Hi, welcome back to Let’s Talk About Gastric Bypass. In this video we’re going to talk about the pre-op process and the day of surgery and then the first week after your surgery. Hi, welcome back to Let’s Talk About Gastric Bypass On this video. We’re going to talk about the pre-op process, what happens on the day of surgery, then the first day after your surgery, and then the first week after your surgery. So, the pre-op – I want to say first that my experince is just that – it’s my experience. I’m not a medical professional. I don’t make any claims to be a physician, this is just my experience having gone through bariatric surgery. So, in the pre-op process there are it’s kind of exhaustive “exhausting” I should say. Most practices you have to have a psych eval. You have to see a psychologist two times. First, you meet with the psychologist and then you go and you take the exam. It’s quite it’s a lengthy exam. You have to have an endoscopy or endoscopy, I guess it’s pronounced, where you’re put to sleep for just about 15-20 minutes and they put a very tiny fiber-optic wire down your throat with a camera on it and they can look at your stomach to make sure it’s okay. They check your upper intestine to make sure there are no abnormalities. They do a lot of a lot of blood wor,k a lot of lab work. I had to go to four classes They were classes that taught me things like I can’t drink with a meal. Any beverages have to be, at least in my practice, 30 minutes before a meal you can drink and 30 minutes after a meal. I found actually if I am having a relatively heavy meal like a meat mea,l a half an hour’s not quite long enough. I need to I usually wait about an hour after after I eat. I had to see my family doctor once a month for four months. That was my insurance company’s requirement. Some insurance companies require more than four months. I had to see him once a month. He recorded my weight, all my vitals. He had to weigh me and I could not gain any weight during this period of time. I was supposed to have lost between 10 and 20 pounds during this four-month period. Before surgery. I actually ended up losing 27 pounds and let’s see. After this four month period was over, then I had to go on a 16-day diet. The the first 14 days of the 16-day diet are a “liver-shrinking diet.” They give you these you have to take these protein shakes. I used a brand called Premier. There are other brands but this was a brand that was recommended to me. They’re very low in sugar and they’re high in protein. They’re kind of sickeningly sweet. I must say they were for me. They’re just very sweet and actually I tried several brands and a lot of them are very sweet. They have caramel flavor, chocolate flavor, vanilla, strawberry, all kinds of flavors. I just thought they were awfully sweet but then the last two days prior to surgery I had to go on a liquid diet, totally liquid. No solid foods at all during those two days. So, then during during surgery they they made six little half-inch incisions. One right below my the center of my ribs, right below the ribs, one at my bellybutton, and two on either side and they’re little. You can’t even see them now. It’s been 14 months. You can’t even see I ever had incisions. Then, I woke up with these compression kind of like leggings and they squeeze your your lower legs so you won’t get a blood clot, keeps your your blood circulating so you don’t get a blood clot And then you have to take them off when you’re going to go walking. They want you to walk four to six times a day, you know, however many laps around the hallway you can do. I didn’t have any problem with that. I just went out there with my IV pole and walked out there and it was it was great. They’ll put a second nightgown on you because your first nightgown is not going to cover your butt. So then they put a second one on the back too. So you have some privacy, you know, some some modesty So, then the the morning after surgery I woke up to a woman coming in the room with a tray of too little itty bitty 2-ounce cups and the little 2-ounce cups had half strength or beef broth or else it was chicken broth. I think it was beef broth and then the other one was half-strength apple juice. And I thought well, here goes nothing and I sipped on them. It’s amazing how long you can sip on it something that’s only two ounces, but you can and it went down just great and then every few hours they would bring me another tray with the two little cups on it And it’s amazing You know you think well, is that going to go down, you know, but it does because you you have a whole new digestive system. The following day, you’re probably gonna go home the following day. In other words, I had my surgery on Thursday morning, and I would have gone home Saturday morning, but strangely enough, I woke up with a fever and chills. Very strange. They didn’t even know why and it resolved itself, but I couldn’t go home that day because they said, you know, “We can’t let you go home when you have a fever and you’re having chills.” So, after the chills stopped, I don’t remember what they did for it, but I felt better in a couple hours and they had me go home the following day, which was Sunday morning So I was there Thursday night, Friday night, Saturday night, but, I would have only been there Thursday night Friday night is how they how everything was planned. The second day after surgery they give you a different diet. They give you what’s called “full liquids” because before you’re on “clear liquids.” The second day after surgery you’re put on what’s called full liquids and the full liquids for me were again, a little tiny cup 2-ounce cup of really watered-down cream of wheat. They gave me a 6-ounce container of low-fat or non-fat yogurt. I think it even might have been Greek yogurt and they wanted me to kind of take tiny spoonfuls of that and then other times during the day they brought me skim milk and they brought me actually 8 ounces of skim milk and they had me put in sugar-free Carnation Instant Breakfast in there So that was a little bit thicker than you know, it’s still liquid, but it’s not as it’s not clear like the apple juice and the beef broth and again, I still had the compression things on my legs when I was in bed, although they encouraged you to walk as much as you can. They also have you start taking a bariatric vitamin and these bariatric vitamins which I have to take to this day actuall, for the rest of my life are really large they are they actually do make chewable versions of bariatric vitamins, but they’re quite expensive. They’re a lot more expensive than the ones that you have to swallow Originally, I took the chewable ones when I got home, but they were really expensive and I decided to I would just take the ones that were less expensive and they are probably three quarters of an inch long. They’re quite large. I actually have a pill cutter I cut them in half You absolutely have to take vitamins for the rest of your life. You have to take a multivitamin usually with iron, mine are with iron and also, I take a separate one, which is calcium and That may or may not be what you’re told to take, but that’s what I have to take for the rest of my life. I’ve seen a lot of people online who, they feel great, so they quit taking the vitamins, and I can’t tell you how often they end up in the hospital because of anemia. The iron is super important because the way your body works now is that you’re not even though you’re eating less, plus also the way your stomach is re-routed after gastric bypass, you’re not getting all the nutrients that you would normally get from food, so you have to take the vitamins to make sure that you stay healthy. And I have to also take calcium. I have to take I believe it’s 600 milligrams twice a day Yeah, 600 grams twice a day and I cut them in half with a pill cutter because they’re really large and they’re hard then You continue this Oh, I know, So, I’ll tell you one more thing – in addition to the meals that you take after you get home, which are the full liquids that you know, the yogurt the really thin kind of creamy yogurt the things like, you know, the the Carnation the sugar-free Carnation Instant Breakfast, that kind of thing the skim milk you have, they want you to start drinking water. They want you to drink 72 to 100 ounces a day! Which is so much water! I’m 14 months out and I always have a bottle of water either one of these kinds of bottles or I have a big metal 30-ounce container with a sippy lid on it rather than wasting, you know, you know gotta keep the environment clean without using all these plastic bottles. Feel free to ask me questions in the comments and I hope you’ll like and subscribe The next video will talk about the next stage, which is the pureed stage. And we’ll go into soft foods and the next several weeks. So that’s that’s it for this video. But I hope you’ll watch the next video and ask any questions if you have any, in the comments.