bbstx: I just helped a friend that had an eating problem. There are Creamed Soups and other foods that are available. I had to do that with my wife also. Plus bought " Ensure " and other drinks for Nutrition. Here is an Article that may help. It is a lot of reading but there is good advice, from someone who has went thru the ordeal. Wish DD fast healing, LOU Home > Articles PDF of this page Broken jaw tips: This article is about dealing with a broken jaw, so if you are looking for our normal real estate articles, stop reading now. For a basic version of this article, see http://www.dsaa.com/BrokenJaw.htm Part of my normal exercise routine includes riding a bike. Even though I do it regularly, that did not prevent me from having an accident in early June. I flew over the handlebars and hit the pavement, landing on my chin. I was wearing a bike helmet, which didnt even get scratched. I broke my jaw in two places (the middle break needed a plate to hold it together) and came out of surgery with my jaw wired shut. I am 55, female, and was in decent shape before the accident. Here are some things that helped me get through the ordeal. IÂm writing this because I couldnÂt find much information on a broken jaw. I hope you never need this, but in case you do, here is what I learned. I am not a doctor, so this is not medical advice. Maybe some of what IÂm doing is wrong, but it seems to be working for me. One of the keys things that helped me get through this ordeal was having my husband take incredible care of me. He made virtually every meal, encouraged me to exercise, and was there whenever I needed him. I am fortunate to have such a wonderful care giver, and hope you are too. I would be pleased to hear from you. Correct any mistakes, add your own advice, and I will repost this article. [ contact me ] Food Nutrition is critical to the healing process. And since you canÂt chew, itÂs difficult to get the proper amount of protein, fiber, calcium, and nutrients. I found drinking everything out of a glass worked best, rather than using a spoon (which I found difficult) or a straw. Here are some suggestions: Find out how many calories you need each day to maintain your weight. Go to the web site http://www.cancer.org and search for calories. A link will take you to a section called Calculate Your Daily Calorie Needs. Determine the amount of protein and fiber you need. To calculate the amount of protein you need, take your weight in pounds divided by 2.2 = weight in kilograms (kg). You need between 1 and 1.8 grams of protein daily for every kilogram you weigh. The upper end of the range is recommended for people with illnesses. Example for a 154 lb person: 154 lbs/2.2 = 70kg x 1 = 70 grams of protein daily, or times 1.8 = 126 gm protein/day. The amount of fiber you need each day depends on age and sex. Age 50 and younger Age 51 and older Men 38 grams 30 grams Women 25 grams 21 grams Keep track of everything Keep track of what you eat every day. Write it down. I mean keep track of everything that's important for a healthy diet and a successful recovery. Most packaged drinks and foods show the amount of calories, fiber, protein, calcium, vitamins, and more. For things like fresh fruits and vegetables, get a book that lists the amount of calories and other important nutrients. The Institute of Medicine advises that men consume roughly 3.0 liters (about 13 cups) of total beverages a day and women consume 2.2 liters (about 9 cups) a day, more if you exercise. Calcium is great for bones, so choose food sources high in calcium (like milk or yogurt) when possible. By keeping track of what you consume, you can easily see what youÂre lacking and remedy it. Sample worksheet Here are sample column headings for a daily food sheet. I just prepared a bunch of these sheets and put them in a binder. Food. Write the name of the food and how many ounces served. By tracking the ounces, you can easily adjust the nutrition information on future days if the serving size changes. So, yes, dust off those measuring cups. Calories. Total calories in the serving. Watch those labels as often a container is more than 1 serving. Protein. List the grams of protein in the serving. Fiber. Grams of fiber. Calcium. I listed the percent of the recommended daily amount, which is listed on milk, yogurt, ice cream cartons, and so on. Water. Keep track of how many ounces of water you drink each day. When you don't feel well and your jaw is wired shut, it's easy to get dehydrated. Exercise. Keep track of what you are doing for exercise. That helps keep it on your priority list. My eating case study I started each day with a smoothie containing 2 tablespoons of BrewerÂs Yeast, which is an excellent source of protein and nutrients. Get the debittered kind, which is typically available at health food stores. The smoothie also had 1 cup of plain non-fat yogurt (high in calcium and protein), one banana, 1 tablespoon of honey and almost a cup of frozen berries. Actually, come to think of it, I started each day with two latte's. I am a Seattleite after all. Okay, the coffee's not great for you, but I'd have 8-10 ounces of steamed milk (measure it before steaming), so I got a good start on protein and calcium. Note: It was hard for me to consume much of anything for the first few days after surgery. As a result, I wasn't getting anywhere close to enough calories. I felt I needed to get calories any way I could, regardless of nutritional value, so for a few days I used whole milk and regular yogurt. Once I got my calorie count up, I backed off these for the non-fat products. For lunch, I got a lot of fiber and protein by pureeing a can of beans (white beans, black-eyed peas, chili with beans, etc.), with 2 tbsp of flaxseed oil (great source of omega 3 and other nutrients) and chicken broth to thin it and for flavor. Some articles say to puree any food, or to eat baby food, but that didn't sit well with me. I preferred to eat wholesome foods and vegetables wherever possible for better nutrition. During the day I would have other drinks, like Gatorade and Odwalla, and plenty of water. Then I could eat whatever I wanted for dinner, like mashed potatoes and a milk shake. Even though they have less than ideal nutritional value, since I was able to get the proper amount of nutrients earlier in the day, I looked forward to dinner as treat time. You gotta do what you gotta do to get through six weeks of nothing but liquids. Also, take a liquid multi-vitamin, like Centrum, every day. If you canÂt find it on the shelf, ask a pharmacist. They can easily order it in for you, itÂs non-prescription. Things like Boost and Ensure are loaded with calories, protein and nutrients. I found them very sweet, too sweet really, but they tasted a lot better when I would put it in a blender with ice cubes, creating a smoothie-type of drink. These are great for mid-morning or afternoon snacks. YouÂll need a good blender and/or Cuisinart to grind up everything so there are no particles. If you can afford it (about $400), or can borrow one, a Vita-Mix (http://www.vitamix.com) is an excellent choice. That's what I ended up buying. (Please note that although I am mentioning products by name, this is not a commercial article. I'm just sharing what I did.) For me, drinking my meal with others at a table who were eating wonderful meals did not work. It was hard looking at real food and other people chewing. Instead I typically drank my meal in front of my computer or while watching television or reading. Naturally this was my choice and will be different for others. Exercise It helps the healing process enormously if youÂre strong. Force yourself as soon as possible after your surgery to start exercising. Walking or bike riding each day, and then building up to more vigorous exercise, will help your recovery. Try to exercise a minimum of an hour each day. But listen to your body. If youÂre tired, rest, as thatÂs just as important for healing. If you broke your jaw, thereÂs a good chance you injured other parts of your body. Using free weights helps to rebuild strength and muscle tissue, and are wonderful tools that donÂt take up a lot of room. Yoga and other types of stretching exercises help you both mentally and physically recover from your injuries. Try to do these at least 20 minutes each day. Doing it at the end of the day will help you relax and aid in sleeping. I also treated myself to a weekly massage to help relieve sore muscles. It was wonderful. A few visits to a chiropractor also helped relieve some of my sore joints. Pain I found that my jaw hurt very little after the surgery. It was the other body parts I injured that really caused pain. The soreness from my jaw only happened after it was unwired, and I could finally open it. For some people, grinding up pills and putting them in some milk or juice is fine. I found it to be very bitter. Liquid aspirin or ibuprofen was much better for me to help with pain, if you donÂt have a prescription for something stronger. ChildrenÂs medicines are often liquid. Just take roughly twice the dose if youÂre an adult. It will typically say on the package the proper dosage for adults, or ask your pharmacist. Teeth Cleaning YouÂll want to make certain to brush your teeth and gums at least after every meal and snack, and to use mouthwash. Warm salt water rinses also help. I also used plastic toothpicks to get out anything stuck between my teeth. I used a mouth rinse called PerioGard for several weeks to help with my gums since you canÂt floss. But it turned my teeth grey (which will come off when you get your teeth cleaned), so I stopped. But I think it was very helpful in keeping my gums healthy. One week after the "braces" (I think my doctor called these "arch bars") are off your teeth, youÂll want to get your teeth thoroughly cleaned by a hygienist and have a dentist check for any tooth damage. Your gums will be very sore when they initially come off, so it's best to wait a week so they can heal. Mental Exercises Naturally, thereÂs nothing you can do to unwire your jaw, so why fight it. Just feel lucky you didnÂt do more serious injury to yourself that could have resulted in far worse consequences. And focus on other important things like getting stronger by eating nutritious foods, and setting good exercising goals to help in your recovery. Remember it takes time for bones to heal. If you broke your arm, youÂd likely be in a cast for at least 4-6 weeks. I tried to keep talking to a minimum, as your jaw moves when you talk. And naturally the whole point is to try to move your jaw as little as possible so it will heal properly. Many people are also nervous that they might vomit with their teeth wired shut. It worried me. This happens to very few people. And if you are nauseous, you can go to a clinic to get a shot or I.V. There are suppositories you can purchase that will help if you donÂt want to take anything orally. Just make sure you have your wire cutters with you to ease the anxiety. If sleeping is difficult, go for a long walk or read until youÂre very tired right before bed. Listening to yoga or meditation CDs, and/or using scented candles or aromatherapy can help as well. If youÂre having major anxiety problems, talk to your doctor about getting a prescription. Time Line HereÂs how it went for me. Naturally it will be different based on the severity of your injury, your doctor, and how youÂre healing. I injured my right arm badly in my fall, which prevented me from doing more vigorous exercises like riding my bike and doing weights in the first few weeks. I was able to go back to work after the first week. It helped to keep my mind off of my jaw. Week 1ÂReally weak from surgery and other injuries. Difficult to eat at first, so having a lot of Ensure (or similar products), whole milk and high calorie items helped get the calories and nutrients in my body. Started walking each day 3rd day after surgery. Slept a lot and felt very weak. Weeks 2-3ÂBetter at eating, so ramped up to more nutritious items. Started doing yoga, and taking longer walks. Much stronger physically and mentally. But still get tired frequently, so lots of rest. Force yourself to massage and brush your gums with a soft brush to keep them healthy. Week 4ÂStitches taken out of my lower gums, on the outside of my teeth. I was not given anything prior, and this hurt a little. Finally able to get on my bike again, and to start using weights. I noticed my gums were growing between a couple of teeth--my doctor said that's normal--it completely went away when the wires from my teeth were removed. Week 5ÂWires holding my teeth together were replaced with tight elastic bands. Still on a liquid diet, and couldnÂt open my mouth. Week 6Â The elastics came off, and I can finally open my mouth! But it's hard to open very wide (sore when I do) and difficult to chew. That's ok, I'll take anything I can get. Started a soft food diet (scrambled eggs, baked potato--stuff that requires little chewing and sort of "melts" in your mouth). My bite was off (right rear teeth hit before left), making chewing awkward. Week 7ÂBraces (arch bars) off! (I think these are left on to make sure the elastics don't need to be put back on. I had an i.v. sedative for this so I would not feel any pain.) My gums were very sore afterwards. But can now eat more "firm" foods. You'll want to floss your teeth religiously and continue massaging your gums so they'll heal better. Bite still off and lower teeth where I had the plate put in were very sore when chewing and opening my mouth. But I exercise my mouth by opening wide and concentrate on using the muscles on the left side of my mouth to correct my bite. Week 8ÂGot my teeth cleaned thoroughly and a good bill of health from the dentist (no damaged teeth, gums in great condition). My lower gum where the plate was put in is still sore, as are the lower teeth, but I can eat normally. Bite still off, and still sore to open my mouth wide, but getting better from exercising it. I feel terrific, stronger than before I had my accident. Looking Good Just because your mouth is wired shut is no excuse to look bad. Remember the motto, "To Look Good Is To Feel Good", and we certainly want to feel good. So wear those great outfits, make sure you have regular hair appointments and whatever else to help you look good each day. People wonÂt even notice that your jaw is not moving when you talk, and youÂll feel great. Happy Healing! Patty Dupre August 6, 2006 Epilogue To My Jaw Surgery When the bands came off, the muscles were really tight and my bite was way off. About 2 weeks later, I had one tooth filed down slightly so the bite would be better. That helped enormously. But everything was still pulling a lot to the right, and my teeth werenÂt meeting together properly. I tried opening and closing my mouth as wide as possible, about 10 times, 4-5 times per day. But be careful not to overdo it. And your bite will likely never be the same, so don't worry about it. About 3 weeks later, as I started to chew more, I developed TMJ on one side. TMJ is when bone is grinding against bone where your jaw is connected to your skull. This was likely caused by the disk which cushions that joint being thrown out of place when I had my accident. TMJ was a real problem for me. I sure hope it doesn't happen to you. I was very careful about what I ate (no caramels, big sandwiches, etc. that causes you to open real wide or chew a lot). I cut my food into really small pieces, again minimizing the chewing action. And I also learned to really relax my jaw muscles by just letting it fall open naturally, and not forcing it into the correct position. I think that was an enormous help in letting the muscles figure out what to do. I went to 9 different specialists about the fact my bite was off (orthodontists, oral surgeons, dentists, etc.). One in particular kept telling me don't do anything until at least one year after your injury, as your joint and muscles will continue to heal and change. After going to all those specialists, getting very different advice, and waiting one year, I decided to get a splint to help out the TMJ problem (which I really didn't want to do). An orthodontist was where I ended up for the splintÂbut the splint is an artificial way (as they all are) of trying to correct the problem. Two days before I was to get the splint, the TMJ problem stopped. So I didnÂt get the splint. It's now 6 months later (1.5 years after I broke my jaw), and the TMJ or bite problems have not come back. I still donÂt open my mouth wide, and cut everything into small pieces. So far, so good. So if something's not right, just be patient and wait. Don't get anything done, if possible, until at least one year later. The body is truly an amazing thing. Patty Dupre February 7, 2008

Great post, it was hard to find on Google! As you may see, I'm currently scouring the net for more info on CKD food. I'm constantly on the look out for CKD food for my stage 1 CKD kitty. I couldn't feed her the chicken hills science diet k/d because it contains sugar. I can't feed her royal canin ckd because she refuses to eat it. So far I have her on weruva slide n serve brat pack chicken & lamb because it is the lowest phosphorous (wet) at around 15% (you can find all their nutritional information on their website) but the dry matter is quite high at around 80% and Tanya's CKD suggests a dry matter of around 50%. While both my senior cats love it (my ckd cat is around 16 the other is around 14-15) I feel like maybe I should look for a lower phosphorus one for my ckd cat. I ordered Tanya's CKD food guide book off Amazon recently and look forward to checking it out once it arrives. This thread was a very helpful, informative read and it took me forever to find, I stumbled upon it by accident. Thank you so much to everyone who has contributed and God bless you and your kitties. I'd like to mention that before switching to Weruva (and now still on the search for another healthy kind) my cats both USED to eat the CKD Royal Canin food, both wet "E" (they only like pate) and the hypoallergenic dry (which has soy in it, that's why I stopped feeding it to them) and they did horrible on it. My CKD cat kept throwing up, wailing every night, refused to eat, was always miserable, had intense muscle wasting, and just slept a lot and drank a ton of water and peed like crazy. My healthy cat, who is usually quite active, had really poor energy levels and would get exhausted too easily. After taking them off that food they're doing a million times better. My healthy cat has more energy, and my CKD cat has a better appetite, pees and drinks a bit less, is brighter and more active and mobile, more affectionate and friendly, and only wails when she's hungry lol shes still stage 1 so currently no supplements and I can be a bit liberal with her food choices (still want low phosphorus!! I'm not risking feeding her a high phosphorus food) but I do worry down the line about what I'll feed her in the future. For now, I'm comfortable feeding her low phosphorus and moderate protein non-prescription foods from reputable companies that are good quality and I agree that I'd much rather have cat eating and happy on a non CKD diet than miserable and suffering on a CKD vet diet. For now, she seems ok and I will keep monitoring her blood tests. I don't know what the future holds in terms of her nutrition though. Best of luck to you guys and kitties. God bless. Also have you heard of biotin in cat food interfering with blood test results? I need to do more research into that!

What a great thread...just found it today as I was surfing GW - I live mostly on the Kitchen & Home building forums :) Ilene - I was particularly interested in hearing your story - how is your daughter doing? I, too, had gastric bypass in Jan 06...my only regret was that I didn't do it earlier. I was indeed 'dying' a slow death & to me, it was the last resort, too. It took me 20 years to finally decide. I researched until all the cows came home...I am one to research something to death - I had to be sure. I'm almost 5 years post-op & I feel great! I've lost about 165 lbs & feel so much better. Hubby likes it, too ;) (Before & after pic below). The bypass is by no means a 'free pass'...it's a tool that, if used correctly, can have dramatic results. There is no magic solution...one still has to work. Yes, it does make it easier in some areas but the surgeon's knife didn't work on my brain. I had to use the 'honeymoon' period to build the good habits that will keep the weight off. I'm not perfect but like with anything you do...you just keep shooting toward the mark. :) Sugar was the reason I weighed 333 lbs. I was blessed with an intense sweets aversion from the moment I woke up. God must've said, "This gal needs this!" LOL A lot of people have sweets aversion following surgery (along with other weird food tastes that do eventually change) but they most often 'train' themselves right back into the sugar habit by just switching to sugar-free or even with the real stuff. I just chose to keep the white stuff out of my life. I was the dessert queen so it was kind of a challenge to hand off my 'crown' :) I do have to be careful, though...my sweet tooth has become very salty - love salt (funny, I have low blood pressure). I love those new Pop Chips - very low calories & fat. My favorite snack is the Revival Soy Jalapeno Cheddar protein chips...yum! The thing that helps me is cooking in bulk & freezing in portions. I make a lot of Arrabbiata Sauce (a spicy Italian sauce) & either combine it with meatballs or 'chunky' cooked hamburger (when I cook I don't mash the meat into tiny bits...I keep it 'chunky' so it's meaty.) I eat that with cottage cheese & don't miss the pasta at all. When hamburger is on sale, I make 2 huge pans of meatballs & cook them in the oven & store in Ziploc bags in the freezer. I can use these in so many different ways. I also make a boatload of chili at a time - one of my favorite meals. I've gathered a lot of favorite recipes & try to always have something on hand. For me, planning is essential. I fill my fridge with in-season produce & veggies. I make a lot of roasted veggies & eat with cottage cheese. I make tons of homemade salsas & use Mission extra-thin corn tortillas for my 'chips'. Quarter them, zap in micro for about 1:30 until crispy, 1 oz cheese on top, zap, serve with salsa, sour cream & a few grapes. I make a lot of beans, rice for...

Ya, blender: get some protein powder from a health food store or excercise food store READ the label. You can make delicious SMOOTHIES with 'product' recommended serving of protein powder, any fruit of choice, milk and BLEND, yogurt too. You can even use peanut butter to throw in. Tell you doctor you want a dietitician - immediately. They can help with balanced meals. Can even try talking to a pharmacist for recommended supplements to put in these things. SMOOTHIES are great - yogurt and fruit and water Mashed potatoes and chili whipped into a drink with beef broth to thin out... Try those lovely canned stews and blend them, chunky soups and add MASHED potatoe to them for the starch content. Let me know if any of this helps. Dessert can be ANY PUDDING MIX, thinned out a little with milk... Green vegetables? Try another dinner shake with a creamy cheese sauce thinned with a little milk (recommend carnations canned 2 percent). Think about when you were a kid...I loved hamburger, mashed potatoe, peas and ketchup. I would smash it all together on my plate before eating it. If he is turned off by the LOOK, get some of those plastic cups with the straws that are solid colour so you can only taste and not see. The mind is funny sometimes. I hope this helps. Strongly suggest a dietician, need protein with his meals. Oh yeah, banana and peanut butter shakes are good to... chocolate and raspberries/strawberries (fresh/frozen) Let me know how it goes, Peggy