Met with the Bariatric Dietician first this morning at 9:00 am. I saw someone different today as there are two program dietician's who switch off. Very informative and pleasant to deal with. Reviewed my diet and exercise from my food journal and exercise chart. Also turned in my 6 - mos physician directed diet and exercise office notes for review. Recommened to stay on the same path, increasing my protein consumption to a minimum of 60 grams per day. All went well.
My second hour consisted of my second visit with the ARNP. She reviewed what to expect in my afternoon Upper GI Endoscopy. We then discussed my surgical consultation for next tuesday. I lost 5.5 MORE POUNDS!!!!!!! Very pleased. Ongoing weight loss in encouraged. There is a NO weight gain policy between visits. The surgeon may opt to delay my surgery if I gain weight between any scheduled visits. I was informed that the PRE-OP class may be rescheduled from the 18th of this month, to this coming friday the 11th. Quicker than I anticipated, but ready none the less.
She suggested that I prepare for the PRE-OP class by:
1. Reviewing the program handbook and come to class with a list of questions.
2. Watch the videos on shopping, meal planning and emotional eating on their website inder Bariatric Surgery.
3. Go to RemedyMD and review the education materials.
4. Come prepared to the class to discuss meal planning.
5. Write a plan for a day, to include how you will reach the goals of adequate fluids, 60 grams of a protein a day, and taking the needed supplements. Bring the plan to the class.
6. Bring your supplements and medication you will be taking to prevent ulders after surgery.
7. Come with tips and suggestions that may be helpful to others.
My BP was 123/81 today. Which is fabulous for me. For months it was uncontrolled. The med is working amazingly well. I weighed in at 375.4 and started this journey at 425. I have lost 50 lbs to date. On my own, and has been very difficult. But I did it. And thats the point.
At 12:00 I checked in the Endoscopy Suite to get ready for my Upper GI Endoscopy. Truth be known, it really was as bad as I thought it was going to be. It was the fear of the unknown . They did a medical history with me, allergies, current meds, etc. They proceeded to start the I.V. which normally I hate more than life itself, and to my suprise I hardly felt a thing. The RN used a numbing agent first thats injected just below the skin and resembles a mosquito bite. Then the I.V. is inserted through that spot. Was really easy. For me to say that, you can believe its true. I am NEEDLE PHOBIC. I did it. Great job Nurse Anne. Following the procedure the doctor reviewed the findings with me, and informed me that two biopsies were taken with a cold forceps for histology. I tolerated the procedure well. The Upper GI endoscopy was accomplished without difficulty. My home care instructions are to notify the doctor if I develop: Any chills or a fever greater than 101, excessive pain, vomiting or bloating, vomiting blood, difficulty breathing or swallowing, or if I have any problems or have additional concerns. All went well and I truly worried myself for nothing. Would do the procedure again if needed. I need to give myself more credit. I am proud of myself today.
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