I'm No Beauty Queen, I'm Just Beautiful ME!

"You made me insecure
Told me I wasn't good enough
But who are you to judge
When you're a diamond in the rough
I'm sure you got some things
You'd like to change about yourself
But when it comes to me
I wouldn't want to be anybody else

It's such a funny thing
How nothing's funny when it's you
You tell 'em what you mean
But they keep whiting out the truth"

                  ~Selena Gomez 

                      (Who Says) 

The last two weeks, I have learned so much. Things about me, things I need to change or work on. Hey, no one is perfect right? I am always open to constructive criticism. I am and have always been open and honest with myself and others, perhaps to a fault. Perhaps I have given over too much, trusted too freely. I have to start treating myself like one of my patients.... the strictest of confidentiality. 

I have learned of deception, lies and backstabbing within this community. It makes me sad. But in the last few days, it has really hit home! Two weeks ago, it all started, a miscommunication, a misconception between friends. That's over now and someone else has used the fuel from it's fire. Some one close. THAT hurts. 

Careers have been affected. My career has been affected. Some of my friends have been hit, HARD! It's just not fair. I feel like I am between a rock and hard place personally. Here I am... a professional, a social worker, a helper and a post-op, but what I am even more so than all of those things put together is HUMAN.  A young human at that. 

Someone, I don't know who, sent an anonymous e-mail to my surgeon telling him he should look at my personal facebook. He looked. The whole office saw and he came to me about it. I have never been so mortified in my entire life! My private life, out there in the open now forever mixed in with my professional life. I feel betrayed. My facebook profile is on lock down. NO ONE can see it if they are not friends with me. I made the mistake of letting in one of his staff members. So what was so horrible that I did, that he saw... 

He saw a check-in to Applebee's restaurant in which I proclaimed I'd be having a margarita. He saw two pictures that I was tagged in of me being silly with my girlfriends who came in from out of town to see me and attend a WLS event. He saw me say I had bought a shot glass in the airport in Vegas. I have been collecting shot glasses with my husband since our honeymoon. He may have even seen my pictures from my week in Las Vegas. One in particular where I had a drink in each hand (one of which was not mine) in front of the Treasure Island Hotel. Perhaps he saw the picture I took in front of Margaritaville. Yep, it has been a running joke between my friends that tequila is my drink of choice. They post pics and videos and all sorts of silly things. Lastly, he may have seen the check in at serendipity in which my caption was, "I think I found my dumping ground!" I was in Vegas for a post-op meet and greet. All of this happened after the meet and greet with a post-op friend of mine. I didn't even walk into Serendipity because I knew there was nothing for me there and yes I punned off of "dumping syndrome" on my caption. So what really did my surgeon see. He saw me enjoying my life as a 20-something. Having a drink with some girlfriends and being a normal 26 year old. 

What he didn't see... I walked the Las Vegas strip 4 times in two days. That is 2.5 miles each way. I walked the Vegas Strip 4 times without being in pain, without having to stop and catch my breath, without asking my friends to slow down and wait for me. What he didn't see is I rode the roller coaster at the New York, New York hotel! He didn't comment on the fact that I wrote in sheer excitement that I FIT into a roller coaster for the first time in over 10 years! He didn't see the posts stating I walked over 12,000 steps almost every day I was in Vegas. He didn't see all the amazing things that I take to be a gift he gave me when he performed my surgery 7 months ago. That man gave me my 20s back and all he saw was the things I did that may not align with perfect post-op values or perfect professionalism. 

I will be 26 years old on June 2. I am a normal 26 year old who enjoys going out and being 26. I have a drink or two once in a while. I have fun with my girl friends on occasion. I dance like no one is watching. I am confident and I walk like I am worth a million bucks. Why? Because I am! Those of you who know me, know I am not conceited at all. Many tell me I don't think highly enough of myself, especially on a professional level. I suppose that will come with time though. 

I LOVE my work. I LOVE this community. I would do anything ANYTHING to better it. But I cannot and will not give up my life for it. I left the conversation mortified. I left feeling attacked and judged. I have been a mess for two days now! I have to let it go. My only hope is that other's both professional and not will be able to see me for who I am and not expect me to be someone else. While I agree that I may need to pull in the reins and may need to not give so much away on facebook, and I will work on that, I truly believe that being a post op is about getting your life back and living it to the fullest. For some that is running a marathon or climbing a mountain or wearing that size or seeing that number on the scale. For me, it's about walking the Vegas Strip 4 times in zero pain. 

Thank you for my life back! It is a gift! One I truly cherish! 

I hope each one of my readers will take their gift and live their life in a healthy balanced manner and make sure to never let those moments, those NSVs pass you by!

xoxo

Sleeve Pixie

Long Island's FIRST Medical and Surgical Weight Loss Expo!!!

Join us for the Medical & Surgical Weight Loss Expo!

Free if you pre-register!! Register online at

http://www.newyorkbariatrics.com/Expo/
Don't forget to tell them RACHEL LEBOWITZ sent you!!

If you are interested in losing weight, considering weight loss surgery or have had surgery—The Expo is a must attend! Focusing on a total body solution - the presenters, exhibitors and demonstrators include products and services which will help you get on or stay on track for a new and healthier you!

Throughout the day, two seminar tracks will be presented by medical professionals who are dedicated to making a difference in helping New Yorkers with discussions on healthcare issues commonly associated with obesity. Exhibitors will include weight loss products and services, post-operative products, healthcare screenings, fitness and cooking demonstrations and a gala fashion show!

Take Back Your Life. Take Back Your Health.

Register Today! Register online at http://www.newyorkbariatrics.com/Expo/
Don't forget to tell them RACHEL LEBOWITZ sent you!!

50+ Medical Professional Exhibitors
Healthcare Screenings
Cooking Lighter Demonstrations
Fitness Demonstrations
Gala Fashion Show
Nutritional & Weight Loss Exhibitors
Post-Operative Support Exhibitors
Free Weight Loss Product Samples
Prizes, Music & Giveaways and more
ALL DAY EDUCATIONAL SEMINARS BY MEDICAL PROFESSIONALS

Weight Loss Educational Seminars
Weight Loss Surgery and Revisional Seminars
Post-Operative Seminars (including plastic surgery, staying on track)
DON’T MISS LONG ISLAND’S FIRST MEDICAL & SURGICAL WEIGHT LOSS EXPO!

Date: Saturday, May 21, 2011
Place: Uniondale Marriott, Long Island New York
Time: 10.00 AM - 4.00 PM

FREE ADMISSION FOR THOSE WHO REGISTER BEFORE THE EVENT!
Register online at http://www.newyorkbariatrics.com/Expo/
Don't forget to tell them RACHEL LEBOWITZ sent you!!
$5.00 Admission the day of the event.

Have a question on the event? Email us (expoquestion@newyorkbariatrics.com)

For information on exhibiting, please contact Lisa at 516.662.1762 or email
(exhibits@newyorkbariatrics.com)

Dining Out post WLS

While I know it is probably best not to dine out much after WLS, there are occasions that call for meals in a restaurant. Yesterday I went to Atlantic City to meet up with a few post-op friends. When the time came to sit down for lunch we chose a place and began scouting the menu.

We decided on sharing an appetizer so we wouldn't have left overs to carry around. For 3 of us the bill was relatively small. I didn't think much about it then but the thought hit me later on... We probably did not leave a big enough tip!

Now that we eat so much less, I know I tend to order so much less. While that is great for my wallet, the person who gets the short end of the stick is usually your server.

Pre-WLS, think about how much you used to spend dining out with one person. Take a place like TGIFridays... a place I used to frequent before my WLS days. When I went with my husband, we used to share an appetizer, get two meals and either 1 or 2 desserts. Plus the two sodas I drank with my meal. The server has been to my table about 6 times brought us many many soda refills without being asked usually and the bill wound up coming to somewhere between $50-$60. Right? Story sound familiar?

Post-WLS, hypothetically, My hubby and I go to TGIFridays (which we do every other month or so) and he orders the 3 course meal for 17 dollars. Generally he will get the green bean fries, some type of fish and dessert. What do I order.... Nothing! We share. Why... Because I cannot eat more than 4 ounces of food in one sitting. I no longer order a soda or anything else to drink because if it's there I will drink with my meal and I don't want to do that so I just skip it all together, I will have two green bean fries, about 3oz of his fish and one bite of whatever dessert he orders, if there is still room, which usually there isn't. So this now cuts our bill in half to about $25. The server has still been to the table at least times, still brings hubby his soda refills and does a little less work.

Now we get the bill. Generally we leave a 20% tip which would amount to about $5. Is that enough? I don't think so... What do you think? the odds are, unless you have been a server at one point in your life you probably don't think much about this. I didn't either until yesterday and I have been a post-op for 3 years! I think perhaps we should start tipping as if we were eating two meals. What do you think?

xoxo
Sleeve Pixie

Another Meet and Greet! Atlantic City!!

Hey friends! I am getting a bunch of people together in Atlantic City tomorrow! If you haven't realized this yet, I LOVE meeting you! I love having get togethers and making new friends.

Tomorrow at 1pm, we will be having lunch at the Trump Plaza. Lunch is set up in the Rain Forest Cafe. We have 4 confirmed guests so far and I would love to see YOU! If you can make it please comment below and let me know you are coming!

What I love most about these meet and greets aside from socializing with like minded people, is that we get the chance to spend a couple of hours in a setting where we all "get it". We have all been there! Its also a chance to develop a support network for yourself which is crucial to success!

So common, what do you say? Have lunch with me!
xoxo
Sleeve Pixie!

When Doctors Judge Their Obese Patients. How Do We Avoid This?

When Doctors Judge Their Obese Patients

David Katz, M.D..Director of Yale University's Prevention Research Center
Posted: March 16, 2011 08:11 AM

"I saw a patient in my clinic last week who came to me for ... never mind. I am now her doctor; she is now my patient. What happens between us is private and privileged, and none of your business.
But in one regard, this patient was a prototype of countless others, and that can, and perhaps should, be everybody's business. She was heavy. She was very, very heavy.... (cont reading)

The article above has sparked many discussions recently in the bariatric community. We were all over weight before our WLS and some of us still are. It is a harsh reality that many doctors judge us, make us feel unwelcome and research shows that bias from the doctors towards obese people often prevent us from getting the proper medical care we need!

I can ramble off many obese people who have chosen not to see a doctor for years now because their prior experiences have been less than comfortable. It is time to take action! you have to know that it is not ok to be treated this way! Doctors have to realize that we deserve TLC, especially C no matter what we weigh or look like!

Here are a few things you can do to prevent feeling less than human when you go to a doctor!!

There are lists out there of "fat-friendly" doctors.
http://www.cat-and-dragon.com/stef/fat/ffp.html
http://homepage.mac.com/joeobrin/FatDoc/FatDoc.html
http://www.plussizeyellowpages.com/Size_Friendly_Health_Professionals.htm
 
 
There are also questions that can be asked over the phone that will tell someone whether their doctor is "fat-friendly". Ask if the waiting room has bariatric sized chairs, if they have a large blood pressure cuff handy, if they have plus sized gowns and what the maximum weight is on the scale in the office. Also how the staff reacts when you ask them to look up this information is a huge indicator of the feel in the office.


One woman I know goes as far as to get the doctor ont he phone and ask the doctor if she is comfortable touching fat people? No one likes to be diagnosed from across the room!

If you have any suggestions to add to this list please post below!
xoxo
Sleeve Pixie

To Chew or Not to Chew... That is the Question!

I received an e-mail newsletter from a nutritionist, Rachel Lerner. Granted she is not a post-op and does not work much with post-ops but still the information she sends I find to be relevant most of the time. So yesterday she send info on chewing your food.

Chewing When it comes to increased health, it's not just what we eat but how we eat. Digestion actually begins in the mouth, where contact with our teeth and digestive enzymes in our saliva break down food. But these days most of us rush through the whole eating experience, barely acknowledging what we're putting in our mouths. We eat while distracted-working, reading, talking and watching television-and swallow our food practically whole. On average we chew each bite only eight times. It's no wonder that many people have digestive problems.    There are many great reasons to slow down and chew your food: Saliva breaks down food into simple sugars, creating a sweet taste. The more we chew, the sweeter our food becomes, so we don't crave those after-meal sweets. Chewing reduces digestive distress and improves assimilation, allowing our bodies to absorb maximum nutrition from each bite of food. More chewing produces more endorphins, the brain chemicals responsible for creating good feelings. It's also helpful for weight loss, because when we are chewing well, we are more apt to notice when we are full.  In fact, chewing can promote increased circulation, enhanced immunity, increased energy and endurance, as well as improve skin health and stabilize weight. Taking time with a meal, beginning with chewing, allows for enjoyment of the whole experience of eating: the smells, flavors and textures. It helps us to give thanks, to show appreciation for the abundance in our lives and to develop patience and self-control. Try eating without the TV, computer, Blackberry, newspaper or noisy company. Instead just pay attention to the food and to how you are breathing and chewing. This kind of quiet can be disconcerting at first, since we are used to a steady stream of advertising, news, media, email and demands from others. But as you create a new habit, you will begin to appreciate eating without rushing. You have to eat every day-why not learn to savor and enjoy it? Like I said before, I usually find her info to be relevant to my life, but I am finding there is a a lot of conflicting information about chewing. When I had my lap band, I was told CHEW CHEW CHEW! Now three years later, many surgeons will tell you that you SHOULD NOT chew your food down to mush. Why? Because if you liquefy your food in your mouth it becomes like a slider food and we will not stay full as long. Makes sense to me. Now I am not condoning or suggesting you inhale your food. but I think 10-15 chews should be adequate.  Which school of thought do you follow? xoxo Sleeve Pixie

Is Half Way to Nowhere Still Half Way?

Is half way to nowhere still half way? What a question huh? Well here is what prompted today's post... I posted on Monday on my Sleeve Pixie page on Facebook that I just realized I now have lost more than I have to lose.. So I have officially passed the "half way" mark with regard to my weight loss. While this is an amazing accomplishment and i do not want to diminish my success in any way shape or form, the words half way started to get to me.

There has been a lot of talk in out community about regain and maintenance lately and many people do struggle to maintain their loss. Regain is a harsh reality for us and something everyone will face. Your regain may be a as little as a pound or as much as everything you have lost, plus some.

Maintenance is not a goal, or destination on this weight loss journey, it is merely just a service station along the highway of life. So from here I ask again... is half way to nowhere, still half way?

While generally this is the time where i give you some advice, words of wisdom, answer to the question etc., today I am not going to. Like everything else I believe you have to decide what the best answer is for yourself! So friends, tell me!

xoxo
Sleeve Pixie

Obesity Help New York Conference!!

Me with Connie Stapleton

Save $30 off of the Long Island, NY Obesity Help Conference with coupon code LEBOWITZNY11


Every year Obesity Help holds roughly 3-5 conferences around the country for people who have had or are looking into weight loss surgery. This year one of those conferences will be in NY, on Long Island on October 21-22. 

The conference features a mixture of professionals such as Connie Stapleton (psychologist - one of my favs), Chef Dave Fouts (bariatric chef), Dr Garth Davis (from Big medicine), Dr. Alvarez (the mexico surgeon - another one of my favs) and Dr. Katzen (one of the most famous bariatric post op plastic surgeons) and a few post-ops who share their stories, wisdom etc... 

Just me and Melting Mama showing some love!

One of the best parts of these conferences is ability to meet other post-ops and be in environment that is truly unique. Everyone is at a different stage in their weight loss and everyone knows what its like to be fat. Each conference is closed with a fashion show and night of fun dancing. I have been to 3 in the past 2 years and I looking forward to attending all 3 conferences this year! 

Me and Dr. Alvarez

Because I have gone through OH support group leader training, OH gives me a discount code to pass out to my friends and support group members. This code is good for $30 off of the $75 price of the conference. Each person who registers under my code also receives a free OH t-shirt and tote bag :-) 




To purchase your ticket for the New York Obesity Help Conference at the super low price of $45 plus a Free OH t-shirt and OH Tote Bag Follow this link and make sure to use my discount code LebowitzNY11


Sexy in the City!
    October 21-22
The New York Conference will be held in the
Hauppauge Sheraton <- Click to book a room! 
Sheraton Long Island - $119+tax per night
110 Motor Parkway
Hauppauge, NY 11788
(631) 231-1100

If you would like more info or have any questions leave a comment below!
I hope you consider coming! 
Can't wait to see you there! 
xoxo
Sleeve Pixie

NSAIDS: VSG Friendly?

Why are we talking so much about NSAIDs lately? Everyone has an opinion on whether or not we can take em. By "we" I mean the VSGers. Even doctors can't seem to agree on the facts. When I had my band I waas popping Aleve like candy... 500mg in one shot 4 times a day. It's a miracle I don't have an ulcer.

So I did some breif research this morning about the FACTS on NSAID use. Once you have the facts you can decide if NSAID use is for you.

What exactly is an NSAID? NSAIDs are Non-Steroidal Anti Inflamitory Drugs known for their ability to reduce fever and provide pain relief. They are non narcotic, but lemme tell you they can be addictive.

What is the problem with NSAIDs?  The problem with NSAIDs are the damage they can cause to the inner lining of your stomach. They can wear the lining down and cause ulcers.

"The second major cause for ulcers is irritation of the stomach arising from regular use of non-steroidal anti-inflammatory drugs, or NSAIDs. NSAIDs are available over-the-counter (OTC) and by prescription" ~American College of Gastroenterology.

What are the Complications of Ulcers? Bleeding, Obstruction and Perforation
Bleeding: Internal bleeding in the stomach or the duodenum.

• Bleeding is never a good thing clearly. If the bleed is in the duodenum, we have a chance to possibly convert to a DS, but if the bleed is in the stomach... Well we don't have much less. With a full stomach we have more room to play and most consider the benefits to outweigh the risks. We only have 20% of our stomach left friends.... Not much to play with there... Do the benefits of NSAIDs still outweigh the risks?

Perforation: When ulcers are left untreated, digestive juices and stomach acid can literally eat a hole in the intestinal lining, a serious medical problem that requires hospitalization, and often surgery.

• Again... we have 20% of our stomach left!!!! Why risk it? We have to save it for a potential rainy day!

Obstruction: Swelling and scarring from an ulcer may close the outlet of the stomach, preventing food to pass and causing vomiting and weight loss.

• Ok, I didn't know this until recently... Has your surgeon showed you what a bougie looks like?? Below you will see a picture sent to me by Dr. Alvarez, of a 32fr Bougie.
• Picture of 32 French Bougie... Its the clear thing in the middle... If you don't understand what a bougie is or why is used for VSG surgery... Here is a quick explanation... The bougie is place in through your esophagus into your stomach and used as a guide for the surgeon to staple. Basically the bougie decides the size of your new sleeve. As you can see below, the bougie is barely bigger than a pen.
•  Not very much there to save or work with. I would imagine it would be fairly simple and quick for an ulcer to work its way through our new stomach and cause a hole... It is possible for ulcers to heal... but again look at the size of the inside of your stomach... How much scar tissue do you think it would take to cause an obstruction? I'd gather not that much!

Can you see why this may be problematic for VSGers?

So now you can make an educated decision is to whether or not NSAID's are good for you!
They are not for me. If you do NEED to take NSAIDs for heart health and things of that nature... There are medications that can be taken in conjunction with NSAID to lower your risk. Talk to your doctor :-)

Here is a list of all of the OTC (Over the Counter) NSAIDs out there. For a more complete list of both OTC and perscription NSAIDs Click Here!

Over-the-Counter NSAIDs
OTC Brand Name	Generic Name	Dose
Actron®	ketoprofen	1-6 pills/day, (up to 75 mg/day)
Advil®	ibuprofen	1-6 pills/day, (up to 1,200 mg/day)
Aleve®	naproxen sodium	1-3 pills/day*, (up to 660 mg/day)
Bayer®	aspirin	1-12 pills/day, (up to 4,000 mg/day)
Ecotrin®	aspirin	1-12 pills/day, (up to 4,000 mg/day)
Excedrin®	aspirin, acetaminophen and caffeine	2-8 pills/day, (up to 2,000 mg/day aspirin, 2,000 mg/day acetaminophen, and 520 mg/day caffeine)
Motrin IB®	ibuprofen	1-6 pills/day, (up to 1,200 mg/day)
Nuprin®	ibuprofen	1-6 pills/day, (up to 1,200 mg/day)
Orudis KT®	ketoprofen	1-6 pills/day, (up to 75 mg/day)
*2-pill limit for patients over age 65.

TO OUR HEALTH!

Sleeve Pixie

Road Trip Itinerary

Ok friends... here she is! My map of travel around the good ole USA... ok not the whole USA... Just 11 states.

Want to have a meal with me? I want to have a meal with you!! Here we go....

Feb 22 - Leave NY for MD
               Arrive in Gaithersburg, MD
Feb 23 - Family Day
Feb 24 - Maryland get together for lunch or dinner.
              Place TBA... Any suggestions, post below.
Feb 25 - Leave MD for NC
               Richmond, VA get together for Lunch
               Again Place TBA.... Suggestions, post below.
               Dinner in either Charlotte or Raleigh depending on where there is
                   more interest. Discuss Below...
Feb 26 - Leave NC for SC
                Family Day
Feb 27 - Possible Brunch/Lunch in SC if there is any interest.
               Leave SC for GA
Feb 28 - Learning Day for Me
Mar 01 - Lunch in Atlanta, GA
Mar 02 - Learning Day for Me
Mar 03 - Learning Day for Me
               Leave GA to head back up to SC
Mar 04-06 - Family Time
Mar 07 - Leave SC for KY
Mar 08 - Leave KY for WV
               Possible Early Dinner in Lexington KY
               Still Need to find a place to stay in WV
Mar 09 - Leave WV for HOME
               Possible Dinner in Philly, PA

HOME SWEET HOME!

I look forward to meeting as many of you as possible so please get in touch with me ASAP so we can finalize times and places for food! Although many of you have offered to buy my food, please know it is not necessary!

Ok DISCUSS!
xoxo
Sleeve Pixie

                                                                            

Who Wants Protein Bread!!

My friends over at P28 have generously offered up

 a whole case (4 loaves) of 

P28 High Protein Bread 

for me to give away!

This isn't going to be just any old comment below giveaway, we are going to have some fun!

In-order to enter this contest:

In a comment below, give us a recipe using P-28. Must be an original recipe not cut and copied off the internet... 

Winner will be chosen Next Monday at Midnight!

FOR EXTRA ENTRIES

Follow me on twitter

Tweet this giveaway with a mention to @SleevePixie

or

Like Sleeve Pixie on Facebook

Share this giveaway on Facebook with a mention to @Sleeve Pixie

My Bariatric Revision

Obesity Help has given me the opportunity to write for the January issue of the OH Newsletter. I was given the task of writing about my revision. I didn't want to just share my story as I have done that in many places many times before... I wanted to share with you all my view on Re-Vision.... The process not just the steps... Below you will find the article....

MY BARIATRIC RE-VISION

by: Rachel Lebowitz LMSW

OH Username: Rachelena

I hate the number 350! I have looked at that same number on the scale day in and day out. Some days it would try to disguise itself by replacing the zero with a five or a seven or a three. Some days it would add a little dot with an extra number at the end, but for over a year there never was a difference in the first two digits. I was two years post Lap-Band surgery when I finally decided enough was enough. I had tried all the tips and tricks to break a “stall” from more water, to more protein, more exercise, to even more calories and no exercise! Nothing by itself or in combination seemed to move those dreaded numbers on the scale. Then one day the realization hit me. My band had taken me as far as it was going to. It was time for my revision.
 

My surgeon only performs the band. So I began my revision journey by selecting a few competent surgeons to interview for the job. I already knew I wanted the sleeve. I had done extensive research on all the major surgery types and decided the VSG was best for me. When I told my old surgeon I would be revising, he sent me over to his partner for interview #1, dubbing him as a “sleeve specialist”. This surgeon told me that I was a failure and would surely fail with the sleeve because like the band, it was purely restrictive. When I asked him how many sleeves he had performed, he told me, “Thirteen or so.” As the consultation went on, he berated me for my extensive research, as I refuted his constant attempts to persuade me into having the RNY. I didn’t appreciate his attitude and didn’t want to start my revision with a surgeon who didn’t believe in my surgery, so on I went to my next appointment. I eventually found Dr. Vohra, the man I entrusted with my band removal and sleeve surgery. Both the removal and VSG surgeries were successful, and by success I mean I’m still alive with no major complications. October 18, 2010 was just the beginning of my journey. Now comes my “re-vision.

You see, I had a realization not too long ago that I did not have a revision on October 18, 2010. I just had some surgery. It wouldn’t have mattered if it was a new band,RNY, a DS, or the VSG. It was all the same, just some surgery. Revision to me is more than just a change in my anatomy, it has become a change in my vision; a do-over of sorts. I knew that to be successful, I had to stop following the generally given rules and start writing my own. I began working on myself, and coming to terms with the reason my band relationship didn’t work out.

I started with the infamous post-op diet and my eating behaviors… re-vision number one. When I had my band, I was told no more than 800 calories, 60g of protein a day, eight cups of water etc., etc. You know the diet I am referring to. That was one of my problems, and I assume, one many of you share. We have all been dieting for years, only to “fail”, “fall off the wagon”, “cheat” or whatever you call it. This isn’t a diet my friends, this is our life, now and forever. I had to get out of this “all or nothing” diet mentality that I had grown so accustomed to.
 

Today, I view my eating habits as just that, HABITS. That old diet I described earlier, those are guidelines that helped mold my habits into my life. I drink my water and get in all my protein. But I also allow myself to have a bite of those “bad” foods when the occasion calls for it; holidays, birthdays, and anniversaries. I DO NOT berate myself or feel like I “fell off the wagon”. I eat without guilt or shame. For me, this re-vision entailed taking an honest look into myself and figuring out why I eat the foods I do on both a psychological and biological level. The difference now is that I no longer allow myself to eat out of fear, anxiety, anger, sadness, or loneliness. I listen to my body and know that when I am craving chips and salt, I probably need water or when I want to dive into the sweets, I need to check my emotions first.

The next thing I had to change, was my view of my surgery. (Re-vision number two!) We are all told from day one that our surgery is a tool, not a solution. It changes your body not your brain. To be honest, I went into my band telling myself, the band won’t allow me to eat more than “x” amount of food, so I will be forced to eat less and lose weight. I have heard similar rationalizations from my peers. “I malabsorb my calories so that if I eat 1500 calories a day it’s like eating 800 and I will be fine and lose weight.” “If I eat one more bite, I will throw up and those calories won’t be digested, so they don’t count.” “If I skip lunch I can have some alcohol tonight with dinner.” These are nothing but excuses and are not productive ways of thinking. Our new anatomy has to become part of who we are. When I try to cheat my pouch, I cheat myself.
 

Re-vision number three is probably the hardest one. For me, this entails changing the way I feel about myself. I always said that I had this surgery to get pregnant, to be a better wife, and to get the job I want. While these reasons are still valid, they have become benefits only secondary to the real reason I had my surgery. I had my surgery because I AM WORTH IT! This time around, I had the surgery for ME and only ME. I am learning that it’s ok to be selfish. If I am not my best advocate, then who is? Who will be? I deserve to feel good, to be able to walk up a flight of stairs without gasping for air, to hike, swim, or dance. I deserve the life that I want and so do you! I had to make this decision in order to be successful. I am a food addict. I can’t quit to make anyone happy or I will fail and I will resent others for “making me” quit. It’s that simple. I couldn’t do it before because I was doing it for everyone but myself.

My last re-vision made me accountable. I know I have a tendency to trick myself into believing if no one saw it, it didn’t happen. So I try to log my food every day. Every bite I put into my mouth. I tell my support group when I have been falling back into my old habits. I attend many support groups and I run one. I use a tracking device which I have set to tell Facebook and Twitter how many steps I have taken during the day and how many calories I burned. All of these things keep me accountable. My newest project has become my blog. I call it “Bariatric Revisionary”. I admit things on my blog that I have a hard time admitting to myself, but if I don’t, I won’t succeed. I am not yet strong enough to be accountable to only myself. I don’t know if I ever will be, but I am grateful for the support.
 

Something that I believe very strongly in is the right to self-determination. This means that you get to determine your path. I believe we are all individuals with individual needs. Maybe you are the type of person who needs rules and structure to succeed. That’s great! I applaud you for knowing that about yourself. Maybe you are the type of person who cannot cut donuts out of your life. Ok, then learn how to make them pouch friendly.
 

Start 2011 out by getting to know yourself; what works best for you and your individual needs. Perhaps my vision on how things should be, make you think I am a rule breaker or a naughty post-op. I am not, I have just taken the time to figure out how to live my life so I can be who and where I want to be. I am almost three months post my VSG and I have lost 63 lbs for a total of 90 lbs since I had my first surgery. I feel alive, hopeful, successful, and HAPPY. My hope for you in starting this new year, is instead of resolutions, you make re-visions! I wish you all a happy and successful New Year!

I hope you all enjoyed reading this as much as I have enjoyed sharing this with you!

xoxo

Sleeve Pixie

DIY Gastric Bypass?

DIY Gastric Bypass kits not sold on Amazon... I cam e across this while looking into the iphone for sprint... random I know...

In my opinion this is a disgrace, totally misleading. This is the caption under the picture...

Health care is expensive! If you don't have insurance, how are you expected to pay for the tens of thousands of dollars that major surgery will set you back? Never fear, you can just perform surgery on yourself using this DIY gastric bypass kit.

Yes, for a mere $260 on Amazon, you too can own this kit, which comes with all of the materials necessary to complete three gastric bypass surgeries. Well, there aren't any instructions, nor are there any anesthetics. But hey, you've gotta sacrifice something if you wanna save money. Just bite down on a piece of wood and you'll be fine.

What the heck is wrong with people... Please friends... Don't try this at home!!!! OR AT ALL, EVER!!!
I love you too much to let you be stupid!
xoxo
Sleeve Pixie

Review: Fitbit

The much anticipated Fitbit review! Where to begin? I can't say enough good about the Fitbit!

I first found out about the Fitbit from one of my friend's Facebook statuses. I would see her statuses daily proclaiming the number of steps and miles she walked that day and the number of calories she had burned based on her Fitbit. So I started my research....

The Fitbit is not your every day pedometer. A $0.99 pedometer generally tracks your steps and that's it.

The Fitbit on the other hand, tracks sooo much more. Let me show you...

First, the fit bit, like all other pedometers tracks your steps. Most pedometers are not accurate. Just shake em around a bit and magically you have walked an extra 20 steps. Not with the Fitbit! I have jumped with the Fitbit on, shook it around and still the step count did not move. I have also tested the Fitbit by counting my steps up to 100 and the steps were accurately recorded.

Not only does the Fitbit monitor your steps, it also monitors your distance! Again, I of course tested for accuracy. Two nights ago I took my Fitbit for a spin on the treadmill. One hour on the Treadmill I walked 2.16 miles. I had walked 0.5 miles the rest of the day to and from the fridge and around the house to my car and to the treadmill and just under a quarter of a mile after the gym. Super awesome!

The next view on the Fitbit is a pretty flower... it doesn't always look this big. The flower grows as you get active. The more active you are the bigger your flower gets. While this is not the most exciting feature it is meant to be a motivator. The Fitbit will remember how active you are and over time it will get harder and hard and you will have to do more activity to make it grow. Are you up for the challenge?

Lastly, my favorite feature! The Fitbit tracks the amount of calories you have burned throughout the day. I usually burn 2500 calories a day. This is an amazing feature because you can gauge your weight loss each day. In case you don't know, 1 pound is 3500 calories. So if the average bariatric patient takes in 800 calories and you are burning 2500, you should be losing 1 pound every 2 days, obviously more if you are malabsorbing your calories. If you are wondering how I burn so many calories... well, realize this thing monitors not only the calories burned when I am working out but the calories burned when I'm sitting on my butt writing this blog and when I'm sleeping! so 2500 calories a day!

You may have just noticed I said that my Fitbit monitors my calories when I sleep. I wear my Fitbit 24 hours a day! At night your Fitbit will monitor how much time you spent in bed, how long it took you to fall asleep, how many times you woke up & how much you slept.
                                                                                                                                                                    

The Fitbit comes with a wristband that you wear to sleep with a pocket for the Fitbit, a clip for your belt that holds the Fitbit, and the base station.  

Another perk of the Fitbit is the online program that it comes with. It's free and it monitors all the stats your Fitbit picks up on. Your stats are displayed in numbers, charts and graphs. Part of the program also allows you to track your food and exercise. There is also an online forum for use and a WLS group!

You can also link your Fitbit account with Facebook and Twitter to update your friends and family daily of your results. There will be a status posted that looks like this.

"I walked 6,752 steps and 2.9 miles and burned 3,001 calories via my fitbit http://www.fitbit.com/user/22BRX6"  ~ My actual stats from yesterday posted to Facebook

Breakdown of the Fitbit:


Pros:

• Small and easy to conceal
• Accurate
• Tracks sleep, calories burned over a 24 hour period, steps taken, and miles traveled
• Wirelessly syncs with the base station anytime you walk within 15 feet
• Holds 7 days worth of data
• Battery lasts about a week. I charge it whenever I am in the shower.

Cons:

• The food tracking systems doesn't have such an extensive food list but you can add foods to the list.

Where to Buy:

You can buy your FitBit in many locations. It is sold in most Best Buy's and 24 Hour Fitness Gyms. You can also buy it directly from Fitbit.com. I suggest you buy your Fitbit from 24 Hour Fitness Online because I have given you a coupon for 10% off below. 

Cost: $99.00 ($90 if bought from 24 hour fitness no tax or shipping)
Coupon: AFPRM50101210 (Valid until Jan 31, 2011) This coupon is good on 10% off any purchase of $50 or more.

The Main question people have asked me is... Why a Fitbit and not a BodyBugg?
For me there were a few reasons.
a. COST... The Fitbit was $90 while the cheapest Bodybugg is double that price. Also, the tracking program is free for the Fitbit while you have to pay a monthly subscription of $10 for the bodybugg program.
b. SIZE... I do not want to that big thing on my arm. It is nobody's business if I wear a pedometer. I don't need anyone to know I workout or I'm trying to lose weight. I wear my Fitbit on my bra and no one but me (and now you) knows it's there.
c. FITBIT TRACKS MORE.... I like that the Fitbit tracks my sleep. I have sleep apnea and my sleep is really important to me. The Fitbit tells me how many times I woke up at night and how much time I actually spent sleeping. This helps me monitor when it's time for a CPap adjustment. The Bodybugg does not do this.

If you have any questions feel free to leave it in the comments!
I hope you found this review helpful!
xoxo
Sleeve Pixie

Review: Successful Weight Loss with the Gastric Sleeve

The VSG or Vertical Sleeve Gastrectomy has become increasing popular in 2010 with the rise in insurance company approval. For those of you who don't know what the Sleeve is...

"The Gastric Sleeve is a restrictive surgical procedure done through laparoscopy in which a percentage of the stomach is taken out. Depending on the surgeon, this resection may be between 60-80% of the stomach." ~Alvarez, 2010, p14

In the book, Successful Weight Loss with the Gastric Sleeve, Dr. Guillermo Alvarez takes the reader on a basic journey of the VSG surgery and educates his audience on many of the questions we may have.

I remember hearing the buzz on the Obesity Help VSG board that the "Mexico surgeon" was writing a book on the Sleeve. I started doing some research on this "Mexico Doctor" who I now know to be Doctor Alvarez, and learned that he is one of the leading surgeons on this continent to be performing the sleeve. A few days later, I messaged Dr. Alvarez and learned he was going to be selling his book at the Houston, TX Obesity Help Conference 2010.

Funny story... I had the privilege and the pleasure of meeting Dr. Alvarez at the Houston, TX, Obesity Help conference this past November. I was all excited to head over to the Endobariatric booth and buy my copy of his book. I walked up and introduced myself to Dr. Alvarez and explained to him I was the one who messaged him the previous week to ask if his book would be for sale at the conference. It seemed he remembered me. He signed the book for me and gave it to me. When I went to pay him he told me it was a gift. I tried again to pay for the book and he refused. For the next 2 hours or so, I was so excited that this awesome surgeon, who everyone raves about gave me his book for FREE!!! Then I found out, Dr Alvarez was gifting his book to everyone at the conference! Oh well... I thought I was special. lol.

The point of that story, other than a small chuckle at my naive expense, is to show you one of the things I respect most about Dr. Alvarez. He could have made a few hundred dollars at that conference. But it's clear to me, that this surgeon really and truly cares about not only his patients, but the bariatric community as a whole. For those of you who know him as "the Mexico Surgeon" take the time to get to know him. He makes himself so accessible to our community via Facebook and Twitter.

"Dr. Guillermo Alvarez is a highly skilled Mexico bariatric surgery practitioner who specializes in numerous forms of laparoscopic bariatric surgery, including gastric sleeve surgery and Lap Band in Mexico. Dr. Alvarez started his bariatric surgery specialization early in his general surgery residency. He worked in several hospitals in the United States, France and Mexico during his residency and has subsequently dedicated his life to helping obese patients." ~ Endobariatric.com

The beginning of his book, Successful Weight Loss with the Gastric Sleeve, Alvarez starts off with a brief definition of obesity and the current "epidemic" our country is facing. Next an explanation of each of the popular surgical weight loss procedures that are available. The book also provides a basic image of what each finished surgery looks like. The writer goes on to to explain the Gastric Sleeve in greater detail, which includes providing a recent history of the surgery.

The bulk of this short educational book is information about life as a VSG post-op. Dr. Alvarez covers both pre-op and post-op diet, common risks, complications and complaints as well as vitamins and supplements and tips and guidelines for success.

One of my favorite parts of the book was the "Frequently Asked Questions" section. Dr. Alvarez took the time to answer over 50 frequently asked questions about the sleeve. Not only did he include this vital section in his book, he broke down these questions by Pre-op Questions, Hospital Stay Questions and Post-op Questions. Dr. Alvarez shyed away from nothing! He discussed, resuming sex after surgery, when you can drink again and even the infamous "Is my stomach going to burst!?" myth.

The book ends on a motivational note with several of Dr. Alvarez's sleeve patient testimonials and before and after pics! The book is written in lay language with very minimal medical jargon. All jargon is explained.

I have to say this is a great book! It was an easy and interesting read. I read the book cover to cover in one 70 minute sitting! 

Where to Buy:
This book can only be purchased directly from Endobariatric
Cost: $13.95 plus shipping

What people are saying:
"He [Dr. Alvarez] is a rockstar in the bariatric world, yet he takes the time to answer questions no matter how small." ~Waning Woman, fellow Blogger and sleeve sister

"I received my autographed copy in the mail this weekend. I was the monthly OH newsletter winner last month! I've already finished it. Loved it!!!" Chelle, sleeve sister

I hope you have enjoyed reading this review as much as I have enjoyed writing it!

Dr. Alvarez, thank you for all of your advice, encouragement and overall awesomeness!

xoxo,

Sleeve Pixie

Review: P-28 High Protein Bread

I first heard about P-28 while researching some new yummy bariatric recipes. For many of us post-ops, bread is a wasted food providing nothing but carbohydrates and calories. I love the idea of being able to have a slice of bread now and then or even daily if I wanted and getting 1/5 of my daily protein in! Throw some chicken or egg salad on there and up that to 1/4 of my daily protein! AMAZING!

I knew I had to get my hands on this bread and pronto. To be honest I thought it was too good to be true. Could there really be a bread that both tastes good and has a substantial amount of protein??

YES AND YES!!

I got my case of P-28 and immediately started cooking. I made breakfast...

French Toast
Tasty, filling, the nutty flavor really adds to the french toast!

Eggs and Cheese                             

Home Made Pizza

Grilled Cheese
Add a little butter to the bread before grilled and it tastes AMAZING!

I shared P-28 with my family and they made deli sandwiches, toast and butter, peanut butter and jelly etc. I shared the bread with my support group as well. Everyone loves this bread!

"P-28 High Protein Bread toasts well. Even when I burnt it it was a little chewy in the middle." ~ Ari, family member

"P-28 High Protein Bread is an tasty and filling substitute to boring whole wheat bread." ~ Anonymous

P-28 is a large slice of bread. 1 slice is easily enough for any bariatric patient. The bread is a little more chewy than your average bread which i like because the more I have to chew the slower I eat. P-28 has a nutty taste which I love!!! It does not taste like you are eating wheat grains like so many other breads that are deemed "better for you". I highly recommend P-28 for any Bariatric patient missing bread!!

The nutrition facts on this bread make it well worth incorporating P-28 into my diet! If you don't believe me, check it out for yourself!!

P-28 is sold in a case of 4 loaves. The case is shipped very quickly and the bread will last you 10-12 days. Anything you don't think you can eat in under two weeks put in the freezer. P-28 freezes extremely well for up to 6 months!

My breakdown of P-28...

Pros:

• Great tasting nutty flavor.
• 14g of protein in just one slice
• Freezes and defrosts very well! No freezer burn taste
• Low on Carbs so no dumping!!

Cons:

• I can't think of any. I really love P-28!! 

Where to Buy:

P-28 High Protein Bread can be purchased in a case of 4 loaves from NutriBread

Cost: $19.96 plus shipping/case

Coupon: Enter the coupon "SLEEVEPIXIE" for $1.00 off each case!

I hope you enjoy P-28 as much as I do!

xoxo,

Sleeve Pixie