023 Pre-Op Liquid Diet (2 Weeks)

Good morning, everyone! Tomorrow Jimmy will be starting his Pre-Op Liquid Diet. Before I get into all the specifics of what Jimmy is going to be doing, I want to remind you that every WLS program is different. This is the liquid diet that was given to Jimmy by his surgeon and it may differ from the diet either you or someone you know were asked to follow. Also, please remember that you should always consult your personal doctor before trying a new dietary program.

Ok, now that all the technical items are out of the way we can get down to business!

As I said, tomorrow Jimmy will be starting his 2 Week Pre-Op Liquid Diet as perscribed by Dr. Hornbostel. The purpose of the liquid diet is to help Jimmy drop a few pounds before the surgery, prepare his body for smaller amounts of food intake, and to cleanse his system before undergoing operation.

Heartland Bariatric Center has designed specialized diets for men and women for each type of surgery they offer. They even offer two different options for men undergoing the gastric sleeve! Through some discussion about taste, amount of food allowed, and cost of supplies this is the option that Jimmy and I decided upon for him:

DAILY

• Five Cups (40oz.) of 2% milk, each with No-Sugar added Carnation Instant Breakfast
• One Cup (8oz.) of 100% fruit juice
• At least 48-64oz. of other liquids (from the allowed liquids list) daily

ALLOWED LIQUIDS

• Water
• Diet V-8 Splash, V-8 juice or Tomato Juice (Not a chance Jimmy will try these)
• Sugar-Free Jell-O
• Sugar-Free Popsicles (Less than 15 calories per serving)
• Fruit 2-O
• Crystal Light (Jimmy was really excited about this one!)
• Diet Snapple (Not a Chance)
• Up to 2 Cups of broth (unlikely)
• Decaf coffee, tea (Not a Chance--I know he's weird, right?)
• Powerade Zero/Gatorade Zero

Now that you know what Jimmy is in for I really ask that you will keep him in your prayers. Other people have said that they have experience hunger, irritability, and fatigue during the first few days of their liquid diets. So I am sure that things are going to be really fun at our house!

Also, pray for us as we continue to make Post-Op Preparations too.

Grace and Peace,

022 Judy Shares About Why It's Important to Talk to Your Doctor

Salam and good evening to you worthy friend! Thanks for dropping by Jimmy Goes Gastric. Today I want to introduce you to a friend of mine. Her name is Judy. Judy and I have known each other since we were kids. We went to school together and played together. I remember the struggles that Judy's family went through when tragedy struck unexpectedly. Judy has been following our story here on Jimmy Goes Gastric and as a result she contacted me the other day to share some of her family's experience with WLS. After talking to her I asked if she would kindly share some of her story with everyone here, and she graciously agreed.

Please keep reading as Judy shares from her own personal experience why it is important to keep an open line of communication between you and your doctor when you are undergoing WLS.

Why It's Important to Talk to Your Doctor

Hi. My name is Judy. My family (two brothers, Mom, & Dad) lived in Fulton, Missouri, for most of my childhood.

My father died when I was just twelve years old. He died because of his obesity. My mother, who was also obese, was worried that she would die soon, as well if she didn't lose weight.

Mom dieted and exercised and still struggled with her weight. It was then that she decided to have gastric bypass. She was thrilled that she was accepted to have the surgery done. I remember her being worried for the actual surgery. She worried she wouldn't survive the procedure, but never worried about what would follow the surgery.

The surgery was a success, and the pounds began to melt away. She lost 150 pounds in no time. But her road was not easy. Everything she ate made her sick. Because I was so young I don't know if her doctors had prepared her for that, or if they had told her what to eat to keep her healthy and she just struggled with it.

I remember her eating cheese sticks all the time because that is all that she was able to keep down. Because she wasn't getting the nutrition she needed her blood sugar would drop and she would go into diabetic comas. Many times my brother called for an ambulance because she was incoherent and didn't know who we were.

The last time she went into a diabetic comma, she didn't wake up. After my mother died I was angry that she had had the surgery, but since I have come to understand that her obesity could have killed just like it had my father. I was blessed to have those six extra years with her.

I know this surgery can be life changing. I have seen many people who have had it done successfully. I would just like to encourage all those who are considering having this done to be well educated about this decision. Keep a close dialogue with your doctor before and after the surgery. Fill your life with people who can support you and help you through this journey. Nothing is more important than that!

Thanks for letting me share my story with you.

Judy

015 Dr. Appointment Blitz

After completing the six months of doctor supervised weight loss, Jimmy was scheduled to go in for what we have affectionately deemed the “doctor appointment blitz”! Our blitz was on July 10, 2012. What it entailed were back to back visits with the Surgeon, Dietician, Physical Therapist, and Psychologist. Basically it was everyone you needed and wanted to see to finish getting your insurance approval.

The blitz lasted for approximately five hours. During that time we collected a TON of information, answered a plethora of questions and were given various tests to determine Jimmy’s physical and emotional/mental preparedness for his WLS. The best thing about the whole experience is that this team of blitzers will be helping Jimmy prepare for his surgery, file his insurance paperwork, performing his surgery (ok just the surgeon) and helping him with adjusting to a new diet and exercise program. So it was really great to get a chance to finally meet these people.

During our Dr. Appt. Blitz we also learned that for Jimmy’s safety and a possible transitional weight loss method, Dr. Hornbostel (Jimmy’s surgeon) would like Jimmy to consider doing the gastric sleeve surgery. It will help him to lose weight quickly without the complications of replumbing of the small intestine (on a person Jimmy’s size) that the gastric bypass would include. He is confident that Jimmy will do well with the sleeve and should Jimmy need an additional weight loss push in a year or two the gastric bypass will still be open to him since Dr. Hornbostel will be pursuing the gastric sleeve as a treatment for Jimmy’s acid reflux. The only additional thing we have to do to qualify to have the gastric sleeve as an acid reflux treatment is to have an EGD (esophagogastroduodenoscopy) to prove that Jimmy has a hiatal hernia which is causing his reflux. We even scheduled his EGD for July 17th before we left the office.

All in all, we have nothing about great things to say about Dr. Hornbostel and his team. They really took their time with us and made sure that we understood what we were getting ourselves into. They were realistic with us about the positives and the negatives of the WLS and they are prepared to go through them with us. All in all it was one of the best Dr. Appointments we have ever had.

Over the next several posts I will be talking about some of the specific appointments that Jimmy went through and our experiences through it all.

010 White Coat Syndrome

Have you ever experienced a severe spike in anxiety and blood pressure when you know you are going to the doctor or at the doctor's office? If so then you might be suffering from white coat syndrome. I personally didn't believe in this at one point and time. BUT then I started going to the doctor with my hubby, Jimmy.

Jimmy doesn't like doctors. He doesn't like needles, and he doesn't like waiting. All these things combined can make for a very stressful doctors visit. Especially when you combine a couple of those elements in the same visit. These things have a very real effect on his blood pressure.

I have been in a doctor's visit where they took Jimmy's blood pressure upon entering the exam room and found it to be high. Then upon his request they would take it after he had time to talk to the nurses and laugh things off and it has been as much as 15 points lower in both numbers.

If you are like Jimmy and the doctor is monitoring your blood pressure closely then you want to make sure that they get an accurate reading. Here are some things that you need to consider to get the most accurate blood pressure reading at the doctor's office:

• Are they using the right size blood pressure cuff?
• Jimmy has large arms because he is over weight so they have to use a thigh sized cuff to get an accurate reading on his upper arm.
• If they attempt to use a cuff that is too small then your readings will be high and vice versa if the cuff is too large.
• Are they taking your blood pressure in the same place each visit?
• Jimmy's blood pressure varies greatly when they take readings in his forearm versus his upper arm.
• Forearm readings (at least in Jimmy's case) are higher approx. 99% of the time.
• Have you considered asking the nurse to take a second blood pressure reading after you have had a few moments to get settled in the exam room?
• Answering the mundane health questions they ask every visit often takes your mind off the anxiety of the visit and helps you calm down.
• You may get a better reading if you have your blood pressure taken at this time.

Please remember that I am not a doctor but these are things that we have found to be true in Jimmy's case. Maybe you can find something in here that can help you too. Rest assured that White Coat Symptom is a very real thing and can drastically effect your blood pressure and heart rate.

Until Next Time,