Professional Documents
Culture Documents
PRESURGERY WIEGHT
HISTORY
Triggers:
*dysfunctional
childhood
*family member
suicide
*married at 20
*miscarriage
*divorce
*single mom of 3
*abusive relationships
*poor mental and
physical health for
over 20 years
2008(180)
South Beach 3 months 4
lbs
1987
(after birth 150)
Slimfast 2xs 3-4
months 5-6 lbs
1988
(after birth 155)
Jenny Craig 6 months
15 lbs
1992
(after birth 160) lost
20 lbs
Slimfast and a lot of
walking, snow
shoeing, active
lifestyle
2006-2010
(165-200)
Elimination diet 4
months 2 lbs
PH diet 2 months 1
lb
Low Glycemic 1.5 yrs
5 lbs
Kidney health- 12 food
6 months 22lbs
DASH diet 2 months 3
lbs
*leisurely walk with
small dog 2xs daily 1/8
to 1/2mile
2008-2016
(180-235) Overeaters
Anonymous 8 yrsrollercoaster AS
FOLLOWS
19982000(145-155)
Nutrisystem 6
months 10lbs
Cabbage soup
diet 2 weeks 3
lbs
Hypnosis once
0lbs
*sweating with
the oldies 3xs
week
*weekly hiking
or snow shoeing
2002
(170)
Atkins
3months
5 lbs
*leisurel
y walk
with
small
dog 2xs
daily 1 mile
20072012
(165-200)
Weight
Watchers
3xs6months
maybe 810 lbs
*Curves
membersh
ip- 2-3xs
weekly
2007(1
65)
Alli 3
months
7 lbs
20082010(165-170)
Acupuncture 3
months
wellbeing no
weight loss
Chinese Hot and
Cold diet 6
months 1.5 lbs
Mediteranian 3
months 5 lbs
Vegetarian and
Vegan 2 yrs 13
lbs
2011(17
2)
Full bars
2
months
2 lbs
20102012(180200)
Juicing 3
months 4
lbs
Fasting
periodicall
y .5 lbs
First Place
for Health
1 yr 12
lbs
Blood Type
Diet 3
months 2
lbs
*leisurely
walk with
small dog
2xs daily
1/8 to
20122013(2
00)
Wheat
Belly 4
months
6lbs
Reflexlo
gy 1.5
yrs
wellbein
g no
weight
loss
The
Zone 3
months
.6lbs
The Plan
3
months
4 lbs
mile
*resistanc
e band
workout
2xs
weekly
2012-2014(205)
Celebrate Recovery- 12
steps for food addiction
2013-2014(210-220)
Paleo diet 4 months
2lbs
Dr. Oz 6months 9 lbs
Dr. Phil 4 months 4 lbs
*leisurely walk with
small dog 2xs daily 1/8
to mile
2014-2015(220)
Daniel Plan 1 yr 12
lbs
*Water Aerobics 2xs
weekly
2015-2016
(225)
Chia seed diet
4 months 3 lbs
Green Smoothie
Diet 2 months
+ 3 lbs
Evolv shakes 3
months 0lbs
*Water Aerobics
2xs weekly
*Elliptic
al bike15
minutes
3xs
weekly
Jan
2016- 3
monthS
before
informat
ion
meeting
(255)
PRESURGERY JOURNEY
DATE
APPOINTMENT
April 15
Information
meeting
April 17-23
WEIGHT
CONCERNS
FOOD
EXERCIS
E
Cut back
on soda
Water
aerobics
Began
journaling
because
any friends
have
forgotten
their
journey
Review
past
healthy
practices
that I gave
up
because of
BEHAVIOR/
SUPPORT
friendsurgery 2
yrs
friendsurgery 4
yrs
friendspiritual
support
Read
bariatric
notebook
familyshare
surgery
plans
familyshare
surgery
discourage
mentwhat do I
like? Begin
envisionin
g healthy
practicesset goals
Cut back
on coffee
April 24-30
May1-7
Qualifying
appointment
(5)
242
No need to
worry about
calcium and
iron
sensitivity
May 8-14
skinny girl,
child packs-
PROTIEN
pea protein
powdersilver wolf
chicken
FRUITS
apples
bananas-
VEGGIES
water
chestnuts,
turnips
carrots,
plans
Pushed
through
water
aerobics
No more
soda or
caffeine
Muscle
crampsdehydrat
ion
Increase
protein/
mindful of
protein
amounts
Pump up
with
legumes
Stretchin
g at
bedtime
Read
online
topics
Download
books on
Kindle
Carry
water
during
exercise
Share
bariatric
notebook
with mom
familymom you
deserve
this
familysupportive,
concerned
familyshare
surgery
plans
GRAINS
brown rice
CONDIMENTS
vinegars
wild rice
salsa
stur, crystal
light tru
Pact, Fuse,
Sobe life,
Power Zero,
Vitamin
zero
Tea
child packs
100% juice
nondairy
breast
limited
greek yogurt
turkey
breast
peach
pears- limited
cottage
cheese
low fat
mozzarella,
baby bel,
cabot 75%
dry nonfat
milk
canned tuna
berries
salmon
melon
haddock
grapeslimited
sugar free
flavor
enhancers
beets,
sweet potato
greens,
cabbage,
brussel
sprouts
squash,
pumpkin
green beans
asparagus,
zucchini
barley
Mrs. Dash
quinoa
pesto
steel cut
oatmeal
homemade ketchup
broccoli
eggs
legumes,
edamame
cauliflower
cucumbers
tomatoes
DESSERTS
mushrooms
peppers,
onions,fennel
protein jello
protein pudding
olives, pickles
May 15-21
Psych evaluation
(19)
Prepare for
emotions after
surgery
snap peas
Add flavor
enhancers for
drinks, yogurt, and
shakes- pumped up
yogurts, shakes,
soups
Head hungry vs
stomach hungry/
mindfulness
Mindful
relaxationidentifying
my core,
work on
breathing
DATE
APPOINTMENT
WEIGHT
May 22-28
Dempsey
Clearance (25)
Bundle
appointment (27)
EKG, lab, chest
xray, ultrasound,
PT, weighin
234
June 12-18
EXERCISE
What goes in my
hospital bag ?
Begin
myfitnesspal
June 5-11
FOOD
Nutrition (5)
Check in appt (5)
Cardiologist (5)
Endoscopy (18)
232
Confirm bariatric
fusion vitamins,
pea protein as long
as w/ almonds,
bladder infection,
fatty liver,
cholesterol, low
vitamin d, spread
out bp meds am
and pm
Some biopsies
taken- results NO
BARRETTS
Add
stretching
and
resistance
Garmin
vivosmart
HR
Mindfulness
about
movement
Added knee
strengthenin
g exercises
to dig in and
not allow it to
influence you
family- share
surgery plans
BEHAVIOR/SUP
PORT
Order protein
powder, oasis
spray
freind- surgery
4 yrs
Recipes on
pintrest
friend- surgery
3 yrs
Adding more
steps
Add elliptical
bike
Visualize a
STRONG
Communities in
face book,
when and
where are
support groups
friendspiritual
June 19- 25
Homemade almond
milk, protein powder
body
Nancy
shares out of
water
exercises
and getting
out of bed
safely
Begin
mindful
Kegels
DATE
APPOINTMENT
WEIGHT
CONCERNS
FOOD
EXERCISE
June 26-July 2
Behavior Mod
(28)
233
Slowing down
eating process
Start freezing
portion meals,
pumped up cream
soup
Add weight
bar
celebration Mexican
meal
Explore
meditation
options/
future yoga
Organize flavor
center
Add exercise
music to
pandora
*Very sensitive to
pasta and tomato
sauce
Work on bedtime
routine to improve
sleep- bedtime tea
Follow up- all
requirements
being met, express
desire to have
during summer
support
Use portion
dishes and
measuring
tools- small
bowls,
measuring cup,
portion bags
friend- holistic
support
famillyholistic and
personal
training
support
family- social
support
(challenge 1
date
presurgery)
BEHAVIOR/SUP
PORT
Purchase
tinctures for
headaches and
pain, buy gasx
strips and
internal
deodorant
Set timers to
make paced
eating and
drinking a
mindful
process
July 3- 9
DATE
July 10-16
Very stressful
week*Nephew in
hospital w/
aneurysm
*mother fell
requiring several
stiches and walker
*aunt fell broke hip
4 places and heel
and elbowhospital 9 days
*grandchild borncomplications for
mom and babyhospital 9 days
APPOINTMENT
WEIGHT
20 sips of water
before out of bed
Walk Emmit
daily
Claim POWER
in life- mindful
meditations
Aware of stress
eating- eating more
but trying to pick
healthy choices,
began drinking
caffeine again as
long hours at the
hospital
Walk around
hospital
halls, take
stairs
CONCERNS
FOOD
EXERCISE
Very stressful
week*had to have dog
put to sleep- no
more walking dog
Cutting caffeine
back out, bought
Mrs. Dash to replace
seasonings,
purchased coolers
for car to travel with
hydration at all
times
Having
trouble
walking
without
extreme
emotions
but allowing
them to
flow/ replace
walking this
week with
extreme
Trying to
express
gratitude to
those around
me and find
the positive in
each day,
gardening
helps
BEHAVIOR/SUP
PORT
Change
atmosphererearrange
apartment for a
new start,
spring clean
July 17- 23
Nutrition review
(18)
Confirmed
insurance being
sent in for sleeve
procedure- July 21
DATE
July 24- 30
APPOINTMENT
WEIGHT
Experiencing
exhaustion from
stress and
headaches,
anxiety about
when surgery will
be- need to travel
to Nashville to see
grandbaby and go
back to school
September 6
Experiencing some
constipation from
bariatric fusion
vitamins
Trying vitamin
combinationstrouble sleeping
Mindful logging- my
fitness pal- started
inputting consistent
recipes and daily
meals
FOOD
CONCERNS
movement
of furniture
and cleaning
Not moving
as much as I
should as
my right
knee has
been very
sore
Add
vivosmart
back to
routine- took
off due to
inactivity
sitting at the
hospital
EXERCISE
Walk the
yard and get
back to the
pool
Stretching
and
meditation
in am
Spending a
great deal of
time doing
positive self
talk and
breathing
exercises to
relax
July 31August 6
August 7-13
August 14-20
August 21-27
Go see Lily-no
weight loss
while eating
out because
mindful choices
and lots of
walking
Waiting for
preop visit
STOP glipizide
Cut back
Janumet
Missy- surgery
6 yrs
Start gathering:
Protein powders- evolve(high in sugar) and
vegan powder(less processed products and
stevia sweetened)
Clear liquid options
Vitamins
Gas meds and internal deodorant
Helpful items:
good blender- mine vitamix
strainers
small measuring cups, scale- always
measure and portion
pretty small bowls ( prep bowls)
glass water bottles
moldable ice packs
comfy pillows- one to rest on, on to hug
shot glasses, dixie cups, small storage
containers, ice cube tray, popsicle molds
measuring tape
Hospital stay:
preop picture
August 28September 1
Cut
Janumet
and less
insulin/
no meds
day
before
and of
surgery
POST SURGERY
Week
Week 1 liquid
BS 133-142
Sept
1-7
Protein/
calories
Carbs/
sugars
fluids
exercise
weight
620-950
cal
58-142 pr
using too
much
powder
Not an
athletelower pr
2080/542
64
daily
walking
Op(30)
225
knee
hurts
Week 2 liquid
BS 114-141
Sept
8-14
Week
Week 3 thick
liquid
Sept
15-21
BS 115-138
630-940
4764
herbal teas- celestial zingers
calconstipation
90/8daily
Smooth Move Tea is also a good one if you are having
Pact
69-128 pr 35
Vitamin zero
cutting
Sobe life
back
Fuse
powder
fruit
apple juice 100%(juice boxes), sugar free cider mix
grape juice 100%
cranberry juice 100%
flat zeevia ginger ale
soup
Low sodium (33% reduced) chicken or vegetable broth (Swanson)fat free
Swanson infused broths, bone broths- higher protein
(1c/ 35/ 4g)
frozen
Sugar-free popsicles (Edys Fruit Bars, No Sugar Added)
amazon- flavor ice light (Splenda)
OUTSHINE
Jello
Sugar-free gelatin
jello brand- aspartame
save a lot- aspartame?
amazon- (SugarFree Gelatin Mix, Stevia Sweetened) Variety Pk from GramZero,
Better Bowls, sugar free koolaide
high-protein gelatin recipe one packet of unflavored gelatin and one cup of whey
protein powder to create high-protein gelatin.
It provides 6 grams of protein per 1/4-cup serving.
Wk3- ricotta, egg drop soup, cr. cereals, nut butters
Protein/
Carbs/ fluids
calories
sugars
673-1000 4964
thick liquids
dairy
skim milk or lactaid (90/4g)
cal
61/8Carnation Non-Fat Dry Milk Powder
49-108 pr 35
(1/8 c/ 35/4g)
Carnation Instant Breakfast No Sugar Added
(Ready To Drink or powder) (150/5g)
Double Milk - 1 cup Milk mixed with 1/3 cup
Nonfat Dry Milk Powder = 16 grams of protein
per 8 oz. serving.
You can add Sugar Free Syrups to
change the flavor up. Great option
if you run out of protein powder or
it's a tight $$ month.
protien
protein shakes- vegan, evolve (120/12g)
premade protein- *Slimfast high protein
*Special K protein *Boost glucose control/
walking
Post
op
appt
(12)
215
knee
hurts
exercise
weight
Walking
Water
aerobics
stretch
210
Week
high protein
(190/10g)
Low fat, high protein yogurt plain/ triple zero,
greek light and fight, Fage 2%.... extra protein
add protein powder to yogurt flavor
with sugar free jello (1c /100 /16g)
PB2 powder
(2tbs/ 45/ 5g)
Wk4- thin cut luncheon meat, canned meat and beans, eggs
Week 4 puree
dairy
Sept
22-28
protien
BS
118-140
fruit
veggies
soup
grains
Protein/
calories
630-875
cal
61-65 pr
Carbs/
sugars
54-64/
22-30
fluids
exercise
70
Walking
purees
smoothie vs shake
Water
(190/6g)
aerobics
fat free cottage cheese, fat free ricotta
stretch
(1/2c /90 /16g)
Sugar-free Peanut butter (Smucker's Natural,
Smart Balance Omega)start with whippedeasier on stomach (tbs/ 90/ 4g)
egg beaters/ whites
(75/6g)
Tuna (Chunk Lite) canned in water or in a pouch
(StarKist Flavor Fresh Pouch:(1/4c /70/10g)
Albacore Fillets, Light Meat Tuna Fillets)
(1/4c /70/10g)
Salmon (Chicken of the Sea Pacific Salmon or
Salmon Cups, Red Sockeye) (3oz/120/17g)
Canned chicken or turkey(Sweet Sue Chicken Breast,
Valley Fresh Chunk Chicken)
(2oz/ 60/ 12g)
Mashed legumes
( 1/2c/ 115/ 8g)
Applesauce (Motts No Sugar Added)/ vitamix
(1g)
pureed fruit- bananas, plums, peaches, melon, pears (
fresh, frozen, canned in juice or water- DOLE
mashed potato- sweet and white (5-7g)
mashed carrots, squash, pumpkin(4g)
Broth or tomato-based soup (*Pacific roasted red pepper or tomato, *Campbells Healthy
Request, *Progresso Light
*Healthy Choice)fat free
( 1/2c/ 150/ 5g)
cream of wheat or cream of rice w/
weight
205
Stalls
are
normal
Limit
weigh
In to
weekly
Week
Week 5 soft
foods
BS
99-130
Sept 29- Oct
5
Week 6 soft
foods
Oct 612
exercise
weight
Walking
Water
aerobics
Stretch
Bike
strength
NUT
appt(3)
205
Walking
Water
aerobics
Stretch
Bike
strength
Stalls
are
normal
Limit
weigh
In to
weekly
203
Week
Week 7
Oct 13-19
Week 8
Oct 20-26
Protein/
calories
6090/581946
Carbs/
sugars
27100/
2-30
fluids
exercise
weight
80
Walking
Water
aerobics
Stretch
Bike
strength
198
5792/714950
3582/1936
80
Walking
Water
aerobics
Stretch
Bike
strength
195
Appt with Dr. Dempsey- balance carbs and protein like you
would insulin, target closer to 1200 and 170 lbs.- order health
bracelet, mammo, flu and pnemo shot
3 months and beyond plan- carbs/ 3mo =70g, 6mo=100g, 1 yr= 130g
1000-1200 40% C (120-130g) 30% PR (90g)
30%F (40g)
2 dairy daily
Sat
Sun
Mon
Tues
Wens
Thur
Fri
Breakfast
Hash
EggCr
barCottage
Eggbar- *homemade,
2 oz pr
or
See Thur
cereal
*home
cheese*boiled,
*quest, *Luna,
- c fruit meat
or
made,
*pureed
*scramble w/ *power crunch
and
yogurt
*quest,
in soups,
cottage
chees
with
*Luna,
on
cheese,
e roll
powder
*power
potatoes
*omelette*q
Fruit
crunch
etc.
uiche,
*orange
*deviled,
and
*salad, with
chicken
chicken
*peach
sausage or
and ham
bacon,
*salsa
Canadian
and
bacon
beans
*coconut
vanilla
*shrimp
*mix with
nut butter
or pb fit
*applesau
ce and
*cinnamo
n
*sugar
free jams
*with
scramble
d or
boiled
eggs
*Mrs.
Dash
*Ketchup
*ranch
and
chicken
*fruits
*veggies
*curry
*season
salt
*sunflowe
r seeds
*apple or
pumpkin
butter
*green
chili,
ginger,
garlic
*poultry
seasoning
and
turkey
*soy
sauce and
beef or
chicken
with
broccoli
*balsamic
roasted
veggies
and nuts
*jello and
mandarin
oranges
*low fat
french
with
chicken
*mixed in
cream
cereals
*pickled
beets
*sweet
pickle
relish and
thin slice
luncheon
meat
*ranch
cooked
*peas and
carrots
*lean
burger
and
ketchup
*baked
beans
*sf maple
*onion
Lunch
3 oz pr
c vegs
soup
Beef or
porkleftover
Fishleftover
Veggies
Egg- see
Thur
Dinner
3 oz pr
c vegs
beef
or
pork
*Chine
se
*Bbq
*Mexic
an
*Italian
*Soup
*Chili
*Stuffe
d
*Meatl
oaf
*Meatb
all
*philly
fishsee Fri
Ricotta
pots*crab
rangoon
*tomato
and
cheese
*hawaiia
n
*spinach
artichoke
*chicken
and
broccoli
*ham
and
cheese
*sausage
and
cheese
ChickenItalian,
Chinese,
Mexican,
chili, salad,
buffalo,
soup, pb,
bbq,
cordan
bleu,
pesto,
pizza crst
Veggie
proteinBeans
Nuts
Bean
burgers
Quoran
Veggie
products
Veggie
protienleftover
Turkey-leftover
TurkeyJennyO,
saladcanned,
meat wrap,
soup, chili,
meatloaf or
meat balls
FishMexican, teriyaki
Lemon pepper.
Raspberry,
Citrus,
Basalmic,
dill
*philly
*tuna
melt
*taco
*cheeseb
urger
*buffalo
chicken
*pulled
pork
*olive
tapenade
*bruchett
a
*pesto
tomato
*basalmi
c
*salmon
tzatziki
*fig and
honey
*buttern
ut and
white
bean
*chickpe
a salad
with
Tandoori
Masala
Blend: 3
Tbsp
cumin, 2
Tbsp
garlic
powder,
2 Tbsp
paprika,
3 tsp
Snack
1 oz pr
shake
nuts
ginger, 2
tsp
coriander
, 2 tsp
cardamo
m
*chocolat
e
*berry
*sugar
free
marmala
de
*jalepen
o, onion,
protien
*cinnam
onwarmed
similair
to
oatmeal
*pumpki
n spice
*apple
spice
*beans
and
ricotta
*lemon
*maple
walnut
*stuffed
zuchinni
*pear
and
almonds
*chili
Cottage
cheese
Homemad
e bars or
edamame
shake
yogurt
3 months and
beyond
Nov
Dec
Jan
balls
Protein (60 or
more)/
Calories(1000)
Carbs(63)/
Sugars(30)
fluids
exerci
se
weight
54-83 /6501000
26-86/
8-29
80
pool,
gym,
walk,
bike,
stretc
h
187
57-87/ 6501000
38-130/
5-37
80
pool,
gym,
walk,
bike,
stretc
h
180
60-69 /500990
58-101/
13-30
80
pool,
gym,
walk,
bike,
stretc
h,
trainer
175
to my shakes