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Debs ramblings about her NHS sleeve...

Debs!

Active Member
Catchy title eh?!?

I am indulging myself with a pre op diary. I suggest potential readers skip this as it's bound to be either boring or a some what depressing series of moans by me as I crawl towards my sleeve!

I am person with a facade of confidence which masks low self esteem and I use food as a crutch/weapon/shield. I am the one who tells the jokes, who can be loud and appears confident and the one who mercilessly pokes fun at herself. The 'fat jester' would be an unkind but accurate label.

I am now 47 years old and allowed my self abuse with food to turn to self loathing whilst always maintaining that fat, funny and fabulous facade! If only people knew....

Journey so far?

Well I got very big back in 1989 after I got married aged 21 and the marriage failed very quickly - a matter of weeks. Never really got a grip of dieting in a sustained way. Yes I went to slimmers world and had a card filled with shiny sevens and yes I went to weightwatchers and got a key fob, and certificate to say I was at goal with lots of 'well-done'. Didn't fix my head and I ate my way back to the start weight and more each time.

Losing weight is a very public thing - you cannot hide the losses and gains. Great on the way down - taking your ill fitting clothes to the charity shop or passing them on to your friends who remain a little larger. Fairly awful when you wished you'd kept that big coat and work suits as you gallop back up the scales spending £££'s to lose and £££s more as you gain!!

In 2012 my GP referred me to a Tier 3 multi discipline team in South Yardley, Birmingham. I saw a dietician, doctor and psychologist each month for just over 2 years. With a BMI of 41 my local PCT (Worcester) would not fund WLS as they imposed as BMI of 55 for funding.

My current medical conditions are PCOS (but baby via self funded ICSI 16 years ago so happy with that); chronic back pain following fracture coccyx, fibromyalgia, GERD, insulin resistant/pre diabetic, hypertension and vulvodynia - a joyous mix eh??!

My luck changed when NICE changed the guidance in 2013 which led to funding not being PCT controlled but being paid for by NHS England. The Tier 3 team agreed I was suitable for WLS back in September 2014 and referred me to Walsall Manor Hospital - initially my referral was lost - so I did not hear from them till January 2015.

I saw the first round of people there on the 23/1/15. I then had appointments for the Surgeon and Psychologist for April 2015 - but rang on the off chance of a cancellation and due to a threat of snow they had cancellations for the next day so I was able to see both those guys on the 30/1/15. It was a minor miracle.

I now have a group session focussing on liver shrinking diet and post op diet, a pre op with the nurse and the pre op with the Anesthetist - all in March and then as long as they say I am ok – with luck, I will be listed for surgery - waiting list permitting it could be as early as April-May.

I have opted for the sleeve. I spent years researching and I feel this is the right decision for me - I am acutely aware that everyone is different and I would never knock another's choice. I just feel this, whilst not necessarily being the 'gold standard' will give me an outcome which will transform my life.

Of course I am scared. You'd have to be fairly unusual to not be scared of cutting out 75% of your stomach on a forever basis! But I am also excited and looking forward to being kinder to myself at long last.

I really hope I do not muck this lifeline up!
 
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Nowt wrong with a sleeve if that what floats your boat LOL. Personally I've never understood what is meant by 'gold standard'. Years ago gold cards were replaced with platinum :)
 
Hi debs... I'm early into my journey... But good luck and I am looking forward to seeing how you get on ... Karen xx
 
Catchy title eh?!?

I am indulging myself with a pre op diary. I suggest potential readers skip this as it's bound to be either boring or a some what depressing series of moans by me as I crawl towards my sleeve!

I am person with a facade of confidence masking low self esteem and use food as a crutch/weapon/shield. I am the one who tells the jokes, who can be loud and appears confident and the one who mercilessly pokes fun at herself. The fat jester would be an unkind but accurate label.

I am now 47 years old and allowed my self abuse with food to turn to self loathing whilst always maintaining that fat, funny and fabulous facade! If only people knew....

Journey so far?

Well I got very big back in 1989 after I got married aged 21 and the marriage failed very quickly - a matter of weeks. Never really got a grip of dieting in a sustained way. Yes I went to slimmers world and had a card filled with shiny sevens and yes I went to weigthwatchers and got a key fob, and certificate to say I was at goal with lots of 'well done's'. Didn't fix my head and I ate my way back to the start and more each time.

Losing weight is a very public thing - you cannot hide the losses and gains. Great on the way down - taking you clothes to the charity shop or passing them on to your friends who remain a little larger. Fairly awful when you wished you'd kept that big coat and work suits as you bound back up the scales spending £££'s to lose and £££s more as you gain!!

In 2012 my GP referred me to a Tier 3 multi discipline team in South Yardley, Birmingham. I saw a dietician, doctor and psychologist each month for just over 2 years. With a BMI of 41 my local PCT (Worcester) would not fund WLS as they imposed as BMI of 55 for funding.

My luck changed when NICE changed the guidance in 2013 which led to funding not being PCT controlled but being paid bu NHS England. The Tier 3 team agreed I was suitable for WLS back in September 2014 and referred me to Walsall Manor Hospital - my referal was lost - so I did not hear from them till January 2015.

I saw the first round of people there on the 23/1/15. I then had appointments for the Surgeon and Psychologist for April 2015 - but rang on the off chance of a cancellation and due to a threat of snow they had cancellations so I was able to see both those guys on the 30/1/15. It was a minor miracle

I have a group session focussing on liver shrinking diet and post op diet, a pre op with the nurse and the pre op with the Anesthetist in March and then as long as they says I am ok – with luck, I will be listed for surgery - waiting list permitting it could be April-May.

I have opted for the sleeve. I spent years researching and I feel this is the right decision for me - I am acutely aware that everyone is different and I would never knock another's choice. I just feel this, whilst not necessarily being the 'gold standard' will give me an outcome which will transform my life.

Of course I am scared. You'd have to be fairly unusual to not be scared of cutting out 75% of your stomach on a forever basis! But I am also excited and looking forward to being kinder to myself at long last.

I really hope I do not muck this lifeline up!

Fab write up Debs, I can relate so much too it especially the 'fat jester', if we poke fun at ourselves we stop other people doing it. Right? Good luck, I will watching with interest x
 
Hi Debs

I also can relate to the fat jester. Also in Worcestershire and about to have a bypass in the morning. Good luck on your journey x

Sent from my iPad using WLSurgery
 
Hi Debs

I also can relate to the fat jester. Also in Worcestershire and about to have a bypass in the morning. Good luck on your journey x

Sent from my iPad using WLSurgery


Hello Alison - where are you having your bypass? I hope it goes smoothly and you become a right loser !! :jelous:
 
Fab write up Debs, I can relate so much too it especially the 'fat jester', if we poke fun at ourselves we stop other people doing it. Right? Good luck, I will watching with interest x

Thanks for taking the time to post an encouraging reply - it is strange how we all have such similar coping strategies and yet we all know they don't really work - lets hope this is the last solution and it works :) x
 
Hi debs... I'm early into my journey... But good luck and I am looking forward to seeing how you get on ... Karen xx

Hi Freddy's mum - I can see you have been on the site for a few years - I hope this diary doesn't drive you away!!! x
 
No not at all.., I came on here years ago hoping to get surgery to be told I didn't qualify .. ( I lived in Lincolnshire)... Now up in County Durham I do... I love reading everyone's successes and all the positive and negative things... Xx
 
Well the last week has been a weird one. I am to be medically retired from work on the 31.3.15 and as I have been with the same place since 1983 I feel every last shred of identity is going out with it.

I have known it was coming so its not a surprise as such - but it's startled me at how much it has cause me to flounder and struggle with my emotions.

My pain meds have been changed and I have spent the week hungry and battling with returning poor habits. I have pre op next week and need to get a grip!

WLS is still my goal - but it just shows you - life is a 'multiple plate spinning event' - not a single battle at a time event. Even when prepared other things can really knock you of guard.

Need to get a grip and get back to my mindful eating. At least I have seen the slip - but really, having been working to this point since 2012 I am rolling my eyes in despair!

Fortunately this means I can be nasty to myself again - ain't that the way - you hold a belief that you are not worthy - find something to warp so you can prove that theory and BANG - hit yourself with the new stick you've just made.

Off for a walk....
 
Well the last week has been a weird one. I am to be medically retired from work on the 31.3.15 and as I have been with the same place since 1983 I feel every last shred of identity is going out with it.

I have known it was coming so its not a surprise as such - but it's startled me at how much it has cause me to flounder and struggle with my emotions.

My pain meds have been changed and I have spent the week hungry and battling with returning poor habits. I have pre op next week and need to get a grip!

WLS is still my goal - but it just shows you - life is a 'multiple plate spinning event' - not a single battle at a time event. Even when prepared other things can really knock you of guard.

Need to get a grip and get back to my mindful eating. At least I have seen the slip - but really, having been working to this point since 2012 I am rolling my eyes in despair!

Fortunately this means I can be nasty to myself again - ain't that the way - you hold a belief that you are not worthy - find something to warp so you can prove that theory and BANG - hit yourself with the new stick you've just made.

Off for a walk....

Hang on in there. This last year for me has been a total disaster - everything that could have happened has happened. Yet in a strange way it took the focus off food for me and is slowly helping me to get my issues around food into perspective. The demons have by no means gone but having so many other things to focus on has helped to keep them in a little box alongside other things rather than dominating everything else.

I hope all goes well with the pre op. I am under WM too and have a very looong history with them so shout if there is anything you need help/advice on with them.

TBx
 
Thanks TB. Perhaps we will meet next week at the support group thingy. Honestly I had hoped at my aged I be able a sustained period of getting a grip!!!! ?
 
Well the last week has been a weird one. I am to be medically retired from work on the 31.3.15 and as I have been with the same place since 1983 I feel every last shred of identity is going out with it.

I have known it was coming so its not a surprise as such - but it's startled me at how much it has cause me to flounder and struggle with my emotions.

My pain meds have been changed and I have spent the week hungry and battling with returning poor habits. I have pre op next week and need to get a grip!

WLS is still my goal - but it just shows you - life is a 'multiple plate spinning event' - not a single battle at a time event. Even when prepared other things can really knock you of guard.

Need to get a grip and get back to my mindful eating. At least I have seen the slip - but really, having been working to this point since 2012 I am rolling my eyes in despair!

Fortunately this means I can be nasty to myself again - ain't that the way - you hold a belief that you are not worthy - find something to warp so you can prove that theory and BANG - hit yourself with the new stick you've just made.

Off for a walk....

hi Debs
Sorry to hear about your job, but keep your chin up and after surgery who know what and how many new opportunities await. Good luck xx
 
It's not the loss of the job - after 32 years I've had a good run! I am also lucky that I will have a pension and as you say, I can look for a job to top that up post surgery.

I think it's about loss of status that working can bring. I am only a public sector worker - so I am not suggesting 'glory abounds' or anything - but now I feel like I am labelled with a raft of labels - obese (failed at dieting) single parent (failed at marriage) and now out of work!

I know I am just having a minor Debs downer! I am actually in some sense excited. If I get this surgery and shift some timber - when I do resume working in a totally new place they will never have known me at my biggest and perhaps I won't always be explaining or being asked about it. That's very appealing and very exciting.

Hope everyone is else is getting on ok xx
 
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Hi Debs, I was medically retired from my NHS job in 2013 with Multiple Sclerosis so I feel your pain. I still miss it every day; but it does get easier..

I'm in South Worcestershire and have been referred to Worcester Royal. I have my first meeting with the bariatric team there at the end of the month.

I'll be watching your journey and hope that the knowledge that the new you is just around the corner is enough to compensate for all the negative things that are going on.

Claire x
 
Hi Debs, I was medically retired from my NHS job in 2013 with Multiple Sclerosis so I feel your pain. I still miss it every day; but it does get easier..

I'm in South Worcestershire and have been referred to Worcester Royal. I have my first meeting with the bariatric team there at the end of the month.

I'll be watching your journey and hope that the knowledge that the new you is just around the corner is enough to compensate for all the negative things that are going on.

Claire x


Good luck with your visit to the Royal - I am junction 4 of M5 so we are clearly WLS near neighbours! I hope you are able to manage your condition ok - I know it can be hugely problematic as my aunt also has the condition and no 2 days are ever the same.

I think vocation based employment is a tricky one to emerge from! I see people get sucked into the 'job' as we all do and because we remain in the field for years - it does become the normality - forgetting its a fairly false community! My friend works in project management and spend 3-4 years with any employer before moving on to another position - where as I have spent my entire adult life with one employer - albeit based all over the place. This angst is nothing to do with WLS I think its just a life hurdle that has coincided! I use food as a crutch and that's why this is a conflict now as my remedy for one angst - will have dire consequences.

So I am off for another walk (I don't eat whilst walking!!!!!!!!!!!!!!)

:D
 
Well tomorrow is the patient support meeting - my first one. I am going along as whilst I have researched and researched and been on forums and other group sites - I think I need to actually meet people who have had the process at the hospital which mine will be done.

I've seen that so many people experience a different pre-op and post op process and I now want to calibrate my expectations based on what I have read about others around the country - and indeed further to what actually happens where I am at.

It seems there are 2 version of the LSD diet and if your BMI is under 40 you follow that diet for 2 weeks and if it is over 50 you follow it for a month.

I understand my hospital have its own approach to post op also - so it will be good to hear from people who've 'survived' the process and what their advice is.

I am also hoping to build new friendships with people like myself who are waiting to go ahead.

On a negative note I have gained 1kg since they last saw me - I am hoping it will be gone by the 5th when I have my pre op - I may go to hospital in a swimsuit and sarong and just explain I am really warm at the moment.....

:D:D
 
Hi Debs, hope your good and well, just wondering when u next at Walsall manor......I'm there next Friday, 13th March to see Mr kendrick ( pyshciatrist) then hopefully ave op date end of April beginning of May.
Just wondering if any of ur appointments same date, could meet up for a cuppa lol

Wishing you all the best with your journey.
Keep smiling x
 
Hi Debs, hope your good and well, just wondering when u next at Walsall manor......I'm there next Friday, 13th March to see Mr Kendrick ( psychiatrist) then hopefully ave op date end of April beginning of May.
Just wondering if any of ur appointments same date, could meet up for a cuppa lol

Wishing you all the best with your journey.
Keep smiling x

Hello :)

I am there tomorrow for the patient support group meeting thingy majiggy, then on Thursday 5th for the group diet session thingy, then Monday 9th for pre op with the nurse and then on Tuesday 24th to see Dr Yousaff (last pre op - he is the knock you out guy apparently!!!!)

I saw Mr Kendrick back in January - he is lovely :)

Let me know if any of those dates work :)
 
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