The Means to an End

The moment I decided to have the bypass I became nervous about the whole situation, but the moment I met Dr. James Barnes all my apprehension disappeared. I’m not sure how it is with other bariatric surgeons but Dr. Barnes makes all of his patients sit through about an hour or so seminar to hear their options, risks, and answer any questions. Once the seminar is over if you are still interested he will exam you.
Let’s have another lesson in fat people. One of the main reason fat people don’t go to the doctor like they should is because of the judgemental staff and doctors. Most doctors I have been to in recent years don’t have scales that go above 350 or 400 pounds. The humiliation of getting on the scale in front of the size 2 nurse or medical assistant is indescribable. It’s almost like the dream where you show up to class in your underwear but worse. Then there is the doctor. Every doctor I have seen has said “You need to lose weight. We will set you up with a nutritionist.” This is after they tell you how fat you are and that you will die soon if you don’t take care of this. For most this doesn’t help. I know all this did for me was stress me out and make me eat more.
The seminar was over and now it was time for the weigh in, but not before the picture they use as your before picture. I get on the scale and it reads 465lbs. Remember my highest that I am aware of was 485lbs. Upon entering my exam room I expected the worst from the slender Dr. Barnes. However, I was pleasantly surprised at how personable he was. He never used the word fat. In the seminar he told me of the three different surgeries he performs the Lap-Band, the Gastric-Sleeve, and the Gastric Bypass (Roux-en-Y). I knew what my choice would be before he even asked. I told him I wanted the bypass and he agreed that would be a better choice for me and the amount of weight I needed to lose. I’ve heard of most people saying they had to lose weight before their surgery and this never made sense to me. Why lose weight before weight loss surgery? Isn’t that why you are having surgery? I asked these questions and received my answer. Everyone of his patients have to lose a certain percent based on their weight. The reason is losing this percent decreases the size and weight of your liver by 40%. Why is that important? In order to get to your stomach the surgeon must move your liver out-of-the-way and the smaller/lighter your liver is the less chance for complications. I was dreading the number I was about to hear. How would I lose the weight? That’s when he said “Jarred you will need to lose 40lbs before you can have the surgery.” My heart sank, but my facial expression didn’t give me away. I am so fat and have 0% will power. How will I get down to 425lbs?


One thought on “The Means to an End

  1. You will do it because you have a goal! You have people around you who are an encouragement! You want it, so you will find a way. Maybe you can talk to the doctor again to find out if your medical plan will cover at least some sort of planned weight loss program in the short-term, like Weight Watchers or Medi-Fast. I have Kaiser (we are in Southern California. Interestingly am going to their nutrition class today) and they offer such an option. The only thing it doesn’t cover is the food/food substitute for their version of Medi-Fast.

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