September 19, 2016 was the First Day of My New Life

Checking in for My Gastric Bypass Procedure at Mosaic Life Care Center in St. Joseph, MO on September 19, 2016

My new lifestyle was the outgrowth of a decision I made to undergo weight loss surgery during the Summer of 2016.  It was an option I had wrestled with for almost forty years.

In the late 1970’s my late wife elected to undergo weight loss surgery when we lived in Central California.  It was the infancy period for this developing approach to achieving weight loss.  It was a medical nightmare that almost took her life on multiple occasions and eventually it had to be reversed.  The only positive thing to come from her decision was the birth of our son.  Prior to undergoing her weight loss surgery, my wife had been repeatedly told she could not conceive a child.  As many have discovered in the years since her procedure, one of the byproducts of weight loss surgery is to increase the possibility of pregnancy.

My experiences with the early days of weight loss surgery created a massive obstacle to my considering it to be a viable option for myself.  Periodically over the years I noted new approaches being developed for weight loss procedures.  A few years ago, my wife and I attended a weight loss seminar discussing the merits of a lap-band approach to weight loss.  Fortunately, our insurance would not cover the procedure.  I say “fortunately” because the procedure has proven to be problematic and not a reliable weight loss surgery procedure.

Earlier this year, my brother-in-law elected to undergo Gastric Sleeve Surgery.  His procedure went smoothly and his recovery has been with minimal issues.  His decision and experience prompted me to begin an investigation of weight loss surgery options for myself.  I was also gently goaded toward my decision by my Primary Care Physician who candidly informed me he had never seen or treated a healthy 300 pound 80 year-old.  He then suggested I consider attending a local weight loss seminar being conducted by a colleague he argued was one of the outstanding pioneers in the field of Bariatric Surgery.  That suggestion was made 18 months ago.  I explained my reluctance to undergo weight loss surgery due to my experiences with my late wife and her weight loss surgery journey in the 1970’s and allowed his suggestion to simmer, while reflecting on his observation about weight, age and longevity.

Earlier this year, I noticed an increased shortness of breath and when coupled with all of the time I spend at a desk on a computer and a blood clot condition stemming from extended road travel to present at a conference in May of 2015, I knew it was time to give serious thought to weight loss surgery as an option.  I made the decision to research both the bariatric team who performed the Gastric Sleeve Procedure on my brother-in-law and the local bariatric team recommended by my primary care physician.  In the course of my research, I discovered that:

Mosaic Life Care at St. Joseph – Bariatric Care has been designated as a Bariatric Surgery Center of Excellence® (BSCOE) by the American Society for Metabolic and Bariatric Surgery (ASMBS). The ASMBS Bariatric Surgery Center of Excellence program recognizes surgeons and facilities that demonstrate an unparalleled commitment and ability to consistently deliver safe, effective, evidence-based care.

I observed that the bariatric team and hospital where my brother-in-law had his weight loss surgery performed did not possess the ASMBS Bariatric Surgery Center of Excellence Certification.  In my effort to determine the potential significance of possessing this certification, I called the ASMBS and spoke to one of their staff members about the implications of being a certified center, or not.  She was very candid in telling me that is she were contemplating weight loss surgery and had a choice between an apparent quality program that was not certified and an ASMBS Certified Bariatric Surgery Center of Excellence, for her the choice was simple… she would opt for the Certified Program.

My wife and I attended a weight loss surgery seminar in June, 2016 and met Dr. Phillip Hornbostel, MD, FACS and his Bariatric Team.  I decided that night to proceed with the process of scheduling an appointment to determine if weight loss surgery was a viable option for me.

On July 5, 2016, I met with the Psychologist to determine if I was psychologically fit to undergo weight loss surgery.  I met with Dr. Hornbostel and his bariatric team the following day and discussed my weight loss surgical options.  I elected to undergo a Roux–en–Y gastric bypass (RNY) instead of the gastric sleeve procedure chosen by my brother-in-law.  To date, the gastric sleeve procedure lacks sufficient historical evidence to convince me it may not go the way of the gastric lap-band procedure.  More significantly, if the gastric sleeve procedure proves to be of marginal effectiveness long term, you have cut out 85% of your stomach with no option for reversal.

After being cleared for weight loss surgery by Medicare and my Medicare Supplement Provider, Mutual of Omaha, I met with the bariatric team again on August 24, 2016.  At that time I was scheduled for pre-op blood work; a stress test; and an EKG from a local cardiologist.  My high weight (HW) was 428 and when I met with the team on August 24th, my weight was 419 with a Body Mass Index (BMI) or 62.

I began my pre-op liquid diet on September 5th and my weight was 392.2 when I checked into Mosaic Life Care at St. Joseph Medical Center at 6:00 am on the morning of my weight loss surgery, September 19, 2016.  My procedure was performed without incident and Dr. Hornbostel also performed an incisional hernia repair during the Laparoscopic Roux–en–Y gastric bypass.  I was discharged at 5:50 pm on Tuesday, September 20, 2016.

In my hospital room following my weight loss surgery

When I met with my doctor and bariatric team on September 30th, I weighed 383.6 with a 57 BMI.  (See scale reading below)

383 scale reading first post-op visit on September 30, 2016

I just completed my second post-op visit with my doctor and bariatric team on Friday, October 28, 2016.

My second post-op visit to my doctor on September 28, 2016

As the image below indicates, my weight was 370.4 and a BMI of 55 at the time of my second post-op doctor visit.  To adjust my weight to correspond to the conditions of my weigh-in at the time of my procedure on September 19, 2016, I weighed the clothes and shoes I was wearing at the time of my office visit and deducted the 4.8 pounds for a net weight of 365.6 pounds.

370.4 pounds at my second post-op doctor visit on October 28, 2016

I will use this website to chronicle my journey and share information regarding weight loss surgery, exercises, recipes suitable for a post-bariatric and/or low-carb diet and other bariatric related news and items.

Welcome to my journey. I look forward to serving you as your weight loss “buddy” and someone who will support you in your personal efforts to embark on a similar journey.


RonnieBob428 (aka Ron Capps, Ph.D.)