Friday, November 7, 2008

ER Follow-up

So I went to see Dr. Awesome today to follow-up on my ER visit.

First, the good news. All the exercising I've been doing has kick started my weight loss and now I'm back on track.

The bad news? My labs looks AWFUL. I'm malnourished which is "unheard of" with my surgery type. (Trust me to do things the hard way.)

I can't believe how much they've deteriorated over the past eight weeks, in fact. It seems like most of it probably happened last week when I was having trouble getting in my water and then I started having trouble getting in my protein. Then, it didn't help that I gave blood. And went to my hip hop class that night.

Put like that it sounds pretty stupid, but at the time I was feeling pretty good and kind of proud of myself for being so strong. Hey, last weekend I swam 24 laps! It's amazing how good you can feel when behind the scenes it's all going to pot.

So Dr. Awesome thinks almost passing out in class was just because I gave blood that day. That sounds reasonable to me.

The pain though was probably passing a kidney stone. Yikes. There were some signs of that in my lab reports. Interestingly enough, when I was in the ER last night I commented to Mr. Mac that I felt like I was in labor -- only less pain -- and I've heard people describe passing a kidney stone that way, so it makes sense.

To get back to healthy, I need to continue to get in my fluids like I did so far this week and I need to get even more protein. I'd been aiming for 70-100 but now I have to aim for 100 grams a day. That's pretty hard to do. It means pretty much every fluid I put in my mouth has to have protein and every meal, too. No more hot tea or plain water for a while.

I'm also supposed to add more dense protein and vegetables to my diet. I can get behind that. I miss vegetables. The dense protein scares me a bit, but I do think it's time.

I also have to take these enormous horse pills to supplement my potassium. Twice a day this week and then once a day from that point on. I can cut them in half, which is good, because there's no way I can choke them down whole.

Finally, no more giving blood for at least six months. Alas, the February drive will go on without me.

All I can say at this point is that my instincts that I was not a good candidate for the gastric bypass or duodenal switch because they were too much surgery for me is looking pretty good. Can you imagine what state I'd be in right now if I was adding malabsorption to the picture?

This does reinforce to me that this is a big surgery even if you pick one of the safer ones though. Sometimes it's easy to lose sight of that. I see this all the time on the boards. People are afraid of bypass so they decide to get a lap band because it's "safe" and then are shocked when things go wrong.

If you are reading this and haven't had your surgery yet, be sure to take the complications seriously and follow what your program says to do to prevent/minimize them or you, too, can be in the ER giving "birth" to a hunk of calcium.
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