Saw my surgeon today for the 1st time in 6 months....
I had a Revision to RNY 02/01/08. I have lost 81 pounds so far. I saw him 11 days post-op and neglectfully had not been back since.... He is almost 3 hours drive away, and frankly I have been relying on advice and experience of people here on this website to make sure I was eating/drinking right and so on.... The surgeon said he made my pouch 25 cc's in size and that it will stretch to 50 cc's by 6 months out. (I am 6 months now). Does anyone know how many ounces 25 or 50 cc's are? I don't.... He said I should get 70 g of protein per day, 60 ounces of water, max of 3 to 4 ounces of solid food at a time, and aim for 800 calories per day. He said I should never eat rice, potatoes, pasta, or breads/crackers, and to aim for "0" sugars and carbs, (he smiled when he said "zero" so I knew he knew that was impossible, but he meant try to avoid them like the plague). He said mostly proteins, (fish, chicken, meat, eggs, beans), vegetables, and very little fruit. I forgot to ask him about caffeine... He told me to take 2 Centrum adult chewables, 1000mg calcium+D, sub-lingual B-Complex (he emphasized sub-lingual), and told me to take one Colace tablet every day without fail (stool softener). He said after 3 months post-op I can swallow pills whole when needed. He told me I need to start exercising or I may gain weight back later... I told him I have been checking my blood sugar and blood pressure at home and both were quite good, and I had stopped taking my blood pressure medication on my own several months ago; he said that was good as long as I was monitoring my blood pressure. I told him about the gas; he said Gas-X, and I told him I am taking it, plus Pro-Biotics, he said that's good..... I told him I had heard of a woman who had RNY and who developed an obstruction in her bowel, and went to the ER, and the ER Doctors did not realize what it was and told her it was gas and sent her home and she later DIED, and I asked him how I was supposed to know if it was simply gas, or something more serious? He said, if you have pains and you're not sure if it's just gas or something else, that last longer then 8 hours, call me right away, and if you ever do go to the ER, make sure they understand you had RNY. He gave me a script to go get bloodwork done, but I am not sure which tests he ordered, I have to go to a Lab. Anyway, thought I'd share that info, since everyone here has been soooooooooooooo kind and helpful and have offered excellent and accurate/wise advice to me so many times. I have been doing well and doing as I should have been even without having seen my surgeon, thanks to everyone here... Yes, I know I should have seen him much sooner, and am relieved I saw him today.... I am curious if the things he said are the same as everyone else's doctors have said?? Like 800 calories per day? Is that what everyone else is doing at 6 months? Oh, he also said that based upon my height of 5'8" that if I were a 20 year old, my goal weight would be 150, but that he adds on weight according to age, and said he wants my goal weight to be 180. I said 180??? He said yes, you will look great at 180 and if your face looks good now - if you go smaller then 180, your neck will droop and you'll look gaunt. I said, well I would like to weigh less than my husband who weighs about 170, and he just laughed. Well, I do NOT want to be 180, and am going to try for like perhaps 160?? Thanks for allowing me to share my appointment results everyone!!!!!
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