After the Whipple's procedure patients usually lose 5-10kg. For some it is a good thing while for others not so much. My partner lost about 4kg. She weighs around 53.5kg and has started climbing back to her normal pre-surgery weight as she thinks it is her optimal weight. Our priority when it comes to her physical condition is to enhance and then maintain her physical fitness level to where it was prior to the surgery. There are three main areas of particular interest; 1] Cardiovascular system 2] Strengthening muscles 3] Overall flexibility using the proprioceptive neuromuscular facilitation stretching method (PNF) Phase 1 (3-8 weeks after surgery) During this initial period our aim is to strengthen her immune system while she is preparing herself for her first chemo treatment and get her as fit as possible. After arriving home from the hospital our strategy was - sleep, sleep and sleep. Get rested and get lazy and bored! It lasted 4 days. The pain was manageable and she decided to start with short walks on day 5 and has been increasing the distance ever since. Morning session 15-30 min. - meditation and mental preparation 15-30 min. - walk (slow to moderate pace) 20 min. - PNF (prior to Yoga introduction)(stretching and muscle conditioning) Meals (I will write more about it later) 6 meals every 2 hours starting at 7 am Afternoon session 30 min. - relaxation (music for relaxation, self-hypnosis (instructional) 20 min. - PNF 30 min. - walk (moderate pace) (During week 6-8 a short jog and some additional home exercising is to be introduced)
G'day DPC, It's me again! Again with a word of caution. In the early days of my treatment I was physically very fit and being fit helped me deal with the treatment and my recovery. My gym instructors had read up on the treatment I was to have and prepared a regime for me in the weeks leading up to the treatment, so I would recommend being physically fit. The caution - don't get obsessive about it, there is more to a good quality life than being physically fit. Several years ago things got to the stage where it was difficult for me to get to the gym and IU started to feel guilty about this. It coincided with some other situations that meant I finally went to see a psychologist. At the same time I needed some other procedures done and talking to the nurse in recovery I mentioned that I was concerned about the weight I had put on and that I was not getting to the gym. She quietly said "Haven't you got more important things to worry about?" Since then I have had a much more relaxed attitude to life and have enjoyed life a lot more. Cheers Sailor But to every sailor comes time to drop anchor Haul in the sails and make the lines fast You deep-water dreamer your journey is over You’re safe in the harbour at last. Eric Bogle, Safe in the Harbour
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Hi Sailor Thanks for the words of caution. After being involved in diff. sports at national and international levels for more than 25 years with 15 years of coaching under my belt while exercising being a daily routine for each member of my family I can tell you that any aspect of strength and conditioning at any level or a more specific personal training is well understood and familiar. There is no need to go to a gym to have a quality session. Everything can be done at home (if it has to be) and quite cheap. If you decide to change your strategy and want to get back in it please PM me and we can discuss it. I am sure I could assist you there (free of any charge of course). 🙂
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A quick update on this aspect of post-operative rehabilitation... all going well and according to the plan. We are thinking of increasing the intensity and her walking pace (from moderate to slightly faster). The fatigue factor is well managed. When it happens - hit the deck and have a power nap or alternatively 30-45min. of relaxation. In her case - a power nap as she likes to sleep. Apart from that she has been meeting up with her friends and keeping busy. Keeping her social life at a moderate level is a good thing. During the initial period after the surgery (up to 4 weeks) not one person was invited to visit, especially while she was in the hospital. Now, when she feels more energised and mentally stable - by all means and as intended.
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