RESEARCH

If you're curious about what I looked at you can trace my steps on Google Scholar - there are many academic studies that do not require you to purchase them to see the results.  Gastric Sleeve is both the simplest and most effect surgery for BMI's with an average close to 45. According to the Mayo clinic the recommended BMI is 40 or higher the exception being 35-39.9 where there is also hypertension, type 2 diabetes or sleep apnea.  My BMI was 41.6 and have been diagnosed with both hypertension and type 2 diabetes and I do have minor symptoms of sleep apnea.

The evidence of improvement or resolving diabetes is very strong as with the sleep apnea.  There is moderate evidence that it improves hypertension.

There is also the "theory" that gastric sleeve surgery changes hunger by removing the part of the stomach that produces the hormone Ghrelin which regulates the sensation of hunger.  I say "theory" because there are plenty of patients that report a return of the old hunger after a couple of years.  I suspect that early on the body is not able to produce this hormone but eventually the body learns and adapts and re-establishes the ability to produce the correct amounts.  I consider this phenomenon to be a bonus head-start for me to learn the habit of eating less, better food.

So the surgery for me is a drastic assist for me to establish a healthier relationship with my body.  I have been a faithful 3 hour per week student of yoga - but no matter how long I practice there are certain limits my size places on me.  I enjoy yoga and I want to enjoy it more.

I'm also pretty lucky that I live with my brother and he has an amazing, large garden filled with all kinds of fruits and vegetables.  This year he even has bees.

It doesn't take much research to find out that many of the sleeve patients have a weight gain around the two year mark. Proof that old underlying cases of obesity cannot not be removed with a surgical instrument.  As a mental health therapist I know the size of the mental, emotional and spiritual transition I must purse to make a life lasting change.

First night out of the hospital in the hotel was very restless.  I had a very hard time falling asleep and felt slightly feverish, which worried me.  By the time morning came the fever had left and I felt good. The incision where the drain was was slightly sore and I would call it discomfort versus pain.  I was warned that the number cause of a return to the hospital was dehydration so I've been sipping fluids constantly.

I was able to hop on an earlier flight and was home before sunset.  At this point the only way I can tell I had the surgery is a lack of hunger and slight gurgling as I process liquids. Oh and the number 2 process is not pretty or fun. Enough said.

I slept comfortably night 2 out of the hospital in my own bed.

I paid $4,708 for someone to remove 85% of my stomach permanently. How do I feel about that decision?  I feel great - better every day. In Mexico I ran into people that had the operation years ago and are enthusiastic - other patients I got to know were influenced by people close them that had their lives changed by the operation.

Every time I do a thing today that's just a little harder because of my size I take great comfort in knowing that it will not be that way for me forever.  The more I consider my feelings about being obese the more I realize it's like being in a self-constructed prison.  My movements are limited and potential joy connected to some movements are inaccessible to me. When I say self-constructed I am not being self-deprecating.  My obesity was constructed by my DNA, body and mind in a way that made it close to impossible for me to overcome without outside help. That's not to say others cannot find a natural, more gentle way to find health, but this is about me and who I am and what I think I need to flourish.

I think there will be unexpected negative side affects to this surgery yet to be discovered but I am willing to accept all of them as consequences for my decision. My best information tells me the benefits will far outweigh the potential problems.

Today is my birthday. I am 55.  It is also the 55th anniversary of the death of my mother, Clara Wakeley.

After leaving the hospital and letting us get settled in the Hotel, the driver took us for a tour of Tijuana which for me was highlighted by taking us for the best cup of beef broth south of the border. After nothing but ice chips and Gatorade for 2 days it was pretty good.

Overall I feel pretty good - slight soreness where the drain was and it's a bit of a chore getting enough liquids in. No hunger at all - which is as expected.  Clear liquids until next Wednesday, then heavier liquids like smoothies -the next Wednesday mashed up food and then finally regular food.

I wasn't sure i was going to write about this but I just made up my mind.  I just had  bariatric surgery this week. I had a "Gastric Sleeve" procedure which is simple, yet dramatic.  They go in and remove 85% of your stomach and staple up what's left.

I'm 55 years old 5'10" and just weighed in at 290 pounds and have been diagnosed  with Type 2 Diabetes and Hypertension.  I have tried weight loss programs several time where I have been successful in taking of as much as 60 pound at a time only to gain it back plus more over time.

Having someone cut into your body and remove the majority of a major critical organ is pretty damn extreme.  I saw my future and it was grim and I was determined to do something about it once and for all and decided this is what will give me the best chance of sustained change in the weight, eating and exercise.

Ready for the next shocker?  I had it in Tijuana, Mexico at the Mexican Bariatric Center.  Not only does my insurance not cover bariatric  procedures it expressly forbids them.  I guess they would prefer to pay the ongoing costs of my hypertension and diabetes.

The cost of my surgery including airfare and a really nice hotel was $4,708.  No kidding.  That was everything including tax.

My surgeon has done of 2500 of these procedures and in 2014 boasted no complications - zero.  The entire time I felt like I was being waited on in a 5 star hotel.

My surgery happened early Tuesday afternoon and today is Thursday at 10 am and I am plain and discomfort free.  The day of surgery there was some pain associated with my drain but it was bearable and totally relived once it was removed.

I ran into several people working down here that had the surgery a few years ago and they all seem thrilled.

I am on a clear liquid diet for the next week and then thicker mixed concatenations the following week and then on to solid foods.  I will keep updating here.

Bone broth. Yep today I'm talking about bone broth.  I took a class this morning on making bone broth and the benefits thereof. There is a raging debate on the web about the extended health benefits of bone broth. Some experts say the stuff ain't no big deal and others claim it's the latest and greatest boon to health since the plate of mashed yeast Woody Allen ate in Annie Hall.

I'm not going to take a side in the debate but I do have an opinion.  I'm about to embark on a 2 week medically mandated liquid diet and I've been looking for liquid gold and I think I found it today.  No matter what side of the bone broth fence you sit on we can all agree on the basics from the label of an organic beef broth can. In one cup there 9 grams of protein and 35 mg of sodium and I'll bet the homemade variety has far less sodium.  Nothing else, no fat, no sugar, no carbs.

So what's the big deal to me?  There was none before the moment about half way through class when she doled out little paper cups to taste the broth. The moment was not unlike a bored Simon Cowell waving cell phone salesman Paul Cotts onto the stage to sing some opera. If you have no idea what I'm talking about then take a look:

That's how freaking good the bone broth was. That is all.

The teacher today: Sarah Rusnak Facebook Page

I've been thinking about stuff today.  My brother was reading a article in National Geographic this morning with this title: "Why Do Many Reasonable People Doubt Science?"  Reasonable people doubt the validity for global warming, vaccines, evolution and even fluoride.  The small, progressive city I live in (Sandpoint, Idaho) removed fluoride from the water supply in 2010. I'm not going to waste time talking about how ridiculous that decision was.

I wonder how we now define the term "reasonable people"? For every scientific fact in existence you can find a crackpot website that claims it to be false or worse yet part of an Obama, Islamic, communist, satanic plot to do all us good people in.

I think the title of the article should have been: "Why Do Idiots Doubt Science"?  They would save a ton of space by not having to print the rest of the article. It's all contained in the title.

That's my opinion.

Introduction to my new book:

The Art of Being Single

life between relationships

INTRODUCTION

We find ourselves single again due to separation by death, divorce or other circumstances that spell then end of a close partnership. Regardless of the reason, the time after the end can be as emotionally challenging as any other life circumstance. Whether the lost relationship was good, bad or otherwise it is in our nature to want to try again. Most of us are driven to partner up and go through life with a close companion. The choices we make in this realm have very high stakes. Some may argue the highest of emotional stakes. Too bad most of us suck at it.

Let’s talk about the D word. Divorce. Have you heard that 50% of marriages end in divorce? Me too. Ever wonder where that statistic comes from? Maybe not, but I’m going to tell you about our quest for that information anyway.

Here are some 2014 news headlines concerning divorce:

From the Washington Post: “Divorce is actually on the rise, and it’s the baby boomers’ fault”

From the Christian Broadcasting Network: “Divorce Shocker: Most Marriages Do Make it"

From the New York Times: “The Divorce Surge is over but the Myth Lives On.”

There are a plethora of sources on the subject including U.S. Census Bureau and even the C.D.C. has information. Some sources say it’s getting better and some say it’s getting worse. “There are lies, damn lies and statistics” a quote attributed to Mark Twain. Does it matter? A poll of our friends and relatives says divorce is alive and well. There are lots of them for sure.

In 2012 Psychology Today ran an article that has been widely quoted. “The High Failure Rate of Second and Third Marriages” in which the author states that first marriage divorce rates are 50%, second marriage divorce rates are 67% and third marriages are at 73%. Why? Well there are no government approved statistics that can answer that question. We have an educated guess: People are emotionally wounded after the end of a significant relationship and no one (almost no one) likes feeling emotionally wounded. These people do the most natural and obvious thing; they go and find another partner as quickly as possible to stop feeling wounded and resume feeling joy. Here’s the problem: This tactic works well for lost pets and not so much for lost people.

Do not misunderstand us; we love pets. We love cats, dogs, gerbils and goldfish. But as emotionally fulfilling as man–animal relationships can be, they are very different and far less complicated than human relationships. The loss of a pet may often be quickly resolved by the quick bonding with a new pet, but finding a compatible human partner is a much more onerous task.

This book is about the journey we undertake from the time we find ourselves at the end of one meaningful relationship to the beginning of the next. It turns out how we experience this time is critical to our success or lack of success in the next relationship. We are not a dating book, a “celebrate being single” book or a guide to finding your soul mate. This book explores feeding your heart and soul in ways that lead to joy in life while standing the light of your own person. Standing alone so that you may enter into a new relationship that will create something that exceeds the sum of the two of you.

I write but I also operate two businesses - I'm a licensed psychotherapist and operate a video production service.  All three things seem very different but they have more in common than you might guess.

As a psychotherapist I get the honor of listening to people's stories.  Then I get to help them re-write their stories in ways that move them closer to a state of joy.

When I shoot a video I am always telling someone's story.  It may be the story of a musician, a local business or a wedding day.

When I write I get to tell infinite versions of my story.

I love my life, I just wish it paid better!

STEP 1:Watch a 51 second commercial:

https://www.youtube.com/watch?v=ovtkSkblu_4

STEP 2:Buy a book for $0.99

http://amzn.com/B00SEW93MC

STEP 3: Achieved by completed step 1 & 2.  Rob is happy. Ecstatic if you actually read it. 

As I looked at my computer screen I noticed a new little button in the lower right hand corner.  It simple says "Complain".

Who wouldn't click on that??  It turns out it's a feedback device for Google, but what a great idea!  I think we all need a complain button some days.

I have absolutely NOTHING to complain about today but just clicking that button made me feel good.  Does that mean human beings are inherent complainers?  I don't think so.

I think it means we all want to be heard.  We want to state for the world: "I AM HERE!"

Whether that's to convince the world of our presence or ourselves is a matter for philosophers and those better equipped than I to ponder such things.

I wrote a book therefore I am.

Please if you purchased a copy of my book with the horrible editing problems please contact Amazon and ask them to upload the most recent version. Apologies!

Like my main character in RESOLUTION TRUST my mother died while giving birth to me. I think that experience through it's many stages in my life was the driving force behind writing the book.  I know it's had an impact on my relationships with women, but the impact is not usually very clear.

I wonder a lot about what she was like.  Every description I get of her is inadequate to quench my thirst. Was she funny?  Yes?  Tell me how?  What did she dream about when she was young?  She got a degree in Chemistry not long after the depression - I wonder what she thought about doing with that knowledge.

Frank, the book's hero, was pretty obvious about how it effected his ability to trust women.  I'm jealous of him because he got an easy answer.  Mine's not so simple.

Another lesson/ epiphany.  Price is not the issue.  My book doesn't cost a reader $0.99, it costs them their valuable time to read it.  People don't mind wasting $0.99 as much as wasting their time. It's a big risk to read a book by an author you never heard of.  Makes me grateful for every single soul that has read my book!

I'm am in the "hard knocks" learning stage of self publishing.  My first lesson was publishing a book before it was properly edited. People really enjoyed my book but were understandably really annoyed at the editing errors. I hope my newest version is much better in that regard.

Pricing.  Boy did I find a lot of advice on pricing. I started at $0.99 and then went to $3.99, did a free promotion and then had several 1 book sales days at $3.99.

Through my Twitter marketing campaign I came across a very successful and talented author named Lauren Carr (@The MysteryLady).  As I went through her many books I immediately saw every one of her eBook offers was priced at $0.99. Her most recent book she published last month is ranked as #1,013 paid in the Kindle Store. For some perspective I just looked at a recent John Grisham novel released last August and it's rank is #1,163!  Also my paid store book rank is #139,910.

Lauren Carr was gracious enough to re-tweet my book promotion to her 10,000 followers and I was smart enough to immediately re-price my book to $0.99!

Boy it is hard to market a self-published eBook.  It was WAY easier to write and publish it!  So far I have spent a fortune on YouTube, Twitter and Facebook advertising; all of which a targeted to people interested in eBooks.  I've started this blog, posted to a myriad of eBook websites, gave away over 100 copies and even offered to send cash to readers that don't like the book.  For now, I'm out of ideas.

Hey, if anyone out there knows Oprah please ask her to tweet the book. I'm pretty sure THAT will work....

I'm currently working on a new book called "The Art of Being Alone". It explores ways of finding fulfillment in life during times in life without a partner. It's based on both my personal and professional experience .

I'm really struggling trying to get folks to read my book.  So I've decided to do this:

If you spend the $3.99 on my book http://amzn.com/B00SEW93MC and you don't like it I will mail you 4 crisp one dollar bills.  You send me an email at robwakeley@gmail.com and I will ask you a simple question about the contents - like "whats the second word in the 4th sentence of chapter 12?" You answer I mail the cash!

My name is Rob Wakeley and I'm the author of  the new eBook RESOLUTION TRUST

http://amzn.com/B00SEW93MC

This is my story...and I'm stickin' to it.

I was born in Rochester, New York in 1960. I grew up in the suburbs until 1974 when I was sent off to Prep school in New Hampshire. From there I went to Boston to get a degree in criminal justice and become a cop.  I actually became a cop and very quickly changed my major to accounting.

I spent the next 23 years as a finance executive for companies like Dell, Kay Jewelers and Neiman Marcus.

At 45 I had my mid-life crisis, quit my job at Dell, went back to school to get a Masters in Counseling, became a firefighter/paramedic and then after graduation became a licensed mental health therapist.

For those who like to know these kinds of things my schools in order of attendance were: The New Hampton School, Northeastern University and St. Edwards University.  I’m 55 and still paying tuition debt.

I've lived in Rochester, New Hampshire, Boston, Los Angeles, Washington DC, Dallas, Orlando, Austin, Puerto Rico and now Sandpoint, Idaho where I have a private practice as a therapist and am a freelance videographer and writer.  I am single and have never been married.  I am certain every woman who read that last sentence raised an eyebrow.

The book I’m working on now is titled “The Art of Being Alone” which explores various ways to meet social and emotional intimacy needs while being single.