a couple of years later and what is the status?
Well, going through a divorce didn't help things
however obviously the surgery is NOT a cure
for obesity, only an aid. I've gained back 35
lbs even though with all my weight loss I never
attained my goal. You can gain back enormous
amounts of weight just by snacking. Word to
the wise: after the surgery, start going to
Weight Watchers or similar program.
Great summer but lousy
weather. Health and weight consistant. Reduced
my intake of port wine, replaced by regular
white wine. Off the salsa kick but still crazy
about spicy nachos.
Back from cruise. No
weight gain, everything stable.
past month has seen me primarily improve substantially
the variety of the food I eat. I can eat just
about anything in reasonable quantities. I still
greatly limit my intake of breads, cakes, cookies,
fats etc. My only treat is Doritos and salsa
with a glass of wine. Weight is still steady
and I'm trying to improve my excersise routine.
I tried water skiing last week after many years
and twisted my back. I'll be back again in a
month, so stay tuned!!
past Sunday at the March to Jerusalem I biked
25 Km and felt great. It wasn't even a challenge.
Played tennis twice this week and am still maintaining
my weight loss. I guess I'm destined to stay
at this plateau for a while. I am still having
a Doritos/Porto nosh kick which doesn't appear
to be waning. Perhaps even more excercise might
push me just a bit farther...
next reports will only come monthly since changes
are so little. See you again on St. Jean Baptiste
back from a Bat Mitsvah in Toronto. In spite
of all the finger food there was no weight gain.
Been in touch with Tracey's friend in Florida,
Reesa, who has recently gone through with the
surgery and is having a hard time. We will continue
to give her support. Did 20 KM of biking today.
Well it didn't take long,
but I got rid of the weight gain and now I'm
back to the original 105 lb weight loss.
from 2 week vacation, 3 weeks since last report.
Well, Passover took it's toll. A 4 pound
weight gain just proves the vulnerability of
the surgery. It's a great tool but still needs
internal support from oneself. Most of
the abuses were from wine and chips. Also, my
pouch has obviously expanded since I am able
to eat more then expected after 6 months. I
will try and get back to a more driven routine
of food management and exercise.
weight. Got snowed in this weekend and couldn't
get back to town. We had over 65 CM of fresh
snow. Played tennis last week and this week
I have 2 sessions booked. This Friday we are
heading to Florida for passover for 2 weeks.
Plan to play tennis and walk a lot.
No weight change. Rainy weekend. Health ok.
weight. Stable health. No skiing this week.
Season is probably over. I'm going to get out
my bike and tennis racket for some spring ACTION!!
Today was my birthday and I had many gifts and
surprises from so many friends and family..
additional weight loss this week. Health conditions
stable. Did some skiing last week and traveled
a couple of times back and forth from Connecticut
with Michal. I'm soon due for some follow up
blood tests which should indicate the status
of my long term sugar and hemoglobin condition.
It appears that everything is ok on the surface.
Protein consumption has increased a lot as well.
weight this week. Eating well. I'm very disappointed
in Alvarado and their lack of follow-up. If
you are considering this surgery, I can recommend
the staff for the procedure itself as well as
the support throughout your stay there. However,
be warned, once they have your money don't count
on reliable follow-up unless you are persistent
Some more weight loss. I guess all the working
out on our last 10 day snowmobile and skiing
safari paid off. We had a great time and did
over 800 Kms. Towards the end the weather got
too mild and the lakes became slushy which made
the sledding more of a challenge. One of our
guests totaled his machine when he decided a
tree looked more attractive then a well
groomed trail. My eating was quite nutritious
however I did consume a bit more alcohol (port)
then usual in the evenings.
No major changes this week. Weight stable.
Had some more protein then usual.
a lot more skiing and snowmobiling this weekend.
Past week showed same health and weight
status. Might start playing tennis in the next
few weeks. My chiro is reducing me to only 1
visit a week. I find that his exercises and
treatments have helped a lot.
down. Did some skiing
this weekend with only chiropractic exercises.
I have suspended the cardio vascular exercises
until my back stabilizes. Diet variety increasing.
Noticeable increase in loose skin from the weight
loss especially below the abdomen and thighs.
of Yo-Yo'ing these last couple of weeks however
the net result is my highest weight loss to
date. Went skiing with the kids this weekend
which added a bit of a workout. I'm still seeing
my chiropractor for my back and he has me also
doing special excercises at home. Ate pretty
well even though I failed in trying to down
more then a couple of fries.. don't need them
any ways. Trying also to get in shape for a
long snowmobile trip I have in February. Alvarado
called me for a blood work follow-up.
First weight gain since
surgery-2 lbs. Hair loss seems to have diminished.
Follow up blood test results show everything
Back today from Florida.
Lost a total of 5 lbs over the 3 weeks. Feel
great. We spent 2 days on the high seas aboard
a 45' Sea Ray that I chartered. Weather was
3rd week in Fla. Nothing special to report.
Continued to rest and work out. No appreciable
weight loss. Developed an appetite for Salsa
Sauce and Nachos.
week in Florida. After receiving the results
of last weeks blood tests, it appears that my
protein levels are normal. Other then slightly
higher bilirubin all my levels are normal.
The people at Alvarado claim that the hair loss
is a normal reaction to the trauma of the surgery
and should stabilise in a while. I did some
workouts with my weights and a bit of walking
and swimming (5 km). Disney was fun and the
kids had a great time.
for the delay but we've been driving down to
Florida for the holidays and I haven't been
able to find a reliable connection to upload
my log. Weight is the same. Alvarado was in
touch with me this week to follow up. I did
a complete blood workup and sent it to them.
I'm eating some more but only a bit more protein.
I've started to develop some hair loss on my
scalp. The doctors at Alvarado say this is normal
during substantial protein deprivation since
the body's natural tendency is to take protein
from the hair and fingernails. They said this
should stabilise within a couple of months since
I do consume a small amount of protein every
day. I only noticed this loss when I started
to work out physically. I intend to play tennis
and golf also during the holidays. I took down
some bar bells to work out with also.
additional weight loss. Started snacking on
pumpkin seeds. Had enough potato latkes to last
for a whole year. Had at least 2 sessions of
tuna fish however my diet is still mainly soups.
I'm leaving this week to Hungary and Austria
on business so I guess I'll be eating more goulash
in my soup. When I get back from Florida in
January I'll be increasing the frequency of
my weight training to bi-weekly. I also hope
to start tennis again soon.
pretty good week. In spite of Hanukah and potato
latkes, I'm still losing a wee bit at a time.
No complications except I'm still addicted to
soups. Had a bat mitzvah on the weekend and
even though I tried to pig out a bit I couldn't.
I'm seeing a chiropractor for some back problems
and he has me doing some additional exercises
to the ones I'm doing with my trainer.
back from Israel and had a great time. Some
business, some pleasure and some personal issues.
I managed to work out in the hotel's gym as
well as swim laps in their salt water pool.
I lost another 5 lbs this week and my diet remains
basically the same. This week I will be visiting
the Chiropractor to deal with some ongoing
back pain. Also, I'll be working out with my
trainer. I've added some new pictures to the
images link this week.
in Israel. Weather is nice. Couple of pounds
weight loss this week. Worked with my trainer
and improved some muscle training. Rode my bike
for a few Km's. Eating is the same, few
solids and mostly soups, yogurts etc. My friends
and relatives here were shocked at my new look.
Apparantly there are now 2 hospitals in Israel
doing Roux En Y laproscopically.
weight loss this week. Worked out with my trainer
and did some major cardiovascular stuff.
Ate well and had no problems. Next week I'm
flying to Israel and will submit my report from
there. We had a bar mitzvah in the family this
weekend and the eating is sure to influence
my weight loss for next week.
A lot of people have been
complimenting my looks, especially my new wardrobe.
the last 3 days visiting my daughter Michal
in Connecticut. No weight loss this last week.
Eating well with no health problems at all.
Couldn't do my training this week however this
week I won't miss.
week we got back from my trip. My surgical sores
are almost all cleared up. Scabs are dry. I'm
eating more protein, especially soups. My weight
has remained stable this week. I expect to lose
a couple of pounds next week. Next week I'll
be going to Connecticut to visit Michal.
My next update will be from there. Things seem
to be getting much better. Bravo!!
past week I had another session with my trainer
and felt real good after. We went to Florida
on thursday and due to the lousy weather kind
of just hanged around a bit. We are staying
at our friends place and also went to
Nassau for a couple of days. The weather there
was unbelievably exquisite. The sun and salt
water contributed to my general sense of well
being especially since I hear the conditions
are real lousy back home. This coming week I
will miss my trainer since I also have to go
on to Ohio on business. I will try and practice
some of the stretches and movements while away.
I ate a bit more then usual, trying to increase
my protein intake, however, tonight I had a
bout with the bathroom having vomited most of
dinner. I guess I over did it.
has been a slow week for weight loss. I began
my cardiovascular and weight training this week.
My muscles ached for days but that was to be
expected. I had a higher share of cheats this
week such as ice cream. I'm still finding it
difficult to eat protein however Saturday night
we were at a private catered booth at the hockey
game and I had a chance to eat some salmon.
No oozing at the incisions and 3 of the 6 scabs
have already dried and fallen off. I still find
myself lethargic in the morning. Raising my
head suddenly causes dizziness. I'm drinking
Perrier water in between meals. I had a couple
of episodes of elevated sugar but I attribute
that to the ice cream. Otherwise my sugar is
normal. I'm still taking B12 vitamins as well
as the multivitamins. I'm leaving this week
to Florida for a few days of rest. My next update
will be from there.
improvement this week. Less bouts of nausea.
Slight weight loss (4 lbs). Ate a bit more protein
then usual. My seroma is still oozing but very
little. I find it still difficult to start the
day and sometimes I get dizzy raising my head
suddenly. I changed my vitamins from the chewables
to the dissolving children's version. The latter
don't give me that nauseating feeling. I still
have a problem with an aftertaste in my mouth.
Although I'm drinking the equivalent of at least
4 glasses per day, there might be some minor
dehydration. This week I will be starting my
regimented exercise program. I will be using
a professional trainer and the equipment I already
have at home.
Sunday (Simchat Torah)
is the first week with no real weight loss.
It appears I've reached my first plateau. Still
very difficult to eat protein. Actually, I'm
really not eating at all. I managed to have
some potato soup (without the potatoes). My
blood tests came back with good results. Still
suffering from a sense of lethargy. Starting
to re-examine my wardrobe, or what's left of
Sunday (Succoth) 26/09/99
week but with substantial improvement in the
last couple of days. With the ending of my anti-biotics,
most of the nausea has gone. I've been able
to eat and drink more so I'm optimistic. The
seroma is almost completely closed saved for
a small oozing which will probably last another
week. Some of the major physiological changes
that have occurred to my body are: feeling "colder"
in my extremities and more energetic then when
I was fatter. My apnea appears to have ended
permanently. Diabetes is practically gone but
a keep a maintenance dose of insulin just to
be safe. Blood pressure is normal. Weight loss--
an unbelievable 60 lbs!! Only 80 more to go!!
Check in again in a week,
A week has gone by
and ultimately I'm on the right track. Weight
loss is uncanny (41 lbs) but starting to taper
off. I expect to lose only 2-3 lbs a week till
the next plateau. I still can't eat but occasionally
get a sweet tooth. I'm struggling with broth
for supper and 1/2 a soft boiled egg for breakfast.
A couple of times I had nausea attacks. My seroma
is gone but there is still some leakage. I hope
in a week it will be all closed up. Drinking
is still a problem. I can't manage the 2 litres
but I am getting at least 4 glasses a day. I'm
more mobile and drove the car for the first
time this week. I also managed to get into the
office a couple of times but paid for it in
extra leakage. Looking forward to a few hours
in shul for Yom Kippur.
Stay tuned to next week.
I went to Shul but paid the price later in the
aft. Today I stayed home but did my obligatory
walk. Had lots of visitors, Uncle Gerry and
Lynn, Gail and Allan, Sam and Brenda, Tammy
and Phil, Tracey's cousin Debbie and husband
and our friend Janet. Friday and Saturday nights
we had Rosh Hashana dinner at my sister Pearl's..
wow what a spread. Managed to eat a bowl of
broth and a small piece of gefilte fish. So
far my weight loss is 29 lbs. My next
update will be next week.
is our planned activity for today:
Morning flight departure
to Montreal via Chicago. Arrival and then after
a short visit at home, I will try and make it
to shul if I'm up to it. Then we will have the
seuda at my sisters before returning home.
I said earlier, Sunday evening will be
the next log entry. Since I am recovering well
at this point and the weight loss is on track,
I will only be submitting weekly reports. Stay
tuned shortly for some additional photo's as
soon as our film is developed.
Shana Tova U'metuka
my morning wound irrigation and shower. Had
water for breakfast and did some packing. At
11:30 we headed to the doctor's office for the
final check out. Dr. Clark spent at least a
1/2 hour with us going over last minute concerns.
Afterwards, the nurse removed my remaining G
drain. My new weight: 26 lbs down!! In the afternoon
we headed to the fashion mall. We grabbed a
quick bite and saw a flick. After that we bought
some new years gifts for the family back home.
We returned our rental car and settled in back
at the hotel to finish packing.
will be my last log entry until sunday night
since tomorrow is Erev Rosh Hashana (eve of
the new year). Our flight arrival barely gives
us enough time to prepare upon arrival.
my usual shower routine but because of my Seroma
(pocket of fluids/puss) I had a major challenge
to clean out the wound, re-insert the gauze
morning we had our compulsory lecture on eating
right and fitness. We also met with a social
worker who discussed some of the emotional issues.
We practiced some of the exercises. After that
I went back up to the 3rd floor to thank again
the nurses who we loved so much and had done
yeoman's job for us.
there we headed over to the Doctors office where
Leslie the nurse practitioner re-did my seroma
dressing and then removed one of my last 2 drains.
we headed for lunch!! I ordered a piece of grilled
salmon with an order of toast. Here I am brave
and ready!! Guess what, all I could eat in the
space of and hour was 1 bite of toast and 7
bites of well chewed fish. Then I felt like
my stomach was exploding. This was my first
experience on the "restrictive" element of this
The rest of the day was
flies back to Connecticut today and I go in
for my upper G.I. These results will allow the
doctor to decide tomorrow if I go on solids.
My sugar levels are a bit high so I will start
taking some insulin again.
It seems that since I already had the G.I. on
my second day, I don't need it again. Instead
I had the nurse at the Doctors office look at
my painful side. The next hour was excruciating.
She re-opened my stitches, stuck in a wooden
stick type Q-tip and gnawed her way around until
suddenly she found the troublesome pocket and
out burst a geyser of accumulated fluids and
puss. After draining and cleaning the wound
she showed me how to do the same (which I will
have to self inflict until it clears up) which
involves leaving a "wick" buried inside to draw
up the fluid. The good news is that most
of the swelling has subsided as well as the
was also my first "meal". Yes, I actually ate
something. I was allowed a single poached egg
and if I finished that and didn't vomit then
I could have a slice of toast. Since regular
drinks are still a no no, I flavoured up a glass
of water with lemon and sweetener. I didn't
vomit but took 45 min to complete the meal.
bedtime I again showered and drained my wound.
It came pouring out so fast that it shot right
across the width of the bath.
was a major improvement pain wise. I actually
cheated again and had a sip of hot chocolate.
We met some Israelis at pool side and Michal
is having a lot of fun playing with their children.
Same diet, same oozing with no drainage.
was again nothing spectacular. We drove 50 Kms
north to Carlsbad to spend the day there with
Michal at Lego Land. I had rented a motorised
cart to get a about and part of the time I walked.
This eve I had my second B/M since the surgery
and basically my balloon drain has stopped accumulating
blood yet there is still some oozing. Pain from
the left abdomen has not diminished and it concerns
of calls from well wishers. Many from Israel.
Lots of reading and praying. Planned trip tomorrow
with Michal to Lego Land, if I'm up to it. Met
with hotel management with recommendations
to improve services and facilities. I guess
I'm getting pretty bored. Snuck a single zip
of apple juice. No adverse affects. Tracey already
advised the building that if the see me around
the corner to lock up any drink or food lying
around. Overkill if you asked me.
day. Called Dr. Clark about some of the oozing
and pain. Walked, ate (barely). Worked on email
and some business documents.
which is unusual for someone that has had previous
urinary scarring. Early morning rise and I went
for a walk. Had my 1/2 Jell-O for breakfast,
showered and changed my dressings. Spent a good
part of the day on the phone with well wishers
and did some web site uploadings. Noticed some
leakage in one of my drains.
a hard day but this was the day that depending
on certain objectives I would be released.
First I had to urinate,
which I did by 2:00 P.M.
Second the results of
my latest blood tests and upper G.I. had
to be ok. They were. Also, I had to be able
to walk on my own as well as have oxygen gases
in excess of 90 which I had. Although I was
running a slight fever (100 deg F), this was
considered within acceptable norms.
Tracey and Michal picked
me up in the latter part of the afternoon for
the ride back to the hotel. The nursing staff
showed me how to change my dressings, vent my
drains and shower properly.
Dinner in the hotel consisted
of clear broth and 1/2 Jell-O with some water.
This took me 1.5 hrs to put down.
was a hard day. I was quite groggy. They managed
to get me to have some water. They removed my
catheter which was quite painful. I couldn't
pass any urine until wed. I was wheeled down
to x-rays for an upper G.I., all the while connected
to at least 4 drains. Sleeping was very uncomfortable
yet I was allowed to control my morphine drip
and thus reduced the discomfort. The bed itself
is unbelievable. It was designed especially
for Bariatrics in mind and offered a whole range
of computer adjustments to minimise discomfort.
I had a private phone, t.v. and shower. The
service was second to none and the nurses and
caregivers were excellent.
the hotel at 7:00 A.M. for the hospital. Checked
in at admitting and went up to the Same Day
Care Services department. Hung around for about
1/2 hr. My surgery was scheduled for approx.
10:45. At 9:00 I was told to lay on a bed in
the prep room. This is the second to last stage
before final surgery. Here a young male paramedic
in training named Shaun began prepping me. First
he shaved my chest, then washed and scrubbed
my chest with special detergents and left it
to dry, covered in special hygienic sheets.
I was also given a blood thinner and my legs
were placed in elastic stockings to minimise
the risk of blood clots. Normally I would have
been given a sedative by this time however they
decided to do the surgery a little earlier.
By 9:30 I was given a last chance to see Tracey
and Michal and after kisses from both of them
I was whisked into the final staging area prior
to surgery. It is here that they transfer you
to a gurney however in my case they decided
to wait until a was completely anesthetised.
The next stage involved meeting with the Anesthesiologist
to address and last minute questions I have.
Then another nurse came in and reviewed with
me my final agreement to proceed with the surgery
including acceptance of all side affects and
possible complications. As soon as I was transferred
to the operating theatre it took exactly 5 seconds
and I was completely under.
was awakened around 1:30 P.M. by the recovery
room nurse and had my breathing tube removed.
I was also quite aware of their attempt to catheterize
me which felt extremely uncomfortable. An hour
later Tracey and Michal were allowed in to visit.
By 4:00 I was wheeled into my private room on
the 3rd floor. The room was very comfortable
and very luxurious. The whole hospital was so
impeccably clean you could eat off the floors.
At this point I am not completely aware of all
the tubes that are connected to me. I believe
that other then the catheter there were at least
4 other drains attached to my abdomen. Some
involved large bags and others were connected
just to vials. It was the next day that I began
to regret having the procedure done.
free day to go. We took the trolley down to
Tijuana Mexico today and basically I fasted.
In the evening I took my prescribed Citrate
of Magnesia to clean out my system for tomorrow.
Some of you have been emailing me asking about
my feelings. I have not yet begun the predicted
withdrawal symptoms. I don't yet feel anxious
yet I'm sure that seeing my family's eyes tomorrow,
minutes before the procedure will bring up many
emotions. Michal wrote me a secret message to
keep by my bedside while I'm under the anesthesia.
Tracey seems more nervous then me. Perhaps it's
because I've done so much to prepare myself
for this. Time will tell. I'll keep you all
updated. Don't forget that this will be my last
upload until either wed or Thurs. since I'll
still be in the hospital. Check with Vicky for
last minute news.
free day before V-Day. We went on a cruise around
San Diego Harbour and saw the world famous Naval
Shipyards (see image). In the evening we saw
a film (Runaway Bride) with Michal and had my
last major meal (grilled cheese sandwich) for
many months. It's amazing how a sudden memory
flashback of my Bubby taking me to Woolworth's
at 8 years old for a grilled cheese and milk
shake gave me this sudden craving. I guess soon
I will be savouring memories and odours of cooking
instead of stuffing myself to the gills. Tomorrow
it's all Jell-O and broth's. Breathing exercises
getting better. Bought my bottle of Citrate
of Magnesia which I will have to use tomorrow
evening to prepare myself for Monday's anesthesia.
is my first day off leading up to Monday's surgery.
We spent the day at Sea World with Michal, making
sure she had a good time. The next few days
will be just as traumatic for her as it will
be for me. She needs our support as well. My
diet still remains unchanged. Sunday's food
intake will be different in order to prepare
the gut for changes. Continued practicing with
my muscle trainer. Had my 1st to last big meal.
For those of you who have sending me email..
thanks for the kind thoughts. My last posting
before the operation will be sunday night. Since
I will be in the hospital for 2 days I won't
be in condition to post updates until wednesday
or thursday. For those of you that will be on
pins and needles, please email my secretary
Vicky at: firstname.lastname@example.org
and she will reply to you with the latest news.
I will be maintaining this link for a few weeks,
including the progress of my weight loss and
complications if any.
my pre-op tests today at the hospital. Had my
first interview with the surgeon. Operation
scheduled for Monday the 30th. Chest X-ray ok.
Ultrasound ok. Had my 2nd to last big meal.
Tomorrow I hope to spend the day with my wife
and daughter Michal touring around the city.
Practiced breathing with my Inspiratory Muscle
Montreal to San Diego via Chicago. Picked up
Michal enroute and arrived in S.D. early evening.
Practiced breathing with my Inspirotory Muscle