Day 2 of the 2 week Pre-Op Diet (Surgeon's Requirement)

Mar 30, 2010

Today is Day 2 of my pre-op diet. I'm not sure if this is something that every bariatric surgeon "requires" but Dr. Coates does. During the 4 hour pre-op class, the nurse that was teaching told us that it is very important to have a very low calorie diet to shrink the liver for surgery. Since the surgery is laparoscopic, the liver must be light and small enough for the tools to hold it up while the surgeon does the RNY. I remember at my husband's pre-op class (he had RNY 2 yrs ago) there was actually a girl in there that did NOT do the 2 wk diet and when they opened her up for surgery her liver was way too big. So they closed her up and sent her home and also told her to attend another 4 hour class!! Needless to say, I am afraid! BUT just knowing my surgery is coming up has made my appetite shrink and I've lost 8 lbs in the last week. I am back down to 248 with a BMI of 38. This is what I was at when I was told to gain to get approved.. lol Isn't it ironic? 

It's hard to stick to this diet. But I am doing pretty well. Here is an example of a day on the diet:
(taken from my surgeon's book)

Breakfast: 1 hard boiled egg, 2 oz fresh apple slices
(1 vitamin, 1 coq10)
Mid-Morning Snack: 8 oz nonfat milk with protein powder

Lunch: 1 1/2 oz chicken, 2 oz fresh vegetables

Mid-Afternoon Snack: 8oz any fluid (calorie and sugar free) with protein powder

Dinner: 1 1/2 oz fish, 2 oz fresh vegetables, 2 oz fresh fruit
(1 vitamins, 1 coq10)


1-2 oz is not a whole lot, I will tell you that. But I am getting mentally prepared, so it's been ok. I must say that today I did plan to go to a Japanese restaurant with my friend, to have rice one more time... I ate half the rice, some teriyaki beef (2 oz), tempura veggies (1 carrot, 1 sweet potato, 1 broccoli, 1 green bean), 3 pieces california roll sushi and Miso soup. And a glass of unsweetened iced tea. Now, a few hours later, I am having a protein drink (Nectar Kiwi Strawberry mixed with ice water-- actually tastes pretty decent). So I still ate healthy, but didn't follow the plan to a T. The point is to lose weight and get in the habit of getting a lot of fluids in and my protein. As long as I keep dropping a little bit of weight, my liver should be fine.  I am so excited for surgery and a little nervous. But I am ready to make the change!! Can't wait to have this tool to help me be healthy!!

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