I Can Do This!

Last week I decided to go to the doctor, face the weight gain music and move onward as aggressively as possible. I went to see SupaDoc, weighed and got a much-awaited fill. The news: I gained nearly 10 pounds since mid-August.

I COULD NOT BE HAPPIER!

Before you send for the goofy wagon, please let me explain. Everything but the scale shows the signs of victory and this is what we term an NSV or ‘non-scale victory.’ My body composition analysis shows that I have picked up 8-10 pounds, but reduced my body fat by nearly 20 percent. My body fat percentage is down to under 34 percent after remaining at 50-51 percent since I’ve been trying to lose weight with my lap band (Adjustable Gastric Banding).

If you get a second, you might check out how the Tanita Body Composition Analyzer works. This machine has never been my friend before. It gives a weight and then estimates what percentage of ones total weight is fat, muscle and water. There are about 3-4 ways to compute these figures. The most accurate is the use of a chamber which requires getting weighed under water. Many gyms use skin fold calibers that look like plastic fat pinchers. I’m not going to get into all the pros and cons of the methods, but I do feel Tanita gives me a decent point of reference to at least compare how my weight composition has changed over the last 14 months.

According to the device, my fat weighed more than 140 pounds on last analysis. Last week’s figures showed my 34 percent fat total weighed 99 pounds. That’s a reduction of 40 pounds of fat. Muscle mass and water are both heavier than fat, so the end result is that I’ve lost fat, gained muscle and I’m heavier. My goal of being under 30 percent body fat is well within my reach.

One might debate the benefit of this NSV. Before you challenge me to a battle, please remember that it means I may or may not be swifter in catching you, but once I do, the 280+ pounds feels the same sitting on you despite its exact composition.

So, how did I celebrate my new-found good news/bad news?

First, I made a commitment to experimenting with new types of fresh vegetable dishes. We’ve had spaghetti squash, zucchini, eggplant, onions, bell peppers, spinach and mushrooms, just to name a few.

I’m increasing my water goals to 80-100 ounces per day. That’s not too hard, but I think this will help as it gets colder because I usually dry out in fall/winter.

I’m still attempting 80 grams of protein or more per day. Drinking lots of milk and my Oatmeal-Yogurt Crunch for breakfast makes this figure easy to reach and surpass each day. Our other protein sources include Juice Plus Complete, cheese, peanut butter and some fun grilling experiments. I can eat freshly grilled steak with no problems. I can also eat MY OWN fried chicken, and this is more a stipulation of my marriage contract than an unbearable craving. Fried chicken purchased outside the home will just not do for either of us.

I’ve re-incorporated sliced bread. My baby’s entering a peanut butter and jelly phase so I started looking for some ‘family friendly’ bread that everyone could be happy with. Nature’s Own Light Honey Wheat won out because it’s tasty with 80 calories for two slices with 5 grams of protein. See how those 80 grams of protein can be easy to attain?

I’ve demoted my milk choice from lowfat/fat free Organic Valley to Carb Down fat-free milk beverage. This was a tough choice. SupaDoc once asked why I still drank milk with fat and I said I needed to buy one milk choice for my entire family. Well, since both Cecilia and I can go through 1-2 half gallons a week, this excuse just wasn’t holding up. I’m buying one of each instead of buying two of the same kind. (Shhh… don’t tell SupaDoc he was right). Carb Down milk contains no fat and much less sugar, carbohydrates and milk sugars than even fat-free milk. A serving of Carb Down milk contains 45 calories and 8 grams of protein. Duh, Frances …Just drink the milk!

I have plans to start a test-kitchen series on my blog really soon showing the steps to create some of these healthy dishes. I have pictures and recipes ready to go. Most of them are vegetables because I’m craving fresh vegetable dishes right now (yes, Toto, we are NOT in Kansas any more).

Finally, a few days after my 39th birthday and the day after my second fill, (I have 1 cc in my 4 cc band), we purchased a family fitness tool. Scott and I have been riding separately, but rarely together because we have a 3-year-old hitchhiker. We now have a two-seater child trailer attached to my bicycle. I can now ride my bike up and down hills pulling trailer and 40 pound preschooler. (Ouch, was that my back?).

Yes, it hurt a lot at first, but I don’t need a babysitter or nursery to get my exercise. Where I go, she goes and she adds some extra resistance to my cycling workouts. SupaDoc’s nurse Shari deserves the praise for making that wonderful suggestion. I guess I can hand it down to her when she gets married and has two or three kids. (Shh … don’t tell [single, very thin] Shari about these plans)

Cece thinks the cycling is really fun, so we have a win-win situation here.

Bikes, birthdays and bands

I’ll be the first to admit that I’m strange. If my last name was Normal, my first name would be Abby. (Abby Normal…lol – my favorite line from Young Frankenstein)

I get real reflective around my birthday and low and behold, there’s one breathing down my neck. Cecilia Grace, my miracle baby, just turned 3. I’ve heard much about the limited “unprompted” vocabulary of 3-year-olds. Less than an hour ago, I was reviewing an old weight loss surgery newsletter and Cecilia ran over to my laptop: “That’s Docta De Blan. Look Docta De Blan!”

Ok, I’m saying my preschooler, unsolicited, identifies bariatric surgeons. Is this normal?

About this time last October, I got my first lap band fill. ‘Docta De Blan ( SupaDoc Karl LeBlanc to most adults) and my family kept in close contact after that point for numerous health crisis including five surgeries between November and May. So, your child talks about Santa and the Easter Bunny; my child talks about bariatric surgeons.

Since it’s better late than never, I’m trying to incorporate more exercise in my routine. Well, that’s only partially true. After more than a month with our car in the shop, my husband and I blew the dust off our bicycles and I’ve been taking regular spins around my subdivision. I’m taking it real slow, but it’s great to be on a bike weighing less than 300 pounds and not recovery from surgery. Even before the bike rides, I was starting to make some weight loss progress again. I’ve dropped about 6 pounds since the end of the Hurricane Rita Saga. Weight, fat, water – I wouldn’t care if it were whipped cream – the scale is moving.

I’m so ready for good things to happen, that I made an appointment for a fill. If you’re counting, I’ve had one ½ cc fill, one complete unfill and a return to the ½ cc in the last 14 months since my weight loss surgery. It’s not normal, but it’s what I’ve had to do because of my hernia repairs, staph infection and open wound issues. I’m not going to be greedy; another ½ cc will be fine with me. Just a dab will do me, but of course that’s up to Docta De Blan.

I know my capacity varies, but most of the time, it’s more than I should consume. I have made great strides, though, on not drinking during meals. My solid capacity varies. After a slow and well-chewed burger tonight, I still felt hungry. I’m sure this was just exhaustion and stress, but it seemed like something was missing. I had a piping hot bowl of sautéed spinach and Portobello mushrooms. No, this also isn’t normal, but please refer to the beginning of this post.

Abby Normal is getting old.

Victory: Water, weight and waiting

I admitted defeat a few days ago without even realizing it. I said I could never follow all the water rules without a 12-step program. After one of my surgeries this year, swallowing and swelling were dual conflicts for me. I started regular “sipping” with meals to keep food from getting stuck and later it turned into fairly heavy drinking with meals; especially when eating out.

I never went back to the “no drinking with meals” rule and I could no longer justify all my reasons to ignore the instructions. Dr. Mark Hausmann once explained that drinking with meals leads to more overeating because the water helps to wash food out of the stomach at a faster rate and results in a delay in that “full feeling.” I have a lot of trust in Dr. Hausmann, but I always thought my swelling and wound issues made me unique and maybe a little liquid would keep me from getting sick while eating. Well, I still get sick sipping water at times so I decided to score this debate: Hausmann – 1; Spencer – 0.

I decided to follow Nike’s advice and “just do it.” Instead of sipping water with my meals for the last two days, I’ve concentrated on thorough chewing and smaller bites. Results: No productive burps or pain from stuck food. Even my pork chops went down with comfort – slow, but comfortable. I’ve also waited an hour or more after the meal to drink my tiny 24 oz. glass of water.

Instead of 8 glasses of water, I’ve turned my water consumption up to 80 - 100 ounces a day. Considering the fact that most super-size drinks are at least 32 oz. it doesn’t seem to be a lot to exceed 64 ounces which is the recommendation for someone at a normal weight.

I’m starting my day with 30+ grams of protein and trying to get another 40-50 between the next two meals. Milk, yogurt and cheese make this easy without adding too many carbs.

My restart efforts have been rewarded – THE SCALE MOVED!!

As of this morning, I seem to have lost about half of my hurricane weight gain. My goal is to have the excess gone before I get fill in about two weeks. I think by simply revisiting the weight loss surgery basics I can be back on the band wagon. Now that’s something I’ll (in an hour and a half) drink to!

Scorecard on My Restart Efforts

Rome wasn’t built in a day and my empire is no exception to the ‘time and patience’ rule. I hit the restart button on my weight loss efforts and the last couple of days have been a combination of tries and trial-and-error.

Nothing I ate yesterday stayed down. Oh, well. I will call that day errors. Mild cheddar over garlic triscuit crackers – yacked. Too much fiber consumed too fast. Fresh-herb baked chicken breast with stuffed portabellos – half yacked. I learned. I’m eating the right things, but not concentrating on chewing slowly and big chunks become, well, blown chunks. (Excuse the graphic nature of this post) After things settled down, I returned to my cold chicken and spinach-stuffed portabello. It wasn’t too bad chewed to death.

Rule No. 1 – Eat protein first and eat slowly and carefully. Funny thing is that only goes for healthy food. I could eat Orioles and Rocky Road ice cream at the speed of light. Yes, that’s weird. I don’t make the rules; I just break them and later beg mercy from the lap band gods.

Today, I started my day with my weight loss special breakfast – Oatmeal Yogurt Crunch. Ok, that’s a long, corny name. The night before, I mixed 2 cups of plain, fat free yogurt with 1 cup of plain rolled oats. To that mixture, I fold a can each of pineapples and mandarin oranges. After the oatmeal softens, I mix in a half cup of slivered almonds. I add a scoop of vanilla flavored protein powder to each serving. I estimate that it has about 230 calories and more than 20 grams of protein. Quite filling and it gives me a good head start to getting 60-80 grams.

Rule No. 2 – Limit carbohydrates within a high-protein diet. I try to get my protein from solid protein instead of shakes, but I still use Juice Plus as a vitamin and protein supplement.

I got some exercise. I walked two miles to a convenience store to get milk for my little girl and myself. Not impressed? I left at 2:30 p.m. (in Louisiana!) pulling my nearly-40 pound toddler in her Little Tykes wagon built for two. Ya gotta see this thing. It’s got a door, two seats and cup holders. On the trip back with a bag of groceries, I drank half the water and splashed the rest on our faces. “Mommy, my face is crying,” she complained. I guess the ungrateful little tot would prefer spontaneous combustion.

Rule No. 3 – Exercise at least 30 minutes a day. I dragged my earthly remains home at 4 p.m.

I’m a heavy drinker (of water), so this routine didn’t change much for me. It’s very hard for me to drink less than 16 ounces at a time. It truly is hard for me not to drink with meals and I do think this is a big part of weight loss surgery success or failure. I’ve gotten it down to only sipping with meals and when I do abstain from water with meals, I never can wait an hour before having a large glass of water. Shame shame.

Rule No. 4 – Drink at least eight glasses of water a day with no drinking during meals and ‘something’ about an hour before meals and ‘something else’ about an hour and a half afterwards. I drank 80 ounces of water today and I will aim for 100 ounces. The rest of the water rules will not be achieved without a 12-step program.

My day ended with a horrible headache from the hot walk. Dinner was shrimp Alfredo over Dreamfields low-carb pasta and leftover spinach-stuffed portabello. This low carb pasta is out of sight and it has 7 grams of protein per serving with only 5 net carbs. I estimate the pasta, shrimp and mushroom dinner had more than 40 grams of protein. I think there was about three different types of cheese in those ingredients and cheese=protein!

I have the end-of-the-night-munchies. Watching my toddler and husband snack on about 5 different things hasn’t been easy, but only because I have to fetch snacks and clean up the messes that they leave. I’m thinking of ending my day with a large cup of sugar-free Nestle’s Quick with milk. 10 grams of protein, here we come!

Time to Hit the Restart Button

It’s early October 2005 and it’s time to hit the old “restart button.” I’m really kinda calm at this moment and I don’t know if I don’t care about my weight gain or I’m just so numb from weeks of living in South Louisiana. I put the scale in a corner the week before Hurricane Katrina hit and took it out after my family left to return to my hometown that was “ripped a new one” by Hurricane Rita. I call this period of my life LaKarita!

During LaKarita, I gained around 10 pounds. I’ve taken no vitamins. I’ve mixed no shakes. My exercise included walking down a dark highway with my baby in a wagon to find a way out of my energy-starved subdivision the night after Katrina hit. I also pushed my car a lot. It started dying Katrina morn and has been in a shop through the end of the Rita evacuation.

I didn’t cook much during Hurricane Katrina, but for the two weeks of mandatory evacuation of my hometown, we were nine deep in my house. Yes, nine people, two cats and a dog for more than two weeks. Ya know, I think it was fun. We had to shop for groceries everyday and I think we have stock in Wal-Mart now.

Cooking for nine people can be fun, but the challenge to find what would make the “majority” happy got difficult. To add to the challenge, five of the nine were diabetics. Not five old people either. Our diabetics ranged 17, 35, 38, 67 and 69. My 17-year-old niece and I have been insulin dependent and the other three are and will always be daily insulin takers.

The weight loss efforts felt victim to the following:

• Bread and starches – we stopped eating bread in my house, but daily bread and rice is the Louisiana way of life.
• Sugar – I fought the soda every step of the way, but I treated the gang to bakery cakes and a big Baskin Robbins run just to keep morale up and tensions down. I also learned that teens and snacks go hand in hand.
• Stress – Ok, I may act like Wonder Woman, but this stuff got difficult. I got new meds post-Katrina and I think it helped me stay calm with nine people in my house (2 cats and a dog). I don’t think I’m an emotional eater because some yummy comfort food just made me sicker. My stress hives make me look like I’ve taken a lashing with a bull whip.
• Exercise – Hmm, what is this exercise? I guess marathons of the Weather Channel don’t count.

Some great things happened while I gained those 10 pounds:

• Grilling – I have some new grilling secrets. Who needs electricity if you have a BBQ pit? Will grilled everything short of the (2 cats and a dog) and that practice will serve us well. After the lights came back on we kept grilling because it helped cool the house.
• I cook therefore I am – There’s no place to easily take nine people out to dinner. We had to cook, plan meals and cook.
• Peace of mind – I never wondered where my sick and elderly family members were. We were together. Being the youngest of the family, it felt good to know that I could step up and be everything to my parents. LaKarita taught us a lot.
  

So, I’m hitting the restart button. Eight or more glasses of water, limit sugar and carbohydrates, 60-80 grams of protein a day and EXERCISE WILL YA!

The lap band surgery is adjustable and I’m sure I need an adjustment called a fill. My first 13 months, I’ve had only one ½ cc fill. I’m afraid of getting too much restriction because I get nervous, eat fast and get “sick.” I’ll have to concentrate and take it slow.

It’s been a little over a year and I’ve lost a considerable amount of weight. I know it could be a lot more, but considering the year it’s been, I chose to give myself some grace instead of lamenting. I still weigh less than 300 pounds and I believe with time and hard work, I can weigh less than 200 pounds.

Mark your calendars, it all starts NOW!

I've Been Living in LaKarita

After two months in Hurricane Hell, I'm looking for what 'normal' used to mean before Katrina and Rita ... I call this period LaKarita!

I'm in between eastern Louisiana (Katrina) and western Louisiana (Rita). Katrina was closer, but my hometown is one of the most severly hit by Rita -- Lake Charles. My parents and my brother's family have been with us since the day before Rita hit and my new normal life involves nine people, two cats and a dog. Cooking for "many" including five diabetics and teen-agers proved to be a challenge.

During Katrina, I saw the horrors of sick and elderly waiting in long lines for food and medicine. It hurts to watch and the best I could do was vow that my elderly parents would never make the news waiting for a MRE and bottled water. Three weeks later, I got to put my money where my mouth was.

I stuck to my bander's shopping and cooking routines, but each day more white bread, white sugar, pop tarts and "gosh" carbonated drinks made their way into my kitchen.

Other than treating the gang to Baskin Robins one night, food hasn't provided much of an alluring comfort to me.

I'm starting to wonder where I stand, scale-wise. I've been off of the anti-depressants that started at the same time I stopped losing well. I see the scale from time to time, but I've not stopped enough to care about it.

I'm only working with a 1/2 cc fill, so if I've gained 10 pounds, I shouldn't be surprised or disappointed. I lost my safety pin in my favorite blue jean shorts. Nothing keeps them up any more and I'm quite sure my Size 26-28 days are long gone. A loose 22-24 is more like it with lots of annoying, hanging skin in my arms and tummy.

When I'm down to one household in my house instead of three, I might get a new "loser's fever" or not. I'm sure I can at least invest in another 1/2 cc fill and step on the scale and see where that takes me.

My hurricane survival tips include "grill everything." We started grilling when the power was out and continued cause it was just darn fun. Chicken, pork, beef, veggies, pineapples -- everything.

I tossed thinly sliced pototoes with red and orange peppers, onions and herbs and olive oil. After separating them into single serving foil pouches, we grilled those puppies.

Last night's shrimp fettuccini was topped with a dish consisting of sauteed portabellos, crispy onions and baby spinach. This gave me an opportunity to try Dreamfields "extremely low net carb" line of pasta. I highly recommend this stuff!

No, we haven't exactly suffered much, but when one stands in the Red Cross line with armed soldiers for four hours in the Louisiana heat, using the money for lunch meat and potato chips is just not appealing.

SueElla's hometown took a beating and she may have a couple of weeks left sharing a camp with relatives. All her animals survived the waters and that was a big relief for her. I've not spoken to Gemma in a couple of weeks, but she was doing much better and gaining strength when we did speak.

That's me folks! I'll be back and I'm sure I'll see some SV and NSV in my future.

Onward!

Notes During Hurricane Rita

I don't know what to say....kinda in a crazed daze.

Baby and I are planning to ride out another monster storm on the "outskirts of destruction." We left Calcasieu Parish yesterday which is close to Texas and Gulf of Mexico and came home which is farther east. Well, the storm as moved a little farther east in its projection.

Last I heard, my trucker husband was trying to leave South Texas/Louisiana border area and come home. No word in a while.My elderly parents are under mandatory evacuation as well as my brother and sister and their children. I'm trying to get everyone here in Baton Rouge because we are a little more inland and eastern. It might be a mess here too. I don't know.

I spoke to my angelette SueElla and she's heading north to Toledo Bend. They will go further north if they have to. They are more than welcomed here, it will just be tight. My other angelette Nikki is four miles farther north than I am and we are not under any special alerts in our parish.

I'm spoke to the son of Gemma, the Katrina Storm Survivor, and she's still in the Baton Rouge hospital and doing much better with IV meds and will be in the hospital through this next storm.

I will post updates until (or if) we lose power.My prayers are with my South Louisiana and Southeast Texas OH family.

Please be safe.

Onward (in His Grace)

Attempted OD on Little Debbie Cakes Post-Katrina

Me, baby and the band are surviving in post-Katrina South Louisiana. I don't now what to say other than we're ok. I'm a little fried and stressed. I started taking some Xanax and that seems to help; except I took it, fell asleep and Cece slipped out of bed and coated the kitchen floor with Pam cooking spray. OK- Nothing's sticking to my kitchen floor now and I save the meds for late at night.

I tried to "eat my stress away" a few days ago and I still feel the yuckiness of 3 Little Debbie Cakes and whole milk from a convenience store. I'm not an emotional eater, apparently. Yuck!

Next week, I will start "some" type of exercise routine with fellow band babe Nikki D. in Zachary, La. We've both tried drinking and sweets and they are not smoothing my angst or even that enjoyable. There's got to be a better way.

I've found a cure for the scale addition -- Cat 4-5 Hurricane. The scale is up side down in a corner and I'm laughing at the days I used to hop on it first thing in the morning. I might be losing, might be gaining, just trying to stay away from "might be nuts!"

In my spare time, I've been working for Nola.com out of New Orleans and not out of homes across America. The first week, I was posting emergency rescue request to the Web site. Now, we are just giving folks a way to stay informed, speak out some frustrations and get the help they need to stay afloat. The URL is " nola.com " and doing the Nola View Blog near the bottom right of the homepage. (PT- good pay!)

In the rest of my spare time, I've been helping OH and local wls clinic get relief and supplies to displaced patients and those who had doctors in New Orleans and now need after care. I have volunteer surgeons in 4 or 5 cities, so if you know someone who needs my help, email me. (voluntary and well rewarded!)

I've been in contact with Gemma Rachel, the woman who had to airlift out of New Orleans days after RNY. She's had a tough time, but she's a trooper. I will be posting something on all the boards about how we can help her get on her feet. She's definitely on the losing side -- 42 pounds in a couple of weeks -- but her health is taking a beating and I can't imagine the horrors she has seen.

In the rest of the rest of my spare time, I've been on a job search. I'm one of two finalists for a communications job at a local university. I feel newspapers pulling me back into the "media addiction" since the storm and I don't know if I even want this job any more. I do need a full time job though. (possible so-so pay)

My un-spare time is caring for my nearly 3-year-old daughter. She's been with my parents for five days and I'm leaving to go spend the weekend with them and her. My baby didn't have to see the horrors that many infants and toddlers are living right now. I know what a wonderful blessing that is and I'm grateful to the Lord for His grace extended to Cece and I.

My husband has been gone though most of this and it's also tearing him up seeing pictures of Louisiana all over the country and knowing he can only read about it and not be here to help us cope.

I know something that could be fun...I could visit SueElla this weekend! Yes, I will do that. I'll see SueElla this weekend and come back and burn some street rubber with Nikki. I'm the angel, but I feel like I get all the rewards of knowing my little sisters.

Well, folks, that's Frances in a nutshell -- supersize my nutshell, please.

Onward!

Notes During Hurricane Katrina

Posted 8:30 a.m.
Don't worry about me and baby, we are fine. Please pray for our neighbors to the immediate east of us. It's bad, but it could have been lots worst if things had not shifted a few miles eastward.

We have some intense wind and rain where I live which is 70 miles from New Orleans. NOTE: We are not in a parish that evacuated. I've never been in danger by staying here and it's much better for those of us in Baton Rouge not to congest the highways for those who HAD to leave. My area will see power outtages and flooding and the entire southeastern part of the state is still holding its breath until the storm's eye leaves the state in about four hours from now.

I'm going to get some "protein first," but I will try to post in a couple of hours if I still have power.

Noon on 8/31/2005
My little girl and I got our power restored late Tuesday. I got out into the more "city" parts of Baton Rouge today and heard my first newscasts since the first hours post-landfall. I've shed a lot of tears today and I know for every heart-breaking story broadcasts, 10 others exists. The level of human suffering within an hour of me becomes quite difficult at times.

At one point last night, I left my house with my baby in a wagon and one flashlight. My car stopped on me through all this and the thought of being in a slightly rural area with no lights, phone or car was overwhelming.

I've felt what seems to be panic attacks all day and my blood pressure is in the clouds. I plan to see my PCP tomorrow.

There's no witty or inspiring twists. Life down here just got 100 times more difficult and we all need your prayers. Thank you all for the kind words and prayers.

Written to "Dee" on 9/02/05
Dee,

I've never met you, but I feel we are more kin than we ever have been. We are bandsters battling the storm after the storm. Most of the people complaining can't begin to understand how our lives have been totally changed by the storm -- even or especially our lives as bariatric patient.

Examples:

• The day of the storm, I was wandering around looking for "hot" food because I can't eat sandwiches and cold anything (except yogurt)
• La. bandsters searching for aftercare now that four of the few centers in Louisiana are closed (washed away).
• A preop in Metaire who lost everything and her/the kids are separated frpm her husband.
• A postop lady who fled to Texas and is now dehydrated and losing protein levels because she doesn't have the products she tolerates. She's losing weight at an alarming rate.
• Several preops who were finally approved and scheduled and now their doctors and centers are no longer operational.

Those of you with the "constitution" to read this far, bear with us. My posts aren't "OT" because they aren't.

Thursday, there will be a meeting of bariatric patients from anywhere in the state who need support, nutritional supplies and medical care. There will be at least one surgeon there who is offering aftercare and adjustments for displaced patients or those from other areas who were just treated in New Orleans and Covington. We have bariatric supplies and nutritional products being shipped in from vendors all over the country.

I realized the day I searched for something that would sit well with me that people were going to be in trouble. My angellette just had surgery in N.O. and she still had drains and staples. I felt people would suffer and possibly died if something wasn't done to meet OUR specific needs.

Operation Katrina is being spearheaded by ObesityHelp Inc. Just that in itself makes this effort very un-"OT."

If you can't feel you need to avoid the posts, I fully understand. But we in Louisiana, Alabama and Mississippi are part of the family and the family is hurting and suffering beyond compare.

Those of you who don't understand, I hope you never have to.

Onward!

Reality Check: What I Can and Can't Change

It's been almost a year and I think it's time for some aggressive action and a little less feeling sorry for myself.

"I'm not losing weight quickly any more, I hurt all the time, I need to get back to work, boo-hoo, boo-hoo ..."

Sometimes, you just come to the realization that some people care, some people don't give a rat's hindy and, in the end, sometimes neither will make a difference in one's fate. It's August 2005 and I have to decide how much "I" care and if I can step up one more time.

Let's review the last 11 months:


I must say, for a person who never liked to pose for pictures, I've done a good job at getting on the other end of the camera. I still hate what I see, but I've learned to use it as motivation and assessment of progress.

My favorite is still pictures with my family, like the one on the right in our WalkAmerica T-shirts. For more information about our "walk" activities, click HERE.

I wish that I could have lost more weight, but I didn't expect 6 surgeries, a major staph infection and months of wound issues all in one year. Some people might think I'm lucky just to be alive. They are partially right, I just know that "luck" had nothing to do with it. I can look back and see how blessed I have been. \0/ (my code for "praise the Lord!")

I have some restriction (Ok, a small fill) in my lap band, but it's more than enough to get me moving again. While I was unfilled, I stalled like a rock in pudding and then I had a 3-pound loss right before SupaDoc put a 1/2 cc in my lap band and we are hoping that will help me lose without aggravating the swallowing and eating problems I have when my abdominal area swells due to fluid collection.

So, what can I not change? There's no end in sight to my GYN-related problems. I had an ultrasound yesterday that showed my largest ovarian mass seems to have shrunk from 8 to 5 cm. The test, however, showed that I have numerous, but small fibroid tumors. All of those growths -- cysts, tumors, scaring -- are things which are slow to get resolved. I've seen two GYNs and one GYN oncologist and none were interested in getting rid of any of this. Now that the biggest mass is shrinking, I'm sure we are back to the "wait" phase. I'm actually Ok with that and I'm going to try not to lament those problems too much, try to get pain management under control and give myself several "cut-free" months.

What can I change? I've honestly been lax in my eating habits for about a month. I skipped meals, got into a Burger-quicky-meal mode at times and I've not walked because I'm hurting a lot. I gotta get back on track and keep a close eye on carbs and "cook" my own protein. My eggplant adventures are continuing and they make fancy low-carb dishes fun. This week, I made a seafood au gratin with fried eggplant medallions. The seafood was crawfish, crab meat and shrimp in a cooked-down Alfredo base. I let my eggplant sit in thin pancake batter before rolling in Italian breadcrumbs. I served it with a small portion of my Festive Veggie Saute.

I must get active again. It's going to hurt -- that's just life. I'm walking in another Walkathon next month and I gotta get back to being able to handle the occasional horrible pain and at least walking everyday. (Join The Walk From Obesity - Louisiana)

I'm also hoping to get back into a full-time working routine. I think eating well will be harder if I go back to work as opposed to working mostly home, but a stricter routine and that added discipline may be just what the doctor ordered. I do know one thing for sure: I'm so broke, my Bologna has one first name! It's time for less surgery and more work.

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Those of you who are fans of my writing and my work, can find my published work in the current issues of ObesityHelp Magazine and Refreschen Louisiana Magazine. You can also find a collaboration between myself and SupaDoc (Dr. Karl LeBlanc), in the current issue of Bariatrics Today. It was a lot of fun serving as the editor of his expository on Ventral Hernias and the Bariatric Patient. I have nothing but respect and admiration for this truly extrordinary human being.

Mixing an article on hernias and weight-loss surgery was not my idea. Props to Nikki Johnson, managing editor of Bariatrics Today/ObesityHelp Magazine. Nikki is another person who's helped turn my last year into a journey (with new professional challenges) instead of a nightmare. (Meow! to you, Nikki)

I'm going to try to keep this blog uplifting and informative. Ya know life isn't always kind, but I will continue to simply play the hand I'm dealt. My favorite word will continue to be:

ONWARD!

Armed And Working on 'Dangerous'

Thanks for all the wonderful suggestions and concerns yesterday. I know that I probably still shouldn't be so concerned with losing weight right now (with ovarian mass issues raging), but I thought getting a fill might help me concentrate on weight loss and not think about how I want to put a "hit" out on every GYN in the state of Louisiana.

In the period I was unfilled, I lost 3 pounds. yippee. But I had gained 10 total before, so I'm still 8 pounds away from my lowest weight. I'm about 70 pounds down instead of near 80 pounds. But I think I've seen progress in inches, but I'm not measuring, so I'm unsure.

My doctor was happy with the 3 pounds and wasn't pushing a fill, but I like to live dangerously, so I insisted and told him I would come back if I started to McPuke again and get an upper GI.

SupaDoc doctor had some trouble with the port and I could hear some popping as it flipped out of place. I think he got it on the third or fourth stick. I got my 1/2 cc fill back in my 4 cc band and I think that will be good restriction since I still had some restriction unfilled.

I've had one Juice Plus shake and I feel some pressure and discomfort, but nothing too bad. At least I know it's filled again.

I go for an ultrasound to measure my ovarian masses on tomorrow. Everyone (except GYNs) keeps telling me to push for what's right for me. (Thanks, Lilli, I hear ya shouting). This could be nothing or this could change my life and my family's life. If nothing else, I don't like being in constant pain. I like to go-go-go. With a healthy and more energetic body, I would be down right DANGEROUS!

So, don't worry that I'm going to take this lying down. I gotta life and I'm determined to live it!

Onward (where else?)

Frances

Group makes double-advocacy effort in walk event

BATON ROUGE, La. – A group dedicated to the aid and recovery of weight-loss surgery patients joined a national fight against infant prematurity. Members of NooMee, a Baton Rouge support group, raised money during the March of Dimes WalkAmerica, but they also hoped to raise awareness of the plight of those battling obesity, team captain Frances Spencer said.

Kathryn Mixon, March of Dimes Capital Area division director, said the late April walk brought together teams and individual walkers from the Capital Area’s eight-parish region and started and finished on the grounds of Louisiana State University. Mixon said despite rain and a bleak weather forecast, more than 2,500 walkers participated in the event. Early estimates showed that up to 4,000 walkers would participate.

(Click HERE to read the entire story on separate page)

Note: I'm very proud of the efforts of my family and the other NooMee families who responded wonderfully to the plight of children in need. A special thanks to the doctors and staff of the Minimally Invasive Surgical Institute for their encouragement and excellent support of this cause. NooMee's efforts were also features in the special fitness issue of ObesityHelp Magazine.

Reflections On A Bad Day

(Blogger Note: This was originally a post to the ObesityHelp.com message boards. I've edited out a few typos)

I've waited until this day was nearly over to post my reflections on a truly awful time to be me.

My baby's puppy died. Buster was very symbolic in my weight-loss journey because he showed up in October and we estimate he was born about the time I was banded. As I lost weight, Buster found it. At 6-7 months, he was 70 pounds and now he was nearly 80 pouds up as I was nearly 80 pounds down.

Being sick and alone with my toddler, I've not been able to take really good care of him lately. Ironically, he died while my husband was home. The doggie seemed to have gotten caught up in some brush and strangled on the line.

I sent my baby to daycare and then started making calls for help with his bloating and heavy body. I considered yanking my JP drain tube out to take care of him, but I can't lift the weight I've lost.

After the public works crew left with Buster, the last 10 months of pain, changes, surgeries (6) and struggles seem to hit home. I have all the best excuses in the world, but I've let my little girl and her big doggie down and at times it was too hard to bear. Life is strange, I've lost four of my own children in my six-year marriage, but I'm sure I cried more today than at any other time. It's not that I didn't mourn my precious children. It all came tumbling down as I called office after office because "I can't move my baby's puppy." What next?

Food was available during this horrible day. My husband had breakfast at McDonalds when I dropped him to work and Greek for a late lunch, but I wasn't tempted. I probably didn't eat enough today, but I have no appetite when in pain. Once I got some meds in me, I was able to enjoy a nice eggplant snack with my family late tonight.

I harbor no ill will toward the band, but this sickly, thinner Frances is not the woman I feel comfortable with. I like going, going and creating and conquering. I know that HE will be strong in my weakness, but being "needy" continues to be one of the greatest challenges of my life.

I'm sorry that this doesn't seem to be about food and the band, but it is about me. My food adventure this week, is, however, trying to find ways to substitute eggplant for starches like pasta, potatoes and rice. Any eggplant recipes will be appreciated.

As always, please continue to pray for Cece, Scott and I. Our life is like the eggplant dishes -- constantly changing.

Onward!

Frances

Buster "Jo-Busta" Spencer 2004-2005

My support system -- I've been blessed by the wonderful support of bariatric pre- and postops from the boards of obesityhelp.com. In this case, I would like to offer all the comments and suggestions I got in response to this post. CLICK HERE TO READ COMMENTS.

Sometimes God Says "Just Not Now"

I've felt the prayers and positive thoughts of people all over this wonderful world for me and my family. I do feel that God had an answer and it was simply "wait."

My surgeon put in a JP tube in my stomach to drain the fluid build-up. He said he wasn't very optimistic that it would all drain out without a surgical drain tube. (Yeah, geez).

I left my surgeon's office with hopes that the GYN would have encouraging news if I told him about the increased pain, swelling and fluid. (Note, I have ovarian masses and one, quite sizeable).

He took one look at the drain tube and said "Whoa, that's not my area of expertise!" He didn't feel like the two issues were connected so he's sure that we should wait until the abdominal drainage resolves before doing the ovarian surgery. Instead of moving the time of "pain relief" sooner, he said this swelling and drainage might move the ovarian surgery (set for August) even further back.

If there's an life-or-death emergency, he will do surgery immediately. In all honesty, I can't say that I think this pain will kill me in the next 48 hours.

I can't do much, but wait until these surgical issues are resolved. I can't work (punch a clock) and I'm not much good as a house-wife when in pain every day.

Sooooo, I guess we need to change our prayers. I need to find a way to help support my family and remain slightly sick at home. This isn't a hard task since I'm a consultant and free-lance journalist. I have to find a way to work through the pain and continue aggressively completing home-based projects.

I will probably keep this drain tube for a month unless I have to surgical drainage before that time.

These are the cards I've been dealt and I plan to play them.

Thanks for all the prayers and, as always,

Onward!

Frances

Responding to "My Boyfriend Won't Sleep With Me"

(Blogger Note: This is a response to a lady who wrote that she felt so uncomfortable with her size and that her weight was making her unattractive to her boyfriend. CLICK HERE FOR ORIGINAL MESSAGE from ObesityHelp.com)

Beauty and attraction is so relative that you might not solve every problem with a lap band. One man's obese girlfriend is another man's BBW princess. BBWs are "big beautiful women" and in certain circles they have no trouble filling their dance cards. My biggest fear in having the lap band surgery was that I would no longer be sexually attractive to my husband who always preferred women between 300-400 pounds.

I'm not saying everyone needs to be that large to be sexy, but I am finding that sexual attraction remains as size changes if there's somethings at the foundation other than an "ideal size."

If you feel like a fat pig at a size (guessing) 26, will you still be a pig at size 16 when you pass size 12s? Many size 12s feel like oinkers as they pass those cute little size 6s.

Unless you can guarentee you will become your ideal size, you need to address the issues that make you "feel ugly" and unwanted.

When my husband brought me a thong in a size 26, I wore it and I WORE IT WELL. Now, I've found a way to radiate the same beautiful as my size changes.

I'll never be disappointed because I'm not getting sexier -- I'm getting healthier. Sexy can't be bought off the rack and my beauty starts with my confidence in who I am.

Good luck in finding acceptance where you are. Sorry if this doesn't sound supportive, but you will find lots of folks who will agree that you couldn't possibly look good in a thong. After the thong comes off (if it does), we all look the same in the dark. I just happen to feel the same way when the light comes on.

You will need this aggressive confidence and spirit sometime before the scale says you are not a "fat pig" anymore.

My best to you in your journey.

Onward!

Frances

Banded, busted, broke down, BLESSED!

A big howdy from Bayou Banded and Blessedland!

Sometimes you need to turn your eyes to heaven, go back to what you know and count your blessings.

Most of you know I've been sick lately and some of you know I've also been home alone with my T-babe Cece while her daddy is off driving trucks, Lord knows where.

Today, I found myself in horrible pain, both my cars and I are broke down and not a cent for a quick take out tonight for Cece and me.

Back to basics, banders!

My 2000s child is about to get an induction in how to get it down on nothing in Louisiana old style:

For her:
Hot cornbread
Juice or milk
New Orleans long-grain, fortied rice

For mommy:
Turkey wings smothered in everything in the kitchen -- Pan sauteed, fresh onions, parsley, chopped garlic and CAYENNE pepper.

I'll get a little bit of her carbs and she will get some of my turkey finely chopped and hidden and we will call it dinner on the cheap.

I checked, there's protein in everything!

It ain't fancy, but ain't starving (or fast food).

I'm counting my blessings and holding tight to my little one. I have two doctor's appointments tomorrow and I might need a drain to get rid of all this fluid in my tummy. You praying folk think about and pray for me and my little Cece tonight.

Back to Basics With The Band

I've moved myself back to mushies since my unfilling last Friday. I have nothing in my band, but I was still PBing and foaming puke. (sorry). I decided to do mushies for a couple of days instead of taking my doctor up on the suggested upper GI. Ya ever just get tired of poking and sticking? I'm there.

Being unfilled has not been much of change for me. I've tossed chicken and solid carbs a couple of times and I'm not hungry between meals. Today I had sf hot chocolate, yogurt-oatmeal (w/some protein powder), Life Cereal and soupy grits and eggs for dinner. Way to party on that unfill, huh?

No ice cream or anything exciting to mention. I should probably get some more protein powder if I'm gonna go mushy for a while. Tomorrow, I'll try something more solid and if I PB and toss, I'll agree to the upper GI. I'm wearing a hernia binder which is helping to restrict that abdominal swelling so I'm not looking "very pregnant" today.

In all, I'm tired and it's time to put the world's most hyper toddler to sleep.

Swelling Makes It Hard To Eat

My abdominal cavity was drained again this afternoon. I looked about 7 months pregnant right before and I'm happily back in the first trimester. I declined an upper GI to check why I was having trouble eating because I'm soooo tired of tests and needles.

I had some leftover chicken and a few teaspons of potato salad when I came home and it's a tight fit, but I thought it was going to stay down. I do think my swelling is taking over portion control while my band is unfilled. It was never a comfortable fit and I finally just kept throwing up little bits of it until it was all back up. (Excuse the gross descriptions)

My surgeon feels assured that this swelling is not related to the ovarian masses that I have, so that makes me feel much better.

It's not perfection, but that's all good enough for me.

Disarmed The Band

None of my problems are caused my the lap band. The band, however, is just one of a ton of little things making life miserable for me. I've had crazy, mad restriction lately and I was starting to lament eating anything solid. I'm feeling a lot of pain after swallowing and pressure in my chest like heartburn.

Yesterday, I had 340 cc of fluid pulled out of my abdominal cavity where it is gathering since surgery a few weeks ago to repair a hernia. I have a bowling ball in my mid-section and it's making eating tough. I thought if I could take the band fluid out also, I might be more comfortable.

I'm also dealing with an unresolved ovarian mass which exceeds 8 cm. Anyone of these other problems are probably the culprit, but I don't even think I can take extremely good restriction right now.

My doctor removed my 1/2 cc fill (yes, that's all I had) and I had some x-rays that showed my band has not slipped. I need an upper GI next week and my bowling ball fluid pocket will be drained again.

I'm not gaining or lossing right now, but any less pain is sounding good.

I'm hoping that tomorrow will bring something to rejoice about or a "great" way to look at this ordeal. Until then, all prayers are appreciated.

Onward (you first)
Frances

My Journey is now officially 'A Struggle'

When I think of journey, I think of a pleasant walk in the cool of day amongst fragrant flowers and churping birdies. When I think of struggle, I think of strolling through a cow pasture, landing in a hot, steamy one and tripping over my shoelaces now caked with nature's fertilizer.

I can still get there, but there will be no pictures (and few hugs) when I'm dun.

I don't want to quit, but I don't want to lose. I mean, yes, I would love to lose, but I'm not much on admitting failure. After losing nearly 80 pounds and gaining nearly 10, I feel that I'm stuck and maybe a concentration on something other than carbs and scales would be best.

I got a load of feedback from my previous post and I truly appreciate all the concern. I'm not going to end my weight loss efforts, but I do think I need to put a higher priority on finding out why I'm always sick and in pain. Many will say that if I lose the weight, the sickness and pain will go away. Many will also mysteriously disappear.

I have a new quest and a new theme -- No pain, no pain!

In my latest conspiracy theory, I'm attempting to put all my ailments under one umbrella, fight the root of all this evil instead of the symptoms and find a doctor who will champion this cause.

Since my lap band procedure, I've had wound issues, infection issues, pain issues, five surgeries and the continued weight issue. I've gone from nearly 350 pounds to 268 pounds and up again. A problem that hasn't been addressed during this time is my increasingly painful ovarian masses that have been, from time to time, on the grow.

I will attempt to prove, ladies and gentlemen of the jury, if you eliminate the painful masses (and the blasted ovaries that spawned them), that you will reduce the pressure on the hernia-rich abdominal cavity, eliminate the hormones making weight loss so difficult and headaches so abundant, end the need for bimonthly surgeries which make exercise nearly impossible and maybe, just maybe, end the pain. And we know no pain, no pain!

Back to reality. Yes, I'm making myself laugh because it sure beats the alternative.

When all else failed me, I turned to RealityDoc (Dr. Eric Melancon) for help. RealityDoc has become more like a Big Brother full of wit and compassion for those suffering. He came to the rescue and through referral is introducing me to NewDoc who I meet this afternoon.

I'm gathering all my scans, reports, films and symptons and I truly have hope that I might get some needed answers.

My goal hasn't changed. Cecilia Grace is my one chance at motherhood and agressively pursuing wellness is my only chance to give her what she needs. She's still sleeping now and it's after 9 a.m. I'm hurting and I haven't decided if I'm going to give her up to daycare where someone can easily pick her up and feed her. I think I'll struggle through breakfast and then give her over to the able-bodied caregivers. I know it's what's best for her today, but she's all I have.

No, that's wrong. I also have a mission!