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14

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Officials: Few eligible patients undergo weight loss surgery

 

The benefits of weight loss surgery extend beyond the shedding of excess pounds to encompass financial, lifestyle and other health-associated advantages.

But still less than 1 percent of patients eligible for weight loss surgeries, including gastric bypass, undergo the procedures each year in the United States, according to the American Society for Metabolic and Bariatric Surgery.

Dr. Donovan Teel II, medical director of bariatrics for Premier Health Network, that operates Atrium Medical Center in Middletown, said he and a second physician perform about 400 bariatric surgeries each year. He said the leading reason why only 1 percent of eligible patients undergo the surgeries is “access and insurance coverage.”

“Obesity isn’t treated as an equal disease; there’s a bias against it,” Teel said, including companies adding extra co-pays for the procedure.

Weight loss surgeries are recommended for adults with a body mass index — amount of excessive body fat — of 40 or higher, or those with a BMI of 35 with obesity-related comorbidities such as high cholesterol, sleep apnea and diabetes, according to Dr. Joe Northup, a bariatric surgeon with the Mercy Health network in Fairfield. A normal BMI ranges from 18 to 25.

“Surgery is a declaration you will be successful and live a healthy lifestyle,” Northup said. “Most have already tried different ways to lose weight. Weight loss surgery is a tool to make diet and exercise successful.”

The American Society for Metabolic and Bariatric Surgery estimates between 150,000 and 160,000 Americans undergo bariatric surgery each year.

More than a third of U.S. adults are obese, and more than 8 percent of the U.S. population — 25.8 million people — have diabetes. The total costs of diagnosed diabetes in 2012 in the U.S. was $245 billion, according to American Diabetes Association.

“Patients are not aware of their BMI and who qualifies for surgery,” Northup said.

Northup and his partner, Dr. Mohamed Dahman, perform about 300 bariatric surgeries each year at Mercy’s Fairfield and Jewish hospitals. Northup said once a person hits a BMI of 40 or higher, it’s very difficult to have “successful sustained weight loss.”

Bariatric surgeries include three types: gastric bypass (creating a small stomach pouch that bypasses the rest of the stomach and a short section of intestine); sleeve gastrectomy (removing a large portion of the stomach to create a small stomach); and adjustable gastric band (creating a narrow area to slow food intake and reduce some hunger).

Weight loss surgeries have the ability to improve or reverse a patient’s comorbidities, including Type II diabetes, high blood pressure, heart disease and arthritis. Northup said Type II diabetes is resolved in 85 percent of his patients.

Michael Lacombe, 47, of Hamilton, has lost about 130 pounds since undergoing gastric bypass surgery by Dr. Northup in September 2013. At an original weight of 386 pounds, Lacombe said he’s lost between five and 10 pounds each week. His goal is to reach 200 pounds.

“I went from a high dosage of medications to none within two to three weeks,” Lacombe said. “My energy is up and I owe my life to Dr. Northup.”

Prior to surgery, Lacombe had high cholesterol, high blood pressure, and for the past 11 years, Type II diabetes being treated with insulin and pills. He saves about $300 a month on medications — money he says now “goes to my kids.”

Since having the surgery, Lacombe’s energy levels have increased and he spends more time with his family, wife Jennifer and children Nicholas, 12, and Meagan, 8.

“It’s easier to get out of bed in the morning; I don’t feel the stress on my knees anymore,” Lacombe said. “I can find clothing in my size now.”

Lacombe said through the help of dietitians at Mercy Health he’s been able to make significant changes to his diet, including eating lots of green vegetables and cutting out hamburgers and two two-liters of soda each night.

“You don’t have those urges anymore; I force myself to eat because I’m not hungry,” Lacombe said. “The hardest thing has been not eating hamburgers.”

Dr. Angela Fitch, medical director of medical weight loss programs at the UC Health Weight Loss Center in West Chester Twp., said in order for weight loss surgery to be successful, the patient still has to follow lifestyle recommendations, including 150 minutes of physical activity per week and eating 60 to 90 grams of protein each day.

“You have to develop a different relationship with food,” Fitch said.

 

This article was written by Hannah Poturalski and originally posted on journal-news.com


18
Feb
14

Are You Getting Enough Protein?

Khalili Center - Protein Label

One of the most important aspects of a bariatric diet is incorporating protein into your meals!

READ FOOD LABELS

  • Look for the number of servings per container.
  • Compare the amount being eaten to the serving size per container.
  • Look for the grams of protein per serving.

 

COUNT THE GRAMS OF PROTEIN IN YOUR PROTEIN SUPPLEMENT

 

ESTIMATE HOW MUCH PROTEIN IS IN FOODS EATEN

  • For example: 1 ounce of chicken, fish, beef, turkey = 7 grams protein

 

Khalili Center - Good Protein

 

 

 

FOODS OF HIGH PROTEIN CONTENT

 

Food/Beverage
Serving Size
Protein        Calories

MEAT, FISH, POULTRY

Lean ground sirloin 3 oz 21.0 gm 230
Roast 3 oz 19.0 gm 200
Corned Beef 3 oz 23 gm 215
Pork chop 3.5 oz 21.4 gm 150
Red snapper 1 cup 39.0 gm 100
Shrimp, boiled 3 oz 21.0 gm 85
Tuna, in water ½ cup 28.0 gm 90
Salmon 3 oz 20 gm 125
Perch 3 oz 22.5 gm 100
Flounder 3 oz 32.0 gm 100
Lobster 1 cup 19.5 gm 85
Haddock 3 oz 16.5 gm 95
Baked ham 3 oz 26.0 gm 130
Chicken, dark 3.5 oz 30.0  gm 175
Chicken, white 3.5 oz 33.0 gm 160
Turkey 3 oz 25.0 gm 120
Peanut Butter 2 tbsp 8.5 gm 190

STARCHES

Mashed potatoes ½ cup 2.0 gm 100
Fat free refried beans ½ cup 9.0 gm 135
Baked potato, no skin 1 small potato 3.0 gm 130
Barley 1 cup 4.0 gm 193
Baked beans ½ cup 6.0 gm 133
Kidney beans ½ cup 7.0 gm 107

SOUPS

Broth ½ cup 1.5 gm 25
Low fat creamed soup 1 cup 6.0-9.0 gm 90
Chicken noodle soup 1 cup 7.0 gm 110
Bean, Pea, or Lentil soup 1 cup 9.0 gm 230
Minestrone soup 1 cup 5.0 gm 90

MILK, CHEESE, YOGURT

Cottage cheese ½ cup 14.0 gm 90
Skim mozzarella 1 oz 6.0 gm 80
Fat free American cheese 1 slice 7.0 gm 35
Fat free cheddar, shredded ¼ cup 9.0 gm 35
Skim milk 1 cup / 8oz 8.0 gm 90
Non fat dry milk 1 oz 8.0 gm 90
Yogurt, light 1 cup 8.0 gm 90
Whole egg, large size 1 egg 7.0 gm 80
Egg white 1 egg white 4.0 gm 25
Egg substitute ¼ cup 7.0 gm 30
Tofu 1oz 3.0 gm 25
Edamame 1 cup prepared 17.0 gm 189

 

1 oz = 2 tablespoons       2 oz = ¼ cup          3 oz = 1/3 cup              4 oz = ½ cup         8 oz = 1 cup

 


16
Feb
14

Life Saving Bariatric Surgery in Los Angeles

Obesity has many health risks associated with it. High level of the bad cholesterol (LDL), low levels of the good cholesterol (HDL) triglycerides increases abnormal blood fats.These blood fats increases the risk of coronary heart disease from the plaque, a waxy material that restrict blood flow inside life giving coronary arteries to the heart. A restriction or blockage of blood getting to the heart results in failure. The plaque in arteries can also create a blood clot to form and restrict blood flow to the brain resulting in stroke. Obesity impacts the way a body processes sugar making the level too high. Energy comes from a insulin hormone interacting with sugar. With improper levels the insulin hormone does not react properly with sugar. This is called Type 2 diabetes which is the leading cause of early death, coronary heart disease, stroke, kidney failure, and eye health.The majority of type 2 diabetes patients are obese. Obesity also is considered a cause to cancer, sleep apnea, poor breathing, and gallstones.

Bariatric surgery is not a first option for weight loss. The invasive surgery has the risk of any surgery. Following the surgery is a recovery process that is long term due to the initial obesity of the patient.The slower metabolism results in a long recovery process. Initial efforts for weight loss is a proactive diet and exercise regimen. Obese patients are referred to a nutritionist to evaluate eating habits and to form new healthy habits. The nutrition specialists support changes needed for weight loss and foods affecting type 2 diabetes. A health and wellness fitness specialist work on programs to increase metabolism to eliminate weight loss. The exercises in a clinical fitness gym are mostly low impact cardiovascular exercises.The weight for obesity create joint pain that would be more pronounced with running. Effective exercises include using a treadmill, stretching exercises. The patient is advised to continue a physical health regimen at home by walking and using stairs. For certain obesity related conditions like glucose tolerance and severe hypertension, the diet and exercise program may not be as effective in managing weight loss. After a formal weight loss evaluation, bariatric surgery in Los Angeles may be the only option for weight loss.

Bariatric surgery in Los Angeles is a weight loss surgery performed on obese people. The procedure is performed on the stomach and small intestine. One method is to reduce the stomach size with a gastric band making the patient less likely to eat as much food as before. Another method to reduce the size of the stomach is the surgical removal of a portion of the stomach. Gastric bypass surgery creates pouches in the stomach that are bypassed to the small intestine. Food is rerouted to waste rather than absorption by the small intestine. Gastric bypass surgery limits hunger with a smaller stomach pouch and food that is taken is less likely to be absorbed. This type of surgery is for morbidly obese patient. The fat that surrounds the heart, neck supporting breathing, and causing type 2 diabetes is so severe that surgery is necessary to reduce the immediate health risks. Gastric bypass surgery is the most invasive bariatric surgery. It is also the most proactive supporting urgent care resulting in necessary weight loss.

Following bariatric surgery, the post recovery that includes watching for infections, blood clots, and pneumonia. The stomach is observed closely for leakage. Complications may happen later so many follow up appointments are scheduled after surgery. The development of hernia or bowel obstruction can occur. The process of Gastric bypass surgery performed by Los Angeles doctors include the post-surgery visits to eliminate any complications. After recovery, the therapy returns to the diet and exercise regimen that occurred before surgery that served as a first weight loss choice before the bariatric procedure.

This article was originally posted on travelerstoday.com


14
Feb
14

Food Friday: Skinny Strawberries Romanoff

Khalili Center - Strawberry

Valentine’s Day is a perfect excuse to eat strawberries out of a champagne glass! We love this bariatric friendly dessert because the combination of light sour cream and the sweetness of brown sugar drizzled over berries makes a guilt-free, yet decadent dessert choice.

GATHER:

  • 16 oz strawberries, washed and cut
  • 4 oz low fat sour cream
  • 2 tbsp brown sugar

MAKE:

  • Combine sour cream and brown sugar. Place about five strawberries in each glass and drizzle each with 2 tablespoons of cream sauce.

EAT:

  • Servings: 5, Size: about 5 strawberries + 2 tbsp cream
  • Calories: 77.2
  • Protein: 2.1 grams
  • Carb: 12.8 grams
  • Fat: 2.4 grams

This recipe came from skinnytaste.com


14
Feb
14

Warning Labels on Sodas Proposed

Khalili Center - Nishi on the News

 

Khalili Center for Bariatric Care’s Dr. Nishi took time to chat with Fox 11 LA about the proposed soda warning labels and obesity issues in the community. The Khalili Center performs Gastric Bypass surgery, Gastric Sleeve surgery, Lap Band surgery, and revisional weight loss surgery in Beverly Hills, California. Click here to view the segment.


13
Feb
14

Robotic Surgery in the ASC: When Does It Make Sense?

Khalili Center - Dr Nishi Interview

 

Gregg Kai Nishi, MD, a general and bariatric surgeon and director of the Institute for Minimally Invasive and Robotic Surgery at K and B Surgical Center in Beverly Hill, Calif., describes the process of bringing the da Vinci Surgical System to the ASC and building a robotic surgery division. Is a robotic surgical system right for your center?

Financial consideration
Robotic technology is an expensive investment; there are hospitals that hesitate because of the costs involved. The first step in considering the addition of robotic surgery is to decide if it is financially feasible. Dr. Nishi and his colleagues initially spoke with a team at da Vinci about learning to use the system at a nearby hospital and lightheartedly suggested bringing the system to K and B Surgical Center instead. What began as an offhand remark started to make more and more sense. The center had the resources to make the initial investment and the physician support to make the future of a robotics program sustainable.

Read More

11
Feb
14

Hungry For A Healthy Valentine’s Day?

Khalili Center - Valentine's Day

 

Check out these simple tips to help bariatric patients keep celebrating their figure as well as the love in their lifes!

  1. Dim the lights, turn on soft music and cook a healthy meal with your loved one or with friends!
  2. Choose a light, yet delicious restaurant entrée or appetizer, knowing dessert will soon follow!
  3. Fill your second champagne glass with water!
  4. Grab a cozy blanket for two and take a romantic walk along the cliffs with a picnic basket full of healthy foods.
  5. Give the gift of chocolate when it’s covering strawberries or other fresh fruit!
  6. Whether there are two of you or you are going solo to see a movie, sneak a healthy snack pack in!
  7. Flavor your 0% Greek yogurt with low calorie cocoa and stevia…yummy!
  8. Share a romantic dessert by putting 2 spoons into a low fat frozen yogurt!
  9. Consider that your own kiss is better than any chocolate one you can give!
  10. Do something extra special for you like schedule that long-awaited massage!

10
Feb
14

Let’s Go Shopping!

Khalili Center - Shopping

 

Grab your shopping basket and join Misti for a shopping adventure at Trader Joe’s!

  • Learn how to navigate through Trader Joe’s
  • Learn great hands-on food tips

Event Information:
Monday, February 10th at 6pm
Trader Joe’s Los Angeles, Store #237
8500 Burton Way
Los Angeles, CA 90048
Corner of Burton and Colgate
Complementary Parking!

One lucky person will WIN THE CART FULL OF MISTI APPROVED BARIATRIC FOOD!

Meet at Trader Joe’s in the flower section by the grocery carts… look for the cart with the orange balloon!
See you at Tader Joe’s instead of Khalili Center!


7
Feb
14

What Are You Practicing?

Khalili Center - Woman Sunset

 

Every day, whether we are aware of it or not, we are practicing something…and what you practice, you become a master at. Your daily actions are creating a life that you will have to live in. Are you aware of what you are practicing? We benefit when we know what we want and we practice daily in a way that leads us to be the master of that life.  When we are not aware and become disconnected, we accidentally religiously practice actions that make the life we want and more and more distant.  If you want love, then you have to practice being open to giving and receiving love daily. If you want to improve your strength, then you have to practice increasing your muscles. If you desire companionship and feeling connected, then you have to practice making, maintaining and fostering connections daily.

This is a helpful mindset for any weight loss surgery patient to have throughout their journey.

What are you practicing today? Is it strengthening you and taking you in the direction you desire? If not, what do you want to practice today?

Angela Taylor, LCSW

Clinical Social Worker


4
Feb
14

Do You Suffer From Night Eating?

Khalili Center - Night Eating

 

DO YOU SUFFER FROM NIGHT EATING?

Did you know that Night Eating Syndrome occurs in approximately 28% of people seeking gastric bypass?

If night eating haunts you, ask yourself the following:

Read More

The information presented in the blog pages of Khalili Center is for educational and informational purposes only and should not considered personal medical advice. Consult with your personal physician/care giver regarding your own personal medical care.