Crucial note: I am not a doctor, nurse, or Healthcare professional of any kind. I am a patient, volunteering information about my experience in the hope that someone like me might find it helpful. I am not advocating bariatric surgery or weight management by any means. For those kinds of decisions, you should always consult professionals. Never base any aspect of your health on the opinion of a stranger on the internet.

I grew up in south central Mississippi, about 2.5 hours travel time north of New Orleans. Until 3rd grade, I went to a Catholic school where (I believe) all the nuns were from Louisiana. I’m not cajun and, in spite of having lived in New Orleans for nearly 3 years, would not even claim to be a New Orleanian. I have a tremendous amount of respect for those people and their culture. Too much respect to claim to be one of them. I’m just a girl from Mississippi they let hang around for a while.

My father was a big fan of the culture, particularly, the cuisine. He quoted this man Justin Wilson as long as I can remember. And while this video doesn’t have him saying it, I remember Dad starting every gumbo (and he made fabulous gumbo) in his best Justin Wilson voice saying, “First, you gonna make a roux.”

So, on Tuesday, the surgical team made a roux….outta me.

The procedure I had is called a Roux En Y. Harkening back to Ms Julia King’s French class in high school, I have been pronouncing that as rooz-en ee-grek. As we do in the States, though, we say things however we want to (I’m looking at you Versailles, Kentucky, Cairo, Georgia, and Milan, Tennessee – ver-SALES, KAY-roh, and MY-lan, respectively). Although people around me kept saying “rue on why,” it took me an embarrassing amount of time to make the connection.

ANYWAY, if you want to check out the above link, you can find out what they do during the surgery. I had some concept of that going into it, but didn’t really have a full idea of what it was going to mean coming out on the other side. I have that idea now, though, I can tell you for true!

Patients are not going to have the same experiences with any surgery. And the center knows that; so, there were some possible post-operative issues they didn’t mention to me prior to surgery. I suppose there is always the caution of not wanting to suggest a condition that a patient might not experience without the suggestion. And because I may be writing now to someone thinking about having this procedure, I won’t go into everything here. I don’t want to suggest anything, either.

I will, however, mention one thing that is extremely important to be aware of and wary of – post surgical depression. I had read about the risk of it prior to surgery; but, I really didn’t consider it. After all, I’ve had several surgeries before and it’s never been an issue – until now. This time, it was a big issue. There are likely several contributing factors that I will share with you in case you are considering this surgery and you have some form of depression.

1. General surgery anxiety. Anesthesia carries a risk. Any patient being put under runs of the risk of not waking up. It’s a very small risk, but it’s there.
2. Sharply decreased stomach size. If, like me, you take any kind of extended release medication, you’ll need to talk with your doctor about it. Nothing is in your stomach pouch long enough for an extended release to work. Your doctor will talk with you about options.
3. Low blood sugar. As I’ve said, for the ten days prior to surgery, I was drinking clear liquids and protein shakes only. My caloric intake was less than 800 calories per day. My system did not handle that particularly well when it came to mood. If you have a close relationship to someone with diabetes, you know they get cranky when their blood sugar falls. Hell! We all do! Otherwise, you would have no idea what I mean when I say that I’m hangry.
4. Disrupted sleep patterns. Not all bariatric surgery patients experience sleep loss. I have and I continue to. On average, I sleep for about 90 minutes at a time and am then awake for several hours. I’m not sure why this is and, like I said, not everyone goes through it; but, I certainly am. Sleep deprivation is a well-documented cause of mental distress.
5. Dependence on others. I was finally released to drive yesterday; however, due to some on-going light-headedness, I have still not ventured out. For a woman who does most things for herself, this is difficult to take. I am not safe to drive yet. I’m not allowed to lift anything over five pounds. I cannot do chores like vacuuming or taking out the trash. It is absolutely maddening.
6. Confusion. Anesthesia has lingering effects that can result in confusion or an inability to focus on anything. An inability to focus can quickly become general disinterest in everything, which is a double first cousin to depression.
7. Hormones. Estrogen is stored in subcutaneous fat cells. Rapid fat loss results in rapid estrogen release. During this first week, I have lost 13 pounds. Surely some of that was visceral fat that does not store estrogen but more of it was likely subcutaneous fat. I’ve heard various people describe it as going through puberty again or through menopause again. Regardless, raging hormones are just not a good time. One member of my team described it yesterday as a “vibe.” I think of Vibes as involving flowy clothing, Jimmy Buffett songs and weed. Lemme tell you, sugar – this ain’t that.

So, we have some potential contributing factors, What are we going to do about them?

1. Choose the best facility you can for your procedure. Read reviews, but be sure to keep a grain of salt in there and remember that people are more likely to complain loudly than compliment loudly. Check the number of procedures they have done and how your surgeon handles each one. All surgery carries risk. Just know that and find the best team you can.
2. Get ahead of it. Talk to your psychiatrist ahead of your surgery so that they can be on the alert with you and can be working on a plan with new meds or therapies before you need them.
3. Prepare. For my first week after surgery, I was allowed to have clear liquids only. Any flavored waters, gelatin, or frozen pops had to be sugar free. However, I could also have bone broth. That may not do much for your blood sugar, but it will give you some added nutrients. I was also allowed to have protein water. Our bodies don’t break down protein as quickly as sugar or carbs; however, they will convert protein into energy. I got some Oath protein powder that mixed into water. The strawberry-kiwi flavor was good and gave me 20 grams of protein in a 16 ounce drink, helping to level out my blood sugar.
4. Sleep when you can, but start moving. This week has felt a lot like being a new mother; but, as a friend said, I’m both the mother and the new baby. If I’m overwhelmingly sleepy, I’ll take a short nap. However, if I’m not doing anything but sitting on the couch all day, I’m not likely to get tired, am I? My team recommends walking a little every hour (given that I’m consuming 64 ounces of liquid a day, I’m up every half hour or so), and starting to walk for exercise. I take a walk around my neighborhood in the morning and again in the afternoon. My Amazon music service has been performing very poorly; so, I’ve switched to Sirius and am enjoying the Charlie Sexton Station as I make my rounds.
5. Talk to your caregivers. They are doing their normal thing and are not feeling the caged sensations that you are. Tell them. If your caregiver is not with you all the time, talk to other friends to perhaps set up a trip to the store or, at the very least, a good chat on the phone,
6. Give yourself grace. This is one of those things that takes time. The chemicals have to work themselves out of your system, Getting moving will help with that since that movement increases respiration, which gets clear air into your lungs. Also stick to simple tasks. Now may not be the time to take up jigsaw puzzles or crochet.
7. Buckle up. The hormones are there and have to find their own way out. Talk to the people closest to you to let them know that you are struggling with this and that sometimes you don’t even know you’re losing the struggle. The pimple-faced teenager in your mind is getting way too much time in control of your thought processes. My teenager is broody, selfish and can be truly mean. Yesterday, I saw a coping mechanism to deal with poisonous self-talk that I am starting to use. This woman said that she gave her hateful self-talk a name – Becky. (I haven’t chosen a name for mine yet.) Anyway, anytime she wakes and the mental self-abuse begins, she addresses her mind and says, “Becky, I love you, dear, but I have far to much to do today to get mired down in this with you.” “Becky, I’m quite busy now. We’ll have to talk later.” I really like that and am beginning to put it into my toolbox for better internal dialogue.

Clearly, lots to say today, right? My roux and Justin’s roux are two enTIREly different things; however, each involves taking existing ingredients and combining them in a way to make something wonderful.

I already hurt less and am making tremendous progress. This new healthier body and outlook is going to be the best gumbo I’ve ever had.