Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 : I review a diet history, first looking to make sure they are meeting their protein needs, then look at fiber intake. I ask about constipation vs diarrhea, most have some constipation due to low fiber intake and so I discuss fiber sources and how that will improve constipation and also is a good thing for satiety when eating lower calories. Check fluid intake. Then I explain to them that prior to their first band adjustment they may feel that they can eat almost normal portions and not have any problems tolerating different food and so the types of foods they choose and the amount of activity they do will be the more important thing for weight loss. Most of my patients say that they did not notice much change in level of restriction until they had 2-3 band adjustments so it may be quite awhile before they are able to get more help from the band. So we may need to talk about calories or low calorie snacks or other typical weight loss nutrition! Hope this is useful for you. Laschkewitsch RD LD Dietitian, Legacy Obesity Institute (503) 413-8135 post-op lap-band We just started the AGB at our clinic 2 weeks ago and I saw my first post-op today. Does anyone have any tips or pointers as to what to look for or specific questions to ask of these patients 2 weeks post op/ prior to first fill/ after fills? I would appreciate any pointers! Thanks! , RD, CD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2006 Report Share Posted April 3, 2006 This is really great info! Thanks for sharing!! post-op lap-band We just started the AGB at our clinic 2 weeks ago and I saw my first post-op today. Does anyone have any tips or pointers as to what to look for or specific questions to ask of these patients 2 weeks post op/ prior to first fill/ after fills? I would appreciate any pointers! Thanks! , RD, CD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 Thank you so much for your input, . Do you recommend a fiber source like Benefiber or do you stress high fiber foods like beans, fruits, and vegs? , RD, CD post-op lap-band We just started the AGB at our clinic 2 weeks ago and I saw my first post-op today. Does anyone have any tips or pointers as to what to look for or specific questions to ask of these patients 2 weeks post op/ prior to first fill/ after fills? I would appreciate any pointers! Thanks! , RD, CD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 I first help them figure out what they can get from fruit, vege, grains, legumes appear to be really well tolerated so I emphasize those. I do list both benefiber and flax meal as an option if they are not able to get enough from food.....but stress the importance of getting it from food. I am attaching a fiber handout that I put together; feel free to use it! Laschkewitsch RD LD Dietitian, Legacy Obesity Institute (503) 413-8135 post-op lap-band We just started the AGB at our clinic 2 weeks ago and I saw my first post-op today. Does anyone have any tips or pointers as to what to look for or specific questions to ask of these patients 2 weeks post op/ prior to first fill/ after fills? I would appreciate any pointers! Thanks! , RD, CD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 Fantastic handout! Thanks so much! , RD, CD post-op lap-band We just started the AGB at our clinic 2 weeks ago and I saw my first post-op today. Does anyone have any tips or pointers as to what to look for or specific questions to ask of these patients 2 weeks post op/ prior to first fill/ after fills? I would appreciate any pointers! Thanks! , RD, CD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2006 Report Share Posted April 6, 2006 Please email information to: rdldclc1@... > > I first help them figure out what they can get from fruit, vege, grains, > legumes appear to be really well tolerated so I emphasize those. I do list > both benefiber and flax meal as an option if they are not able to get enough > from food.....but stress the importance of getting it from food. I am > attaching a fiber handout that I put together; feel free to use it! > > Laschkewitsch RD LD > Dietitian, Legacy Obesity Institute > (503) 413-8135 > > post-op lap-band > > > We just started the AGB at our clinic 2 weeks ago and I saw my first > post-op today. Does anyone have any tips or pointers as to what to look > for or specific questions to ask of these patients 2 weeks post op/ > prior to first fill/ after fills? I would appreciate any pointers! > > Thanks! > , RD, CD > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2006 Report Share Posted April 7, 2006 I focus on diet quality & tolerance in office visits. Always ask if they have N/V or Diarrhea/Constipation. Vomiting is the big sign that they may be eating too fast, not chewing well enough, drinking liquids with solids, or eating too much. Many pts admit that they know what they did to make themselves vomit. I educate them extensively on this prior to Sx. Secondly, constipation is a big complaint during this time-- diet is low in fiber & it is difficult for them to get in their adequate liquids. I have a good handout on constipation, recommending soluble fibers in diet, as well as the OTC products available. I can't attach it right now, as our computers are havig problems right now. Our diet advancement post-op is 2 weeks on full liquid, 2 weeks on puree, then advance to soft protein foods. They are all supposed to be sipping on 1-2 proten drinks a day for that first month. I always ask if they are compliant with the drinks... I also focus on their excercise.... they should have started walking on a regular basis at this time. Those who do not get into an exercise routine at this time usually never get into it! At week 6, they are eligible for the first adjustment. If so, we tell them 2 days post-adjustment on clear liquids. Hope this helps--Angie , MEd, RD Nutritionist SIUH Center for the Surgical Treatment of Obesity 256 Mason Avenue Staten Island, NY 10305 718-226-1300 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2006 Report Share Posted April 19, 2006 I would love to access this handout. How do I do it? Thanks, Lynne > > Fantastic handout! Thanks so much! > , RD, CD > > post-op lap-band > > > We just started the AGB at our clinic 2 weeks ago and I saw my first > post-op today. Does anyone have any tips or pointers as to what to look > for or specific questions to ask of these patients 2 weeks post op/ > prior to first fill/ after fills? I would appreciate any pointers! > > Thanks! > , RD, CD > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2006 Report Share Posted April 19, 2006 It is attached! Let me know if you can not access it. post-op lap-band > > > We just started the AGB at our clinic 2 weeks ago and I saw my first > post-op today. Does anyone have any tips or pointers as to what to look > for or specific questions to ask of these patients 2 weeks post op/ > prior to first fill/ after fills? I would appreciate any pointers! > > Thanks! > , RD, CD > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 21, 2006 Report Share Posted April 21, 2006 Hi, Kathy, Is the handout posted as a file? I'm sorry, but I just don't see an attachment to your message. When others have attached files in the past, it doesn't seem possible to open them, either. Maybe I'm just not computer savvy enough! I appreciate your help. Thanks, Lynne > > > > Fantastic handout! Thanks so much! > > , RD, CD > > > > post-op lap-band > > > > > > We just started the AGB at our clinic 2 weeks ago and I saw my first > > post-op today. Does anyone have any tips or pointers as to what to > look > > for or specific questions to ask of these patients 2 weeks post op/ > > prior to first fill/ after fills? I would appreciate any pointers! > > > > Thanks! > > , RD, CD > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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