Wednesday, March 24, 2010

Pre operative food prep and vitamins

Food prep: I wasn't on a super strict pre-operative diet prior to surgery. Some people have to do two weeks of fluids, shakes and soft mushies in advance. My surgeon only required a realistic program that was laid out in very basic, non-medical terms that any dummy could follow. But honestly, not everyone does what they are supposed to do. I did my best, but altered a bit here and there because of my schedule at that current internship site was varied and lunchtimes and "free time" for snacks varied greatly based on our daily caseload.

Pre-Op Diet Instructions- all information provided to patients from U.S. Bariatric from Flagler Hospital, a Bariatric Center of Excellence and have ASMBS certified surgerons on staff.

You are going to start phase two of the pre-operative diet immediately. Please follow the diet protocol exactly as it is written. The diet is going to be critical in preparing your liver (very, very important for safety) for surgery and decreasing your risk of having to do the surgery open instead of laparoscopically:

Breakfast
•8 oz skim or 1% milk
•½ protein drink
•4 oz fruit
Mid Morning
•Protein drink
Lunch
•6-8 oz low fat, light yogurt
•4 oz vegetable or fruit
Afternoon
•1 oz nuts or 2 tbsp peanut butter or ½ cup beans or hummus
•4 oz vegetable or fruit
Dinner
•4 oz protein
•4 oz vegetable with 1 tbsp olive oil
•½ cup whole grain starch or 1 slice whole grain bread or ½ potato
Evening
•8 oz skim or 1% milk
•½ protein drink
•4 oz fruit


VITAMINS: You must take the following twice daily until surgery: a fiber supplement (5 grams), multiple vitamin, calcium (600 mg), and CoQ10 (50 mg).

My doctor told me to stop taking ALL other herbal supplements and ANY NSAIDS prior to treatment. There are MANY types of OTC vitamins and prescription medications that can cause thinning out and occasionally thickening of the blood, which can cause problems and serious, life threatening problems post-op. After surgery, vitamin requirements will change and the types and compounds in the vitamins will be need to be more closely monitored because many meds will not absorb properly in our system (some irons, some calciums, some B12, most oil based vitamins).

"Be sure to intake 100 ounces of free liquid (water, crystal light, hot tea, diet iced tea, broth, decaf coffee, propel water, sugar free jell-o, sugar free popsicles, etc.) Your fiber supplements and your protein supplements count toward your 100 ounces of fluid."


Their recommendations for protein supplements are as follows: Contains pure whey protein, between 20 & 40 grams of protein per serving, is low fat and has less than 5 grams of total carbohydrates. Many/most ready to drink (RTD) protein supplements have less than 20 g protein, but the mix ones tend to have a little more. The trick is ordering tons of samples because you never know what you're going to like, and then post op, your taste buds change tremendously. I ended up finding Low Carb/High Protein Slim Fast shakes, BUT the problem was that about a month post op, they recalled them and they haven't been on the market since. Boo.

In addition to my mainstream vitamin and food protocol, I added alternative medical stuff. I did some hyperbaric oxygen treatments in preparation for surgery, which I continued following surgery. I did 2-3 dives for 1-3 hours per week for a month prior to surgery. The hyperbaric chamber is so awesome and is one of those experiences that is kind of hard to explain, but the best way to describe it is that a one hour nap in there feels like three hours of sleep. I always feel so refreshed coming out of the chamber. The oxygen chamber is used for all sorts of conditions, including sports injuries, stroke, spinal cord injuries, wound care, Autism, cerebral palsy. Some basic good info can be found here and here. Also, I did glutathione IV infusions to help my liver and system process all the junk out of it. I received both of these treatments from here.



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