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S13.E05: Jacky's Journey


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(edited)

 

New, 1/29/2025

“After a woman's parents pass away, she decides to take control of her life and lose weight so she can rediscover the world.”

Jacky, age 27, Lindent TX. 

Both parents died, mother from alcoholism, father had anger issues.    She lives in a cabin on her grandparents place, and her aunt is her friend and enabler.    I'm so glad she saw Dr. Paradise.  

Month 1-710 lbs

Month 3-689 down 21 lbs. 

Month 5-669, down 20 more lbs. 

Month 7 686 gained 17 lbs

Month 9 623 down 63 lbs. 

Month 11 surgery down 25 more lbs to 598.

Edited by CrazyInAlabama
  • Like 1

I hope Jacky continues with therapy... itreally is helping her., but she's got a lifetime of crap to deal with,  even tho she's only 27 years old. 

She needs social outlets too. She's very isolated.... maybe Auntie can help.  

Here's hoping we see the pannicula removal... I'm curious about the logistics, altho I don't like seeing surgery...I look away but listen to audio. 

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Jacky is someone who I really wanted to succeed.  When they showed her making breakfast after her surgery when she could eat solids again, I saw her portion control is still not where it should be.  That breakfast would have made me a bit sick full, and my stomach is its original size.

Unfortunately, I see her probably eating through the stomach reduction surgery.

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2 hours ago, Texasmom2323 said:

Does anyone have any thoughts about Dr. Now saying exercise is not vital to weight loss?

Not that exercise is useless, but people tend to way overestimate the number of calories the average person burns through exercise. Unless you're an elite athlete and it's basically your job, you're just not going to out-exercise what you eat. I've read that where exercise is more useful is in maintaining after you've lost weight. Building muscle helps your metabolism since it takes more energy to maintain muscle than fat. Too much cardio can make you hungrier, though, so it can be a double-edged sword.

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17 hours ago, ChristmasJones said:

When someone is eating over 6000 calories per day, no amount of exercise would make a dent in that.  I just googled how many calories walking on a treadmill for 30 minutes would burn and it said, depending on weight and speed, it could burn 200-270 calories.  

This is why I used to go grocery shopping after an exercise session on a bike, treadmill or elliptical. I'd track the calories burned number on the machine (and always assumed it was over counting) and then passing through the bakery section, I would see the calorie count of, for instance, those yummy brownies bites and ugh, two of them would negate the whole workout session. Hard truth to face. 

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On 1/30/2025 at 7:44 AM, Mollywolly555 said:

Here's hoping we see the pannicula removal... I'm curious about the logistics, altho I don't like seeing surgery...I look away but listen to audio.

I had a 51 pound pannus removed a bit over a year ago. It hung a few inches above my knees. I thought pre surgery that the first time I stood would feel off balance, but it did not. 
I'm glad I had the surgery, but I had a complicated of 100 staples across my lower abdomen popped out and I had a wound vacuum attached to me for about 5 months. I won’t go into graphic detail, but during the vac period of time home health nurses would come to my home to change the dressing. I mostly didn’t have pain, but one Sunday during a dressing change I experienced a 10-level pain. New muscle cells were growing quickly and got stuck to the dressing. But next change lidocaine made the process painless. 
 

If you have questions, ask me. 

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17 hours ago, 4Sibes Redux said:

I had a 51 pound pannus removed a bit over a year ago. It hung a few inches above my knees. I thought pre surgery that the first time I stood would feel off balance, but it did not. 
I'm glad I had the surgery, but I had a complicated of 100 staples across my lower abdomen popped out and I had a wound vacuum attached to me for about 5 months. I won’t go into graphic detail, but during the vac period of time home health nurses would come to my home to change the dressing. I mostly didn’t have pain, but one Sunday during a dressing change I experienced a 10-level pain. New muscle cells were growing quickly and got stuck to the dressing. But next change lidocaine made the process painless. 
 

If you have questions, ask me. 

How much weight did you lose that you required this surgery?  I'm in a bariatric surgery program right now.  I'm about 345 hoping to get down to at least 220, with a stretch goal of 180.  I'm a 6 foot tall man, 44 years old.  I'm afraid of needing excess skin removal surgery. It looks so painful and I worry about whether insurance would cover it.

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A friend's husband had weight loss surgery, he fortunately lost slowly compared to most patients, so he never developed the 'apron'.   He was told that surgery would be paid for by his insurance if the 'apron' covered his genitals.    I don't know if the requirements are the same for all insurance companies, but this was over 10 years ago, so thinks might be different now. 

I don't think any cover the flappy arms, or other so-called cosmetic surgeries.  

Edited by CrazyInAlabama
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9 hours ago, CrazyInAlabama said:

A friend's husband had weight loss surgery, he fortunately lost slowly compared to most patients, so he never developed the 'apron'.   He was told that surgery would be paid for by his insurance if the 'apron' covered his genitals.    I don't know if the requirements are the same for all insurance companies, but this was over 10 years ago, so thinks might be different now. 

I don't think any cover the flappy arms, or other so-called cosmetic surgeries.  

I don’t know from experience but I think it’s more likely that insurance will pay if extra skin is causing chafing and/or skin infections. 

  • Like 2
19 hours ago, CrazyInAlabama said:

A friend's husband had weight loss surgery, he fortunately lost slowly compared to most patients, so he never developed the 'apron'.   He was told that surgery would be paid for by his insurance if the 'apron' covered his genitals.    I don't know if the requirements are the same for all insurance companies, but this was over 10 years ago, so thinks might be different now. 

I don't think any cover the flappy arms, or other so-called cosmetic surgeries.  

 

10 hours ago, Elizzikra said:

I don’t know from experience but I think it’s more likely that insurance will pay if extra skin is causing chafing and/or skin infections. 

The cost is a concern, but that's actually secondary.  I'm just afraid of the recovery.  It seems like a very invasive and painful procedure.

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