Okay, as I am sure you are all probably well aware by now I shall be undergoing a slight life changing procedure at the end of the week.
Up until today, I had not really allowed myself a thought on how much of a major procedure it actually was, but it turns out having a gastric sleeve really and truly is a very big deal indeed.
Let’s say you met a friend who told you they have had three-quarters of their stomach removed because of an issue of some sorts and the only way they could be saved was to remove the affected part of the stomach and sew up the remainder so they had some way of digesting food.
You would be horrified and have nothing but sympathy for them,
It is odd though as I am having that exact thing done myself (although the tissue they are removing is healthy in my case) yet no one not even me, appears to grasp the actual enormity of the whole process I am about to undergo.
I suppose in the back of my mind, that knowledge was there but I honestly never considered it. I am, well was, completely matter of fact about it treating it like a trip to the dentist, but this is major surgery and comes with all of the associated risks. I will be anaesthetised whilst the procedure is performed and that is possibly the most risky part of the operation. I made the fatal mistake of googling “Anaesthetising Obese Patients” After learning the following, I can tell you it was not a wise move
So when it is written as plainly as what now follows, I have to be honest and say it really doesn’t bode well for some people. When an obese person lays down they are more prone to airway collapse due to the loss of pharyngeal muscle tone, therefore airway maintenance is required during anaesthesia, unfortunately airway maintenance can be more difficult in obese patients. During the procedure everyone is mechanically ventilated but due to the fact obese patients have a third of the respiratory compliance of normal sized patients due to reduced lung and chest wall compliance, it becomes difficult to correctly regulate and maintain adequate airflow.
Blood pressure is another issue and adequate pressure is is required to maintain circulation at all times. The anaesthetic affects the patients blood pressure but as obese patients are up to six times more likely to suffer from hypertension, it becomes a much greater issue.
Morbid obesity can affect the volume of distribution of drugs. Therefore, caution must be taken with anaesthetic agents in obese patients. The main issue is whether total body weight (TBW) or ideal body weight (IBW) should be used to calculate drug dosage. An important point to remember is that obese patients have more adipose tissue but their lean tissue is normally unaltered making it difficult to calculate the drug dosage.
Obviously all of the above are scary things and I honestly hope I am not talking out of term here of at least not tempting fate but, as I do not suffer from all of the issues associated with anaesthetising obese people, I am hope full of pulling through unscathed. I do not suffer from Hypertension so the blood pressure issue should not affect me. I am not a smoker so will have better respiratory compliance. I am not much of a drinker and have been trying to look after my liver and reduce its size to move it out-of-the-way of the stomach. This basically means that if there are no unexpected obstructions, the surgeon should be presented with an easy and straightforward procedure and finish within the regular time thus reducing the amount of time I am ventilated and anaesthetised. Plus I have spent time walking and increasing my activity in order for these things to happen, to help make me healthier pre and post surgery. All in all, I have tried to reduce the risk as much as I can on my behalf leaving only the obese side of it to chance and if I had the obese side of things under my control then we wouldn’t be here anyway!
So to insure I am at my “leanest and cleanest” in time for surgery, I have decided to start mixing the protein shake diet with some porridge, some fruit and some yoghurt and for the next four days that will be my lot.
My diet will now look something along the lines of :
- Breakfast – Porridge, Yorkshire Gold Tea 🙂 3 glasses of water
- Lunch – 2 x Upbeat protein shakes, 1 Apple, 3 glasses of water
- Dinner – 2 x Strained Fruit Yogurt -High Protein, 1 x Upbeat Protein Shake, 3 glasses of water
- Evening snack – Yorkshire Gold Tea 😉 1 x Apple, 1 glass of water
Sounds pretty bland doesn’t it? Honestly I am not put off by this at all. I can really see me making the final push by using these last few days as a tool for feeling “right” when I finally hit the Surgeons knife.
Obviously I shall not be eating on Friday so I only have four more days of dieting including today 🙂 and if I can’t do this for myself for such as short period of time then I am not really a suitable candidate for this surgery.
But deep down, we all know that I am…don’t we?
Stay out of the fridge.