Finally - Death Certificate

 I just got in my brother's death certificate, and there are several name spellings that are wrong, which is kinda sad and ironic. I will submit to get it updated though, just because names are important and vital records should be accurate.

What this idiot died from though, oy.

Acute Decompensated Heart Failure

Coronary Atherosclerosis

and other contributing factors:

Femoral Hemorrhage, End Stage Renal Disease, Sepsis, Hypertension, Diabetes Type II, Liver Cirrhosis not alcohol related. 

His heart, his kidneys, massive infection, and the Cirrhosis - my mother had that from NASH. I mean, is this more of a genetic situation to add to my damn list of things that could go wrong??

Dave did not take care of himself, barely at all. He sent his money to Levera and Kesha and let himself and his son suffer. Why do this? Why not go to dialysis, get the help needed to have a place to live (they were living out a car) and make sure you can survive and THEN send what is left to them? I don't know if I will ever not think that Levera as a contributing factor because she doesn't work and just kept asking for more. It was stupid.

What a clusterfuck. 

Post Op Update 3

It's been several days and and I am down to 217, which is freaking awesome. 25 pounds down so far. 

In the last week, I have learned NOT to do too much of any exercise, because when I did some arm ones, the whole evening and next day, I was in pain and sore and I thought it was my kidneys! But not, it was just these poor muscles that were abused because they were not used to it. So I took a couple days off and then started it back with a smaller amount being done each time.

Food, that has been interesting too. I would have thought I would be able to eat the whole 1/4 cup of tuna salad, but nope, first few days I was full before eating it all. I was very surprised by this. That fact I am in week 3 and haven't hit a stall yet is nice too, but I know it's coming. I track everything I eat and try to keep the carbs and sugars low. Calories don't matter as much thankfully! Protein and fluids are the priority first. And water still hurts to drink. Warm fluids are awesome, but cold ones and water are a struggle. What's also weird about that is I can eat popsicles fine and those are frozen. 

I am also tracking inches, and that has as rewarding as the pounds coming off. My calf has gone down an inch and I didn't think that was possible. 

Interesting things also. I have some specific WLS oatmeal, it's definitely better when using hot water vs cooking in the microwave. It's also better with a little bit extra cinnamon.

It's such a learning curve, all of it. You read all the posts and articles and whatnot and think you're prepared or at least aware of what is going to happen. But then you're home by yourself and trying to remember all this information and end up googling everything all over again.

But walking is good and getting better. Life is good in general. I am getting more energy which is soooo nice. AND! It seems my perimenopause is, well, paused. All the hormones releasing into my system has been super good and if anything it means I should go on HRT when I am back in it again. Plus, I am still scheduled for a hysterectomy later this year. I hope that going into a full on chemical menopause with HRT is a good thing. It's only a slight worry right now. I have several months before it happens and time to speak to dr's and whatnot.