Band_Groupie

I’m home from our long weekend. I took DD back to college this morning and I’ve got an hour here before I start running the boys places. I typed this up on our way to Ohio, but couldn’t use my computer there, so here’s my blog from the pre-op class last Thursday. 4/9/09 Class was interesting, to say the least (read the end paragraph for the interesting part). It was evenly split with LB and RNY patients. We (bandsters) picked up literature depending on which type of band we had chosen (LB or Realize, I’ve chosen LB). I’ll only list the key things I learned that are different between my procedures and what I’ve seen from most others. Pre-op Diet: There is no specific pre-op diet although they do ask you to cut back on fat and sugar for one-two weeks prior. Others here were interested so I did ask why there is no ‘shrink the liver diet’ and if it only pertained to those of us with a low BMI. Apparently no one (regardless of BMI) is required to do a specific pre-op diet and they have never cancelled anyone’s surgery (or closed them up) because their liver was too large. They’ve had no problems with large livers, but she did mention that if you do eliminate most of the fat and sugar for liver shrinkage before that it can help with reducing the post pain/trauma to your body later...smaller liver is easier to move. She couldn’t believe that some docs refuse to do surgery if your liver is too large (I asked this). They are getting ready to implement offering Bariatric Advantage products including the shakes and vitamins, but this is geared more for right after surgery and will still probably be optional before. Day Before: There is no enema. Only procedures are using antibacterial body soap for two days prior in the shower and the clear liquid diet/nothing after midnight that everyone else seems to do [*]Surgery/Hospital Stay Catheter: There is no catheter for the LB procedure (it seems like many others do have this). Fill: My doc does not put any fill in the LB at surgery (I was bummed about this, but apparently they do this because some never need any more restriction than the LB itself being placed; no fills ever). Incisions: Mine will be closed with only steri strips & glue (no stitches, staples like some have). The strips can come off at one week at home. Gas X: It’s fine to bring this and use it at the hospital, but again they say that it does no good for the air that’s pumped into your abdomen, it will only help the gas in your digestive tract (I’m bringing it anyway even if it’s a placebo, it can’t hurt). Overnight: My docs require a one night stay for the LB procedure and insurance covers this. The only bad part about this is that you don’t get to do the barium swallow/x-ray test until the next morning…so only the ‘wet swabs’ (blech) in your mouth until the next morning. I will get a Doppler test on my legs the next day to check for blood clots. I’m not sure if I’ve heard anyone mention having this done. [*]Post-Op Meds.: They’ll send me home with Rx for a pain med (liquid Roxacet (sp?)/like Percocet) and Nexium for the stomach, no anti-nausea meds. unless you have a problem in the hospital (I’m going to insist on getting something (I know my stomach, if anyone will puke it will be me). Schedule/Fills: Mine’s a little different than some. I see the doc post-op at 2-3 weeks and then the first fill isn’t until 6 weeks. Then every 4-6 weeks as needed for fills. Diet: Liquids only for 2 weeks (this sounds like the longest I’ve heard, but I guess I’m paying for the no pre-op diet LOL). I’ve stated this before, but I will again since it’s different than most docs plans; my diet past the first two weeks is never to include protein drinks (protein should come from solids and that’s the purpose of the band to keep you full with food, not sliders. She did mention adding whey/protein powders to your food if you need extra protein.). The 2nd phase goat a little confusing as she said that we are not to make/use pureed foods. The doc would rather we chewed soft foods to an almost liquid stage ourselves. I had to ask several questions to get to the bottom of this, but apparently they feel pureed stuff will slip through too fast and leave you hungry…hmm (I get this in the final stage, but mushies?). Pulverize with your mouth or a blender, I don’t see the difference. I told her I’d already made some pureed/froze them and she said to go ahead and use them (hey it’s 2 weeks, no biggie). After that, the diet is the same as others except you can drink black coffee as long as you compensate by drinking extra water, and you can drink diet pop as long as it has gone flat. Exercise: No lifting, pulling, pushing or treadmill (hadn’t seen anyone mention no treadmill before) until you’ve seen the doc post-op. Other than that, everything was pretty much the same as everyone else. Now here’s the interesting part. She finished with the presentation and took a few questions and then said “I’m sure that you’ve all heard that Dr. XXX has left the practice.” WHAT? HUH? There was a unanimous “NO!” She meekly comes back with “Yes, we were all surprised too, apparently he just turned in a letter on Monday and has gone to OTHER HOSPITAL” (She was obviously not happy and somewhat stressed by this).Dr. XXX was the senior partner of the 2 man practice and is very well known in the area. They scheduled surgeries side by side and did them together for more difficult cases. Like I’ve mentioned before, my docs get a lot of the cases that the other hospitals (OTHER HOSPITAL sent them patients all the time) in the area won’t take (i.e. Hard revisions, super M. Obese, etc.). Pittsburgh is well known as a strong medical city and I had 3 Bariatric Centers of Excellence within a few miles of each other to choose from (and there are several others in the surrounding area). OTHER HOSPITAL is the big conglomerate in the area though that has been buying up the smaller hospitals…apparently they offered him a bundle. Well, all hell broke loose at that point (quietly, but it was so tense you could feel it), it was a mixed period of stunned silence and occasional questions blurted out. I’m perfectly comfortable with my Dr. (the 2nd doc, and I met him at the seminar), he’s been doing laparoscopic procedures for many years and has done hundreds of bandings, and he’s well know as pioneering some of the cutting edge laparoscopic procedures (like the DaVinci robot that is run from a different room…actually more precise laparoscopically than by hand, so they use this in difficult cases). But I’ll have to tell you, that even I was thinking through…What if he needs help? There’s no one there! Then I’m thinking, what if they postpone my surgery…how can one guy handle the surgical load of 2? The worst part was that we didn’t know this before the class…poorly handled. Some people were asking tons of questions (had never even met the other Dr. and especially with an RNY, I’d be worried too!). She offered to set up meetings with the other doc for people who hadn’t met him. Here’s hoping my surgery doesn’t get postponed! The class left on a pretty uncomfortable note…not the way you want to feel a few weeks before surgery when you’re already nervous.

I’m home from our long weekend. I took DD back to college this morning and I’ve got an hour here before I start running the boys places. I typed this up on our way to Ohio, but couldn’t use my computer there, so here’s my blog from the pre-op class last Thursday. 4/9/09 Class was interesting, to say the least (read the end paragraph for the interesting part). It was evenly split with LB and RNY patients. We (bandsters) picked up literature depending on which type of band we had chosen (LB or Realize, I’ve chosen LB). I’ll only list the key things I learned that are different between my procedures and what I’ve seen from most others. Pre-op Diet: There is no specific pre-op diet although they do ask you to cut back on fat and sugar for one-two weeks prior. Others here were interested so I did ask why there is no ‘shrink the liver diet’ and if it only pertained to those of us with a low BMI. Apparently no one (regardless of BMI) is required to do a specific pre-op diet and they have never cancelled anyone’s surgery (or closed them up) because their liver was too large. They’ve had no problems with large livers, but she did mention that if you do eliminate most of the fat and sugar for liver shrinkage before that it can help with reducing the post pain/trauma to your body later...smaller liver is easier to move. She couldn’t believe that some docs refuse to do surgery if your liver is too large (I asked this). They are getting ready to implement offering Bariatric Advantage products including the shakes and vitamins, but this is geared more for right after surgery and will still probably be optional before. Day Before: There is no enema. Only procedures are using antibacterial body soap for two days prior in the shower and the clear liquid diet/nothing after midnight that everyone else seems to do [*]Surgery/Hospital Stay Catheter: There is no catheter for the LB procedure (it seems like many others do have this). Fill: My doc does not put any fill in the LB at surgery (I was bummed about this, but apparently they do this because some never need any more restriction than the LB itself being placed; no fills ever). Incisions: Mine will be closed with only steri strips & glue (no stitches, staples like some have). The strips can come off at one week at home. Gas X: It’s fine to bring this and use it at the hospital, but again they say that it does no good for the air that’s pumped into your abdomen, it will only help the gas in your digestive tract (I’m bringing it anyway even if it’s a placebo, it can’t hurt). Overnight: My docs require a one night stay for the LB procedure and insurance covers this. The only bad part about this is that you don’t get to do the barium swallow/x-ray test until the next morning…so only the ‘wet swabs’ (blech) in your mouth until the next morning. I will get a Doppler test on my legs the next day to check for blood clots. I’m not sure if I’ve heard anyone mention having this done. [*]Post-Op Meds.: They’ll send me home with Rx for a pain med (liquid Roxacet (sp?)/like Percocet) and Nexium for the stomach, no anti-nausea meds. unless you have a problem in the hospital (I’m going to insist on getting something (I know my stomach, if anyone will puke it will be me). Schedule/Fills: Mine’s a little different than some. I see the doc post-op at 2-3 weeks and then the first fill isn’t until 6 weeks. Then every 4-6 weeks as needed for fills. Diet: Liquids only for 2 weeks (this sounds like the longest I’ve heard, but I guess I’m paying for the no pre-op diet LOL). I’ve stated this before, but I will again since it’s different than most docs plans; my diet past the first two weeks is never to include protein drinks (protein should come from solids and that’s the purpose of the band to keep you full with food, not sliders. She did mention adding whey/protein powders to your food if you need extra protein.). The 2nd phase goat a little confusing as she said that we are not to make/use pureed foods. The doc would rather we chewed soft foods to an almost liquid stage ourselves. I had to ask several questions to get to the bottom of this, but apparently they feel pureed stuff will slip through too fast and leave you hungry…hmm (I get this in the final stage, but mushies?). Pulverize with your mouth or a blender, I don’t see the difference. I told her I’d already made some pureed/froze them and she said to go ahead and use them (hey it’s 2 weeks, no biggie). After that, the diet is the same as others except you can drink black coffee as long as you compensate by drinking extra water, and you can drink diet pop as long as it has gone flat. Exercise: No lifting, pulling, pushing or treadmill (hadn’t seen anyone mention no treadmill before) until you’ve seen the doc post-op. Other than that, everything was pretty much the same as everyone else. Now here’s the interesting part. She finished with the presentation and took a few questions and then said “I’m sure that you’ve all heard that Dr. XXX has left the practice.” WHAT? HUH? There was a unanimous “NO!” She meekly comes back with “Yes, we were all surprised too, apparently he just turned in a letter on Monday and has gone to OTHER HOSPITAL” (She was obviously not happy and somewhat stressed by this).Dr. XXX was the senior partner of the 2 man practice and is very well known in the area. They scheduled surgeries side by side and did them together for more difficult cases. Like I’ve mentioned before, my docs get a lot of the cases that the other hospitals (OTHER HOSPITAL sent them patients all the time) in the area won’t take (i.e. Hard revisions, super M. Obese, etc.). Pittsburgh is well known as a strong medical city and I had 3 Bariatric Centers of Excellence within a few miles of each other to choose from (and there are several others in the surrounding area). OTHER HOSPITAL is the big conglomerate in the area though that has been buying up the smaller hospitals…apparently they offered him a bundle. Well, all hell broke loose at that point (quietly, but it was so tense you could feel it), it was a mixed period of stunned silence and occasional questions blurted out. I’m perfectly comfortable with my Dr. (the 2nd doc, and I met him at the seminar), he’s been doing laparoscopic procedures for many years and has done hundreds of bandings, and he’s well know as pioneering some of the cutting edge laparoscopic procedures (like the DaVinci robot that is run from a different room…actually more precise laparoscopically than by hand, so they use this in difficult cases). But I’ll have to tell you, that even I was thinking through…What if he needs help? There’s no one there! Then I’m thinking, what if they postpone my surgery…how can one guy handle the surgical load of 2? The worst part was that we didn’t know this before the class…poorly handled. Some people were asking tons of questions (had never even met the other Dr. and especially with an RNY, I’d be worried too!). She offered to set up meetings with the other doc for people who hadn’t met him. Here’s hoping my surgery doesn’t get postponed! The class left on a pretty uncomfortable note…not the way you want to feel a few weeks before surgery when you’re already nervous.

Doggie egg hunt! Great idea! Hope your meeting went well. Have a great weekend! We're off!

226.5 this morning. Down 4.5, not bad for no pre-op diet. I'm officially below the 35 BMI now and have lost another 10# head...but I'm waiting until after this Easter weekend to make it official. Leaving for our trip soon...wish me luck with being with my foodie family and all that candy!

DD found a ride home from college (saved me a 4-5 hour trip tonight, whew), so I’m back from the track meet and all packed for the trip tomorrow, so onto my day… Stop reading if you don’t want to read about my incontinence issues, yes…again (it never ends). I went in this morning (after taking DS1 to get blood work and to school) to get my ultrasounds done for the incontinence Dr. (Urology Specialist). After drinking the prescribed 32 oz. plus some an hour before the appointment, I arrived 15 min. early as instructed, full and ‘ready to go’. My appoinment time came and went...then I sat for another 15 min., then another 5…my back teeth were floating by then and my eyes starting watering…I crossed my legs and said a prayer of thanks that the good Dr. had put me on Vesicare, or it would have been all over by now. 5 more min…I’m in some serious pain…and then I gave up…I walked up to the receptionist (with my knees locked together) and asked politely for the bathroom key. ‘Oh, but I think they need your bladder full for this procedure’. I glanced around at the men sitting in the quiet waiting room...OK, I'm way beyond caring. I nicely said ‘I understand that, but they are late for my appointment and I have to go NOW!’ (Do they understand that I am here for an incontinence issue??!! What about a full bladder and having to wait longer than expected don’t they understand??!!!) She saw the desperation in my eyes…or maybe it was the tears of pee streaming down my face…either way, she showed me right in. The tech lady had a ‘trainee’ gentleman with her, so I tried to be brave. The rest was textbook, well sort of…ultrasound of my bladder (yeah, push on my bladder a little harder with that thing…I dare you), then kidneys, then ovaries (do you know your ovaries move around with age, yes, even without a hysterectomy…I thought that was interesting). Then she handed me the lubed up ‘probe’ and asked me to place it up the vajay-jay (Oprahism). She sought out the ovaries internally…all I’ve got to say is that I’m glad she knows what she’s doing…looking for a baby on an ultrasound is a piece of cake compared to finding ovaries that are no longer where they are supposed to be (I think mine were touching...awww, cute). Even looking at the screen it all looked like fog to me…no dark spots, no light spots. Don’t you always try to read the tech’s face just to know that they didn’t find something bad? Am I the only one who thinks I’ll be watching the tech’s face and they’ll gasp when they find the 70 lb. tumor (that’ll explain the weight gain anyway). Sometimes I can even get something out of them…this one wasn’t budging, not a thing…I even pulled the ‘I’m having abdominal laparoscopic surgery in less than 2 weeks.’ Nothing…no indication…I’ll get the results by Monday. I’ll try to post about my pre-op visit today this weekend…it was…interesting.

DD found a ride home from college (saved me a 4-5 hour trip tonight, whew), so I’m back from the track meet and all packed for the trip tomorrow, so onto my day… Stop reading if you don’t want to read about my incontinence issues, yes…again (it never ends). I went in this morning (after taking DS1 to get blood work and to school) to get my ultrasounds done for the incontinence Dr. (Urology Specialist). After drinking the prescribed 32 oz. plus some an hour before the appointment, I arrived 15 min. early as instructed, full and ‘ready to go’. My appoinment time came and went...then I sat for another 15 min., then another 5…my back teeth were floating by then and my eyes starting watering…I crossed my legs and said a prayer of thanks that the good Dr. had put me on Vesicare, or it would have been all over by now. 5 more min…I’m in some serious pain…and then I gave up…I walked up to the receptionist (with my knees locked together) and asked politely for the bathroom key. ‘Oh, but I think they need your bladder full for this procedure’. I glanced around at the men sitting in the quiet waiting room...OK, I'm way beyond caring. I nicely said ‘I understand that, but they are late for my appointment and I have to go NOW!’ (Do they understand that I am here for an incontinence issue??!! What about a full bladder and having to wait longer than expected don’t they understand??!!!) She saw the desperation in my eyes…or maybe it was the tears of pee streaming down my face…either way, she showed me right in. The tech lady had a ‘trainee’ gentleman with her, so I tried to be brave. The rest was textbook, well sort of…ultrasound of my bladder (yeah, push on my bladder a little harder with that thing…I dare you), then kidneys, then ovaries (do you know your ovaries move around with age, yes, even without a hysterectomy…I thought that was interesting). Then she handed me the lubed up ‘probe’ and asked me to place it up the vajay-jay (Oprahism). She sought out the ovaries internally…all I’ve got to say is that I’m glad she knows what she’s doing…looking for a baby on an ultrasound is a piece of cake compared to finding ovaries that are no longer where they are supposed to be (I think mine were touching...awww, cute). Even looking at the screen it all looked like fog to me…no dark spots, no light spots. Don’t you always try to read the tech’s face just to know that they didn’t find something bad? Am I the only one who thinks I’ll be watching the tech’s face and they’ll gasp when they find the 70 lb. tumor (that’ll explain the weight gain anyway). Sometimes I can even get something out of them…this one wasn’t budging, not a thing…I even pulled the ‘I’m having abdominal laparoscopic surgery in less than 2 weeks.’ Nothing…no indication…I’ll get the results by Monday. I’ll try to post about my pre-op visit today this weekend…it was…interesting.

Well, we finally got everything straightened around, work schedules covered, and we're off Friday morning to Ohio (to see my family) for Easter and for the boys Spring Break (they don’t ever have a whole week here, it’s just a long weekend…where days disappear if we have snow days…crazy). I’ve decided since I’m not on a Dr’s. pre-op diet (just my own self imposed one) that I can swing being around the family without telling them about my surgery. I’m taking some of my shakes and I’ll just tell them I’m doing Atkins again…2 of them have been on Atkins before with me, and several of them are doing Weight Watchers now, again. I’m probably either the ‘lighter’ one/same as my 4 siblings, so it’s going to be hard not talking about something that has to do with weight loss, but like I've said, I don't want to have to defend my decision now or talk about it all the time, and the timing is bad with the graduations. I just realized I need to get my act together because, other than candy, I don’t have a thing for the baskets yet. If you weren’t around for my Christmas festivities, let me explain that holidays are a huge deal in my family…and Easter for my Catholic family is a biggie. There will be several trips to church, eating of fish, caravans to people’s homes for lots of meals including Easter brunch and Easter dinner. Then there are the Easter bunny things. Not only does everyone (my Mom still insists on doing these for the adults too...yes, even my 43 yr. old bachelor brother still comes over for his basket hunt...you're still a kid when you go home) have to hunt in the grandparent’s house for their basket, but then there are several egg hunts. As the teens have gotten older we’ve increased the number of eggs (but not the total amount of candy) they have to find (or it would be all over in minutes). We’re up to 60-80 eggs for each and they each get their own room…they still love doing it. Then a little while later we do an easier hunt for the little ones. The Easter baskets are filled with goodies and little gifts and I’ve just realized I’ve forgotten to start collecting things for these…yikes!! All that shopping for LB stuff got me sidetracked from life…how dare I think about myself first (I have the Catholic guilt too). DD’s BF is coming with us, so I’ll have an extra basket to make for him now…my Mom has set the standard and turned this into a monster LOL…I’ll be making up baskets when I’m 90 for my kids, grandkids, and great-grandkids. At least with the LB I will have a chance to live that long! I’m off to stuff several hundred plastic eggs, finish the laundry and start packing. Tomorrow is a busy one, routine blood work for DS1 and drive him to school (1/2 hr. away), my abdominal ultrasound (for the incontinence Dr., not LB), afternoon at the pre-op class (3 hrs.), and then pick up DD over at college (4 hrs.). I’ll try to let you know about the pre-op class before we leave town (and I’ll take the laptop, but my parents don’t have wireless, so who knows) so if I’m not back…have a great weekend all!

Well, we finally got everything straightened around, work schedules covered, and we're off Friday morning to Ohio (to see my family) for Easter and for the boys Spring Break (they don’t ever have a whole week here, it’s just a long weekend…where days disappear if we have snow days…crazy). I’ve decided since I’m not on a Dr’s. pre-op diet (just my own self imposed one) that I can swing being around the family without telling them about my surgery. I’m taking some of my shakes and I’ll just tell them I’m doing Atkins again…2 of them have been on Atkins before with me, and several of them are doing Weight Watchers now, again. I’m probably either the ‘lighter’ one/same as my 4 siblings, so it’s going to be hard not talking about something that has to do with weight loss, but like I've said, I don't want to have to defend my decision now or talk about it all the time, and the timing is bad with the graduations. I just realized I need to get my act together because, other than candy, I don’t have a thing for the baskets yet. If you weren’t around for my Christmas festivities, let me explain that holidays are a huge deal in my family…and Easter for my Catholic family is a biggie. There will be several trips to church, eating of fish, caravans to people’s homes for lots of meals including Easter brunch and Easter dinner. Then there are the Easter bunny things. Not only does everyone (my Mom still insists on doing these for the adults too...yes, even my 43 yr. old bachelor brother still comes over for his basket hunt...you're still a kid when you go home) have to hunt in the grandparent’s house for their basket, but then there are several egg hunts. As the teens have gotten older we’ve increased the number of eggs (but not the total amount of candy) they have to find (or it would be all over in minutes). We’re up to 60-80 eggs for each and they each get their own room…they still love doing it. Then a little while later we do an easier hunt for the little ones. The Easter baskets are filled with goodies and little gifts and I’ve just realized I’ve forgotten to start collecting things for these…yikes!! All that shopping for LB stuff got me sidetracked from life…how dare I think about myself first (I have the Catholic guilt too). DD’s BF is coming with us, so I’ll have an extra basket to make for him now…my Mom has set the standard and turned this into a monster LOL…I’ll be making up baskets when I’m 90 for my kids, grandkids, and great-grandkids. At least with the LB I will have a chance to live that long! I’m off to stuff several hundred plastic eggs, finish the laundry and start packing. Tomorrow is a busy one, routine blood work for DS1 and drive him to school (1/2 hr. away), my abdominal ultrasound (for the incontinence Dr., not LB), afternoon at the pre-op class (3 hrs.), and then pick up DD over at college (4 hrs.). I’ll try to let you know about the pre-op class before we leave town (and I’ll take the laptop, but my parents don’t have wireless, so who knows) so if I’m not back…have a great weekend all!

Wendy, thanks for this post. I had to read it several times it struck such a nerve with me. I'm not afraid I'll lose the weight (again), but I'm terrified I'll gain it back (again). Thanks for giving me hope. -BG

Wow this group is really moving along! Doodle- I don't get my fill until 6 weeks post-op either (yeah, that's longer than most).

Just say yes to drugs...LOL! With age comes wisdom. Now tell me while it took until my 3rd childbirth to ask for something? Strong women know how to ask for help!

Thanks all, this is helpful. JT, what kind of calcium, citrate? Do you mind me asking what the B is for?

Nope, no one reads these...LOL. Welcome! -BG

Good luck ldeere! You'll do great...look at that pre-op weight loss! Prayers for you! -Bg

Body mask...LOL...Do you think if I bathed in it that I'd lose weight, maybe tighten up the skin?? A lot of the RNYer sites talk a lot about Greek Yogurt (mainly Fage...it has an almost cult-like following on some sites...some buy it by the case). It's not like other yogurt...WAY thicker, and more sour than yogurt (if you like cheesecake and sour cream you'll love it, but I'd never eat it plain). Low Sugar and High Protein...you can use it in recipes like sour cream or mix other things in with it (I've been collecting ideas...SF preserves, Kashi Go lean, low fat peanut butter, SF pudding mix, etc.). So it's a nice High Protein Breakfast or it's like a treat with fruit. Good for times when you're 'tight'. It's expensive though. I'm going to ask Thursday about getting the Rx early also. I tried to get my PCP to give me a phenergan Rx, but I couldn't convince her I'd need it...LOL, I get sick watching video games movements. I'm not leaving the hospital without it (it'll give DH something to do). My last surgery they gave me two things prior/during surgery to prevent nausea (OTC patches/pills do nothing for me). I did get a Rx for something in case I get a migraine, Epidrin (not an NSAID). You can also take Tylenol/acetaminophen as it's not an NSAID and many docs still let you take the NSAID's in small amounts, so it's worth asking (so far mine says no, and I wouldn't want to risk ulcers anyway). I've heard some say their docs would rather give them a narcotic for bad pain than an NSAID (or maybe medical Marijuana LOL). Yeah, I'm a Mary Poppins...I like having whatever I might need when I'm miserable. My DH's a sweety, but women are just so much better at nurturing...I need a wife for times like these.

Congrats Jimbo! Come join us at the April Bandsters Forum! Click HERE.

ldeere-awesome WL, good luck! I'll let you know Thursday when I have my pre-op class (I just got the phone call from the insurance/scheduler who told me no preop diet). My docs take on all the hard cases in Pittsburgh (the other hospitals send them patients regularly) so I'm hoping they're just that good LOL! It wouldn't surprise me though, when I went to my surgeon consult with questions I found here they just laughed at some of them...ie. needing fluoro. or xray to find ports ever (answer was 'we won't need that'). I'll be sure to ask!

Paige- Thanks so much for the ideas! I haven't seen anyone who likes any of the unflavored ones yet (apparently, unflavored doesn't mean no flavor LOL). Scooby- I've been drinking the Atkins shakes today and yesterday and they're not bad (I got both the chocolate flavors), much better than the Target ones. Are the costco ones low carb?

I'm going for my pre-op meeting soon and they asked us to bring a list or bottles of everything we're taking (I got lazy and have only been taking a multi-Vitamin lately). This got me thinking about things I've taken before; additional Calcium, Vit D, fish oil, glucosamine/condroitan (joints). I know we don't have to specifically take a lot, like the RNY'ers do (and there shouldn't be a lot of hair loss, other than the loss you get 3 months after any surgery), but are there things you're taking that will help us just by being on a low cal diet? I'd like to go into my meeting with a complete list now rather than having to ask to add things later. OK, besides a good Multivitamin (I've started the reg. Centrum Chewables- not the seniors version w/o iron), what other vits/mins are you taking, how much daily (units), brand (if you have a preference) and why (if there's a specific reason)?

I don't know your height, but I'll give you mine and you can get an idea. I'm about 5' 8.5" and my 'shoot for the stars' goal is 148 (just because that will be 100# LOL). I've been back down to 160 several times recently and I know I had more than 10# extra on me then, but 148 may be attainable with lots of work, or if I'm a little above it and happy, that's fine with me (I'm one who won't be disappointed if I don't reach a certain goal). 148 would give me a BMI of 22.2. I was at 19.5 when I got married and (even flat chested-just so you know there wasn't any fat on me) I was too thin. Part of this does depend on your body build (and your age). I set a range for my goal. Hope that helps!

Shrinking the Liver- FYI...I thought I'd look up how a liver shrinks through diet...just curious, since my doc doesn't require a pre-op diet. Here's what I found out (surgery article from BOSPA): By following a strict diet (low fat, sugar and carbs), your body reduces its glycogen stores (glycogen is a form of sugar stored in the liver and muscles for energy). With each ounce of glycogen, the body stores 3–4 ounces of water, so when you follow a very strict diet, especially one that is low in starch and sugar, your body loses its glycogen stores and some water. The liver shrinks as it has less glycogen and water in it. This diet is only recommended for one week before surgery and is not to be followed post–operatively. It is quite possible you lose a lot of weight that week, but it will be mainly be water loss. Please ensure you continue to drink throughout the day. I thought it was interesting that it explains that the liver is shrinking because of water loss in the liver. That also explains why people gain weight many times once they get back on normal foods, even when they're not eating many Kcals...the water is coming back too.

Hey 21 is a really low BMI, but you're really young, so it would look better on you than me. I was a 20.5 when I got married and I was too thin, but I'd look bad at my age with even a 21 BMI...weight shifts. I'd set something in the middle of your 'normal' BMI range...and what I always say is, you'll know it when you get there!

Sending you a PM, now! -BG

April 22!!! Can't wait!!!

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