Pre-Op Testing and Diet

My pre-op testing.
Yesterday I went for my gastric bypass surgery pre-op testing.
I was told that it would be from 9:30a-5p, it ended up only going until 2:30p.
I was weighed, had blood drawn, urine, blood pressure, temperature taken and then I met with a nurse and we went over my health history and present conditions.
I then met with a dietician and went over all the food restrictions and such.
These things took 3 hours.
I then went over to the hospital to answer even more questions and met with an anesthesiologist who walked me through the process and answered my questions.
After that I had an EKG and a chest x-ray.
These things took one and ½ hours.
It was a long day but I now feel truly prepared for my life-altering surgery. I am scared, anxious, excited, happy, etc, etc, etc. There are a million terms to cover the emotions that I am going through right now. And I am sure there will be those and a million more after the procedure and adjusting to my new life.
I am eager to hopefully get rid of my co-morbidities, mostly my diabetes. I am excited to lose weight and look good. I am mostly eager to learn a new way of living; eating to live, rather than living to eat.
The following is my diet plan (every surgeon is different and will request different diets pre and post op):
Friday, June 6th and Saturday, June 7th: full pre-op liquid:
* 4 protein drinks/day
* 6 servings from the following food choices:
- 1 cup tomato or V8 juice
- ½ c. hot cereal
- 1 c. sugar free (sf) pudding
- 6 oz low sugar yogurt
- ½ c. unsweetened applesauce
* drink water or sugar-free beverages as needed throughout the day
Sunday, June 8th: clear liquid:
* ice chips, water
* sugar free (sf) liquids such as sf Kool-Aid, sf Crystal Light, sf popsicles, sf lemonade
* low sugar, non carbonated flavored waters such as Propel
* sf Jello
* decaf coffee
* broths (chicken, beef, vegetable)
* protein power mixed with water or sf beverage or clear liquid protein drinks such as Isopure or Nectar
Monday, June 9th (day of surgery), Tuesday, June 10th, Wednesday, June 11th: clear liquid:
* ice chips, water
* sugar free (sf) liquids such as sf Kool-Aid, sf Crystal Light, sf popsicles, sf lemonade
* low sugar, non carbonated flavored waters such as Propel
* sf Jello
* decaf coffee
* broths (chicken, beef, vegetable)
* protein power mixed with water or sf beverage or clear liquid protein drinks such as Isopure or Nectar
Thursday, June 12th-Sunday, June 22nd: full post-op liquid:
* protein drinks
* low fat (1%, ½ %) or skim milk
* tomato or V8 juice
* no added sugar Carnation Instant Breakfast
* cream of wheat, cream of rice, or oatmeal (cooked well, made thin and soupy)
* instant mashed potatoes (made smooth and thinned with milk)
* light yogurt (sweetened with artificial sweetener) (no fruit pieces)
* low fat cottage cheese (mashed with fork until very smooth)
* low fat strained soups prepared with low fat or skim milk (ex. HR cream of mushroom, chicken and Healthy Choice brands)
Monday, June 23-Sunday, June 29th: pureed diet (baby food consistency):
3-4 ounces per meal over a 30 minute time period (6 meals per day)
60-80 grams of protein per day
64 ounces fluid per day
wait 30-40 minutes before and after each meal before consuming liquids
Be sure to consume protein foods first, at the beginning of each meal
Chew very well, 35 times per bite, wait 1-2 minutes between bites
Choices of pureed:
* soups
- turkey
- chicken
- vegetable
- bean
(no beef, rice or noodles)
* vegetables
- green beans
- carrots
- peas
- yams (fresh not canned in syrup)
- squash (no seeds)
- zucchini (no seeds)
* meats
- chicken, turkey (canned in water)
- eggs/egg substitute
- fat free refried beans
- beans
- tofu
- hummus
* fruits
- ripe mashed bananas
- unsweetened applesauce
- fruit canned in water or it’s own juice (drain, rinse and puree)
Monday, June 23rd- Sunday, June 29th: Soft Diet:
All foods on liquid, full liquid and pureed, plus:
* meats
- string cheese, low fat cheese
- chicken, turkey (skinless), pork including ground turkey, chicken
- beans (soaked, rinsed and cooked thoroughly)
- fish, tuna, seafood such as crabmeat, lobster (no fried foods)
- low fat deli meats (chicken, turkey, ham), no beef, honey, maple or brown sugar cured
* fruits
- canned fruit (in water or its own juice, drained)
- ripe banana
- 100% unsweetened fruit juice diluted in 50% water (no more than 4 oz daily)
* vegetables
- peppers
- spinach
- asparagus
- onions
- greens
- brussel sprouts
- mushrooms
- turnips
- cabbage
- broccoli
- scallions
- bean sprouts
* condiments
- lemon
- low fat sour cream
- mustard
- salsa
- soy sauce
- low fat mayo
- vinegar
- spray margarine
- low fat/low sugar marinades
- lime
- low fat margarine or butter
(avoid ketchup or BBQ sauce due to high sugar content)
(no sooner than) Monday, August 4th: grain introduction
- whole wheat bread
- soft, cooked whole grain pasta
- low fat or fat free crackers, try whole grain
- low sugar, high fiber, ready to eat cereal

Vitamins
* two multivitamins plus iron every day
(for the first 12 weeks- chewable or liquid)
* 1,500 mg calcium citrate every day

Reintroductions:
* meats- 6 months
* raw fruits and vegetables- 12 weeks
* juice- 4 weeks
* grain products- 8 weeks
* rice- 12 weeks
* nuts, corn, popcorn- 6 months
* caffeine- 6 months

No carbonation, low amounts of sugar to reduce chances of dumping syndrome, do not drink from a straw, do not chew gum.
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