Third of Six Month Supervised Diet

Oct 18, 2005

10/19/05 Went to my 3rd weight loss class at spectra. Dr. Koche was the moderator of the class tonight. Learned some very informative stuff tonight. Also, she let us know that if we are on any extended release meds we need to have them swithed to something else. The other thing that she spoke of was joint damage and pain, something very familiar to me. She had told me at my one on one appointment that the gastric bypass wouldn't make the damage to my knees better. Having the weight off may help make the pain better but won't reverse the damage already done. Tonight I asked her ideally how long shoud someone wait after having gastric bypass before having knee replacement surgery. She said it would be ideal to wait at least a year, but if it couldn't wait that long just to make sure your nutritional status is good and that you are getting enough protein in so that you will be able to heal good from the surgery.

Cleared By Cardiologist

Oct 16, 2005

10/17/05 Finally got Dr. Devarakonda's office to fax a letter over to spectra that my Nuclear stress test was normal. So now I have been cleared by Spectra. Susan said they will now forward my chart to Dr. Murr's office and I should wait for their phone call to set up a consultation appointment with him. One step at a time and I am getting there.

Nutritionist Follow up

Oct 10, 2005

10/11/05 Went for 1/2 hr visit with Grace Lau the dietician and she said overall I was doing a good job with diet. She would still like to see more veggies. The only other thing because I was struggling to get that 3rd snack in of a day she said I could just drop it for now. She officially cleared me.

9/27/05 Spectra Evaluations

9/27/05 Had all of my evaluations at Spectra Health Care today. First they did a test to check my metabolism rate and then They did an EKG. After that I saw Dr. Koche and her A.R.N.P. the were both wonderful and answered all my questions. I would have been cleared by Dr. Koche but there was a minor irregularity with my EKG, she said she could clear me but then I could get to the day of surgery and have my surgery cancelled because I didn't have a completely normal EKG. So she wants me to have a nuclear stress test. Then I met with Curtis T. the psychologist he was very nice and very understanding, I spent an hour with him going over my history and at the end of the hour he had a couple of recommendations but did clear me from his point of view. My last appointment of the day was with the dietician Grace Lau. she was very nice and also very informative. She went over all the diet issues and also the vitamins, calcium and protein powders. She told me she wanted me to keep an additional 14 days of diet logs and also to concentrate on the three mini meals a day and 2-3 snacks a day. She also wanted me to work on getting more veggies in and no using straws and no eating after 9PM. She wants to see me in 2 weeks to go over the 14 days of logs.

It was a long day but very productive.


About Me
St. Petersburg, FL
Location
23.1
BMI
RNY
Surgery
08/02/2006
Surgery Date
May 13, 2005
Member Since

Friends 20

Latest Blog 44
Followup with one of my Orthopaedic Surgeons
13 Month Post Op Visit with Surgeon
06/01/2007 Followup With Dr. Gallagher
05/20/2007 Wow Moments
4/21/2007 Home from Knee Replacement Surgery
03/23/07 Preop Clearance with PCP
3/9/07 Followup with Dr. Gallagher
03/07/2007 Followup with PCP
2/28/07 Followup with Back Surgeon
2/22/07 Appointment with Orthopedic Surgeon

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