Archive for June, 2008

LapBand Surgery: The Rules of the Road, Part 2

Thursday, June 19th, 2008

By Robin McCoy The Constant Quest for Restriction; Not enough vs. too much Restriction. No one can really describe it but everyone wants it. You have restriction when your band is adjusted to the point where you can eat 3-5 bites of well-chewed food and you are full. When this happens you have what is called good restriction. You are too loose, or open, if you dont feel full after just a few bites. You are able to eat more on a consistent basis than before. Maybe your weight loss has slowed or stopped. This is when it is time for a fill, or adjustment, in your band. You are too tight when you can eat very little solid food or worsenone at all. If you are so tight that only liquids go through your band or you are spitting up too often this is too tight. If you cant keep liquids down this is a medical issue and you must get some removed. You run the risk of becoming dehydrated. Being too tight is not a good thing! Not only are you not getting the nutrition your body needs to function properly but it can also bring on a slippage in your band. If this happens you will require minor surgery to repair it. Now that you know a little about what restriction is, lets get a little deeper. There are three points to learn: 1. The first thing to understand is that every banded person feels restriction differently. So to compare yourself to others is difficult. 2. Also the amount of fluid in the band and the stomachs reaction, or restriction, to it is a varied as the Bandsters reading this now. Everyones stomach is a different size and reacts to the band differently. It is fine to compare fluid levels but dont get too caught up in I have this and they have that. 3. Finally, your level of restriction can change day to day. It can change meal to meal in some cases. You are now asking, How in the heck do I deal with that? My answer is trial and error and learning about your band. Let us go back to the beginning. Immediately after surgery you will feel restriction. The surgeon usually doesnt put any fluid in your band during the surgery. The restriction you feel is the swelling of your stomach and its adjustment to the band that has suddenly been wrapped around it. You wont get your first fill until 4-6 weeks after surgery. You will be on clear liquids and they will fill you up quickly for the first few days. Then they will stop filling you up you will begin to feel hungry. About this time you will be allowed to eat mushy foods like mashed potatoes, creamy soups, etc. You will find that you eat just a few bites and you are full. This is great! Who knew a 1/2 of a can of soup would be enough? This is going to be a piece of cake. It isnt going to last. Shortly this wont satisfy and you will be moving on to solid food. That feeling of restriction comes back. A slice of turkey and you are stuffed! This doesnt last either. At about 4 weeks, sometimes earlier, you will start to feel hunger again. You feel like you are eating everything. Your weight loss has slowed or stopped. You start to freak out. Where is my restriction?! you cry. This is a difficult time but one that every Bandster gets through. Just be patient and let yourself finish the healing process. Watch what you eat and know that you are not eating anywhere near what you were pre-band. The unfilled band supplies a certain amount of restriction and you wont hurt your progress. Your first fill will bring you back to the restriction point right after surgery. You will eat a few bites and feel full. You will start losing weight pretty quickly. You want to make sure you are eating your protein first, vegetables second and any starches last. This will ensure satiety. This fill will usually last several weeks. Then it starts to loosen up. Your second fill is the one that usually kicks a Bandster in the butt. This is where they learn what not chewing thoroughly and taking bites that are too large can do. And so it goes. Some Bandsters need one fill others need more. I had 4 over the course of the first year. I heard of one woman that lost 80 pounds on her first fill. This is why I stress not comparing yourself to your banded friends. It brings on frustration and we have spent enough time in our lives comparing ourselves to others. Now is the time to stop. One of the largest environmental factors that make our band feel tighter is stress. I never truly understood what Bandsters were talking about when they said stress was tightening their band. That is until I started the process of buying a house. The stress of the pending inspection and what they might find had my band so tight I was barely eating. My band was so tight I cancelled my fill appointment. Let me say right now that I learned from this experience and you need to make sure you are getting the right vitamins in to ensure your health. I wasnt in any danger but I was very tired and was bruising like crazy! Well, the inspection went well. I got my house and my band opened back up. Food started going through more smoothly and I started eating better. Other environmental factors can be tiredness, excitement, sadness, or just the fact that it is morning. Many Bandsters find they cant eat until after 11 AM every day. I dont know if this satisfies your curiosity of what restriction is or what you are to do with it. I do hope you understand that everyone is different and it is a learning process. You will learn what it feels like for you to have good restriction and when your band is talking to you. Being stuck and spitting up As WLS patients we have a few fun words we use. Some are nice and some are not. You will hear PB which means Productive Burp. I prefer the simple term spit up. What does stuck mean? Stuck means that what you have eaten wont go through the opening between your pouch and lower stomach. This is called your stoma. The bite is too big to go through (meaning you didnt chew it enough), it isnt something that moves smoothly through the band (lettuce), or you just ate too darn much. When a bite of food goes through your esophagus and hits your pouch it has one of two places to gothrough the band or back. If all is well it will go through with no problem either now or later. If it cant make it to the pouch or through the stoma it will result in a spit up. Understand that this is something that will happen to you and to every bandster out there. Call it a side-effect or whatever you like but it will happen. The questions are what causes a spit-up, what it feels like, what to do when it happens, and how to avoid them. Remember, things can change day-to-day, heck even meal to meal. This is the nature of the beast. Frustrating? Yes. Small price to pay? I think so. What causes a spit up is easy. The bite it too big, you took one or two too many bites, you didnt chew properly, or it is simply a food that you cant tolerate right now. It is up to you to determine which of the above it true. Trust me you will learn to determine this. What does if feel like? You will know. The best way I can find to describe the feeling is when you drink a big gulp of water and it goes down with air. You get this pain in your chest that makes you feel like something is going to bust out. That is what it feels like when something is stuck. It can be minor or it can hurt like a son-of-a-gun. Some bandsters say their bodies tell them when they are finished eating and need to stop. Some Bandsters start to salivate which is their bodys way of washing the food through. Some, me included, get a heavy sigh or exhale; this tells us we are full. Dont worry; you too will learn to read what your body is telling youeven if you dont now. What should you do when it happens? Stop eating is the first thing. It doesnt matter if it is your first bite or your fifth. A spit up is your bodys way of telling you that you are full. This is your band in full-alert. It is telling you that you are done and to put the fork down. Many times you can stop eating and just wait it out. Until you are used to it you might get the deer in the headlight look. Soon you will just adjust. If it doesnt go away then you need to deal with it. Dealing with it means excusing yourself and heading to the bathroom. A spit up is just that. I compare it to a baby spit up. It should never be what you classify as vomiting. This is hazardous for a Bandster and should be avoided as it can cause slippage. There is a very large difference in spit ups and vomiting. How to avoid them? Well, that comes with experience and a willingness to acknowledge when your food police tells you to stop. Very quickly you should learn when your band tells you to stop. I found that after my 2nd fill my band was at attention and told me when I was full. This is when I experienced my first spit ups and found foods that I could no longer tolerate. One of the most difficult things to get your mind around is just how little you will be eating. Your band tells you that you are full but your brain engages and says, You havent eaten nearly enough! So you take that extra bite or two. Then there it isthe feeling in your chestyour eyes get bigand saliva fills your mouth. The biggest point I want to get across to you is that, while normal, spitting up is not necessarily a good thing. You dont want to be doing it every day and certainly not every meal. If this is happening you need to take a good look at what you are eating, how big your bites are, how much you are eating and to what level you are chewing. Be aware at the beginning and it will become more of a habit soon enough. Surgery Is Not a Magic Pill Surgery is not the magic pill we have all been waiting for. You will not wake up thin. You must be willing to meet the band half way. You will lose weight at a different pace than your friends. You must change your behavior for this to work. It is a tooland nothing more. An electric mixer is easier than mixing by hand but you still have to follow the recipe for the cake to taste good. Right now you should be asking yourself one questionAm I ready to go the distance? Robin McCoy was banded on Feb. 3, 2004 and has successfully reached her weight loss goal of 110 pounds. Robin is Vice-President and Senior Writer for Lapband Lifestyle, a LapBand resource and support group. http://www.lapbandlifestyle.com robin@lapbandlifestyle.com Article Source: http://EzineArticles.com/?expert=Robin_McCoy http://EzineArticles.com/?LapBand-Surgery:–The-Rules-of-the-Road,-Part-2&id=45219 amscot pay day advance interest faxless payday loan rentals on sarasota fl low income no credit check online loan processor training

Pondless Waterfalls: Why Pondless?

Sunday, June 15th, 2008

By Douglas Hoover Who built the first pondless waterfall? If I had to venture a guess, God did. What exactly is a pondless waterfall? A pondless waterfall is cascading water that vanishes in between rocks, collecting somewhere out of sight. In nature, maybe the water works its way into an underground chasm, or aquifer, or even a subterranean stream or river. With building codes becoming stricter across the country, there are more regulations being imposed concerning the depth of a pond, especially in the light of increased numbers of deaths from drowning. Therefore, pond construction is restricted in many public thoroughfares. Another issue to consider is vandalism: pranksters throw items in the water such as soap to create bubbles and foam; sometimes people simply discard trash in the water. All this makes pondless waterfalls more appealing. A pondless waterfall is the answer to many problems in our diverse world. No pond, no maintenance! Another positive benefit of a pondless waterfall is the money that is saved. If you do not have a pond, less material and labor is required in the construction. At the base of the waterfall is a collection basin. The width of the basin is usually a little wider than the waterfall. The breadth and depth of the basin determines how much water capacity there is. The larger the pondless waterfall, the larger the basin needs to be. If the basin is too small, when the pump starts pumping water to the top of the falls, before it cascades back down into the basin it is almost empty. With a large basin, the differential between the amount of water being pumped from the basin and the water returning is minimized. This eliminates the possibility of the water being sucked dry in the basin before it has a chance to come all the way down. When creating their pondless waterfalls, many pond liner installers place the pump in the bottom of the basin, and then they fill up the basin by piling rocks around and on top of the pump. The major problem with this lazy procedure is that when the sump pump gets fouled up with debris or simply wears out, all the dirty, slimy rocks need to be removed in order to service the pump. If you construct the shell of the pondless waterfall and basin with concrete, then you can place a suction drain in the basin and use an above-ground pump. These are 40% to 50% more energy-efficient and have a 3-year warranty, rather than only 2 years, as have most sump pumps. In addition, for convenience in cleaning, a ledge is formed around the perimeter of the basin to facilitate galvanized or plastic grids bridging the top of the basin. These grids are then covered with a single layer of rock to hide them. Then, when the time comes to clean the basin, it only takes minutes to remove the surface covering of rocks and grids. With this type of concrete construction, the basin will hold a greater volume of water because it has not been filled with as many rocks, the way pond liner guys do. And it also provides a space in the pondless waterfall basin to install an electronic Aquafill automatic water leveler. This is necessary since there is no way of knowing when the basin needs to be refilled (until the pump burns up from lack of water). I will cover more construction detail in Part II of this subject: Pondless Waterfalls: Concrete vs. Liners. Happy koi, peace and joy no koi, no joy. Douglas C. Hoover; CEO of Aquamedia Corp, master Waterfall Builder, freelance writer and author designer, architect, inventor, engineer, writer, author and builder of over 1,900 waterfall and ponds in California or the past 26 years. Inventor and manufacturer of the “AquaFill” T.M., electronic float control system for ponds, pools, fountains and hot tubs. http://www.homepage.mac.com/doughoover http://www.askdoughoover.com/blog http://www.AskDougHoover.com Article Source: http://EzineArticles.com/?expert=Douglas_Hoover http://EzineArticles.com/?Pondless-Waterfalls:–Why-Pondless?&id=396846 personal loan amortization loan modification short sale buyer fha loan short sale how long does it take for cash advance to appear on your credit card

Dating a Picky Eater

Saturday, June 7th, 2008

By Peter Portero Anyone who has dated a picky eater knows how annoying it can be to order food with your date asking for almost everything left off of it. No matter what she orders, she probably will ask for it different than it regularly comes. Many people are not annoyed by this, but when you are a person who was taught to eat things how they come, you may get aggravated. One thing that can be particularly annoying is trying to remember what you date will and will not eat. You may feel like surprising her with a picnic or want to bring her food in bed. If you arent sure what she likes and doesnt like, you may feel anxious about trying these sweet gestures. You should know however, that when you date someone who is that picky about their food, you should feel a little flattered. Imagine, if they care that much about what type of food they eat, then they must be equally picky about whom they date. And, if they have chosen you, then you must be pretty great! So, if you can learn to live with it, try to ignore their strange eating habits and be glad they are someone who knows what they want and are not afraid to ask for it. Peter contributes dating and relationship analysis to Shaadi Bliss, an online matrimonials and dating site. Article Source: http://EzineArticles.com/?expert=Peter_Portero http://EzineArticles.com/?Dating-a-Picky-Eater&id=187490 sba 7a loan program car loan bad credit online loan company free money to loan

Wheelchair Education 101: Which One is Right for You?

Sunday, June 1st, 2008

By Alan Jason Smith Whether you plan on being in a wheelchair for just a short time or for the duration of your life, it is very important to pick the right one for you. With so many wheelchairs on the market today, it can be a tough task to undertake; but you can easily purchase the right wheelchair for you by becoming knowledgeable about your choices. Before you buy your new mode of transportation, it is best to have an understanding of the different types of wheelchairs. Manual wheelchairs are wheelchairs that need to be controlled by the person in the wheelchair, or by somebody pushing the wheelchair. There are a few different types of manual wheelchairs lightweight or sports chairs that roll easily for those with upper body strength and are designed for every day use; standard manual wheelchairs that have the traditional cross brace frame and added support, child or youth wheelchairs that grow with a child and come in a variety of colors and styles; specialty chairs that are specifically designed for a variety of wheelchair lifestyles and needs and institutional wheelchairs that are the most affordable, but designed only for minimal wheelchair use commonly used for transporting people in hospitals and nursing homes. They are most suitable for short-term use, for those who dont use a wheelchair too often or for those who have upper body strength. Those who have limited movement or a weak upper body may need someone to push them, or may want to consider the electric wheelchair. Electric wheelchairs are wheelchairs powered by a motor. They were created especially for those individuals with limited or no body mobility, or for those who use wheelchairs as their primary source of getting around. They are pricier than manual wheelchairs, but the cost is definitely a wash when considering if your wheelchair needs are substantial.Electric wheelchairs come in a few styles the traditional style electric wheelchair resembles a manual wheelchair with the exception of the motor, battery and controls; and the platform electric wheelchair look more like a seat placed on top of the motor encasement. The motor is often placed below the electric wheelchair in order to minimize any noise. The electric wheelchair controls are usually to the right or left of the arm rests, and can even be repositioned based on your wheelchair needs. People who enjoy outdoor activities regularly may need to be careful in an electric wheelchair most models are designed for indoor use and can crack or become faulty over time. But, there are some indoor/outdoor models marketed today, and may be the outdoor enthusiasts best electric wheelchair bet. Sports wheelchairs differ from the traditional manual wheelchair they are very lightweight and designed to withstand the normal wear and tear that goes along with a number of sporting activities. Sports wheelchairs use lightweight metals that can withstand a beating like titanium, chrome, aluminum and steel tubing. The base of a sports wheelchair is wider than other traditional wheelchairs in order to support different sporting activities, and the center of gravity can be adjusted for the individual using the sports wheelchair. The sports wheelchair is generally affordable, but the more custom features it contains, the more expensive it will be. About The Author: Alan Jason Smith is the owner of http://www.unitywheelchairs.com which is a great place to find wheelchair links, resources and articles. For more information go to: http://www.unitywheelchairs.com Article Source: http://EzineArticles.com/?expert=Alan_Jason_Smith http://EzineArticles.com/?Wheelchair-Education-101:-Which-One-is-Right-for-You?&id=77495 business credit card with no credit check georgia no fax no teletrak no employment no dp bureau cash advance second paycheck advance sba startup loan