Thursday, February 2, 2012

More Lessons

When you are suppose to take it easy don't rearrange a cabinet in your kitchen..
When it is painful to bend down.. STOP Doing it!!

You know laughing HURTS so turn it OFF as quickly as you can, or you will suffer!!

I am in pain right now, pain that I attribute to all of the above. I just took some pain meds but I still feel a twinge and feel like it is so bruised where there is no bruise..

I can't always stop the laughing immediately and it DRIVES ME INSANE, not to mention now towards pain.

Breakfast
3 Tbs Scrambled eggs with a little cheese in it --- Tasted like Heaven

Lunch
4 TBS Wolf Chili that I pureed (tastes spicier than I remember)

Dinner
1.5 oz of tuna and then I felt like I was going to barf, so I can only assume that is too much and or I ate it too quickly

Snack
Protein Drink a couple of sips then my sleeve (need to find a name for it) started rumbling and disagreeing with it so I poured it out

2 Sugar Free Popsicles

Water, water, water -- still not enough water.. Do popsicles count towards hydration?

DH tried to be nice and do something nice so he bought me sugar free ice cream 2 tbs and my tummy was rumbling again, me thinks my sleeve no likey Milk.. BUMMER (is it too early for milk?)

One of the things I realized today is my eating plan is for a Gastric Bypass patient not a Gastric Sleeve patient.. Apparently they do not have an eating plan for a sleeve patient and that kind of makes me a bit miffed!

Gastric Sleeve vs Gastric Bypass

Comparison of the Bariatric Surgery Procedures

Comparing the various methods of weight loss surgery can help you determine which surgical approach is the best option for you. As weight loss surgery is only a tool to weight loss, what works best for one individual is not necessarily what will work best for another individual.

The following chart is a side-by-side comparison of two bariatric procedures, laparoscopic sleeve gastrectomy (LSG), also called gastric sleeve surgery, and Roux-en-Y gastric bypass surgery. The information is intended as a general overview of these two types of weight loss surgery so that you can quickly compare the similarities and differences of these procedures.

Weight Loss Procedure	Gastric Sleeve	Roux-en-Y Gastric Bypass

Approach to Weight Loss	Restriction Limits food ingestion Controls hunger sensations	Restriction & Malabsorption Limits food ingestion Reduces food absorption
Changes to Stomach	Stomach size reduced 75% of the stomach is cut away along the greater curvature and removed from the body	Stomach size reduced and new stomach outlet (stoma) created Stomach is separated into two and stoma is created in the smaller upper pouch; lower remaining portion of the stomach is bypassed
Changes to Small Intestine	Kept intact	Cut and rerouted Small intestine is cut in the middle; upper section is bypassed and lower section is attached to the stoma
Changes to Pyloric Valve	Kept intact	Bypassed
Average Operating Time	1 to 3 hours	2 hours
Average Hospital Stay	2 to 3 days	2 to 3 days
Average Time off Work	2 weeks	2 to 3 weeks
Average Recovery Time	3 weeks	3 months
Surgery Advantages	Safer and less complex procedure Limits food ingestion Reduces hunger sensations by removing the portion of the stomach that produces Ghrelin, the hunger hormone Digestion occurs naturally and does not cause nutritional deficiencies resulting from intestinal bypass Does not cause Dumping syndrome as the pyloric valve is kept intact Few problematic foods Option for high-risk patients (very high BMI or medical issues such as anemia, Crohn’s disease, anti-inflammatory drug use, or extensive prior surgery)	Greatly controls amount of food that can be eaten Malabsorption assists with weight loss Dumping syndrome prevents intake of sweets Considered gold standard for bariatric surgery based on long-term use and results
Surgery Disadvantages	General surgical risks including infection, bleeding, and blood clots Leakage along the stomach sutured/stapled edge Not reversible Lack of long-term data Considered investigational and not covered by some insurance companies	General surgical risks including infection, bleeding, and blood clots Complex operation Leakage along the staple line of the stomach Stoma obstruction Nutritional deficiencies Gallstones, ulcers, reflux, and bowel obstruction Dumping syndrome
Causes Dumping Syndrome	No	Yes
Dietary Guidelines	600-800 calories per day, during weight loss period 1000-1200 calories per day for weight maintenance Meals should consist of high-protein, low-carbohydrate and low-fat foods Drink 6-8 cups of water or other low-calorie liquids per day	800 calories per day during weight loss period 1000-1200 calories per day for weight maintenance Meals should focus on protein-rich foods and nutrient-rich fruits and vegetables Drink 6-8 cups of water or other low-calorie liquids per day Chew foods thoroughly into a pureed consistency
Eating Habits	Eat five small healthy meals each day Do not eat and drink at same time Do not overeat, skip meals, or snack between meals	Eat three small protein-rich meals each day Do not eat and drink at same time Chew foods into a pureed consistency Do not overeat, skip meals, or snack between meals
Problematic Foods	Not many problematic food as the stomach continues to function normally, but high-calorie and high-fat foods and drinks must be avoided and daily calories limited for weight loss to occur	Foods that are dry, sticky, or fibrous can cause discomfort or blockage, including tough meat, bread, pasta, rice, raw vegetables, nuts, popcorn, and skins of fruits and vegetables, and chewing gum Sweets can cause Dumping syndrome Carbonated beverages can cause bloating High-calorie, high-sugar, high-fat foods and beverages will ruin weight loss efforts
Nutritional Supplements	Multivitamin Calcium Vitamin B12	Multivitamin Calcium Vitamin B12 Iron
Average Weight Loss	55% excess weight loss at 2 years for all patients 46% excess weight loss for high-risk patients using as a staged approach 60% excess weight loss for patients using as a primary bariatric procedure	Rapid weight loss during first 6 months Weight loss settles 18 to 24 months after surgery 70% excess weight loss at 1 year 60% excess weight loss at 5 years

The above can be found at : http://www.gastricsleeve.us/gastric-sleeve-vs-gastric-bypass.html

So when I first started on pureed foods I thought I was a piggy because it said eat 2-3tbs of cottage cheese/soup etc etc.. As a sleeve patient my stomach is larger than a bypass patient and although I am not eating much more than a Bypass patient it is still more, so I was freaked until I realized that the eating plan/guidelines they gave me were intended for a Bypass patient.

I am content to eat my couple of ounces of food, fulfill myself without over filling, without under hydrating within the guidelines of a diet that meets the restrictions for optimal health and weight loss..

I am thinking that by next week I should be in Onederland, wow less than 200lbs I can not remember the last time I was UNDER 200lbs. Today I weighed 202.8lbs

I regret not taking a photo right before surgery, I knew I wanted to do it but then I also thought eh I have enough fat photos of me I will be good.. LOL (seriously I did think that)