Recent Posts
Topic: RE: 5 day pouch test
i agree i didnt do this 5 day test .. but with the cottage cheese.. is there something else that I could use.. i cant tolerate cottage cheese.. its a texture thing for me...
thank you
thank you
Topic: RE: Looking for some information
-Norfolk Surgical Group is amazing. Starting at the front desk, and the entire staff. I interviewed several surgeons before commiting to this procedure. I chose Dr Fontana, who is also prior military. Their -number is 757-388-6120. They are located in the Heart Hospital at Norfolk General Hospital. Amazing group. We have a great support group as well as a Be-Well group that each meet once a month.
Topic: RE: Looking for friends
join our group, sentara weightloss... email me anytime. [email protected] love to have more friends...we all need to support each other in this effort against obesity
Topic: RE: 5 day pouch test
That 5-day test sounds a little complicated.
I usually tell my RNY patients to just try the "cottage cheese" test. Eat cottage cheese in 1/4 cup increments until you are full. If 1 - 1.5 cup fills you up, you pouch size is probably fine. If not, it means one of two things:
1) your pouch size may be stretched
2) your stoma (connection of pouch to Roux limb) may be enlarged, providing too-rapid emptying.
To determine which, try "water loading" (best discussed in "Pouch Rules for Dummies":
http://www.amylhwilliams.com/pouchrulesfordummies.html )
I usually tell my RNY patients to just try the "cottage cheese" test. Eat cottage cheese in 1/4 cup increments until you are full. If 1 - 1.5 cup fills you up, you pouch size is probably fine. If not, it means one of two things:
1) your pouch size may be stretched
2) your stoma (connection of pouch to Roux limb) may be enlarged, providing too-rapid emptying.
To determine which, try "water loading" (best discussed in "Pouch Rules for Dummies":
http://www.amylhwilliams.com/pouchrulesfordummies.html )
David C. Elliott, MD, FACS, FASMBS
Bariatric Surgeon & Bariatric Medical Director
Parham Doctors' Hospital
Richmond, VA
Bariatric Surgeon & Bariatric Medical Director
Parham Doctors' Hospital
Richmond, VA
Topic: RE: WLSC Dr. Clark & Sentara Careplex Hampton
I would discourage you from going to Mexico for weight loss surgery.
WLS is different from just getting some organ removed, like gallbladder surgery. The surgery is just the beginning of the journey. Long-term follow-up afterwards is key for both success and for prevention of side effects & complications. To my knowledge, none of the Mexican surgeons provide/arrange for long-term follow-up (unless you want to travel back to Mexico every few months!)
I don't know of any surgeons here in Virginia, myself included, who would provide follow-up for a WLS patient who had their surgery in Mexico. There may be a few local surgeons who do, but probably at a very steep program fee. The reason is that all of us have run into some real tragic cases coming out of Mexico, where there is no bariatric credentialling and no quality control.
The initial cost may be more, but I would encourage you to get your WLS procedure by a ASMBS-qualified surgeon near your locality.
Good luck
WLS is different from just getting some organ removed, like gallbladder surgery. The surgery is just the beginning of the journey. Long-term follow-up afterwards is key for both success and for prevention of side effects & complications. To my knowledge, none of the Mexican surgeons provide/arrange for long-term follow-up (unless you want to travel back to Mexico every few months!)
I don't know of any surgeons here in Virginia, myself included, who would provide follow-up for a WLS patient who had their surgery in Mexico. There may be a few local surgeons who do, but probably at a very steep program fee. The reason is that all of us have run into some real tragic cases coming out of Mexico, where there is no bariatric credentialling and no quality control.
The initial cost may be more, but I would encourage you to get your WLS procedure by a ASMBS-qualified surgeon near your locality.
Good luck
David C. Elliott, MD, FACS, FASMBS
Bariatric Surgeon & Bariatric Medical Director
Parham Doctors' Hospital
Richmond, VA
Bariatric Surgeon & Bariatric Medical Director
Parham Doctors' Hospital
Richmond, VA
Topic: WLSC Dr. Clark & Sentara Careplex Hampton
I live in Gloucester - just north of Yorktown. Has anyone out there gone to Dr. Clark or Terracina? If so, has anyone gotten the sleeve? I am leaning that way, but would really like to find someone who has gotten that done from them.
I will be borrowing from everywhere to be a self pay and can only make this decision once! I am a relatively low BMI patient (36 point something).
Anyone have thoughts about Sentara CarePlex in Hampton?
I have a few people trying to convince me to go to Mexico for this. I want to hear from others out there! Help!
I will be borrowing from everywhere to be a self pay and can only make this decision once! I am a relatively low BMI patient (36 point something).
Anyone have thoughts about Sentara CarePlex in Hampton?
I have a few people trying to convince me to go to Mexico for this. I want to hear from others out there! Help!
Topic: RE: Looking for a support group in Northern VA
I just posted information on this today as we will be doing it by conference call this week - so if you would like to, please join us
Next month our meeting will be on the July 14th at 7pm in the Free Lance Star building in Fredericksburg - watch this site for more info or send me your private email and I will add you to the mailing list...
Jackie
Next month our meeting will be on the July 14th at 7pm in the Free Lance Star building in Fredericksburg - watch this site for more info or send me your private email and I will add you to the mailing list...
Jackie
(deactivated member)
on 6/6/10 3:52 am, edited 6/6/10 3:53 am - Fredericksburg, VA
on 6/6/10 3:52 am, edited 6/6/10 3:53 am - Fredericksburg, VA
Topic: Fredericksburg/Stafford Support Group Conference Call Wed at 7pm
Jackie and Sue are pleased to announce that the Fredericksburg /Stafford Weight Loss Group Support Meeting will be held this Wednesday June 9th (Wednesday, 06/09/ 2010) at 7:00 p.m. – 8:00 p.m by conference call on 1 507 726 4200 passcode 153373
Due to neither Jackie nor Sue being able to physically be there in June, we have decided that a conference call is better than no meeting at all - and next month in July things should be back to normal. So relax, put your feet up and give is a call! We hope you all can join us!
This conference call is open to anyone who wants to know more about weight loss surgery or considering the surgery and want to talk to people who have had it, to people who are scheduled for gastric bypass surgery and to people who have had the surgery. If you had the surgery some time ago and want to get back on track with encouragement – then this meeting is for you! No cost, no negativity – only positive encouragement!
So come join us to discuss any topic you want to open up to everyone. In this forum there is a certain amount of anonymity so if you don't want to speak or just want to listen - that is just fine but we hope you will feel comfortable enough to join in the conversation....
We hope to "see" you on Wednesday!!
Call Jackie on
Obesity Freedom
Topic: 5 day pouch test
Does this 5 day pouch test really work? I shouldnt even be in a place to want to try it but I do want to try it.. its been 4 yrs and i find myself eating to much at a meal. they tell me a cup of food but i just dont think a cup fills me up.. or maybe it would if i listened to my pouch.. so i looked up this 5 day pouch test.. and wondered if any of you have tried it and if it works... i started it today.. had a protein drink for breakfast then 4 glasses of water since... had cream of chicken soup... then...... a bite of my kids turkey sandwich... ugh.... so... id have to start over tomorrow.. lol or just continue like i didnt have the bite.. think ill just continue.. can someone let me know???
HERE IT IS:
Today I present a 5-day plan that I have developed and used to determine if my pouch is working and go back to that tight newbie feeling. And a bonus to this plan, it helps one get back to the basics of the weight loss surgery diet and it triggers weight loss. Also, it is not difficult to follow and if you are in a stage of carb-cycling it will break this pattern. Sounds pretty good, right? Here we go!
Days One & Two: Liquid Protein
The first two days are all liquids. You can have as many low-carb protein shakes as you like to satisfy hunger or cravings. In addition drink at least six 8-ounce glasses of water each day. The purpose of all liquids is to break any snacking, grazing or processed carbohydrate habits. In addition the liquids will work to cleanse your system and prepare you for the following three days. Try to reduce your caffeine intake as well, but do not stop caffeine cold turkey or you will feel sick and frustrated potentially losing the desire to continue with the pouch test.
If you notice symptoms of carbohydrate withdrawal you can eat a small piece of melon or an orange. You can also try a dose of Emergen-C which should reduce headache, dizziness or cramping from carbohydrate withdrawal.
The next three days you get to eat as much as you want as often as you want! Ahhh, but there's a catch: it has to be solid protein and you only get 15 minutes each time you sit down to eat.
Day 3: Soft Protein
Protein Recommendations: canned fish (tuna or salmon) mixed with lemon and seasoned with salt and pepper, eggs cooked as desired seasoned with salt pepper and/or salsa, fresh soft fish (tilapia, sole, orange roughy), baked or grilled, and lightly seasoned. This starts your program with "soft" protein. Measure your portion (1 cup volume or 4-6 ounces weight) and eat only until you feel full, not overfull. Remember, no water for 30 minutes before or after you meal, and no fluids with your meal. We are going back to the beginning and fluids will prevent you from feeling the pouch. If you need to add a bit of Miracle Whip or mayonnaise to the canned fish I understand, but keep it to a minimum so the meat is not too moist. One reason we lose the sense of tightness in our pouch is that we eat "slider foods" - foods that are too moist and do not stay in the pouch very long, they slide right through the stoma.
Day 4: Firm Protein
Protein Recommendations: ground meat (beef, turkey, lamb) cooked dry and lightly seasoned, shellfish, scallops, lobster steamed and seasoned only with lemon, salmon or halibut steaks, grilled and lightly seasoned. By now you should be experiencing that familiar tightness that will reassure you that your pouch is working. Remember to drink plenty of water between meals. Take some time to meditate and rediscover the wonder of your pouch. Often we don't like that uncomfortable tightness of the pouch, which is why we gradually move toward slider foods that don't make us uncomfortable. It is always my preference to eat moist protein so I don't get uncomfortable, but this allows me to consume more than I should. Rediscovering the pouch with this 5-day plan reminds me of how the tool really works. I hope by now you are rediscovering your tool and enjoying the hope and excitement because your pouch still works.
A word about constipation: A shift to high protein diet often results in constipation. To relieve this you may try adding a fibrous fruit snack to your morning and a fibrous vegetable snack in the afternoon. Fruit suggestions are apples, berries, apricots, cantaloupe or oranges. For vegetables try leafy greens, zucchini, cucumbers, spinach, summer squash or string beans.
Day 5: Solid Protein
Protein Recommendations: white meat poultry cooked dry and lightly seasoned, beef steak (if tolerated) grilled or broiled. Remember to chew chew chew. Measure your portion (4-6 ounces) and eat only until you feel your pouch tighten. Remember, only 15 minutes per meal, so you'll have to work fast to chew your food completely. By now you should be out of any carb cycle you were in and perhaps you have lost a pound or two. You will have new confidence in your pouch and your ability to work the tool for your health and emotional well being.
Good luck! I believe you are going to like the results when you give this plan an honest try. Tomorrow I'll write about re-entry into a healthy eating plan that will allow you to take advantage of this pouch test and return to a weight loss surgery way of life
HERE IT IS:
Today I present a 5-day plan that I have developed and used to determine if my pouch is working and go back to that tight newbie feeling. And a bonus to this plan, it helps one get back to the basics of the weight loss surgery diet and it triggers weight loss. Also, it is not difficult to follow and if you are in a stage of carb-cycling it will break this pattern. Sounds pretty good, right? Here we go!
Days One & Two: Liquid Protein
The first two days are all liquids. You can have as many low-carb protein shakes as you like to satisfy hunger or cravings. In addition drink at least six 8-ounce glasses of water each day. The purpose of all liquids is to break any snacking, grazing or processed carbohydrate habits. In addition the liquids will work to cleanse your system and prepare you for the following three days. Try to reduce your caffeine intake as well, but do not stop caffeine cold turkey or you will feel sick and frustrated potentially losing the desire to continue with the pouch test.
If you notice symptoms of carbohydrate withdrawal you can eat a small piece of melon or an orange. You can also try a dose of Emergen-C which should reduce headache, dizziness or cramping from carbohydrate withdrawal.
The next three days you get to eat as much as you want as often as you want! Ahhh, but there's a catch: it has to be solid protein and you only get 15 minutes each time you sit down to eat.
Day 3: Soft Protein
Protein Recommendations: canned fish (tuna or salmon) mixed with lemon and seasoned with salt and pepper, eggs cooked as desired seasoned with salt pepper and/or salsa, fresh soft fish (tilapia, sole, orange roughy), baked or grilled, and lightly seasoned. This starts your program with "soft" protein. Measure your portion (1 cup volume or 4-6 ounces weight) and eat only until you feel full, not overfull. Remember, no water for 30 minutes before or after you meal, and no fluids with your meal. We are going back to the beginning and fluids will prevent you from feeling the pouch. If you need to add a bit of Miracle Whip or mayonnaise to the canned fish I understand, but keep it to a minimum so the meat is not too moist. One reason we lose the sense of tightness in our pouch is that we eat "slider foods" - foods that are too moist and do not stay in the pouch very long, they slide right through the stoma.
Day 4: Firm Protein
Protein Recommendations: ground meat (beef, turkey, lamb) cooked dry and lightly seasoned, shellfish, scallops, lobster steamed and seasoned only with lemon, salmon or halibut steaks, grilled and lightly seasoned. By now you should be experiencing that familiar tightness that will reassure you that your pouch is working. Remember to drink plenty of water between meals. Take some time to meditate and rediscover the wonder of your pouch. Often we don't like that uncomfortable tightness of the pouch, which is why we gradually move toward slider foods that don't make us uncomfortable. It is always my preference to eat moist protein so I don't get uncomfortable, but this allows me to consume more than I should. Rediscovering the pouch with this 5-day plan reminds me of how the tool really works. I hope by now you are rediscovering your tool and enjoying the hope and excitement because your pouch still works.
A word about constipation: A shift to high protein diet often results in constipation. To relieve this you may try adding a fibrous fruit snack to your morning and a fibrous vegetable snack in the afternoon. Fruit suggestions are apples, berries, apricots, cantaloupe or oranges. For vegetables try leafy greens, zucchini, cucumbers, spinach, summer squash or string beans.
Day 5: Solid Protein
Protein Recommendations: white meat poultry cooked dry and lightly seasoned, beef steak (if tolerated) grilled or broiled. Remember to chew chew chew. Measure your portion (4-6 ounces) and eat only until you feel your pouch tighten. Remember, only 15 minutes per meal, so you'll have to work fast to chew your food completely. By now you should be out of any carb cycle you were in and perhaps you have lost a pound or two. You will have new confidence in your pouch and your ability to work the tool for your health and emotional well being.
Good luck! I believe you are going to like the results when you give this plan an honest try. Tomorrow I'll write about re-entry into a healthy eating plan that will allow you to take advantage of this pouch test and return to a weight loss surgery way of life
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