First set of Appointments - Loooong Post :( and :)

Oct 30, 2009

Wow... well yesterday I had my first set of appointments.  Had to be at the Central Baptist Bariatric Office at 7:30 am, which was total bs because I can never catch a break, and I have been so exhausted lately. Anyhoo.. For whatever reason, when I first scheduled this appointment, I assumed that the cost would be minimal- well, whenI got th call to verify my appointments, she asked me if I had received tha paerwork, which I had not, and then she e-mailed them to me.  lol... It said be prepared to bring in two specialist co-pays, a $40 nut fee, and if the psch eval wasn't covered be prepared to pay $335-$380.  I was like ummmm.. ok....  I have two small very active kids.  I have the money, but I could always allocate to something I might deem more worthwhile, but then again, that's why I am the weight that I am now!  Always allocating what I deserve to someone or something else.  So I went.  The office was beautifully appointed, and everything was plus-sized. lol.  The day went smoothly.

730- Registration
8ish Blood work, H. Pylori Test, Official weight.  
I will tell yall that another day.  After I lose the first 15.  Depressing...lol.. I don't know why, but hey... It is what it is, and that is why I am on this jourmey with a 69 BMI. iI hate needles, and usually I am dehydrated, and fat armed folks know about the vein situation.  This girl was good.  I didn't even feel ithe needle.
815ish RMR test- Did this in another office where I laid on a beautiful chaise lounge, and had my nose pinched, had a tube inserted in my mouth, and had to breathe naturally, in a relaxed statwe listening to the ocean in a dark room for about ten minutes.  If I could breathe through my nose, I woulda gone on to sleep.  I have also decided to byuy one of those chaises.  They told me where to get one.In any case, I burn about 2100 calories doing nothing each day... I must be smacking down.  My metabolism is just above average.  I still think it's BS but hey.. I know it's true.  Wow.. If I had a slow metabolism, someone would have to open up the side of my house to get me out of it.  GEEZ. SHEESH!
840ish- Went back to the other office accross the hall to start completeing the billion question psych evaluation.
9ish- Went for my physician assistant appt in the other ofc.  She was very personable, as was everyone.  We discussed my choice of having the RNY.  I'm a great candidate, no co-mornidities, just SUPER morbidly obese.  I stopped smoking about 2 months ago, but I have had a rogue cigarette or three since then.  She said this doc requires 6 months.  I was like hell to the naw.. I am trying to go the three month pre-op route.  We need to talk about this shyt (Scuse my language).  She said I could discuss it with the doc, and she didn't think a few would hurt being that I have three more months.
930ish- Met with the insurance counselor who advised she hadn't done shyt yet in regards to my insurance accept for get the precerts to thee visits, which was fine, because open enrollment for me is next week, and I will be changing, as my company only offers people who have been at the company less than a year the shytty plan, and then we must change the following year, so this will be to my benefit.  I told her I would call her with that info next week.
10ish- Went back to the other office to complete my billion question psych evaluation binder. lol  None of the questions were like I suspected.  They didn't fit.  They talked about pain... and well.. I can't describe it, but hell,I was cool with it because I am crazy as hell, and I managed to fly under the radar by answering questions I didn't feel had a damn thang to do with this, but then again, I'm not a profession, just a genius in my own right.
1030ish- Watched movies about the surgeries and spoke with the program coordinator who gave us another handbook, and info to the new state of the art health center the program will be opening.  I'm kinda excited about the various classes, tai chi and shyt... right up my alley :)
11ish Appt with the psychologist, who for some reason I didn't really care for, not that he was rude or anything..He started out with "I don't make the decision for you to have the surgery or not, but the docs really do listen to what I say".  Ok mfer... That's cute and all, but do what you have to do, because I really am nuts, and I will STILL have this surgery..lol.  He asked the questions...Why do you think you will succeed? Many fail... He said that a few times actually.  Well asshole, I will succeed because I found my grandmother DEAD who had a massive heart attack when I was 17, and I watched my mother have a massive stroke when I was 19, and I do not want to leave my children without a mother.  I have no choice BUT to succeed.  He basically told me some mish mosh, after which I asked to him to clarify.  He said :I am giving the green light, but proceed with caution. The only thing I have noticed in your paperwork and your conversation is your irritability, so I suggest you speak with a psychiatrist and maybe they can put you on a mood stabilizer". lol.. Wow... Finally someone understands.
Go back out to the waiting area, and I am almost finished.  They said expect to be there all day and I am happy!  I thought I might be ablet to actually go home and put my swollen feet up!  WRONG.  Last appt was with the nut. So i'm waiting patiently with my Cosmo, updating my facebook. It's just 12ish... HA!  The coordinator asked if I wanted to take a lunch... I was like ummmm.. no... I'll wait. mAs I sat and read, I thought about it.. That bytch ain't coming back no faster is she?  Might as well go run errands, which I did.  She asked me to return around 115.  I did.
The nut came out to get me at 150p.  I wanted to break her bony arse in half, because I was cutting it close.  I cancelled my bff picking up my baby from the bus stop because I assumed I would be home, and it was nearing two.  He gets home at 3:11.  She gets out the weight loss caloric binder, and the fat and sugar scare tactics,  and i was like "look... You will cry when I tell you what I eat., however, you will be happy when you see the results because I know what to do, I just don't do them because I am not accountable to anyone."  After that, we had a great understanding, and worked together very well.
Even though I eat 1 to two times a day, I eat what I want like I'm a 17 year old high school football player, so I will be meeting with her again in two weeks to really get me on this high protein/low carb pre-op diet plan, but right now, it is our introductory phase:
1. No fried foods
2.  Do not drink my calories
3.  No biscuit/rolls/
4.70 grams of protein
5.70-120 grams carbs
6. Eat three meals
7.  However much meat I am currently eating,decreaswe by half- eventually 6-8 ounces per day, no high fat means such as bacon or sausage- which sucks.
8. don't boil my veggies, buy those micro bags
9.  Only spray butter, bust buy everything low or no-fat.
10.  If I bite it, write it.
11.  Have a salad with lunch and  dinner. Stay about 500 cals per meal.


Last night, I went to the store, and bought some frozen indie chicken breasts, some veggie bags, some sf jell-o,  low fat cheese.you know.. just a few things for now.
I started off good this morning.  Have my journal.  Made myself a half gallon of water for the day.  Slipped up and at 5 cookies, but I held myself accountable by writing them down.
Then a fricking toxic friend called me around 6ish this evening (same friend I was talking to on the phone last night while byuying my healthy foods),  My kids had just both pissed me off, so that made me hungry for something, a cigarette or a brownie, or a steak.. or all... I don't know...  In any case, she told me she was making my favorite food.  No will power yet... and I never ever go over to her house.. But YES... I went, ate about 6 of these little eggroll type things, made myself a cocktail, and came on home.  Failure.





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