Update to last nights post

alieden
on 3/8/12 2:26 am - Boca Raton, FL
RNY on 02/28/12
  I just want to clarify as I was having a panic attack yesterday about whether the surgery was working and was not clear in my post. 
1) the 2 cups of food I had was soup and crackers. Have been on puréed stage since hospital, but doctor didn't limit my portions at this phase. He said the pouch would limit it for me and it wasn't. 

2) when I want advice about my smoking I will ask for it. That was not mentioned in my post for that reason. If someone wants to look at my profile pics and see I am smoking, fine. I know what I need to do right now with my smoking and am following my doctors advice regarding that plan. For reasons I don't care to go into, all of my doctors have recommended I not quit. It is too risky for me medically at this point due to a medical condition that only a few doctors understand to quit. But getting to where I can quit safely is a priority for my medical team. 

3) I should never have come here seeking medical or nutritional advice. That's what my doctors are for. 

4) follow up from surgeon indicates that me being able to consume 2 cups of soup and crackers does not indicate anything other than I am ready for soft foods. He had me try to see carefully how much I could eat of soft foods. I chose a boiled egg and found that I could just barely eat a medium one. So, stomach is working correctly. 

5) it's a silly thing to be worried about not having diarrhea, ESP because I had it this morning. As I stated I was having a panic attack with unnecessary fears about my surgery being broken. 

Apparently the hormones flooding through my body 7 days after surgery, made me have a mini breakdown, certain all was doom and gloom.

Thankfully I had some great supportive posts that helped ease some of my anxiety.

And finally, my surgeon sees no problem with me having a glass of wine 3xs per week, if it doesn't make me sick. And it doesn't. I also notice there is no increase to its intoxicating effects.

I will continue to have faith in my medical team and my surgeon that if any of this needs to change they will let me know.
 
alieden
on 3/8/12 3:34 am - Boca Raton, FL
RNY on 02/28/12
 He isn't a bariatric surgeon. He is a gastric surgeon that does bariatric surgery, in addition to many other surgeries. I wanted the best surgeon. Bariatric instructions I figured I would get from the Internet and these forums. But after last night it's hard to tell what are genuine information posts and what is dramatic hype.

The recommendation to hold off on quitting was not my surgeons call, but my medical team for my genetic illness. And I'm going to have to trust the guys who have been doing this for years rather than hype over smoking.
Nycm
on 3/8/12 3:34 am
RNY on 02/21/12
So glad you spoke to your surgeons office. When I read your post last night I had understood it to mean that you were eating whole foods as much as you could and that frightened me.

I am so glad you are feeling better today. Good luck with your journey.

Christine
                
Cleopatra_Nik
on 3/8/12 2:58 am - Baltimore, MD
I'd still mention the two cups. If you felt no discomfort...even that is a bit extraordinary for a new post-op. You may need to get some tests done to check for leaks or something.

Glad you are feeling better and I shiver at what that other post turned into.
alieden
on 3/8/12 3:09 am - Boca Raton, FL
RNY on 02/28/12
 Thanks Nik. Yeah, it turned ugly really fast. I had explained on another post that I had a mother dog die and have been bottle feeding pups with no sleep for 48 hrs. Then last night I had to rush pups to vet because two of them stopped breathing. All of my posts from yesterday were unclear and confusing and overeactions due to sleep deprivation, grief, and panic over something going wrong with me physically. 

I am glad to hear that it's not normal to be able to drink that much. It was over a period of an hour. Not sure if that makes a difference. I just wish I could get scoped today. Thinking there might be a leak has me worried. Do you think it warrants a trip to ER? I'm not in any pain.
Cicerogirl, The PhD
Version

on 3/8/12 4:47 am, edited 3/8/12 4:49 am - OH
Drinking is VERY different from eating since fluid goes through the pouch quite quickly. So being able to "eat" 2 cups of soup is VERY different than being able to eat 2 cups of anything even remotely solid like yogurt. I am almost 5 years out and 2 cups of even a slider food like yogurt (which "slides" through the pouch more quickly than solid food and therefore does not keep you full very long) would make me barf.

If you had a leak you would definietly have other symptoms, including pain.

I am glad to see that the calmer, more coherent person is back. I am still a little confused, but hopefully the past can be the past. People here really DO care about helping everyone be successful (we have all invested a lot emotionally in getting our own weight off, keeping it off (for those of us who are past the losing phase), and in helping others do the same.. So when we see someone who appears to be way off in the ditch very early out (espcially if it appears that they don't want to hear that they are in the ditch), it stirs the emotions).

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

rbb825
on 3/8/12 2:29 pm - Suffern, NY
If you tried to have the soup all in one sitting within 15 minutes, that would be way too much but you said it was over an hour, that isnt terrible. I do hope it was clear soup.  The guidelines my surgeon gave me was week 1 - 1 ounce every 10 minutes - week 2 - 2 ounces every 10 minutes - week 3 - 3 ounces every 15 minutes, week 4, 4 ounces every 20 minutes, week 6, 6 ounces every 30 minutes and week 8 - 8 ounces every 30 minutes - I followed this and had no trouble - if I tried to drink any more than this - it hurt and you have to sip, sip, sip - no gulps, all small sips.

You have to be careful not having a baritric surgeon - he may be a good surgeon but he may not be up on the rules of post op care for bariatric patients and from what I am reading, I think that is the case already.  I am not sure your medical background and I know you dont' want to hear about the smoking but I am suprised they even operated on you  - usually they won't even operate on anyone that smokes - besided the risk of anestesia which thatfully you got through, it makes your healing slower and you are risk for ulcers postop and with the alcohol he is allowing you, that is also increasing your risk of ulcers.  The alcohol is really risky this early out - it is going to put a huge strain on your liver early out - we have tons of trouble with our livers early out from the rapid weight loss and the PPI's we need to take to prevent ulcers and then if you add alcohol to the mix, you are really risking liver damage or liver disease plus many that drink too early end up with drinking problems from transfer addictions - we give up our foods and transfer it to other things - some shopping, drinkings, gambling - drinking can be really bad, the earlier you start - be careful.

if you arent' in pain you dont' need to go to the ER

 

Jennifer M.
on 3/8/12 3:09 am - MN
RNY on 02/17/12
After reading the ouevre of bad bariatric advice, I started to wonder about this stuff.   No bariatric surgeon would be okay with alcohol a week out.  Two cups of soup and crackers is so whacked that I'm kind of speechless.  I can imagine that maybe your doctor doesn't know about the smoking.

But the real thing here... the story keeps changing, and it never gets any better.  Your doctor originally had no post-surgical diet, and now he's ready to progress you onto soft foods (a week out?)  You went out to eat at a big italian restaurant and ordered three courses... and now it's soup and crackers.  

I found it hard to believe that any doctor would ever suggest that you not quit smoking.  I did determine that some doctors believe that smoking helps ulcerative colitis, but the stuff you posted is inconsistent with ulcerative colitis.    

So, here are the options:  1)  You really do need intervention from your surgical team, because you don't understand your part of the RNY bargain; 2)  You thought you had surgery, but didn't (that one sounds like a plotline from house... doctor husband knows wife can't handle RNY surgery so pays off the surgeon to fake the surgery); or 3)  You are just a troll.  

If the problem is #1, you have a LOT of work to do.  If the problem is #2, you should probably hire a lawyer.  If ithe problem is #3, you are an amazing success.   
    
poet_kelly
on 3/8/12 3:57 am - OH
I'm sorry to hear about your dog, I know that sort of thing can be very stressful.

It sounds like you got the advice you wanted to hear from your surgeon.  I don't know if you realize this, but it's very unusual for a surgeon to tell a patient to eat unlimited portions, to continue smoking and that it's OK to drink alcohol at just six days post op.  I think people are very surprised by that because they've never heard of a surgeon giving that advice to a patient.

I am not telling you that you should not follow your surgeon's advice.  I'm just saying it's very unusual advice.  I also did notice that your surgeon's written dietary guidelines do say to limit portions, but perhaps he told you to do something different.

How would you like the people on this forum to support you?  Because there are still people here that want to support you.  But I don't think people here will be willing to tell you they think it's a good idea to smoke and drink and eat unlimited portions, because they really believe that doing those things will not help you succeed and may harm you.  So what would you like from us?

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Chilipepper
on 3/8/12 4:05 am
Jen, I think you should lighten up.  You are relatively new to this whole post op lifestyle also. 

I find when people say a cup of this or 2 cups of that...it isn't necessarily 2 cups.  Crackers turn to mush when moistened and soup runs through her pouch so no harm done.  If it was 2 cups of dense chicken or protein...then that would be a problem, she wouldn't be able to squeeze that in without feeling real physical effects.

She does seem like night and day from yesterday.  Some are more confident in their knowledge post op then others.  Lets help her deal...at least she is asking for guidance.

 

"The first thing I do in the morning is brush my teeth and sharpen my tongue." --- Dorothy Parker  

"You may not like what I say or how I say it, but it may be just exactly what you need to hear." ---Kathryn White

 

 

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