Before Surgery Picture and Food Diary 2-3-12

Today was a slightly strange day. I started out by waking up at 3:30 am. Now, I usually have lousy sleeping schedules with my sleep apnea, but I really didn’t want to wake up early today. Especially because I needed to have fasting lab work done. I arrived at the hospital and went right to registration. I had to verify my information, pay the deposit for facility charges to St. Marks, and then meet with the pre-admit nurse.

The appointment with the nurse went a little longer than expected, so she told me I needed to wait until after my class to have my lab work. It wouldn’t have been too bad for fasting alone, but to go another 3 hours without water was frustrating.

Before my class started, I had to pay my surgeon’s deposit and “education fee,” which was $1125.  I dropped off a thank you card to Christina, the pre-approval rep in the office, thanking her for all of her hard work and persistence to get my surgery approved by Cigna. I really feel like she went above the call of duty. Next, I was given a big packet of paperwork to fill out and some “before” pictures were taken (both for the surgeon’s records and for a photo CD that I’ll get at my first post-op appointment).

The class was really interesting. It was taught by my surgeon’s nurse and one of  the hospital’s nutritionists. I found out all about what I need to be doing and eating before and after surgery. I will be getting a pain pump while I’m in the hospital to manage pain levels (since I can’t take pills). I will be on a clear liquid diet for the first few days. In addition to the class information, I met Barbara and Cori, who will also be having gastric bypass surgery with me next week. I have a feeling we’ll be good friends.

After class, I went back to the outpatient nurses area to get more pre-surgery instructions, as well as two items I need for the day before surgery – hibiclens (antibacterial soap) and Citroma (bowel prep drink). I had to give a urine sample, and then she took my blood work. I was upset when I found out that for the fasting labs, I didn’t need to stop drinking water. I was pretty dehydrated at that point, so she had to take blood from my inner upper arm (which left a little hematoma). The best part was that she took my weight – I’ve lost a whopping NINE pounds since Monday. This pre-surgery diet is working! Today’s weight was 363.2.

I finally broke my fast around 1pm, and I was ravenous. Because I had missed all my morning eating, I was good to be a little more flexible on what I ate.  I grabbed some food on the way back from the hospital, and later in the evening I went out to dinner with some Yelp friends. Because I sampled a few things at each meal, I really don’t know how to count my calories (and the restaurants don’t have nutritional information on a website).

  • Lunch -kid’s bean burrito, chicken soft taco, and a few nachos
  • Dinner – grilled shrimp and veggies, and veggie enchilada with rice and beans
  • Dessert – shared a single scoop of ice cream with Rosie

Did I stick to 1000 calories today? My guess is that I went slightly over, but I’m not going to beat myself up about it. I can tell my stomach has shrunk this week, and I’m not able to eat as much as I was even a few days ago. Because I didn’t let myself get over-full, I consider the day a success.

Food Diary 2-2-12 and “Before” Measurements

Today. Was. Hard.

Definitely my hardest day since I started the pre-surgery diet. I could blame the Groundhog for seeing his shadow, but it was my own darn fault. I started panicking about all these things I was craving and couldn’t have. Like nacho cheese – why on earth was I craving it? I wish I could say that I had another day on track…but I just kinda lost it.

The day started out great – fresh fruits and veggies. But as the day went on, I started craving carbs. I wasn’t feeling satisfied by what I was eating. I had a really bad headache. I was having computer problems at work, which made it so I was sitting around more than usual. I started looking around online about what other people were saying about pre-surgery diets, and got into my head how some surgeons allow a big binge the morning before surgery, then fasting till the procedure. I was weak, and I succumbed to temptation.

I decided to go to Costa Vida, and ordered a small sweet pork salad. I barely touched the dressing, but I devoured the meat, beans, rice, pico de gallo, and guacamole. And I ate the better part of the fresh flour tortilla. And because the pork salad was the special of the day,  it included a free drink. I filled the cup with pebble ice, and only had a little of horchata. Had I not been on a calorie restricted diet, it would have been a perfectly fine meal. I checked the website for nutritional information, but I couldn’t find the correct facts. I had to estimate what I actually ate, and the total may be WAY off.

  • Laughing cow light cheese – 2 wedges – 70 cal
  • Fresh fruit – 70 cal
  • Fresh veggies – 30 cal
  • Can of green beans – 75 cal
  • Muscle Milk light – 100 cal
  • sugar-free Jell-o – 10 cal
  • Costa Vida salad – 680 cal?
  • Horchata -100 cal
  • Chicken apple sausage – 170 cal
  • TOTAL – 1305 cal
At midnight, I need to begin fasting for my lab work in the morning. I’ll be meeting with the pre-admit nurse at St. Mark’s, and then have my pre-surgery class at the surgeon’s office. I haven’t decided if I’m going to go into work after my appointments yet, I may work from home. I’m going on FMLA, but I don’t have any sick time. Whatever time I take off will be unpaid, so I can’t slack too much.
Also, I decided to take my “before” measurements today.
  • Neck – 16.75
  • Bust 52
  • Chest 46
  • Upper bulge 53 (fat roll above my waistline)
  • Waist 49
  • Hip/butt 62
  • Thigh 34
  • Calf 23
  • Ankle 12.5
  • Bicep 20
  • Lower arm 14.5
  • Wrist 9



Food Diary 2-1-12

Today was MUCH easier than yesterday foodwise, and I attribute it to the grocery trip I made before work today. I went to Harmon’s, which I think has the best produce of any chain grocery store in the Salt Lake area. I got fresh produce and canned fruits and veggies. Even though it costs a lot more, I know that when I buy the pre-cut produce because it’s convenient.

Funny story – I was in the mood for Laughing Cow cheese this morning, and saw that I had a wheel of it in my fridge. I grabbed it to take to work, and thought I’d have a wedge in the car. It was COMPLETELY rubbery. I checked the expiration date, and it was JUNE 2010. How on earth did I last in my fridge that long? So I picked up another Laughing Cow at the store, and I’ve decided that I like to have the light Laughing Cow much better than regular string cheese, mostly because I can have 2-3 wedges for the same amount of calories as a string cheese. Then, once I got to work, I got an email pitch from Laughing Cow to promote it on my other blog. Seems like working with Laughing Cow is in the cards for me!

The big news of the day is that my surgery date has been moved up to February 7th, which is next Tuesday. Apparently, Dr. Smith is going out of town next Friday, and he wanted to see if I’d move things up so he could be there for my whole hospital stay. Now my pre-surgery class will be on Friday morning, and my abdominal ultrasound and upper GI endoscopy will be Monday morning.

To “celebrate,” Taylor, Rosie and I went out to dinner. I checked all of the nutritional facts online before we went, and I was able to keep right at where I needed to for my daily calories. I’m glad I filled up on veggies during the day so we could have this “last splurge” dinner as a family (because my husband was out of town for my Last Supper(s)). Afterward, we took a trip to Costco for a giant bottle of chewable vitamins, lots of fresh produce and other “crash diet” friendly items.

Today’s food diary:

  • three wedges of light Laughing Cow – 105 cal
  • 4 oz of celery – 20 cal
  • 4 oz of carrots – 45 cal
  • Sugar free Jell-o (3 times in the day) – 35 cal
  • lean deli-sliced turkey (2oz) – 50 cal
  • Honeycrisp apple – 80 cal
  • 2 T Hummus – 70 cal
  • Muscle Milk light – 100 cal
  • 6 oz sirloin steak – 320 cal
  • grilled veggies – 90 cal
  • 1/2 dinner roll – 100 cal
  • TOTAL – 1015 cal

Food Diary 1-31-12

sipping waterToday has been much harder to stick with the low-calorie plan. Yesterday I felt like I was hungry all day, but the hunger level was manageable. I can’t say the same for today. I decided to try starting my day with scrambled eggs and sausage to get in some protein. Halfway to work, I was so hungry, I stopped for a smoothie, which got my calorie counts up even higher. I allowed myself a few *small* splurges…like 4 Cheetos.

Today I’ve been trying to make up for my hunger by drinking LOTS of water. I’d logged 60oz of water by 11am, and by 8 pm I was at over 130oz. I’ve been using Mio water enhancer drops to make it a little more interesting. And I’ve got bags of pebble ice from Sonic both at home and work so it’s nice and chilly.

  • 2 scrambled eggs and 2 links of sausage – 260 cal
  • 24oz fresh peach smoothie – 330 cal (half in morning, half in afternoon)
  • string cheese – 80 cal
  • dried apple rings – 70 cal
  • 5 Quaker multigrain fiber crisps – 40 cal
  • 10 pickles – 10 cal
  • 4 Cheetos – 32 cal
  • Can of light chicken veggie soup – 160 cal
  • Sugar-free strawberry Jell-o – 10 cal
  • TOTAL – 992