Question:
I am worried that I'm not on the right track

Hi everyone. I am 8 days post op. I could not tolerate the liquid phase, which I'm supposed to be on. I just jumped ahead to the pureed phase. I could not contact my surgeon due to the holidays. So far I have keep everything down and have not become sick. I've eaten pureed turkey in fat free gravy, mashed potates thinned out with skim milk, chicken and rice pureed with chicken broth, and fat-free refried beans with fat-free cheese. I am extremely worried that I'm doing something wrong on the inside. I could not tolerate the protein shakes. I've tried thick and thin. I'm doing ok with water. Please give me some advice. I had a lap rny on 12/19. Thanks!    — Monica D. (posted on December 28, 2003)


December 27, 2003
It's very important to follow your surgeon's advice so that you give your new pouch time to heal. That's what the liquid phase is for. Have you tried Carnation Instant Breakfast (No Sugar Added) and Skim Milk? That's what I lived on my first 2 weeks.
   — Cathy S.

December 27, 2003
Ahh admit it your cheating:) Your not the first, or the last to do that. Do call your surgeon and ask. They return calls even christmas day. So how long were you SUPPOSED to be on liquids? Its never a good idea to cheat, but at least your cheating responsibly with runny pureed foods. Years ago a brand new post op 4 days out ate beef jerky:( Got a leak and spent a month in intensive care. The surgeon had to operate and remove beef pieces from his belly.:( Please dont do anything like that! All surgeons are different, some will ot discharge a person from the hospital till they are ablew to eat soft cooked eggs. Please be careful.
   — bob-haller

December 27, 2003
My original point which I somehow forgot. I am 2.5 years out and protein shakes still make me sick today.
   — bob-haller

December 27, 2003
I know some do not agree with me.... but if you are tolerating it, and not hurting, just be very careful. I lived on Carnation Instant Bfast also... I only WISH someone had told me how wonderful sugar free popcicles would have been to me! I could have had those when I was having "head hunger" which I had A LOT my 1st few weeks.... I was about 1 month out I think when someone mentioned them to me and they saved me! I never went through the puree stage... Ijust chewed chewed chewed.... if I could not chew it till it was liquid, I spit it out.... I still do that to an extent. Especially with beef jerky. Relax, and just dont do anything to hurt yourself.... chew chew chew, and get you some SF popcicles.... you will be FINE!!! I was constantly worried about stretching my pouch and causing a leak.... I only wish I had relaxed and enjoyed the beginning of my new life!!!!!! Take care, and I wish you the very best!!
   — rebecca J.

December 28, 2003
I found the first few months really rough (from day 1 to about 4 months). I had to try a lot of things. For protein I ate a lot of Detour bars once I could tolerate them and tried A LOT of different shakes as my tastes changed throughout the first six months. I finally settled on a mixture of berry flavored mixtures mixed with frozen strawberries and I have one every morning. Some mornings they go down like LEAD and other mornings they are fine. I try to get a lot of protein in through food but have to watch that I don't rely on carbs too much because I have no problem tolerating them.) I have had a lot of trouble with drinking water and have relied on sugar free popsicles to quench my thirst (I live on them). At almost a year I am still hit and miss with water. Sometimes it's fine (and on those days I try to drink a lot), other days it hurts like hell. You're still very very very new to the process and things will change as time goes on and you will be figuring it out as time goes on. Relax and try to get used to your new approach to foods while knowing that what is true this day and this week might not be true tomorrow or next week. It's a process and a journey. Hang in there and congrats on being on the other side.
   — susanje

December 28, 2003
Plese forgive me, but WHY?? would you not want to do this right? Do you realize how lucky you are that you are able to have gotten the surgery? There are so many of us out here that wish we were in your shoes and wouldn't even think about not following the post op instructions. 8 days post op? mashed potoates? milk? are you sure that you are ready for this? Please think about this decision and remember that you are the only one who can make it work.
   — Diane G.

December 28, 2003
Ok, I know I'll probably get yelled at, but my dr didn't believe in the liquid stage at all. He had me eating mushy foods in the hospital and I did fine. He did stress the protein first, tho. So from the time I came home, I was using my food processor to mush up tuna salad, having soft scrambled eggbeaters with cheese, the ff refried beans w/cheese. Of course, only your body knows what you can tolerate. The only time I had dumping was when I didn't chew well enough. So I feel if you aren't having any trouble, you can't be doing much wrong. But I will agree with all, check with your dr. Who knows, he might agree with you.
   — lharbison

December 28, 2003
When I had my surgery two years ago, I had to be on full liquids for a week after leaving the hospital. Now, the same surgeon is having his patients eat mashed potatos before they leave. I am curious though, what was it about the liquid phase you couldn't tolerate? I lived on sugar free popsicles and V8 Juice for a week.
   — Patty_Butler

December 28, 2003
my doctor never had us do only liquid, we started out in the pureed stage. all doctors are different, but my question is...if YOUR doctor told you liquids and you are already cheating at ONLY 8 days post-op....what are you going to be doing at 6 months or 1 year? you can't twist and turn the diet to how you want. that's how we got fat in the first place...doing things our way.if your doctor gave you instructions you should follow them....as someone who wants to be a nurse you should know that. yes i am being harsh and i know it. i wish someone would be harsh with me when i'm doing something wrong instead of making nicey nice. this is too important. it's really not about what you are eating, it's about being Only 8 days post-op and already cheating. i wish you the best of luck.
   — franbvan

December 28, 2003
You know my wife Jen had WLS after me and didnt follow the rules. I TRIED to council her but my entire surgeons group including the psych doc said to leave her be. They said everyone has to find their own way thru this. I am not advocating cheating. But its interesting they told me to butt out. At the time she was trying to eat a chicken leg off the bone, and thru up every time. This about a month out. My concern is that the oposter doesnt make a poor food choice and cause a leak.
   — bob-haller

December 28, 2003
Maybe I should have added more info to my question. The reason I can't tolerate the liquid phase is because I'm so tired, weak, irritable, dizzy, light headed, hungry, and always crying. When I do eat pureed food, it is extremely thin and runny. It has only been with chicken and turkey. I did try the beans and found them too heavy, so I backed off. My doctor works in a military hospital, so therefore during the holidays NO ONE is around. If anything serious came up I was told to go to the ER. I have felt fine since eating those pureed foods. I do eat yogurt and have SF carnation instant breakfast along with popsicles and plenty of water. Hope that clarifies it up a bit. Thank you everyone for your input.
   — Monica D.

December 28, 2003
Hi Monica, I had lap rny on aug 9 2001 and I couldn't fathom the idea of eating anything pureed during the first couple of weeks. The first week I was home I sipped on watered down cranberry juice and that was it. It wasn't till about 3-4 weeks out that I started eating really soft and pureed foods. As I was reading your question, the foods you had listed seemed too much for only a week post op. I am not trying to be critical in any way but, it seems to me that your mentality is still in the old mode and you need to get into a new frame of mind about your food choices and eating habits. This surgery is only a tool and can only help if, you control your eating habits. I am now 2 yrs and4 1/2 months out and have lost over 140 lbs and am next on the list at a military hospital for my tummy tuck. I feel very blessed to have been a good candidate for this surgery and am in no way going to misuse my new tool. Take care of yourself, slow down, eat smaller portions, introduce foods much slower and rethink why you had this surgery to begin with. Do you really want to stay your weight or find the new you deep down inside? It takes time and self control to do this and trying to eat these things now is not going to help you. Best of luck.
   — ncgal

December 28, 2003
i have tricare too, but i was lucky and got to use a civilian doctor because there aren't any military hospitals near by. i was really glad about this because there really isn't any support if you have it with most military hospitals. they just do the surgery and send you on your way. most wls doctors have free support groups that meet once a month or so. i would look in the phone book and find a wls doctor and join their support group...and it's free!! you can get more education and support and sometimes they even have guest speakers. it's really great to see how people are dealing with their weightloss and different stages and what problem can be avoided. most of the people who fail at wls weren't people who just didn't follow the rules, but people who were never told all the rules. even doing the best they could with only having tiny bits of info to work with. these groups have a clothing exchange if you are interested. i gave away alot of clothes this way too. best of luck to you and i hope you start feeling better soon!!!
   — franbvan

December 28, 2003
Hi Monica, Never you mind these people who are over-run with guilt regarding food. And especially, never mind those who are rendering advice but have not been through this process. Three weeks ago I would have told you "I would NEVER not follow my surgeon's orders...no way no how" Well.....that's not the case now. I had surgery the same day as you and I certainly understand the inability to stay on liquids for 2 whole weeks. My stomach is growling to the point of hurting and I think I will listen to my body - which is supposed to be what this whole process is about anyway....learning to be in tune with my body. So, I have "cheated" (if you want to call it that) and I have had 1/4 cup of very runny cream of wheat and on another occassion, I had 1/4 cup of cream of potato soup - put in the blender and made with milk (my surgeon allows the milk). I also have one protien drink per day - per my surgeons instructions. However, I have also been walking up a storm. I walked 1 1/2 miles yesterday and 2 miles the day before. Granted I am not walking quickly, but I am moving and I feel fantastic!! I think all the walking makes me need more calories....liquid is just not enough. Well, I am glad to hear another person be honest about the realities of this surgery. Perfection is certainly NOT required - but true effort is...along with learning to really listen to our bodies. I feel as though if you and I were "doing something wrong to our bodies on the inside" then our insides would let us know. Be careful and be joyful in your new life!! If you need to chat....feel free to e-mail me! ~~Kimberly~~
   — MissKimberly

December 29, 2003
Monica: I did pretty much what you did at first. I couldn't tolerate "just drinking" anymore. So I started very slow, with sf yogurt, pudding, and things you mentioned as well. Just go very slow at this point, and don't push it for a while. Try to stay on the pureed stage for at least several weeks, until you're healed well. Also, I did not do protein shakes at first. I'm still not real reliant on them, but I do one in the morning usually, and that gives me a 25g boost to start the day. Best wishes, and congratulations on your new life! Lap RNY, 9/11/03, 254/200/???
   — Carlita

December 29, 2003
I guess "cheating" depends on which surgeon you have. My surgeon allows soft food, just like you have been eating when you leave the hospital. I too had couldn't tolerate the protein drinks. I finally found one that I like. Good luck! Darcy
   — DarcyM

December 29, 2003
Dear Monica, Since I started reading the posts on this web site I have seen that each Dr. has his or her own beliefs on diet post-op.My Dr. specified mashed fruits and vegtables.Sugar free and fat free popsicles and no meats!!As for vitamins he told me to take chidrens chewables twice a day. Some of his other patients that I met at a group meeting said they couldn't keep anything down when I complained about the diet. But I was also a cheater.I had a piece of pizza!!We aren't supposed to have bread untill 8 weeks out so I am cheating because I don't consider whole wheat pita bread real bread. So far things have been good,I lost 19 lbs at my 3 week check ans have 131 lbs to go.
   — Christina T.

December 29, 2003
I am just 3 weeks post op...and my doctor is very stern on following the steps in introducing your new pouch to foods very slowly...This, He said was so the area could heal properly and rest while doing so. I am not a doctor so I can't tell you that you are going to "hurt" something on the inside, but as a RNY surgery patient myself, I am following HIS regiment to avoid any complication that may occur..Best of Luck... God Bless!
   — Kalli R.




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