Meet the Blogger

Hello! I’m so glad you have found your way to our blog. My name is Debbie Tibbs Debbie Tibbs, RNand I’m both an associate of Clarian North and a patient of Clarian Bariatrics, undergoing laproscopic RNY surgery on May 7, 2008. After three months, I am 1/3 of the way toward a healthy, and normal BMI. I am a graduate from IU’s School of Nursing and my entire nursing career has been spent in the Obstetrics and High-risk Obstetrics areas for almost 16 years. I joined the Clarian Health team in 2000 and the Clarian North Medical Center team three years ago. I am filled with gratitude everyday for my surgeon and the entire Bariatric team as this journey continues to unfold for both myself and my family, and that is one of the reason's I agreed to blog about my experiences. Please remember as you go through this journey: "Paths are not to be found, but made, and the activity of making them changes both the maker and the destination."

Downfalls

Wednesday, February 25, 2009 by Debbie Tibbs
It’s difficult to imagine that life won’t feel/be perfect once you’re well on your way to losing weight and finally seeing the numbers you’ve longed to see for many years.  The truth is the challenges are there, and on some level always will be. 

Once you’ve recovered from weight loss surgery and are on the meal plan for life of proteins and fluids and vitamin regimes, foods will still smell great, restaurants will still be in the picture, the grocery store can and will at times be overwhelming, and cravings of favorite foods/meals will come back.  It’s hard to imagine how to pack protein into your ‘meal’ when you’re desiring something will little to no protein.

New habits are more difficult for some than others.  For me, drinking water at such a volume per day is a challenge in that it’s something I’ve never done before.  After a while, some days become better than others, fluids to the volume of 64 ounces/day might as well be 64 gallons…or so it feels.

Another challenge for me has been to learn to listen to my body versus finishing the meal amounts my head/eyes think I should have.  Smaller plates, smaller portions to start…it’s all a process of creating and remembering the new you. The other day I placed a straw in my drink and haven’t done that since surgery.  I guess it’s from years of using straws. I was as shocked and even asked myself (silently) “How did that straw get in there?”

Exercise is another challenge…time constraints with busy schedules, winter weather limits outside activities, etc. What will work best post-op is unique to each person/family, and I’m still figuring out what’s best for me.

Worth it?  Absolutely.  Currently, I’m minus 76 pounds in 9 months and feel terrific.  The weight is definitely slowing down in how fast it comes off, but that was to be expected and I haven’t been too terribly disappointed with this.  I’ve also reevaluated what I can do with increasing protein, exercise and fluids to kick-start the faster loss again…all in good time.

If you are considering bariatric weight loss surgery and found your way to Clarian Bariatrics…man, are you in the right place! I could not imagine taking this journey with anyone else!

An ever-changing program

Friday, February 20, 2009 by Debbie Tibbs
I had weight loss surgery from Dr. Mattar at Clarian Bariatrics in May of 2008, and I’m amazed at how different the program is now.  Current practice, best practice, and new standards of care cause a program to change and I think that is terrific.

Many insurance companies have newer guidelines on their requirements for surgery approval and now some even offer shorter waits prior to surgery. The process seems lengthy, but being the first days/months of the rest of your life I suppose it’s all in perspective. 

The goal is to get you to weight loss surgery in the most healthy way and to have the proper preperation work prior to ensure optimal success…this they do well!

Welcome to Clarian Bariatrics…and to the new you!

FREE Informational Session this week!

Monday, January 19, 2009 by Debbie Tibbs

Have you been curious about weight loss surgery? Then consider attending one of Clarian Bariatrics FREE informational seminars. At the seminar you will have the opportunity to meet with Indiana Bariatric Doctors and ask questions about bariatric surgery costs, bariatric surgery financing, Indiana Hospitals and Indianapolis Bariatric Surgeons.

We know how important it is to feel comfortable, and since you will not be taking this journey alone, we encourage you to bring as many family members and friends along as you need. We can't wait to meet them, and you!

The next FREE informational session will be held on Thursday, January 22 at 6:30 p.m. You can RSVP by clicking on the picture at the top right of this page or by calling 317-275-7010 or toll free at 877-275-2555. 

Can I see your before picture?

Friday, December 19, 2008 by Debbie Tibbs
Sorry, there aren’t any. Now that my bariatric weight loss from weight loss surgery has progressed up towards 80 pounds, many people I know, friends, family and co-workers ask to see a ‘before’ picture. Unfortunately, there aren’t many (that I have and/or that I’d show.)  I’m looking to change that.

Camera shy? Most overweight people are in that "seeing is believing" or we might  see something different that what we imagine ourselves to look like or the photo will show something different then how we actually ‘feel’ we look.

When I adopted my second daughter and traveled to Guatemala alone, I had no one take pictures of she and I and worst that that I didn’t ask anyone…never even thought of it. Not only do I miss having them, I can’t change it.

It wasn’t until I returned home and went to compare pictures of both of my daughters and my first moments with them that I realized that I only had photos of my oldest daughter while in China. This photo was taken without me knowing by another family and mailed it to me weeks after we returned home.

So it appears as if a family photo is in the works for my daughters and myself…another milestone along this bariatric weight loss journey…

My Condolences...

Monday, December 15, 2008 by Debbie Tibbs
...To the drug companies in that I’m no longer on the lengthy list of medicine that I was prior to my weight loss surgery.  Goodbye, farewell, tootles to blood pressure medicine, diabetes medication, cholesterol medicine, daily aspirin and GERD medication that insurance wasn’t happy to cover. 

My monthly co-pays have changed from $225 to $34 and I will no longer know the CVS pharmacy folks on a first-name basis. So…70 pounds gone and some other perks as well. You can see that it's not just about the weight loss; it’s the whole experience and it’s grand!  

Subtle Changes

Wednesday, December 3, 2008 by Debbie Tibbs

If diets in the past have failed, and my guess is that they indeed have if you’re visiting weight loss blogs, you may have the feeling that there’s no joy or pleasant surprises in the time between what you weigh now and what you desire to weigh. I thought so and, man, was I wrong.  In addition to seeing some obesity medical problems subside, I’ve encountered many subtle differences since my weight loss surgery in May. Some a big deal, some not so much…however all count.

To date at six months, I’m 70 pounds lighter, 10 inches have disappeared from my waist, I’ve lost several clothes sizes and changed two sizes in underclothing that shall remain nameless for the blog! I’ve always been someone who never wears a coat during the fall and winter. Never. That’s changed, and I now have five and it’s only December! My friends and family can hardly believe seeing me in a coat, and they realize the changes within me that have come along with the weight loss.

I used to be someone who always slept with a fan on, light on the pajamas, and had the heat turned down in the winter and the AC turned down in the summer. Not the case anymore. I’d say my house is pretty comfy now and my biggest indicator is friends no longer bring an “extra sweater” when visiting.

I always thought the reason I couldn’t cross my legs comfortable in a chair like everyone else was because my legs were too short. As it turns out, they’re long enough! Now I cross them and love to sit “like a lady” just like Mom taught me.

The changes are subtle and are reminders of the great work I’ve done. The scale and BMI chart challenges me to continue to work hard and modify, reassess and implement. A big thank you to Clarian Bariatric’s team and Dr. Mattar, I’m well on my way...

Define Drastic

Tuesday, November 18, 2008 by Debbie Tibbs

Before I attended the informational meeting last October in Indianapolis regarding weight loss surgery, I truly intended to have the lap band procedure, and I left feeling that was my best option. While I’m sure there is great success with this surgery, after careful consideration and speaking to a few patients I learned that it wasn’t the best choice for me. Not only did I want to drastically improve my BMI and have successful weight loss, my strongest desire was to achieve longevity and keep it off...forever.

When comparing the percentage loss of excess weight within the first year between the lap band procedure and the RNY procedure, the comparisons are pretty drastic when you compare 48 percent to 80 percent of excess weight.

I chose the RNY gastric bypass surgery for not only the amount of weight I desired to lose, but also for the proven success of keeping it off. At this point, I’m six months out and 70 pounds more beautiful.

I’m thrilled with my decision it doesn't mean it is always an easy road. I truly miss Coke and am not ashamed to admit it! I’m also filled with gratitude that my energy level is the highest it’s ever been and I feel wonderful about the new me. I’ve gained more in confidence and genuine happiness over the past six months than I’ve ever had and look forward to what 2009 and it’s losses.

Struggles: Everyone's Got Them...and They're Normal!

Wednesday, October 29, 2008 by Debbie Tibbs

There certainly are struggles with everything in life, and weight loss surgery is no exception. I’m learning that choices are at the highest of importance now and that foods that once didn’t sound appealing, now do.  I must stay focused and this requires great energy…but its doable.

My one thing I miss the most is Coke. It’s a staple, rather was a staple. How do you take away something that you’ve loved and known for nearly 25 years and not miss it? To miss it is real, to understand it’s potential danger to a RNY gastric bypass surgery patient is crucial.

Does water help? No. Water, that’s another story. If you’re not a water lover prior to surgery, chances are you won’t be after either. It’s all perspective. The ultimate goal is in sight and I think it’s important to remember that at all times. I remind myself of this with every bottle I drink.

What does help? Peer support, friends and family support, and the ability to do what is necessary to remind yourself and focus daily on the new, healthy version of the same old (or young) you.

Pretty Protein

Friday, September 19, 2008 by Debbie Tibbs

After my weight loss surgery, I keep asking myself: Is there truly a way to make protein pretty?  Can you use lettuce as a garnish?  After looking at tuna, a little more tuna, salmon, chicken, and then back to tuna, one must ask themselves how many ways there are to prepare such foods for variety sake.

Currently, I’m four months out and holding steady at minus 59 pounds.  The day it turns to 60 pounds will be a joyous one.  I’m challenged like never before to find high protein/low volume foods and keep the variety fresh and lovely. 

My appetite appears to be slowly returning in the sense that certain foods sound good, and I can assure you there’s not a lick of protein in what I’m desiring.  Last night, for example, garden tomatoes.  Not a bad choice, certainly healthy, however, nada on the protein.

Is it worth it? You bet.  I feel great, have more energy this week, and have much to look forward to…

Understanding the Insurance Approval Process

Friday, July 25, 2008 by Debbie Tibbs

I attended an informational seminar in October of 2007 at Clarian Bariatrics. I had heard prior to this meeting that there was a “wait” for insurance approval and many hoops to jump through prior to the actual surgery.

The information given at the meeting was presented by one of the bariatric staff nurses, insurance specialistsand surgeons was of monumental importance for anyone considering weight loss surgery. I came to the meeting knowing only what I’d heard from others, but at the meeting I learned the step-by-step process demanded by insurance companies for approval for such a surgery. 

I also learned, because of my own ignorance in this area of specialty medicine, that there are many insurance companies who won’t cover such a procedure. I felt grateful to have coverage from an insurance company who viewed bariatric surgery as an important tool for successful weight loss by patients who had seemingly tried every diet known to man without success.

I am now 12 weeks post-op and I’ve learned that each hoop I jumped through had its place in this journey...it all makes such sense now.  I established relationships with key players at the bariatric center, most importantly the dietitians and my surgeon. 

Their faces became familiar faces and a relationship of trust was formed in one of the most important and exciting decisions I’ve ever made. I’ve come to realize that each step of the experience has its place and contributes to the ultimate goal; your journey is only as grand as the people you take along for the ride.

I cannot imagine having never met my surgeon, his staff and the three dietitians who’ve taught and shown me success is as easy as committing myself to the new me…