There are a couple of schools of thought among low carbers...well, more than a couple, but for the purpose of this post, I will mention 2: one says that if you find low carb substitutes for the carby foods you are used to, you will have greater success; the other says if you learn to do without the carby foods you are used to, you will have greater success. Obviously neither is absolutely true 100% of the time, but each is mostly true to whoever lives by it.
I started out, nearly 7 years ago, believing the latter. And did very well with it for the first year or so. Of course there were some things I felt I could not forgo completely - such as Chinese buffet restaurants - so I compromised, with a trip to one per month. Gradually I evolved to the first school of thought, and learned or created ways to have what I wanted but in a safe, non-carby way. And this is pretty much how I have lived ever since. I do still choose a carby food or meal - or even a day! - once in a while but overall, 90% of the time at least, I eat low carb equivalents to the carby foods I enjoyed before.
After my nissen fundoplication last month I knew I would have to undergo diet changes, and one of them is giving up the so-called "gassy vegetables". This includes cauliflower, which meant no more mashed "potatoes"! Cauliflower is a substitute for quite a few low carb foods, but mostly, for me, it was my mashed "potatoes".
For the first few weeks of my recovery, when I was eating very soft foods to allow my stomach to heal, I didn't think or worry about carbs. It was hard enough just getting nutrition into my 3- or 4-bite minimeals. And I wasn't eating enough food to gain weight certainly. A side effect of this surgery is weight loss, even though it isn't a WLS, so I had no worries - I just had to eat what didn't hurt me. And one of those things was mashed potatoes. I kept a box of instant because they are easy to make up just a tiny amount, and they worked so well for me that I still have some on hand. And, since I can't make the standard fauxtatoes, I have found a way to compromise on mashed potatoes.
(Let me note here that regular potatoes, mashed, are way carbier than instant.)
I haven't done the carb count - haven't actually counted my carbs in years - but here is how I am able to enjoy mashed potatoes with my meal, once or twice a week:
- 1/4c heavy cream
- 1/4c (1/2 stick) real butter
- 1/2c full-fat sour cream
- 1/2c water
Combine the above in a small casserole dish and microwave on high for 4 minutes; remove and stir until smooth.
- 2/3c instant potatoes (mine have 14gN per 1/3c) which is less than the directions on the box, don't let that throw you if you try these
- 1/2c finely shredded cheese (I've been using colby-jack)
- S&P to taste
Stir in cheese until melted; add instant potato flakes and stir until smooth; S&P to taste; return to microwave for 1 minute on high; stir one last time.
This makes 4 nice-sized servings. For the potato flake portion, that's 7gN carbs. Everything else that's in there is very low carb. I'm guessing maybe 10gN per portion. Which isn't a bad compromise at all!
Here is the disclaimer: If you believe you shouldn't consume any starches at all, then don't make this for yourself. If you are morally opposed to potato flakes, then please don't purchase them as your hard-earned cash will be supporting their continued use.
As time goes on and I am seeing that I need to alter my low carb lifestyle to fit within the limitations of my "wrap" (the affectionate pet name that most of us call our fundoplications) I am hopeful that I will be able to continue to eat as low carb as I have for so long. But if I need to get creative, I will not be afraid - I will venture forth and find new ways of doing old things. Because that's MY school of thought :).
Showing posts with label nissen fundoplication. Show all posts
Showing posts with label nissen fundoplication. Show all posts
Monday, January 10, 2011
Saturday, December 25, 2010
Christmas Day!
(NOTE: If you are seeing this on Facebook, please go to my blog - cheapeasylowcarb.blogspot.com - to see my whole post. I don't make my points in the first paragraph, which is all that shows up on my Facebook page :).)
Lovely day! Soup turned out beautifully. The grilled cheese sandwiches looked and smelled amazing! I used English muffin bread, real butter on the outsides, and did them on my electric griddle. I used a slice each of American, swiss, and havarti cheese. My mom ate half of her sandwich and took the other half, plus a Christmas cookie, home with her. Pete had two sandwiches and two bowls of soup. (He usually eats double portions of things, that's why I try hard to keep him low carb but sometimes it is an uphill battle.) I didn't bake cookies this year but bought a package of 10 (?) cookies yesterday that would look pretty on the table - and they did. They are full of sugar and carbs and I ate 2. Won't have any more.
Since I can't eat bread, I had to forgo those lovely sandwiches. What a horrible thing that was, but the threat of great pain kept me from giving into temptation. Still, my pita cheese crisps were pretty good. I used a low carb pita, sliced it in half to make two very thin pieces, then I cut those into a few large pieces. Buttered them, sprinkled colby-jack on them, topped with havarti, and into the oven on a rack until the cheese bubbled and the pitas crisped up. They were better than nothing but I was still drooling over the grilled cheese sandwiches!
I nibbled a lot today. Started out with a dish of cottage cheese, then nibbled on cheeses while I made dinner, tasted a spoonful of my soup several times, then a half-cup of soup and some of the pita cheese crisps for dinner, a cookie about an hour later, the rest of the crisps a couple of hours after that, and another cookie just now.
Both the pita and the tomato soup were new re-additions to my post-fundoplication diet, as was the cookie. I am happy to report that I did fine with them all! Tiny bites, well-chewed, warm tea, and walking around - it was all good!
Lovely day! Soup turned out beautifully. The grilled cheese sandwiches looked and smelled amazing! I used English muffin bread, real butter on the outsides, and did them on my electric griddle. I used a slice each of American, swiss, and havarti cheese. My mom ate half of her sandwich and took the other half, plus a Christmas cookie, home with her. Pete had two sandwiches and two bowls of soup. (He usually eats double portions of things, that's why I try hard to keep him low carb but sometimes it is an uphill battle.) I didn't bake cookies this year but bought a package of 10 (?) cookies yesterday that would look pretty on the table - and they did. They are full of sugar and carbs and I ate 2. Won't have any more.
Since I can't eat bread, I had to forgo those lovely sandwiches. What a horrible thing that was, but the threat of great pain kept me from giving into temptation. Still, my pita cheese crisps were pretty good. I used a low carb pita, sliced it in half to make two very thin pieces, then I cut those into a few large pieces. Buttered them, sprinkled colby-jack on them, topped with havarti, and into the oven on a rack until the cheese bubbled and the pitas crisped up. They were better than nothing but I was still drooling over the grilled cheese sandwiches!
I nibbled a lot today. Started out with a dish of cottage cheese, then nibbled on cheeses while I made dinner, tasted a spoonful of my soup several times, then a half-cup of soup and some of the pita cheese crisps for dinner, a cookie about an hour later, the rest of the crisps a couple of hours after that, and another cookie just now.
Both the pita and the tomato soup were new re-additions to my post-fundoplication diet, as was the cookie. I am happy to report that I did fine with them all! Tiny bites, well-chewed, warm tea, and walking around - it was all good!
Wednesday, December 8, 2010
It's Still All About The Food
(NOTE: If you are seeing this on Facebook, please click below to see the entire post or go to my blog itself. I don't always make my point in the first paragraph, which is all that shows up on my Facebook page. I mean, if you actually want to see it all :).)
I'm posting this to both of my blogs, and those who only follow ChiaChatter will have to go to yesterday's post to see details of my recent surgery, if you want to get up to speed.
Thinking of how I am now eating, food is still my passion. The big difference is, how can I make my miniscule (2-3 Tbsp) meals a little more interesting, especially given my current limitations? Especially since I have to eat so freakin' many of them to get even a minimum of nutrition into my system...
My doctor has said that I can eat anything except bread, raw veggies, and - oh, I can't think of the other thing, but I won't be eating it anyway. Because he instructed me only to avoid those 3 areas, and chew well.
But before I had the surgery I did ALL kinds of research, from pdf instructions sheets of other docs who do the procedure, to medical sites, to a forum especially for fundoplication patients. And the vast majority, in talking about getting back to regular food, have much more specific instructions or experience. So, because the failure rate of this surgery is so high, and because the side effects can be disastrous, I am electing to collect all of the knowledge I gained, and create my own plan based upon the most conservative and logical of them all. I want to have the best possible outcome with the fewest possible post-surgical issues, and feel I need to be my own best "meal planner". It seems to me that most of those who are living with awful lifetime side effects or have had to repeat the surgery didn't go the most conservative route. I may be wrong, but this is how I am proceeding.
24 hours after surgery I was put on clear liquids. 48 hours post op I was put on full liquids. This includes things like yogurt and custard. The first day I ate only yogurt. I could only eat a couple of bites at a time without feeling uncomfortable, so I nibbled at it all day. The next day I included a few bites of cream of wheat with butter (yeah, they consider that liquid), and my doctor said that if I wanted to try soft food, he would change the order. So Saturday I tried some tilapia. The kitchen sent up rice with it though, and I put a few grains on the tip of my fork. Big mistake, lots of pain. I walked as far as I could to help things pass.
I think I need to insert here that my esophagus is considerably smaller than it was where it empties into my stomach. Stuff can get stuck. I have to eat taking tiny (1/2 tsp) bites, and chewing my food to a liquid consistency. I cannot drink more than a few tiny sips while eating (google "dumping syndrome"), or for 30 minutes before or after. Any foods that are hard to digest (including fiber), have skins, or seeds, or nuts, or cause gas, or could swell after swallowing or are carbonated - all off limits for now. So I need to get the maximum nutrition into the minimum intake, and the maximum hydration into the minimal time I have between the tiny meals - while observing the above cautions. Should something get stuck, I can take small sips of very warm (can't have anything very hot or very cold either) water and try to walk it off.
The problem on Saturday evening was that I was in the throes of pneumonia, weak as a kitten, and could only walk a short distance before becoming wobbly and winded. But it did pass, and I decided I would wait a few more days before trying soft or softened solid foods again.
Sunday I continued with yogurt, and added custard. Monday morning before my discharge I ate half of a scrambled egg. Introducing only 1-2 "new" foods a day is part of my conservative dietary after-care per one of the instructions sheets I'd read.
I was still living with a lot of pain when I was discharged, and no appetite to speak of. The hour+ ride to my sister's left me very weak; liquid lortab helped with the pain. I added both applesauce and cottage cheese to my diet that evening without a bad result.
Yesterday I got a little experimental, and discovered that 2 spoons of plain full fat yogurt with 1 spoon of applesauce, sprinkled with cinnamon, and stir in a drop of liquid sucralose - creamy apple pie in a dish! This was my first really enjoyable dish. And for supper, a small piece of leftover potato, put through the chopper with some milk and butter until creamy and smooth, and heated. Who would have thought that a leftover potato could taste so amazing??
Today I had some SF jello with a scoop of cottage cheese that lasted me for several hours (about 1/2c total). Just now I took some of my broth that I'd saved up from my pre-surgical meals (frozen), and heated it with a chunk of butter, then mixed in a few mashed potato flakes to thicken. I let it sit for quite a while to make sure the flakes were fully "inflated" before I ate it. In fact I am still eating it, and it will last throughout the evening most likely. It was delightful to taste my own seasonings again.
So it is all about baby steps - and baby bites! - and patience and listening to my own body. If my stomach starts sending out the "full" message, one more bite will cause pain. And today is the first day I have really felt hunger. To me this is a good thing, a sign of healing. So many people are unable to burp or vomit after this procedure that these issues are to be almost expected, although I have been able to burp a few times. And life of flatulence will also be a result. Lots and lots of flatulence...
Whereas before I took great satisfaction in a delicious plate full of food, in creating an entire glorious meal, now it is much more simple - just blending a couple of flavors to keep the boredom at bay, and the anticipation and even excitement of adding in a new food every now and again.
Everything will be different from now on. But given what I have suffered the last 19 years, progressing to what it became the last few (my husband, daughter, and sister are really the only ones who know the extent of that), this is a small price to pay to get my life back. As time goes on it will become natural, and I will also be able to eat more normally. Doc says a year to heal completely, the first 100 days will be critical. And it is these 100 days that I don't want to do anything to mess it all up. Baby steps, slow and steady...and simple pleasures like apple pie in a bowl where I can find them :).
I'm posting this to both of my blogs, and those who only follow ChiaChatter will have to go to yesterday's post to see details of my recent surgery, if you want to get up to speed.
Thinking of how I am now eating, food is still my passion. The big difference is, how can I make my miniscule (2-3 Tbsp) meals a little more interesting, especially given my current limitations? Especially since I have to eat so freakin' many of them to get even a minimum of nutrition into my system...
My doctor has said that I can eat anything except bread, raw veggies, and - oh, I can't think of the other thing, but I won't be eating it anyway. Because he instructed me only to avoid those 3 areas, and chew well.
But before I had the surgery I did ALL kinds of research, from pdf instructions sheets of other docs who do the procedure, to medical sites, to a forum especially for fundoplication patients. And the vast majority, in talking about getting back to regular food, have much more specific instructions or experience. So, because the failure rate of this surgery is so high, and because the side effects can be disastrous, I am electing to collect all of the knowledge I gained, and create my own plan based upon the most conservative and logical of them all. I want to have the best possible outcome with the fewest possible post-surgical issues, and feel I need to be my own best "meal planner". It seems to me that most of those who are living with awful lifetime side effects or have had to repeat the surgery didn't go the most conservative route. I may be wrong, but this is how I am proceeding.
24 hours after surgery I was put on clear liquids. 48 hours post op I was put on full liquids. This includes things like yogurt and custard. The first day I ate only yogurt. I could only eat a couple of bites at a time without feeling uncomfortable, so I nibbled at it all day. The next day I included a few bites of cream of wheat with butter (yeah, they consider that liquid), and my doctor said that if I wanted to try soft food, he would change the order. So Saturday I tried some tilapia. The kitchen sent up rice with it though, and I put a few grains on the tip of my fork. Big mistake, lots of pain. I walked as far as I could to help things pass.
I think I need to insert here that my esophagus is considerably smaller than it was where it empties into my stomach. Stuff can get stuck. I have to eat taking tiny (1/2 tsp) bites, and chewing my food to a liquid consistency. I cannot drink more than a few tiny sips while eating (google "dumping syndrome"), or for 30 minutes before or after. Any foods that are hard to digest (including fiber), have skins, or seeds, or nuts, or cause gas, or could swell after swallowing or are carbonated - all off limits for now. So I need to get the maximum nutrition into the minimum intake, and the maximum hydration into the minimal time I have between the tiny meals - while observing the above cautions. Should something get stuck, I can take small sips of very warm (can't have anything very hot or very cold either) water and try to walk it off.
The problem on Saturday evening was that I was in the throes of pneumonia, weak as a kitten, and could only walk a short distance before becoming wobbly and winded. But it did pass, and I decided I would wait a few more days before trying soft or softened solid foods again.
Sunday I continued with yogurt, and added custard. Monday morning before my discharge I ate half of a scrambled egg. Introducing only 1-2 "new" foods a day is part of my conservative dietary after-care per one of the instructions sheets I'd read.
I was still living with a lot of pain when I was discharged, and no appetite to speak of. The hour+ ride to my sister's left me very weak; liquid lortab helped with the pain. I added both applesauce and cottage cheese to my diet that evening without a bad result.
Yesterday I got a little experimental, and discovered that 2 spoons of plain full fat yogurt with 1 spoon of applesauce, sprinkled with cinnamon, and stir in a drop of liquid sucralose - creamy apple pie in a dish! This was my first really enjoyable dish. And for supper, a small piece of leftover potato, put through the chopper with some milk and butter until creamy and smooth, and heated. Who would have thought that a leftover potato could taste so amazing??
Today I had some SF jello with a scoop of cottage cheese that lasted me for several hours (about 1/2c total). Just now I took some of my broth that I'd saved up from my pre-surgical meals (frozen), and heated it with a chunk of butter, then mixed in a few mashed potato flakes to thicken. I let it sit for quite a while to make sure the flakes were fully "inflated" before I ate it. In fact I am still eating it, and it will last throughout the evening most likely. It was delightful to taste my own seasonings again.
So it is all about baby steps - and baby bites! - and patience and listening to my own body. If my stomach starts sending out the "full" message, one more bite will cause pain. And today is the first day I have really felt hunger. To me this is a good thing, a sign of healing. So many people are unable to burp or vomit after this procedure that these issues are to be almost expected, although I have been able to burp a few times. And life of flatulence will also be a result. Lots and lots of flatulence...
Whereas before I took great satisfaction in a delicious plate full of food, in creating an entire glorious meal, now it is much more simple - just blending a couple of flavors to keep the boredom at bay, and the anticipation and even excitement of adding in a new food every now and again.
Everything will be different from now on. But given what I have suffered the last 19 years, progressing to what it became the last few (my husband, daughter, and sister are really the only ones who know the extent of that), this is a small price to pay to get my life back. As time goes on it will become natural, and I will also be able to eat more normally. Doc says a year to heal completely, the first 100 days will be critical. And it is these 100 days that I don't want to do anything to mess it all up. Baby steps, slow and steady...and simple pleasures like apple pie in a bowl where I can find them :).
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