First Person:
Weight Loss Surgery

Gail before surgery in October 2003.	Gail after surgery in May 2005.
See more photos of Gail's progress.

Gail's Journal

Editor's note: Gail Francis of Johnston, RI, underwent gastric bypass surgery for weight loss on October 14, 2003. Gail shared her experiences online for two years as she adjusted to a new lifestyle.

• Gastric bypass support group information
• More about gastric bypass surgery
• Other weight loss options

Read Gail's journal:

Wednesday, October 1, 2003

Just came from the monthly support group meeting of gastric bypass surgery patients. This meeting is conducted every first Monday of the month in the Gerry House Lounge at Rhode Island Hospital by a panel of people who are very active in this surgery. There were a number of patients who already had their surgery and lost all the weight. I was impressed by the attendance of a nutritionist who encouraged patients to schedule a time to meet with her for questions or to set up an appointment to discuss nutrition after surgery.

The room was packed with both pre- and post-op surgery patients and their families. All were patients of either Dr. Roye or Dr. Harrington. After meeting many of these people, I decided that I definitely made the right decision to have this surgery. Everyone was very enthusiastic! We went around the room introducing ourselves and announcing what stage of either waiting for surgery or post surgery everyone was in and how much they had lost. A few people had surgery just eight days prior and were already back up on their feet and functioning!

The weight losses were incredible! Every story told was a tale of success. There were some issues with insurance payments of some of the pre-op testing. But as far as the surgery itself, there wasn't a negative statement made. The feeling in the room was very exciting and inspirational. Dr. Zienowicz, a plastic surgeon, was guest speaker for the evening. He was introduced by the leader of the group, a gastric bypass patient who had her surgery in 1983 and has kept all of her weight loss off to date! Dr. Zienowicz answered questions for the very enthusiastic crowd for over an hour and would have been there longer had we had more time for the meeting.

I am SO excited! Only 13 days to go for surgery!

Thursday, October 9, 2003

Went to the bariatric surgery preoperative instruction this morning and reviewed post-op nutrition, nursing care and physical therapy. Each person presented in a very thorough and comprehensive way. All questions any of the patients had were answered fully. By the time I left the meeting, I really felt that my surgery was finally here and happening. All aspects of post-op surgery recovery were very detailed and gave me a clear look at what was yet to come. My objective is to look at the big picture and think positive!

Friday, October 10, 2003

Called Dr. Roye's office to confirm time of surgery. One more step towards my dream! Hooray!

Thursday, October 16
(dictated from her hospital bed)

I can bend over to pick things up, but when I do, I can tell I've had surgery. I was out of it on Tuesday, the first day, and yesterday I had a little nausea and I needed to take something to fight it off. But today, I have very little pain.

People were great in "stepdown" and they've been great in CoOp [Cooperative Care Center at Rhode Island Hospital]. Doctors come in two or three times a day. Today I've been able to have jello and 60 milligrams of liquid: clear broth, black decaf coffee and cranberry juice. I can only sip so much per hour. They tell me maybe I can have a protein drink and cream of rice soup. The last few days haven't been bad at all!

Friday, October 17

First day home today after being released from the hospital last night at 7 pm. Surgery Tuesday and home on Thursday--not bad! I feel absolutely wonderful today! My biggest challenge now is putting together my meals and snacks with the correct portions and nutrition in mind. I'm also waiting for the visiting nurse to come for her daily visit (for the next few days) to check on my progress and give me a shot to prevent blood clots, which is needed after the surgery.

I have to say I am not hungry at all! I have already taken my vitamins and will be sure to keep sipping the water to remain hydrated. I really feel great and have to stop myself from doing things around the house because my husband will be after me to sit down! I'm so excited!

Monday, October 20, 2003

Day seven following surgery last Tuesday and I feel great! Each day gets better and better! I know I shouldn't, but I already checked the scale and I've lost 12 pounds!

The visiting nurse who comes to check on my progress each day just left and says I'm doing fine. I set my follow-up appointment with Dr. Roye for this coming Friday to check in.

One of the big accomplishments this weekend was going grocery shopping. Of course, I had my list and needed to purchase certain key items. However, I found that my husband Paul was reading the labels and making very specific, healthier food choices for the rest of the family as well. This was a milestone for him! Looks like my decision for surgery was not only a good one for me but for the entire family!

Tuesday, October 21, 2003

I wasn't feeling that well yesterday or this morning. I tried to take in more fluids to help with the lightheadedness. Stomach is a little queasy also. But I got back on the scale and it's another 5 pounds lost. If I'm seeing correctly, it's 17 pounds so far, but I'll confirm with the doctor when I see him Friday.

Kinds of foods I am eating: Sipping water throughout the day but not at mealtimes (must take in no less than 32 ounces per day), sugar-free Jello, clear soup broths, unsweetened fruit juices, and then, of course, the ever tasteful protein shake. Keep in mind that you can only consume 60 ml (equals about 4 tablespoons or 2 fluid ounces) per hour. Very slowly. I have experienced gas in my chest if I go too fast.

I try to have the following:

• Breakfast: cranberry juice, gelatin and a protein shake
• Mid-Morning Snack: protein shake and more gelatin
• Lunch: chicken broth or tomato soup (I have tried small curd cottage cheese and yogurt but they do not agree with me yet) and fruit juice
• Mid-Afternoon Snack: protein shake
• Dinner: fruit juice and chicken broth or tomato soup
• Evening Snack: gelatin or fruit juice

Of course, you have to keep in mind that I take a few small (not even full) spoonfuls of each of these at each meal. I can have applesauce, Popsicles, sorbet, and clear liquids, but all need to be fat-free and sugar-free.

Wednesday, October 22, 2003

Feel a bit better today after a few days of a little nausea. I think the nausea was caused by trying to keep on track with consuming the right foods at the right times. In any case, I have backed off a bit on the foods and am back on strictly clear liquids (Jello, broth, protein drink) and I feel much better today. Looking forward to seeing the doctor on Friday.

Friday, October 24, 2003

I just came from seeing Dr. Roye for my post-op visit. He says everything looks great. I had a few minor questions, which he promptly answered and, as I thought, were no problem. He told me that he wants me to continue with the pureed diet for another four weeks and then come back to see him. Basically I can eat food that is pureed in a blender to baby food consistency. Of course, that's still keeping in mind the basic rules of no added sugars or fats, and keeping within the same nutrition food list and measurements given out at the post-op nutrition class.

Dr. Roye also confirmed my weight loss to be 17 pounds to date from surgery. Actually, his calculation was a bit higher than mine because he is counting the weight I lost from the first time I had seen him rather than what I weighed for my final weigh-in a few days before surgery. I had lost a little bit before surgery on my own to ensure that I would be a laproscopic surgery candidate rather than a full incision one.

Still looking forward! However, I am anxious to attend the next support group meeting. It helps to talk to others who have experienced the same things that I have.

Tuesday, October 28, 2003

Everything is going well. I haven't had any nausea or stomach discomfort even though I am introducing new foods to my diet. Of course, all foods still have to be pureed but I have had some different things like squash, vegetable soup (believe it or not it looks like a bisque when it is pureed), even fat-free sugar-free pudding! The key is to have nothing but pureed foods (baby food consistency) and no sugars or fats. Always keeping in mind that your new stomach cannot take more than 1-2 ozs of fluid or pureed food within a 20-30 minute period. I do have 2 protein shakes a day as part of my 6 small meals a day.

The weight seems to be coming off a bit slower now. I even stood the test of going out with my husband for a drink, he had a margarita and I had cranberry juice with a lime wedge. Didn't bother me at all!

Friday, October 31, 2003

Happy Halloween! Feeling physically better and better as each day progresses. Getting back my stamina and motivation. Going to need it tonight when the kids ring the doorbell! Still on the pureed diet until the next trip to the doctor on November 21. I'm becoming more satisfied with my meals as I introduce different foods into my diet. Looking forward to my first clothes shopping trip in a few weeks. I'm already planning Thanksgiving dinner for my family, which I don't anticipate to be a challenge for me at all.

Monday, November 3, 2003

Made it through the Halloween weekend without a scratch. The leftover candy wasn't tempting at all. My only wish at this point is to sink my teeth into a nice sliver of pita bread with some turkey and mustard on it. But all good things come to those who wait! Hopefully for Thanksgiving I can have a little turkey with fat-free gravy. On a positive note, I have been walking every night with my husband and am able to do a 20 to 30 minute walk with much more energy and enthusiasm than before the surgery. I am less fatigued and winded than I used to be. I am wearing a pair of jeans today that I haven't been able to fit into for quite some time! Very exciting!

The weight loss is still coming along slowly. I have started a food log on Saturday which I will continue tracking. One of my challenges is to incorporate enough protein into my diet without depending on protein shakes all of the time. I think I'll keep the shakes up for now to be sure that I'm getting enough protein.

Monday, November 10, 2003

Made it through another weekend of pureed food. I've lost 28 pounds so far since my surgery 4 weeks ago and I feel great. However, I am dying to go to my doctor visit on 11/21 and hopefully hear that I can actually chew something. I don't care what it is! Chin up, things are looking great and I feel wonderful. Still going for my daily walks, I even raked some leaves this weekend! I haven't introduced any new foods into my diet this past week but I have gone out with my husband a few times and had no problem with temptation.

Thursday, November 13, 2003

Not much new to report since Monday as far as weight loss or recuperation. I've been cooking for the family every night since the first week after surgery and last night I made one of our favorite chicken dishes. I have to admit, I would have given anything to sink my teeth into a small piece of chicken, but not yet! It's not that I'm hungry; my mouth just wants to chew. Fortunately, the doctor said I can chew sugar-free gum as long as I don't swallow it. Carbonated beverages are not allowed because the bubbles can put a strain on the staples in the stomach as well as giving you an overbloated feeling. Therefore, I drink Crystal Light or Fruit 2 O as a change from water. The good news is that I am now able to wear jeans and put aside those elastic waistband pants that I've been wearing for four weeks. The five incisions on my stomach have pretty much healed at this point. The only stitches were inside so there will be very little scarring on the outside. The first week sleeping on my side was a little uncomfortable but after that I had no problems at all. I'm sleeping like a baby! Now that I'm in my fifth week since surgery, I'm trying to catch up on small chores around the house that are not strenuous, to keep me busy. I even have some of my holiday shopping done and have started preparing for Thanksgiving. I am anxious to get back to work and proceed to live my new healthier lifestyle. I already feel like I've accomplished so much and am definitely moving in a positive direction for the new healthier me.

Wednesday, November 19, 2003

Hi all! All is going very well. Looking forward to my visit with the doctor this Friday so I can be released to go back to work for Monday. I checked the scale this morning and I have lost 43 pounds since the first time I went to visit with Dr. Roye (34 pounds since my surgery date!). I'm down three sizes.

Went to a dinner party this weekend and made it through with no problem at all! Everyone in the room feasted on a very delicious gourmet dinner and wine. Thanks to my very good friend Diana who provided beef broth and cranberry juice for me, I made it through unscathed! She was very considerate and thoughtful for thinking of me to have something to have.

Still on the pureed foods and have found out that my stomach cannot tolerate macaroni and cheese (only permissible when prepared with skim milk). Maybe it is still too heavy at this point. I have had a problem with small curd cottage cheese also. It simply upsets my stomach and gives me a full feeling so I stay away from it all together! The measures of food are still the same. Still having 1/2 cup of cream of wheat with some OJ for breakfast, 1/2-3/4 cup of tomato or veggie soup (pureed) with a couple of tablespoons of pureed applesauce or fruit for lunch, and usually the same for dinner or sometimes trying something different like the mac and cheese (which I won't do again for quite some time!). I have been trying to drink the protein drink in between meals although sometimes I prefer to have a sugar-free Popsicle or a few tablespoons of fat-free sugar-free pudding instead.

Looking forward to Thanksgiving and enjoying whatever it is Dr. Roye says I can eat.

Monday, November 24, 2003

Went to the doctor Friday and he gave me a clean bill of health to go back to work today and to start introducing solid foods to my diet once again. As much as I couldn't wait to start eating again, I find that I have to be very careful about what I am eating and be sure to chew it thoroughly, otherwise I get a bloated feeling. The idea is to make the protein a priority on the menu. Of course, the portions are very small, keeping in mind that my new stomach can only hold one to two ounces. The old rules still apply, like no caffeine, carbonated drinks, added sugars or fats. Six small meals a day. I have tried things like vegetable soup, plain tuna, cheese wedges and scrambled eggs. For me, I have to make sure I am having something like the soup if I'm eating tuna. For some reason the warm soup helps the dry tuna go down easier. I'm sure I'll come up with some other creative ways to make my new diet nutritious and interesting. I will schedule a meeting with the nutritionist office for the next support group meeting to be sure I'm on the right track and get some new ideas.

I'm back to work and feel great. Everyone has been so great and supportive. Glad to be getting my life in order and back on track.

Friday, November 28, 2003

It's the day after Thanksgiving and I made it through with no problems. I cooked a 5-course dinner for 11 people and managed to stay within my specified limits for my own daily requirements. I didn't find it difficult at all. I was not hungry or tempted by any of the food that I make only during the holidays. Usually I would have sampled everything from the antipasto to the dessert. But not this time! It felt great to be in control and happy. My entire family was impressed and my husband was very proud. I have to say I was pretty proud of myself too. I had my usual breakfast of Cream of Wheat and during the meal I had about 1/2 cup of the soup and a few tablespoons of a few of the veggies and turkey.

My stomach is able to tolerate solid foods more and more each day. Of course, I still keep within the basic rules and measures. I couldn't be happier that I had the surgery. This is the first holiday since my surgery and I've proven to myself that food is not the only enjoyable part of the holidays. Family and friends are the real reason for holiday gatherings.

Monday, December 8, 2003

Not much to report since Thanksgiving. I have been able to gradually introduce new foods to my diet each day. I have successfully tried salmon, chicken, string beans, baked white potatoes and baked sweet potatoes as well. For breakfast I have either Egg Beaters, hard-boiled eggs, Cream of Wheat or hot oatmeal. I can have cheese as part of my protein each day but try to limit myself with it because of fat content. I can also eat half of a small pita bread with a piece of turkey in it with mustard. Very good! I still have not ventured to try salad or regular bread yet. I'm afraid it may be too heavy. I have no problems with any of these foods but still need to be very conscious of portion size, carbohydrates and fats and need to chew very well. I am still eating very small meals three times a day with a mid-morning and mid-afternoon protein shake or applesauce or fruit. Still taking my vitamins daily to be sure that I don't develop a deficiency. An example of portion size for dinner would be: 1-2 oz. piece of salmon, 2 tablespoons of string beans, 1/2 small baked potato with nothing on it.

I have lost a total of 52 pounds to date as of yesterday's scale reading. All is great! I still feel like I have more energy than I've had in a long time. Ventured out to shovel snow over the stormy weekend. I have to admit that I am a bit achy but I feel good about the accomplishment! I wasn't tempted to overeat or indulge over the weekend while we were snowbound, which was nice.

I am looking forward to the support group this coming Wednesday evening. I have scheduled an appointment with the nutritionist to be sure I am eating the right things and to get new ideas.

Thursday, December 11, 2003

Not much more to report on weight loss at this point. Eight weeks after surgery and have lost 53 pounds. I am very happy and have more energy than I've had in a long time. I haven't been this weight in about 12 years. I've been doing very well with the transition into solid foods but still wanted to meet with the nutritionist to be sure I'm on the right track. Last night I went to the support group at the hospital and met with the nutritionist there. She went over portion size and the importance of eating your protein first, veggies second and then on to the starch (if you are still hungry at that point). She gave me the following portion size guideline to go by daily: 3 cups dairy, 4 tablespoons fruit, 4 tablespoons veggies, 6 ounces meat (preferably chicken or fish), and 1/2 cup starch. She also was very helpful in giving me charts of food options for each food group.

The support group meeting was very inspiring! Dr. Roye was there as well as the nutritionist and a student from Johnson and Wales. They gave a nutrition presentation and cooking demonstration. I find these meetings very helpful and they give me encouragement that helps me to make it through the day-to-day. My husband Paul came with me and was (and he always is) my true support group. Without his encouragement, this journey would be much more difficult for me.

My new healthier way of life is coming a little easier now. I do realize it will be a while before reaching my goal and it will be even harder to maintain it. I also realize now more than ever that this "tool" that I have been given is just that. It is the changing of my old bad habits to new healthier ones, like better eating and exercising habits, which will help me achieve what I have started out to do. My challenge now is to incorporate more physical activity into my daily routine, together with the walking I'm presently doing.

Can't wait for next month's support group. It really helps to energize and motivate me!

Thursday, December 18

Not much more to report from last week. I didn't lose any weight this week, still at 54 pounds weight loss. The good news is that I was able to go to two holiday parties this week without it bothering me. I had very little at one party and was fine but was less careful at the second party and was uncomfortable when I got home. That will teach me a lesson for the two parties I have coming up this weekend!

I still need to increase my physical activity, which I know is the reason for the stagnant weight loss. However, I was pretty happy to fit into a new outfit that I bought that I thought I wasn't going to fit into for a while. Still very happy I made the decision to have the surgery and am now more committed than ever to go on toward my goal.

Monday, December 22, 2003

Very excited today! I lost four pounds as of this morning after going for two weeks without any weight loss. Total of 58 pounds lost so far. I managed to achieve this even with two holiday parties this past weekend. But for both parties, I was very disciplined and didn't eat anything I shouldn't have. I made sure to eat my meal before I went to the party. This worked with no problem for me. I have to admit that even though I have been very strict about following the dos and don'ts of the food choices and shouldn't have worried about the plateau that I hit, I was still happy to see the loss on the scale. Now the challenge is the upcoming two holidays, Christmas and New Year's. I'm sure I'll be just fine!

I did experience a little discomfort after eating my lunch today. I had 3 oz. of tuna and some fresh carrots. Either it was too dry going down or I tried to eat too quickly and didn't chew well enough. In any case, after 20 minutes I was okay.

Monday, December 29, 2003

I made it through the Christmas weekend without a scratch (or weight gain!). Actually, I managed to lose another 2 pounds through it all. I'm up to 60 pounds lost so far. I was careful to stay within my food limits while managing to cook and bake the holiday favorites for my family. My kids even gave me an exercise jacket in an XL. I haven't seen that size in years! I tried it on and I'm not quite in it but it won't be long.

People keep telling me how good I look. All I know is that I feel better than I have in almost 20 years and feel like I am finally on my way to a healthier lifestyle. I know this will be a happy and healthy new year for me!

Monday, January 5, 2004

New Year's day brought a new meaning to my life this year. I finally feel that I have a handle on my weight problem. No more empty promises of "this year I'm going to . . ."

Paul and I went out to dinner New Year's Eve with friends, which I was able to enjoy while keeping within my limits. I still managed to lose 4 pounds over the past week! Total of 64 pounds lost so far. I can walk further and faster than I have in a long time and I'm enjoying it more than ever. We also checked out a gym in the area so I can start an exercise routine. The walking is good, but I think it is time to go on to a higher level of working my muscles. Life is good!

Friday, January 9, 2004

I attended another support group meeting, with Paul as my major support, this past Wednesday. As usual, it was energizing and inspiring to hear the stories of individuals who had their surgery over the past few years and the amounts of weight lost. I'm still at 64 lbs lost in less than three months since my surgery. However, my energy level has increased dramatically and I've gone down four dress sizes!

For me going to the support group is very helpful for a number of reasons. I get tips on certain foods that others have tried and to listen to other success stories and what challenges they encountered while getting there. To my surprise, they weren't much different from my own! It's also good to see patients who attended my pre-op training with me and to see their progress. They are looking great and feeling wonderful! Every meeting I go to I learn something new from the nutritionist who attends all meetings as well.

Off to see Dr. Roye for my three month follow up today and review the results of my blood work, which I had this past Monday. I'm anxious to see how my cholesterol levels, etc. have changed. I'm sure all the news will be good!

Thursday, January 15, 2004

Not much new to report. Went down another 1 lb., which brings the grand total to 65 lbs. lost. I'm very happy about the weight loss but sometimes it does seem a bit slow. My new healthy lifestyle of eating and exercising is becoming easier as each day goes by. I actually look forward to my walks now when it was like giving me a death sentence to do it before! I haven't felt this good in years! I am experiencing less discomfort now when I try to eat different solid foods. I believe this is because I am more aware of the correct foods to eat, portion size and chewing everything very well.

At my visit with Dr. Roye last Friday he said that I was doing very well. My weight loss was even a little bit above average, which made me very happy. All of my blood work came back great. Next visit is in another three months, when my blood will be checked again. Dr. Roye believes the results will be even better at that time.

How can I not think positively about this huge change in my life? Each day gets better and better!

Thursday, January 22, 2004

Still going along day by day. I pretty much am eating what Paul eats, just smaller portions. I did lose another three lbs. since last week, bringing the grand total up to 68 lbs. lost so far. Still procrastinating on joining a gym. It is not for lack of interest or energy level, just want to be sure that the choice I make is one I will and can live with and enjoy long term. Everything else remains the same.

Family and friends are wonderful and very supportive! I am very lucky to have such a positive reinforcement through them. Big challenge coming up is the Super Bowl and having friends over to my house. I'm sure there will be no problems or temptations and it will go as smoothly as the holidays did. Go Pats!

Monday, February 2, 2004

Ate a little more than I should have yesterday with the Super Bowl and all the festivities. I attribute it to the Patriots keeping me at the edge of my seat throughout the entire game! However, considering the amount of food we had for our little party at my house, I did pretty well. Back on track this morning with my protein shake and getting right on the scale. Total weight loss of 71 lbs. so far. I feel great and energetic. I'm trying to get in more water starting today. I know if I boost up the amount of water I drink and increase my activity, the weight loss will go a little faster. Especially seeing that I have lost about 1/2 of the weight I want to lose already. Paul and I are looking at an elliptical machine but until I get it, I'm starting to ride my healthrider. This, together with the walking, should work well. Looking forward to the support group this coming Wednesday. It always rejuvenates me for the next month.

Thursday, February 5, 2004

As expected, I feel energized after last night's support group meeting. There was an unusual amount of people present last night. Many pre-op patients in various stages of waiting for consultations, testing and awaiting surgery dates. Enjoyed a cooking lesson from a Johnson & Wales dietary intern on split pea soup as well as a little taste. It was very good. I'll keep that recipe, very good source of protein! I saw many of the same faces of patients who have already had their surgery and all still singing the praises of their doctor and how much better they feel. The stories are unending about the positive effect their surgery has made on their life.

Paul was, as always, very interested in the conversation going around the room and Dr. Roye's gracious answering of a multitude of questions. Paul continues to be "the crutch that holds me up" at all times through my surgery and recuperation. Even though he comes home from working 10+ hours a day, he still insists that we go to the support group meetings together. He has made my journey so much easier and positive!

No change in weight this week yet. Still up to 71 lbs. lost. Feel great! Narrowed down an elliptical and hopefully will get it within the next week. Life is great!

Monday, February 9, 2004

The good news today is that I lost another 2 lbs. bringing the grand total so far to 73 lbs. lost in a little less than 4 months. The bad news is that I finally bought my elliptical machine. Not really "bad news" but I would have never known that I was in such poor physicial condition! I have been walking much faster and further than I have in a long time. I didn't realize that the transition over to gym equipment would be so much more focused. I can ride the elliptical for 3 minutes on the first level. There are 8 levels! Oh joy! Something to look forward to. I'm convinced that this will help me lose weight at a quicker rate as well as tighten up some areas sadly in need.

I also made it through another after the holiday, holiday party this weekend. Great friends and good food, which I was able to enjoy while continuing to limit my intake. It wasn't difficult at all! Onward and upward!

Tuesday, February 17, 2004

Progress is being made slowly but surely. I'm up to a loss of 76 lbs so far, four months post-op. Still plugging away at the elliptical, which was five minutes this morning (yippee!). This along with the walking is doing the trick for exercise for the time being, I think. I am getting to the point where I need to find some creative ways to satisfy my cravings. Not that I really get "cravings" but there are times when I just feel like putting something salty in my mouth. I was never a sweet eater but I could tear through a bag of salty potato chips with the best of them! I'm confident that I have control over many of my old bad/unhealthy habits. Just now and then something creeps up on me. I haven't given in (and won't). I just grab a sugar-free Popsicle and enjoy. When I do feel the urge, I just go back to my closet and see the accomplishment I've made to date and it goes away. (Although I have to admit I do LOVE those chocolate, coconut, almond protein bars! They taste just like an Almond Joy and count as 15 grams of protein! I try to limit myself though.

I can't say enough about how much better I feel. I'm approaching one of my short term goals, which is to weigh in at under 200 lbs, a weight on the scale that I haven't seen for years. Once I achieve that, I will find a positive way to treat myself. Maybe go for a manicure or something! I am experiencing no problems with foods at all. There are some times when I take two or three bites of my food and I have to push it away. Not because I get sick; it's just a full feeling I get in my stomach periodically. To date I still have not had any "dumping" experiences.

Valentine's Day went very well. I didn't touch a piece of chocolate nor did I want to! All is good!

Wednesday, February 25, 2004

Not much to say today. I have lost a few more pounds since last week, a total of 81 pounds to date, a little more than 4 months post-op. I feel great and am up to 6 minutes on the elliptical in the morning. I have also started a walking group at work during lunch. (Approximately 3-mile walk in about 40 minutes.) Also walking at night with Paul. Short-term goal of under 200 lbs is only 3 lbs away. We're getting there!

Still no pain or "dumping" issues. I am able to eat a wider variety of things but still maintain the original restrictions. I have learned a few things this week, though, like I cannot have corn, nuts, celery and carrots. These things can lodge in the pouch and can pull the staples. I didn't realize that and didn't have much of them but I did have some and will definitely stay away from them now. Just goes to show you how important it is to research and read all the information you find or are given.

Thursday, March 4, 2004

Down another 2 lbs. this week (83 lbs lost so far in 4 1/2 months). One pound away from short-term goal of 200 lbs. Hooray! Still walking and using the elliptical (and having fun doing it too!). I do find that it is more challenging to find foods that please my palate these days. I'm not hungry at all but I'm always looking for different things that consist mostly of protein and are appetizing as well. I find that I can sometimes finish an entire salad with veggies and protein and wonder how I did that, and then other times I can barely get through a bowl of soup. Go figure! Still feel absolutely rejuvenated! Like I'm a new person.

One phase I cannot wait to pass is the hair loss. I'm told that between three and six months post-op you can lose hair. I have experienced that since around my third month and it continues to break and fall out. Not to the point where anyone else notices but I certainly do. My hairdresser says she already sees new growth and I'm sure it will subside soon. Just a small hurdle to conquer in the battle!

Friday, March 12, 2004

Still working out but with a bit more ease and enjoyment now. I work out on the elliptical 5 to 6 mornings a week and am up to 6 ½ to 7 minutes a day now. I started at 3 minutes a day about 2 1/2 weeks ago and couldn't wait for it to be over. Now I find myself increasing the workout by 1/2 minute every 3-4 days. I have less heavy breathing now than I did when I first started, although my legs still feel like Jell-O when I get off! I know that it is making a difference because even though I haven't lost any more weight over the past week, people are telling me I look thinner and my clothes fit looser. The walk at lunch and after dinner is the same but much easier now. I find myself walking faster during the day in the office or whatever I'm doing. The more you exercise, the easier it gets and the better you feel. The key is to keep increasing the activity as it gets easier for you so you'll get more out of it both physically and mentally.

Anxiously waiting for the scale to drop one more pound to reach my short-term goal. Hair loss is subsiding and new hair is growing in. I'm a bit frustrated about the stagnant weight loss but I knew this point would come. It's a "wait and see" period. On a positive note, I feel great!

Thursday, March 18, 2004

Short-term goal finally reached. Down to 199 lbs as of this morning, hooray! Total weight loss of 85 pounds to date, now five months after surgery. Very happy! I'll treat myself over the weekend to something, maybe a new outfit. I did have a small problem with gas pains yesterday, which lasted for three hours. I was a little nervous not knowing what it was at first so I called Dr. Roye's office. They returned my call very quickly and discussed it with me. All is well now and I'm feeling great.

I feel like now that I'm under the 200-pound mark, I can start my quest to reach my goal anew. It's like a new me; I see my long-term goal as one that I can achieve. Not like in the past where I saw it as being hopeless.

Thursday, March 25, 2004

Still down to 196 pounds (88 pounds lost so far--down 5 dress sizes) but I've been picking up on the walking. Paul and I are "in training," walking a good 2 1/2 miles each night before dinner for the Nutrition Fuels Fitness 5K walk for this coming Saturday. Other members of the gastric bypass support group who are Dr. Roye's patients will be walking with their family members as well. This is the first fitness walk I've ever attempted to participate in simply because I would never have been able to make one mile before! Now I'm not sure how easy it will be but I'm anxious to give it a shot. Still walking at lunchtime and in the evening; it is just getting more enjoyable and faster! Elliptical is still doing well at 7 1/2 minutes 5 times a week. It is a good cardio workout. I'm working on increasing my time on it but I do it in the morning and there's always something to do in the house before I go to work.

My stomach is still the same, no problems, pains, hunger. I'm very satisfied with my diet. Hair is starting to grow back in--still some falling out in shower but not as much as in the past and I do see new growth. I have called the nutritionist to reaffirm my portion size, protein count, etc. to be sure I remain on track. Looking forward to my next visit with Dr. Roye on April 9, for my six-month check-up.

Friday, April 2, 2004

Weighed in at 194 pounds this morning—90 pounds lost so far in 5 1/2 months, hooray! Feeling great! The Nutrition Walk last week went very well. Our gastric bypass group walked enthusiastically together and had a great time doing so. We all traded stories of our surgery experiences and got to know each other a bit better. They are really a wonderful bunch of people who are there to support one another. Can't wait for the next support group next Wednesday!

I've been picking up quite a variety of healthy recipes using mostly seafood. Poached scrod, "skinny" scampi, and of course my favorite—salmon. Still trying to be sure that my diet consists of mostly protein and then the vegetables, always being careful of the carbs. I find I cannot eat pasta or bread. It's not that I get sick but I can only have a few bites and I feel uncomfortable and bloated. Hair loss has significantly diminished and I'm glad to say that at my visit to the hairdresser this week, new hair is growing in rapidly.

Dr. Roye visit next Friday, 4/9. I'm very anxious to see what my blood tests show and see what he feels about my total weight loss so far.

Friday, April 9, 2004

Went to the gastric bypass support group Wednesday night. I'm starting to feel like a real member now that I'm 5 1/2 months post-op with a significant weight loss. I enjoy hearing all of the success stories of the patients and their concerns as well. The room was so full that there was standing room only. The tables had to be moved to accommodate more chairs! More and more patients are realizing the health benefits of the surgery. It is a great tool to help you reach the goal of a new healthier lifestyle.

Also had my visit with Dr. Roye this morning. All looks well with my blood work and he is very pleased with my weight loss. Now at 91 lbs. I'm happier and healthier than I have been in years. My cholesterol is down to a normal level without medicine! Walking and elliptical are still going strong, enjoying every minute (of the walking anyway!).

The big Easter weekend is coming up. Biggest challenge is ricotta pies! Yummmmm! The chocolate is no problem because I used to be more of a salt (chips) person than sweets, but ricotta pie! Oh no, that's a different story! I plan on being realistic and maybe trying a bite of the filling without the crust. I'll see how I do!

Monday, April 19, 2004

Weight loss has climbed to 95 pounds over the course of 6 months. Everything is going very well. On Easter Sunday Paul and I took the boys and their girlfriends out to dinner. I admit to ordering a very simple fish dish when everyone else had prime rib, but I don't like prime rib anyway! My scrod was just as tasty! I even had a few bites of my sister Janette's scrumptious rice pie when I visited my dad on Easter! No problems at all—how good is that! Continuing to do the exercising on the elliptical (up to 10 minutes 5 days a week now) and walking at least 3 miles a day but most times up to 7 miles a day. If I do 7 miles, it is 3 miles at lunchtime and 3.5 or more miles in the evening after dinner.

Social gatherings are getting easier to handle. We went to a wedding of a good friend this weekend and I comfortably consumed a little bit of each course (very little of the pasta because it makes me feel too bloated) making sure that my largest portion was the chicken. No bread or dessert. I did dare to have 1/2 glass of wine, which I have not tried since my surgery. It was okay but I don't think I'll do that too often. Made me feel a little woozy! In short, I had a great time and didn't feel like I was missing anything. I was very satisfied and still managed to lose a few pounds. The best part was that the dancing was easier and more fun that I can remember in a long time! Hair loss has reached a point where it is just a few hairs in the brush each day, which to me means that it's back to normal. Yeah!

I'm going to my primary care physician today for a 3-month check on my blood pressure. She had cut back my meds by 1/2 last time I saw her and we'll see what today's check shows. Other than high blood pressure meds, all I take is my multivitamin every day and calcium supplements. This is a far cry from the 7 pills (and climbing) that I used to take before surgery. Life is better and better each day!

Still plugging along with weight loss remaining stagnant now. Still at 187 lbs (total of 97 lbs lost so far in 6 1/2 months). Haven't had a loss in about two weeks now. I'm sure I'll see a drop on the scale any day now. Exercising is getting easier. I have to admit that I remain at ten minutes a day on the elliptical, mainly because I do get bored with it. However, I do it five mornings a week. I do LOVE TO WALK! It gets more enjoyable every time I do it. I walked the American Heart Walk this past Saturday. It is a five-mile walk raising money for the American Heart Association. It was a beautiful day and Paul and I did it together. We really had a great time.

Last Wednesday was the monthly gastric bypass support group. Dr. Roye was not present but the group was opened up to a question and answer discussion, with post-surgery patients trying to be helpful and support pre-op patients as well as each other. I am still amazed at the number of people the group draws each month. For me, it is critical that I attend. It helps reinforce good behaviors while helping me through some bad times. I have recently been experiencing some cravings. Not hunger, but times when my mouth just wants something! These are times when I could easily eat something I shouldn't. I don't want to "lose focus" as other patients in the group call it so I keep on track. I feel too good not to continue, like a new person. I would still like to lose another 40 lbs, no matter how long it takes me.

Mother's Day was wonderful. Paul, the boys and their girlfriends were especially good to me. We cooked out on the grill and I had a fabulous time. Got new clothes for the "new me." Life is good!

I have to say that I'm getting a little frustrated now. It's been a good 2 1/2 weeks since I've seen a weight loss. I've been doing what I'm supposed to, exercising daily and still remaining within my restrictions of diet. I had lunch with a good friend, Sandy, on Friday who had gastric bypass surgery over two years ago and lost 150 pounds. She says that plateaus do happen and not to get discouraged. I did reaffirm a few questions I had to be sure I was on track and felt MUCH better after talking to her. Sandy looks great and is an inspiration to me! I'm hoping that all of the sudden I'll see a big loss. Even 3 or 4 pounds would make me happy at this point. I'm sure it will happen soon. It is funny though, I haven't gained any weight but without a recent weight loss I feel bloated and uncomfortable. I do have another 30-40 more pounds to lose so I'm getting anxious. We'll see!

The good news is I went bike riding with Paul this weekend, which I haven't been able to do in years without my knees hurting me. What an accomplishment that was!

Friday, May 21, 2004

I have been waiting a long time to be able to make this statement, "I lost 102 lbs as of this morning! Hooray!" Today is my 49th birthday and I weigh 182 lbs, all in 7 months, 1 week. I know this is a short-term goal with the ultimate goal still being approximately 40 lbs away. However, on my last birthday weighing in at 284 lbs and climbing, I was thinking of how to make it through to 60 years old if possible. Now I'm so much healthier than I've been in years. Last year at this time, I had to take 7 pills a day. Now, t he only medication I take out of the original 7 pills a day is my high blood pressure medicine and of course the usual vitamins. My primary care doctor is slowly trying to wean me from the medicine, keeping a close eye on my blood pressure in the process.

Love, love, love the walking! Elliptical still going semi-strong at 10 minutes, 5 times a week. Great cardio workout for me but need to concentrate on increasing the amount of time I use it in the morning! I am able to eat more and more different types of foods. (It takes me more time to food shop now that I'm reading every label that goes into the cart.) Sometimes I can eat more than other times. I find myself being more aware of what my stomach and body are telling me. I push the plate away even if I haven't consumed all that I'm allowed in the plate. Still staying within my limits on carbs and fats while maintaining portion size of no more than 1 1/2 cups per meal. Chewing very well is something I need to remain conscious of at all times!

I find that the clothes I've been buying are getting too big on me already. Off on another shopping spree this weekend with the gift certificate that Paul gave me for my birthday. It's a total new me! Life is VERY good!

Friday, May 28, 2004

Shopping, shopping, shopping for new summer clothes! Love the way I look in them and how that makes me feel. I haven't felt this good in many years. Dropped a few more pounds, down to 179 pounds (105 pounds lost so far). I am eating comfortably with the same portion sizes and limits on calories, fats, carbs. My big plan for the weekend is to go bike riding with Paul. Other than a few test runs around my house, I haven't done that without knee and hip pain in years, either. Life is very, very good!

With the drop of another ten pounds I'll have another series of photos taken for the web site. Can't wait!

Thursday, June 3, 2004

Paul and I went to the monthly support group meeting last night. As always it was standing room only. Lots of new faces of people looking for information on gastric bypass surgery, many feeling apprehensive with many questions. There was one common thread for both pre-op and post-op patients: better quality of life through a healthier body. Those of us who have been through the surgery and are living with our decision to do so can't stop expressing how the surgery has changed our lives for the better. It is so emotional for me to listen to all the members introducing themselves at the beginning of the meeting and announcing how much weight they have lost and how that weight loss have affected them. Admittedly, it is a huge change in lifestyle and sometimes can be a challenge in the day-to-day life. But the benefits far outweigh the challenges.

I'm so impressed each month I go to support group and see the commitment given to the group by all members of Drs. Roye and Harrington's team. Dr. Roye himself comes to almost every meeting answering questions for pre-op as well as post-op patients no matter how many times that very same question was asked. Sue Manchester from Rhode Island Hospital food and nutrition is always there to answer any nutrition questions, sometimes even sharing some really great recipes as well. I found out that there will be a maintenance support group being formed soon giving post-op patients another resource for staying on track and maintaining what we've worked so hard to achieve. I always come out of these meetings feeling rejuvenated and refreshed.

I did do an 8- to 10-mile bike ride with Paul on Monday. I would never have been able to do that before surgery. Elliptical is still going, not so strong because of the nice weather now but I find that I'm doing other forms of exercise in my normal daily routine, such as climbing the stairs instead of taking the elevator, parking further away at the mall, all sorts of little things that you don't think mean much but they add up. I'm so much healthier and happier!

Monday, June 14, 2004

Down another two pounds, which makes a total of 107 pounds lost to date. All my new clothes from my recent shopping spree are already getting a bit loose on me. Yippee! I feel great! Still exercising daily. Went to two different parties this weekend and enjoyed a few things that I haven't ventured to eat since surgery. One was Donna's delicious homemade lemon meringue pie, yummy! I just had a few tablespoons of the filling, taking care not to eat the crust. The good news is the sugar didn't make me sick and I had my "cheat" for a while and felt quite satisfied. Cooked out and went to a baby shower and still managed to stay within my limits—how good is that! All this and the loss of more weight has kept me motivated and excited.

Monday, June 21, 2004

Down another pound this week. Present weight is 176 pounds (108 pounds lost to date). My personal goal weight is 140 even though the "charts" say differently. Still exercising with the walking, biking and elliptical. I am going to start to work with light hand weights for strength and toning of my upper arms. Father's Day was wonderful yesterday, celebrating both my dad and Paul's day, on top of Paul and my son Nick's birthday. I managed to stay within my limits and restrictions even though we cooked out and had much more food and variety than we usually have in the house. Rediscovered the art of crossing my legs, which I haven't done in quite some time. It's the little things that I can do now that amaze me. Living healthier and happier as each day goes by!

Monday, June 28, 2004

Made it through another "party weekend" successfully attending a wedding and 2 other events. I find that I can comfortably eat a larger variety of food now without discomfort. Still staying within my limits of portion size as well as fat content, carbohydrates and calorie consumption. Continuing the walking and feeling more physically fit than I have in years. My big treat this week was a half-day of beauty that my boys gave me for my birthday. Facial, pedicure, manicure and hairstyle. It was wonderful! My favorite part was the pedicure! When I was 108 lbs heavier 8 months ago, my feet constantly hurt. I would never venture to have anyone look at them, let alone massage them. Now the stress on my feet is much less and the problems I have with corns and calluses are just about gone. Easier for me to walk now and much prettier in sandals too!

People keep telling me how good I look. I just tell them that I'm happy to feel like a normal person--being able to weed my garden yesterday without heavy breathing and sweating, looking forward to going for the longer route on my walk with Paul, going grocery shopping and finding that I don't even pick up the items that are bad to eat any more…so many ways that my life has changed.

Life is continually getting better and better!

Wednesday, June 30, 2004

Finally hit the 110 pounds mark lost to date! Hooray! I'm down six dress sizes (from a 28 to a 16 petite--soon to be a 14 petite) and from 284 pounds to my present weight as of this morning: 174 pounds! Before surgery I had to take medication for my high cholesterol, thyroid, acid reflux, high blood pressure (two different prescriptions), an aspirin a day (for prevention) and a muscle relaxer for hip pain. Now after surgery I take a multi-vitamin, calcium supplement and only one of the blood pressure pills until we're sure my blood pressure is under control. How good is that! High energy, excellent quality of life, a renewed confidence in myself--these are just some of the benefits achieved so far. Still looking to lose maybe another 30 pounds. We'll see how it goes. Slow but sure.

Monday, July 12, 2004

Back to work after vacation last week. Many things to report. Down 113 pounds to date. Feel great. I did manage to indulge in sugar free ice cream and was in heaven while still maintaining my weight loss. Many cookouts including a big July 4 bash at my friends Diana and Butch's house. Again, managed to eat quite comfortably making sure that portion size and choices were correct. I felt VERY SATISFIED and didn't feel deprived at all. Went to the support group Wednesday evening coming out with the same sense of rejuvenation and confidence as I do every month. A new support group is being started in September of this year to help those of us who are not quite ready for maintenance (18-24 months after surgery) but is for those still losing weight. It will focus on proper nutrition and portion size as well as learning ways to continue staying on track.

Also went to see Dr. Roye for my 9-month visit. All blood work came back very good with no problems at all. Actually my good cholesterol even went up a few points! He says I'm a bit ahead of the expected weight loss at this point. I'm happy about that!

The big news is that Paul and I walked 14 miles on Block Island this Saturday. What an accomplishment, especially since I found 1 mile before surgery cumbersome! Paul was a bit winded and tired but I forged on! (I'll get him up to speed soon!) We walked the distance of the entire island from the South lighthouse to the North lighthouse (total of 7 full miles) there and back. Hooray! Other than a few sore muscles, no problems at all! Only thing I did miss was a drink on the beach which we usually do but that's ok, we had a great time. Paul keeps saying how good I'm doing; I just want to think of it as how much life I missed when I was much heavier and couldn't do all of these great things, things that most people take for granted. I truly feel alive, enjoying each day! Sounds corny but I really mean it.

Life is very, very good!

Monday, July 19, 2004

Not much to report. Still at 113 pounds lost so far, patiently waiting to lose another 30 or so. No weight loss for about 2 weeks now. Still walking daily. I'll start the elliptical again in the fall when it is a little cooler. Still watching portion size as well as carbs and fat intake and have started a daily count of the calories I am consuming as well. I try to stay within 1,000 to 1,200 calories per day. Grocery shopping is always an adventure; I'm eating foods that I would never have imagined and liking them!

I am starting to get a bit frustrated with a few things though. I find that others are starting to scrutinize what I put in my plate. Being well aware of what I can and cannot eat, this bothers me. I even had an instance where someone told me how to wear my clothes and fix my hair, which bothered me even more. Just because I was moderately obese before and have cut my body weight drastically, doesn't mean that I should be expected to be perfect. My goal is to live my life as normally as I can, being healthy. I seriously just want to be seen as a normal person, not the unhealthy person I was before. There are many "diets" out there, none of which worked for me in the past, which is why I chose the gastric bypass. This has saved my life (the way I look at it) and I know what I need to do, which has worked for me for 9 months and counting. I know people are trying to be helpful but sometimes I just don't want to think about my new way of life, I just want to live it and think of it as "normal."

Just venting. Still very happy and healthy!

Monday, July 26, 2004

Experiencing a stagnant weight loss now for the past three weeks. Still maintaining my total weight loss of 113 pounds without putting even a pound back on. Weighing myself every day to see if the scale budges. Even though I know that these plateaus are normal, it doesn't make me worry any less. I don't want to go back to old habits, which is easy to do even with the surgery. Keeping a daily log of food as well as double-checking portion size. I do admit to having a little taste of dessert on Sundays but I think I've got to cut that out until weight loss resumes again. I've been told to start to do a slight jog to break more of a sweat now that I can walk with more ease now. Paul and I have opted to walk longer and at a faster pace--forget the jogging for now!

Thirty more pounds to go and then MAINTENANCE! Oh boy!

Monday, August 2, 2004

Back on track with losing again. My weight is down to 169 pounds (115 pounds lost so far in 9 1/2 months). Feeling great and living life like normal. Grocery shopping is always an adventure; Paul and I find ourselves reading every label being conscious of fat and carb content. Still walking and "moving" in ways I never thought was possible! Still on the path to lose another 30 pounds. We'll see where my body sets at. My goal now is to start buying fall clothes in the next size down which is a 14 petite (hooray!). The 16s are getting too big on me now (I originally started at 28W or a 3X.)

Life is better and better each day!

Monday, August 9, 2004

Two big eating events this past weekend to endure. Went out to dinner Saturday night and was very good (fish, salad, baked potato—only eating approximately 1/3 of the portion served for each). However, on Sunday Paul and I had some very good friends over and we had a blast. Over the course of the day I probably ate more than I should have. I even indulged in a small piece of sugar-free blueberry pie, yum! The scale didn't go down any further but it didn't go up either. Still at 169 pounds this morning (115 pounds lost to date). No feelings of "dumping" (nausea or diarrhea) with any of my food choices or portion size.

I have been having so many good times with friends and family this summer! Looking forward to many others in the years to come thanks to my surgery decision, which has made such a positive change in my life. A year ago I used to dread going to these types of functions, overeating and not feeling comfortable in my clothes or my body. But now I enjoy the people I'm with rather than overbinging on the food!

Working on planning a day of biking this coming Sunday. A little change in the exercise routine—should be fun!

Monday, August 23, 2004

Weight loss is very slow now, losing one pound over three weeks. I'm down to 168 pounds now (total weight loss of 116 in 10 months). Still feeling great with no change in medication. Blood pressure is on track but I still have one pill that I take for that each day even with the weight loss and the exercise. I may not be able to eliminate that pill but that is the only medication I'm taking now other than my vitamins and calcium supplement. Hooray!

Still walking daily. Paul and I found a new 5-mile route around our house this week. We're going to try to do that one each day or at least until the daylight holds out, as it is on a road that isn't lit very well. We'll see. The good news is that we can do this walk at a much faster pace now and enjoy it! I went back on the elliptical for 1 day last week, since it is getting cooler now. I was able to do 8 minutes (was doing 12 minutes a day in May when I stopped because it was too hot) without a problem but boy did the back of my legs ache. That's what I get for slacking off through the summer! Even with the walking there are certain muscles that you use with the elliptical that simply give you a better workout! Oh, joy!

The really big news is I had to have my wedding ring resized and went from a size 9 to a size 7 1/2! Also did some fall shopping for clothes and I'm now in a 14 petite for skirts and pants and a large for shirts. It's very interesting because I can eat many types of things and I don't feel deprived but sometimes I still feel "fat." I do still want to lose another 28 pounds or so but I think it's just the way I've been feeling about myself for years so it's hard to get out of that state of mind. What slaps me back into reality is when I see people I know and I say hello as they walk by me and they reply, "Gail, I didn't even realize that was you!" Makes it all worth it!

Tuesday, August 31, 2004

The big news this week is that my weight began dropping again. I'm down to 165 pounds. (a total of 119 pounds lost so far). Still on a mission to lose another 25 or so more pounds. We'll see. In any case I fit into a pair of shorts, which I bought that were my "goal" shorts, size 12! Hooray! I haven't been a size 12 since I was first married many years ago! Of course, all of my new fall clothes are size 14 but I can see the goal getting closer and closer. I'm feeling so good that I can't believe it! I never experience nausea or "dumping" as they call it. Periodically I will get a discomfort in my stomach if I eat too fast or have a food that I can't tolerate such as pasta or rice. Usually this happens at dinner when I am rushing home to cook dinner and eat before we go for our walk. You know, the daily things EVERYONE EXPERIENCES. But overall, life is incredibly good! I got on the elevator once again yesterday and saw someone who I know well who just didn't recognize me because I don't see her every day. How good is that! Walking farther and faster than ever, even Paul and Dylan (my son's dog!) are keeping up. Good for them too, huh!

For me, the biggest accomplishment is being able to eat "normally" and live my life without the health issues I have had for years. Going away to Niagara Falls with Paul next week for a belated anniversary celebration. I know I will be able to do all the things I couldn't do for years. I'm looking forward to it all!

Tuesday, September 7, 2004

Still holding at 165 pounds now (119 pounds lost to date in almost 11 months). I find that I can't walk by a clothing store without walking through and picking up something new. The good thing is that before surgery I'd always worry about trying clothes on and most times it was not going to fit properly or even look good. Now that I'm in a solid 14 petite (some 12s too!), I simply pull the size off the rack and buy it and never find myself disappointed when I get it home.

The walking is going strong, Paul and I can do five miles without a sweat. I have found it easier to go out and eat at restaurants. Friday I was able to sample a little of everything at a new Japanese/Chinese/Asian restaurant with some friends. I even ventured to have some white rice, which I usually cannot tolerate because it fills my pouch too quickly. I'm still not able to have any alcoholic beverages; even a half-glass of wine makes me too dizzy. That's ok; I just save my calories for the food.

I'm starting my new monthly support group, which focuses on people like me, still in the process of losing weight (I would like to lose another 30 pounds). About 18 to 24 months after surgery, the next phase of support groups comes in where you concentrate on maintenance. But for now, it is the logging in of food consumed for the day--type of food, portion size and calories. It is helpful to me to log it daily because I do have more of an appetite now and can tolerate larger portions given the chance.

I am having problems with dinnertime. Can't say if it is the rushing around to get home, prepare dinner and then get out to exercise but after fixing dinner and I sit down to the table and barely get through three bites of my dinner. At that point I find I have to push it aside and come back to it after. I'll discuss this with the nutritionist tomorrow night when I see her. Breakfast, lunch and even my morning and afternoon snacks are fine, though.

Going on vacation for a few days to Niagra Falls for my 30th wedding anniversary. Paul and I are very excited. We're planning on focusing on having more fun DOING THINGS rather than worrying about the food we can consume. We do have special reservations to eat at the Skylon but I already checked the menu online and it looks like I'll have no problems.

I feel great!

Tuesday, September 14, 2004

Back from vacation. The good news is I am down to 164 pounds (loss of one more pound--total lost so far 120 in exactly 11 months as of today). I managed to make it through vacation without gaining any weight, actually dropping a bit. I did eat the usual portions but it was difficult to keep to my regular regimen. I did the best I could while still managing to enjoy some things that I don't normally have such as sherbet after dinner one night. I attribute that to all of the walking in Niagara Falls! Paul and I had to walk at least our usual five miles per day and then some! Actually I think it was closer to ten miles or so. We had a great time! Paul keeps saying that he thinks this is the best vacation we ever had. I'm convinced that it is partially due to my total overall feeling of well being since my surgery and subsequent weight loss. I not only feel better physically but mentally too. I did things that I would never have thought I'd do being afraid of both water and height, even a jet boat ride through a class five whitewater rapid! We didn't stop for a minute and that's the way we both like it.

On a final note, I went shopping to the Waterloo, N.Y. shopping outlet on the way home and bought two coats in a size medium! How good is that! I'll work on putting an updated picture on the web for the end of September to show off some of my new clothes. You'll be amazed at the difference, as am I!

Monday, September 20, 2004

Not much to report by way of weight loss this week. Still weighing in at 164 pounds (120 lost to date). Still on a goal to lose another 25 to 30 pounds. Even with my plateau, my clothes do fit me a bit different. A few of my new things that I purchased for the fall in a size 14 are already a little roomy at the waist and legs and I just started wearing them. I'm told that even though I'm not losing more in weight, I am toning my body with the increased physical activity. Last week, I was also able to donate blood for the first time since my surgery. I was afraid I would not be able to do that but Dr. Roye says as long as my iron level is good. Actually my iron was better at this donation than it had been all the previous years I've been donating!

I was able to work in my son Jay's girlfriend Sarah's garden yesterday all day lifting large bushes, stooping, bending, turning soil, cleaning the yard, etc., without a huff or a puff in my lungs. I do have to say that my muscles are pretty sore today but it feels good. I could never have accomplished this a year ago and the garden looks great; Sarah is very happy! Got together with some friends this weekend and was pleasantly surprised at what I was able to comfortably consume. I still get on the scale every day to check my weight and make a food log daily of all foods, portion size, calorie count and mood I'm in when I eat as well.

Coming up to my one-year anniversary of my surgery on October 14 and I couldn't be happier. New pictures to come soon. Maybe I'll find a good picture of one of my adventures on my vacation and post that as well!

Monday, September 27, 2004

Weight loss is the same this morning. No change. Anxious to see Dr. Roye on 10/15, which will be my one-year anniversary since my surgery. I'm very happy with my success and progress of losing 120 pounds to date. Even though I seem to be hovering at 164 pounds now for a few weeks, it is stable. I have easily adopted my new healthy way of life, reducing portion size, calorie intake and, of course, choice of foods. I think I'm even impressing my son Nick who is very conscious of healthy eating with my knowledge of nutrition and choices in my grocery shopping for the entire family.

I am very comfortable with what I can eat. No pain or hunger at all. It is all about the numbers: calories consumed and calories expended by physical activity. Paul and I had another fun filled weekend of walking WaterFire and doing yard work at Sarah's house and we loved every minute of it! Life is great; I haven't felt this good about myself or the way I look in years!

I'm having new pictures taken which will be up on the web on Thursday, October 14, my one-year anniversary!

Monday, October 4, 2004

Another week gone by without a drop in weight loss. It is now over a month at 120 pounds lost to date. I'm not complaining; just want to get a jump start on the weight loss again since I still want to lose another 25 to 30 pounds. The monthly support group is this Wednesday so I will meet with the nutritionist to see what can be done to resume weight loss, if anything. This is one of the longer plateaus I've experienced since my surgery.

Good news is I did the Light the Night walk Saturday with Paul, had dinner with friends on Sunday, enjoying almost everything including dessert, and even went out on Saturday night after the walk for a drink (I only had iced tea with lemon!) but Paul enjoyed enough for both of us! All of this without adding a pound to the scale. The key is to keep in mind your portion size, carbs and calories consumed. Going to my primary care for a checkup today and I'm anxious to see what she's got to say about my progress. I also have Dr. Roye next week for my one-year anniversary check up. Need to start talking about options for sagging skin on my stomach. Arms, legs, etc. don't bother me but the stomach bothers me for a number of reasons. We'll see what he says.

I feel great, everyone says I look terrific, and I'm enjoying every minute of life. How much better can you get! Paul and I are planning on WALKING to the Scituate Art Festival this weekend, which is a little way away from my house. All in all, by the time we walk there, shop and walk home, I'll bet we walk 10 miles to do it. At least this year I can do that, last year I wouldn't have even ventured to think about it.

New pictures going up on the web next week!

Tuesday, October 12, 2004

Once again, no weight loss. Did do the big ten-mile or so walk on Saturday with Paul to the Scituate Art Festival. Had a great time and didn't feel achy at all. Did the usual as far as eating all weekend long except for Sunday when I had a party to go to. Still able to comfortably consume most foods keeping in mind portion size, calorie content, carbs, etc. (I find at parties I can keep within my portion size if I eat from a small dish. It helps with the upcoming holidays as well.) Even ventured to have a three-bite serving of cheesecake. No sickness at all. Of course, it was back to the walking after that! Going to Dr. Roye this week for one year physical. Anxious to see what he says! (Oh did I mention, I can't stop shopping for clothes! I haven't had this much fun in years!)

The suggestion was made during last week's monthly support group to have a chat line or message board available for all pre-op and post-op gastric bypass patients on the Lifespan.org website. So that we can find out what the level of interest is, please e-mail the Lifespan.org web producer at webteam@lifespan.org. Would you like to send questions to a medical expert or ask questions of people who've had bypass surgery, or would you like a place to offer encouragement, share tips and comments? Let us know!

Monday, October 18, 2004

Finally a change in the scale this morning. Down to 162 pounds—122 pounds lost to date in one year! Feel great. Still careful about portion size, calorie intake (1,000 to 1,200 per day), carbohydrates and fat content as well. The family is getting quite comfortable with our new healthy lifestyle with regards to food. The boys and their girlfriends come to the house on Sundays to eat and don't even question the healthier choices in menu which we've made and put on the table. They eat it right up! Healthy choices can be made in dessert as well but I try to stay totally away from that unless it is a special occasion or a "cheat" every now and then.

I am so happy I'm back on the losing track. Another 22 pounds and I'll be done. My goal is 140 pounds. We'll see what happens. I will continue to weigh myself every day though. I would like to do most of it before the holidays because I can still eat more quantity and variety of foods than I thought I would be able to. It is still a conscious effort at all times. Exercise continues to be a key factor in weight loss and maintenance as well as a healthy lifestyle for everyone. Keep moving!

As promised, I have attached some of my adventure pictures when Paul and I went on our Niagara Falls trip.

This is us taking a speed boat trip through a class five white-water rapids. Supposedly people who sit in the first three rows of the boat get the most thrill from the ride. Guess where we sat: the third row, of course! Here we are (circled) having the time of our lives. I probably would have been close to a coronary if I tried this before my surgery!

Thank you for your responses to requests for message boards on this website. Keep the requests coming. You'll be hearing something soon.

Monday, October 25, 2004

Down another pound from last week. Lost 123 pounds in a year so far, hooray! Seeing Dr. Roye this coming Monday and am very anxious to hear what he says for my one-year checkup. Ordered a winter coat online thinking I would need a large and it was way too big. I had to send it back and get the medium in a petite. I haven't been that size since high school. Did the ALS walk this weekend for a very good friend's mom who was diagnosed with the disease as well as my own mom who passed away from it almost 15 years ago. Truthfully that is one of the reasons I chose to have the surgery done. God bless all the caregivers! There are so many tragedies in life that come our way that we can't do anything about. I'm so happy that I chose to do something about my health issues a year ago by having the surgery. It has completely turned my life around. I am a happier, healthier, more positive person now than I have been in a long time! Having the rest of your healthy life to look forward to rather than worrying about one more prescription to add to your daily dose each morning is a wonderful thing.

More information coming soon regarding the November bulletin board that so many have been requesting.

Monday, November 8, 2004

Still no drop in the scale. Weight remains steady at 161 pounds. (123 lost to date in about 12 1/2 months). Dr. Roye said at my last visit that I may stay at my present weight and that it's all about the numbers, calories taken in vs. calories used. He said I shouldn't get too hung up on the body mass index (BMI) charts. I myself would be very happy if I maintained what I've accomplished this far with proper nutrition and exercise.

Walking is now second nature; it becomes a part of your daily routine. I am on a mission to get back on the elliptical machine. In the meantime, life is good. I still weigh myself every day and have my "extras" on the weekends when I go out for social occasions. This weekend I went out to dinner with my sister Debbie and her husband Joe with drinks afterward. We had a great time and I didn't feel deprived at all. The only "extra" I had was a few glasses of wine that I was surprised didn't make me overly woozy, which it usually does. I just paced myself over the evening with it. Debbie has just recently lost a large amount of weight as well but chose to do it with diet and exercise. She advocates a healthy lifestyle just as I do and feels so much better for it. She looks and feels great.

Keep on moving!

Monday, November 15, 2004

Down to 160 pounds as of this morning. Haven't been this size since I came out of the womb! Things are great. Still sticking to the portion size and limitations on certain foods (fats, carbs, etc.) all of which is second nature to me now and should be common sense for any healthy way of life. I had a bit of trouble with the Halloween candy last week. I'm one of the unfortunate ones who does not experience "dumping" if I eat the wrong things! Some people see dumping as being helpful because you know you'll be sick if you dare to eat anything with sugar or whatever it is that bothers you.

In any case, for me it is back on track this week. Lost a total of 124 pounds to date and feel great. Walking came to a stop this weekend with all of the snow (we had 6 inches up north!) but there are other alternatives, like the elliptical that is staring at me in my basement! What an incentive!

Already planning for Thanksgiving because it is at my house again this year. I feel confident that I have a firm grip on the dos and don'ts for the holidays. My pleasure is in having a second chance at a healthy, happy lifestyle!

Wednesday, November 17, 2004

In answer to the many questions and concerns that pre-op and post-op patients have been voicing at the support group and various emails received, Lifespan has set up a message board on the www.Lifespan.org website for the month of November. If you have any questions for Dr. Roye, Sue Manchester or myself, please feel free to post the question and we will post the answer for you as soon as possible. This message board will be posted through the month of November only.

For me, I had various pre-op and post-op questions such as:
• Will I have pain on a daily basis when I eat after surgery?
• Will I be restricted to small amounts of food for the rest of my life?
• Will I be restricted to foods of certain consistency (soft foods) only?
• What are the long-term benefits and risks from the surgery?

Feel free to post your question today!

Tuesday, November 23, 2004

Nothing new. Same thing for weight loss at this point. Still at 160 pounds (down 124 pounds since surgery over a year ago). Good news is I had two parties to go to this weekend and didn't gain an ounce. That is due in part to my very good friend Jane, who made something special for me knowing I wouldn't be able to eat what the others were. I have been blessed with the support and love of my friends and family. It really does make a difference with lifelong commitment to a change of lifestyle like this one. Congratulations to my friend Diana, who has lost 17 pounds totally by eating healthy and exercising. She looks great and can do things she hasn't done in quite some time as well. Seems to me that more and more people are realizing the health benefits and positive change to quality of life that proper nutrition and exercise bring with them.

Still on a mission to get back on the elliptical once Paul sets it up in its new home in the lower level of our house. I'm nagging him every day! I'm concerned with the winter weather creeping up that the walking won't be able to be done every day now. The exercising definitely does make a difference in weight loss/maintenance and general overall physical well being.

Thanksgiving coming up this Thursday at my house. It's interesting to see the different choices I make in food preparation now. Food just isn't my main reason for living anymore. There are other more important things that make me happy!

Don't forget that the bulletin board for your questions has been posted on the Lifespan.org web site. This bulletin board will be up through the month of November only. You can post your questions for Dr. G. Dean Roye, Susan Manchester (Rhode Island Hospital Food and Nutrition) or myself. We will post the answer back for you and all to see.

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Tuesday, November 30, 2004

Made it through Thanksgiving and other festivities of the weekend including a house warming party for my son Jay. However, this time I didn't fare as well as I have in the past. This is the first time I got on the scale the Monday after a holiday weekend and went up, 2 lbs to be exact. I'm not worried because I'm back on track as of Monday but it does scare me a bit. Just shows you that in order to maintain a healthy weight and lifestyle you absolutely must be on guard at all times. Gastric bypass surgery does help you lose quickly up front but you must use the "tool" that is given you through surgery. I can't overeat by way of food volume but I can eat some things that contain too much sugar and carbs. Gotta watch that. Truthfully, I feel much better not getting near the stuff anyway.

Tomorrow night is the gastric bypass support group which I eagerly await going to this month. It always rejuvenates me and gets me right on track. I love to see all the other post-op patients and watch how well they are doing and see how much better they feel for it.

Still happier and healthier than I've been in years! Paul and I went for a 7-hour shopping spree at Wrentham Shopping Outlet on Friday and I didn't have an ache or a pain in my body. His legs were sore, mine weren't! Life is good.

Just a reminder that the bulletin board is posted on the www.lifespan.org website through the month of November for any questions you have for Dr. Dean Roye, Susan Manchester from RIH food and nutrition or myself.

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Friday, December 17, 2004

Haven't entered a log in a few weeks because nothing has really changed. Same weight, 160 lbs (loss of 124 pounds to date in 14 months). Big news is that my son Jay and his girlfriend Sarah are newly engaged. This can only mean one thing: I'm on a mission to kick-start my weight loss once again. I would still like to lose another 15-20 pounds, even though Dr. Roye says that I'm right where I should be. We'll see; if I can't do it I won't be disappointed. I'm very happy with what I've accomplished so far. My goal is more the maintenance of what I've achieved and keeping it off for life.

I still am able to comfortably eat a normal portion of protein, vegetable, salad and occasional baked potato for dinner. I did go up the 2 pounds over Thanksgiving but took it off within the following few weeks. I anticipate it will probably be much the same for the Christmas holiday. I don't feel deprived at all. I can eat most things but remain careful about where my limits are and stick to them.

With the upcoming new year, I truly feel blessed that I was given a second chance at enjoying a happy, healthy lifestyle. I can now look forward to the future with anticipation and excitement rather than with disgust and fear.

I'm very, very happy with my new life!

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Monday, January 3, 2005

Bad news for the New Year is that I'm up two pounds from all those delicious cookies that Lisa makes! Good news is that I'm back on the elliptical machine in the mornings. Just at five to six minutes per day right now but it will increase I'm sure. The walking is still second nature; Paul and I can walk much faster and longer than ever before. Our goal for walking now for the upcoming spring weather is to be able to walk to our son Jay's house, which is five miles from our house, and to time it.

Back to simple basics: watching carbs, fats, sugars and counting calories every day. The goal is to keep calorie intake to 1,000 to 1,200 for maintenance and loss of these two extra pounds. Not only do I want to maintain my 124 pound weight loss but I would like to lose a little bit more for the big wedding in June of 2006. Paul, Jay and Nick are all on the bandwagon as well. Healthy eating, proper nutrition and exercise should be for everyone. Looking forward to the gastric bypass support group this coming Wednesday, January 5. It ALWAYS gets me back on track!

Still leading a much happier and healthier lifestyle than I have in years!

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Monday, January 10, 2005

New year, new attitude! Out with the eating of things that I can "comfortably eat" even though I eat much less of them than I used to be able to. I enjoyed the holidays! Back on track with the proper portions, low fats, carbs and sugars. High protein and veggies is the way to go. Feel much, much better for it. Took off the two pounds (hooray!) that I managed to gain through the holiday and am riding the elliptical every morning as well as walking with Paul. (I'm trying to coax him into a little jogging here and there!) Feel so, so much better when I exercise on a daily basis. Proper nutrition and weight maintenance/loss is a life long commitment. You set your goals and work towards those goals each and every day. Believe me, it just keeps you focused and more positive about yourself and life.

Upward and onward!

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Monday, January 24, 2005

Still maintaining the 124 pounds lost to date. Exercise and proper nutrition are definitely second nature now and a way of life. There are still some foods I can't tolerate at all like spaghetti, cottage cheese and rice to name a few. They simply make my new stomach very uncomfortable even with a very small amount. I am experiencing a gassy, bloated feeling as well. I have had this problem since my surgery but a little bit more lately. Evaluation of my food logs should determine what foods I am eating that are the culprits (like eggplant for me!) and I'll have to limit myself with them.

Lately I have been feeling like I'm still overweight. Looking in the mirror is fine when I have my clothes on but when they come off, I realize what I had done to myself with an unhealthy lifestyle. Skin is not forgiving. I was overweight for such a long time, most of my adult life! I feel like I have accomplished so much, just find myself still feeling self-conscious at times. But then I get out and walk five miles, which wakes me up to a healthy reality!

Looking forward to shopping for new spring clothes!

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Thursday, February 3, 2005

Very excited and motivated today after meeting with the gastric bypass support group last night. As always, I feel rejuvenated and refreshed. The format of the meeting was changed this month providing more specific support to all stages of patients: pre-op, immediate post-op (first 6 weeks after surgery), 6 weeks to 12 months, and long term. Dr. Roye and Sue Manchester were both great and graciously answered all concerns and questions in detail. I find that no matter how long I've been going to these support meetings, I learn something new every time.

I also attended a separate support group last week for women only, which was very helpful. Made me consider issues that others had encountered that I wouldn't have thought about attributing to my surgery. It is a fun group of girls sharing their feelings not only medically but emotionally as well. This group will meet quarterly at first and I'm already looking forward to the next one.

Still at 124 pounds lost to date. No weight loss in the past four months but I haven't gained any either. Staying stable at 160 pounds. The scale this morning did look like it was tempted to move under the 160 mark but we'll see. I'm not worrying about it. I figure if I stay compliant and do what I'm supposed to, including exercise, I'll be fine. The way I look at it, I'll be 50 in May and I feel younger now than I did when I made the decision to have the surgery when I was 47. That's got to be good!

Looking forward to the Rhode Island Dietetic Association 5K on Saturday, April 2, at Goddard Park! Come join the fun. Sign up to walk or run at http://www.eatrightri.org.

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Monday, February 14, 2005

Walked 6.5 miles yesterday with Paul. Walked through the towns of Johnston, Scituate, Glocester and Smithfield (I live smack dab on the corner of Johnston which abuts all of these towns!). Paul and I are in "training" for the RIDA nutrition walk on April 2. Actually we could have done the 6.5 around twice, the pace was comfortable and we didn't feel any discomfort in our muscles or bones at all. All this with the vision of getting to the point when we can walk both ways to our son's house which is approximately 7 miles one way from our house. It would be about 14 miles total for the trip which we have done before but not on a daily basis. It's a goal!

Went out to Valentine's Day dinner Saturday night with a group of friends and enjoyed a wonderful meal without feeling uncomfortable at all. No change in the scale either!

Thanks to all those people who have emailed me and given me moral support. I really enjoy hearing from you about your own experiences as well. If anyone would like to share their experience on this log either before surgery or after, let me know. Passing on helpful hints and tips is always supportive especially when trying to maintain a life-long healthy lifestyle.

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Thursday, March 3, 2005

Same ole, down 124 pounds in 16 1/2 months. Still at 160 pounds! I guess this is my "set point"! Been at this weight for 4 months or so now. Very happy that I can still maintain this weight and not feel like I have to sacrifice to do it. I'm constantly careful about calories consumed. I am able to eat a bit more now. Actually I've spoken to a few people in the gastric bypass support group last night and they all have confirmed the same thing. After around 1 1/2 years after surgery, that is where the true test begins. You have to be sure you keep up the exercise and ALWAYS be conscious of what you are putting in your mouth. True, you're only able to eat smaller amounts compared to before surgery due to the reduced size of your stomach and the bypass of the intestine. However, you absolutely must keep track of the calories consumed while paying attention to carbohydrates and fats at all times. This is where I find going to the gastric bypass support group is so important. I get to ask any clinical questions of either Dr. Roye or Sue Manchester (the nutrition expert), just in case I conveniently forget, and I get to discuss any unique experiences I have with other patients. Paul and some of the other support partners get into the mix too. Sometimes we as patients forget not only how important it is for us to have their support but how they themselves need encouragement as well. I know I could not have done this without him!

Don't forget, The Rhode Island Dietetic Association 5K Walk (or run) is being held Saturday, April 2, 2005 at 10 a.m. at Goddard Park in Warwick. Here's the link to the website if you are interested in joining in on the fun!

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Monday, March 14, 2005

Not much to say but I think I speak for everyone when I say that I wish this snow would just go away and let the spring begin! This is really putting a damper on my evening walking regimen with Paul. We have both been feeling sluggish and lazy. Great weekend; went out for a drink and appetizer Saturday night and went to a party yesterday all with no change in the number on the scale today. I have to admit that I do have to make an extra effort to count every calorie I put in my mouth and monitor fats and carbs. That along with the exercise is the key to a life-long healthy lifestyle and weight management.

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Monday, March 21, 2005

Life couldn't be better! Paul and I had a few "brisk" walks this weekend and a great dinner get-together with the boys and their girlfriends. I find that it is effortless to choose what I put in my plate, even when we have more choices than normal on the table when company is over. Grocery shopping is much quicker now because I am past the part where I read packages; we just know what we can eat and only put those things in the carriage. If it is not on the list, we don't get it! It was fun to see a few people I haven't seen for a while at the grocery store though and have them notice my weight loss. They couldn't believe their eyes and were so happy for me! :-)

This week will be a challenge, Easter week! Oh boy—ricotta and rice pies (my favorite!), lobster ravioli with pink vodka sauce, ham, sweet potatoes—brother! I won't do without but will certainly be my usual self and count my calories and stay within my restrictions as best I can.

Looking forward to the RIDA walk on Saturday, April 2!

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Thursday, March 31, 2005

Had a great Easter sampling MOST of my favorite foods while keeping within my limits of portion control, calories, fats and carbs. If you practice that method every day, when the holidays come by it is very easy to stick to the rules without feeling deprived. The one thing I did have was my small (sliver) piece of ricotta pie. Ahhhhhh, what a treat! Still no gain (or loss) on the scale. I am stable at a total weight loss of 124 pounds to date, which is 17 1/2 months post surgery. I feel great, healthy and energetic. I have recently been experiencing some nausea after dinner over the past week or so. I think it is due to either eating too fast or simply being too anxious and rushing. Just my body giving me a little reminder of the change I have gone through and to slow down and take it easy.

Can't wait for the RIDA Walk this Saturday (rain or shine). The event is full of healthy and nutritional tips. Come join the fun!

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Monday, April 4, 2005

Had a great time at the RIDA Walk on Saturday. Paul and I walked in the pouring rain with a new friend and gastric bypass patient Debbie who is also doing well post surgery. There were a few others from the gastric bypass support group—Bonnie, Jen, Gloria and Mary Ann. We all had a soakingly good time! The health fair after the race was lots of fun and very informative. Paul even won a door prize!

Looking forward to the monthly support group meeting on Wednesday.

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Thursday, April 7, 2005

Just a quick note about last night's support group meeting: "FANTASTIC!" The group took a little time to do it but eventually fell into a few lively discussions. Dr. Roye was on vacation this week and was sorely missed. It was great to see Cynthia up and around after her full truncal surgery two weeks ago. Her surgery was over two years ago and she's lost and kept off quite a bit of weight so she decided to do the next step, which is plastic surgery for the sagging skin. Good for her--she looks wonderful! I connected with so many people who had their surgery after me and are doing well. It is not uncommon to hear that people lose 50, 60, 70 pounds within months (usually six months) after their surgery. All smiling faces, all have stories to tell, and all are happier and healthier since they decided to have the surgery. Pre-op patients are in awe when listening to the stories post-op patients have to tell. It is really an inspiration. Support group is truly a way for everyone to be there for one another and to get questions answered by the experts (Dr. Roye, Sue Manchester, rehab department) as well as others going through the same experiences as you are! Exercise tips were discussed as well as a food and nutrition demo on a healthy soy banana shake, which was delicious.

We discussed when the next women's support group will be and I will look into that and let everyone know. It was really well received by all who attended last time and others who couldn't attend are anxious for the next meeting.

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Monday, April 18, 2005

Getting harder and harder to maintain the current eating pattern. I find now that I can eat more variety of foods comfortably, it is easier to slip back into the same old ways. It has been 18 months since my surgery and I feel great. Still at 124 pounds lost but I weigh myself every day to stay "legal." This is the first time in my life that I actually ENJOYED going to look for a dress for a wedding. Size 12! Now that the good weather is here, my plan is more exercise and counting every calorie and bite that goes into my mouth. Not that I haven't been doing that all along, but I've been enjoying going to parties, showers and cookouts and sometimes it's so easy to forget the dos and don'ts.

After going for my yearly primary care visit last week, I found that my thyroid might be slightly underactive and I may have to go back on that medication. I haven't been on it since surgery but am told by the doctor sometimes there is no choice. We'll do blood testing in another six weeks and see what happens. My six-month visit with Dr. Roye is coming up early May, just before the monthly support group meeting. Looking forward to that.

It is fun to get together with the girls and talk about fashion and trends. This was impossible for me to do in the past; I always took the back seat. I vow not to let that happen again!

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Thursday, May 5, 2005

It was my 1½ year checkup with Dr. Roye this past Monday. All looks great. He says I am a "success story" and that I have reached my expected goal of weight loss. I did tell him that I would be elated to lose another 20 pounds but he cautioned that if anything I shouldn't lose more than ten more. He thinks I look fine the way I am and that as long as I feel better than before surgery, I have accomplished what I wanted. I agree! The true test now is to keep it off! Careful monitoring of calories, carbs and fats (not to exceed 1,400 calories a day to maintain, 1,200 if I want to take off those ten pounds he spoke about). I walked out of his office with a big smile on my face, a happy camper!

Went to the monthly gastric bypass support group last night. It was a great meeting! Lots of pre-op patients with plenty of questions and many post-op patients with lots of input and guidance for them. Dr. Roye was his usual accommodating self, answering each and every question in detail even if it meant repeating the same answer a few times. What really struck me was when questioned by a pre-op patient on why he entered this field of medicine, Dr. Roye had a very moving and "real" story to tell. He spoke of how as an intern and resident he worked through the different phases and stages of that. But what meant the most to him was when he actually did rotation in the doctor's offices he had the chance to see the patients after surgery and see the positive affect this surgery had on post-op patient's lives. That is why he does what he does. And so well too. Everyone in the room was moved and applauded. Of course, Dr. Roye is much too modest to accept any applause for what he does. But we all know and appreciate his skill and feel lucky to have him.

He helped me change my life forever! Thank you, Dr. Roye!

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Monday, May 16, 2005

Paul and I did the National Kidney Foundation 5K walk yesterday at Goddard State Park. Fun event for a great cause. The rain held off and everyone had a good time. We didn't think twice about passing up the morning donuts and coffee, which used to be the first thing we would go for! We did 5K (3.2 miles) in no time flat and had plenty of energy to spare. Also went to a family cookout yesterday. We met up with aunts, uncles and cousins whom we haven't seen for a while. It was a really nice day, all put together by two of Paul's cousins who remain dedicated to keeping the family together. Food has always been the focus of the event for me. Now I barely look at the food table and I feel satisfied with the smaller, healthier food choices that I make.

No matter what the event is, you can always choose the right foods within the acceptable portion size. Getting together with friends and family at any gathering is the real reason for the event. The memories last forever. I thank God that I was able to change my life around and begin to enjoy a healthy life with my family!

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Monday, May 23, 2005

Had a wonderful 50th birthday on Saturday. Great time with my family! Jay and Sarah and Nick and Jen, I love you all! My wonderful, loving husband gave me a beautiful diamond wedding band. My old one couldn't be resized after I lost all the weight (still at 124 pounds lost) because it had a design on it. What a sweetie! My very dear and close friends Diana and Butch sent me a wonderful arrangement of 50 flowers to celebrate the event and my future daughter-in-law to be Sarah gave me a "new look" for my 50th. I was overwhelmed by the cards and well wishes from family and friends. I am truly blessed to be surrounded by such loving family and good, true friends! I know that without their support, I would have found my journey after weight loss surgery ("WLS") much more difficult. People ask me how does being 50 feel and I have to say that I feel more like 35; it's all a state of mind once you have your health in check. I am so happy with my new lifestyle!

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Thursday, June 9, 2005

Not much to report. My father passed away this past week. Been very sad. Hard to focus on proper eating habits but I did get on the scale and noticed I lost 6 to 7 pounds through this last 1 1/2 weeks. The one positive thing about my dad's passing is that it brought all of my family together again from three states here in the U.S. as well as from Portugal. It was a very warm feeling with us all.

I missed the monthly support group last week, which is my lifeline, but back to counting calories and proper nutrition as of today.

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Tuesday, June 21, 2005

Starting to get back in the swing of things since my dad's funeral. Back to the counting of calories and even back to the walking that I've been away from for a few weeks now. Even walked with the girls at lunch today. It really felt good and helped relieve some of the stress I've been experiencing, which tends to make you overeat. (Yes, I can still overeat if I'm not careful!—counting calories and monitoring fats, carbohydrates and sugars is a must!)

Good news is that today is my husband Paul’s and my son Nick's birthday (53 and 26 years old, respectively). I'm so happy I made the decision to have weight loss surgery to make sure I'd be around for this birthday and many, many more to come.

Happy birthday to two of the three major reasons for my decision for surgery—Paul and Nick!

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Wednesday, July 13, 2005

Not much to report except that my summer is going great. I had vacation last week and went down 3 pounds but then came back to work this week and the 3 pounds found me again. Not that I changed any eating rules (calories, carbs, fats, etc.) or exercise, but I guess being on vacation throws your normal pattern off a little. Still down to a weight of 160 pounds (loss of 124 pounds since WLS [weight loss surgery]). It seems like my body wants that as its "set point." Even though we were on vacation, Paul and I attended the monthly gastric bypass support group, which helps me tremendously. We both have made a number of friends there and find that we have lots in common with them.

Now that I’m living life as a "normal" person, the change in lifestyle is a part of me and my family. The proper eating and exercising comes as second nature, something that you do and don't even think about. Many people comment on how well I've done and how good I look; I don't see it that way. I see it as being the way I always should have been but didn't know which way to turn to make the positive changes in my life to make it happen. WLS has helped me achieve that.

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Wednesday, July 28, 2005

Summer is going along nicely. Still at a weight loss of 124 pounds total. I feel great!

Friday, August 5, 2005

I feel absolutely rejuvenated after the support group on Wednesday night. There were lots of new faces in the crowd—people who were interested in WLS and others who are in the process of going through their pre-op testing. All very excited and enthusiastic! Post-op patients were, as always, very willing and anxious to share their experiences with foods they can eat or not eat and struggles with old unhealthy habits as well.

This group really helps me maintain focus. I know what I have to do and continue to monitor calories, carbs, sugar intake and fats every day. However, at this point (22 months after surgery) it does get to be more difficult. I can eat just about anything without getting that "dumping" feeling. For me, what works is that I simply know what I have to eat each and every day and don't deviate from that. I do count my calories EVERY MEAL and stay within the 1,200 to 1,400 calories per day. I do have my little "cheats" on the weekends but don't feel the need to have a lot. If I have pie or cake, I have a few bites and I'm done. Nowhere near the portion size I used to eat before surgery. I never feel hungry or that I've done without. I enjoy my smarter, healthier choices in foods more than I did the unhealthy foods I used to eat before surgery. Walking/exercise is a MUST! It is a part of the whole new healthier lifestyle.

Congratulations to all who have made the decision to start the journey with WLS. The choice will be the start of a whole new way of life!

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Monday, August 22, 2005

Recently hospitalized for minor chest discomfort. Due to my past health history as well as family history, my doctor thought it best for me to stay in the hospital overnight for observation and tests just to be sure. Thankfully all tests turned out negative. Still have yet to follow up with my doctor to see what it is. I managed to gain three pounds over my hospital stay, which has yet to adjust on the scale. I have been slacking off on my walking due to the high temps and humidity in the air. With the chest discomfort, I didn't want to take any chances. Counting my calories carefully and I walk indoors when I can.

This little scare has taught me that I am still vulnerable for health risks even with the weight loss surgery. I was even a little bit angry thinking that, having gone through the surgery and all, why would I have problems now? However, I know that a healthier lifestyle made this easier for me. I do realize that I now want to lose 20 more pounds. With the three pounds, I'm up to 163 pounds right now, which scares me (loss of 121 pounds total).

I am confident that now that I am back to my usual diet and exercise, things will be back to normal. I am even starting to use the elliptical again! I had stayed the same weight, 160 pounds since last December, without a fluctuation on the scale!

Still happier and healthier than I've been in years.

(P.S. Did I mention that I'm now having a ball buying fall clothes! From 3X almost two years ago to a medium now—yippee!)

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Wednesday, August 31

Back to correct diet and counting calories. Still up a pound or two since hospitalization but it's coming off slowly. Feeling better as each day goes on. Doctor put me back on Nexium, thinking that my chest discomfort is acid reflux. Following up to see how it works. I have rarely experienced "dumping" since my surgery but yesterday I did have a little which totally took me by surprise. Goes to show you that even this far out from surgery (almost two years) the bypass is working to aid you in the maintenance of your healthy eating and portion control. Looking back at my food log it doesn't show that I ate anything to cause it but I'll be more careful.

I find each day now that maintaining (and even trying to drop a few more pounds!) is a constant struggle. There are always temptations around that you'll encounter. Even if you experience dumping and cannot eat sugars (which unfortunately I do not experience), you can "beat" the surgery if you're not careful and take in too many calories or the wrong types of foods. Surgery gives you the tool to use in helping to achieve a healthier you. Healthy and happy—I now find that the reality of everyday life is that you need to count calories and monitor your fats and carbs ALONG WITH EXERCISE to maintain any healthy weight and lifestyle. It's the only formula that works!

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Thursday, September 8, 2005

September Gastric Bypass Support Group will meet on Wednesday, September 21.

Just wanted to let everyone know that the gastric bypass support group, which meets at Rhode Island Hospital in the Gerry House on the first Wednesday of every month at 6:30 p.m., is postponed this month. It was originally scheduled for Wednesday, September 7, 2005 but is now scheduled for Wednesday, September 21. See you all there!

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Thursday, September 22, 2005

Rejuvenated after last night's gastric support group meeting. Lots of new faces in the group, all very enthusiastic about their recent surgery or their pending surgery date, whatever the case may be. There were many people interested in the surgery and coming just to listen and get some information. Drs. Roye and Harrington's new associate was present last night, getting acquainted with the group and answering questions.

Still feel great! Still at 124 pounds lost to date (two-year anniversary post-op is 10/14/05). It is a little harder now to be sure I maintain the weight I've been for 10 months now, which is 160 pounds. Still have to count calorie, fat and carb intake, limit sugars, etc. And, of course, EXERCISE, EXERCISE, EXERCISE for a healthy you!

Paul and I are getting ready for the Scituate Art Festival, which he and I walked to from our house and back last year. Total of 14 miles roundtrip (with shopping included of course!) and enjoyable all the way. Prior to surgery I would have had a problem walking from the car to the picnic bench! Life is good!

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Monday, October 3, 2005

I'd like to say it is the "same old, same old" in that I have not lost any more weight over the last ten months. But the big news is that I have kept it off without a struggle and it is almost two years since my surgery!

Even going to dinner parties with friends as Paul and I had with our very good friends this past Saturday night, even indulging in dessert! People ask what is it that works this far after weight loss surgery (WLS)--portion control, monitoring of carbs, sugars, fats, calories--simply put, healthy eating habits that everyone should practice. Okay, so I did have that little piece of chocolate Oreo cake (thanks, Diana!) but not an entire piece like I would have had in the past. I was quite satisfied with the taste I had. The payoff is that I can do things now that I've never imagined I'd ever do again once I gained all of that ridiculous weight! I feel great.

I look in the mirror and don't see a raving beauty like many people anticipate when they consider gastric bypass surgery. For me, it is simply for a healthier way of life and to give me the ability to live my life the way I want to, free of that extra 124 pounds that I was dragging along! Sure I could lose another 20 pounds or so, I'm not skinny by any means. But I'm feeling so much better and I'm keeping it off, something I could never say about any other diet that I've been on in the past. That's the true test: maintenance and change of lifestyle for a healthier, happier life. Life is very good and getting better by the day!

Remember: The gastric bypass support group is this Wednesday, October 5, 2005, at 6:30 p.m. at Rhode Island Hospital in the Gerry House. See you there!

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Friday, October 7, 2005

Bad news is Paul and I missed the gastric bypass support group this past Wednesday night. Huge conflict on my calendar. However, the good news is that I'm back on the elliptical machine and feeling sore. Hooray! Hoping that it jump-starts my weight loss again. Bring on walking to the Scituate Art Festival this weekend—even if it is raining!

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Friday, October 14, 2005

Two-year anniversary post surgery! I would never have believed that life could have been as good as it is today. I feel like I am 15 years younger. Some of my advantages—going to the doctor and not hating getting up on the scale, being able to walk further than 1 mile and actually enjoying it, using my elliptical without worrying about calling an ambulance at the end of 3 minutes, not experiencing that sense of bloatedness after I eat a meal due to poor eating habits, going to the show and not having to shift in my seat constantly or trying to hold my hands in front of me because I can't fit them on the arm rests, dancing!!!!!, clothes shopping, watching the look on my husband's face when he sees me with a new outfit on and knowing that when he says "that looks good on you" he really means it, and of course talking clothes and fashions with the girls and feeling like I know a little bit about it.

But the biggest difference is when I look in the mirror and see myself—an image of the real me that I always knew was deep inside my larger, unhealthy body. I used to dread looking in the mirror, not anymore! Just needed to get down to the core of who I really am. Looking forward to a long healthy life feeling like a "normal" person.

With two years behind me now, I think the time has come to end the updates on the web. It has been fun sharing my new adventure with you all and hope that you have found the log updates informative and useful in your own situations. You can still find gastric bypass support group information and meetings dates listed on the Lifespan.org website as well as other helpful information. And you will still be able to access my log, my before and after photos, and all the other information that has been featured on my site.

If you have any questions, please feel free to e-mail me. I would be happy to talk to you.

Gail Francis

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Tuesday, June 7, 2006

New development!

Ava Gail, 5 days old

I am the proud grandmother of a beautiful baby girl, Ava Gail Francis, born May 25, weighing in at 6 lbs 15 ounces. I can't tell you how excited both Paul and I are in welcoming our first grandchild to the world. This is a major milestone for me because not even 3 years ago I would have thought that I'd never see this day. With all of the health issues I had prior to my WLS, looking forward to the future didn't seem like an option. Now, life is wonderful! Everyday exercise along with proper nutrition and portion size has changed my life. I have gained 8 lbs back of the total 124 lbs I lost. However, I knew I'd go up a bit once my weight loss started to stabilize and I feel fortunate that my body weight seems to be settling where I am now. Each and every day I count my calories, walk at least 4 miles, and monitor my carbs, fats, etc. to be sure I stay within my limits. Occasionally, I do treat myself but keep the "cheat" within a certain amount of calories and fat.

This is what the real world is about. Not having to feel embarrassed, physically uncomfortable or even ill when trying to do simple day-to-day tasks that most people can do in life without a second thought. Everyone should be consciously aware of proper nutrition and exercise and live by it daily. I have learned the real meaning of life and it's not thinking about eating that piece of cheesecake. It is about your loved ones and living to enjoy your time with them. I know I'm enjoying it with my new granddaughter!

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Friday, November 10, 2006

Gail's Three-Year Anniversary

Recently I went for my 3-year post-surgery appointment with Dr. Roye. He gave me the "thumbs up" on the maintenance of my weight loss. I have gone up 6 pounds since my lowest weight but still have continued to maintain. Not only is Dr. Roye happy with my results but my primary care doctor is as well.

I find that I go up and down a few pounds every time I weigh myself but don't get too nervous about it. That's why I continue to weigh myself faithfully. I want to stay on top of things without obsessing about it. I did experience some low iron issues in my blood work over the past year, I have corrected that by taking extra supplements as Dr. Roye instructed. Other than that, all my blood work continues to stay on track and I am healthier now than I think I've ever been! The only difference in my life now is that I can enjoy things that I have never been able to do or had the ambition for in the past. Walking, riding my bike, raking leaves, gardening, playing with my granddaughter Ava (she can sit on my lap now that I have one!), climbing stairs—so many things that I was in fear of never experiencing again prior to my surgery. I feel like 35 rather than 51!

My attitude towards life in general has changed as well—much more positive. Eager to try different things and experiences that are more fulfilling in life. Still not taking any of my medicines for cholesterol, joint pain, etc. like I had to do in the past. Having recently had foot surgery, I bounced back to walking with the girls at lunch much easier than I would have if I hadn't lost all that excess weight. I can't even imagine having to walk on crutches having that extra 124 pounds on me!

Yes I do have my periodic enjoyments like chocolate (Halloween!!!!), popcorn, pretzels, etc. because these things do not make me ill and I do not experience the "dumping" that many people do after gastric bypass surgery. Because of that, I have to be even more careful! I still cannot even look at fried foods the thought of which nauseate me. But I continue to count my calories daily, monitoring my carbs, fats and portion control. It's just that I'm on a level playing field now, just like anyone else trying to maintain a balance of healthy lifestyle through proper eating and enjoyable exercise.

It is Thanksgiving time and yes I do have many things to be thankful for. The most important of which is my wonderful and loving family without whom I would not have made my decision. My husband Paul and sons Jay and Nick have truly been a source of strength and support all the way through this journey. But also my good friends who are always there for me. Whether it is to go shopping for new clothes, which I love to do now, or simply understanding my needs even going to the extent of getting me a special dessert when I come over to visit! Those are true friends!

I have lots to be happy for but I'm most thankful that I made the decision to have the surgery to be around to enjoy the ride!

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