Saturday, 24 October 2009

Do you really want to know?

As i feel so much better now and finally able to talk about it and recall the day of the operation, i thought i would go into a bit more detail about it. I hope it will be helpful for others about to have their band fitted. I dont want to scare you, but i would have wanted to know more about what to expect so that i would have spoke to my surgeon more and asked more relevant questions. I am sure each hospital and surgeon have their own routines and way's of doing things, but this was my experience at the Dolan Park and my surgeon Mr Alan Li.

As i went to the hospital the day before the op to have my bloods done, i was told i didnt need to arrive on the day until 10am, as oppose to 7am which would be the usual time for arriving.


I woke early after having a good nights sleep, i was a bit nervous but i had resigned myself to the fact that this is what i have got to do, if i want to enjoy the rest of my life being slimmer and happier about myself. My 2 daughters were going with me so we set off on the 52 mile journey, taking just over an hour to get there. It was a weird feeling walking in there, voluntarily, knowing this is my choice to put myself through this operation, it wasnt a medical condition i have, i am doing this by choice. I felt surprisingly calm, i didnt allow myself to feel nervous i chatted away to my daughters and the staff with ease. After a short wait i was shown to my room which was quite basic but big and spacious. I was given a gown, theatre cap and disposable knickers and told to have a shower and change at about 12. The Anesthetist came to see me at about 1 and then Mr Li came in at about 2, he said i was 2nd on his list and it would be around 3ish that they would come for me. Mr Li was lovely, very easy to chat to and reassuring. So that was it, at 3.30 the male nurse came for me to walk me down to theatre. I said goodbye to my girls and floated down the corridor, im sure my feet never touched the ground, it was surreal. We went into the anesthetic room where i sat shaking like a leaf while they connected electrode pads to me and then they took me through to the theatre, which was rather full of theatre staff in gowns. I was asked to get on the table which had 2 feet rests which i had to shuffle down until i was in the correct position, there were 2 outright armrests that they then strapped my arms to and then they strapped my legs in place. I was absolutely terrified as noone had actually explained any of this to me and i did not know what to expect or what was going to happen next and lying there strapped in a crucifix position, i felt vulnerable and scared to death, i thought any minute now im going to have a heart attack and die just out of sheer terror. The anesthetist then put a venflon in my left hand and a nurse connected the wires to the electrode pads and told me she was putting a cold slab on my left thigh. I just lay there thinking what are they doing, why are they doing this to me? cant they just put me out of my misery? Then to my horror they said they were going to put a mask over my mouth and nose and to breathe normally, i just couldnt believe they were doing this, why didnt they just inject me? It took what seemed like an eternity of breathing into the mask before i was told to take some deeper breathes, what i really wanted to do was shout out no, stop, i cant take anymore, but then eventually i felt like my legs had gone a dead weight and that was it. The next thing i remember is being back in my room and hearing my daughters voices, i knew it was all over then, thank god it was all over. I was aware of people talking around me and my daughters talking to me but i couldnt reply, i was exhausted, i just wanted to sleep which is exactly what i did! I had a reasonable night drifting in and out of sleep and the following morning when my daughter arrived i just couldnt wait to get home. Mr Li came to make sure i was ok before being discharged.

I am so relieved it is all over, but if i had any idea that i would have to go through all that in the theatre i may well have gone elsewhere. I would have talked to the surgeon before i even booked the operation to ask if it was possible to be put to sleep immediately on entering the theatre, had it not been possible i would then have made enquiries elsewhere to find out the procedures at other hospitals as i am certain they all do things differently. I just feel that it was a traumatic experience and wish i had been warned beforehand before making my decision.

I have to go back to see Mr Li at the Dolan Park in 2 weeks for an xray check-up and at the moment i have to decide whether to have a fill at the same time. Even though my band is empty at the moment, i do feel like i have some restriction but i assume that is due to swelling around the site of the band so i will see how i feel during the next week. Now that i feel so much better i am keen to get this band working for me as much as possible so a fill seems very tempting right now.

2 weeks today!

Wow, that 2 weeks has passed quite quickly really. Sitting here writing this now, i dont even feel like i have had an operation at all, no soreness, no pain and i can eat and drink with only very occasional discomfort. Obviously this was all a very different story this time last week, but i have definitely turned a corner.

For the first few days post-op, all i wanted to do was sleep, i have never experienced such extreme tiredness, i could literally be sitting talking to someone and nod off! My typical day would be having regular tiny sips of water, i only managed half a bottle of slimfast in total over 2 days, the third day i managed half a tin of tomato soup and a few spoons of custard in the evening. In between times i just slept, i had no interest in reading or watching tv, it was too much like hard work. Even talking was exhausting. During the first week/10 days i didnt even feel like going on the forum or blogging, truth is i couldnt stomach it, reading other peoples experiences and thinking about my own was making me feel sick and i wanted to avoid it at all costs. The surgeon said i would probably feel like i had been kicked in the stomach really hard and i suppose that goes a little way to describing the pain i felt. I had constant pain in my left side, in particular around my ribs, i was convinced the theatre staff must have been so rough with me that they must have broke my ribs! Breathing was painful, especially if i breathed in too fast or hard it really hurt and took my breathe away. The port site was the most painful wound, in fairness the other 3 were just a bit sore, but the port site was quite bad, especially in bed whether i tried to sleep on my left or right it was painful. I did go to the doctor last saturday, a week post-op, just to get checked over to make sure everything was as it should be. The doctor was very good, he examined me fully, listened to my heart, lungs, stomach and bowel. The thing i was most concerned about was the pain in my left ribs and shortness of breathe and he said he was making sure no problems had occurred and first thing that would show up would be in my lungs or bowel so by listening to them, he could tell that they sounded ok and just to be aware that if i got a temperature to come back to him so he could check everything again. I was very impressed with him and it reassured me no end. By the end of the first week i was now managing a little bit of ready brek, a full tin of soup (divided into portions throughout the day) and a small carton of custard and everything was starting to go down much easier as the swelling in my stomach went down. I guess the ice lollies must have helped with the swelling as by now i was having 1 or 2 each day.

Week 2 has been a much better week all round. I had booked to go to Cornwall with my children on the 19th which was 9 days post-op, wasnt really sure how i would be but thought it would be good to get away and i could rest all day! It has been fantastic! We got back last night and even though i had a good rest, i also did quite alot of walking, up very steep hills! We went out and about every day, mainly walking around the little villages, shopping, sightseeing etc. but also walked down to some hard to get to beaches and had to really climb to get back up! It was fun though and i never felt like i had overdone it and it even gave me an appetite!! So the 2nd week my typical day has been having either a poached egg or scrambled egg around 11ish, some chocolate whilst out and about (i know i shouldnt but i had to keep my energy levels up!!) some mashed potato with some mushy peas, or fish pie and then in the evening some custard. I even had a glass or 2 of wine each evening! So like i said, we got back last night and i have weighed myself this morning and i havent put any weight on, i have maintained my loss of 18lbs so i am really quite happy with that. So that is it now, no chocolate or wine, except for the occasional treat.

Friday, 16 October 2009

6 days post-op

Wow, cant believe how different i feel today, i started feeling a bit better over the last 2 days but didnt want to build my hopes up. I actually feel 90% normal again! im still sore and tender on my left side which is where the port is placed, but i dont feel groggy, dont feel weak and i can now swallow alot better. I still dont have much appetite and have struggled the last few days to get a few spoons of soup or custard down (shouldn't complain, make the most of it while it lasts!) From what i have read, my appetite will return and will remain until i have my first 'fill'. On the upside, i have lost 17lbs from when i started my pre-op diet to today! I feel more happy with the decision i made, i know i still have a long journey ahead, but i feel happier and excited about the future.

Tuesday, 13 October 2009

Its all done - 3 days post-op!

Its finally done, i have my band fitted and im not really sure how i feel right now, it has been a very grueling few days.

The truth is, despite all the reading & research i have done and the excellent forum i am a member of, nothing prepared me for how i would feel. At the moment i am wondering what on earth i have done and put myself through, was it absolutely necessary?, was it really the only option left to me?

I am feeling quite low in myself and feel like i am grieving, for my old life i guess. All the comfort i found in food that i can no longer turn to, ironically at a time when i feel like i need it the most.

Im not really in the mood to go into detail about the day itself. Im sure in a few days i will feel alot better and more positive, for now all i want to do is sleep, rest and heal.

Friday, 9 October 2009

Tomorrow is the day!!! - Take 2!

I cant quite believe it, but tomorrow i am going to have my gastric band fitted! It doesnt quite seem real, but it really is going to go ahead this time, no hiccups! Today has been a bit like the final weeks of pregnancy when you start 'nesting'! Ive cleaned the house all through, hoovered, bleached, polished, mopped! The cupboards are stocked up and all last minute bits of shopping done too!! I have just packed by bag, nightie, dressing gown, slippers, toiletries, magazines, sudoku, note pad & pen and in the morning i will pack my laptop just in case im up to it!

I feel quite relaxed actually, not anxious at all, although that could be a different story tomorrow!

Last night Mr Li (my surgeon) rang me, he sounds absolutely lovely! he went through everything with me. Because i went down to Dolan Park yesterday for blood tests, i will be one of the first on the list! So im really pleased about that, cant bear the thought of sitting waiting all day watching everyone being taken down to theatre before me. I explained my fear of waking up in agony, which happened to me a few years ago after having a laparoscopy, so he put my mind at rest there and assured me he would speak to the anesthetist about putting in a bit of extra pain-killer to hopefully prevent this (felt like a bit of a wimp!) He was very nice and very reassuring and it just so happens that when he rang me i was in curry's buying a nintendo wii fit! He was well impressed!!

So thats it, im just going to chill out and try to relax tonight.................got an early start tomorrow!!


Wednesday, 7 October 2009

Well its all finally sorted!


Im going to have my op on Saturday at Dolan Park, Its all organised, paid for etc., ive gone for the basic package of 28 days aftercare and then i will have my fills on a 'pay as you go' basis.

As for the Nuffield........... i really cant believe how badly they have treated me. They cocked up and didnt have me listed, then promised friday, then said no they cant on friday and said they are very sorry and they will sort things out asap. I then sent them an email this morning to tell them how unhappy i was, i thought it better to put it in writing, i told them i had an option to go to bromsgrove but wanted to stay with them but felt that due to the cock up and stress it had caused that perhaps a financial jesture was appropriate. I was wrong there!! I got an email back saying that they were very sorry for the cock up but as a jesture of goodwill they would not charge me £545 for having my bloods done last week and seeing the dietician and wished me well with my op at bromsgrove!! I really cant believe the cheek of them!!

But..... im not going to let this bad experience get me down. I have remained on my pre-op diet of slimfast & youghurts, so i will have done 2 weeks on it by saturday, my liver should be miniscule!!

So the countdown begins again............!

Update

The Nuffield did eventually confirm that they cocked up and they are very sorry but my operation is not down for tomorrow and that they cant fit me in. They then rang back an hour later and said they can fit me in on friday. Then they rang back half an hour later and said sorry no, they cant do friday as they have no anaethsetist available! It was then left with them trying to sort something out for next week, obviously i told them i was not happy and had been stressed and upset all day.

In the meantime, mainly out of panic, i started ringing around and checking online. I have come up with Dolan Park Bromsgrove, Mr Super through the 'why go abroad' and they have been so helpful on the phone and have said they can fit me in for my op on Monday!! And..... i can save a substantial amount of money, ok i know it doesnt include the big package but having read lots of threads on the forums there seems to be alot of talk of Dolan Park and Mr Super and this doesnt seem to be an issue. I am very very tempted to be honest and want to tell the Nuffield to go to hell!!

Tuesday, 6 October 2009

My worst nightmare

I am writing this in floods of tears. I am supposed to be having my op tomorrow and i was told i would get all the necessary paperwork through the post, which never came and i never thought anything of it, been too busy getting excited and concentrating on my pre-op and making sure i have everything ready for after. So ive just rang the Nuffield to see what time i have to be there, as i was told by the surgeon i was on his list for between 2 - 5 and ive been told im not on the system!!

Mr Cheruvu's secretary has just rang me to confirm i am not on his list. She is waiting for him to come out of theatre to speak to him to find out where things have gone wrong but at the moment there is no more room on his list for tomorrow anyway.

Im absolutely gutted. Ive been on my pre-op for 9 days now and i didnt sleep well last night, i suppose lack of food and psyching myself up for tomorrow, ive got a banging headache, i just dont know what im going to do? Why is this happening?

Tomorrow is the day!!!

I just cant believe its nearly here, i feel like ive waited forever and yet its not that long, its 4 weeks to the day since i made my mind up i wanted to have this done. Four weeks is not long to wait for this life-changing operation, not when i think about the misery and loneliness i have felt about myself for the last 20 years - the disgust i felt in myself for a) allowing myself to get so overweight in the first place and b) for not having the will to see any diet through to the very end.

I suppose people go through life the best they can and everyone deals with the ups & downs in their own way. Some people turn to alcohol or drugs, some go through life suffering anxiety & depression, some suffer physical health problems, some have amazing coping mechanisms and seem to sail through. Of course some people are just very lucky in the path of life they choice, or the path that is chosen for them, they make good choices wth careers, relationships etc. Some are not so fortunate. I have made so many bad choices and my answer it seems, was to get comfort from food. I have so much to be grateful for, i may not have the financial security that would make my life that bit easier and i may not have that special someone in my life to share the ups & downs with, but i have 3 fantastic children and a beautiful healthy, happy granddaughter who does literally make my heart melt - and apart form being over-weight i have good health, so for all these things i am eternally grateful.

When i went to see the surgeon for my consultation and he took all my history, he said he could see where it all went wrong. Having 3 young children and all the worries and sleepless nights that go with that, having a difficult relationship, going through separation and divorce, being a single parent, losing a parent, having financial difficulties etc etc, its not hard to see when i look at it now.

I dont want to make this sound like im feeling sorry for myself or to make it sound like im making excuses for how i became so overweight, but i am trying to analyse my life and try to get a better understanding for myself, because that is important to me and will become more important as my journey steps up a few paces tomorrow.

Saturday, 3 October 2009

Dietician Appointment

Like i said earlier, i went to see the dietician. Not much to say really and she didnt tell me anything i dont already know or havent already been told. She was very happy with the pre-op diet i was following, slimfast, yoghurt, milky coffee and confirmed that i will be following this for the first week at least post-op, so nothing new there. I can have 2 more appointments with her which is included in my package, so i think they may well be very useful in the weeks/months to come if i get stuck with foods or weight loss along the way. It is reassuring to know i can ring her for advice at any time, although i feel my research will help me, you just never know what problems may crop up along the way.

I forgot to mention yesterday, i bought a lovely black velour jogging suit from Tesco which i thought would be ideal to wear going in and coming out of hospital. Obviously you need to be comfy and wear loose fitting clothes as im sure there will be quite a bit of soreness and discomfort.

Well its Sunday tomorrow, only 3 days!! Off to sleep now.

Friday, 2 October 2009

5 days to go!!

This pre-op diet is going so quick, im half way there already! 5 days to go!!

I have an appointment at the Nuffield this afternoon with the dietician, which i think is to discuss the post-op diet with me. From what i have read the first week is pretty much the same as the pre-op diet slimfast/milk.

Im just more worried about the pain, please dont let me be in pain!! Obviously i expect to be sore and some discomfort but im hoping this will be minimal. I have always felt i have a high pain threshold, i have had 3 children with very little pain
relief! But 2 years ago i had a exploratory laparoscomy due to gynae problems and when i came
round from the anesthetic i was in absolute excruciating agony which caused loads of concern in recovery so much so that i was there for nearly 3 hours while they were trying to stabilise my pain, they were giving me morphine and all sorts! Apparently it is normal after such minor surgery to be back on the ward within an hour at the most. Im not sure what caused so much pain, as it was such a minor procedure, i was told it must have been caused by the gas they use to inflate your stomach wall away from your organs to give them good access, which is why i am worried i will have the same pain this time as they do the same thing with gas. I have spoke to the surgeon about this and he has said to remind him on the day and he will let the anesthetist know.

I will be back later to give an update on the dietician appointment.

Thursday, 1 October 2009

Night Shifts!!

Well i just got home from doing a night shift, first one since i started my pre-op. That was very hard!! Ive been absolutely starving all night! I did take slimfast with me and had 2 during the night but it never touched the sides! At least i can get some sleep shortly and while im sleeping i wont be hungry! Im getting a bit fed up of milky coffee too now, im not a coffee drinker anyway, i just thought it would be a better way of drinking milk as i dont like drinking milk on its own.

I must say, i can definitely tell i have lost a few pounds now, i know its not much but my face looks a bit slimmer and i just feel a bit lighter in general and its a great feeling! What is even better is knowing that i am never going to get bigger again, every pound i lose now is a pound nearer to a new slimmer me! Unlike in the past when every time i went on a diet and lost weight, it was a great feeling, but i knew it wouldnt last and i would put it back on, and some more. Its a weird feeling knowing that things are going to be different this time, for the first time in 20 years i know i will not fail to lose weight and keep it off. Im so excited, i feel a bit like a child looking forward to christmas, i keep smiling to myself and feel so much happier and for the first time in a very very long time i feel really positive about the future.