American Broadcasting Company

That time MM was on 20/20.

American Broadcasting CompanyAmerican Broadcasting Company (Photo credit: Wikipedia)

I'm going to be on TV.

I'm going to New York City next week to film an interview with ABC's 20/20.    

Then, because of the way things go:  I am going to the neurology inpatient unit for 7-10 days for video EEG monitoring, coming home, and flying to Vegas for the WLSFA Event.  Because.  It's all or nothing for me. 

PS.  Send clothes.  OMG.  I have nothing to wear.  And I need a haircut.  Save me. 

What?!

Yes.  I agreed to go.  You know I am terrified of Such Things as Being On Camera, and I have said no a couple times before to things like this.  There are people in my life who feel that I can't possibly have stage fright because "REALLY, YOU!?  Attention WHORE!"  But I am typically scared shitless, you just don't know that.

But this opportunity feels different.  It's 20/20.

I WATCH THIS SHOW.  OMG.  I'm going to speak with Deborah Roberts.  OMG. 

I spent one and a half hours on the phone today with a ABC producer, and I taped it.

Why did you TAPE yourself, Beth?  For one thing, I have had more than one seizure during Important Phone Calls that I do not remember HAVING.  (Sorry, Chike Protein, and whomever else I've done it to.)  Knowing the call would be long, I figured it was a possibility and I wanted to remember what I said.  It didn't happen, but now I have this record of my half of the conversation, I figured I would share it.

This is completely unscripted, random and much of my off the cuff thoughts.  Please do not judge too harshly.  I did not prepare anything because I had no idea what she was going to ask and what the topic was.  As for the actual show topic, I figure it will be loosely connected to the things she asked in this interview:

 

469940_3230835724416_1072296476_3000505_1256814051_o

Off I go! Wish me seizures.

Updated – Today I go in to the Neurology Unit at my hospital for up to ten days (feel free to shoot me instead) of video EEG testing.

“Oh, another vacation!  You must be so excited.”

No.  Actually.  It’s just frustrating.  No bathing for a week, eating hospital foods and doing. nothing. at. all.  

The goal is to come off of my seizure medicine and HAVE seizures while hooked up to the gadgetry. Wish me seizures. I know that sounds crazy, but if I seize, I can come home. I’ve asked my friend Wendy to give me disturbing news via text or phone once I am settled in — because while it’s a long shot — stress COULD help. I know. Nuts.

469940_3230835724416_1072296476_3000505_1256814051_o
I finally went to the neurologist’s office today, after a very long stretch of missed, forgotten and canceled appointments.  First thing —


Boiled Egg - Crossection

Obvious Cooking Lessons – How To Hard Boil Eggs!

Boiled Egg - Crossection(Photo credit: Wikipedia)

Eggs are often a staple of a post bariatric surgery diet for those who can tolerate them. Sometimes eggs can be tricky and not your friend, but when they are?  Eat up.  

Eggs provide lots of nutrition and protein for about 70 calories each.  They're also super-filling, which is a bonus after weight loss surgery.  

Eggs are one of the least expensive sources of protein at about 20 cents a piece, and one egg can easily fill (or overfill) a gastric bypass belly. 

You would be surprised (or not) at the fact that many people enjoy a good hard-boiled egg, but do not know how to cook one.  You can even find pre-cooked and shelled hard-boiled eggs in the refrigerated section at the grocery store!

There's no fun in those, if you're planning to dye them for Easter this weekend however.  

  1. PLACE eggs in saucepan large enough to hold them in single layer. ADD cold water to cover eggs by 1 inch. HEAT over high heat just to boiling. REMOVE from burner. COVER pan.
  2. LET EGGS STAND in hot water about 12 minutes for large eggs (9 minutes for medium eggs; 15 minutes for extra large).
  3. DRAIN immediately and serve warm. OR, cool completely under cold running water or in bowl of ice water, then REFRIGERATE.
  4. Cooling the eggs immediately avoids the green ring around the yolk, too.

How do you like your hard-boiled eggs?

Screen Shot 2012-02-28 at 7.03.00 AM

Intervention – Julie – Alcoholism After Weight Loss Surgery – Gastric Bypass

On last night's Intervention – Julie.

 

Screen Shot 2012-02-28 at 7.03.00 AM

A gorgeous 40 year old mother of two, who happens to to be about seven to eight years post gastric bypass postop.  She also, happens to have a little big problem in her smaller body.

"Julie often turned to food and alcohol to find comfort in tough times. She had gastric bypass surgery when her weight ballooned, but now she spends her son's child support money."

On alcohol, a lot of alcohol.  You see…

Screen Shot 2012-02-28 at 7.12.04 AM

First thing you must note, Julie started drinking at six months post surgery.  

This is extraordinarily dangerous.  Your surgeon told you to be careful for a reason.

Alcohol + early gastric bypass = possible brain damage and Wernicke's encephalopathy.   Wernicke's can occur even without the aid of drinking heavily, do not help it along.

Gastric bypass triggers impaired vitamin intake in the best of situations, and pairing this with alcohol abuse can increase the risks of things like thiamine or Vitamin B1 deficiency.  Typical people have a hard enough time metabolizing, removing nutrient intake and adding alcohol is a very bad idea.  Don't do it.  Don't take advice from internet peoples, but don't do it.

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Also note that alcohol really messes you UP post op –

 If you aren't one of the gastric-ally enhanced like your super enhanced *sarcasm* blogger here, let me explain something to you:  

  • Diet coke and rum, and I'm on stage.  
  • A few sips of a martini and I'm holding walls.  
  • I'm pregnant in one half-glass of wine.  

Alcohol is a different beast with a short gut.  Your mileage may and should and will vary, but for most of us, alcohol hits our systems FAST, HARD and feels like it leaves just as quick, even if it doesn't – – which can lead "us" to drink more.  

It can be a sick cycle, and the longer I live with my own super enhanced system, the more I realize how much it's all quite interconnected.  (Hello, carbohydrates, let's get shitfaced!)  I'm not an expert in any way, I just live with it, watch others deal — and read about it daily.  (And, damn it if my opinions aren't changing.)

I'm not really blogging about Julie here, you see.  I feel like I/we can't judge.  Because, you know what, she is any one of us.  It would not take much to jump on that slip and slide of transfer addictionfor any of us, and who are we to judge that?  (As I sat with my heavily buttered toast and ATE FOOD during this episode, right?)  

Transfer addiction can hit ANY OF US if we aren't dealing with our triggers…

…To over eat, drink, compulsively shop, gamble, ludicrous hobbies that suck up ALL time and money,  taking off to do stupid shit, (Yes, I Am Talking About You, CUT IT OUT, what you're doing is totally destructive though you don't see it, and you probably won't see this anyway…) overusing the internet *coughIknow,* obsessions, sex addictions, etc…so forth, so on and yadda yadda yadda, this list, really has NO END…  And, we all know someone who has a problem.  And, yeah.  

My Name Is Beth And I Am Addicted To Caffeine, Simple Carbohydrates And Online Gratification Via Instant Results Via ADHD Brain With A Side Order of Seizure Disorder.

Also:  who's to say what addictions and compulsions are truly destructive vs. not?  I mean?  Sure, I use the net too much, but… what if I was knitting so much that my house was full of yarn?  <g>  There are things to consider here.  Also: addicts will rationalize everything to make their addictions seem okay for THEM.  *beam*  Am I NOT right?Any of us who ever used food to deal with emotional reasons or anxiety is at risk to transfer to something else, or continually cycle back to heavily buttered carbs.  We substitute WHAT-EVER we can to get the same effect in our BRAINS.  It's just a cycle of fail until we can fix what's broken to begin with!  If you have ever said, "As soon as I lose the weight, things will be better -" that's a sign that they won't.  Start working on it yesterday.

Also – I must mention it.  I notice the chatter – "OMG HOW MUCH WEIGHTED DID SHE GAINED?!"

The woman was on Intervention because she's drinking herself to death.  Her weight regain is of zero importance.  Priorities:  #1 – Live.  #2 – Stay Alive.

At the close of Intervention last night, we were told that Julie is attending AA and was sober as of September.  I wish her the very, very best.  

Are you out there, Julie?  

PS.  The realization that the individuals on these shows WATCH themselves on TV and how does THAT feel?  *thud*

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B-12 Sublingual Quick-melt (Cherry) - 90 Day

Celebrate Bariatric Supplements Quick-Melt B12 Sublingual

Don't like to leave a sublingual tablet under your tongue and let it melt for a while? 

I hadn't really noticed this problem, but Celebrate said that it was enough of an issue that theycreated a new quick-melt formulation of their sublingual B12 tablet for weight loss surgery post ops.

B-12 Sublingual Quick-melt (Cherry) - 90 Day 

Why B12?

Individuals who have had gastrointestinal surgery are at higher risk of developing deficiency

National Institutes Of Health -


Surgical procedures in the gastrointestinal tract, such as weight loss surgery or surgery to remove all or part of the stomach, often result in a loss of cells that secrete hydrochloric acid and intrinsic factor [5,39,40]. This reduces the amount of vitamin B12, particularly food-bound vitamin B12 [41], that the body releases and absorbs. Surgical removal of the distal ileum also can result in the inability to absorb vitamin B12. Individuals undergoing these surgical procedures should be monitored preoperatively and postoperatively for several nutrient deficiencies, including vitamin B12 deficiency [42].

Vitamin B12 Deficiency

Vitamin B12 deficiency is characterized by megaloblastic anemia, fatigue, weakness, constipation, loss of appetite, and weight loss [1,3,27]. Neurological changes, such as numbness and tingling in the hands and feet, can also occur [5,28]. Additional symptoms of vitamin B12 deficiency include difficulty maintaining balance, depression, confusion, dementia, poor memory, and soreness of the mouth or tongue [29]. The neurological symptoms of vitamin B12 deficiency can occur without anemia, so early diagnosis and intervention is important to avoid irreversible damage [6]. 


Typically, vitamin B12 deficiency is treated with vitamin B12 injections, since this method bypasses potential barriers to absorption. However, high doses of oral vitamin B12 may also be effective. The authors of a review of randomized controlled trials comparing oral with intramuscular vitamin B12 concluded that 2,000 mcg of oral vitamin B12 daily, followed by a decreased daily dose of 1,000 mcg and then 1,000 mcg weekly and finally, monthly might be as effective as intramuscular administration [24,25]. Overall, an individual patient’s ability to absorb vitamin B12 is the most important factor in determining whether vitamin B12 should be administered orally or via injection [8]. In most countries, the practice of using intramuscular vitamin B12 to treat vitamin B12 deficiency has remained unchanged [24].

From Celebrate –

Our new proprietary formula utilizes Quick-melt technology to provide you with a great tastingsublingual tablet that will dissolve in less than 1 minute. 

Delivering 1000 mcg of vitamin B-12, this great tasting sublingual tablet will ensure that you are receiving proper levels of this critical vitamin.  In addition, each tablet also contains 200 mcg of folic acid.  Each bottle contains 90 sublingual tablets.  

While the majority of patients that are taking our multivitamin will not need an additional sublingual, there will be a small percentage of patients that require higher levels.  Since vitamin B-12 is water soluble, any excess will simply be excreted by your body. And with our new Quick-melt tablet, taking your B-12 has never been easier!

  Picture 120 
The tablets are larger than the average B12, and white, not red or pink like most.   

The smell is a pleasant cherry, as opposed to what, an evil cherry?

   Cherries 
 

You pop 'em under your tongue, and WHAM BAM THANK YOU, uh, ma'am, it totally disintegrates into a sweet punch of cherry, and that's it.  Gone.  

Quick melt THEY DO.  In fact, if I miss, it quick melts on my tongue, which isn't awful, because they taste good, and I can take another.  <shrug>

  • Product - Celebrate Bariatric Supplements B-12 Supplement Quick-Melt
  • Price – $15.95
  • Via – Celebrate Bariatric Supplements
  • Pros – Well, that was easy, in and done.
  • Cons – Well, that was easy, I'm drooling.  Melts very, very fast in my mouth.  I wonder if the absorption is the same?
  • Rating – Pouchworthy, MM

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Masshole MH Sticka

WLS Massholes, come out, come out, wherevah you ahh!

Where the hell are ya?  You know what?  I see you — you are out there — most of my readers in IN MASSACHUSETTS.  So.  TALK TO ME.  Here, join me at Facebook!  A group just for MASS-WLS'ers.

 
Masshole MH Sticka

I just had lunch (don't read my review of the restaurant) with Marc (and his lovely wife!) of Gastric Bypass Supplements who is also a Masshole.   
Picture 117
 

I say this, because it didn't really occur to me, that it really is a small world here, we're only a few towns apart.  His brick-and-mortar store is in North Dartmouth, Massachusetts, where many of the post ops from Tobey Hospitals' Weight Loss Surgery Program find him.  He's local enough to those folks, so that they can go from their program – to an actual store and get bariatric product RIGHT THERE.  (Yeah, I had no idea how close I was to this program and it's groups.  I should go, or at least find someone who does … tag along.)

It got me to rambling about how – "We don't have that… here."   I've whined about this before.

There aren't any weight loss surgery specific shops/stores or even sections in bigger stores that I know of, besides Nashua Nutrition in New Hampshire!  (Of which, I've been, ONCE, on the day of the Walk From Obesity.)

There are so many Bariatric Programs in our state.  So. Many.  I am surprised we don't have any WLS-related shops/stores — you'd think?

I'm in the BIGGEST TOWN IN THE STATE, and we don't have a store with supplements in it.  (Now, I feel really awful for you guys that live in the east of nowhere.)

We were talking about weight loss surgery, post op support and finding what you need as a post op in stores in your area.  

  • Where DO you go?  
  • How DO you navigate through the stores to find what you need?  
  • Do you find that you get any help finding what you need?  
  • Do you feel out of place in many nutrition stores?  
  • Do you simply shop online?

I shared my frustration with the fact that I've always had to go through places like GNC, because, it's we have.  I even got a job there once, figuring I could at least get a discount, and help my peers, who I know would ultimately end up there eyes-glazed-over looking for vitamins.

You cannot GET the kind of answers you need at big nutrition stores.  They don't GET us.  Gastric Bypass Supplements gets us, if you can get to him.  ;)  Or get him online.  I am really hoping he branches out, maybe to, uhh, <cough> Wareham/Plymouth <cough> or <cough> anywhereIcangettoviapublictransport.  

PS.  I'll work there if you paint the walls bright pink.  And let me be OCD with sorting things on the shelves, alphabetically, and by color.

 Chewy Bite Give Away

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Picture 107

What’s realistic about a sarcastic, bitter woman, who STILL can’t/won’t control her eating and blames it on her bypass being a failure?

  Picture 107

I already wrote this once, twice, even. Therapeutic to rant, but it's just never the same the second time around.  

Short version.  I found this.  I went to the reviewers Facebook and asked her "why so mean?"  She and a friend got very, very nasty.  (In fact, they are still posting between each other, and the updates are coming to me now, two hours later.)  I had to stop reading it for my sanity, I removed myself from the conversation and blocked it.

I can take criticism.  I like advice.  But, what happened after the following public review on AMAZON, was not.  

"1.0 out of 5 stars If you want support, you won't get it hereApril 8, 2010

By  S. Azzouz

This review is from: Melting Mama l Realistic looks at life after weight loss surgery (Kindle Edition)

I tried, I really tried to keep going to MM's site but after a few month's I can't take it anymore. At first, I really loved it because she was spunky, to the point, didn't mix words and was funny. After a while, though, it seems your eyes are opened to some painful facts. While I understand her trying to make money off her site and having sponsors but I find the line upon line upon line of ads distracting and annoying. Especially when you can't even FIND the articles or relevant information unless you keep scrolling and scrolling thru tons of ads to get to them way on the right border of her site, toward the bottom of the page. And 9 times out of ten, they are AD links not articles! Who wants to keep worrying every time they click what they think is an article is another flipping ad! 

The attitude I took for no nonsense and spunk, I soon realized seemed to be just plain bitterness. During one of her many web page changes, she lamented about gaining weight and that if she had the choice, she wouldn't have had the surgery and she regretted it. What?? That is what the site is supposed to be about, right? How did she think that other people who came to look at her site for support took that? She described the food she was eating and I was appalled that she was surprised as to why she gained weight! How many of us after bypass eat Godiva chocolates and doughnuts from the local bakery or can eat it? Most of us would be puking our guts out from all the sugar! At first, I thought maybe she was joking but it was for real! My friend actually phoned me to go look at the site because she was just as disappointed that this was the kind of stuff that was posted. She hadn't had the surgery yet and went there on the advice of someone else and after she saw it, she wondered if this was gonna be how she would be a few years after surgery or maybe it doesn't really work. Her husband's blog (who also had a bypass) was linked to her page and when you clicked over to his page he complained about the same thing of gaining weight and that at least he cut down from a dozen doughnuts to 4 but didn't understand why his weight loss was not budging! What is wrong with these people??? 

I really, really don't know why anyone would subscribe to this on Kindle when you can go online to it for free or to go there at ALL; but to each his/her own. If you expect support, a forum, or any articles that are to help you with Gastric bypass/weight loss surgery, this is NOT IT. What's realistic about a sarcastic, bitter woman, who STILL can't/won't control her eating and blames it on her bypass being a failure? I would never recommend this site to ANYONE (unless you are an advertiser)and will never go there again."

Comparison Between Pyloric Preserving and Non-Pyloric Preserving Bariatric Surgery With Glucose Challenge

Comparison Between Pyloric Preserving and Non-Pyloric Preserving Bariatric Surgery With Glucose Challenge

This study will compare glucose and simple carbohydrate sensitivity. 

The hypothesis is that rapid emptying of high-glycemic index foods after Roux-En-Y gastric bypass (RYGB) causes reactive hypoglycemia. It is believed that the controlled release offered by an intact pylorus will be advantageous for long term results in bariatric surgery. 

This study can provide a scientific rationale, in a short duration of time, for why pylorus sparing surgery, such as the sleeve gastrectomy or duodenal switch, may offer therapeutic advantages, as compared to non-pyloric sparing surgery, namely the gastric bypass.

(I think I am a little too late.  - MM)

This study is currently recruiting participants.

Verified by Covidien, April 2010

First Received: October 15, 2009   Last Updated: April 13, 2010   History of Changes

Sponsor: Covidien
Information provided by: Covidien
ClinicalTrials.gov Identifier: NCT00998374

  Purpose

This study will compare glucose and simple carbohydrate sensitivity. The hypothesis is that rapid emptying of high-glycemic index foods after Roux-En-Y gastric bypass (RYGB) causes reactive hypoglycemia. It is believed that the controlled release offered by an intact pylorus will be advantageous for long term results in bariatric surgery. This study can provide a scientific rationale, in a short duration of time, for why pylorus sparing surgery, such as the sleeve gastrectomy or duodenal switch, may offer therapeutic advantages, as compared to non-pyloric sparing surgery, namely the gastric bypass.


Condition
Hypoglycemia
Obesity


Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Comparison Between Pyloric Preserving and Non-Pyloric Preserving Bariatric Surgery With Glucose Challenge


Resource links provided by NLM:


MedlinePlus related topics: Hypoglycemia Obesity Surgery Weight Loss Surgery

U.S. FDA Resources


Further study details as provided by Covidien:


Primary Outcome Measures:

  • Reactive hypoglycemia status and ratio between the maximum serum glucose level and the minimum serum glucose level during glucose tolerance testing. [ Time Frame: 6, 9, and 12 months post-operatively ] [ Designated as safety issue: Yes ]


Secondary Outcome Measures:

  • Insulin resistance [ Time Frame: 6, 9, and 12 months post-operatively ] [ Designated as safety issue: Yes ]
  • subjective symptoms of hypoglycemia during glucose tolerance testing [ Time Frame: 6, 9, and 12 months post-op ] [ Designated as safety issue: No ]


Biospecimen Retention:   None Retained

Estimated Enrollment: 60
Study Start Date: September 2009
Estimated Primary Completion Date: January 2012 (Final data collection date for primary outcome measure)

Groups/Cohorts
Pyloric-sparing group vs. non-pyloric sparing group

Pylorus sparing = sleeve gastrectomy and duodenal switch procedures

Non-pylorus sparing = gastric bypass procedure


Detailed Description:

Clinical Trial Objective:

The objective of this clinical trial is to determine whether an intact pylorus prevents reactive hypoglycemia following challenge with liquid glucose preparation and/or solid load made of refined flour product that is a simple carbohydrate.

Clinical Trial Design:

This is a prospective, non-randomized, clinical trial.

  Eligibility

Ages Eligible for Study:   19 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample

Study Population

Patients >18 years of age BMI greater than or equal to 35

Criteria

Inclusion Criteria:

  • The patient is greater than 18 years old;
  • The patient has a BMI > 35;
  • Patient meets standards for bariatric surgery;

Exclusion Criteria:

  • The patient has an incurable malignant or debilitating disease;
  • The patient has been diagnosed with a severe eating disorder;
  • The patient is currently pregnant (pregnancy test required for confirmation for those of child bearing years);
  • The patient is unable to comply with the study requirements, follow-up schedule, or to give valid informed consent

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00998374

Contacts

Contact: JoAnne Weiskopf, RPA-C 212-434-3285 jweiskopf@lenoxhill.net
Contact: Asif Mastan, MD 212-434-2553 amastan@lenoxhill.net


Locations

United States, New York
Lenox Hill Hospital 186 E76th Street, 1st Floor Recruiting
New York City, New York, United States, 10021

Sponsors and Collaborators

Covidien

Investigators

Principal Investigator: Mitchell Roslin, MD Lenox Hill Hospital

  More Information


No publications provided 

Responsible Party: Lenox Hill Hospital ( Mitchell Roslin, MD )
Study ID Numbers: AS08018
Study First Received: October 15, 2009
Last Updated: April 13, 2010
ClinicalTrials.gov Identifier: NCT00998374     History of Changes
Health Authority: United States: Institutional Review Board


Additional relevant MeSH terms:

Obesity
Body Weight
Calcium Metabolism Disorders
Signs and Symptoms
Hypocalcemia
Metabolic Diseases
Nutrition Disorders
Overweight
Overnutrition
Water-Electrolyte Imbalance
Glucose Metabolism Disorders
Hypoglycemia


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