Dealing With Surgery after WLS

My weight is holding steady.  I don’t actually know what I weigh right now, since my immobilizer is still on and I can’t get a sufficient weight.  I know I haven’t gained weight, and I don’t think I’ve lost, but I don’t know how much I actually weigh.

The worst thing is not being able to move around to sufficiently rid myself of gas.  Gas post WLS sucks.  It hurts.  A lot.  And the only way to get rid of it is to walk it off.  Can’t walk if off if you can’t walk.

Exercise is nil.  I can’t.   Using my crutches does burn some calories, and it is a great ab workout (who would have thought?).  But my arms get sore, and I can’t go too far or do too much.  My knee gets sore when I move around too much, and I’m not able to put weight on it at all.  Sigh.  Without exercise, I stall out.  STALL OUT.

I’m thinking of maybe going back to weight watchers (with an altered program for WLS) after I get out of the immobilizer so I can lost the last 30 or so pounds I need to.  Never has my goal been so cloase but SOOOOOO far off.  Sigh. 

Dealing with surgery after WLS is no fun.  No fun at all.

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Two Weeks Out

I’m two weeks out from knee surgery today.  Not exercizing and eating too many carbs (thanks to my husband) are really starting to get to my poor stomach.  I’m living on gas ex and pepto bismal.  Which also means I’m taking control of the menu as of TODAY.  UGH.

My knee is repairing well, we think.  There’s no way of really knowing until I start PT.  And at this point, we have no idea when that will be (reminds me, I need to send an update to my therapists letting them know surgery went ok).  I got all the staples and two stitches out yesterday.  That was the first time I’d actually seen my knee (except for a peek here and there) since surgery.  Ew.  And I almost passed out when I got my stitches out.  Learned a valuable lesson – can’t watch that kind of thing…LOL.  My knee is still quite swollen, and the doctor said he had to do a lot more work that the initial MRIs let on.  I had three very large cartilage defects, numerous bone spurs, and tendons had to be cut (which means he did perform a lateral release).

Let me tell you folks, gastric bypass surgery has NOTHING on knee surgery.  After seven days from my gastric bypass, I was feeling great.  I’m two weeks out from knee surgery and still struggling.  Knee pain is there at night (not so much during the day), and getting around on crutches is a pain in the ass.  Non-weight bearing means I am not supposed to put any weight on it at all.  UGH.  And now, they’ve replaced my staples with steri-strips.  Well, I’m allergic to adhesives.  Which means my knee is itching UP A STORM.  LOL

I miss exercise.  I miss eating right. I’ve lost weight, but I’m not eating the right things, and I know I’m not getting enough water.   Need to get my head around all of this.  Sigh.

An Update

I’m a week out from knee surgery.  The specific surgery was a placement of the de novo graft (a juvenile donor cartilage) and arthroscopy.  The surgery was both arthroscopic and open – he did the initial scope arthroscopically, so he could see the extent of the damage, and then opened it up with a larger incision, took out the knee cap, cleaned out the arthritis, and then glued the graft between the bones and to the back of the knee cap.  I can’t be 100% sure, but I also think he did a lateral release on the knee cap as it was being pulled to the right side.

This is an extremely painful surgery.  Now that I’m a week out, I’m still in considerable pain.  The knee cap is swollen.  My leg is in an immobilizer, and I am only allowed to put a bit of weight on the to to steady myself.  Otherwise, no weight on it at all – and I’m on crutches.  I took a peek yesterday at the incision (just a small peek) and I have a lot of little staples (ew).  The knee cap is padded in a ton of gauze, and then the leg is wrapped in an ace bandage, and then the immobilizer is on top of that.  I’m not to remove the immobilizer (although I have unstrapped it to take care of a slight itch I had on my shin) except to tighten it as the swelling goes down.

The big downfall of this surgery has been the fact that I’m not in charge of my diet.  Which means my husband is.  And although he tries (the portion sizes are good), between the left over nauseau from the surgery and the excessive amount of carbs he has been feeding me, I’ve not been eating right.  Top that off with pain killers and not enough fluid (my fault), I ended up with an obstruction.  Yesterday I really thought I was going to die.  My lower abdomen was killing me, and no matter how much I tried to go, I couldn’t.  I called my bariatric surgeon and talked to Chris (the nurse) and explained the situation.  She told me to call my ortho to see what his plan was but prescribed laxitives, lots of fiber and lots of water.  I called my ortho, and he switched my pain killers (which I’m only taking at night now) from percoset to tylenol with codeine.  UGH. 

So this morning, I am feeling better.  I still haven’t “gone” but the pain in my tummy is better.  I”m sticking to yogurt and fresh blueberries for breakfast and lunch will be some type of protien and some veggies.  Keeping food semi-soft and light today.  And lots and lots of fluids.  I’ve had a protien shake.  I’m having water.  I’m having some decaf coffee too (in hopes it may get things going).  Keep your fingers crossed.

Some of the perils of surgery for a post op bariatric patient.

So, I get the staples out in a week and see my ortho for my post op.  I’m off work until at least 8/2.  And my butt is soooo asleep.  Sigh.

Surgery Tomorrow

Will probably be blogging a lot more after tomorrow since I’ll be bed ridden for a while.  No weight bearing on the knee for six weeks.

Lord help my husband.

Send some good Ts & Ps my way!