And then, almost a year later, came a letter in the mail...

Yesterday, ten months pretty much to the day from my last entry, I picked up the mail and to my absolute shock, there was a thick envelope from Humber River Regional Hospital bariatric office.  Enclosed was a notice that they had received my dr's referral and I was scheduled for a patient information session next Friday afternoon.
I started to cry.
I had given up hope of ever hearing from them, thinking that my weight wasn't bad enough to be accepted, even with my co-morbidities.
My weight has gone up since last February, of course.  I didn't weigh myself but I know I had to be around 220 pounds or more because I had to start buying/wearing size 16-18-20 clothes. My knees, hips, ankles, feet hurt.  I felt horrid, knowing that i was now in the morbidly obese category. My plantar fasciitis in my feet returned.  Walking was painful.  I could not go swimming as our small community does not have a pool.
And then I started getting flutterings from my heart.  I already knew that one of my ventricles is a little slow on the closing (my dr wasn't really concerned about that when he told me about it 2 years ago).  Fluttering can be caused by blood pooling with a slow ventricle.  When the fluttering started happening a number of times a day, especially while resting or lying down, I began to get scared. 
There are no walk-in clinics in my town.  My dr lives/works 1.5 hrs away. 
So in October I started Atkins again.  I have been pretty strict with myself and my weight has really started to drop. I'm at 188 lbs and I am back into smaller clothes (and you all know hor that feels!!!!).  My BMI is now just shy of 35, the magic number for surgery for me, given my co-morbidities.
That is why I was crying when I read the letter.
So what do I do?  Do I work on gaining 10 lbs this week in order to be acceptable for surgery?
I could keep going with atkins and lose more weight but i already know that in time, when I try to eat normally, my weight will come back and be even higher and then I'll be older and have to ask my dr for a referral again...
I don't want to gain weight but I don't want to lose this opportunity either.