2 weeks post-op

August 12, 2003

Our program requires a 40g supplement in addition to a goal of another 20-40g PRO orally per day. Does every patient make that, no, but it is the goal that we have them shoot for. Some of the patients PRO needs are higher than that and we address that individually, but for the most part a total of 60-80g PRO/day. We have them start on that right away. When I meet with them prior to surgery I encourage them to purchase a PRO supplement ahead of time and start on it before the surgery in addition to their Multi-vitamin with Iron (chewable or liquid). Our patients leave here on a pureed diet so soup is never a regular part of their diet. If they feel nauseous we do encourage clear liquids or soups but that is temporary. Soups can be too easy to eat sometimes and we tell patients when they get started to avoid big chunky pieced soups, or creamed soups that have a lot of fat or sugar.

Meds don't seem to be too much of an issue here for most patients. Most of the patients go home on a lot less meds than they came in here on. If our DM patients were not on insulin, they usually DC their oral DM meds right away. Most HTN meds are tapered off in a matter of weeks.

As for fluids,.... if they are struggling to get anything down, we do have them choose fluids first, then the protein, then the fruits and vegetables while letting every patient know the goal is to get in all three. Maybe your surgeon is thinking amongst that line that he really wants to concentrate on the fluids first? I see a lot of patients able to consume all three in a day and do just fine so I would hate to see that as a rule for all patients.

Hope that helps.

R. R.D., L.D. Grinnell Regional Medical Center (641)236-2488 jpeterson@...

-----Original Message-----From: earich1976 [mailto:earich1976@...]Sent: Tuesday, August 12, 2003 9:00 AM Subject: 2 weeks post-opOne more question! The surgeon that I work with likes to put his patients on soup 3 times a day for the first two weeks after surgery. Obviously these pts are getting less than 10 grams of protein a day eating soup. He also does not encourage them to take their protein shakes until AFTER the first two weeks after surgery because he feels that they won't be able to work them in between meals, fluids, meds, etc. I disagree! From what I have learned in my clinical experience, the first few days/weeks are crucial after major surgery as pts are in a catabolic state. Any comments on this?

April 28, 2004

that is so cool tess. i wish you much success!! kathy in il

April 28, 2004

Tess,

It sounds as if you are progressing nicely. Glad to hear it. Do keep us

informed because we're all behind you 100%. Sue

April 28, 2004

Tess,

It sounds like you are doing very well. I¹m very happy for you and am glad

that

I will get to hear about the transition that you will experience. You keep

up the good work!

a

April 30, 2004

Tess

Hope this sounds right.....in a medicated fog this morning. Over-did

yesterday.

Everything sounds great!!

As for the tummy hurting from eating that extra bite, I think you will learn

the feel of your stomach so you will know when to stop. Remember, that bite

you eat takes a little extra time to get to your stomach.

I know you still have a way to go, but isn't great to get the news of

loosing some weight with your last dr. visit. That kind of news is a great

morale booster. It definitely starts to make everything worth while.

I know you appreciate the support of our RA group and we are behind you

100%, but remember ..... You are doing this, you are truly the hero in your

life and ours.

Keep up the great work!

Hugs

in Ct.

July 6, 2005

It's now been exactly 2 weeks and I'm still feeling pretty good

overall. The swelling in my breasts is completely gone and I am

thrilled with my size. I never did experience any deflating, I'm

wondering if that is because I had the lift. I have had a lot of

soreness and pain in my breastbone, has anyone else had this? I

started the fungal defense and have not been feeling as good since I

started this. Last night I had insomnia accompanied by a horrible

taste in my mouth. I'm assuming it was the fungal defense since I

took 2 yesterday. I'm going to try to take three today, but will

carefully monitor how I handle it. I also went back to work

yesterday for the first time. There is a lot of stress associated

with that, but I think after I am back for a week or so, I can relax

into it. My internal shaking and muscle twitching are drastically

reduced compared to the first week. The brain fog is better by far,

but certainly not gone, especially not after a night of insomnia. My

IBS and IC have been about 80% better, but I also attribute that to

my change in diet and vitamins. Changing the diet completely is too

difficult, so I am doing it slowly. I have almost totally gone

organic in our fruits and veggies, but the meats we'd have to drive

30 miles to get organic so we will start doing that when we can

afford to make the trip. I'm going to change from white flour

products to organic spelt. I tried the gluten free, and my hat's off

to those of you that do it, I couldn't handle it. I'm luckliy not a

celiac, spelt should be a good second choice for me. I've not had

any soda, except once to cure a bad headache after my first fungal

defense pill. I think I'm doing pretty good with all of this, and I

definitely see the difference it makes in how I feel. In spirit I am

still pretty elated, but also being smacked down to reality. I

forced myself not to think about the mundane things for the first

week so that I could simply enjoy being implant free. Now I am

facing past due mortgage and household bills with no money to pay

them. The collection calls are coming in daily. It's very difficult

to heal when you are bombarded by rude collectors! We are working

our way out of this hole slowly but surely, eventually we wll be on

top of things again. I just wanted to be able to enjoy the new me

without interuption. I haven't gone shopping yet, but soon I will

need new bras and tops since everything is pretty big now. I can't

wait to try on the cute little Secret bras, just for fun

even. I'm pretty much going to need an all new wardrobe. I'm losing

a lot off of my middle too now that the bloating is mostly gone. Not

to mention... I am excersizing again! I have spent at least 20

minutes a day dancing, and also about 30 minutes a day on Yoga and

Pilates. I LOVE feeling good enough to just get up and dance! I

think I missed that the most. I may even try to get in some dance

classes for more structured dancing. Oh, and one more thing I

missed... feeling sexy! I have actually wanted to be with my husband

again. In my heart of course I always wanted him, but my body

betrayed us. Now I am feeling good enough to make the first move!

And he can't stop commenting on how " cute " my new breasts are. He

loves them!

I'll post my 2 week pictures tonight.

Love,

July 6, 2005

fungul defense has silica in it so I'm curious to know, why are you taking

it? Lana

>From: " ktitko " <ktitko@...>

>Reply-

>

>Subject: 2 weeks post-op

>Date: Wed, 06 Jul 2005 14:34:49 -0000

>

>It's now been exactly 2 weeks and I'm still feeling pretty good

>overall. The swelling in my breasts is completely gone and I am

>thrilled with my size. I never did experience any deflating, I'm

>wondering if that is because I had the lift. I have had a lot of

>soreness and pain in my breastbone, has anyone else had this? I

>started the fungal defense and have not been feeling as good since I

>started this. Last night I had insomnia accompanied by a horrible

>taste in my mouth. I'm assuming it was the fungal defense since I

>took 2 yesterday. I'm going to try to take three today, but will

>carefully monitor how I handle it. I also went back to work

>yesterday for the first time. There is a lot of stress associated

>with that, but I think after I am back for a week or so, I can relax

>into it. My internal shaking and muscle twitching are drastically

>reduced compared to the first week. The brain fog is better by far,

>but certainly not gone, especially not after a night of insomnia. My

>IBS and IC have been about 80% better, but I also attribute that to

>my change in diet and vitamins. Changing the diet completely is too

>difficult, so I am doing it slowly. I have almost totally gone

>organic in our fruits and veggies, but the meats we'd have to drive

>30 miles to get organic so we will start doing that when we can

>afford to make the trip. I'm going to change from white flour

>products to organic spelt. I tried the gluten free, and my hat's off

>to those of you that do it, I couldn't handle it. I'm luckliy not a

>celiac, spelt should be a good second choice for me. I've not had

>any soda, except once to cure a bad headache after my first fungal

>defense pill. I think I'm doing pretty good with all of this, and I

>definitely see the difference it makes in how I feel. In spirit I am

>still pretty elated, but also being smacked down to reality. I

>forced myself not to think about the mundane things for the first

>week so that I could simply enjoy being implant free. Now I am

>facing past due mortgage and household bills with no money to pay

>them. The collection calls are coming in daily. It's very difficult

>to heal when you are bombarded by rude collectors! We are working

>our way out of this hole slowly but surely, eventually we wll be on

>top of things again. I just wanted to be able to enjoy the new me

>without interuption. I haven't gone shopping yet, but soon I will

>need new bras and tops since everything is pretty big now. I can't

>wait to try on the cute little Secret bras, just for fun

>even. I'm pretty much going to need an all new wardrobe. I'm losing

>a lot off of my middle too now that the bloating is mostly gone. Not

>to mention... I am excersizing again! I have spent at least 20

>minutes a day dancing, and also about 30 minutes a day on Yoga and

>Pilates. I LOVE feeling good enough to just get up and dance! I

>think I missed that the most. I may even try to get in some dance

>classes for more structured dancing. Oh, and one more thing I

>missed... feeling sexy! I have actually wanted to be with my husband

>again. In my heart of course I always wanted him, but my body

>betrayed us. Now I am feeling good enough to make the first move!

>And he can't stop commenting on how " cute " my new breasts are. He

>loves them!

>

>I'll post my 2 week pictures tonight.

>Love,

>

July 6, 2005

Maybe a better question would be, what does this stuff do for you guys and

how did everyone know to start taking those particual meds. iIm just

curious. LT