The Voice Issue 5, Summer 2010 | Page 11

workers can do to spread the word about the things we all need to do to stay healthy, the better we’ll all feel, and the easier it will be for the NHS to cope with an increasing population. So what is the dietitian’s role in post laryngectomy care? Eating after the op Anyone who’s already undergone lary or trachi surgery will know how important their dietitian is to their recovery. After the op, you’ll have been fed through a feeding tube to ensure you get the right mix of nutrients in that all-important first stage of recovery. In many cases, patients actually need to regain a bit of weight that they might have lost leading up to the op when their throat may Then it’s on to softer foods with a bit of substance – eggs are a good starting point, then some nice soft pasta; maybe even thicker soups and casseroles. The dietitian will help you to choose the right range of foods to support your convalescence. As time wears on, that will expand to include a fuller range of flavours and textures. The good news is that your ideal diet will be much the same as anyone else’s: one that’s rich with fruit, vegetables and whole grains – all the sorts of things that’ll make you feel fuller, fitter and healthier. Of course, saturated fats are out and salt and sugar intake will be well down too. But don’t worry, we can all afford a little slip from time to time! “Learning to eat again can be a funny, rewarding, messy, frustrating business. Don’t worry, there’s no right or wrong way – just the way that works for you.” have been severely sore or undergoing radiation treatment. The dietitian will ensure that you get the right amount at the right time and aim to get you back to (or as close to) your target weight as possible. Fortunately the vast majority of patients recover sufficiently well to disengage the feeding tube and get onto liquid foods, before getting back to some heartier fare. In the first instance that might just be your own liquidised dinners – but they can provide a good range of nutrients and give you a bigger range of taste. The dietitian will also recommend plenty of nice soft foods including porridge, soups and yoghurt; even tasty treats like ice cream and soft puddings – anything that slides down easily. People do often find that their tastes have changed quite substantially post op; in which case, the dietitian will work with them to recommend some new recipes to add to the repertoire. You might suddenly find stronger, fuller tasting foods get a bit more appealing. Learning to eat again can be a funny, rewarding, messy, frustrating business. Don’t worry, there’s no right or wrong way – just the way that works for you. And you can count on your dietitian to help you. It can actually be quite rewarding trying all those old familiar foods that suddenly taste a little different, and experimenting with new textures and flavours too. The dietitian has a pretty hard job, but it’s a rewarding job for them and you. Bon appétit. ? Summer 2010 | THE VOICE 11