have take Zantac (an antacid, to prevent acid in my stomach while it's still healing - this lasts for 30 days), Actigall (to prevent gallstones since they are often caused by rapid weight loss - this lasts for 6 months), chewable Flinstones Complete vitamins, and Viactiv for calcium each twice a day. The Actigall, vitamin, and viactiv all have to be taken at least 2 hours apart from each other. The Zantac can be taken with the vitamin or the viactiv, but not the Actigall. So basically every 2 hours I have to take some sort of pill. This is much harder than it seems to remember to do. In fact, right now I just realized I've missed one. *sigh* I put all 6 pills in a little baggie at the beginning of the day to help me keep track of what I've taken and what I haven't. I need a better system. Maybe a watch with an alarm?
  

I have to be honest here - this weekend at my parents, I ate things that I probably shouldn't have. I tolerated them pretty well, though. (On a side note, you may notice that I don't really post what I'm actually eating. That's because every surgeon and everyone's experience are so different. Any time I've been around a group of WLS patients - support groups, online, social gatherings - if someone mentions something they like to eat, someone else has a reason why that's not a good idea. This gets me confused and overwhelmed. So I have a strict rule of listening to my surgeon and ONLY my surgeon. I love blogs where WLS patients post recipes for things they're eating, but that's not going to be me.) Anyway, back to my weekend. Tolerating them and being supposed to eat them are two totally different things. I learned that I get frustrated when other people are eating and I can't, and it makes me want to eat things I shouldn't. Sometimes just to say ha-ha. So this is a problem I'm going to work on. Because I'm only 3 weeks out and that's a slippery slope to start on. I am determined that I will NOT be a person who makes a lot of excuses for things. So, I won't. I messed up this weekend, but I'm starting over.

Today, however, I have not felt so good. I can't imagine that it was leftover from this weekend, so I don't know what it is. I've felt nauseous and a little crampy most of the day. Not serious, call-the-doctor-sick, just yucky. In fact, I never ate lunch and I'm having problems getting my water in. That may be the problem. I had my shake at breakfast and that's all I've had today. I may just have another shake for dinner and go back to liquids until this passes. I also went back to the gym today (yay!) and swam laps. I swam a whole mile - it took me about 50 minutes - and that may have been too much. I felt fine while I was doing it, but when I got out I was definitely sore and exhausted. This heat probably has me run down, too.

With all those negatives, here's something that I have been doing well post-op - eating very slowly, taking very tiny bites, and chewing my food nearly to death. When I ate with my family, my little 1/4 cup (using those little white prep bowls I posted a picture of a few days ago) usually took me longer than it took them to eat their whole meal!

Alright now, be cute one and all!