mindy23

Today was my first set of appointments to start the process; nurse practitioner, dietician/nutritionist, and physical therapist. In addition, I got my bloodwork and EKG done. I already have a mammogram and colonoscopy on record. I went in with a positive attitude and I think that helped, I was more excited than nervous. I mentioned that I had been reading the forums on this site to learn what I could and I think it helped me comprehend the massive amount of information I was given because I sort of studied ahead, plus, they gave me a notebook
The dietician noted that I take a lot of supplements, and she stressed that I will be restricted to taking only a few after surgery, at 200% the regular dose; multi-vitamin that includes iron and other minerals and B12 sublingual at night, calcium citrate 500mg liquid or chew three times a day, plus vitamin d, liquid or small gelcaps. I forgot to ask about my Wellbutrin and allergy medicine. Oh well, there's time! A lot of people in these forums say NOT to try the drinks, food, or supplements pre surgery, but my dietician encouraged me to try different things to find what I like (even though my preferences may change post surgery). I have already purchased some Protein20 drinks, Premier Protein shakes, sugar free Gatorade, Propel electrolyte water, bone broth, and some Millie's sipping broth samples.
My choice is the gastric sleeve but they will probably try to convince me that the bypass is the best option (and "gold standard" as I keep reading everywhere). I was scoped in July and they found a hiatal hernia, some non-bloody ulcers, and Schatzki's ring. I was instructed to continue with the Omeprazole in order to continue to calm my esophagus and stomach. I hope they let me stick with the sleeve, I don't want to deal with malabsorption issues and I prefer being able to take NSAIDS. I have enough dumping from having my gallbladder removed and being sensitive to grease/oil. Today while at the hospital, I had a long break so I had brunch consisting of an egg-salad sandwich (which they said was freshly made that morning) and half a bag of chips. Let's just say I had to visit the restroom 4-5 times during the rest of my time there, ugh!
The insurance company has told my hospital (OHSU Portland Oregon) that the procedure is covered, but have not yet responded regarding what they require from me. The hospital requires two nutrition classes and a few more tests. My EKG came back "borderline" so I am being referred to a cardiologist to make sure everything is ok. I made my two nutrition class reservations and psychological evaluation appointment, as well as my sleep study consult. I'm 58 and have had a hysterectomy (1 ovary left) so I'm not required to get a pap smear, review birth control, and they're not requiring that I be screened for drugs & alcohol (I quit smoking 31 years ago). I'm hoping to have it all done by February, but won't know what else I need to do until my insurance company forks over some information!
This facility only requires 24 hours of clear liquids before surgery (yay). While I was given my diet information, I think I'm going to slowly incorporate better habits and definitely pay attention to my protein and fluid intake for now. Since my BMI is slightly over 41, I was cautioned not to lose more than 10 pounds because it would put me below the required 40 BMI. That is unless I end up being diagnosed with sleep apnea (I have high cholesterol); neither joint pain or depression qualify as co-morbidities.
My lab results have already been provided and they found my ferritin to be low, so I need to begin taking carbonyl iron with vitamin C right away.
I've read a lot of different posts of people sharing their program information, so here is my post-surgical diet information from my booklet:
STAGE ONE - first day following surgery - CLEAR LIQUIDS
STAGE TWO - starting day two post surgery, for 14-21 days - FULL LIQUIDS
STAGE THREE - starting 2-3 weeks post surgery, for approximately 6 weeks (depending on how the patient is doing) - SOFT FOOD
STAGE FOUR - approximately two months post surgery - SOLID FOOD (low sugar & low fat)
Over the weekend I cleaned out my cupboards of a bunch of food and food-like substances; what wasn't expired I took to work. Fed the crows some expired cereal and crackers. Haven't tackled the freezer yet. Since my surgery isn't scheduled yet I have plenty of time!
I just wanted to thank everyone who posts their experiences and questions and advice, I think people are very supportive here for the most part!