mastadonn

Use a baby spoon. +1 on putting down the utensil between bites. Limits the amount of intake

I use the ready to drink Pure Protein 35 in milk chocolate, Cookies and cream and Peanut Butter cup. Also the Pro 50 ready to drink in Chocolate, banana, or chocolate peanut buter. Oh Yeah! rtd in the 18 or 36 gram size is ok, but more calories.

My Doctors and nutritionist have widely varying ideas on how much to take in. The nutritionist's program guidelines say at least 1200 calories per day, 100-140 gr. Protein, at least 130 grs of carbs and no less that 30 grs of fat. She believes that less than that will put my body into starvation mode and be counterproductive. The Doctors (surgeon and primary care) say around 800 calories per day is ok with 80-100 gr of protein, low carb and fat. When I asked the surgeon about the diference of opinion this week, he said that your body is supposed to be in starvation mode following the surgery. I think he was joking? I had surgery on 10/19 and just started soft foods this week. In general I have been in the 600-800 cal range over the past two weeks and don't see how I would be able to get in 1200 calories per day. While Breakfast cereals like oatmeal or cream of wheat have a good amount of carbs (20 gr. or so), everything else I am eating combined throughout the day probably does not add up to more than 40 gr total. Essentially, I eat until I fill full and then stop. This usually amount to 3-4 oz, even though my program guidelines say I could eat up to 6 oz at a time, during the 4-6 month soft food stage. 10/19/10 392/365/343

I have been reading the VGS forum for a while prior to surgery and learned a lot. I posted the following in the Man's Room, but thought I might introduce myself here as well. After being denied by insurance twice for WLS due to lack of Doctor's justification of necessity, I finally asked my local bariatric center who they normally dealt with that knew how to fill out the information. Changed PCP and six months later I am on the other side. I was sleeved on Tuesday (10/19/10) by Dr. Hormuz Irani at Mercy Southwest Hospital in Bakersfield, CA. Don't remember anything about the surgery beyond being wheeled in the surgical center. Started at 391 lbs in June. Was at 368 prior to surgery and am now down to 347. Need to get down to goal of ~210 lbs. Still not getting in all the Water (64 oz+ in addition to the 64 oz of protein) that the dietician recommends, but working on it. Dietician and my Dr.s can't seem to agree on dietary needs. Dietician recommends no less than 1200 cal/day, 100-140 gr Protein, >130 gr Carbs, >20 gr Fat. Dr.'s say 800-1000 cal/day, 80 gr Protein, with limited Carbs and Fats. Still on full liquids, but hopefully get cleared for pureed tomorrow. Had a difficult time following surgery, due to sleep apnea. Hospital finally provided a CPAP on the 2nd night and I got some sleep. Spent two days in hospital and could not eat/drink any substantial amounts when I finally left. Doing better now. Walking and getting light weight/resistance exercise now. Need to do more. 10/26/10 Had the Dr appt today. Removed drain with slight pain. Surgeon said the operation was one of the best they had done. In talking to the PA about the issues at the hospital, I mentioned the issue of the CPAP. She was surprised that they allowed me to use one, since their protocol for sleeve patients call for NO CPAP for the first five days after surgery. Nobody mentioened this fact to the hospital staff or me. I have been using mine every night since I got home I guess my staple line has been pressure tested at this point :-) Had some refried Beans with cheees for dinner (4 oz). Some stomach rumbling but very good after a week of Protein shakes and water. Maybe tomorrow some tuna salad.

I used the County Employee's Managed Care Insurance system. They have apparently really tightened up their criteria for approval over the past 5 years. But on the flip side they had no issues with approving the VGS as a surgery option. San Joaquin would have been my first choice for hospital, but Dr Irani uses MSW now rather SJH. Best wishes.

Had the Dr appt today. Removed drain with slight pain. Surgeon said the operation was one of the best they had done. In talking to the PA about the issues at the hospital, I mentioned the issue of the CPAP. She was surprised that they allowed me to use one, since their protocol for sleeve patients call for NO CPAP for the first five days after surgery. Nobody mentioened this fact to the hospital staff or me. I have been using mine every night since I got home I guess my staple line has been pressure tested at this point :-) Had some refried Beans with cheees for dinner (4 oz). Very good after a week of Protein shakes and Water.

I was sleeved on Tuesday (10/19/10). Will have my first Dr. appt tomorrow. Don't remember anything about the surgery beyond being wheeled in the surgical center. Started at 391 lbs in June. Was at 368 prior to surgery and am now down to 347. Need to get down to goal of ~210 lbs. Still not getting in all the Water (64 oz+ in addition to the 64 oz of protein) that the dietician recommends, but working on it. Dietician and my Dr.s can't seem to agree on dietary needs. Dietician recommends no less than 1200 cal/day, 100-140 gr Protein, >130 gr Carbs, >20 gr Fat. Dr.'s say 800-1000 cal/day, 80 gr Protein, with limited Carbs and Fats. Still on full liquids, but hopefully get cleared for pureed tomorrow. Had a difficult time following surgery, due to sleep apnea. Hospital finally provided a CPAP on the 2nd night and I got some sleep. Spent two days in hospital and could not eat/drink any substantial amounts when I finally left. Doing better now. Walking and getting light weight/resistance exercise now. Need to do more. Donn Fergerson Bakersfield, CA