Surgery day: 3/24/2021

IV for surgery- only 1 stick!

I had to be at the hospital at 5:15 in the morning, which means I was up at 4:15 AM. We live 30 minutes from the hospital, and I had to do a shower with special soap before we left for the hospital. I did not sleep well. However, my biggest anxiety was not about the surgery itself, but about the IV stick. Luckily for me, the nurse got my IV on the first try! She put it on the outside of my elbow. When I woke up from surgery, I had an additional IV in my forearm. I also had a bruise on each hand, because apparently they tried to start it in each hand first.

My surgery started at 7:15 AM, and I remember waking up in the recovery room by around 9:30 AM. I was in pain, nauseated, and my mouth and throat were so dry! At one point, a medical student came around asking if I was nauseous…suddenly I was the most nauseated that I had been! I started “dry heaving” but did not vomit because I had only eaten ice chips (too many of them). I learned very quickly that my new stomach could not accommodate large volumes of liquids!

I stayed in recovery for a long time. Apparently, they were waiting for my room to be ready. I got to my room around 3:00 PM. The floor nurse got my pain and nausea under control and I felt pretty good! I actually felt good enough to walk the halls with assistance at 5:00 PM! The most painful puncture was the “big” one that had to be opened up for my stomach to be removed.

I continued to get nausea medicine and pain medication on a regular basis overnight. I also got heparin (a blood thinner) in the subcutaneous tissue (just under the skin) every 8 hours. That was PAINFUL! OUCH! The blood thinner is given to prevent blood clots after surgery. It definitely works. When my forearm IV went bad the next morning and had to be pulled, blood ran down my arm and I needed a pressure dressing for awhile after removal.

The surgery resident (I was in a teaching hospital) made rounds at about 7:30 AM, and I had discharge orders by 10:00 AM! My husband and daughter picked me up around 1:30 PM, so I was home by 2:30 PM.

My job at home was to drink an ounce of fluid (water or another sugar-free beverage) every 10 minutes. After every 3rd time, I was to drink an ounce of protein shake. I was at very high risk for dehydration, and I also needed calories. So, that is what I had to do. If I tried to drink too much at a time, my new smaller stomach would let me know! OUCH!

I was even having some blurry vision, possibly because I rubbed my eyes too much in recovery and scratched my corneas a bit. I was needing narcotic pain medication (oxycodone) every 4 hours at home. I was not passing gas yet, so my gut was still “asleep” after surgery.

One really distressing thing that I did not expect was that I kept getting hiccups which were painful, I was burping a lot, and my stomach was constantly gurgling. The gurgling happened frequently, and even more after I had something to drink. The loud “sink drain” of gurgling was obnoxious, though not uncomfortable.

Welcome :)

Hello! So glad you decided to pop on over!

Have you ever heard people say that their life is FALLING APART? Have you ever felt that way yourself? I challenge you to change your thinking and wonder if, in fact, your life is FALLING TOGETHER!

Over the last few years, I have decided to make some small changes to get myself more “together.” In 2018, I got braces on my teeth just before my 40th birthday. My teeth were not “bad” or really “crooked,” but I had some functional issues that I needed to correct, including an old fixed bridge that needed to be replaced with an implant. Also, in 2018, I went back to school. In September of 2020, I successfully completed my Master’s Degree in Nursing Education! That was so exciting! Plus, I have made self-care a priority and turned into a skincare enthusiast!

However, there was one change that I had attempted many times, but was never successful at. Around 5 or 6 years ago, I tried a low-carb diet to lose some weight. I am only 5′ 3″ and weighed 263 pounds at my highest. I developed obstructive sleep apnea (OSA) and began using a CPAP machine at night. Yikes! I lost nearly 60 pounds, but did not sustain it. I love carbs! They started to creep back into my diet. Then about 3 years ago, I began counting calories with similar results. Lost about 50 pounds, but gained almost all of it back. I had tried again, and failed…again.

In the fall of 2019 I decided to explore medical weight loss with a team approach. Starting weight 246.4 pounds. My intention was to use the services of a dietician, psychologist, and bariatric physician to get me on the right track. I learned a lot about diet and nutrition, lost around 20 pounds. Gained it back. Again.

By the summer of 2020, during a once-in-a-lifetime pandemic, I decided that I needed more help. At that point I began all of the required pre-op testing for bariatric (weight loss) surgery. After discussing it with my doctor, I opted for a vertical sleeve gastrectomy (VSG), a restrictive procedure. I chose this, instead of the more aggressive gastric bypass, which interferes with absorption of nutrients as well. My BMI was above 35 and I had at least one co-morbidity (sleep apnea), so insurance would cover the surgery. I just had to work with the team at the weight loss clinic for 6 months and show that I was attempting to lose weight.

Well, fast forward to 1 week ago. On March 24, 2021 I had my gastric sleeve procedure. I had to check in to the hospital at 5:15 AM. After following the 2-week liquid diet that included unlimited non-starchy vegetables I had lost about 8 pounds. My weight per home scale on the morning of surgery was 226.4 pounds.