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I got my date!

Moms View Message Board: General Discussion: I got my date!
By Insaneusmcwife on Wednesday, November 26, 2008 - 04:43 pm:

I just got off the phone with the nurse. I have to do some preop stuff on the 2nd so I really have to be careful this weekend. I will have to go back down to San Diego again some time after the 2nd to see the anesthesiologist and then I will have surgery on the 8th. Wow! So much to do! I'm so excited to finally have the date:) and so scared all at the same time :(. I'm off to make my to do list.....

By Mrsheidi on Wednesday, November 26, 2008 - 05:09 pm:

You'll do just great!!! Keep us posted! :)

By Insaneusmcwife on Wednesday, November 26, 2008 - 05:29 pm:

Thank you Heidi! I made my list so I'm not freaking out quite as much, lol. Luckily I have a wonderful son that helps out a lot. He saw me making the list and told me not to worry he would help me. He is such a mini version of his father :)!

By Vicki on Wednesday, November 26, 2008 - 06:07 pm:

Wow, that is quick! Best of luck to you, I am sure all the things on your list will work out just fine!

By Jewlz on Wednesday, November 26, 2008 - 06:18 pm:

WOW this is awesome !!! ok take some lip moisturizer and some lotion and some kleenexes with u to the hospitol. where are u kristy ? im in calif also and go to san diego a few times a year. if anything i can do let me know. this will move so fast ... and some anti nausea med will be helpful for when u get home take ur own firm pillow to cough on and to hold ur tummy when u drive home and prop u up ... most are still groggy when they go home. keep us posted !!!

By Insaneusmcwife on Wednesday, November 26, 2008 - 06:39 pm:

Thank you Vicki!!!

lol Jewlz...I was just thinking that I needed to email you to find out what I should pack in my hospital bag. You beat me to it. We are at Camp Pendleton. I'm having my surgery at Balboa. The Nurse said that I will probably be in the hospital for 3 days and that they will be sending me home with the nausea & pain meds. She also said that 2 days before the surgery I will be ona clear liquid diet but is 2 days really enough? I think I'm going to start more of a liquid diet this weekend. I want to get through Black Friday without passing out, lol. What part of Cali do you live in? I have family in LA & Riverside areas & dh's family is above Sacramento. I would love to meet up with you next time you are in the area.

By Jewlz on Thursday, November 27, 2008 - 03:07 am:

im in bakersfield area a bit north of it ... i had to be on a clear diet for ten days i dont think three days is enough helps with the nausea after wards im told ... different dr do different things we have lived all over calif ... and travel it alot so much to do here ... in dec ill be going thru maybe ill be able to catch up with u ... this is so exciting a new life will be starting for ya ... good luck ...

By Jewlz on Thursday, November 27, 2008 - 03:18 am:

did u get some vitamin b and chewable vitamins with iron ? its important u take these

Pouch Rules
The first six months following surgery is the fastest and easiest time in which to lose weight so follow the pouch rules carefully at this time and exercise as much as you can as you will never be able to lose weight as fast as you can during this period. After six months, the pouch will stretch about two thirds due to the natural healing process. This means you will be able to take in more fluids and food.
Understand that it is not the size of the pouch that makes weight loss maintenance possible but how it is used.
Follow the protocol established by your surgeon for maximum effective use of your pouch to ensure long term success at weight loss maintenance.
Please note that Dr. Suh will progress your diet at very stage. Please call the office should you have any questions.


Rule #1 - Prevention of Vomiting
Vomiting should be prevented as much as possible. This is achieved by eating 1-2 ozs of food per serving, making sure that food is chewed very well and eaten very slowly. Please note that if the feeling of "fullness" is felt after eating less than 2 ozs, please stop immediately to avoid being sick. Following surgery your pouch is healing and may only accept less than 2 ozs of fluids or food. As the pouch heals you may find you can eat more. Limit meal size to 3 ozs per serving after this period. For those patients that do not recognize the feeling of "fullness" the rule of thumb is to stick to eating only 2 ozs of food for the first few months following surgery.

Rule #2 - Measure Your Food
It is critical and essential for your success to measure all food once the doctor progresses you to the soft foods and ultimately full diet. It is recommended that you continue to measure until you are about six months out. This helps you to avoid overeating and ultimately stretching your pouch.

Rule #3 - Eat Slowly

Rule #4 - Chew Food Very Well

Rule #5 - Avoid Meal Skipping
Eat meals frequently, at least 3-4 times daily. Limit food intake to 2 ozs for the first few months, after which meal size can be increased to a maximum of 3 ozs. Protein supplements should be taken in addition to your meals, 2-3 ozs after surgery and at about 3 months out can be increased to 4 0zs (this will also allow you not to get hungry during the day).
Eating three meals a day prevents the body from going into "starvation mode" and saving the food as fat (for a rainy day) instead of breaking it down.
Do not skip breakfast as this is the most important meal of the day and provides you with the energy to fuel your day, as well as aids in kicking in your metabolism.

Rule #6 - Drink Plenty of Water
Stay hydrated by drinking as much water and fluids as possible. 15-30 minutes before your meal, drink as much water as possible. Wait 11/2 - 2 hours after each meal before taking fluids. DO NOT DRINK AND EAT MEALS AT THE SAME TIME.

Rule #7 - Make Healthy Food Choices
Healthy and wise food choices are essential to sustained weight loss. Avoid carbonated beverages or soda, sweets, foods high in fat and carbohydrates to avoid excess calories which will cause stretching of the pouch and eventual weight gain. The rule of thumb is to eat protein first, then vegetables and finally carbohydrates. Avoid rice, pasta, granola, bread, refined flours etc as these foods will swell in time and overload the pouch.

Rule #8 - Take your Vitamins
It is essential to continue taking your vitamins for the rest of your life following surgery to avoid vitamin and mineral deficiencies. These are vitamin B12, calcium citrate and multivitamins. Patients who are anemic or have low iron will require iron supplementation.

Rule #9 - Avoid the "Honeymoon Syndrome"
The lack of hunger and quick weight loss following bypass surgery gives patients a false sense of security into believing that they will lose weight regardless of whether they exercise or not, or eat snacks and high caloric foods because their stomach has been reduced and they only need to eat less of the same.
Note: This kind of behavior will only lead to trouble. Firstly, even though you are losing weight, it will not be as much as you could lose by following the protocol of exercise and healthy eating. Secondly, after six months out it does get harder to lose weight and you will find yourself hitting plateaus sooner than if you followed the protocol.
Remember the most weight is lost during the first six months provided you stick to the given protocol. If you could have done this alone, you will not have had gastric bypass so stick to what is taught you for long term success.

The key to holistic wellness is nutrition and exercise regardless of whether you have had gastric bypass or not. By incorporating an exercise regimen, you are ensuring continued and sustained weight loss, increased metabolism and psychological well being (exercise is a natural antidepressant). Energy in = energy out. You have to balance your caloric intake with exercise. The more you consume, the more exercise is required to burn off the calories.

Rule #11 - Attend Support Groups
Support group attendance is not only necessary preoperatively but essential to your post operative success. Attending support groups will enable you to receive answers to any questions or concerns that you may have, as well as provide you with invaluable information needed for the lifestyle and behavioral changes that are necessary to your success. Information on diets, vitamin and protein supplementation, as well as current studies and market trends pertinent to the gastric bypass are provided to you in this forum. You also receive reinforcement and encouragement from your "peers" who know and understand your struggles, and who are there to support you on your journey. Your surgeon frequently attends these support group meetings to allow you the opportunity and convenience to speak with him or ask him questions outside of an office visit.


Shopping List

• Powdered instant protein (no sugar, high protein)
• Clear broth or bouillon (Knorrs seems to be the favorite broth – beef and chicken)
• Juices unsweetened/no sugar added, 100% pure fruit without pulp.
Suggestions: Ocean Spray 100, any health food store sells 100% juice. Always read your labels.
• Sugar free, non-caloric beverages, light, diluted sports drink (Crystal Lite, Powerade, tea, Gatorade, herbal teas such as raspberry, lemon grass, mint, hibiscus)
• Chewable multivitamin/mineral supplement with iron (children or adult). You will need a 4-6 week supply.
• Sublingual vitamin B12 (Trader Joe sells one called Trader Darwin at $6-these dissolve in 5-10 seconds).
• B Complex
Vitamin C 1000 mg (in increments of 500 mg)
• Sugar free Carnation Instant Breakfast
• Cream of Wheat/Malt O Meal
• Sugar free Popsicles (Welch’s makes a good one), Snapple (Strawberry Kiwi or any of the fruit ones. No teas).
• Dasani bottled water (contains Magnesium and Potassium)
• Sugar free Jell-O, Kool-Aid, Tang
• Diet Ice Botanical available at Costco
Glacial Fruit Water available at Henry’s (Boney’s) contains some electrolytes

By Jewlz on Thursday, November 27, 2008 - 03:20 am:

I had to prove i had these in hand before the surgury ...

• Chewable multivitamin/mineral supplement with iron (children or adult). You will need a 4-6 week supply.
• Sublingual vitamin B12 (Trader Joe sells one called Trader Darwin at $6-these dissolve in 5-10 seconds).
• B Complex

By Bobbie~moderatr on Thursday, November 27, 2008 - 09:00 am:

You are in my thoughts.. Try not to stress to much and I can't wait to hear about your progress. Please keep us posted and the best of luck...

By Insaneusmcwife on Tuesday, December 2, 2008 - 07:08 pm:

I went to my appointment today. They gave me that nasty Magnesium Citrate that they want me to drink on Sunday. And I've got an appointment tomorrow to see the anesthesiologist. So I'm pretty much all set. Just have to finish off my check list. Which I'm not too extremly motivated to do. I feel so drained. I've gotten most of my christmas shopping done and wrapped so I'm good there. Just need to get some more stuff done around the house :).

By Insaneusmcwife on Tuesday, December 2, 2008 - 07:30 pm:

I got a liquid multi vitamin, liquid b-12, liquid Calcium Citrate and B1. I have some protein powder but they told me to get Isopure for the first couple weeks. A friend of mine is going to take me to Costco so I can pick up some of the tings you have mentioned.

By Insaneusmcwife on Tuesday, December 9, 2008 - 07:27 pm:

I had my surgery. So far so good. I'm a lot loopy but not in a great deal of pain. I am off my iv and iv meds and they took out my cath. I have been up and walking as much as possible. The doctor said as long as I don't spike a fever or have any complications I should be able to go home tomorrow. I'm typing this from my cellphone and its kind of a pain so I will probably not be back on until I get home.

By Jackie on Tuesday, December 9, 2008 - 07:36 pm:

Hey Kristie, glad you made it through AOK...We will be waiting for your updates, when you feel up to it .

By Jewlz on Tuesday, December 9, 2008 - 09:16 pm:

im so glad u are doing so well!!! complications are far and few between and ull be up running around chasin the kids real soon and moving so fast they kids cant keep up with you!!! so glad u checked in i was wondering...
will look for your updates soon

By Missymelissy on Tuesday, December 9, 2008 - 09:51 pm:

glad you are doing well.

By Brandy on Wednesday, December 10, 2008 - 07:17 am:

congrats = )

By Bobbie~moderatr on Wednesday, December 10, 2008 - 08:04 am:

Great news...

By Debbie on Wednesday, December 10, 2008 - 10:11 am:

I'm glad everything went well! Check in when you can.

By Vicki on Wednesday, December 10, 2008 - 10:38 am:

Great news. I am glad everything went well!

By Angellew on Wednesday, December 10, 2008 - 01:53 pm:

Thinking about you! Hope all is well!

By Insaneusmcwife on Saturday, December 13, 2008 - 12:19 am:

I was discharged wed without a current dose of pain meds or neasea meds. I was also becoming dehydrated as they took my iv from me only 24hrs after surgery. They did not put me in a wheel chair or even escort me down to my car when I was discharged. I was home less than 5hrs and we had to call an ambulance because I was in so much pain I could not breathe. It took 2 1/2 bags before I could pee I was so dehydrated and the er staff was livid with the way I was discharged. The nurse told me to comeback any time I felt I needed a bag and they would hook me up. Then we picked up my new meds at the pharmacy. Naseua meds and more pain meds. When we got home and I needed more naseua meds df pulled the bottle out of the bag only to find out that they put the phenagran labels on sudafed bottles because they were not paying attention. So back to the hospital we went. After we got it straightened out I rested all day yesterday. We went and ran some errands today and I walked some and used the electric wheel chairs. I am feeling a lot better today but will not be going far from the house tomorrow as I don't want to over do it. I am staying at dfs house until I am off my pain meds and I can better care for myself and my kids. Her internet is down so its hard to get on here with my phone but I will try to check in every once in a while.

By Jewlz on Saturday, December 13, 2008 - 12:34 am:

just a suggestion ... set the timer for every fifteen minutes so u can drink two ounces and keep from being dehydrated. thats what i had to do . the nausea will get better with time as u heal. just make sure u chew ur food when u start eating to babyfood consistentcy. also ur breath will will start to smell horrible and people will not want to be around you. dont take it personally nothing u can do about it ... just one day at a time ... and it will end soon its just ur tummy healing on the inside. take it slo and easy.
good luck this is the hardest part but i promise u will make it!!!!!!! with no regrets

By Karen~admin on Saturday, December 13, 2008 - 08:02 am:

Kristie, I am so sorry you've had to go through that, that is inexcusable.

I hope you feel better today. And DON'T overdo!!! (the pot calling the kettle black here..........LOL) But listen to your body!!



By Colette on Saturday, December 13, 2008 - 08:08 am:

Hope you are feeling better today!

By Insaneusmcwife on Sunday, December 14, 2008 - 06:47 pm:

Thank you for all your support. I have started a new thread as this one is super long and hard to sroll through on my phone.

Jewlz, thank you for the timer tip. I will pick one up tomorrow when we go out.

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