NickelChip
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Status Replies posted by NickelChip
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Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
- 1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk
- 1 snack = 1 unjury protein shake (root beer)
- 1 protein shake (bariatric advantage orange cream)
- 1 snack = 1 unjury protein bar
- 1 protein shake (bariatric advantace orange cream or chocolate)
- 1 snack = 1 unjury protein soup (chicken)
- 3 servings of sugar free jello and popsicles throughout the day.
- 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well.
Does anyone recommend anything for the next 3 weeks?
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All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.
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Good morning all, how long did it take insurance to approve you?
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Once it was submitted, not long at all. Just a few days, I think. But my surgeon's office didn't submit it until all my requirements were met, which included psych eval, dietician meetings, a certain number of visits, bloodwork, etc. As long as you've checked all the right "boxes" they require, the approval process should be very standard and easy. Your surgeon's office should know exactly what you need to get approved.
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Long whine alert -I'm really disappointed! I saw my primary Dr last month and told her I wanted WLS and she was all for it. Said that I had to do the 6 month supervised diet for my insurance and a boatload of other tests. Ok. I understand.She started my 6 month diet last month and sent a referral to the bariatric surgeon.MY plan was to do the supervised diet, then at the end of the 6 months in January, do all the other tests...sleep study, endoscopy, ekg, psych, nutritionist, etc. because all of that would get my insurance deductible met, then have surgery in February or March. Since my deductible would be met, I'd only be paying my 20% coinsurance by then.Got the call from the bariatric surgeon's office on Friday and was told that THEY are the ones that will do my 6 month supervised diet. I explained that my primary Dr already had me on it for a month but they said everything will go thru them. Ok. I understand.So I explain about wanting to complete the diet first, then do all the other testing (because I don't want to have to pay my deductible twice by paying for all that stuff now, & then it starts over in January) but she tells me that they do the testing while I'm doing the diet. That means that I cannot even start their bariatric program until January!
They made my first appt for Jan 9th & that's when the 6 month diet will start with them & they'll submit to insurance for approval in June & I would have surgery in July. Man!!! That's almost a year from now! 
All because I don't want to pay $4500 now, than have to pay it again in January.
I don't understand why they won't let me diet now & do the other tests at the end.
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Before you assume that the testing will take your full deductible, I would make some calls to your insurance. I have a 3k deductible and my portion of the bloodwork was nowhere close to that even though I assumed it would be. I think my copays ended up being around $1k or less for all the preliminary tests. And remember, you will have extensive bloodwork multiple times after surgery, so there may be no way to get it all into one calendar year. Also, you might look into financing options through your hospital. Mine allowed me to put the $3k I owed after the surgery (because yeah, that did max out my deductible for this year) on a 24-month no-interest payment plan. Depending on your options, it may be affordable enough that you can book your appointment sooner and get this whole thing going instead of having to wait almost a full year to have your surgery.
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I joined yesterday when I was struggling with this preop diet...
It typically comes and goes, the hard times and easier times. I'm on day 6 of 14 shakes, water, sf Popsicles and jello. And I might actually be losing my mind. But, oh dear lord has the fear set in. Not about the surgery itself, but life afterwards. If I feel this crappy on the preop diet, am I going to feel like this forever after?
I know most of the answers are no, not forever. It might be worse after for a while, then get better. I know it's a more of a mental challenge than physical after the first couple weeks of healing. I get all of that. But I'm starting to feel scared about losing myself afterwards.
It might be my hormones or desire to chew something salty talking.. It may go away soon or tomorrow.. I can hope, anyway. But right now.. The fear is real.
And this liquid diet can bite me.
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Fear is normal, but if it makes you feel any better, I'm 4.5 months post-op and the pre-op diet was by far the hardest part of the whole process. There will be challenges and a lot of new things to learn, but I can honestly say at this point I feel so much more "back to normal" and was even able to go on a week-long vacation with my kids without stressing over it. It's so worthwhile.
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Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
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I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.
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I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!
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Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
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Help a newbie out please! First, how do you update the information about your surgery, weight, etc...? Every time I try to click on something it doesn't work. Second, how do I reply to a comment? Do I click the "+" button or quote or??? Yes, my name is Holly & I'm severely technically challenged!🤣🤣🤣
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You can hit quote to reply to someone, or you can use the "at" symbol and their name to tag without quoting. To update your details, you want to go to your profile and go to the My Surgery tab. I've heard this can be hard to do on a phone, so try it on a laptop if you can. It'll let you fill in your starting weight, current weight, surgery date, etc. Also, you can create tickers under the My Tickers section.
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Clueless_girl reacted to this
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How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
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I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!
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So I guess after gastric bypass surgery, I cant eat flock chips because they are fried??? They sell them on here so I thought I could have them. So high in protein and no carbs. They don't bother me at all. Help.
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It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.
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How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
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Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight
I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.
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Clueless_girl reacted to this
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I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing?
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2 of the Biggest NSV thus far in my life; 1) my 6yr old daughter can wrap her arms around me for the first time ever! 2) My 12yr old son is having a basketball game for the parents vs. their players and I am playing with him! Its been awhile since I played basketball so I have been practicing lol but I would never had even volunteered to do this 70lbs ago!
This surgery has changed my life for the better!
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Had my 6 month post-op checkup with the surgeon 2 weeks ago. The nurse was directing me to stand on the usual scale, but I asked if I could get on the machine that can measure your fat/muscle percentage, water weight, bone weight, and some other things in addition to weight. You hold on to a couple of paddles and it sends a small electrical signal from one side to the other. She said sure, and I got on and got measured.
Well, when the nutritionist came into the room, he had this massive smile on his face, I mean huge, smiling with his eyes, looking at me fiercely. He had these two print outs in his hand, and puts them down on the table. He starts pointing out how much of my body is muscle, how much is water, how much is bone, etc. He then gets to the section that shows my body fat percentage, and shows me that I am at 22%, which is 1% more than goal! He starts giving me high fives, I start crying, he gives me a hug and a pat on the back, and tells me that I have reached all of my goals at 6 months out.
Wow! I left that appointment elated, floating, so proud of myself for finally getting fit and embracing the life I've always been meant to lead. I'm now at the point where I've got to consume more calories and transition to maintenance mode.
Amazing. I'm so, SO happy 🤩
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Wow, congratulations! That has to be the best doctor's visit ever!
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BeanitoDiego reacted to this
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I'm about 2 months post op and still trying to figuring out what my body/stomach cues are and what they mean. Also I know breakouts are pretty common, but what about random, small, red patches that are itchy and resemble bug bites? Or am I alone on that?
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It could be a lot of things, but there's a slight chance it could be a benign skin condition called granuloma annulare, which can look like bug bites. It's something I've had for about 20 years, and I've heard surgery can sometimes bring it on, and oddly can also resolve it. It's kind of a mystery. And it definitely might be something else, but I thought I'd throw that out there for you to look into because it's kind of obscure.
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Feeling a little sad today because a few weeks ago I had a call from the surgeon's office and they had a last minute opening on November 20 because of a cancellation. I am not scheduled until December 27, which is way later than I had expected when I started all this. My "ideal" date in my head had been November 13. I was so ready to jump at the chance, but I just couldn't make it work. As soon as I mentioned it to my mom, instead of being supportive, she had all sorts of reasons why I shouldn't move the date. Some were valid, like my teen daughter has a special (but not super special) thing going on later in the week that I would probably have to miss, and others were less valid, like she didn't feel ready and it might ruin everyone's holidays. Um, excuse me? It's not about her! And how would I single handedly ruin both Thanksgiving AND Christmas for my entire family by having a surgery? But she had informed me when I first got the December date that she planned on getting a hotel near the hospital and staying that night to be nearby, despite the hospital only being about 40 miles away from home. I didn't ask her to do that, but that's her plan, so there you go. She didn't ask me if I felt ready now, or what the wait through the holidays felt like for me with the surgery looming. So that was the part that hurt. I felt like I was having to make sure everyone else was okay with my choices instead of me, which is a theme in my life for sure. Don't get me wrong, my parents have been there for me so many times, and I don't want to sound ungrateful. But this really made me sad that what I wanted simply didn't factor in. Basically, I passed on what felt like a dream come true to get that call, and I've had to reconcile myself to it as best I can. I've found some silver linings, like more time to clean my house and test some recipes. But if I hadn't, I would be on my pre-op diet now (my surgeon only does a short liquid diet beforehand, so a Monday surgery starts the pre-op diet on Saturday morning). Instead, I'm getting ready to make dinner for myself and the kids, and I still have 39 days to go...
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I'm glad your father did agree to respect your privacy by not sharing with your family. And I guess I should be glad my mom keeps the dramatic flair off of the socials!
I'm both lucky and unlucky that my brother had VGS 15 years ago. On the one hand, my mom understands the concept and has seen my brother's good results from it, (we inherited the obesity from my father's side, and Mom has never dealt with more than those pesky 10 lbs average weight people always want to lose). On the other hand, my brother took exactly the opposite approach from me. He didn't live near family and told no one, had no support. He went to Mexico as self-pay and didn't say a word until about 4 weeks after when he was having some serious emotional struggles, living alone, and compounded by the fear of realizing that to get family support, he had to "confess." So his recovery was very different than what I anticipate for me. But because of all that, my mom definitely sees this as a "REALLY BIG DEAL." Which it is, but not the level she's at with it. Like, it's not an open heart surgery being performed in 1982, or experimental cancer treatment. I've also noticed that as my mom ages, she takes change a lot harder. She doesn't have the mental flexibility anymore to make an instant change of plans and roll with it, whereas I do that probably a dozen times a day.
I'm grateful for their help, but it comes at a price.
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New To This23 reacted to this
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Okay so, as of yesterday my insurance company contacted me direction to say, that I was approved and have completed all the required items on the "To Do List". so, I should be getting my appointment next week for meeting with the Anesthesiologist. I'm very excited/nervous, but extremely happy too.
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Congratulations!
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OctoberSky reacted to this
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