Dear Becca & Grant, My big surprise can now be revealed. I had a phone call this afternoon confirming that insurance has approved my gastric bypass surgery. That's right, I am actually going to have gastric bypass surgery. I weighed 276.7 lbs. when I had my first appointment, which is actually way down from my highest of 303 lbs. and Wednesday when I went for a nutritional meeting I weighed 269.6 pounds. The exercise physiologist quoted my goal weight at 185 pounds but I would love to get down to 175 because I was probably that size when I was in middle school, Jacob's age.
Let me tell you all about my journey to get to this point in the process. Years ago I first mentioned in this blog something about a big surprise or secret that I had for all of us. It must have been two and a half years since I first mentioned it. I can't seem to find the original post in the blog but there's years worth of posts to search through so it's not too surprising. Anyway I went to the seminar years ago and was excited about the prospect of getting the surgery but I had to have six months of a regular diet administered by a physician before insurance would cover the surgery so I did that and by that time I was out of available time off at work. Your Mom signed up for the surgery and even had her initial appointment but she learned that she was pregnant. We lost that pregnancy but it seemed like she became pregnant with my favorite boy, Grant very soon after that. So her being pregnant knocked her out of having the surgery for a good long while.
The end of 2007 came around and I attended the seminar again and submitted my insurance to St. Jospeh East Bariatric Center. They called a few days later and said that my insurance did not cover gastric bypass surgery under any circumstance. I called the insurance company myself and asked them about it and they told me the same thing. Kristie was afraid to tell me because she knew I would be upset because this is something I had really been wanting. I was incredibly disappointed but I simply resolved to wait and try again the next year. It appeared I handled it pretty well but I was torn up on the inside. If I had been the crying type I would have balled my eyes out. I had really wanted that surgery. What didn't make any sense was the fact that they did cover it when Kristie signed up for it. I believe both the bariatric center and I both got hold of someone who didn't know what they were talking about or maybe the policy did change.
In 2008 General Electric changed insurance companies so I thought I'd give it one last shot. I was busy with a preschooler and an infant at the beginning of the year so I didn't have time to look into the possibilities early in 2008 so I waited until the end of the year. I called the insurance even before I scheduled the seminar. They informed me that gastric bypass was indeed covered. I was encouraged by that but I didn't get my hopes up too much because things seem to happen to me that kind of thwart my hopes and desires. I'm not being overly pessimistic I'm just stating the facts. Anyway, I scheduled the seminar late in November and once again submitted my insurance card. I got a call a few weeks later to schedule my initial appointment. I was now as close as Kristie had gotten.
My appointment was scheduled for the 18th of December. I started filling out a psychological questionnaire with 430 questions. Some of the questions were laughable such as does my spirit ever leave my body and do I ever think that the entire world is plotting against me. A good portion of the questionnaire had to do with alcohol dependency though and seeing as how my spirit always seems to actually stay in my body and I am not a drinker to any degree that I would even bother mentioning I thought I would be okay. I met with the exercise physiologist who was filling in for the nutritionist who was on maternity leave and along with three others we learned all about the pre-op diet and a little about eating after surgery. I was weighed, my height was taken, they measured around my waist and chest and then they took a picture of me. I then went into an examination room to wait on one of the internists on staff there. My blood pressure was taken like they always do when you go to the doctor and I was asked a series of medical related questions. I was asked if I smoked and I told them I did not smoke but I did use smokeless tobacco and she recorded that on my chart. I had been worried about that because they will under no circumstances perform the surgery on someone who smokes. I asked one of the surgeons about my dipping habit and was told that they would do the surgery but wouldn't wanting me dipping for some time after surgery. I was so relieved but I did know that they would find massive amounts of nicotine in my blood because of the dip and I wanted them to know it wasn't from cigarettes. That's why I told them I used smokeless tobacco. I finished my questionnaire as I waited on the doctor. He finally came in and I rather liked him. I wish I could remember his name because I think I would like to go to him as my regular physician if he sees people as a primary care physician. He did the things that doctors do and I was done. I made another appointment for tests to be run for the twenty-second of December.
The twenty-second rolled around and my appointment was for eleven O'clock in the morning and I had to have someone drive me there. Papaw took me and then he took off. I sat in the waiting room for a good hour and a half. I was afraid they had forgotten about me but I was eventually called back. It was time for my psychological evaluation. It really wasn't what I was expecting at all. Maybe I've seen too much television dealing with such things. He simply asked me a few questions; questions I had already answered on the questionnaire and then he said that from his end I was approved. I had to go elsewhere to get blood drawn and then I had to go to yet another part of the building for two more tests. I had to call Papaw because someone had to be there when I started the second test. The first one they did was an EEG or an EKG, I never can remember which one is which. They had me sign papers stating I would not drive an automobile or sign any legal documents the rest of the day. They really emphasized how I would be rather loopy after the next test. Papaw showed up and about a half an hour later they came to get me for my endoscopy. They were going to put me asleep and take a look inside my stomach with a camera. They had me gargle some of the most awful tasting stuff I had ever put in my mouth and then the sadistic monster made me do it again. Then he took a pair of long forceps with a saturated cotton swab and rubbed something on the very back of my mouth until I gagged. I remember the nurse then saying that the drug she was preparing to place in my IV would put me to sleep. The next thing I remember was sitting up talking to Papaw and thinking that they really over emphasized the effect of the drugs because I felt great. I was lucid and sober. Once again my memory left me. Next I remember walking to Papaw's car which was parked along the street and I was commenting on the lousy parking situation they have there and then I blacked out again. My memory finally came back for good when we were sitting in Taco Bell and I was eating tacos. I was famished because it was now four O'clock in the afternoon and I hadn't eaten anything since the night before. I guess they didn't want to find any half digested pancakes in my stomach when they did the endoscopy. Anyway, it appears that the drugs they gave me did actually pack the wallop they said it did. The doctor told Papaw that they only had to give me half of what they normally give patients. I was awful sleepy and tired that day. I was so excited about the tests that I didn't sleep all that well.
I next had to schedule a stress test through my primary care physician. It was scheduled for this past Monday, the ninth. I was supposed to go back to work that day but my appointment was for 8:30 so I called in the first day back to work, again. I showed up and was directed to where I needed to be. I signed in and paid my co-pay and waited for about a half and hour and then was taken back. They put and IV in my hand and pumped me full of a dye. They then showed me to a waiting room with a television. They had to wait for the dye to circulate through my system. I got into some shows on the History Channel dealing with the apocalypse mentioned in Revelation and then I dozed off. I was tired that day as well because I was so excited the night before and didn't sleep well. They woke me up and took pictures of my chest. It looked like an x-ray machine but they didn't hide behind a wall and they didn't cover my privates with a lead blanket so it couldn't have been an x-ray machine. I don't know what that thing was called. I went back to the waiting room and shortly someone else came for me. They took me in a room with a treadmill and a big medical looking measuring machine. A nurse shaved my chest in a few places and placed electrodes all over me. I was hooked up to the big medical looking machine and the treadmill started up. I walked for nine minutes and my heart rate got up to 160 and while it was there something else was shot into me via the IV. I walked on the treadmill for a little while longer and then I sat down. The nurse took my blood pressure a few times while my heart rate decreased. Eventually they took me back to the waiting room and after a very few minutes the picture taking guy came and got me again. They took another round of pictures of my chest and then said I was free to leave.
Tuesday the insurance coordinator at the St. Joseph East Center for Weight Loss Surgery called while I was at work. I returned her call immediately. She wanted to know if I had had a chance to get the stress test done. I told her that I had just had it done the day before. She said she would wait on the results to be faxed to her and then call me back or if it hadn't been faxed in a week she would call me back and I would go down to the cardiologist's office and remind them. I fully expected to have to go remind them to fax the results over. Maybe I am pessimistic, but if I am it's not without reason.
Wednesday I had to rush across town after work to a nutrition class at St. Joseph East. I was ten minutes late and everyone looked at me when I walked in but I was one of the skinniest people in there so strangely enough it didn't bother me so much. She talked about what I would be eating directly after surgery, ice chips; 2 to 3 days while I am in the hospital, clear liquids; 1 to 3 weeks after surgery, pureed protein and protein shakes; 3 to 4 weeks after surgery, two to three ounces of solid protein and protein drinks and on from there. She also emphasized the water rules which are no drinking with meals or an hour after. No more gulping water which will be my biggest obstacle to cross because I love nothing better than to turn up a cool bottle of water and kill the thing. I absolutely have to drink 64 ounces of fluid a day, but slowly and I absolutely have to take my vitamins. These are rules for the rest of my life. She also emphasized the need for hot liquids to help fight the inevitable build up of mucous. Pleasant thought that is. I learned a lot but still I was apprehensive about the possibility that I might actually get the surgery.
Today when I got home I noticed I had a voice mail on my cell phone. It was the director of the Center for Weight Loss Surgery, the head lady in charge. She wanted me to return her call and I couldn't get to a phone fast enough. I called and she informed me that the insurance had approved me and that the center had approved me and wanted to talk about surgery dates. I was floored. I was expecting a long drawn out wait with the insurance company and maybe even an appeal or two but it came in without me even getting a chance to worry about it too much. I like it when things work out like that. The earliest they could do it was the 30th of this month but I have no idea what I will have to do to get my short term disability in place so I told her I would check with work and call her back Monday. I wish now that I had scheduled for the 30th but maybe I'll wait until the middle of February. I want this done and I want it done now but I also don't want to use my own vacation time to do it. I am superdy duperdy excited.
I decided to start my pre-op diet the day after Christmas. I did okay that day but I had brownies the next day, not okay. I didn't do real great until the first of the year and even then I had a few slip ups. SInce then I've done relatively okay. I could have done better and I really am not at the top of my diet game right now but when I weighed Wednesday night at the center with the scales they used when I first went in there it said I had lost seven pounds so I am going in the right direction. They will not do surgery if you haven't already been losing weight. They want you to keep your carbs at 30 grams a day so that your liver will be smaller and more easily manageable when they have to move it to do the surgery.
I have never been more anxious for a Monday to come. I will find out all I need to know, take care of those issues and will call the director and set up my surgery date. This is like Christmas for me, only two weeks late. I have a whole lot of stress in my life right now. Even more than anyone knows but this has been a ray of sunshine that I am able to hold to and ride with all my being. I know that there's a lot of hard work ahead of me and that this will not solve all of my problems but if I feel good about who I am and just feel good physically I will be better able to tackle the hardships ahead with an unforgiving vengeance. I remember back about sixteen years ago or so I had gotten myself into pretty decent shape physically. I felt like I was invincible and that I just couldn't be stopped. I hope to have that feeling again because there was no greater rush.
The kids are doing fine. Becca and I had a really nice long week together and we had a ball. I got Grant Wednesday night after the nutritional meeting and had to take him back Thursday night. I really hated that because by the time I got him home he was ready for bed and by the time I got home Thursday evening it was time to take him right back to his mom. I didn't get to spend any time with him at all but of course it must be even worse on Kristie because she didn't get to spend that much time this past week with Becca.
I plan on giving the house a real good cleaning tomorrow and even though the Christmas stuff is down it now needs to be neatly packed away in our Christmas tubs and placed in the attic. The house needs it like you wouldn't believe. Actually using your kitchen for food preparation rather than snack storage really creates quite the mess. I'm just used to getting something fast, lately Taco Bell has been my favorite.
Well, I am starving right now, something I won't have to worry much about after surgery, so I will close this out and go have myself a disgusting protein drink and maybe a piece of cheese. I may not be able to drink with food after the surgery and while I am trying to get into the fluidless meals I haven't had the surgery yet so I won't be doing any damage by having a protein drink and a piece of fat free cheese. Daddy loves Rebecca & Grant!