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Surgeon TestimonialRichard Boorse, M.D.Very nice, all the way through. I see him on Tuesday for the first time since surgery last Wednesday. My surgery went very well. The hospital he works through has a very structured pre and post care program. His office staff is great. I have my first fill coming in April. The only issue I've had is that once a nurse from the office did not call me back, but fortunately it was not a dire emergency. I am not sure if she didn't get the message to call me or what but I was slightly disappointed.
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Oh, how I loathe the lo-carb diet! on April 23, 2008 9:58 pm
Oh this will be LONG...I have a strong dislike for low-carb diets
There is no reason to cut carbs. Here are the basics of any nutritional plan in the world. There are three macronutrients which contribute to calories - there is fat, protein, and carbs. If you eat little to no carbs (in any form - simple or complex) then you must add protein and fat - thus the infamous Atkins diet (high protein - low carb). For the sake of argument let's use The Atkins Nutritional Approach despite it not being the first or the last of its kind. When Dr. Atkins came along in 1973 with his "revolutionary diet" he was a laughing stock. The President of the
American
College
of Nutrition said, "Of all the bizarre diets that have been proposed in the last 50 years, this is the most dangerous to the public if followed for any length of time." The man wrote that bananas were poison for Pete's sake! There are studies that say that Atkins is a great diet - most of which are publish by Atkins Corp. I myself like to listen to peer reviewed journals which have shown numerous times that "low-carbohydrate diets raise cholesterol levels in a considerable number of individuals, sometimes to a dramatic degree. These diets also typically accelerate calcium losses and have led major health organizations to raise important questions about their possible contribution to heart problems, kidney abnormalities, osteoporosis, and other health problems." This is probably the reason why the Atkins diet has been opposed by the American Medical Association, the American Dietetic Association, the American Cancer Society, the American Heart Association, and John Hopkins - do I need to go on?
You don't seem like a drama queen at all. Do you know why your body is angry when you cut out carbs? Because it is! The human body knows what it needs - when you eat something bad, you throw up - when you take have a cut the platelets come to help stop the bleeding.
I eat according to the standards for Dietary Guidelines fo Americans with a slight change as I am diabetic and am banded. So I do eat a little more protein, a little less carbs. Dr. Atkins in all his glory made people doubt one of the oldest dietary habits in the world - a balanced meal.
I am 7 weeks out from surgery and my current nutritional goals for a day are
900 Calories
78 Carbs
30 Fat
85 Protein
30 minute exercise a day minimum
( I am considering playing with my protein/fat ratio as I am usually over in my protein and low on fat)
I followed this same ratio for 9 months prior to my banding (just with a higher calorie count - around 1900). Since I started I have lost 70 pounds. There is nothing intrinsic about carbs that makes you fat and any nutritionist worth his or her salt should tell you to cut them completely. If you chose to for your own reasons, then you are an adult and have every right to do so but I like listening to my body and eating a balanced and healthy meal like it wants.
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Recipe: The Dark Chocolate Moose on April 20, 2008 8:36 pm
THE DARK CHOCOLATE MOOSE
2 Tablespoons of Cool Whip (Free)
1 Teaspoon of Unsweetened Cocoa Powder (for baking)
Mix together, sprinkle some cinnamon on top if desired :)
Add some protein powder or nonfat instant dry milk for a boost in protein!
Calories = 34
Carbs = 7g
Fat = 0.2g
Protein =0.3g
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Recipe: The Devil's Gourd Brownie on April 13, 2008 8:38 pm
A brownie...yes that's right I said it A BROWNIE for 105 calories...whhhhhhaaaaaaaaaaat?!?!?!
THE DEVIL'S GOURD BROWNIE
(from Hungrygirl.com, ever so slightly modified)
1 - 18 oz package of Devil's Food Cake Mix (mine was Betty Crocker Super moist)
1 - 15 oz can of Pure Pumpkin Puree (NOT pumpkin pie mix which is not PURE pumpkin)
Preheat oven to 400 degrees F
Mix the two together into a very thick batter.
Spray 24 cupcake holes worth wih fat free cooking spray
Split up mixture and bake for about 20 minutes (my oven took 25 but is junky)
Makes 2 dozen (spread 'em all around town, see if they can tell what is different about them)
Each brownie breaks down approx. like this
105 calories
2 fat
.5 sat fat
2 protein
187 sodium
21 carbs
3 fiber
11 sugar
A fantastic treat? Maybe not for all but for those of us craving chocolate then eat up!
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Nutrition: Regular Stage Sample Menu on April 13, 2008 8:37 pm
Mine nutritionist recommends three meals a day - snacks should be around 100 calories - something with protein or fruit juices (no more than 1/2 cup per day)
The sample menu I was given for the regular food stage looks like this:
BREAKFAST
1/4 -1/2 c low fat yogurt or 1-2 eggs
1/4 - 1/2 c unsweetend fruit cup
1/2 - 1 slice wheat toast
1 tsp fat free margarine
LUNCH
2 oz lean meat or 1/4 c low fat cottage cheese
1 Tblsp fat free mayo
1/4 - 1/2 C starch (rice, potato, pasta, etc)
1/4 - 1/2 C veggie
1 small piece of fruit
DINNER
2 oz lean meat
1/4 - 1/2 C starch
1/4 - 1/2 C veggies
1/4 - 1/2 C unsweetend canned fruit
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What to Bring to the Hospital on April 13, 2008 3:24 pm
I'm 25 but a kid inside so I brought a small soft blanket I love and a stuffed animal.
Don't forget a pillow for in the car so you can hold it against your stomach on the way home.
I wish I had brought my ipod and headphones.
I wish I had boughta wedge pillow for at home.
I brought paper and a pencil just in case.
Also, I brought my camera so someone could take my pic for my scrapbook.
The list of things to bring in my WLS program book from my hospital says:
list of all your meds (do not bring meds)
copy of living will or power of attorney
robe and slippers
chapstick ( i myself love love LOVE carmex in the little pot with the yellow lid - lifesaver)
loose fitting clothes to go home in (bra and underwear..ha ha...yeah right, lol)
c-pap or bi-pap machine
glasses
reading material (essential as my stay was supposed to be same day and I was overnight)
toothbrush/tooth paste (didnt use em)
clean undergarments
a container for dentures, contacts, etc
comb/brush (or hairband)
toiletries like make-up and deodorant
I was kept overnight and was at the hospital for about a day and a half because of a slight fever but I was better off there in the movable hospital bed than at home on the love seat as I couldnt sleep comfortable in bed for about a week.
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 Archive
My Story
I started thinking about weight loss surgery about 3 years ago. At the time I was in my early 20's and took medications for Type 2 Diabetes, Depression, High Blood Pressure, High Cholesterol, and PCOS. I talked about it with my surgeon and he suggested the lap-band but there were no surgeons in my area that performed this surgery and took my insurance. I looked hard and long and finally told myself I would lose weight through a nutrionist monitored program. Well my nutritionist at the time helped me to change some dietary habits and I basically maintained my, then, current weight of around 300 pounds. Over the next few years an extra 50 crept on due to eating too much food, albeit good nutrional choices, too little exercise (basically anytime except for summer), and medications which had the side effects of weight gain. During this time I continued to research the band, lurk on forums like this, and learn all I could about WLS in the hopes of it coming to my area soon. I fell in love with the lap band the more I read and I knew I did not want my insides rearranged so it seemed a perfect fit.
At 24 years old my diabetes was well controlled along with my hbp and high cholesterol. By late 2006 there were a few surgeons in the area who performed lap-band surgeries. I had consultations with several different surgeons and instantly fell in love with Dr. Koren of Easton, PA. Sadly, the day of my consultation was the same day he stopped accepting my insurance. He performed the consultation noen the less and explained the surgery, gave me all the paperwork he would have given me if I were going to be his patient and sent me on my way with some new info.
In mid 2007 I found out that a new version of a local WLS program was started called The NEW You Program: Lap-Band. I checked it out and found that the two surgeons associated with the program took my insurance and one was just approved to perform lap-band. Well, my decision was made. I had to do 6 month hoop-jumping for my insurance as well as the New You Program itself. I appreciated this 6 month ordeal as it made SURE it was what I wanted.
During my 6 months pre-op I had to see a bariatrician (nutritionist who specializes in bariatric patients) once every month. One meeting with a nutritionist, one with a social worker, attend 1 educational meeting, and 2 support group meetings. My pre-admission testing was an interview with the anaesthetist's nurse, an EKG, a chest x-ray, and some blood work. My insurance accepted me after my first request. I had a letter from my bariatrician, my doctor, and the WLS program I went through at my hospital which helped me to keep track of everything that needed to be done and when. I kept a food journal the entire time and exercised and lost 30+ pounds throughout the process.
Two weeks prior to my surgery I was placed on a lo-carb diet to shrink my enlarged liver. I was banded on March 5th 2008 and feel great. My co-morbidities prior to surgery were sleep apnea, type 2 diabetes, PCOS, depression, migraines, high blood pressure, and high cholesterol. I took 7 medications every night. I now take 2.
You have to be ready to really want to lose weight. I can't echo everyone enough about how the lap-band is a tool and it won't do it for you.
Thanks for reading my story!
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