PAMMIE Posted May 22, 2008 Report Share Posted May 22, 2008 FOR THE LAST 36 HOURS, I HAVEN'T BEEN ABLE TO EAT NOR DRINK A DROP OF ANYTHING. EVEN WATER CAME RIGHT UP. I CALLED NW FILLS AND THEY JUST SO HAPPEN TO BE IN THE GIG HARBOR AREA THIS EVENING GIVING FILLS BUT IN MY CASE, UNFILL. I STILL HAD 2.4 IN THE BAND AFTER A YEAR AND A HALF FROM MY LAST FILL. THEY REMOVED .4 AND I'M IN HEAVEN. ON THE WAY HOME A BOTTLE OF WATER WASN'T A PROBLEM TO GET DOWN AND I FEEL SOOOOOOO MUCH BETTER. THEY SAID THAT I MAY HAVE TO EVEN GO WITH LESS NOW THAT I'M WHERE I WANT TO BE BUT WE'LL SEE. THEY HAVE SOME REALLY GOOD TIPS ON THEIR WEB SITE I THOUGHT I'D POST HERE AGAIN, THANK YOU LADIES, I COULDN'T BE ANY HAPPIER WITH YOUR SERVICES http://www.northwestfills.com/education.php FILL INSTRUCTIONS The Lap Band fill (adjustment) is the effect the band has on decreasing your appetite. If you are less hungry then you eat less and will lose weight. The word restriction is a misnomer. When fluid is added to the lap band it causes the food one eats to stay in a pouch for a longer time. This releases a neurotransmitter to the brain that says you are full for 4 hours. This is a fill. To feel restriction is not good and can lead to other problems, like Gastric Reflux, heartburn, PB (projectile burping) and band slippage (rare). How much fill should I get? It is important to understand that the tissue in you gut is like the tissue in your mouth, it is very sensitive and swells very easily. Everyone is different; a good fill for one person is too tight for another person, or not enough for the next person. 1. The initial adjustment post operatively should occur at 6 weeks or later, and 1-2cc of Normal Saline (for the 9.75 or 10 cc band). The larger band (11CM and VG) adjustment os 3-4cc. 2. Regular reviews (4-6 weeks) are recommended with weight and clinical status measured. If weight loss is 1 pound per week over the period and patient is following bandster diet guidelines then another fill of normal saline is added at .2 to .5 increments. 3. If the weight loss average between visits is 2 plus pounds per week no fill is needed. 4. If the weight loss averaged between 1-2 pounds and the person feels hungry and found it difficult to comply with the dietary guideline/portions. 5. Fluid is removed from the system if there is symptoms of excessive restriction or obstruction, including excessive sense of fullness, heartburn, regurgitation and vomiting. 6. Fluoroscopy is needed for evaluation of band placement and/or port placement. 7. It is important know that the fluid in the band never adds up, it is always give or take 1 cc because fluid hides in the tubing or in the band. Post Fill/Adjustment Guidelines Eat lightly the day of your fill. After the fill is done drink liquids for 24 hours. Day 2 go to mushy foods, continue on this until you are comfortable to progress to solid food. If you have pain in your chest, heartburn or you are unable to progress to solid foods within a day or two then please call our office and we will discuss with you if you need to have some fill removed. If you start vomiting (PBing) at any time then stop eating for a few hours. After an episode of vomiting, the area of the band is swollen and you will not be successful in keeping anything down, give the band a few hours to rest and then eat later on. Don’t try to force food down! It is normal for the band to be tighter during the morning. Many people can only drink fluids, or eat yogurt or mushy foods. Work with your band and do not try to force food down. It is also normal of the band be looser in the evening, you might be able to eat more. Some women feel tighter during their period, or flying in a plane. WORK WITH YOUR BAND! EMERGENT/URGENT BAND PROBLEMS What is the difference between Emergent, Urgent and Normal band problems? EMERGENT: Harsh vomiting (different than pb’ing), unable to swallow saliva or any fluid. You need to go to the Emergency Room and have them give you an IV to hydrate you. You need to tell them you have a lap band and need to have a fluoroscopy to see if it has slipped or you are closed off due to swelling. You need to take your surgeons phone number with you so they can call and talk to him. Dehydration: symptoms include dizziness, low blood pressure, disorientation, not able to make decisions appropriately. If someone else thinks you are in need help, you probably are because you are too ill to make that decision. It takes more than 24 hours to become dehydrated. URGENT: When you have frequent throwing up 3-4 or more times per week, you need to be seen by your fill clinic to get a bit of saline removed. If you have heartburn or reflux, you need to be on over the counter Prilosec twice a day, possibly remove a bit of saline from your band. If you let it go on, you risk slippage of the band. After you have a bit taken out, stay on liquids for 1 week, mushy for 1 week, introduce solids slowly. If your band slams shut after you have had a fill, you should return to your clinic for a bit of unfill. Don’t let it go on too long, you risk slipping your band and dehydration. This prevents and ER visit. Normal Problems: You can’t eat solids in the morning. Try drinking something hot. This may open your band up and allow you to eat. If you can’t eat in the mornings, try going on liquids for 3 days, then start eating breakfast, larger lunch, smaller dinner. Sometimes this will reset your eating habits. If you just can’t eat in the morning, but can eat later in the day, go ahead and drink a protein drink in the morning to get your protein in. We normally say no liquid proteins, but once in awhile is ok. The whole process behind the band is to eat our protein in solid form, not liquids. Pb’ing, yakking, tossing your cookies: Are you eating too fast? Not chewing enough? Taking too big a bite? Swallowing hot things too soon? Maybe you need to coat your meat with BBQ sauce or something to help it go down. Try eating with a baby spoon to make sure you are taking smaller bites. IF you have the flu: You should be fine, but if you are throwing up too much, some fluid out of you band would help. You can drink flat 7-up, gatoraid, apple juice, whatever, forget the calories, just stay hydrated. WHEN TO CALL YOUR DOCTOR: Get an unfill if you can’t swallow your spit. Get an unfill if you can’t eat regular food. Gen an unfill if you are having heartburn or reflux. Call your doctor emergently if you are throwing up blood. You might have a tear or rupture in your esophagus. Be sure to tell them you have a band. They may think you have an abdominal problem. Not all problems are related to the band. Just make sure they have the information anyway. Go to the ER if you haven’t been able to drink any liquids for 24 hours. Call your surgeon with any concerns. DO NOT LIVE WITH THROWING UP FOR MORE THAN A FEW DAYS. THE WEIGHT YOU ARE LOSING IS WATER, NOT FAT! This is not the way to lose weight. You are depleting yourself of needed vitamins and nutrients your body needs to survive. THINGS TO DO BEFORE AND AFTER YOU GO TO SURGERY 1. Go on a liver shrinking diet, no matter what your BMI is. It makes the surgery much easier. 2. Take a side and front picture full body. 3. Take your measurements. Neck, both arms at the heaviest, chest, waist, hips, heaviest part of thighs and calves, both legs. 4. Find a fill doctor before you have the surgery. 5. Plan out and budget for 3-7 fills. Once you have your fill doctor, figure out how much you are going to have to spend on fills. Plan on the higher number, hope for the smallest. 6. Practice taking pea sized bites, chew, chew, chew. 7. Practice not drinking with meals. Stop at the first bite, wait 45-60 minutes after the last bite to drink again. 8. Plan what you are going to eat in each stage of the band. Day 1-4, clear liquids. This can include popsicles, jello, clear broth, apple juice, white grape juice, anything you can see through and is liquid in the melted stage. 9. Day 4-10, full liquids. This includes any blended, non thickened soup, thin mashed potatoes, yogurt, cottage cheese, sugar free puddings. Anything you can still drink through a straw. Protein drinks are ok until you start eating real food. 10. Day 11-21, mushy stage, anything you can eat if you had no teeth. Take any food, put it in the blender. You may need to add a little milk, water, juice or broth to thin it a bit. 11. Week 4-real food. Start with your protein. Usually 3-4 oz. Then eat ½ cup of veggies or until you are full. 12. Week 6, you may be ready for your first fill. If you are still losing, try to put it off as long as possible. 13. After you fill, you should stay on liquids for that day, go to mushies the next day. Regular food the next. Give your fill a chance to work. If you stop losing, eat more than you know you should, get another fill. HOW TO EAT LIKE A BANDSTER 1. Eat small portions: eat just to the point of fullness. 2. Eat slowly: but not for more than 20-25 minutes. 3. Take small bites and chew, chew, chew. 4. Practice mindful eating: at mealtime, sit down and focus on the meal, no TV, no reading. Focus on your food. 5. Limit soft foods: eat dense protein (chicken, fish, beef, etc) at least twice a day. 6. NO DRINKING WITH MEALS and for at least 1 hour afterwards. (you are washing the food through your band and not letting your band work for you) 7. Eat protein first, then veggies, then starch. 8. Eat healthy fresh food and complex carbs. Stay away from the refined sugars. 9. Less than 30% of your calories should come from 10. No liquid calories except 2 glasses of skim milk. 11. Eat 3 small meals per day plus 1 planned low calorie snack. NO GRAZING. 12. Limit calories to no more than 1600 per day. Average is around 1200 per day. 13. Drink 64 oz of water per day. 14. Exercise vigorously at least 3 times per week. HIGH PROTEIN FOODS Serving Size Protein Grams Serving Size Protein Grams Almonds 1c 26 Red Snapper 3oz 39 Barley, Uncooked 1c 16.5 Salami 1oz 6.9 Baked Beans ½c 8.1 Scallops 5-6 Med 39.5 Kidney Beans ½c 7.2 Shrimp 5 Large 15.5 Lima Beans ½c 5.4 Shrimp, Canned 3oz 20.8 Bean Soup 1c 7.6 Baked Ham 3oz 26.3 Corned Beef 3oz 22.9 Boiled Ham 2oz 14.5 Hamburger 3oz 21.8 Lamb Chop, Broiled 4oz 20.2 Roast Beef 3oz 23.3 Lentil Soup 1 Cup 5 Beef Pot Pie 23 Beef Liver, Fried 3oz 13.2 Cottage Cheese 1/2c 13.6 Calf Liver, Fried 3oz 15.1 Fried Chicken ½ Breast 24.7 Lobster 1c 19.5 Chicken Drumstick 12.5 Mac & Cheese 1/2c 8.4 Chicken, Dark 3.5 oz 29.3 Malted Milk 8oz 11.1 Chicken, White 3.5oz 32.3 Whole Milk 1 Cup 8 Chicken Salad ½ c 17.4 Onion Soup 1 Cup 8.1 Oyster Stew 1 Cup 15.8 Pea Soup 1 Cup 13.3 Perch 3 oz 22.5 Egg, Boiled 6.3 Pork Chop 3.5oz 21.4 Egg, Scrambled 7.1 Bakes Sole 3.5oz 30 Baked Flounder 3oz 30.2 Broiled Trout 3 oz 20.3 Water Packed Tuna ½ c 36.4 Turkey, Dark 3.5oz 30 Turkey, White 3.5oz 32.9 Haddock 1 Fillet 16.6 Yogurt ½ c 4.4 Link to comment Share on other sites More sharing options...
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!Register a new account
Already have an account? Sign in here.Sign In Now