Showing posts with label bariatric surgery. Show all posts
Showing posts with label bariatric surgery. Show all posts

Tuesday, July 3, 2012

Don't Be a Statistic of Weight Regain and Relapse

Last month I had the honor of attending and presenting at the 2012 American Society for Bariatric and Metabolic Surgery annual meeting in San Diego, CA. There was emerging theme and sense of urgency in the field of bariatrics;  preventing and overcoming weight regain and relapse after bariatric surgery.  This is an area not regularly discussed, often shooed under the carpet and managed on a case by case basis.

At least once a week I receive an inquiry for revision surgery due to weight regain.  This concern is not solely related to gastric banding, but every single bariatric procedure available including gastric bypass and gastric sleeve.  In my opinion, the goal is not to wait for the patient to falter, but to aggressively prepare individuals for the road that lies ahead, identify barriers to success and nip relapse "in the bud" as soon as it starts to rear it's angry head. 

This week's support group will be focused on identifying symptoms of relapse, looking at barriers for success and developing a plan or strategy for preventing or overcoming relapse.  I hope to see you there.  Don't let yourself be a statistic of weight regain and relapse.
Monday 7/9/12 at 6 pm. 

Nursing Education Center
20201 S. Crawford Ave.
Olympia Fields, IL 60461

Friday, February 24, 2012

A win for those seeking the next step in obesity care!

If you or someone you know is suffering from the disease of obesity please forward, re-post on your facebook wall or re-tweet!

As many of you know, the path to surgical intervention for weight loss can be long, frustrating and tedious. The pre-operative 6 month diet and it's effects on surgical and weight loss outcomes have been studied. Several studies have concluded that the 6 month pre-operative diet does not improve weight loss or surgical outcomes. The American Society of Bariatric and Metabolic Surgery (ASMBS) has reviewed the research and issued the following statement,

"the requirement for documentation of prolonged preoperative diet efforts before health insurance carrier approval of bariatric surgery services is inappropriate, capricious, and counter-productive given the complete absence of a reasonable level of medical evidence to support this practice. Policies such as these that delay, impede or otherwise interfere with life-saving and cost-effective treatment, as have been proven to be true for bariatric surgery to treat morbid obesity, are unacceptable without supporting evidence."

Thanks to the Illinois Chapter of the ASMBS, who fought diligently, Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma and Texas have dropped the 6 month medically supervised diet requirement prior to surgical intervention for morbid obesity.

This is a true win for individuals suffering from the disease of obesity seeking the next step in care, surgical intervention. It should be noted, however, that this DOES NOT indicate that nutrition and an understanding of the lifestyle changes required for post-operative success and health are not important. An adequate level of knowledge and the ability to apply new behaviors is still just as important.

At Franciscan St. James Center for Bariatric Surgery we have been and will continue to be diligent and steadfast in our lifestyle education, follow-up care and support for each and every one of our patients.

This policy change affords those with the disease of obesity greater access to care the (s)he deserves.

Thursday, May 5, 2011

Success Story: An interview with S.T.

I had the pleasure of interviewing S.T. about her success after bariatric surgery. She had her surgery in September of 2009 and has lost 103 pounds. She continues to lose weight weekly. S.T. will be speaking at support group on 5/9/11 at 6 pm.

T: Why did you decide to have Lap Band surgery?
S: I had tried everything and I needed to do something that was well researched and had minimal invasiveness.

T: What were your goals and expectations before the procedure?
S: They were high, but the preoperative classes helped me understand that I had to work hard to do my part.

T: How has your life changed after bariatric surgery?
S: I have increased energy and decreased fatigue. I am not as irritable. My breathing has improved and I do not need my asthma medication as much. It was the best decision I have ever made and if I could do it all over again I would.

T: What are the keys to your success?
S: I follow the rules, but not eating and drinking at the same time has been most helpful. At first I lost only 30 pounds and the weight kept going up and down. I was losing it much slower than I wanted. Then I spoke with Dr. Shayani who suggested I drink before I eat (not when I eat) or when I was hungry. Six months ago I took his advice and my appetite when down and I started losing weight.

It was important for me to focus on only 10 pounds at a time instead of my overall goal. When I looked at the big picture and the amount of weight I had to lose I would get depressed. Breaking it into 10 pound increments helped me feel like I was doing something and I became more focused.

The other key that has been important for me was to start exercising. I work out at least three days a week at the gym or with a video. Total body exercises have helped me to tone. In the summer I walk 3.5 miles outside.

T: I know you are busy, how do you fit in your workouts?

S: I work forty hours a week so it was tough. I get up early at 4:30 am because I learned that if I wait until after work it would not get done. It started with motivation, and now that I can walk I want to keep it going. I consider exercise personal time to focus on myself. I enjoy listening to my music and it is nice not to think about kids, college or bills. It is great.

T: Do you have any advice for someone who is stuck or frustrated with their progress after surgery?
S: Yes. Go back to the beginning and look at everything we learned. This includes no eating and drinking at the same time and cutting out junk from your diet.

T: What are some of the changes that you have made to be successful?
S: I have two kids in college and a senior in high school who still lives at home. They are all athletic and have helped me to eat healthier. Kool Aide, sweets and junk food are no longer in our home. I save desserts for special occasions only. Every week I like to try at least one new recipe. My favorite thus far has been parmesan tilapia. I increased the amount of fish chicken and turkey that I make and no longer fry foods.

T: Do you eat out?
S: I used to eat out every day. Now we only eat out one time per week. Champs is my favorite place to go. I typically order s sample platter. It is not the healthiest food, but now I can treat myself because I worry less about weight gain. There is a lot less guilt now compared to when I dieted.

Friday, March 18, 2011

Benefits of bariatric surgery may outweigh risks for severely obese

The American Heart Association weighs in about the benefits of bariatric surgery
  • Bariatric surgery is a viable option for patients who are severely obese and are safe surgical candidates who have failed medical therapy for losing weight.
  • When indicated, bariatric surgery often leads to long-term weight loss and significantly improved health.
  • While there are risks, bariatric surgery is considered a relatively safe procedure, especially in centers that perform many of the procedures.

Check out the American Heart Association:
Benefits of bariatric surgery may outweigh risks for severely obese