Ahhhhh, got rid of that annoying JP Drain!! Yay!!!
Tuesday, I woke up and felt some pretty bad pain in my muscles around the tubing for the drain. I called the nurse and she asked if there was a bad odor, any kind of puss, etc., and the answer was no. Knowing that I was coming down on Thursday, she basically just advised to wait it out. She surmised that my muscles were trying to heal around the tubing and causing pain. So, I started counting every minute until we drove down to El Paso for my check-up.
Thursday got here, and I was still in a lot of pain, but I was happy to be going down to El Paso. I met with the nurse. My BP was great, and the scale showed that I had lost 10.5 pounds.
Next step was to meet with the nutritionist. This was a group meeting with the other two that had surgery the same day that I did. He went over the foods we would now be allowed to have. He also went over some of the blood test results before surgery and let anyone know if they were needing to double up on vitamins. My tests must have been good, as I wasn't required to take any extra vitamins on top of my regimine. I am taking a multi vitamin, B-12 sublingual, Vitamin D, probiotic and 1500 mg of Calcium. I am supposed to take iron also, but that can cause constipation....already have enough trouble with that right now!!
No thanks! ha ha
We were released to eat sott foods now. Here is a list of foods I am allowed to eat now:
Soft Cooked Veggies (no high starchy foods, like potatoes)
Soft Fruit, except fruits with seeds, like strawberries
Cream of Wheat *
Cold Cereal that has gone a bit mushy
Corn and Peas can only be consumed if blended
I will be on this diet for 4 weeks. After that, I can add beef and some other items. I will have to be six months out from surgery before getting to eat any kind of seeds, nuts or popcorn.
Noooo!! Not my popcorn!! ha ha ha I absolutely love it. I make it homemade with lots of butter....*sigh* Moving on...
I asked about any kind of alcohol consumption and the nutritionist said to wait until 6 months out. Okay, no worries. A long summer ahead with no margaritas, long island iced teas or othe drinks.....It's all worth it. I don't need those empty calories right now. The nutritionist told us to stay under 60 grams of carbohydrates and keep our calories between 800-1,000. These numbers are a tad higher than what I have seen most people on the boards report they were told by their surgeons. However, I trust Dr. Acosta and will go with it. If I find that I am not losing well, I can always revisit these numbers with the nutritionist.
I then met with Dr. Acosta. He took the drain out!
He then went over some more numbers with me. His numbers show that a person with the sleeve should lose an average of 8-10 pounds a month. He also said that a Sleever should lose 60% of their excess weight by one year out. According to his calculations, he thinks that I need to lose 82 pounds.
I weighed in at 187 on his scale. So, that would put me at 105 pounds. Okay....I realize that I am only 5' 2", but I have a large bone frame and have been obese most of my adult life and some before being an adult...my bones and muscles are thick and strong from carrying all of that blubber around. 105 pounds would put me at anoerexic looking. I figured he was going straight off of the BMI charts. Those charts show that I would have a BMI of 19 if I weighed in at 105. (women's chart) Uhhhh, that's the low end of the BMI chart, but I don't much stock to it.
What to do? I love Dr. Acosta, I trust Dr. Acosta. I did the onlly thing I COULD do. I smiled and nodded my head. What I want to do is get down to MY goal of 150 pounds and then ask Dr. Acosta....do I LOOK LIKE I need to lose 45 more pounds? Not in a rude way, not at all....just to see his reaction. Numbers on a paper are one thing, but seeing them applied to all different shapes and sizes is another thing. He has been doing this for years, so I don't presume that any of this is new to him. I am thinking that he might be giving me a challenging goal to go for, thefore I might achieve more than even I think that I can. He doesn't know what my personal goal is. Truth be known, I AM hoping to get lower than my personal goal, but I set one that I thought would be achievable when I got my LapBand. Now that I have a Sleeve, I am thinking I can achieve greater weightloss. Time will tell!!
So, it was a good appointment. My doc also said to have one meal a day that IS a protein shake, since I won't be able to consume enough real food and get my protein goals met. I have my follow-up in August. Dr. Acosta would like to see my 22 pounds lighter by then. I think that's doable. My muscles around the where the port tubing was still hurts quite a bit, but I am sure that will start to feel better in a few days as my body heals itself.
On the way back from El Paso, we stopped in to a Ruby Tuesday's. I was FINALLY going to get to "test" out my new tiny tummy. Enrique and I ordered a seafood platter to share. It had tilapia, salmon and shrimp scampi. The sides we chose were rice and mashed cauliflower. Enrique at the rice. I ate a few bites of the cauliflower...not bad. I didn't have a scale with me, so I am not sure how much I ate. I took a bit from all three protein portions, eyeing what I felt like was proababy 1.5 ounces.
The part that made me nervous was wondering how I would now when I was full. With the band, when the food didn't get stuck, I felt a bit of pressure, or felt that food was starting to stack up in my esophogas, which told me, I probably ate a bite too much, but nonetheless, full. I would sometimes also get a weird hiccup/burp or a runny nose. Fill signals are pretty cool things. But what will tell me that I have eaten enough??
I ate very small bites, I chewed very well and ate slowly. I ate what was on my plate and then a feeling of satisfaction washed over me. I felt like sighing. Kind of hard to explain....It wasn't full like I felt before WLS, and it wasn't the same lump in my chest the band gave me. I then decided to stop.
We got back around 9pm last night, so I didn't have time to go to the store and get things for lunch today. I just went to a store at lunch and picked up some string cheese and also a pouch of tuna. The tuna was 4.5 ounces...again, no scale with me, so I tried to judge it by eye. I ate all of the tuna I portioned out (my guess was 1.5 to 2 ounces) and I ate the string cheese, which was one ounce. Again, I felt the satisfied feeling wash over me. HOWEVER, I felt a bit hungry.
I really haven't felt hunger yet...so I was disappointed. The hunger went away, and of course my body was okay with what I did consume. So, for dinner, I decided to have something a bit more substantial and weigh it out to know for sure. I carved up a rotisserie chicken and weighed out 2 ounces and put 1/4 cup broccoli on my plate. I decided to eat all of the chicken first, then eat my veggies. I got about halfway through my chicken and felt like the last bite was a bit in my esophogas. Hmmmmm, so I stopped. I was good. So, maybe I DO have about 1 ounce capacity right now, which will probably get larger 3-6 months out like other sleevers. I will keep a close eye on it and keep track.
For my personal records, I weighed in at 183 this morning!
Okay, that was my week. Hope everyone has a great weekend!!