Wednesday, May 14, 2008

Two Weeks!

Two weeks until the start of my new life!!!

So... before surgery I have to:
- Meet with Rachel (the NUT) for my 6-week post op instructions (DONE!)
- Meet with Dr Hart to go over the final paperwork, sign consent forms, yadda yadda (scheduled for next Monday the 19th at 10 AM)
- Meet with the Anesthesiologist for pre-op consultation (scheduled for next Monday the 19th right after meeting with Dr Hart)

So.. yesterday was the meeting with Rachel, and it went well. It was a mini-class that had about 6 upcoming patients in it. She gave us these paper packets that had all the info we need and then she went over it. So.. (in the words of V).. here's the 411 for the demolition:

*EXERCISE*
CARDIO
-you may start as soon as you can, there is no restriction on when you can start exercising after surgery.
-start only with walking until first post opp appointment with surgeon (JUNE 5th)
-minimum of 3 times/week for 30-60 mins per session GOAL: 5 times/week for 30-60 mins
-exercise in Target Heart Rate zone
-consistency is key
-PRIMARY cause of plateau is LACK of consistent exercise
RESISTANCE TRAINING
-2-3 times/week when cleared by Surgeon

EXERCISE WILL HELP YOU REACH YOUR WEIGHT LOSS GOAL
AND
EXERCISE WILL HELP YOU MAINTAIN YOUR WEIGHT LOSS

*VITAMIN SUPPLEMENTATION*
MULTIVITAMIN & IRON - 2 multi & iron with breakfast
CALCIUM - GOAL: 1000mg to 1500mg of supplemental calcium with vitamin D per day
-2-3 per day
-split dose, do not take 2 at a time
-take separately and with meals to enhance absorption, wait at least 1 hour between doses
-do NOT take at the same time as the multivitamin
-Calcium Citrate is best
B12 - 2000mcg per week
-must only take sublingual B12 or once a month injections

YOU WILL NEED TO SUPPLEMENT FOR LIFE TO MAINTAIN YOUR HEALTH. DO NOT SKIP DOSES

*POST SURGICAL GUIDELINES*
-there are 4 stages
STAGE 1 - in Hospital- Clear Liquids
STAGE 2 - until 1st f/u appt (june 5th) - Full Liquids
-goal is to consume 3 protein drinks and 2 servings of liquid food
-menu: 8-10AM Breakfast-Protein Supp #1 10:30-11:30AM Snack 12:30-2:30 Lunch-Protein Supp #2 3-4 Snack 5:30-7:30 Dinner-Protein Supp #3 7:30-bedtime Water or other non-caloric non-carbonated beverage
DO NOT EAT ANY FOODS THAT REQUIRE CHEWING AT THIS STAGE
SNACK LIST: cream of wheat, plain oatmeal (can sweeten with splenda or equal), sugar free jello,pudding, or Popsicle, instant mashed potatoes (very thin), light fat free yogurt (no chunks), 98% fat free cream soups(strained), broth based soups(strained)
Do not choose foods that are not included in the above snack list
Protein Supplement: 80z of fat free or 1% milk (or Lactaid) plus 1 scoop of protein powder. Add 1 serving of Benefiber powder to 1 supplement, may add to all 3 if needed to help with constipation. Use UNJURY Protein.
By the end of the day, you should have consumed 24oz milk, 3 scoops of protein powder, 1 serving of benefiber and 2 liquid snacks. and water of course.


So yeah... that is through stage 2. I'll post the stage 3 & 4 stuff later! I will start stage 3 on June 6th I suppose. I'm getting anxious now.... not really scared yet, but anxious! The next two weeks are going to be sooooo long!

TTFN! :)

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