Onederland, Baby!

So I'm now less than 200 lbs. I'm in the 100's. Whoo hoo! Onederland is onederful. I have a college reunion and high school reunion next month and people might actually recognize me without the weight. I feel like I got my face back. It was being held hostage by double chins and fat cheeks. My eyes looked smaller and now they're becoming a bigger, more dominant part of my face the way they used to be. I had long, long hair back in the day and now its at least shoulder length whereas a year ago it was pixie length.

Today, my husband also finished getting the toilet, shower stall, and sink out of the downstairs bathroom, three of the hardest things we needed to get out of the basement preparatory to having Permaseal come in and make us that moat. He also got all the paneling and wallboard and ceiling panels down and got it all hauled away for free by a guy who wanted our old cabinet and sink and helped remove them as well as taking a heavy metal shelf set we got rid of out of the garage. My husband's probably saved us about $2000 by demolishing the whole basement himself. He's saved us the cost of renting a dumpster by making this deal with the garbage picker who wanted our metal shelves. What a relief!

Now I've just got to figure out how to pay for the basement makeover, which job Ken is not even close to qualifying for. First we have to treat the walls with bleach before we cover them up again. Maybe I'll finally be rid of the smell of mold wafting up from the basement. It's not nearly as bad, but its still there.

Taking layers off me, taking layers off the basement. Hope what's under my layers is a lot more attractive than what we've found under the basement layers. Eeuw!

I have blinders on my eyes when it comes to the basement. I just don't look when I go down there and I try very hard not to smell. I think I put blinders on when I looked at myself in the mirror, too. Just don't see what you don't want to see. Lately, my church has been having slide shows of last year's events in order to promote this year's version of those events. There I am, magnified on large screen in all my plump glory in front of the whole congregation. Somehow, I never thought of myself as that fat.

I need those reminders of how bad it got. I know I look much better than before. I don't always trust my eyes because I'm so capable of wearing those blinders. Its a relief when someone notices and confirms what my eyes are telling me.

My body is telling me things are much better. I'm running up and down almost 50 steps at work without getting winded. I walk an hour most days. What used to take me 50 minutes to walk now takes me 40. My blood pressure is wonderful. I think I'll be off all meds for my bp very shortly. Hoping the same for my cholesterol. I feel great. I look a lot better.

For today, that's enough. Onederland, baby.

God is good all the time.
All the time God is good.

Making a Difference-Why I Got Banded.

I love having restriction. After a few bites, which I tend to go just a little too fast with because I'm hungry, I feel constriction with some pain. My hint to slow down and eat tiny, well-chewed bites. So I eat a little, wait for a burp, eat a little, wait for a burp. Eventually I get the hiccups, and I wait for them to pass. Now the food is cold. I've begun to lose my taste for it. It's been over 20 minutes since I started to eat so my brain is starting to register fullness. I take another small bite just to see if I want anymore. I have totally lost interest.

I've lost a few more lbs., 38. This morning I hit onederland (when you're under 200 and are in the one hundreds you are in onederland.) I'll officially announce it tomorrow if the scale tells me this was not an aberration. I am down to 1 blood pressure med, 1 cholesterol med, and my anti-inflammatory.

I've been climbing all kinds of steps at the school throughout the day without even thinking about it. Not winded at all. So many advantages to not being able to eat.

School is going well. I'm slowly increasing the number of children I see. Hopefully I'll be able to keep my assistant for two days a week.

Let me tell you the story of one of my former students. Graduated last spring. Came from a difficult home situation. Raised by a foster mother in her 70's who slowly went blind and handicapped from diabetes. Number of other foster kids in family. Foster mom died when he was in 7th grade. One of her relatives took him in, thank God.

Got a request from him to be my friend on facebook. Went to his profile page. Most of his friends so far are former RCS teachers and classmates.

We were one of the most stable parts of his life for most of his young life. That's why I see so many kids at RCS. Many of the chidren I see year after year after year. I build a relationship with them. They don't care about my weight, they just care that I'm there.

Losing the weight makes me more available for them. Please pray that I'll be able to keep working with these kids. Roseland Christian is where my heart is, where my passion lies.

Today we had an unplanned fire drill. I was outside with 2 of my students when the fourth grade class came out. I see a majority of the children from that class. They mobbed me. Almost knocked me over as they all tried to hug me at once.

I love my job.

Educating Primary Care Physicians about Lapband

As with all surgeries, lapband can result in complications. The band can slip, infection can occur, some people are so good at eating around the band (using slider food) that they gain weight back, or they never go in for their fills. Some Dr.s don't seem to give very good advice to their patients about sticking to higher density proteins and not turning them into slider food by adding things like gravy to them. Some actually recommend that people "prime the pump" with liquid before they eat. Some Dr.s take forever to give their patients a fill that actually acheives restriction.

Not all patients make sure they get the kind of support system they need to achieve success nor do their Dr.s The lapband is a tool not a cure. Other issues need to be dealt with simultaneously. If they're not, the band isn't as successful.

So some primary care physicians seem to only be aware of the failures and are unwilling to recommend their patients for the lapband. They also don't distinguish between gastric bypass which is much more drastic and has many more severe complications and the lapband. They confuse the statistics for the two.

I think a lot of these Dr.s really don't understand the nature of compulsive overeating. They keep thinking that if their patients just listened to them and followed the diets they hand them and had better nutritional education they'd lose the weight. But time and again, nutritional information and closely supervised diets don't help their patients.

Over the years some have prescribed drugs that haven't helped and have actually harmed overweight patients.

When I think of the money and time I spent on Weight Watchers, Nutrisystem, Tops, OA, Atkins, and some wierd combination of thyroid and speed one Dr. put me on, it makes me angry. I had a Dr. who didn't believe in the band. She thought I could do it myself. I knew I couldn't. I had to go to a new Dr. anyway because of insurance so I tested the next Dr. to see if he recommended the band. With two co-morbidities he took it seriously. He had Dr. friends who did lapband surgery with great success. So he went ahead and recommended me for the surgery which started the year long process of jumping through hoops to get the band.

I'm blessed that I had the persistance to get through that year and that I had a cooperative Dr. My insurance company also sent me to a top-of-the-line specialist. Some insurance companies won't cover the surgery at all. Although I have access to a nutritionist at my surgeon's office, I've found even greater support on lapbandtalk, especially on a thread called I'm here to help...This blog has also proved to be an invaluable ally in my recovery.

A lady at my church who is in much worse shape than me has not been able to get her primary care physician to recommend the lapband. Meanwhile, the meds she's on for her co-morbidities have made her gain even more weight.

People need to explore the risks, the failures, and the successes of lapband surgery before they make a decision. They need to know that its still hard work to lose the weight and keep it off. Their Dr.s should be helping them explore their options and get set up for success if the option for lapband is chosen.

I think the primary physicians need to get more educated, not only about lapband surgery, but about compulsive overeating itself. It is an eating disorder, an addiction, with genetic, biological, emotional, psychological, and spiritual componants that all need to be addressed. The band helps relieve the person of enough of the addiction aspect to let them work on the other aspects.

I had worked for years on all the other componants with counseling, 12-step meetings for food addiction, 12-step meetings for codependency issues, not to mention prayer and Bible reading and Bible study groups. I'd come to pretty good terms with my ADHD/ADD and still I could not succeed in losing and keeping off the weight.

I had a medical condition that needed a medical solution. I hope the woman in my church gets the help she needs. I hope the lapband, if she gets recommended, proves to be the tool she needs like it has for me. She's a precious soul and very much loved and appreciated in my church community. I want her to be around yet for a long time.

A Great Weekend

My husband and I went to the Taste of Greece today. The weather was perfect. Not hot at all. Sweater weather with a jacket for evening. We ate some interesting food (spanokopita, saganaki, chicken kabob, gelato) listened to some Greek music, and watched some Greek dancing and a belly dancer. She was not skinny and she was not young but she looked great. All her plumper areas were in the right places and jiggled nicely. She was very graceful and the dance was not overtly sexual. Fun.

The circle dances that those with Greek heritage (and a few without) danced were fun to watch and I loved seeing the Greek costumed dancers do their thing. We also saw the Jesse White tumblers. What a treat. Those kids just flew through the air and wowed the crowd.

It was just plain fun. We were going to stay home and do nothing but then I found out this was happening and we decided to go, spur of the moment.

Its so important to incorporate fun stuff into your life. Spontaneous or planned, it sure beats staying home and smelling the mold drifting up from your basement.

Last night I went to a Tastefully Simple party. I knew there would be some former colleagues attending as well as a few current colleagues. I wanted to connect rather than stay home another Friday night and watch lint grow in my navel. Well, I don't actually do that, but sometimes it feels that way.

So both times I had some food outside my food protocol, but I did not overeat. The band is not meant to keep me from participating in life, and good food is part of life. Its just meant to stop me from going overboard and it did its job.

Meanwhile, my blood pressure continues to drop and I was so excited to wear this really cute pair of jeans I picked up at a thrift store a month ago when they were still too tight for me. Now they're just right. I haven't worn flattering jeans for such a long time. I had a really pretty lavender sweater (that matched the flowers on the jeans) that I picked up at a resale shop a couple of weeks ago--a never worn Ralph Lauren.

Tomorrow morning I'm subbing on a praise team at our church. I haven't hardly sung all summer at church and I was so happy to be asked to sing. I'm probably going to get to sing tenor instead of alto, at least on some songs, and that's exciting, too.

I've been hibernating most of the summer, doing a few fun things here and there but limited by my surgery and getting my food protocol established and, of course, having very limited funds with every extra dollar being spent on getting my basement fixed.

This is just a great weekend.

Last night there was an incident that could have sabotaged some of it, but I spoke up for myself and salvaged a good night's sleep. I had been awakened by neighbors playing loud music and talking and laughing loudly at 4 a.m. in the morning. This house has been empty for over a year but it was recently purchased and the buyer has his kids rehabbing the place. Well, one of the kids decided to have a party. I debated what to do and finally decided to put on my housecoat and flipflops and talk to them. It took a lot of pounding on the door before they even heard me.

Fortunately, the girl was quite embarrassed for waking me up and grateful I hadn't called the police. She immediately turned the music off and made everyone shut up. Maybe they all went home. Anyway, I was able to go back to sleep and, for the first time in a long time, I actually was able to sleep in on a Saturday morning. I had taken extended relief Tylenol the night before in addition to my anti-inflammatory and slept and woke up without pain for a change.

If I hadn't taken the Tylenol, even though the kids had quieted down, I would have had trouble getting back to sleep because by then it was almost 5 a.m. and that's when the discomfort normally starts waking me up.

So I get to sing praise to God tomorrow morning early (7:45 a.m. practice) but I should still be well rested. My blog post is finished and I can go to bed on time. Its only 10:30 p.m. instead of 12 midnight, which is when I usually finished posting all summer long.

God is good, all the time.
All the time, God is good.

Its All Relative

Tonight I had my first solid food since getting my fill last Tues. I chewed my chicken to death and did moisten it with gravy. I could feel tightness when I swallowed unless I chewed tiny bites into mush and swallowed only a little at a time. A couple of times I could feel a pb trying to start (productive cough, or as I call it puke back). I wiped the extra saliva out of my mouth and waited it out before cautiously resuming eating.

In case you forgot, food can plug the stoma the band creates and stuff comes back up--especially saliva. The band feels much tighter in the morning so I'll probably do liquids tomorrow but try to eat real food again for supper.

My weight loss has started again. We also realized our blood pressure machine was wrong. We got a new one and its in line with the Dr.s now, and my blood pressure is in normal range with a lot less drugs. My husband found out his blood sugar was higher than mine. Still in the borderline range but barely. So he's cutting way back on carbs and will probably lose more weight.

It is absolutely not fair that men can lose weight so easily. My husband and I are about the same height, I may have half an inch on him, but he has a very slight build. When he gains weight its all in his tummy. The rest of him stays skinny. He also has some of the worst eating habits, barely eating during the day and then eating supper for an hour and dessert or snacks all evenings. (He has modified this because I couldn't take being around so much food all night long.)

His blood pressure and cholesterol are great. The blood sugar is the first sign that his eating habits are starting to cause him trouble. So he threw out all the carbs he had hidden in the house to eat when I'm not around.

When I met him he was a heavy smoker and barely ate except for his snacks. He was so skinny his ribs would poke me when we hugged. I was at a relatively skinny point in my life and was in top shape, walking, swimming, and working the machines at the gym. I went dancing at least once a week. I was still 20 lbs. heavier than he.

He gave up the smoking for me and turned to food and now he's giving up the food. Go Ken!

He's also been dismantling the basement, demolishing all the paneling and ceiling tiles, so that we can get a draintile moat put under the floor to eliminate our water and mold problems. Ken would be the first to admit he's not handy. So far he's stepped on three nails. Fortunately, you only need one tetanus shot. He's doing this for me, too, since I refuse to pay money to have it done. We need the money to pay for the drain tile and possibly a new roof since my current one is leaking again after two days of rain.

That'll pretty much wipe us out and we'll have to slowly redo the basement as savings permit. As long as I have a job, that is. But I can't project too far into the future. We help pay for a child in Kenya to attend school, have a mattress and a lantern to study by, school supplies, a uniform, and one meal a day.

I've walked on Mount Trashmore in the Phillipines and watched the children combing through the trash in unbelievable heat, stench, and humidity for things that could be sold to support their family. These are not people who have to worry about getting a lapband to keep them from eating too much.

Its pretty hard to complain after that. Even when we think we're living in want, we're living in plenty.

Its all relative.

I am content, no matter what my circumstance.

New Hope--Second Lapband Fill

Had my 2nd fill today. Dr. definitely made sure I'd feel some restriction. I think I'll be on liquids for a few days, until the fat pad around my stomach shrinks enough to loosen the band and let a little food through. Absolutely stopped the cravings I was having. I'm back to sipping tiny little sips. No danger of me eating too much. Protein shakes and water are about all I can get down. Have to drink them very slowly.

I also actually got some work done in my classroom today. I finally got all the class lists, and was relieved to see the number of my students who are returning. I'll be working on the schedule and some testing the next few days. I'll also be contacting parents of kids who were marginal whether they needed to see me or not. It helps my bottom line if I do have at least 2 contacts with them a week, since my program gets paid per contact. But these are parents who don't want their children missing a single thing in order to come to me. Other parents are in denial that their child needs help.

I want to keep an assistant 3 days a week and not have to drop to one or two. There's so much organization and paperwork required and that's not the stuff I'm good at. The more student contacts I have, the more $ come in, the more I can do with and for the students. I have some special computer programs that have been shown to improve kids reading scores by an average of one to two years in just 6-12 weeks. The high number of student contacts I maintain is what has paid for the yearly licenses for those programs and my assistant works with those kids on the computer while I teach the rest of the kids.

I also get parent involvement money and money for group counseling provided for the kids based on the number of students I see.

Its all intertwined. The loss of students at RCS impacts my funding and limits what I can do with the kids.

I know its all in God's hands. I just pray that the NCLB funding will come in and pay for me this year (its not in yet), and that next year the new vendor will hire me.

I've made my classroom such an ADHD/ADD friendly place for myself. A good part of that is my assistant who is really more like my partner. I rely heavily on her advice on how to set things up, and I totally rely on her to keep up with all the forms and files.

Meanwhile thanks to the lapband fill, I'm not eating. I had to fight to get the second fill only two weeks after the first fill. I wanted to start the school year with restriction. I didn't want to have to take off work to get the fill. This fill should last quite a while. It may even be the last one I need. It depends on how loose it gets after I lose the next 35 lbs.

I had a student who didn't recognize me at first today. I had my hair up in it's Pebbles Flintstone do. She's used to me with short hair and a much fatter body. LOL.

I'm also working on my DNR (Do Not Resuscitate) pile of clothes. I'm amazed at how fat women's clothes are designed to accommodate a huge weight range. Most of my pants definitely don't fit me, but the tops don't look too bad. Instead of being stretched around my fat, they now drape around me gracefully. I might invest in a decorative, loose belt to upgrade their style a little. Eventually I'll have to cave and get more clothes but for now I'll make do with these clothes and with my thrift store buys.

Last night I felt somewhat hopeless. The return of my cravings threw me for a loop. In the past they could have been the start of regaining, with interest, all the weight I've lost.

Thank God for the lapband. Life's vicissitudes can't throw me back into the food nearly as easily as they did. My optimism about the school year has returned now that I'm not worrying about the food on top of everything else.

I can do all things, through him who strengthens me,
Yes, I can do all things, through him who strengthens me.

Discouragement

I'm having a hard time with food tonight. I am absolutely craving chocolate and have eaten two Kashi bars just for the taste of the sprinkling of chocolate chips sprinkled inside them. Before that I had trouble stopping myself from eating chicken. I've been craving chocolate for days. I can't wait for my fill tomorrow. It won't take away the craving but it will help limit the damage. Sometimes I actually overeat good-for-me-stuff in order to avoid pigging out on what I crave.

I've been doing so good. So now I've got to figure out why the cravings are so strong. Well, it seems obvious to me. School starts on Wednesday. I have always used food to help me focus and get on task. I miss my drug. It may be that now that my blood pressure is down and I'm on fewer and fewer meds, I may have to see about going on ADHD meds. They have some new ones out that aren't stimulants.

One of the best adult tests for adult ADHD assesses the following five clusters. These remain in adults as hyperactivity and impulsivity characteristic in childhood ADHD diminish.

•Organizing and activating to work.
•Sustaining attention and concentration.
•Sustaining energy and effort.
•Managing affective interference.
•Using working memory and accessing recall.

When I read this yesterday in Psychiatric Times, it was almost more than I could take. I have all five of those symptoms and they are all currently overactive. Chocolate and coffee are particularly effective in self-medicating those symptoms. I drink decaf and I've had very little chocolate since having my lapband surgery. So I'm trying to handle my ADHD without my most effective medicine.

When I was a teenager I lived on chocolate. I never ate breakfast, had a light lunch but ate candy bars whenever available, and ate a hearty supper with chocolate ice cream for dessert. I was very active. When I added coffee in college and as a young mother, chocolate and coffee were my mainstays. I could live my life on chocolate and coffee.

Recently I talked with another bandster who, now that she's lost the weight, lives on chocolate and coffee. She remains very thin. That's an enormous temptation for me. Sometimes I've wondered if I'd mostly eaten that and ate just a little other food, that I might not have gained all the weight. The problem was all the "healthy" food I ate on top of it because I figured I needed the nutrients. And, like today, when I deny myself what I crave, I overeat "healthy" foods.

It's going to be an interesting year. I don't know if there's going to be enough NCLB funding available to keep me and my assistant working. We are paid according to the number of children I see each week. So far, I have no idea how many RCS students are returning. Last year we had 240 total students, this year we are at 140 with school starting in two days. I need my assistant. She does all the paperwork for NCLB, does all the record-keeping and keeps everything organized so I'm free to teach. Last year I cut down to having her two days instead of three, and another assistant two days. This year I won't have the second assistant.

Next year a new vendor will be in charge and is not obligated to hire me. Everytime I walk in my classroom I'm having trouble sitting down and focusing and getting stuff done. I've already talked about how bad my memory's been this summer (and its definitely my working memory, not my longterm that's affected and its affecting my ability to recall information. Well, I can't organize and activate to work, I can't sustain attention and concentration or energy and effort, and I'm not managing affective (emotional) interference.

It will take the pressure of school actually starting to get me to concentrate. That's not unusual for me, to a certain extent it happens every year, but it feels worse this year. So I'm considering medication. Often, for ADHD people, drugs that specifically work on ADHD are necessary to help a person lose weight and maintain weight loss so that they don't use food to self-medicate the ADHD symptoms.

We'll see. I've been on meds before and done very well. But then my blood pressure started going up a little and I panicked. Well, my blood pressure really went up without the ADHD meds as I gained and gained weight. I just hate more Dr.'s visits.

This is my 9th year of teaching at RCS and each year has brought major challenges and I'm constantly adapting to fit the circumstances. The challenge has always helped me to focus. I'm just not sure the challenges I'm facing this year are the kind that will help me focus. I feel like my program is going backwards.

I'm going to see how it goes. I'm scared. All the old feelings of inadequacy about being able to hold down a job are back. So much of my life has been spent hiding my ADHD under a veneer of competency that I couldn't sustain. This job I've done so well because I designed it around my ADHD and haven't tried to disguise it. Now circumstances are changing and its bringing back old fears.

I want to eat.

Lord, I need your help. I'm powerless over food and over my ADHD. I ask you to take over my mind and my stomach. Get me through this time of uncertainty, hold my hand, take care of me.
Amen