Laduca Vida

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Wildhorse Cafe
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Laduca Vida

Post by Wildhorse Cafe » Thu Jul 16, 2020 2:55 pm

On the topic of life in general, I would like to discuss the subject of obesity. I have always had issue with my weight since childhood. Over the years I have had no trouble losing weight, I have lost tons of weight, but then had no problem gaining weight right back on. As with most people it wasn’t an issue of willpower, it was a constant battle with your own body. Ten years ago, I realized I was losing my battle and knew that dieting and staving yourself was not the answer that most people think. I was fifty-eight at the time and desperate for a different approach to weight loss. Since being diagnosed with diabetes in 1992, I had managed to keep my weight at or near 240 pounds, the high end of my body mass index, which seemed to be my set weight. But in 2009 I was at three hundred pounds, thirty pounds less than my record of three hundred and thirty pounds. More concerning my diabetes was just barely under control, blood pressure issues and skeletal problems back, hips, knees, and feet. In fact, my right arch had collapsed due to the combination of my weight and diabetes which cause a weakening of connective tissues. I was toast and at the end of rope. My type 2 diabetes had progressed to type 1. Insulin was a savior and a demon. It is after all the hunger hormone. All type 1 diabetic produce insulin in overabundance until your pancreas is exhausted and no longer produces insulin. Then you go to injection for control and I had a tendency too over control. The effect of all that insulin for me was to make me want to eat the doors off the cup boards.

I began to seriously investigate bariatric surgery to reverse the downhill slope I was on. The first step was to convince my Kaiser Permanente GP to give me a referral to the bariatrics clinic. This was a little more challenging than you would think, he took his gatekeeper responsibilities very seriously. I was first had to sign up for a bariatric orientation seminar at Kaiser Permanente’s insistence. The seminar seemed to be designed to absolutely dissuade any from going down the bariatric path. They described the three types of bariatric surgeries Gastric-band, Gastric Bypass and Gastric sleeve. They explained the pros and cons for each type of surgery. They also provided the statics for the chances of a successful surgery, less than a hundred percent, basically because they are not operating on the healthiest segment of society and it is a major surgery with all the inherent risks of a major surgery. The most sobering statistic was the success rate of keeping your weight loss after 10 years was only 60%. But I instinctively knew this is what I wanted to do, and I never let the facts get in the way of my doing what I want to do. So, after a good deal of back and forth with my GP, I finally did get my referral.

The next phase of my journey I’ll call “Bariatric Boot camp”. Boot camp because you start out with a group of likewise candidates for surgery and stay with them through boot camp and beyond. First, we were all tasked with losing a certain amount of weight cold turkey, in my case it was twenty pounds. We attended classes every week for group discussions covering weight loss, nutrition, health and wellbeing. With a constant review of what to expect during and after surgery. An again the types of surgeries were discussed, their different approaches and complications. This was important because the type of surgery must be decided between yourself and the surgeon you are finally paired up with. During these weekly classes there were medical evaluations i.e. physicals, blood work, EKGs, x-rays, sleep apnea testing so many, I can hardly recall all of them. All off course, to evaluate your suitability for surgery. And there was a psychological evaluation for the same purpose. And believe me some of the people in my group really needed to have their heads examined.

If your head ain’t right then nothing is going to be right. A big topic in our group. The need for an honest assessment of your motives and need for the surgery is key. If food is occupying a place on your life to fill some other basic psychological need, after the surgery you will still have that need to fill that empty void. Will it still be food, or alcohol, drugs, sex or rock and roll, bad things can happen psychologically as a side effect of the surgery.

The surgeon I was paired up with was a very nice guy. But we did not see each other eye to eye when it came to the type of surgery I was to have. The Lap Band surgery to me was too mechanical in nature requiring constant adjustments after the surgery and yearly after that. But what if I was to lose my insurance those adjustments would be on my dime. The Gastric Bypass surgery was just plain complicated stapling the stomach and moving around intestinal pluming, and some serious drawbacks with issues after surgery. But Gastric Bypass surgery is the most successful of the tree types. My surgeon of course wanted me to have the Bypass. I was all for the Sleeve Gastrectomy. To me it was simple, cut out the stomach leaving a small pouch about the size of your thumb, what could be simpler. My surgeon and I went back and forth, I made my case why I wanted the Sleeve surgery, he listened, and we came to an agreement. The surgery went well for me with minimal problems.

After surgery I attended the weekly group sessions it’s hard for me to assess the benefit of those sessions. But I had a good deal of trouble with nausea after my surgery and I can’t imagine a more sympathetic group of people to tell my story of paving the 101 Hwy with green slime from San Jose to San Francisco after eating a falafel. But after a while you feel you have a handle on your issues with weight loss and the group or a group is there if you feel the need. I am sure with some, the need to go it alone is a strong impulse, but from my experience, it is a short route to failure.

I was lucky, if I had waited any longer, I would have been too old to get the surgery, 60 it seems is the cutoff. Eleven years later, I have managed to keep my eighty pounds of weight off, I am at around 220 pounds. I use 20% of the insulin I needed before my surgery. My blood pressure, back, hips, knees and feet are much healthier as a result. I enjoy life more, with more energy and stamina. And let’s face it I am all about happy endings.
2011 Patrol, The Higgs Bison Super Collider, formally known as, the Orange and Silver Pumpkin Coach.

2013 Black Retro, Chernaya Krasota, formally known as, my name is nobody.

When you set out on your journey to Ithaca
pray the road is long , full of adventure, full of knowledge
not expecting that Ithaca will offer you riches
Ithaca has given you the beautiful voyage

C.P. Cavafy

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bgenest
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Re: Laduca Vida

Post by bgenest » Thu Jul 16, 2020 4:16 pm

Wow, you mean that isn't you on the horse Wildhose Cafe? Good for you! You set your goals and objectives and met the challenge! You should be proud of your accomplishments. I wish you the best.
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GHGoodwin
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Re: Laduca Vida

Post by GHGoodwin » Thu Jul 16, 2020 5:14 pm

Congrats. Grew up with that problem. Just couldn't seem to keep my mouth shut around food. Luckily I was very active. Freshman college football at 5'10" 275#. 19" neck. 58" chest. 48" waist. Then the fr@cking present from the drunk driver. Liuckily in rehab a MD said that the only thing I had to to to lose weight was to keep my mouth shut. For some reason it sunk right in. I have'nt weighed over 200# since I met my wife, Cyndy, aver 40 years ago.

Congrats.
Hal

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It's a long list.
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Wildhorse Cafe
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Re: Laduca Vida

Post by Wildhorse Cafe » Thu Jul 16, 2020 5:34 pm

GHGoodwin wrote:
Thu Jul 16, 2020 5:14 pm
Congrats. Grew up with that problem. Just couldn't seem to keep my mouth shut around food. Luckily I was very active. Freshman college football at 5'10" 275#. 19" neck. 58" chest. 48" waist. Then the fr@cking present from the drunk driver. Liuckily in rehab a MD said that the only thing I had to to to lose weight was to keep my mouth shut. For some reason it sunk right in. I have'nt weighed over 200# since I met my wife, Cyndy, aver 40 years ago.

Congrats.
Congrats to you. I am in the very fortunate position, 50 yrs after marrying Suzanne on our anniversary, I weighed 10 pounds less than when we got married.
2011 Patrol, The Higgs Bison Super Collider, formally known as, the Orange and Silver Pumpkin Coach.

2013 Black Retro, Chernaya Krasota, formally known as, my name is nobody.

When you set out on your journey to Ithaca
pray the road is long , full of adventure, full of knowledge
not expecting that Ithaca will offer you riches
Ithaca has given you the beautiful voyage

C.P. Cavafy

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chaos2
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Re: Laduca Vida

Post by chaos2 » Thu Jul 16, 2020 6:27 pm

I've lost 60lb in the last couple years, after retiring I started bicycling and being just a little more careful about what I eat, no diets just common sense. One really big difference I've noticed is how much better the Ural handles, especially with no passenger/ballast.
Past afflictions include limey motocars and bikes, R60/2, R65ls, & a Citroen.
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Re: Laduca Vida

Post by Happytrails » Thu Jul 16, 2020 8:17 pm

Congrats on your weight loss, everybody. As someone who has also always struggled with weight my entire life I can symphatize. I lost 60lbs on keto diet last year and I'm still trying to hit a goal of 185lbs. Wish I had learned about it sooner. :)
-JR

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Rich Maund
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Re: Laduca Vida

Post by Rich Maund » Thu Jul 16, 2020 11:28 pm

Congrats on your success!
I was type 2 for ten years starting at 49. Didn't help that the VA never bothered telling me about it until I was past 50. Almost 60 now.
It was badly controlled for a while as their only treatment for me was to give me raging runs with Metformin. I think the theory is that if you can't digest it, it can't blow up your blood sugar. After a particularly bad incident I stopped taking it and told my Doc why. I asked her "Are you proud of the care I am getting on this?". That must have touched what was left of her heart as my level of care went way up after that.
I started taking insulin and was using it well. But it also drove my appetite and I was slowly gaining weight. A couple years ago I was up to 330# and felt like I was gonna die. And after having my legs crushed 25 years ago, that extra weight was causing joint difficulties too. The VA gave me a great Endocrinologist to work on me for hormone issues. Fat guys produce estrogen. Not good! He was also a diabetes specialist and wound up helping me with everything. Got the A1C down from almost 14 to 7.1 and lost 70# over the last two years. I am still too darn heavy, but it helped a lot. No insulin in the past year and A1C still at 7.1 I can't say I feel great, but it is a big improvement over where I was .
Getting a new knee in 2 months and healthy enough I have been approved for the surgery!
Lost weight mostly by eliminating carbs. Focus my diet on veggies and meats and healthy fats. Lucky I have cooking skills to keep it interesting.
On the much gooder side, welcomed two new grandchildren into the family this summer. Find myself grateful every morning and appreciating my blessings in life more than ever. I am back to having a almost useful level of energy. Can't stand long enough to work at real jobs. But I'm back to doing all the yard work and taking care of many things again.

That second chance does give great perspective, doesn't it? :-)
This is my step ladder. I never got to know my real ladder.

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Wildhorse Cafe
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Re: Laduca Vida

Post by Wildhorse Cafe » Fri Jul 17, 2020 12:01 am

Rich Maund wrote:
Thu Jul 16, 2020 11:28 pm
Congrats on your success!
I was type 2 for ten years starting at 49. Didn't help that the VA never bothered telling me about it until I was past 50. Almost 60 now.
It was badly controlled for a while as their only treatment for me was to give me raging runs with Metformin. I think the theory is that if you can't digest it, it can't blow up your blood sugar. After a particularly bad incident I stopped taking it and told my Doc why. I asked her "Are you proud of the care I am getting on this?". That must have touched what was left of her heart as my level of care went way up after that.
I started taking insulin and was using it well. But it also drove my appetite and I was slowly gaining weight. A couple years ago I was up to 330# and felt like I was gonna die. And after having my legs crushed 25 years ago, that extra weight was causing joint difficulties too. The VA gave me a great Endocrinologist to work on me for hormone issues. Fat guys produce estrogen. Not good! He was also a diabetes specialist and wound up helping me with everything. Got the A1C down from almost 14 to 7.1 and lost 70# over the last two years. I am still too darn heavy, but it helped a lot. No insulin in the past year and A1C still at 7.1 I can't say I feel great, but it is a big improvement over where I was .
Getting a new knee in 2 months and healthy enough I have been approved for the surgery!
Lost weight mostly by eliminating carbs. Focus my diet on veggies and meats and healthy fats. Lucky I have cooking skills to keep it interesting.
On the much gooder side, welcomed two new grandchildren into the family this summer. Find myself grateful every morning and appreciating my blessings in life more than ever. I am back to having a almost useful level of energy. Can't stand long enough to work at real jobs. But I'm back to doing all the yard work and taking care of many things again.

That second chance does give great perspective, doesn't it? :-)
Well said, Rich. It is life and death isn't it. I had some friends say the route I took was too extreme, but I don't think so.
2011 Patrol, The Higgs Bison Super Collider, formally known as, the Orange and Silver Pumpkin Coach.

2013 Black Retro, Chernaya Krasota, formally known as, my name is nobody.

When you set out on your journey to Ithaca
pray the road is long , full of adventure, full of knowledge
not expecting that Ithaca will offer you riches
Ithaca has given you the beautiful voyage

C.P. Cavafy

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Peter Pan
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Re: Laduca Vida

Post by Peter Pan » Fri Jul 17, 2020 12:12 pm

Ulcers at 24, then 28 years well taken care for this bugger here by my wife in CR until 2016 several month in Germany started to make me ill. There a farmer said: " What your animals are ill? treat them with your same compost enhancer. EM." I did so and they recovered.
-So who is the biggest animal in the farm?
-Me myself.
-Dang. it worked.
:P

Now you get the compost enhancer for human use too:
Happy rotting.
:roll:
Sven


Disclaimer: I use this stuff. I am not financially nor business wise involved.
Germans say "You are what you eat."
In my job as engineer I use to say: "You cannot produce quality by measuring. You aught to create the conditions under which you are able to produce consistently the product with the needed quality." Since I survived meat eater hospital bacteria in 2000 I apply that same principle to my daily life too. Create the conditions under which you are able to live happy and healthy.
Rig pushing is one important part of it. Free bodybuilding Gym at fresh air.
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Peter Pan
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Re: Laduca Vida

Post by Peter Pan » Fri Jul 17, 2020 2:07 pm

Exactly it is right as You say:
If your head ain’t right then nothing is going to be right.
It starts from there.

It took me 20 years to come back from the weight gained in hospital and bed during 8 month 1999-2000 (and Alaska trip 2013).
Have seen a couple of times this year the 80kg line on the right side of the scale arrow. :boogie:

Other thing. Once you are a survivor, you appreciate life much more and accept every new day as a present.
:kumbaya:



Notes: too many friends passed by too early due to simple medical complications that would have been possible to avoid.
Sophie Travelair = Patrol 2013
8 weeks 12.000km Oregon-Alaska-Oregon
With a DIY foam air filter the rig runs well even in tropical rain = :moto:
Final drives: 1. at 5000km, 2. at 34.000km(+friction plates) 3. at 42.386km
transmission: 1. 40.000km. 2. installed
Engine: 1. 43.388km crank replacement: Back on the road since 23.Okt.2019 :party:

The Avatar are 2 rice grains stating life's essence:
"The most important you cannot see!"
=> Attitude makes the difference!

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MartyL
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Re: Laduca Vida

Post by MartyL » Fri Jul 17, 2020 2:21 pm

I have a good friend that was born with one kidney. He Had delt with obesity and diabetes much of his life. When his kidney started to fail he went on the journey of going through what you described to lose the weight because one can’t be a candidate for transplant if your obese. He had the stomach operation and right after that his diabetes pretty much went away. Ultimately his sister donated a kidney and both are doing very well. When he and his sister were kids my friend saved her from drowning so in a funny way she paid him back by donating the kidney to him. Currently my friend is on medication that lowers his immune system that helps him with his transplanted kidney so with the virus out there he has to be extra careful out in the world. It has been a long journey for him but thank God he’s doing very well.
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