I share this because I had two mini-strokes in my late 20's. I had some risk factors, weight being one of them. This young women didn't seem to have any, unless there was a family history.
Very scary and sad. Grab a tissue before you watch.
Thursday, April 22, 2010
Monday, April 19, 2010
Why I waited.
Since 2002 I’ve been in 6 different hospitals in 5 different cities, the total number of admissions I cannot remember. I would guess close to 20. In addition, I have had 4 upper GI’s, 2 colonoscopies, 2 endoscopies, 1 trans-esophageal endoscope, 1 MRI, 5+ Echocardiograms, 6+ CT scans, 1 medi-port placement, 1 medi-port removal, 1 IVC filter placement, 1 IVC filter removal, 2 hernia repairs, 1 PFO (hole in my heart) closure, 3 right to left shunt studies, a bazillion tiny bubbles injected into my veins.
I’m sure I’m missing a few things.
Last year was a “healthy” year. I met only $53 of my yearly deductible, spent 0 days in the hospital for the first time since 2002. For the record, I had NEVER been in the hospital prior to 2002.
So when asked “why did you wait so long to seek treatment?” I can honestly say I didn’t want to go back ‘there’.
I’m not normally one to avoid treatment. Given my medical history I often seek treatment for the things most normal people wouldn’t worry about. When the scale started to creep back up in 2007 I attributed it to stopping the Topamax. When the regain exceeded the amount I had lost while on Topamax I was more concerned, but I had had the tests and been told everything was o.k. inside. I tried to get things under control on my own. When that didn’t seem to be working and I read that my heartburn could be related to a surgery complication and my regain I decided to seek treatment. I saw my PCP first hoping she could do something for me without tossing me back on the medical rollercoaster. Sadly, her response was “that’s not my area, go see the surgeon”.
So I go.
And here we go again…my year of good health was nice while it lasted.
I’m sure I’m missing a few things.
Last year was a “healthy” year. I met only $53 of my yearly deductible, spent 0 days in the hospital for the first time since 2002. For the record, I had NEVER been in the hospital prior to 2002.
So when asked “why did you wait so long to seek treatment?” I can honestly say I didn’t want to go back ‘there’.
I’m not normally one to avoid treatment. Given my medical history I often seek treatment for the things most normal people wouldn’t worry about. When the scale started to creep back up in 2007 I attributed it to stopping the Topamax. When the regain exceeded the amount I had lost while on Topamax I was more concerned, but I had had the tests and been told everything was o.k. inside. I tried to get things under control on my own. When that didn’t seem to be working and I read that my heartburn could be related to a surgery complication and my regain I decided to seek treatment. I saw my PCP first hoping she could do something for me without tossing me back on the medical rollercoaster. Sadly, her response was “that’s not my area, go see the surgeon”.
So I go.
And here we go again…my year of good health was nice while it lasted.
Thursday, April 8, 2010
It's not a love seat.
I accompanied a friend to his CT scan this afternoon. I’ve been to this hospital many times, they have recently remodeled the radiology waiting rooms and it was a nice surprise to notice they had a few oversized chairs to accommodate larger patients.
It was annoying and even comical to see two normal sized people approach it as if it was a two seater. One very slim couple successfully sat together. Another set of normal sized adult sisters tried their best to sit together, if I didn’t have manners I would have taken a picture of them squeezed (one half on, half off) in the chair. Eventually, one moved to the next chair. Perhaps the chair should have a fatty label on it.
“Your ass must be at least this wide --------- in order to sit here”
Thankfully, my ass fit comfortably in the regular chair. But it’s nice to know hospitals are thinking.
It was annoying and even comical to see two normal sized people approach it as if it was a two seater. One very slim couple successfully sat together. Another set of normal sized adult sisters tried their best to sit together, if I didn’t have manners I would have taken a picture of them squeezed (one half on, half off) in the chair. Eventually, one moved to the next chair. Perhaps the chair should have a fatty label on it.
“Your ass must be at least this wide --------- in order to sit here”
Thankfully, my ass fit comfortably in the regular chair. But it’s nice to know hospitals are thinking.
Wednesday, April 7, 2010
Information Overload
The internet is such a vast resource of information. That is a good and a bad thing. I like that I can research, but then I always seem to do “this” to myself.
My brain is full of information and I’m obsessing about the “what if’s”. I’m a planner and this crap is messing with my plans.
Will I need to have my hiatal hernia repaired?
If they wrap the top portion of the stomach around to fix it, how will they do that with just a RNY pouch?
How long will recovery be?
I’ve read 7 days in the hospital on one site OMG this is more serious than I thought.
I know these are great questions to ask my surgeon…but I want to know NOW. So I post on a hernia forum, and the one reply I get back FROM A DOCTOR is that the acid reflux is most definitely because of my recent weight gain. Thanks doctor, as if I’ve NEVER been told a medical issue is DUE TO MY WEIGHT. And how many years of medical school did you have to complete to make that great conclusion?
My brain is full of information and I’m obsessing about the “what if’s”. I’m a planner and this crap is messing with my plans.
Will I need to have my hiatal hernia repaired?
If they wrap the top portion of the stomach around to fix it, how will they do that with just a RNY pouch?
How long will recovery be?
I’ve read 7 days in the hospital on one site OMG this is more serious than I thought.
I know these are great questions to ask my surgeon…but I want to know NOW. So I post on a hernia forum, and the one reply I get back FROM A DOCTOR is that the acid reflux is most definitely because of my recent weight gain. Thanks doctor, as if I’ve NEVER been told a medical issue is DUE TO MY WEIGHT. And how many years of medical school did you have to complete to make that great conclusion?
Labels:
hiatal hernia,
Morbid Obesity,
rny gastric bypass
Tuesday, April 6, 2010
No Chubbies.
I'm watching Dr. Phil. The show today is the Ultimate Fat Debate. There is a guest named Michael Karolchyk, owner of the Anti-Gym who is wearing a shirt that says "No Chubbies". He is the perfect example of what I've found in most commercial gyms. If he thinks he is helping the obesity epidemic with that method he is wrong, however, watching his video I see no obese members of his program. This is what I've found in my quest for assistance with an exercise program, gyms and trainers are for skinny people.
First, most machines cannot accommodate obese (morbidly or super morbidly). Treadmills and elliptical machines do have weight limits, and weight machines don't allow room for big legs and bellies. I started my workouts at 500lbs in the water, my swimsuit didn't fit, but I wore shorts and t-shirt over it because I was determined to get in the pool. However, it can be difficult to find a pool with steps; obese people have a difficult time with pool ladders.
Second, personal trainers don't seem to want to help the obese. I did find Matt at the SOMC Life Center to be helpful, but that was a hospital based gym. At Bally's, LA Fitness, etc, they aren't interested in really helping. I sign up and show up; as soon as I mention I have a medical condition that might limit what I can lift I'm deemed "not willing to try". I do try, I never refused to do a workout, but I notice while I'm working out the trainer is looking at other chicks. I later find out he didn't have the machine seat level properly set for my height. I inquire about water workouts and I'm told "they are not a good workout". Never was asked for detailed medical information. While I was on an upper body weight machine he noticed the scars on my arms and asks "are those surgical scars?" Sure are...and even then he didn't ASK for any further information.
I just mentioned this to a friend last week. I would love to partner with a personal trainer/exercise physiologist and develop REAL workout program for someone with lymphedema/lipedema. I live in Miami; there are tons of trainers around here, anyone interested in the challenge?
First, most machines cannot accommodate obese (morbidly or super morbidly). Treadmills and elliptical machines do have weight limits, and weight machines don't allow room for big legs and bellies. I started my workouts at 500lbs in the water, my swimsuit didn't fit, but I wore shorts and t-shirt over it because I was determined to get in the pool. However, it can be difficult to find a pool with steps; obese people have a difficult time with pool ladders.
Second, personal trainers don't seem to want to help the obese. I did find Matt at the SOMC Life Center to be helpful, but that was a hospital based gym. At Bally's, LA Fitness, etc, they aren't interested in really helping. I sign up and show up; as soon as I mention I have a medical condition that might limit what I can lift I'm deemed "not willing to try". I do try, I never refused to do a workout, but I notice while I'm working out the trainer is looking at other chicks. I later find out he didn't have the machine seat level properly set for my height. I inquire about water workouts and I'm told "they are not a good workout". Never was asked for detailed medical information. While I was on an upper body weight machine he noticed the scars on my arms and asks "are those surgical scars?" Sure are...and even then he didn't ASK for any further information.
I just mentioned this to a friend last week. I would love to partner with a personal trainer/exercise physiologist and develop REAL workout program for someone with lymphedema/lipedema. I live in Miami; there are tons of trainers around here, anyone interested in the challenge?
Saturday, April 3, 2010
Seven
I don’t really believe in luck, well I don’t believe I have any luck…except bad luck.
But if you asked me for a lucky number, I’m going to say 7. I just like that number. I’m #7 in my family, born in 1977.
Today I’m 7 years post-op RNY gastric bypass surgery and I am lucky to be alive.
I sometimes have to remind myself of that.
Yesterday, I found myself questioning if surgery was worth having. There I was once again having a diagnostic test, my 5th upper GI in 7 years, and I thought “is this what my future will be? How many tests will I need during my life to check for possible complications of surgery?” Then I went to an appointment with a friend who has lost over 150lbs on his own. The receptionist in the office asked him if he had “the surgery” and he replied, “No, my insurance wouldn’t cover it, so I did it the old fashioned way”. I razzed him a bit about saying that, but honestly it doesn’t bother me because everyone is different.
But it did make me think more about if having weight loss surgery was worth it. And the answer is had I not had surgery and lost the weight I did, when I did, I wouldn’t be here typing this right now. The mini-stroke I had in 2004 would have been a full blown stroke and I would have died in my small town hospital. I have many medical issues and only a few have been a result of surgery.
But if you asked me for a lucky number, I’m going to say 7. I just like that number. I’m #7 in my family, born in 1977.
Today I’m 7 years post-op RNY gastric bypass surgery and I am lucky to be alive.
I sometimes have to remind myself of that.
Yesterday, I found myself questioning if surgery was worth having. There I was once again having a diagnostic test, my 5th upper GI in 7 years, and I thought “is this what my future will be? How many tests will I need during my life to check for possible complications of surgery?” Then I went to an appointment with a friend who has lost over 150lbs on his own. The receptionist in the office asked him if he had “the surgery” and he replied, “No, my insurance wouldn’t cover it, so I did it the old fashioned way”. I razzed him a bit about saying that, but honestly it doesn’t bother me because everyone is different.
But it did make me think more about if having weight loss surgery was worth it. And the answer is had I not had surgery and lost the weight I did, when I did, I wouldn’t be here typing this right now. The mini-stroke I had in 2004 would have been a full blown stroke and I would have died in my small town hospital. I have many medical issues and only a few have been a result of surgery.
Friday, April 2, 2010
Trifecta
I had an Upper GI this morning and the preliminary findings were reflux, hiatal hernia, and Barrett's esophagus.
I'd first like to send a big THANK YOU to my insurance company who several years ago denied payment for Protonix which I had been on since 8 months after surgery, only stopping for h-pylori treatment and retesting. Continued taking the rest of the prescription, but upon refill was denied. Oh well, I felt o.k. until a year ago when I found myself popping Tums everyday. My PCP then gave me a sample of Nexium and it helped, so I was approved for a year of it via prescription. Well it doesn't completely work now...and now insurance company you have had to pay for an Upper GI and will be paying for an Endoscopy.
Bet that extra Protonix isn't looking so bad right now.
So because I like "the Google"....
Mayo Clinic recommends lifestyle changes for Barrett's esophagus:
I'd first like to send a big THANK YOU to my insurance company who several years ago denied payment for Protonix which I had been on since 8 months after surgery, only stopping for h-pylori treatment and retesting. Continued taking the rest of the prescription, but upon refill was denied. Oh well, I felt o.k. until a year ago when I found myself popping Tums everyday. My PCP then gave me a sample of Nexium and it helped, so I was approved for a year of it via prescription. Well it doesn't completely work now...and now insurance company you have had to pay for an Upper GI and will be paying for an Endoscopy.
Bet that extra Protonix isn't looking so bad right now.
So because I like "the Google"....
Mayo Clinic recommends lifestyle changes for Barrett's esophagus:
- Maintain a healthy weight. Why can't I ever have a condition that says...gain weight???
- Eat smaller, more frequent meals. Yes, I find myself grazing all day to keep the burning in my throat to a mininum.
- Avoid tightfitting clothes. Woohoo...yoga pants per doctor's orders.
- Eliminate heartburn triggers. Caffeine...NOOOOO!!!!
- Avoid stooping or bending. Stooping? So no dropping it like it's hot?
- Don't lie down after eating. What about while eating...no more breakfast in bed. =(
- Raise the head of your bed. Already sleep on 3 pillows with the top one doubled over.
- Don't smoke. Other than being smokin' hot...this is not a problem.
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