The Long Way to the Start Line

From the log · 003 · August 2026

Seven kilograms
lighter.

Surgery week in Kaunas. A 360 degree cut around the belt line, two texts to Katie, and two hospital mirrors four years apart.

T0 · 6 August 2026 · Recovery begins

6 August, Nordclinic in Kaunas. At 13:53 I texted Katie: "im going down now." Surgery started at 14:15, Lithuanian time. A 360 degree cut around the belt line, plus the chest and armpits.

Empty hospital room at Nordclinic with the bed made and a gown folded on it
Room ready, bag on the floor, gown folded on the bed. The last hour of waiting.

The next text went at 20:29: "im alive, will call when i can." By 22:30 we were on a video call, me eating dinner from the hospital bed. Roughly the same gap as the swim and the bike in Valencia, come to think of it. Better outcome.

I took a photo in the bathroom mirror before I went down. Then I found the one from the last time I stood in a hospital gown holding a phone up to a mirror. September 2022, the morning of the gastric bypass, 190 kilograms.

Jamie in a blue hospital gown taking a mirror selfie in September 2022
September 2022 · 190 kg
Jamie in a grey hospital gown taking a mirror selfie in August 2026
August 2026 · 85 kg

Same pose. Same nerves. Four years, 105 kilograms and one triathlon club apart.

That is the picture I keep coming back to. Not the scales, not the medical form. Two men in two mirrors, and only one of them knew what was coming.

Discharged two days later with a form that says "the patient felt well," which is accurate. The number I keep coming back to: just over seven kilograms of skin and tissue removed. That was the last physical piece of the 190 kilogram version of me. It is gone now. What is left is the shape the training built.

The honest report from a week out: I am doing far better than I expected. I braced for being flattened and instead I am mobile, up and around, surprised at how much I can do. The hospital and the staff were outstanding, start to finish, and I mean that down to the details.

Hospital breakfast tray with porridge, blueberries and a latte
Breakfast, day two
Nordclinic menu on a clipboard listing halibut, tiramisu and smoothies
The menu, on a clipboard

Porridge, blueberries, a latte, and halibut with tiramisu on the menu. Nordclinic does not do hospital food.

And Katie flew over to get me home, which is the kind of thing you do not forget.

Sunset over the river in Kaunas from a bridge
Kaunas, the evening before flying home. Not a bad place to have started again.

The next two months are unglamorous by design. Compression garment, lymphatic massage, dressings, no sun on the scars, walking as the only session on the plan. Patience is the discipline now.

Cervia is 415 days away. Overall: very positive. Onwards.