I once read in an article on photography that
the beauty of a photograph is that it captures a moment that is gone forever
and impossible to recreate.
There are two
pictures that captured moments in my life, moments that both amazed and embarrassed
me because of the way I looked and felt. Both were taken at weddings, joyous
occasions where no one can escape the lens of a camera, that piece of glass
that somehow changes the way you think you look. After seeing the first picture
I convinced myself it had to be the angle the shot was taken or the way I was
seated, there was no way I looked like that.
But the disturbing
truth was revealed after the 2nd wedding when the happy couple sent
a picture with someone who looked eerily like the person at the 1st
wedding. I could no longer deny the truth or blame it on a camera lens that had
some sort of personal vendetta against me. Despite the way I felt physically,
the inability to walk a flight of stairs or not being able to stand for more
than a minute, I was denying the fact that I was morbidly obese for too long.
Two moments in what was left of my life had been captured, moments that would
change my life.
The list of diets
I have tried range from South Beach to bananas, Atkins to cabbage and of course
who doesn’t believe Marie Osmond or Dan Marino when they talk about how the
Nutri System diet will shed pounds and inches. I celebrated success at losing
weight only to see the pounds return like an unwanted friend who brought more
friends. I reached weights that would be the envy of an NFL linemen , but were
quickly shortening my life.
As my weight grew,
my family did as well with 5 grandchildren. I wanted nothing more than to do
the fun things grandfathers are supposed to do. So instead of spoiling them,
which is the first rule of grand-parenting, I was cheating them, my own children
and myself of the happiness that we all deserved.
I knew about
bariatric bypass surgery and I know people that are enjoying the benefits of
large amounts of weight loss by having their stomach reduced. I always thought
how great for them and they look great, but I have a stubborn side that says if
I work at something hard enough, I will reap the benefits. I just needed put
forth the effort needed to help extend my life.
But I was fighting
another battle, one against the time I have left in this precious life because,
as the pounds were adding up, I felt like my remaining days were
dwindling. So I started doing some
research and asked my trusted friend and Doctor if having this surgery was an
option. I thought I knew what his answer would be since our beliefs in hard
work paying off were the same. However, he shocked me and said enthusiastically
that I should seriously consider the surgery as an option. It was as if I was
waiting for him to tell me and he was waiting for me to ask. Now all I needed
to do was convince myself that I couldn’t wait any longer without serious, if
not deadly consequences to my life.
I attended an Ohio Health Surgical Weight Management
Seminar and after hearing Dr. Sonnenstine explain the benefits of weight loss
by surgery I was more than convinced this is what I needed to do if I no longer
wanted to live the life I was living.
After being
accepted into the program based on BMI, being a-symptomatic with atrial
Fibrillation, high blood pressure and sleep apnea I did not hesitate telling
people I was beginning the process. It was my way of celebrating the choice I
had made and I also knew by telling others, they would hold me accountable.
I chose the
Gastric Bypass surgery called Roux-en-Y based on the recommendations of the
surgical staff. My thought was if I’m having this done, I want the surgery with
the greatest chance of success. The
decision seemed obvious and simple and I began the process that would
eventually lead to my surgery date.
But what happened next
would dash any hopes I had to extend my life through surgery.
Because of the
weight being distributed to my feet, the tendons in my right foot gave up and
ruptured. This would require surgery, 6 weeks of non-weight bearing on the foot
and 3-months before I could even consider returning to some normalcy in my
life. So I was faced with the decision as to which surgery should come first? I consulted with friends and Doctors and it quickly
became quite clear, the foot surgery was needed and had to come first and the
bariatric bypass would-be put-on hold. The 3 months passed, and physical
therapy had begun, and I once again was excited to work towards a date for the surgery I
wanted.
Now I’m a believer
that things happen for a reason, but sometimes an explanation as to the reason
for the reason is only fair. In this case, another surgery on my foot was
needed because it was not healing properly. But this time I was prepared to
deal with the three-month recovery. I had
mastered the knee scooter and if it fit into a car, I was mobile enough to get
to where I needed to go.
Each month, I
scootered to my required meetings with psychiatrists and dieticians thinking
this was only a formality in the process of solving my weight problem. I’m sure
I was like most people and despite my physical appearance, I knew what I should
eat, what foods to avoid and what foods contained the protein I needed. I just
chose to eat the foods that made me happy.
I treated the meetings with the dietitian as
an insurance mandated, bureaucratic impediment meant to help insurance
companies save money. Make the patient go to enough insignificant meetings and
the patient will eventually give up and leave the program. I could not have
been more wrong.
These well trained
and educated people know more about food and eating habits than I can ever hope
to learn. But more importantly they know people. They know people who think
they can just go through the motions to get to the surgery. The Dietitian is the
gate keeper to a healthy future, they hold the coveted key to improved health
and well-being. So, it’s best to give
them the time, effort and attention they so well deserve.
I discovered this
the day I showed up with no water, vague information on my green diary sheets
and struggled to give answers to their questions simply because I don’t know
everything. By the end of the meeting my Dietitian laid it out for me, “I don’t
think you are ready for surgery.”
I was using my
foot, my job and my lifestyle as excuses instead of taking advantage of the
valuable information these people were trying to teach me. Her comment was the wakeup
call I needed. What I learned that day was there are no short cuts, no easy
road to surgery and the surgery is just one part of an overall plan to make you
a better, healthier and happier person. What I did next would be the turning
point in how I approached this life saving opportunity I was being provided.
I was travelling
for my job, sitting in a hotel room and the words of my Dietician could not be
erased. That’s when it hit me, I had never taken the time to consider why I
really wanted to have this procedure other than to lose weight. What are the
personal reasons, why can’t I do this on my own, how is this going to change my
life and am I ready for those changes?
Over the next couple of hours, I made a list of the reasons I wanted the
surgery, not why Doctors thought it was a good idea, not because others were
benefiting from it and not because my friends and family were excited for me. I
needed to understand why I was choosing to change the way I have lived and the
choices I had been making for over 60 years.
That day and that
list may be the one thing that saved my life. It became personal, it became my
mantra, it became my own Declaration of Independence from being unhealthy and
grossly overweight. I shared it with my Dietitian at my next meeting along with
a new respect for them and she looked at me, smiled and said “you get it now.”
Following that
meeting I began making the changes needed to be prepared for what my life would
be like after surgery. Not long after that I received the much-anticipated
phone call from the office of my surgeon, Dr. Sonnenstine with the coveted date
for surgery. I had succeeded in achieving what I set out to reach for, a much-needed
change in my life. The tears flowed as the emotion of it all consumed me. I
earned a new chance at a new life for me and my family. Instead of hoping to
continue my life each year, I could begin to plan for a full life for years to
come.
So, there I am,
scrubbed, gowned and IV inserted, ready to go when the Anesthesiologist comes
in to listen to my airways. It wasn’t long, maybe seconds before he tore his stethoscope
from his ears as if he had heard a bomb go off and asks, “How long has that
been going on?”
What started as a tickle in my throat about 10
days earlier was now full-fledged bronchitis and I had the cough to prove it. I
thought, with all of the medical advances over the years, there had to be a way
to sooth my constant cough long enough to have the surgery. I had my theme song
picked, “Best Day Of My Life.” Everyone knew today was my day. My post surgery
liquid diet was prepared and in the refrigerator. They can’t possibly deny me
this one more time.
The day was
December 11th, it was 7:05am and yes they have the power to say not
today. My first thought was, this is not meant to be. Three obstacles, three
strikes, no surgery. Once again tears flowed but for a different reason. I felt
defeated and alone despite the efforts of a very close friend who volunteered
to be with me as I was prepped for the day. This was not what she signed up
for. As I was dressing to make the walk of shame out of the surgery prep area
because no one walks out of there on their own, the Doctor walked back in and
said “we will get this re-scheduled before the end of the year, whatever it
takes, just get rid of that cough!” Then later that day an early gift arrived
when, Dr. Sonnenstine’s office called and said how does December 31st
work for you? HAPPY NEW YEAR!! And guess what insurance company, my deductible
has been met!!
So instead of
liquid foods for the holidays, I was able to partake of the usual holiday
spreads but didn’t really enjoy it. At this point I was scared when I went to
sleep and grateful when I woke up. I really wondered if my body would make it
to December 31
st. It was tired physically and mentally and one more
setback would be more than we could handle. Thanks to medications, the cough
did go away and at 4am on December 31
st, I did wake up. By the time
everyone else was toasting the old year out and the New Year in I was beginning
a new chapter in my life that has resulted in changes that I never dreamed
possible.
But these pictures
only tell one part of the story. As of
the day I write this I am 7 months post-op and I have lost nearly one-third of
my body weight, I walk at least a mile a day in about 20 minutes, I swim a
quarter mile in about the same time. Exercise, thanks to the Step It Up program
that is offered through Weight Management is not a chore but something I look
forward to. I’m told I don’t snore and
stop breathing when I sleep and I can play golf again. My mind seems stronger
and I have discovered a newfound confidence in myself. I even went snow tubing
with my Grandkids 10 weeks after surgery and I can walk and talk at the same
time.
It seems each week
I discover something new about my body and my life. I have had people not
recognize me, my wardrobe has expanded beyond loose fitting clothes and elastic
waist bands and I have dropped in size about every 2 months. I have discovered
the outcast clothing of others that fill the racks of thrift stores, can fill
my closet and drawers with temporary affordable clothing.
I have also found
that I don’t like food. Eating is no longer enjoyable, but a punishment as you
learn how to eat all over again. It’s ironic that right after surgery I was
eating what looked like baby food and I was using spoons with Mickey Mouse on
the ends, the same spoons I used to feed my kids when they learned to eat.
We form habits
when we eat and the habits of my food loving past were coming back to haunt me.
I struggle when plating with portion control or ordering in a restaurant. After
filling my plate or over ordering, I barely make a dent in the foods I have
chosen, even when I make the correct choices, much of my food is wasted. And
once again I am a dietitian's worst nightmare. They have the answers, they want
you to succeed and they want you to enjoy eating in a different way. The one
thing that they cannot do, is do it for you, that’s up to you.
And by the way
dumping syndrome is the real thing…nuff said!!
My next challenge
to deal with is what happens when the euphoria of the surgery ends, when people
stop complimenting me on my success and new look, and when food becomes a
little easier to consume. I only hope the me of old is a distant past and I can
cope with the challenges that await me.
What I do know is
I am not alone.
From Dieticians to
Psychiatrists, from Surgeons to Physiologists, from education and support
groups to lifelong assistance, the Riverside Weight Management Program has
everything one needs to succeed at weight loss and improving your life. If for
some reason you don’t experience any of the success I have enjoyed, you must
first look at yourself and ask did I do all that was asked of me. Did I listen
and live the life they planned for me and if you can say yes to some part of
that you will succeed. Those pictures from the weddings captured moments that
are gone forever and thanks to this program I believe the person in those
pictures is gone forever and I will continue to create a new and better life
for this new me.
Matt McCandlish