Made a serious oopsy with pre-op diet.. help!

Mags W.
on 4/23/11 12:05 pm
I was out shopping with my Mom yesterday and almost passed out in the store - I got shaky, felt weak, and my Mom said I got really pale.  She took me to the closest restaurant, which was a mcdonalds (blegh) and I told her I couldn't eat, but I'd take a small diet sprite.  Then I remembered my doctors instruction sheet and said I'd take some apple dippers minus dip.  So in she went and out she came with my apples, and a 4 pack of chicken nuggets.  My favorite.  :x  I know I shouldn't have eaten them, but I felt so awful, it was a moment of weakness..

Since then I've been SO hungry.  I was going to skip dinner Friday since I'm only supposed to have one meal a day, but I just couldn't.  I'm just really upset because I feel like I've failed.   My surgery is Thursday, and I'm terrified I've screwed up because I've fallen off the pre-op diet wagon.  If I can screw up this early, how on earth will I make this work?


reddhedgrl
on 4/23/11 12:39 pm
Don't be too hard on yourself...it seems as though most Dr.s have different pre op diets. You didn' t do too bad...the main reason for the diet is for your liver & you will be doing a bowel prep.. I have my surgery on Friday...maybe we can be friends and keep wash other in line.... You will be fine..I'm sure of it!
Duck_Girl
on 4/23/11 12:51 pm
I wouldnt worry about it. Every doctor does have a different idea of what the preop diet should be. My doctor gave me 10 lbs to lose how I lost them it was up to me. If I couldnt lose it within 1 week of surgery I had to do  a liquid diet. I chose to lose it to avoid liquid.

I even went out for a nice italian dinner the day before surgery. I was just told not to eat after 7pm the night before.

I lost 113 lbs so other than the recent complications I did well. You will be fine :) 
debbie H.
on 4/23/11 1:14 pm - AR
I didn't even have a pre-op diet.  This surgery is just a tool.  It just helps with the volume you eat.  Many people slip up a time or two, shake themselves off and get back on the bandwagon.  Don't beat yourself up.  Some of what you're feeling is just nervousness before your surgery, perfectly normal.  If you want it, and you're willing to work at it, it's yours for the taking.  How long it takes is up to you.
                
Lisa H.
on 4/23/11 1:53 pm
WLS on 05/19/11
 Dont be so hard on yourself! We all slip up once in a while. Dont let four chicken nuggets defeat you! Knowing that you have the tools and skill to make the right choices is a victory.  Weight loss for me has always been an ongoing series of victories and losses. Win some, loss some, just never quit trying! 
    
Mag (Marguerite) P.
on 4/23/11 2:19 pm - Green Valley, AZ

Hi Mags,
   Everyone has given you good advice. I'm not a doctor but have suffered from hypoglycemia most of my life. Your signs and symptoms sound like your sugars were low at that time. You needed food to get your sugars up if that is what it was. You did the best you could with the cir****tances you where in. Don't get down on yourself. You have not messed anything up as far as I'm concerned. You will not fail. You did not do it because you were weak. You needed something to eat fast. Pre surgery food plans can be tough on all of us no matter our type of surgery. The people here at OH love to help. Your friends and groups/forums will be there for you every step of the way. Best of luck on your journey.   Mag  

           
Lisaizme
on 4/23/11 10:22 pm, edited 4/23/11 10:23 pm - TX
I agree with what everyone said, esp. Mag.

Hypoglycemia can make you feel very weak and shaky.  You weren't mentally weak, you had a physical reaction and treated it the best you could at the time.

If you're really concerned, call your doctor's office on Monday and ask for their suggestions should this happen again.  They may advise you to keep something in your purse/pocket to eat in such a situation again.  Or they may even lighten up on your pre-op rules.

Not everyone has to do a pre-op diet or a bowel prep.  I didn't have to do either.

As to how you'll do after surgery?  You'll do fine.  Perfection is not required.  Forgive yourself for your "slip-up" and move on.  We all have fallen short...and we're all still here trying to work our bands.


Lisa
"God grant me the serenity to accept the things I cannot change, courage to change the things I can, and the wisdom to know the difference." Reinhold Niebuhr

                    
dlee40
on 4/24/11 5:36 am - TX
 I know exactly how you felt, because I had a HUGE ooopsy on my pre-op diet. I had read all the instructions earlier, but not the day or so before. My pre-op diet was high protein, low carbs (no more than 30/day), and I had followed that perfectly -- and lost 12 pounds! So I'm thinking high protein, low carbs, and my daughter and grandaughter took me out to eat. I was very careful and "followed the rules."

Later, after I got home, I was packing for the trip to the hospital and reread the rooms. Oh, my goodness! I was supposed to be on liquids the day before the diet! It's late, I don't know what to do, I barely sleep, and when my son comes to get me to take me to the hospital, I tell him they may send me home. 

Once we got to the hospital, I told them I had eaten the day before. They decided to go ahead with all the preparations, but that it would be up to the doctor, and he was in surgery.

When he came into the room, he had a stern look on his face and said, "Does this look like a happy face?" No, it did not. But it seemed to me that his main concern was that I wasn't able to follow instructions and would therefore be unable to follow the rules. I assured him that I had followed all the rules up until then and promised to follow the rules after surgery.

He went on and did it, and there were no complications (except one, that I doubt had anything to do with me eating the day before. They took the breathing tube out too soon and I couldn't breathe -- and KNEW it! I was awake and it was one of the scariest moments of my life, until they put me back under and put the breathing tube back in. They later were able to take it out, and all was fine.)

I never cease to be amazed at the variance in surgeons, sometimes even in the same practice, and how they differ so much in pre-op diets, instructions about food after the surgery (mine won't give an ounce or cup kind of weight), and even how much they put in at the first fill. Mine put in four, and another doctor in the same practice put 2 in a co-worker who is much larger than me. Go figure.





Mags W.
on 4/24/11 6:20 am
Thanks everyone for the reassurance.  The pre-op diet as the surgeon does it is relatively new to everyone at the practice, he didn't do one two years ago, then started a one week diet, now is up to two.  I have a patient manual they gave me (75 pages!) and I understand all the rules post-op.  This pre-op business wasn't all that hard, but boy Friday hit me hard.

To everyone that mentioned hypoglycemia: it runs in my family and it was my first thought as well.  My mum carries glucose tabs generally but didn't have her purse that day.  Guess I should pick some up as well.

I'm always this hard on myself, but especially when it comes to my health.  I need to do well with this surgery, and seeing how easy it was to fall backward scared me, I guess.
marypatf
on 4/24/11 9:00 am
It is good you were not alone!..

I am sure itwill be fine, but going forward, remember to have something on hand, drink lots of fluids and get enough nutrition!!

I know it is hard, but try NOT to be too hard on yourself.  This is a continuous process with ups and downs.. if you are too hard on yourself for any down moment- you will end up feeling terrible.. 
Think of it as a journey... some days will be good, some great, some terrible. but you (we) are human and dont need to spend our lives kicking our own buts...just pick up and move forward.  
I have spent so much time with regret, that now I am trying, if I have a bad day (eat bad, too much), i dont kick myself.. I just try to do better tomorrow//// 

Good luck....sorry for my ramble

HW-272, PreOp Diet Start-269, SurgWeight-256,                                               CurrentWeight 189. 
        
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