2 weeks post-op can I have arbys roast beef?

I'm a big do what your doctor says kind of person.

As for the fast food aspect-you know that it's higher in salt, so it wouldn't be a good choice for every night, but this is LIFE....sometimes we don't cook.  One meal doesn' make or break us, it's a pattern of choices we make that determines our result.

For me, an arby's without the bun would be a viable fast food choice anyway.

Every doctor does seem to give a different set of instructions for the pre and post op diets. Please don't be offended when other people offer advice based on their instructions. For example - my doctor instructed 2 weeks of liquids, 3 weeks of mushies and then on to soft and more regular foods.  (which are the instructions in the Lap Band booklet I got. The booklet is issued by ALLERGAN. The Realize band may have different instructions) I think the major concerns in the first few weeks are that you do not have a stuck episode, PB, or vomit. It's explained to most of us that these are major concerns because you want to give the band a chance to settle into a nice ring of scar tissue around your stomach, to help hold it into place. Fast food roast beef at 2 weeks out sounds like a less than ideal food choice TO ME but everyone certainly needs to follow their own doctor's instructions. I highly doubt people are taking the time to READ your post and REPLY  just to "slap you in the face." It's actually quite the opposite - they want to see you succeed and not do any damage to your band. 

 When you ask for advice - you can't dictate what type of advice you are going to get.

 

 

 

 

 

 

 

I read your question and the replies that you got. All the people replying including Connie were only trying to HELP you. We have had so many people on here ask questions and when we give them direct and good answers then do whatever they wanted then come back with problems and blame the band for their problems. I am like Connie I would have thought you needed time for your band to heal before you ate regular food but hey like someone else said we are NOT doctors here on OH so please don't ask us something that you already know the answer to!!

I understand they are trying to help and answering my question.  But to me questioned on whether I went to a center of excellence and whether my doctor is qualified is an insult no matter what question I asked.  I do not think any one meant for it to come across THAT way, but that is the way I took it.  I am following my meal plans, I ask a simple question because everyone on here has been so supporitve and offers great advice.  BUT this is not the first time I post a question about MY meal plan from my QUALIFIED doctor only to get questioned on whether or not I choose the right doctor at the right hospital.  Sheesh!  No more questions about food from me on here!  As if you can't click on my doctors name and find out for yourself.  Only it does say she has only done 50 lap-band which is not up to date LOL  My INSURANCE requires them to have done completed 200 for me to even get approved. I just don't think being made out to look like I choose some random doctor at some street side clinic to get a major surgery done.  And this is NOT the first time.

Honestly, I stopped posting on OH about food until well just the other day, because unfortunately this does happen. While I understand many people *may* have good intentions, often times I've found that because this is such a progressive segment of the medical field, individuals who had the proceedure a year out, well are like Windows 95, they still work, but they haven't recieved all the latest and greatest "upgrades". For example, I know my doctor changed their meal plan probably 2 months before my surgery, based off of a trial group experiment vs. compliance. The thing is many people can't handle 2 weeks of liquids, etc, and they cheat anyway, except by that time they are SO frustrated that they have something horrible. By upping the food choices, at least in my practice, it has helped compliance dramatically. You know your doctor, and obviously you picked them because they were best. Honestly, going to your nutritionist on food will always be your best bet. The individuals on OH are great about everything else, I've never had an issue talking about fills, etc, however, the one thing that always gets dicey is 0-3 month post op foods. I'm glad it went down well =)

The direct guidelines from Allergan the maker of the LAPBAND System are as follows...

Liquid Diet (1-2 weeks post-surgery)

• Your goal during the first few weeks is to protect the small stomach pouch so that you can heal properly. It can only tolerate thin liquids at this time. It's also important to stay hydrated by drinking lots of water (small amounts at a time).
• Other liquids recommended during this phase include:
  • clear broth or soup (with no vegetables or meat, and not creamy)
  • skim milk
  • fruit juice
  • no-sugar-added popsicles

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Pureed Foods (3-4 weeks post-surgery)

• Now, you can start adding slightly textured foods. Think of the consistency of baby foods. This stage will help you transition to more solid foods later.
• Protein is very important for maintaining muscle while you lose weight. So, you should eat protein-rich foods first, and then move on to fruits and vegetables.
• Foods in this stage may include:
  • pureed skinless chicken or fish
  • mashed potatoes
  • peas
  • low-fat yogurt or pudding
• Please note: In the first few weeks you may be able to eat foods that might not be allowed in your diet later, because they may contain too many calories.
• Remember, it's more important in the first few weeks to let your stomach adjust to the LAP-BAND^® System than it is to lose weight. Also, your personal timing and progression into each dietary phase depends on your progress. In general, when it comes to your nutrition, you should follow the advice of your surgeon and/or dietitian.

Soft Foods (5 weeks post-surgery)

• Your meals can now include tender, cooked foods like fish and ground turkey.
• Now that you can chew, make it a habit to chew foods well.
• If you have dentures, be sure to cut your food into small pieces and chew your food thoroughly. By not chewing properly, you may experience vomiting, stomach irritation and swelling. You could also have stoma obstruction (obstruction of the stomach opening created by the LAP-BAND^® System).
• Some products like bread, red meat, and rice may still cause you problems, so it is better to eat softer foods that are easier to digest. These might include foods such as moist white meat (chicken or pork) and fish.
• If solid foods cause any nausea and vomiting, go back to the liquid diet you had earlier. Then you can slowly add soft foods and eventually transition to solid foods.
• Always ask your doctor or dietitian for advice that is specific to you. Again, remember that vomiting may increase the incidence of band slippage, stomach slippage, or stretching of the small stomach pouch above the LAP-BAND^®.

These are taken directly from their site.  So if you are receiving the "latest and greatest" upgrades they are not directly coming from the manufacter.  The bottom line is this...you have had a major surgery that has put stress on your stomach--the longer you allow it to heal the better off you will be.   Non compliance often leads to slips, pouch dialation and unfortunately removal.  Dr. Jessie Ahroni who has had her band for 10 years gives a similar diet in her book.   While I'm not saying go against your doc's advice don't take it as a "latest and greatest" upgrade.  His office guidelines may be in direct violation of what the creator of the band recommends.  Long term, I plan on keeping my band and if that means giving my stomach time to heal with a strict post-op diet...so be it. If they changed it simply were not compliant, that's let me know that they are dealing with patients that aren't truly ready for the life change of WLS.

Guess its a good thing I have a Realize band by Johnson and Johnson then.

I thought you might come back with that...here's their suggestions direct from their website and might I add... essentially the SAME!!!

Recovery at One to Two Weeks7 Progress from a clear liquid diet to a full liquid diet as the healing from surgery progresses. Your healthcare team will provide advice on the quantity and types of liquids that are right for you at this stage Slowly sip at least 64 ounces of low-calorie, non-carbonated fluids each day to stay hydrated. Avoid alcohol and carbonated beverages. Do not worry if you have shoulder pain. A few days after any type of abdominal surgery many people have pain that radiates to the shoulder and neck. This is normal and the pain should go away in a few days. If it persists, consult your physician. Stay mobile. Pneumonia and blood clots are two risks for anyone who has had surgery. Reduce these risks by moving around. Start taking walks or use a treadmill to begin your exercise programs. Use caution when bending at the waist and picking up heavy objects. If you injure your abdomen, you may lengthen your recovery period. Your healthcare team will advise you when to return to work and when to resume prior activities. Of course, this timing depends on your type of employment, the required physical activity, and your recovery progress.

Recovery at Three to Six Weeks7 Begin eating soft foods and progress toward solid foods. Your healthcare team will provide advice on the quantity and types of food that are appropriate at this stage so you can maintain healthy and balanced nutrition. Slowly sip 64 ounces of low-calorie, non-carbonated liquids each day to stay hydrated. For example, pace yourself to have eight 8 oz glasses of these liquids throughout the day. Avoid raw vegetables, fruits with skin, nuts, popcorn, tough meats, stringy foods, and crusty bread (bagels and pretzels). These may block your stoma. Avoid alcohol and carbonated beverages. If you feel nauseated or regurgitate when you start eating soft foods, go back to your liquid diet and wait a few more days before trying soft foods. Abdominal pain that lasts more than three hours means that you need to contact your surgeon right away. Continue walking and add aerobic exercises such as cycling, jogging, and swimming. These activities will help increase your energy level, burn calories and tone your muscles. Your abdominal muscles are healing, so lift with caution and do not perform any abdominal exercises until a member of your healthcare team gives you permission to do so. Most patients have their first adjustment after eating solid food for one week (see REALIZE Band Adjustments for more detail). The exact timing will depend upon your progress. Remember, the REALIZE Band provides some restriction even when it is empty. If you are losing 1 to 2 pounds a week and feeling satisfied with an appropriate portion of food, you may not need an adjustment at this time.

If you'd like to discuss with my doctor go for it, here are her credentials: I'm sure Discovery Health would contract with an individual who was not a law abiding citizen of the bands she puts in.  She is also a consultant with Allergan, but of course, you know best.     Return to Faculty Main   Robin Blackstone, M.D., FACS

Dr. Blackstone is one of the few women surgeons in the world specializing in the Laparoscopic Gastric Bypass. With her practice focused entirely on Weight Loss Surgery, she is committed to providing patients with the very best care possible.

From a fourth generation Arizona family, Dr. Blackstone grew up in the Grand Canyon National Park. She attended the University of Arizona in Tucson after high school and graduated with a Bachelor's degree in Philosophy. After being accepted as a medical student at the University of Texas in San Antonio, she graduated and received her Doctor of Medicine in 1988. Dr. Blackstone then completed her General Surgery residency at the University of Colorado graduating in 1993 as a General Surgeon specializing in the leading-edge field of Advanced Laparoscopic surgery.

In 1996, Dr. Blackstone returned to Arizona and established her private practice in Scottsdale - specializing in Advanced Laparoscopic General Surgery and Surgical Oncology. Dr. Blackstone first became interested in Gastric Bypass surgery for the morbidly obese after a close family member had the surgery in 1999. Fascinated by a very successful and obviously life-changing outcomes she established a medical model for obesity treatment that spans the continuum of disease and includes medical and surgical weight loss. Scottsdale Bariatric Center was one of the first Centers in the United States to be recognized as a Center of Excellence by Caesar's Entertainment Group through a competitive process based on structure, process and outcomes.

In 2004, Dr. Blackstone was named to the American College of Surgeons National Faculty in Bariatric Surgery and serves on the Surgical Review Corporation Review Committee for National Centers of Excellence and as a founding Board Member of the Obesity Action Coalition. Dr. Blackstone has been an outspoken advocate of outcome based medical practice. The Scottsdale Bariatric Center was recently named as an American Society of Bariatric Surgery Center of Excellence.

As a patient you have a responsibility to be informed...all I did was inform you of what the actual band guidelines were as did others.  I said it wasn't standard practice--never once did I say your doctor didn't know what she was doing.  I could care less of her credentials honestly--I'm here to provide support and answer questions for newbies in hopes that they don't lose their bands or have a slip from using their newly banded stomach too much while the sutures are still healing.  Take it or leave as you always should on an internet message board.  Cheers! Tonya