All of us at DayOne Health want you to feel safe, comfortable and knowledgeable throughout every step of your weight-loss surgery journey. Many of our patients have questions about what will happen the day of the surgery, the lifestyle changes required after the procedure, and nutrition recommendations before and after the surgery.
Below are answers to some of our most frequently asked questions (FAQs). If the question you have is not addressed here, please contact us or email our dietitian at firstname.lastname@example.org.
We usually recommend that patients take about 4-5 days off work following surgery. Most patients feel some fatigue and weakness for 3-5 days, but are able to return to normal functions after about 5-7 days. If you do manual labor, you may wish to stay home from work a little longer.
You will receive a phone call from a DayOne Health nurse the day before your surgery to review your pre-operative instructions and confirm your arrival time for the day of surgery. Generally, we ask that our patients arrive at the surgery center one hour prior to surgery.
Yes, DayOne is committed to your comfort. We have customized beds, gowns, wheelchairs, operating room equipment and x-ray equipment designed expressly for overweight patients. Furthermore, our nursing staff is fully trained to address the needs of overweight patients.
Absolutely! In keeping with our commitment to the highest quality care, DayOne uses only board certified or board eligible physician anesthesiologists in the operating room — never CNRAs / nurse anesthetists — all of whom are experienced in treating overweight patients.
The operation itself lasts anywhere from 60 to 90 minutes.
No, we do not remove the gallbladder on a routine basis unless we conduct a gallbladder ultrasound and it indicates removal is necessary. Your surgeon will discuss this with you further during your consultation.
Following surgery, patients are monitored in a recovery room for approximately 3 to 6 hours before being discharged from the surgery center. Recovery times vary depending upon the individual patient.
Yes, following surgery you will be asked to breathe in a tube every hour (incentive spirometry) until you are discharged.
We encourage patients to walk as soon and as much as possible after their surgery.
As our procedures are performed on an outpatient basis, patients are released the same day as their surgery.
Patients are given pain medication for use at home following surgery. Most individuals experience only mild discomfort, which is generally relieved by the pain medicine.
Generally we use liquid Vicodin® or Tylenol® for our patients. We offer alternatives for those who are allergic to these particular pain medications.
You will be able to drink water the same day as your surgery.
Yes, you will have to follow a liquid diet prior to surgery. Your surgeon and dietitian will discuss the length of your pre-op liquid diet with you. The diet consists of clear liquids such as broth, crystal light, water, Jell-O, Italian ice, and popsicles throughout the day, and three meals of low-fat strained cream soups, low carb/low sugar protein drinks, skim milk and drinkable yogurt.
Your ability to tolerate certain foods depends on how much of that particular food you are consuming. You will need to stop eating once you feel full.
Good sources of protein are eggs, low-fat cheese, low-fat cottage cheese, tofu, fish and other seafood, beef, chicken, turkey, yogurt and soy products.
Hair loss may be a sign that you are not getting enough protein in your diet. You should be aiming for 60-65 grams of protein per day. You can also take a daily zinc supplement to help with some hair loss. For more information on proper protein intake, consult your surgeon or our DayOne Health dietitian.
It is recommended that you take a chewable daily multivitamin. Our dietitian can provide some appropriate multivitamin suggestions.
Most surgeons recommend a period of four weeks or more without solid foods after surgery. A liquid diet, followed by semi-solid foods or pureed foods, and then soft foods, may be recommended for a period of time until adequate healing has occurred. Your surgeon and dietitian will provide you with specific dietary guidelines for the best post-surgical outcome.
You should purchase some low-carb/low-sugar protein drinks for your pre-op liquid diet and for the first week after surgery. After that, your surgeon and dietitian would like you to choose semi-solid foods or pureed foods to ensure you feel full longer and faster. Once you have progressed to the regular solid food stage (weeks 4-6 after surgery), you should not be consuming protein drinks as your meals.
After your post-operative diet is complete and you have progressed to a regular solid food diet, the main focus of your meals should be protein-based foods. The main portion of your meal should be a protein, followed by vegetables and fruit, then carbohydrates. Your meal sizes should be around 4 oz or ½ cup for each meal.
Snacking, nibbling, or grazing on foods, usually high-calorie and high-fat foods, can add hundreds of calories a day to your intake, defeating the restrictive effect of your operation. Snacking will slow down your weight loss and can lead to regain of weight. If you are snacking properly, using protein-based snacks, you may be able to have 1-2 snacks per day. A proper diet and meal plan should be discussed with your surgeon and the DayOne Health dietitian.
Important LAP-BAND® System Safety Information
Indications: The LAP-BAND® System is indicated for weight reduction for patients with obesity, with a Body Mass Index (BMI) of at least 40 kg/m2 or a BMI of at least 30 kg/m2with one or more obesity-related co-morbid conditions. It is indicated for use only in adult patients who have failed more conservative weight reduction alternatives, such as supervised diet, exercise and behavior modification programs. Patients who elect to have this surgery must make the commitment to accept significant changes in their eating habits for the rest of their lives.
Contraindications: The LAP-BAND® System is not recommended for non-adult patients, patients with conditions that may make them poor surgical candidates or increase the risk of poor results (e.g., inflammatory or cardiopulmonary diseases, GI conditions, symptoms or family history of autoimmune disease, cirrhosis), who are unwilling or unable to comply with the required dietary restrictions, who have alcohol or drug addictions, or who currently are or may be pregnant.
Warnings: The LAP-BAND® System is a long-term implant. Explant and replacement surgery may be required. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.
Adverse Events: Placement of the LAP-BAND® System is major surgery and, as with any surgery, death can occur. Possible complications include the risks associated with the medications and methods used during surgery, the risks associated with any surgical procedure, and the patient’s ability to tolerate a foreign object implanted in the body. Band slippage, erosion and deflation, reflux, obstruction of the stomach, dilation of the esophagus, infection, or nausea and vomiting may occur. Reoperation may be required. Rapid weight loss may result in complications that may require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or esophageal dilation.
Important: For full safety information please click here, talk with your doctor, or call Apollo Customer Support at 1-855-551-3123
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