The Skinny on Week 1 Post-Op

I’m about a week into recovery and things are going pretty well. I’m finally starting to feel like myself again. My immediate recovery from anesthesia was extremely smooth but I didn’t fair so well on the pain front. I was popping pain pills like crazy the first few days. The only problem was that the Vicodin was too big for my new, little tummy. It eventually went down but I could feel it sitting there for a little while at first and it was pretty uncomfortable. I started crushing them up after a couple of tries. The first few days all the pain was from the incisions, especially around the port that sits under my skin and connects to the band. On Thursday I experienced my first, real gas pains. Some of the gas they use to blow up the abdomen with at surgery gets stuck in there and can irritate the phrenic nerve which runs up towards the shoulder. As a result after surgery a lot of people experience pain in their shoulder. By Thursday my incisions were starting to be tolerable and then all of a sudden I started getting these gas pains. They gave me a horrible headache too. I had them to a lesser degree Friday and a little last night as well. But overall it’s getting much better. Yesterday all I had to take for pain was 1 extra strength Tylenol. The incision where they placed my port is still sore if I bend a certain way and it’s very black and blue, but other than that the pain seems to have mostly passed. I do still have to deal with these little hiccup-y burp things that are very uncomfortable. I think it’s because any little bit of air that I suck in takes up such a large portion of the new stomach that I have to burp it up, but because of the restriction to my stomach and the trauma to my abdominal muscles I can’t really burp properly. Whatever the reason, they’re annoying as heck.

I’ve also been a lot more tired all week, probably as a result of the general anesthetic they put me under. I’d wake up at a normal hour and feel bright eyed and bushy-tailed (like a squirrel on crack :P) but I’d be wiped out by mid afternoon and have to take a nap even though I hadn’t done much except take a couple of short walks. The last two days have been the only two where I haven’t needed a nap and by the end of the night I’d felt like I’d been working all day. Hopefully by the time I actually go back to work on Wednesday, that will have passed as well—especially since I work 12 hour days. It’s going to be hard for me at work knowing that I can’t help lift and restrain animals. I mean, that’s what the techs and assistants are hired for, but they’re all so much littler than me I always wind up jumping in and helping. It’s going to be especially tough at night when there’s only 1 tech. If we get a really big dog she won’t be able to lift it by herself. I guess either the owners will have to help or I’ll have to get down on the floor to examine them. As long as I stick to actually doing my job—examining, diagnosing and prescribing—I should be OK at work. Although if there are any surgeries I should probably let the other doctors take them for the first week back.

The good news is that so far this really seems to be working. I’ve lost 20# since I started the pre-op diet not even 2 weeks ago. It’s amazing how easy it is to lose weight when you can’t fit anything into your stomach. I’m still on the liquid diet and will be for another week. Right now I’m supposed to be eating (or more accurately, drinking) 4 of my Medifast protein shakes and 2 other liquid meals (soup without chunks, yogurt without chunks, pudding, jello, ices, etc) a day along with 6-8 glasses of water. Right now I can’t even eat that. I think yesterday I came the closest. I had 4 Medifasts and 1 6oz light, fat-free key lime pie yogurt and 7 glasses of water. By the end of the night I felt completely bloated. I could feel the liquid splashing around in my new, bite-sized belly. The total was 460 calories. I’m actually worried about my body going into starvation mode. I know that next week when I start mushy foods I’ll be able to get more calories and nutrients in and I’m sure that will help me feel better. Plus mentally it will be a lot easier as well. Friday was really tough for me to get through the mental need for real food even though the physical need wasn’t there. Also, as the swelling goes down from the surgery I’ll be able to fit more volume in. I’ve actually read some other bandsters say that they wind up feeling no restriction at all for a while before they are able to go in and get their band filled with saline for the first time (usually 6 weeks post-op). I’m told that’s bandster hell. Hopefully the swelling doesn’t go down that much. I have to keep on track if I want to get to 225# by my sister’s wedding in October. I just have to keep on plugging away and before I know it I’ll be back to my normal self—only skinnier and less hungry all the time.

Just 1 more week until I can eat that egg I’ve been dreaming about. Yippie!