ForGracieGirl

Hi there! It's been over a week since I've last posted, and I've spent that time transitioning from liquids, to pureed food, and am now eating soft solids... but it hasn't been without it's trials...
 
The first three days home from the hospital, my surgeon's plan calls for a pureed diet. For me, this consisted of mostly Greek yogurt, protein drinks, and some delicious pureed mushroom soup that my husband made for me. I'm sorry, but the idea of pureeing meat or fish or something just turned me off, so I didn't go there, but I feel like for those few days, I actually was doing well at getting in my protein in. Managed to get about 50 grams most days. And I have never had an issue getting my fluids in. I always get 50-64 ounces of straight fluid, not including my protein shakes.
 
No, my big issue those first few days was with swallowing my pills. I was still having a fair amount of pain, so I was taking the Vicodin my surgeon prescribed probably twice a day, plus trying to take all of my vitamins, and the Pepcid. No matter what time I tried to take them, or what I took them with, I would inevitably get something "stuck" and end up "sliming" until I eventually vomited. More times than not, the pill itself stayed down and just water came out.... weird. This is a huge change from the pre-op me, who could swallow all 6 of my vitamins at once, and not flinch.
Needless to say, I've stopped taking my vitamins in pill form, instead I got some calcium chews, and some Biotin chews (I'm very worried about losing hair), and I found these cool things at Costco that are like a Crystal Light powder that you put in your water, but they are chock-full of vitamins! I drink two of them a day in my water. So the only thing I'm still a little worried about is my Iron, but I just can't tolerate plain Iron pills, it makes me nauseous... and I've been doing enough vomiting lately without adding in anything that may upset my little tummy more!
 
So on Post-op day 4, my surgeon's plan called for me to start trying some soft foods. On the list of soft foods allowed was soft baked fish. So my husband decided to cook dinner for us on Sunday, and made me a beautiful, tiny piece of tilapia, which he served over some soft polenta. It looked and smelled so delicious that I dug right in, and ate more than half of it without any regard to how my tiny tummy was handling it! With about one bite of food left on the plate, I realized what I had done, and knew I was in trouble. I spent the next two hours running into the bathroom. Every time I thought I was through, more would come out! It was awful, but not unexpected. I knew what I had done, and vowed to eat more slowly next time. Well, the next time turned out to be the following night, when I made what sounded like a wonderful recipe for a Ricotta cheese bake. But, yet again, it smelled and looked so good, I ate about half of the 1/4 cup portion that I had served myself way too fast, then got sick again...
 
So, long story short, I am becoming a professional vomiter. I keep a pillow next to the sink to splint my incisions while I puke out whatever it is that I took one too many bites of. It's gotten better over the past day or two, as I've kind of learned to take one bite of something, and then wait about ten minutes to see how it will sit. If it seems to be settling well, I'll eat another two bites. But three bites of any soft or pureed texture food seems to be my limit.
 
I've also become more severely lactose intolerant than I ever was pre-operatively. During my two week protein shake diet, I was able to enjoy at least one of the Premier chocolate shakes per day, as long as I took a lactaid pill with it. And I never had any issues with yogurt. Not the case post-operatively... I've sworn off of the Premier shakes entirely (too bad, because they pack 30 grams of protein in each one!), and as of yesterday, decided that the yogurt wasn't working either. So there went two big sources of protein. Between the vomiting, and the lactose intolerance, I've been really struggling to hit the protein goals set by my surgeon. I'm probably averaging about 40 grams/day, with a goal of 60 grams.
 
So with all this talk about what's not working, this probably sounds like a pretty discouraging post. So let's talk about what is working! Foods that I can eat in small amounts with no issues: Eggs, refried beans, powdered protein shakes made with almond milk, and bananas. Sounds like a pretty short list, but here's the thing: I'm never hungry. Like, never. If I wasn't worried about my hair falling out, I would happily just drink my vitamin water all day and not eat at all. Once in awhile I get a craving for something, like yesterday I kept thinking about bagels, but it's never accompanied by actual hunger. It's just a craving, and it passes.
 
Pain-wise, I haven't taken a Vicodin in three days, and prior to that I was only taking them at bedtime, and taking Tylenol during the day. Now I don't take either. I get an occasional twinge of pain under the incision on my left side (where they took the stomach out), but it goes away in a few seconds. As far as my surgical incisions go, all of my steri-strips (the little tape like things over my incisions) have fallen off, and I have to say, they look good! Three of them are completely healed over, and the last two just have tiny scabs on them. I've been putting vitamin E on them.
 
And now... the big scale question. I have lost (drumroll please) 24 pounds since I started the pre-op diet, with 11 of those pounds having come off since surgery. So that's 11 pounds in less than two weeks, 24 pounds in less than a month. I am pretty pleased with that. And, hey, I just realized that 24 pounds is more than 10% of my starting weight, which is something I never managed to accomplish in months of sitting through meetings at Weight Watchers!
 
The pictures below were taken yesterday. I decided after looking at someone else's before and after pictures to wear the same clothes in all of my progress pictures... I can really see a difference in how the shorts fit around my butt and thighs. My husband can't get over how much thinner my face is already. So overall, very pleased, despite all of the challenges!

 
I have my first follow-up appointment coming up this Wednesday, and then I go out of town for 10 days, so I'll have some info to put in another update pretty soon!