Monthly Archives: December, 2010

Already getting discouraged – December 18, 2010

I’m already starting to get discouraged with my weight loss.  At my two week post-op follow up on 12/06/10 I’d already lost almost 28lbs since my pre-op weight on 11/01/10.  Obviously, that made me really happy and excited.  Then the whole hospitalization happened, for my low potassium, and things have changed.  I gained two pounds during the 6 days I was hospitalized.  I’ve gained about 3 more since I was discharged 5 days ago.  That’s a total of 5 pounds put back on!  In other words, my weight loss is now at 23lbs since 11/01/10, or… only 14lbs since my surgery day. I will be 4 weeks out in 3 days.  14lbs in 4 weeks doesn’t seem like a good amount to me.  Shouldn’t I have lost more by now??  I know i’m obsessing about numbers, but still.

I’ve also been having some bowel problems since coming home.  First it was because the potassium liquid made me poo and puke everything i’d worked so hard to get down, specifically my protein drinks.  Once I got the hang of it and realized I needed to mix in just the right amount of orange juice to get my potassium drink down, well now it’s been the opposite and I’m having a hard time going. 

Last night I had some pretty thinned down mashed potatos and that made me extremely full.  I didn’t even have a lot.  This morning, same thing.  My stomach felt like it was being squeezed on and off.  It throbbed for about 10 minutes and then I was left with a very full feeling once again.  It’s now 1pm and I haven’t even been able to finish half of my first (breakfast) protein drink.

Anyone who thinks having wls is “the easy way” to lose weight is very wrong!  I wish I could fast forward to a year from now and see where I’ll be weight-wise.  Where is Sylvia Browne when I need her?  I need her to give me a psychic reading.  Haha.

It all makes sense now – December 14, 2010

I’ve been looking into the low potassium thing and have found that virtually all of my symptoms i’ve ever mentioned to my dr can be tied in to having low potassium! 

I comlained about chest pain and heart palpitations… I had an echocardiogram that came back normal in March.  Done. 

I complained of leg/foot and hand pins and needles tingling numbness… I had vein ultrasounds that came back normal in March.  Done.

I complained of restless legs synrome-like symptoms and muscle cramps.  I was given medicine for that (restless legs) over a year ago.  Done. 

My potassium came back low back in March.  I’d had diarreah for a week though.  Retested 2 days later and was told it was normal.  Done.

I was started on the prescription diuretic – 12.5mg Hydrocholorothiazide – to treat my somewhat high blood pressure back in July of 2009. 

It was increased earlier this year to 25mg.  Even after starting me on Atenolol for the same symptoms that the HCTZ was not really helping.

So leg cramps, chest pain, dizzines, pins and needle tingling in hands and feet, restless legs, everything I’ve mentioned… are symptoms of low potassium.  I’m glad it was finally caught.  I’d been feeling dizzy when I walked to school to take or pick up my son.  Didn’t know why. 

I felt so silly going into the ER for “leg and chest pain”.  The chest pain scared me, the leg pain made me feel silly just saying it.  But they had an explanation. 

It scares me to think of what could have happened had I not gone in complaining of these “silly” things. 

I’m also kind of scared that, not being in the hospital anymore, I no longer have a cardiac monitor on at all times, letting me know when my heart rate drops into the 40’s. 

I just hope I am able to control this so that it doesn’t happen ever again.  I would not wish a potassium IV on my worst enemy.

For those who think I ended up in the hospital as a complication of my weight loss surgery… I dont know how to answer that.  The reason believed is the HCTZ was depleting my potassium.  And because I am still not eating normally – because of surgery – I am not replacing the potassium as I should.  That and I weigh less now that when I was put on ANY of the medications i’m on… and that is a result of the surgery. 

I still do not regret having the surgery.  I regret not listening to my body and feeling ashamed of whatever symptoms I was having.  Brushing them off because I’d been tested and/or given something for them… even if they weren’t really being controlled. 

Oh, and I also learned that potassium is one of the drugs injected into prisoners to stop their heart and kill them (when they are sentenced to death), so too much of it is just as bad.  Your heart will stop with too little and your heart will stop with too much of it. 

And, I just realized that I am 3 weeks out of surgery already.  I didn’t lose any weight this week.  In fact, I gained 2lbs.  Probably from all the IV fluids they gave me.  😦 


Numbers:

So I am at 17lbs lost in 3 weeks now. 

I was at 19lbs lost in 2 weeks, last week. 

Back home – December 13, 2010

They finally discharged me!  Yaay!! 

Yesterday’s potassium IV was by far the most painful yet.  Probably because the IV was new – it was changed from my left hand to my left forearm.  Or probably because I had two, back to back.  Or maybe because the first was normal strength and diluted in regular IV fluid, plus a separate IV fluid bag… and the second bag of potassium was not diluted, was more concentrated and was started without the extra IV fluid bag.  I was in tears when this second bag was started.  My entire arm burned, not just the vein.

I woke up today feeling very yucky.  The CPAP mask I’d been using there made the bridge of my nose red and with little white dots.  They said they would have to photograph that to keep in my medical record. 

I also had a stomach ache as soon as I stood up to go to the bathroom.  It felt like a burning and aching at the same time, like heartburn but in my stomach and with an ache added in for good measure. It made me nauseas too, so I was given an anti-nausea medication, as well as a Tums. 

I felt so overwhelmed by it all.  I just sat there in the dark room at 6 in the morning and cried, thinking of everything that’s happened so far. 

They drew my blood around 7am to check potassium again.  Then they gave me another potassium “shot” right after.  My potassium was 3.5 this morning. 

Around 2pm, they drew blood again.  This time it was 3.4, but still ok. 

My 24hr urine test was also normal (24… I don’t know what normal range is, but I was told it was normal). 

I was also told to stop taking my Hydrochlorothiazide, a diuretic for high blood pressure.  They think it’s a major cause of my low potassium.  I’m still to take the Atenolol though, since that’s not potassium depleting. 

I also, at one point (but I don’t remember what day… I think it may have been on Thursday when I was still in the ER, but I could be wrong, since I was on a Potassium IV pretty much all day every day), was given an IV of Magnesium, as well as the IV of Potassium. 

This evening, I was given my prescription for daily potassium “shots” and my two follow up appts, one with my primary care provider and one with my surgeon.  She took my IV out and then I changed into my regular clothes.  I signed the discharge papers and was free to go. 

I gave her (my day shift nurse who’d cared for me during the day) a hug and thanked her.  I also gave her a thank you note for my male nurse, who cared for me during the night while I was there.  He’s not only cute, but was even nicer and I just loved him.  Plus, he always was able to draw blood with only one poke and virtually pain-free.

This ordeal was not only frightening but painful.  It’s scary to think you can be hospitalized for that.  And it’s even scarier to find out you need round the clock poking, whether it be IV potassium or blood draws.  My male nurse told me that usually for patients like myself, who need blood drawn often, they will do it via a catheter straight into the heart via a vein (or artery) in the shoulder.  THAT is the scariest part to me.  They didn’t do that to me, only because I always had “one foot out the door” at all times, as he put it. 

I just hope I’m able to maintain my potassium at a normal and safe level.  i don’t want to go through that again.  Not anytime soon.  Not ever.

Potassium Update – December 12, 2010

So they drew my blood again this morning and it was 3.1. Still too low to go home. They ordered another potassium IV AND oral “shots”. They also ordered a 24hr urine observation test thing because they think my kidneys are spilling the potassium since it won’t go up even after numerous and almost nonstop infusions and replacements. This means at least another day here. :-/

Low potassium – December 11, 2010

So I’ve been in the hospital since Wednesday morning. I came in because I’d been having leg and chest pains.

The leg pain started on Monday night in my left leg only. The chest pain started on Tuesday night. In between that, I also had nonstop crazy eyelid twitching, which I just though was extremely annoying but not a sign of anything wrong.

In the ER, they immediately did an EKG and blood draw. They did a chest X-ray and then I was sent down for a leg ultrasound. I was brought back to the ER to await the results and in the meantime my blood work results came back and showed my potassium was extremely and dangerously low – 2.6 and normal is 3.5 – 5! They then sent me back down for a chest CT scan to check for blood clots. Everything (other than blood work) came back normal.

They gave me oral potassium (2 huge pills) and tested me again. My potassium was still low. They did a potassium IV and that took a few hours. Then they checked my blood again. This time it went down to 2.4!! How could that be??

Two full days of this and they finally admitted me. Thursday night they moved me into my room. Took really long to get it because my surgeon requested a specific room in the surgical step down section of the hospital, not in the regular section. The reason being that they could keep a closer eye on me and have me on a cardiac monitor and ready for IV potassium as needed.

It’s now Saturday afternoon and it doesn’t looks like I’ll be leaving yet. My potassium levels have been a roller coaster. I’ve had 3 potassium IVs and several oral potassium replacement so far.

My potassium level was 3.1 last night. It was 3.3 this morning. And it was 3.2 this afternoon. So I’m finally starting to NOT severely lose my potassium. They gave 3 more oral potassium shots to boost my levels up but I have an order for morning labs tomorrow to check my level again. So it doesn’t look like I’ll be leaving until tomorrow (Sunday) afternoon, and that’s if it continues to go in the right direction!

I didn’t realize how serious this was and it’s kind of scary. 😦 I just hope I’m well enough to leave soon!

Rough pureed-food start – December 07, 2010

So I was allowed to start on pureed foods.  Or to actually add pureed foods along with my liquid protein. 

I had a new protein this morning.  It’s called Dessert in Whipped Vanilla flavor.  It was good but a little too much for me.  Thick and sweet.  I’d rather have the Click, which I tried last night for dinner.  Click has less protein but i’m able to not only keep it down, but actually LIKE it! 

For lunch I tried 2 tablespoons of refried beans and about half of a scrambled egg.  As soon as I finished, I got INTENSE stomach cramps.  Labor pains in my stomach (rather than my uterus, like during labor).  Then it all came back up.  Not good.

For dinner I tried refried beans again and it went better.  So I had another tablespoon.  Bad idea.  Feels like they’re stuck at the top of my stomach.  I’m not feeling the urge to puke them back up… yet… but it’s an uncomfortable feeling and may have to make myself puke them up for relief. 

I think it was just too soon.  I will stick to the liquids and try pureed in a few days again.  Maybe. Definitely will be needing to buy some jars of baby food, as my dietician recommended.

I should also mention that I had a couple tablespoons of mashed potatoes yesterday, with some chicken broth (but not mixed together).  I had no major problems with that.  The beans today must have been too thick then  They were mashed pretty good but I guess I should have thinned them out some more.  Better luck next time. 

1st Post-Op – December 06, 2010

I had my first post-op with my surgeon and my whole team this afternoon.  I was weighed first and wow… i’ve lost 27lbs since my pre-op on November 1st.  19lbs since my surgery 13 days ago.  I lost 1″ from my neck, 4″ from my waist and another 4″ from my hips! 

Saw my new dietician, Jennifer. She gave me the ok to start pureed foods!  I can now have applesauce, cream of wheat, no-lard refried beans (which is how my family makes them anyway), mashed potatoes, cottage cheese and even scrambled eggs!  Yay.  My diet is getting closer to being food-like.  LOL.

Then came in a Gastrointestinal (GI) Surgeon. He checked my incisions.  He took off the steri-strips from the incisions.  He said they looked good.

Then my surgeon came in and the GI surgeon came in again with him. My surgeon checked my incisions as well.  He also said they looked good.  I told him my left arm’s vein still hurts where I had the IV that became infiltrated.  He said it usually hurts when that happens.  I asked him what excatly that means and he said it’s when the IV dislodges and is no longer in the vein but just under the skin.  Ouch!  😦  That arm had a HUGE bruise… about the sice of half of my forearm!  It’s now completely gone but still hurts.  The other arm no longer hurts but still has a light purple bruise.  It used to be really dark/bluish/greenish/purple.  And I still have most scabs where I was poked in an attempt to get the IV in.  He cleared me to start more exercise if I want.  I’d been prohibited from using my eliptical because of my high (even at rest) heart rate.  The medication for that is working great and my heart rate is now normal, so I’m cleread to use my eliptical once again.  That should help my weight loss even more! 

Then my medical social worker (MSW) came in.  She asked me how i’m doing psychologically.  I told her i’m doing good, and I really believe I am.  Definitely better than 30lbs ago!!  I told her of my trouble getting to see a psychologist and she gave me some printouts/referrals.  I hope at least one works out!  She also reminded me that I can go to the WLS support group, but that’s only once a month.  Better than nothing! 

So I have to go back in 4 weeks for my 6 week follow-up.  He wanted me to have blood work done and I asked him if it was necessary already.  He agreed to wait until my next appt in 4 weeks instead, after I reminded him of my whole IV ordeal and how it’s difficult to get blood out of me for blood work.  Yay!  I think i’m ready to marry him!  Lol.

 

Numbers… so far:

Weight lost since my highest weight on 06/07/10:  -37lbs

Weight lost since pre-op appt on 11/01/10:             -27lbs

Weight lost since surgery day on 11/23/10:            -19lbs