Topic: RE: Pre-op Marathon (Long day, Long Post)
I did my marathon pre-op day yesterday, and It was quite interesting. My husband works across the street from the hospital; so, he dropped me off at 8:00am. We left at 6:30pm.
I started out doing my fasting labs after which I went and pre-paid my bill. I had 1 1/2 hours to wait; so, I went to the cafe for tea and a protein shake. I relaxed, watched a movie on neflix on my phone (yeah, iPhone), and then headed off to nutrition and 'pre-op' class at 10:45.
Class was with the NUT was interesting. There were 16 of us, 12 of whom (I think) are having surgery the same day (bands & sleeves). The bypasses are done a different day. Much of the 'class' was the same information as the online class we were required to complete before hand; however, it was good to be able to ask questions. We got our binders with the detailed surgical information and diet progression. The head nurse came in after the NUT and explained how to wash, our blood clot prevention techniques, what to do and where to go on surgery day, etc.
Some points of interest:
1) if you're struggling getting fluids in, they would prefer you skip a meal and drink a shake so that you can continue sipping instead of waiting an hour.
2) the reason for all the dairy (2 servings per day) is that calcium inhibits fat storage in the body and actually destroys fat cells.
3) We all got protein goals. Mine is 63-78g per day (no more, no less) based on my petite (read that as short) stature.
4) Worry about protein, carbs will take care of themselves.
We went from class to the Surgeon's office to pay our bills (co-pay or full-pay), for our pre-op physical with the doctor, metabolic testing, body composition testing, and a group consult with the exercise physiologist explaining our results. It was a long afternoon with a lot of move here, now there, and so on. It was interesting, however.
My surgeon answered my questions although I got a 'look' when I asked if lack of ghrelin impairs learning (as suggested in one study I read) and possibly cognitive function. He said that's been suggested by some but questionable. I also found out my soon-to-be bougie size (36fr). The doc indicated that should leave me with a 3oz protein capacity. I was told to keep on my diet and continue exercising. OK then...
With the exercise physiologist, I found out my Resting-Metabolic-Rate (1843 Kcal), and that I'm carrying 117lbs of lean mass (sounds great until you figure I'm still 50+% fat). I'm going to lose lean mass, but the physiologist suggested as long as I stay above105lbs of lean mass, I should maintain my metabolism.
Of the 16 total, 4 were RNY, 6 bands, 6 sleeves. In the waiting room, the Medicare patients having RNY and the band all would have preferred the sleeve. One of the band patients got really pissed-off by the 'why did you choose the sleeve' discussion we were having with a 1-month post-op sleever (who coincidently lives very close to me) who was raving about the procedure while waiting for her a follow-up appointment.
That was my last pre-op step along the way to the loser's bench. My hospital arrival time is 10:00am; so, I'm 4th or 5th in line. I'm pretty happy with that, lol.
Carolyn (32 lbs lost Pre-op) HW: 291, SW: 259, GW: 129.5, CW: 126.4
Age: 45, Height: 5'2 1/4" , Stretch Goal: 122