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Day 4 and 5

Kio

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I meant to do this every day, at least for the first month, but I missed yesterday due to laziness.  I'll make up for it with two entries today. :)

Yesterday was pretty boring, anyway. I drank water, I walked, I drank protein, I walked, I drank tylenol, I walked.  I watched 5 episodes of This is Us, which turned out to be really really good even though it doesn't have aliens or wizards and so far, nothing has blown up.  I ate two sugar free popsicles. 

I didn't make my protein or fluid goals, but I'm working on it. The goals are 60-90 grams of protein a day and 48-64 ounces of water. Yesterday I got to 37 g protein and 42 oz of water. I need to work harder.

I can't remember if I've said this before, but part of not getting to goal is fear of what's happening in the pouch. My last day in the hospital and first day home, I didn't feel anything at all in there, so I was worried I'd pop something open if I drank too fast.  Then I started to be able to feel it, but it felt full pretty quickly. I think that was mostly air, but again, worried I'd do some damage if I put too much in there.  I'm burping a LOT - pretty much every swallow is a swallow plus a burp. I'm trying to let go of that worry based on some advice I've seen around the forums, and just get to where I need to be.  I have this half-liter water bottle, and three of them should get me to 48 ounces; I'm about halfway done with the first one now.  And 60 grams of protein is two 11-oz premier protein shakes, so that's going to be the intake for the day.  

Another thing I'm not sure I mentioned.  I went into surgery at 298 lbs on my home scale, and came out at 309 lbs. That's a post-surgical bounce of 11 lbs, which I'm guessing is 100% fluid due to inflammation plus IV liquids.  I didn't lose anything until I hit 308 yesterday and then 306 today.  So the water is coming off, and I'm counting that as a win. :)  Seems like the more water I drink, the faster the water weight drops, which kind of makes sense.

I still have no hunger.  My friends had Thai takeout the other night, and we all sat together watching TV while they ate.  I felt a little wistful - like I wished I could join them?  But I wasn't hungry.  And I was actually able to forget they were eating after just a few minutes.  The same when Leah made some sort of pastry thing for her dinner last night.  It smelled really good, but I wasn't hungry and didn't really want it. Like with good perfume - it's a great smell, but you don't want to EAT it, right?

I also got in some exercise yesterday - 35 minutes of treadmill walking, spread throughout the day.  Right now I'm mainly exercising to ward off clotting, but it also feels good to be moving.  Maybe later today I'll try walking outside.  

Some things I haven't done since I've been home:

1) Driving. Getting home from the hospital was no picnic, even WITH a pillow to clutch to my belly.  The roads were not great, and I felt every single pebble we went over.  So I haven't been driven anywhere and haven't driven myself anywhere since surgery.  I'm going to give that another week or so and see how I feel.

2) Sleeping in my own bed.  Oh, how I miss it.  The sheets and blankets are clean and waiting for me.  I LOVE my bed, but right now I'm not comfortable sleeping anywhere but the recliner.  Hopefully I can transition back to my bed when I transition to soft textures - which is like three or four days now.

3) Had a BM.  Ahem.  Nevermind.  Now I have!  TMI, but hey, I'm not blogging this experience to keep secrets.  (I'm trying to be a totally open book here, so first - read at your own risk and second - if you're pre-op and have any questions about the immediate post-op experience, feel free to ask.  I'm too new to this to give any advice, and I can only talk about my experience, which may be very different from yours -- but I'm happy to share if you're curious.)

Oh, and I just got a follow-up call from my surgeon's PA.  If I hadn't pooped yet, she would have been concerned.  Even now, she wants me to take some miralax and keep working on that 64 oz of water.  She says the water is more important at this point than the protein - though I should do better on both.  AND - I got five gold stars from her for knowing how much protein and water I had taken in each day, so that's another win for me. ;)
 


TammyP likes this


9 Comments


sounds like you are doing great!  Good job on the "movement"! hahaha!  I bet sleep in your own bed will be nice....i know I won't be able to at first, my bed to too high and it takes a lot of core work to get in and out...my husband is so used to it that he reaches his hand out to pull me up when I come to bed! :)  But as much as I hate our recliner, I know I will be calling it home for a week or so afterwards and I will recline there dreaming of my memory foam mattress and soft sheets!

Good for you to at least think  of the treadmill at this point!  Hopefully the weather is nice and you can venture outside also! 

Keep up the good work (and thanks for the updates)

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The things we end up talking about, right!?  

I went up and tried to lay down in my bed earlier... and still wasn't happy with how my belly felt about it.  A few more nights in the recliner, I think.  And I did make it outside earlier - I felt like a real person!! :)

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Sounds like you're doing pretty well Kio. Five gold stars!!!!! I wouldn't get any from the sounds of it as I haven't tracked even one day since my surgery.

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Good for you, Kio! You're doing great if you're getting close to your protein and water goals. It totally felt like I was going to spring a leak or something when I drank a lot early out - like, am I going to hurt myself??? My surgeon reassured me that there was really nothing I could do to hurt my pouch as long as I followed the food stages. That made me feel a bit better.

I'm also more of a aliens and wizards kind of gal, as far as TV/movie entertainment goes, and I haven't given This is Us a try because of it, despite glowing reports...maybe I'll give it a shot. Peter from Heroes is in it, so there's that.

 

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2 hours ago, Jen581791 said:

Good for you, Kio! You're doing great if you're getting close to your protein and water goals. It totally felt like I was going to spring a leak or something when I drank a lot early out - like, am I going to hurt myself??? My surgeon reassured me that there was really nothing I could do to hurt my pouch as long as I followed the food stages. That made me feel a bit better.

I'm also more of a aliens and wizards kind of gal, as far as TV/movie entertainment goes, and I haven't given This is Us a try because of it, despite glowing reports...maybe I'll give it a shot. Peter from Heroes is in it, so there's that.

 

He's great in it, too!  <3  

The thing that pulled me in was reading that one of the main female characters is very overweight and deals with a lot of the same issues that we do - including contemplating RNY, though I'm not sure if she ever goes through with it or not.  So I showed up for that, figuring it was good viewing for after RNY myself, but I've stayed for lots of other reasons too. :)

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10 hours ago, Aussie H said:

Sounds like you're doing pretty well Kio. Five gold stars!!!!! I wouldn't get any from the sounds of it as I haven't tracked even one day since my surgery.

LOL - I'm not usually a tracker myself, but I get dehydrated easily so I've always tracked water intake, and tracking the protein is super easy - 2 premier protein shakes = 60 grams = goal. 

I've never tracked calories, either - though I have tracked carbs.  And I've never tracked portion sizes.  It seems like I'm going to have to track portion sizes at the very least now to make sure I don't go over what I'm supposed to.  It's definitely going to be a big change...

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Tracking is a pain, but I do it *for science!* Actually, I just want to be really really aware of how much and what of everything I'm taking in so I can build some really strong habits and start figuring out what works and what doesn't for me. Plus, it's how I know I've eaten enough, but not too much. My poor little stomach is only just learning to figure out when it's had too much - and it does let me know sometimes. How do you do it, @Aussie H? I think I'd constantly be eating too much or too little (usually too little).

With portion sizes, I found it really helpful to buy some bowls that are a measured amount (teensy), like 1 cup bowls and half cup bowls, so I can eyeball it accurately without having to actually use a measuring cup. When you get to the point of eating real food again, there are websites with photos of how big X oz. of food is, so you can eyeball it, particularly if you're out at a restaurant or friend's house. This is a decent one, but there are others: http://www.webmd.com/diet/healthtool-portion-size-plate 3 oz of tofu is the size of a cassette tape! They're really counting on the website users to be 40+ years old, aren't they? ;) 

 

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I do use small bowls and plates @Jen581791, and every now and again will put my handful of nuts on the kitchen scale to make sure they're in the 30 gram ball park I want to be in. Most of my food is home cooked from scratch, and to track that would mean weighing every individual ingredient everytime I cook and dividing the end totals by portion numbers....life's just too short to waste time tracking what I already know is healthily prepared food, and to me there's no point tracking unless I do it accurately. I don't eat sugary food because I can guarantee feeling ill for hours if I do, and no carb counting either as I no longer need to be in ketosis and actually don't want to be given long term ketosis isn't good for the kidneys. I also make sure that every meal or snack has protien at the forefront. I'm determined that food isn't going to rule me anymore....im going to rule food!

I was actually staying for 3 weeks in a household with a very high carb diet after my recent ortho surgery (and no scales.....shock, horror!!!)..... I ate what they were serving although in far smaller portions, and still kept losing weight. I've assumed for the past decade that carbs were evil and my downfall, but it seems that's not the case anymore. I can't accurately say how much I've lost because I've no idea what this cast I'm wearing weighs, but I'm definitely lighter than I was before it went on 3 weeks ago so I know I've lost more than the weight of the cast.

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@Aussie H it sound so like you have a very good, self-aware system worked out. I'm glad to hear it, and I hope to be a bit more like that after I hit goal :) 

I hope your recovery is going well - you're three weeks in, now, and I hope the time with the cast flies! 

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