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In a message dated 1/18/04 4:45:14 AM Central Standard Time, fbayuk@...

writes:

> I ate 12 ounces, by weight, of chili and cheese.

----------------

One of the continuing misconceptions of people who have had WLS is

that the food that goes into the pouch should be measured by WEIGHT. That is

not

how you do it. The pouch is a size or volume measurement -- FLUID ounces,

not WEIGHT ounces.

Twelve ounces of cotton would never fit into your pouch -- put twelve

ounces of lead would fit -- plus room for more.

Also, it is the measurement after chewing that counts. I just spoke

yesterday with a member of my support group that was in panic over the fact

that she could eat any entire bag of microwave popcorn. I told her to calm down

and think about what that bag of popcorn looked like before it was popped...

the volume of kernels and fat in the bag is relatively small compared to the

popped volume. As soon as the popcorn hits the moisture of the mouth and pouch,

it " melts " back to its unpopped volume.

I know that there are some surgeons who instruct their patients to

WEIGH the meat they eat -- well, they are just WRONG -- the physical laws of

science do NOT support that method of determining what will comfortably fit into

the pouch. When the surgeon creates the pouch, and tells you they made a two

ounce pouch, they determined that by filling it with fluid in the operating

room -- they used a volume measurement. Two ounces is one-fourth of a measuring

cup or 4 Tablespoons in size.

Another factor that plays into all of this is the consistency of the

food eaten. If the food either begins in a " liquidy " state (like soups) or

turns into a " liquidy " mass when chewed (like mashed potatoes) then a much

larger

volume can be eaten, as the food will pass through the stoma more quickly.

During the 15 minutes that you take to eat the liquidy food, the first several

bites have left the pouch -- leaving room for more. If you ate slowly enough,

and for long enough, you could eat HUGE quantities of these types of foods.

This a one of those topics that really sets me off -- because so many

doctors do not adequately explain it to their patients -- or do not understand

it themselves -- makes me wonder about their grades in science class!

Beth

Houston, TX

VBG - Dr. Srungaram

05/31/00 - 314 lbs.

11/01/02 - Abdominoplasty

11/29/02 - 160 lbs.

5'10 "

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Fay,

When I was able to do this a couple of times a day is when I

discovered that I had an SLD but that's me.

Lori Owen - Denton, Texas

SRVG 7/16/01

Dr. Ritter/Dr. Bryce

479/356/hoping for close to 200

On Sun, 18 Jan 2004 06:42:13 EST fbayuk@... writes:

> In a message dated 1/18/2004 6:37:18 AM Eastern Standard Time,

> jholdaway@... writes:

> It took me nearly 2

> hours to eat it,

> =================================

> It took me 20 minutes to eat the chili.

>

>

> Fay Bayuk

> **300/171

> 10/23/01

> Dr.

> Open RNY 150 cm

> Click for My Profile

> http://obesityhelp.com/morbidobesity/profile.phtml?N=Bayuk951061008

>

>

>

>

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In a message dated 01/18/2004 8:45:25 AM Pacific Standard Time,

BethVBG@... writes:

This a one of those topics that really sets me off -- because so many

doctors do not adequately explain it to their patients -- or do not

understand

it themselves -- makes me wonder about their grades in science class!

Beth

Houston, TX

VBG - Dr. Srungaram

05/31/00 - 314 lbs.

11/01/02 - Abdominoplasty

11/29/02 - 160 lbs.

5'10 "

First off Beth, let me congratulate you on your great loss! Woohoo!!

Second, the way your surgeon explains food in the pouch is quite similar to

how my surgeon explains it as well. My doc also has explained to us that as the

pouch learns how to milk the food into the attached intestine, and becomes

more efficient, that the food does not simply stay in the pouch like it did

right after surgery, when the pouch is flaccid. That is for those of us who have

had the RnY.

Hugs,

Katt Morales

Surgery Date: 01/07/2003

Dr. Terry Sanderfer - Open RNY Distal

Beginning Weight: 300 Current Weight: 148

Weight Lost: 152 Goal Weight: 135-144

We contend that for a nation to try to tax itself into prosperity is like a

man standing in a bucket and trying to lift himself up by the handle.

--Winston Churchill

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  • 6 months later...

I thought I'd add my thoughts on food also. I'm almost 4 weeks out, and am

adding food slowly. I started with pureed, did some canned soup, like beef

vegetable, and tolerated that well, added cottage cheese, and eggs. Never had a

problem, so I progressed to chicken, but I did cook it very well, and pureed it

with some gravy from cooking, and ate it over mashed potatoes. I thought I was

in heaven it was so good. I thought pureed would be awful, but when you use

your own food, it tastes just like it always does, with out having to chew! The

first unpureed food I tried was salmon on the grill and fresh green beans, and I

had no problem. Now I have tried chicken, beef, pork and fish, and not had a

problem with any, but I cook it really well, and use some sauce to help keep it

moist. I eat very slow and chew well. Yesterday I tried fresh pears, and they

were wonderful. I am still taking 2 protein drinks a day to make sure I get

enough, but the eating has gone well. I have never had a feeling of food

getting " stuck " , except once when I just ate too much. Now I stop before I am

full or satisfied, and about 1/2 hour later I feel full and satisfied. I think

I just had all of my problems during surgery and immediately post op. Also, I

had about 40 staples, and they really didn't hurt coming out.

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