Question:
What is one thing no one told you before surgery that you wish you would have known?

I am winding up the steps required by my insurance for RNY and getting very excited! I should be having surgery in April or May. I was just wondering if there was anything that you experienced after WLS that no one had mentioned that you would now be willing to share with a pre-op patient? Also, what is one thing/appliance/food that you would recommend to pre-op's? Thanks!    — Clumsybarbie (posted on March 11, 2009)


March 10, 2009
I think going into the surgery we are all so desperate to lose the weight that when people tell you certain things they just dont matter. I barely recall someone telling me about how angry she was that people treated her so nice now that she is smaller, and that, beware, you are going to go through periods of really hating your body with your clothes off. I remember thinking how vain that person was. All I cared about was getting smaller. Woah and Behold here is the new me, 100lbs lighter and I find that I still have some major body issues. In other words it is very hard to stop critizing yourself, when you've been doing it for so long. It is a very important thing to work on, I have already seen a few people who look awesome with their clothes on but are so depressed about how they look with their clothes off. So be aware, so that you can prepare yourself for these very common feelings. My favorite thing I use post op is a mini chopper by Black and Decker and my blender for my shakes. I bought a food scale, advised by someone else, and have used it once. Good Luck!
   — jenniknowles

March 10, 2009
It's not that I wasn't told, but I did not understand that the surgery is really just a tool, and that there's no magic. You have to still be in charge and make the correct choices. I was told right out that the surgery was a just a tool but until I used it I didn't "get it". Here's the thing though. It's such a wonderful tool/gift to have this great help on the journey. It makes me not want to go back to where I was. I would do this all over again in the blink of an eye if I had to. Good luck on your journey with your wonderful surgical "tool". It's worth it all.
   — katiecakes

March 10, 2009
I did alot of research pre op so I was very prepared physically, emotionally, psychologically post op. I usually have a high pain tolerance so I wasn't surprised that I experienced very little pain post op. I did have nausea the first 2 days & a very very dry/parched mouth (honestly, that was the worst part of surgery!!). Those mouth swabs were a life saver for me day 1 post op & sipping water/ice chips (even when I walked the halls) helped me too. Regarding appliances...I bought a Magic Bullet & use it everyday! I also recently purchases a combination blender/food processor to use when I need to blend/puree my foods. I also bought 2 sizes of a metal mesh strainer which I use when I blend soups. I am still on the full liquid phase post surg, so it makes the soup very fine without pieces that could hurt or get stuck in my new pouch. I did buy a digital food scale at Target, but only used it once pre surg. I figure I'll use it more when I begin eating "real" foods & need to weigh protein like chicken/turkey, etc. My favorite protein powder is Unjury...love the chocolate & unflavored (which you can add to everything without changing the taste) & the vanilla powder-- I add SF DaVinci syrups to them (I have about 7 of them). I did go overboard with that purchase, lol & I'm sure I'll never see the bottom of the bottles! I like switching up my protein drinks so I don't get tired of 1 flavor. Best of luck in your journey & keep my posted. Hugs, Diane
   — angel325

March 11, 2009
The one thing I did not understand is how this would affect social situations. When I go out to eat with people it bothers them how little I eat and how slow I eat. I get a cup of soup and take half of it home. A dinner salad will last me as long as their entre. I don't eat out much now. Stopping by fast food on the way somewhere is a real challenge to find things that will work. I usually just get a kids meal with milk and finish half. People think it is strange when you order milk with your fast food. They don't say it but they look at you very strange. The other thing to prepare for is going through clothes sizes very fast. I went from a 22 to a 12 in six months. Lucky for me my daughter had clothes from when she lost weight so I had it covered. I find it depressing when the outfit that looked cute last week is just to big. It is great but still you want to just grab clothes and go and I am always having to sort out the too big ones and get more. I am 8 months out now.
   — trible

March 11, 2009
This may be TMI, but it would have been nice if they had told me what my stools were going to be like post-op at home so that I could have prepared. It won't be pleasant, black, tarry, loose - liquid, even... and they sneak up on you without warning, causing accidents that you'll need help cleaning up... or at least I did.
   — Erica Alikchihoo

March 11, 2009
The appliance I couldn't live without postop was my magic bullet. I used it everyday for the first 6 weeks. I just started on regular food and started eating out again(of course it's small, soups,chili and you take half of it home) but is amazes me how much food people eat. Now that I only eat very small amounts I sit and wait while other people eat and it's tough because you can't even order a cup of decaf because you can't drink for a half hour. I'm not hungry but I don't want to sit at a table for an hour and a half. I have found that frustrating.
   — [Deactivated Member]

March 11, 2009
I'm almost 9 weeks out from lapband surgery. Keeping foods in the house to eat is very important. Have the fridge constantly stocked with high protein snacks like nuts, cheeses, yogurts, and protein shakes. get a base list of food items and always pick those up. Shop for additional items as you try new recipes and stuff. I'm have an dining out habit that is hard to break but this helps me a lot. :-) Good luck with your surgery and keep in touch!
   — slimcolagirl

March 11, 2009
This may sound silly, but I have a huge sinus problem. I wish someone had told me that when the drainage runs down the back of your throat it fills your pouch. If your pouch is full you can't eat. If you have sinum problems talk to your dr about the healing process and about changing your sinus meds to sprays or liquid etc.
   — phyllismmay

March 11, 2009
I mirror the answer about the Magic bullet. I love it! I had lap band last week and the protein powders did not mix in as well as I would have liked. I got the bullet, presto, great shakes. I was told but not prepared for the GAS!!! Good luck. Jackie
   — Boggma

March 11, 2009
The wrinkles in my face. Had I known,or even thought about it, I would have started using creams~ before surgery. But other than that,,I expected it all. My favorite can't do without stuff is unjury unflavored protein powders that I mix with flavored waters by nestles. and my scale, and support group! I weigh all my foods..9 months post op, I still weigh it all. I never bought or used a blender..I drank soup broth, not soup, and on the pureed stage I just ate soft foods, scram eggs, mashed potatoes, cottage cheese, etc, I could do without mushing my food. But I measure all my foods. I am up to eating 3-4 oz a meal and feel perfectly full and content. I am still losing weight, tho I have only 3 lbs to goal. I lose much much slower, and I was a slow loser anyway. Support group is a good way to measure your "on the right track" self. Keeps you accountable and lets you blow off steam..Good luck on your journey! I would do it over again in a minute...wish I had it done years ago.
   — gpcmist

March 11, 2009
One thing immediately post op that I was surprised with is the amount of pain of the surgery. (I had lap RNY) I had been told by the dr. to expect to feel "run over by a bus"-not everyone is so painful, but he said to expect the worst and then if I was one of the lucky ones who weren't in so much pain-great. I have a high pain tolerance so I felt I would breeze through it. WRONG! It was very painful the first day. The second day was markedly better and pain meds helped some. In about a week I was almost 100% and have had no complications. I'd do it again in a heartbeat! I purchased some tiny ceramic bowls in 1/4 cup and 1/2 cup sizes-I could bake or micro them. Very handy and at 3 months out I still use them. I purchased a magic bullet and used it for only one week-now I'm going to sell it!
   — Kristi K.

March 11, 2009
Teri-Neal, another thing I thought of was to always keep low sugar yogurt handy. I found whenever my stomahc gave me problems I found the yogurt to be very soothing. This was a great question!
   — Muggs

March 12, 2009
I was well prepared for the dietary changes after surgery...however, I don't feel I was prepared for what it is like to recover from any major surgery. I had never had abdominal surgery before and I thought I would be up and about a few days later. It has been 2 1/2 weeks since my surgery and I am still in a lot of pain at times. I also still have a hard time with household tasks and chores. I am single and live alone and had I realized I would be so immobile for so long I would have hired someone to help me with my dogs and housework. The other thing is be prepared for anything. I had been told I would be leaving the hospital on pureed foods and was actually kept on full liquids for a while after. I had prepared to puree. That meant I was missing protein powders to add to my liquids so that I got all my nutrients in...and I could not shop for myself. I live rurally and have really burned friends out asking for help with things. I feel that general post surgery explanations would have been helpful in addition to the specific bypass stuff.
   — Olivia P.

March 12, 2009
I have to echo what Peggy Stempfly said. I heard the words but I did not understand that the surgery is a tool. At first I thought "Oh how great! I'm not hungry! I have desire to eat! It's miracle!" Now that I'm 4 months out, some of my old food issues are beginning to resurface. I'm starting to feel hunger again and it's up to me to make good food choices rather than poor ones in spite of the cravings. It isn't a whole lot easier than before surgery. Every day is a struggle. I've also found that I have absolutely no idea how much food is the right amount. I felt so guilty for so long about every bite of food that I think I'm being bad when often I'm not not getting enough. I should be weighing or measuring everything and sometimes I do but I struggle with that also because I want to be "normal." Well I guess I probably have to adjust my idea of--or perhaps create a new "normal" for myself. The short answer is that the surgery is on your BODY, not your mind; whatever food issues were there before will not be magically cut away. They still have to be dealt with. Having said all that. I've lost 77 lbs so far and I feel better already. I stil have a long way to go but I have more faith in myself now that I can finally be successful at weight loss. I wish you the best!
   — Tina G.

March 12, 2009
Nobody told me I would be out of work for a full month-- not because I wasn't ready to go back, but because they demanded surgical clearance that I could lift 10 lbs. Wound up blowing almost all of my sick and vacation time. The other thing is something I knew but I guess it just didn't hit home. I remembering being told that after losing a significant amount of weight most of us still see the same old person in the mirror and in our minds. OMG, is it true! Since October I've gone from a size 26 to a 18/1X... but it wasn't until a friend sent me side-by-side pictures of myself from a few years ago and this past weekend that it really hit home. Sure, I look at myself in the mirror and see clothes falling off me. I hear things people say about how much I've lost. Yet I still feel and, in my mind, still am just as big. Out of habit I'm careful when I have to squeeze past people and find myself sitting in the largest chair available unless I think about it. There are a dozen little ways that it still hasn't quite sunk in for me and in a way I think it's made me more self-conscious than I was pre-op. If a guy compliments my appearance or looks me over, it just gets worse. May sound crazy, but I'd gotten so used to my size that I took it for granted in a sense. Getting used to being noticed for something other than that will take getting used to.
   — snickersblk

March 12, 2009
Hi, I am 16 days post-op lap RNY. I have been lucky to have literally no pain, no problems with bowels, no problems with periods, no problems with food reactions. I still, however, can't sleep in my own bed comfortably due to my G-tube. A recliner was/is ESSENTIAL for me. I bought one just for the purpose. In the full liquid/pureed stage I have found one of those stick blenders to puree my food a necessity. I can take almost any canned soup and whiz it right up, including deli sliced turkey and ham. Also, one more tip I was given and am using, if you go home in a car that does not have leather/vinyl seats, bring a trashbag to sit on. It will make it easy to slide when getting in/out of the car. Good luck :o)
   — opheliafl

March 12, 2009
I could probably go on and on all day about the little all kinds of little things...I think I have actually done just that everytime this question gets asked! I'll try not to repeat what others said...here are a few biggies fo mine...Your friends and family will have different reactions toward a thinner you...Some will be jealous, some will try to sabotage your progress...and some will stop talking to you all together. My mom tries to feed me after spending her whole life trying to make me diet! UGH! ..You learn who your real friends are and that hurts...You learn to respect yourself and some people don't like that! Then there is opposite sex attention...I was SOOOO not prepared for that...and the old feelings of insecurity as men began turning their heads and saying stuff again...It really pissed me off and made me umcomfortable and very anxious! I am now a recluse in real life because of it! People begin smiling at you when you pass by...It's just weird! When people rush at me to hug me...I cringe and hyperventilate... I have issues that i went to years of therapy for rape and child abuse...So it was extremely hard to become an attractive woman again and revisit old feelings...I learned "everywhere you go...there you are"...You can't run away from yourself...and losing weight, you are still the same person...If you had a bad marriage before surgery, it will still be a bad marriage afterwards, unless you WORK on it. Surgery doesn't fix what's wrong in your head...Your mental image of yourself doesn't change easily either...I still look in the mirror and see a fat person with loose skin here and there...Where once was plump and fullness just sags. I still have an eating disorder and at anytime I can regress if I do not TRY every single day to make good choices...After all the attention of losing weight stops and it does stop...I thought, wow...well this is boring! LOL Being thin makes you AVERAGE! EEK! Average is soooo boring after a while!LOL You have to remind yourself that being healthy is worth it...'cause being a star is OVER once everyone sees you as a thin person! LOL And last...do not under-estimate mal-nutrition with RNY...It's real...and losing your bodies vitamin stores is a very slow process...DO NOT assume you do not need to take ALL your vitamins daily on a schedule all day long...FOREVER...DO not ignore symptoms or skip yearly vitamin and blood labs...Be your own health care advocate and make sure you get the all the vitamins checked and keep copies of your labs...Vitamin defs show up 3-5 years almost as clock work on MOST RNYers! And if you think taking 1-2 childrens multi vitamins is a enough to do for long term...you are sorely mistaken...It will catch up...and once one thing goes off balance it all goes off with one vit def trying to compensate for how your body reacts. The longer you ignore symtoms (even mild ones as they mostly are) the more at risk you are for permanent damage! And lastly...all carbs do not make you gain weight...CALORIES DO! Remember that meat protein is loaded with saturated fats...those fats are high calories too...Eating a nice balance of foods from all groups keeps your vitamins from dropping as well because the MOST bioavailable (absorbable) vitamins are those you EAT rather than those you supplement!
   — .Anita R.

March 12, 2009
I'm a DSer, and only two weeks out now, but I wish someone would have told me NOT to buy a large quantity of milk or whey - based protein supplements! Using those supplements put me back in the hospital for dehydration, due to SUPER lactose intolerance! I am now 100% soy - supplements, milk, margarine, everything! One appliance that I would not be without: Mini food chopper. Thjis is a miniature food processor that makes pureeing foods for 6 to 8 weeks after surgery easy. One food: Chicken broth/stock - When I have no appetite, which is often, chicken stock keeps me hydrated, and can often whet my appetite for something else.
   — [Deactivated Member]

March 12, 2009
I'm now 8 wks out from RNY and although I did alot of research for about a year talking with friends/family that had it done, I wish someone had told me how BIG of an adjustment the first month would be, i.e. adjusting to drinking protein, liquid diet and hoping that you don't get dehydrated. Almost a week after surgery, I had to go back to the hospital due to dehydration and my bowels being paralyzed. My doc said usually everything goes back to normal function after a couple of days, but not me. My stomach looked like I was 7 mos pregnant I was so full of air (due to having it done laproscopically). The pain was horrible! I was able to go home after about 3 days. I still had to adjust to the protein diet shakes, etc. Just a word of caution - do know that everyone's taste buds are different. So a protein drink that may taste good to one person may be disgusting to you. I realize now that it's all trial & error and everyone's complications are different (if there are any). So just be prepared for a rough first month. Sorry, if I sounded negative but you wanted to know the truth...Despite the rough beginning, I'm happy to say that I've lost approx 32lbs, knees don't ache, I sleep better and able to get into clothes I haven't worn in almost 10 yrs!
   — Kayla B.

March 27, 2009
I have to agree with Anita on the vitamin thing, although I have been religious with my vitamin regimen since day one I have big time issues with malabsorption. I have to have iron infusions for the rest of my life ( and anita was right mine showed up 3 yrs after RNY) my doc said i was the first she'd had to send to a hemotologist for iron infusions and this was back in oct of 08 and since then she has sent more than 10 more gastric patients! So I think this issue is just starting to be realized, also I suffer from neurological which we are trying to determine if its related to vitamin and mineral malabsorption issues.... do yourself a favor and go to the message boards and look under medical problems after RNY. Alot of ppl ( including myself) also have issues with their teeth crumbling after also.....to be honest tho even if i DID know these risks I think i still would have gone thru with the surgery because like most of us i was desperate to lose weight too, and unfortunately we choose to swap one set of problems for a totally new set. Best wishes on your journey, its a heck of a ride!!! Tammy =)
   — Tammy M.




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