I have my surgery date!

papabear47
on 5/22/07 10:22 am - Stockton, CA
As I mention in my first post I had recieved the OK from my Docs as well as my insurance provider yesterday.  This morning they called and said that I am schedualed for surgery on June 5th.  They could have got me in on May 30th but I was not mentally prepared yet.  I needed the extra week to buy everything I need and get things in order at work and at home.  I have no worries with the hospital or surgery as I heal well and fast.   My worry is the first week at home.  I want to avoid the dumping problems if at all possible.  And is crushing the vitamins and other pills the best way to to swallow them in the first few weeks?  
Dx E
on 5/22/07 10:40 am - Northern, MS
Congratulations Papabear! Have the Greatest ever! Early out of the hospital, the most important thing is to stay hydrated.  Little tiny sips of water or a non-calorie liquid. Not 'swallows,' but sips. The pouch will be swollen and smaller those first few weeks than it will ever be later. SF Popsycicles are a great way to get in the water. Slow and they give you something to feel like you're eating. Yep, you'll want to crush pills. (at least the ones your doc says that it is ok to cru****'ll depend on what they are.  Vitamins-OK, some meds? not.) Ask your doc for liquid versions perscription if there is a med you can't crush. Dumping? Avoid Sugar, high fat content and Dairy products and it shouldn't be an issue at all. That "early out stage" Here's from a previous post of mine on another Board. Give it a look.  Fairly complete Block of Info.----- Best Wishes- Dx -------------------------------------------------------------------------------------

The Post-Op Diet- Following bariatric surgery, the typical recommended goal is to develop a balanced diet that optimizes nutrition, stressing Protein, Hydration, Vitamins/minerals and offsetting any possible nutritional deficiencies with vitamin supplements. The goal is to develop a long term eating pattern that provides balanced complete nutrition that provides less calories than are utilized until the patient has lost their excess fat tissue (or a ‘goal percentage’ of that tissue) and can sustain a constant and healthy weight. Such a Bariatric Diet plan is available from the Obesity Action Coalition at- http://www.obesityaction.org/resources/oacnews/oacnews2/nutr ition.php Such a long-term "Dietary Lifestyle" however is often developed by first adhering to a diet that allows the surgical trauma and swelling to subside and heal properly without pressure or strain on the healing tissues. This Diet is typically broken down into "Stages" or "Phases." Each bariatric surgeon has their individual recommendation as to what diet is best suited for their patients. Early Post-Op Dietary regimens can range from "Eat what you can tolerate," to elaborately scheduled and measured protocols that dictate times and specific foods that are to be consumed. In general, all of them stress- enough water/fluid to remain thoroughly hydrated, followed by protein and then vitamins. They also typically come with the caveat of- "Do Not Advance Your Diet Until Instructed to do so By YOUR Doctor." These Post-Op Diets, aimed at gradually re-introducing food to the patient, do prevent in many cases vomiting, and stress on the newly Banded, Stapled or Sutured stomachs. They can break into various numbers of "Stages" or "Phases." Most commonly there are 3 to 5 stages. Although some protocols combine Full and Clear Liquids into one phase, and pureed and mushy into a single stage, these are often the descriptions (in order of advancement)- Clear Liquid Diet- Water, Unsweetened clear juice, Sugar free Jell-O, Sugar Free Popsicles, chicken, beef, or vegetable broth/bullion, and Decaf or herbal teas. Full-Liquid Diet- All foods and drinks from previous stage plus- Skim-Milk, Sugar Free/Low Fat or plain yogurt, (without fruit) Strained Cream Soups, Protein Shakes, Thinned Cream of wheat or cream of rice cereals, No sugar-added applesauce, and Sugar-Free puddings. Puree Diet- All foods and drinks from previous stages plus Low Sugar and low fat foods that have been processed/pureed to the consistency of baby-food or applesauce. Soft Diet- (Mechanically Soft, or mushy) All foods and drinks from previous stages plus very tender meats such as canned tuna fish, low-fat peanut butter, soft cooked to the point of mushy vegetables, Soft fruit, (banana, melon, low sugar or no sugar added canned fruit) eggs, toast, low-fat crackers, Fat-free or low-fat cottage cheese and soft low-fat cheeses, Mashed Potatoes, (without skins) Tofu, etc… Typically- No vegetable skins, Crisp vegetables, Corn, Rice or Soft Bread.

Full Diet- All foods and drinks from previous stages plus crisp vegetables, fruits, meats, etc… as tolerated. The emphasis continues to be on Protein, Low-Fat, Low-Sugar, Vitamin rich foods. An example of a typical "3 Stage" Diet for Bariatric Patients is provided online by J. K. Champion, M.D., F.A.C.S. of Atlanta’s Videoscopic Institute of Atlanta, P.C., Bariatric Surgery. (Dr. Champion is one of the three founding officers of the Surgical Review Corporation which was created to establish "Centers of Excellence" in Bariatric Surgery.) http://www.drchampion.com/postop-diet.php St. Vincent's Bariatric Surgery Center (also a Bariatric Surgery ‘Center of Excellence’) offers an extensive "5 Phase" Diet for Bariatric Patients (complete with shopping lists) at- http://www.stvincents.org/healthservices/bariatrics/dietstag e.cfm

Eventually, sooner for some than others, a balanced, nutritional, healthy dietary intake is the goal. This is the same whether one has a procedure that is more mal-absorptive or only restrictive and not mal-absorptive at all. Healthy, Nourishing, Balanced Diet.

 Capricious;  Impulsive,  Semi-Predictable       

panhead58fl
on 5/22/07 2:42 pm - Barboursville, WV
Congrats on the date. It will go b quickly.  My  surgeon took me off all my meds except blood pressure and I used a pill splitter for those.  His instructions on vitamins were to start them three weeks after surgery and I would have to take them for the rest of my life. Small price to pay for good health. I take Optisource chewables four times a day. They are made for post WLS. I was on a liquid diet three weeks after surgery, then soft foods for 4 weeks. Every Doctor is different so follow his directions.  I don't know if your doc does it or not but I had to attend a pre-op class that went over each phase after surgery. good luck pan head
Dan_P.
on 5/22/07 10:33 pm - Baltimore, MD
Congrats on the date! You're in for one heck of a fun ride.
ALFRED C.
on 5/22/07 10:54 pm - NEWARK, DE
Congrats on the date, now onto the pre-diet before surgery! staying focussed, al


 

Mike Ray
on 5/22/07 11:12 pm - South Houston, TX

Congrats!  June 5th is just around the corner.   Keep us informed.  I Hope that I am right behind you, still waiting on my surgery date - sometime in July we think...  Working with the VA Hospital takes forever....  Best of Luck, we will keep you in our prayers and thoughts.

Mike Ray

wbfine
on 5/24/07 7:59 am - Franklin, MA
Congrats on getting your date and your insurance approval so close together.  I got my surgery date a few weeks ago and have been eagerly anticipating getting the approval from my insurer......which came in the mail today! All the best to you with your WLS.....and save a spot for me on the bench as I'm two weeks behind you! Bill in Boston
 
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