076 It's the Little Things that Count

Good morning! It's been a while since I have been on but there really hasn't been much to report. Well that was until Jimmy and I got to talking last night and realized that we actually have a lot of little things to report :)

It's the little things that count. When you stop to add them all up you realize just how much things in your life are changing when you might not have noticed had you not counted the little things.

So anyway...without further ado, these are some of the little things that we have noticed over the past few weeks:

• Jimmy can now wear the seat belt without an extender
• Jimmy's shoes are loose because he no longer has swelling in his feet and ankles
• Jimmy's legs get smaller and smaller (can we say chicken legs!)
• Jimmy can see his knees when he sits down
• Jimmy was able to stand and preach for 30 minutes without his normal back and knee pain
• Jimmy loves going to the pool to exercise and last night was the easiest as far as getting in to the Y, changing, and changing again once he is finished swimming

There have been some other things that we have noticed as well but I just can't think of them at the moment. That just goes to show that I should write things down when I think about them. Ugh. Anyway, I will let you know when we have more little accomplishments to share.

075 The Benefits of Sharing

I have been looking forward to the day that all the other gastric sleevers have been telling us about...the day the grocery bill goes down!

I haven't so much noticed it in our actual grocery bill yet because we have to buy staples like different flavors of protein drinks and stuff like that. However, I have seen a marked difference in our dining out bill.

Not only are we eating out less, but we are also sharing one meal between us! That still blows my mind. That got me thinking... Besides money what are the benefits of sharing?

So here are my Top 4 Benefits for Sharing Restaurant Portions after Gastric Sleeve Surgery:
1. Sharing helps keep Jimmy's portion size in check and help me eats a more accurate food portion myself
2. Sharing forces us to sit closer, look at each other, and talk during meals (no more stick in the television face)
3. Sharing often eliminates leftovers in the fridge that no one is going to eat
4. Sharing reduces the overall meal cost.

I know I said it's not all about the money but I have to tell you this story.

Jimmy and I decided to go out last week and try Mexican for the first time. So we went to our local El Maguey and as soon as we walked in we saw the beef and bean burrito was on the specials menu. Perfect! We sit down and we order two waters and the burrito special. The hardest thing was resisting the chips which we asked them not to bring but they did anyway (I blame the language barrier). When the burrito comes we decided to open it up on the plate and scrape the insides out onto the cheese sauce which the burrito had been smothered in and we didn't eat the flour tortilla shell. We finished our meal and we were both comfortably full without over doing it. We didn't have any leftovers and for the first time in our lives we were able to tip about 100%! Our meal was only $3.65 so we gave the waitress a $4 tip just because we could. It was an awesome experience.

We didn't think that we would but we actually love sharing. So we share the majority of the time now.

074 Watch Jimmy Shrink

Jimmy showing off his new swim trunks
before we headed to the Y for his first
aqua exercise experience.

I don't know if you have noticed but Jimmy has lost over one hundred pounds! That's quite a lot of weight. I also don't know if you have realized that Jimmy and I have been keeping a photo gallery with monthly pictures of his weight loss history. You can view the photo gallery by clicking on "Photo Gallery" in the top navigation bar.

The fun thing about the Photo Gallery is that you can watch Jimmy shrink before your very eyes! The pictures are arranged from oldest to newest. This allows you to see what Jimmy was like from his high school graduation all the way up to this month. Check out the Photo Gallery today and see if you notice the difference!

073 Jimmy's Week Eight Post-Op Update Video

072 My Problem is Social Eating

Yesterday, I re-realized just how big of a problem Jimmy and I have with social eating. You see we don't really eat when we are sad or overwhelmed but we do eat when we are happy or everyone else around us is eating. So what made me re-realize this?

In continuing to show my support for Jimmy, I decided to participate in the community weight loss challenge called the Pound Plunge. I thought some healthy competition would be great incentive for me to really buckle down and try to eat healthier and exercise. So far so good...

Then yesterday I was walking down the hall at work and passed a co-worker who has eating a snickers and my brain instantly says, "You're hungry! You should eat." I was like, "Whoa. Where did that come from? I was just fine a second ago." Thankfully I was only half an hour from my lunch break and the vending machine was empty of all the things which normally tempt me.

I dodged the bullet yesterday but I stopped to think how often I am surrounded by food at work (and Jimmy is too). All my co-workers who are busy eating aren't going to tell me to stop. I have to learn this restraint and self-discipline on my own. Yikes!

I say all this to say that if you have trouble not eating when surrounded by food--you are not alone! Hang in there and maybe we can learn some self-discipline together :)

071 Christiana's Turkey Chili

Christiana's Turkey Chili

Ingredients:

• 1 LB lean ground turkey
• 1 LB lean turkey sausage (optional)
• 2 Cans Chili Beans or Red Kidney Beans
• 1 Can Black Beans
• 1 Can Navy Beans 
• 4 Cans Tomato Sauce (or 2 Large Cans)
• 1 Pkg Chili Seasoning of your choice
• 1 T. Cumin
• 3 T. Chili Powder
• Salt and Pepper to Taste

Directions:

1. Open all cans and dump into crock pot without draining. I also rinse all the cans with a very small amount of water (each) and dump that into the pot as well to get all the beans out of the bottom, etc.
2. Mix all seasoning into the crockpot because it will mix best without all the meat in the way
3. Brown meat, drain, and dump into the crockpot. I like to brown my meat because I can never tell when Jimmy is going to try to sneak some out during the day so it's a safety thing plus it gets rid of some of the excess fat.
4. Set crockpot on low heat and cook for 8hrs. Stir occasionally.

Servings: Approx. 15 - 1 cup servings (it could be more but I really can't remember)

I hope you enjoy my chili recipe. It's one of Jimmy's favorites and he can still have it even after his gastric sleeve surgery. I love it because it's simple but very tasty. It also works great with lean hamburger and regular sausage although not quite as healthy. It is really a no fuss dish that you can eat several meals off of or that you can portion out and freeze for later. So it's a Win - Win!

070 The Importance of Potassium

Hey, everyone! It's so nice to feel like I am finally rested after spending two night sleeping on the couch in Jimmy's hospital room last week. Now that I have recouped I want to write about what I learned while Jimmy was in the hospital.

Potassium is important!

You look at that "K" on the periodic table and you eat a banana but do you really realize just how important Potassium is in your diet? I know that I didn't until Jimmy didn't have enough of it.

Last time Jimmy got dehydrated and his potassium dropped so did his blood pressure. Once they straightened things out with his hydration I didn't think much of it because they took him off his blood pressure meds so I thought they were the main culprits causing the drops in blood pressue. It seems that potassium had more to do with it than I thought.

Evidentally, you have ALL KINDS of problems when your potassium levels drop. Some of these are cramps, decreased muscle activity, decreased function in your GI tract, blood pressure drop, and potential heart damage. YIKES! To say I underestimated the importance of potassium doesn't even come close to the mark. Read more about what Potassium does in your body.

So make sure that you are drinking lots of fluids and taking your vitamins so that you reduce your chances of experiencing low potassium levels. Read here to discover common causes of low potassium levels.

069 Home from the Hospital

For everyone who doesn't already know...

Jimmy got to come home from the hospital on Saturday. It's nice to be home and relax. Jimmy is doing better but has doctor's orders to rest and make sure that he is hydrated for a few days before he can even think about going back to his normal routine.

So for now he is kicking back, reading the books he got for Christmas, and drinking lots of water and low calorie Gatorade.

Thank you for all the prayers and concerns. They were felt and appreciated!

068 Another Hospital Stay

On Friday afternoon we went to a follow up appointment with Dr. Hornbostel because of Jimmy's trip to the ER the night before. Jimmy was still feeling very miserable from everything that he was going through. When Dr. H came into the room he told Jimmy he was admitting him to the hospital.

We were shocked. We knew Jimmy was sick but we didn't expect a hospital stay. Dr. H says it is because Jimmy is very dehydrated from the diarrhea and you can't really catch up because it is so soon after surgery and he can't drink large amounts. Number two it's because they need to keep a close eye on him and get his bowel, vitamins, and eating situations back on track.

So we went straight over to admitting.

They got him to a room quickly but had lots of trouble with his IV (he ended up having a pick line after two different IVs infiltrated) and labs. Finally after using the sonogram (not sonar like Jimmy thought) they got him all situated and started on his fluids and vitamins. Not surprisingly, his blood work said he was dangerously low on potassium so they have been working to bring that up the last two days.

They have also done some other tests, xrays, and listened to his bowels. After Jimmy pucked up the Barium they were attempting to use for one test, his bowels finally startedmoving. So I guess 20 minutes of pucking and dry heaving helped move things along in the bathroom department. One positive to come out of a failed test attempt.

After all the results were in, Dr. H came back yesterday afternoon to tell us the verdict. As the xrays from the ER and the fact Jimmy's bowels finally started moving proved there wasn't blockage or obstruction. Hornbostel believes Jimmy caught a very aggressive flu bug which caused the diarrhea and was complicated by the fact he was already constipated.

These things combined curbed his appetite (dropping his vitamins), caused diarrhea (lowering his potassium levels, and caused dehydration (which he couldn't combat because of the limited amounts he can drink in one sitting). That's why he ended up in the hospital. Just one big whammy. The good news was if he could keep stuff down and get his potassium up then he could go home on Saturday.

So here we are, waiting to see what his fate will be. Will we go home or harbor another night at Heartland? Only Dr. H knows.

* Thanks to everyone who came by to visit or bring us stuff. You are very appreciated and you made our stay that much easier! *

067 The Constipation Saga Continues

Last night was another long night. We are still dealing with Jimmy not feeling well. I guess last night it was just the last straw so we ended up in the emergency room.

Because of the pain Jimmy was having they first thought that he might have a fecal impaction so they did abdominal x-rays to check for blockage and one of the doctors stuck his finger up Jimmy's bum (T.M.I. I know!) to see if their was any hard blockage near the entrance of the rectum.

The Verdict
Jimmy does not have blockage.
Jimmy does not have a fecal impaction.
Jimmy did not have a septic bowel movement.
JIMMY IS CONSTIPATED.

Evidently constipation can cause diarrhea because the other poo is forced around the harder stuff in an effort to leave the rectum. In Jimmy's case, the frequent trips to the bathroom have aggravated his hemorrhoids and the wiping has made his bottom very raw and tender. This has resulted in all the pain and discomfort Jimmy is experiencing.

Because Jimmy went to the ER they also called Dr. Hornbostel. Dr. H says that Jimmy is supposed to call him today and he has to go back to the Liquid Diet until further notice. So I will keep you posted.

For now, I am going to try to focus on work through my haze of tiredness and this too shall pass (no pun intended). Hope your day is better than ours was yesterday.

066 A Rough Beginning to the New Year

I was at work on New Year's Eve waiting to surprise Jimmy with the fact that I was going to get off an hour early! I couldn't wait! Thirty minutes before I was supposed to leave I get a phone call from Jimmy that he is having an emergency but that he can't tell me what it is because he feels like he is about to throw up. So I rush out the door and catch my boss on the way out. She isn't thrilled that I want to leave a half hour before my already early hour out and sends me off with "Jimmy always seems to be having emergencies." Needless to say I am now worried about my husband, my job, and driving home in the snow.

When I get home, I find Jimmy in the bathroom. Evidently he has been in the bathroom for three hours now (maybe a little more). For the past few days, Jimmy has been feeling constipated and the nurse practitioner told us not to worry (because he will probably go less often now than before surgery) but to keep an eye on it. While I was at home for lunch today, Jimmy decided it was time to take a suppository to help relieve himself, and after I left he went into the bathroom and never came out.

By the time that I arrived he is tired, in pain from sitting on the toilet, light headed, and a little dehydrated. So we called the nurse. She said that he probably just has a lot to get out (gee thanks) but that he should make sure that he stays hydrated and that she would call in something for the nausea. So I go back out into the snow to buy sugar free Gatorade (which doesn't even taste good to Jimmy anymore) and to get some meds. The next hour is spent in the bathroom while he drinks the Gatorade and tries to stop going long enough to go out to the recliner and relax his back -- Oh! and did I mention we have company in town!

Finally things claim down enough that he can come out for about an hour at a time to visit and relax. We actually did have some fun hanging out with our guests but the majority of the night was spent in the bathroom and doctoring his poor, sore bottom. This continued throughout the night.

 Needless to say, Jimmy had a really rough beginning to the New Year. Butt (ha has) I guess we should look on the bright side, if this is the worst of 2013 at least it is already over! :)

In all seriousness we know that this will pass. Life happens. Enjoy the good moments and laugh about the bad ones when you can. May God bless you and keep you this year. May you find joy and peace as you have never known before and may your long awaited dreams finally come true!

Grace and Peace,

065 Happy New Year

Just wanted to take a moment to say "Happy New Year!" May your 2013 be filled with even greater joys, happiness, and blessings than 2012. God be with you as you celebrate today. Be safe and we will see you back here tomorrow on Jimmy Goes Gastric!