This quick video is from a surgeon's office (...and not an endorsement - I just love the video) but it's a simplistic way to visualize some of the issues that band patients face and it WORKS.
If you are STRUGGLING - GET HELP.
This quick video is from a surgeon's office (...and not an endorsement - I just love the video) but it's a simplistic way to visualize some of the issues that band patients face and it WORKS.
If you are STRUGGLING - GET HELP.
Graham Elliot of Masterchef has dropped more than fifty pounds since undergoing gastric sleeve surgery last month.
Way to go, Graham!
I have often described myself as a food apathetic since weight loss surgery.
I never seemed to connect the gathering, preparation and cooking of food the way others did since my bariatric surgery.
I am not typical. There are reasons.
I believe what sealed this for me was when I was told that I should not be using utensils, stoves and other "dangerous" materials since my seizures have been uncontrolled even while heavily medicated. I am not supposed to cook or prepare anything while unsupervised. This makes cooking not much fun FOR ME. I rarely cook unless the whole family is around. It's really not a huge deal -- but it makes me spend a lot of time watching other people's preparation and food behaviors. For me, meal preparation is often: open microwave, heat, eat. When you can't -- you just don't. You learn to cope around your situation, I eat a bit like an old person.
Post bariatric patients (and not... however my interest is in the weight loss surgery patient) spend hours collecting recipes, pinning them to websites, sharing photos of food, baking, cooking, talking about cooking, posting about cooking, etc. etc. and I know many spend hours watching cooking shows, and even leave it on as background noise at home.
I distinctly remember a time when the cooking channel was the only channel I wanted to watch. This was in the first few months. But it passed. I was speaking with an elderly aunt yesterday - who lives vicariously through the cooking shows. She is the kind of person who never COOKS a thing on these shows, but loves to watch them. I wondered -- is this how bariatric patients live?
I am her. She is me. I am that old lady. But I don't cook much now nor care about the food one iota. She obsesses -- watches the shows ALL day long. She also wonders about what "we are going to have for lunch" just as soon as we leave the house. I told her to make the choice for lunch yesterday - and she could not get over the fact that I didn't care where we ate. "You really can eat anywhere, and don't care?" Yep. I just doesn't matter - so long as I get fed with something of quality.
Do we live vicariously through what we might have -- obsessively -- through recipe blogs, cooking networks, photographs and talking about food? What of this constant preoccupation with food and the sourcing of - and preparation of - and the eating of - do you think it has any impact on our success in our weight loss and weight maintenance in the long term?
I know when I was thinking about food all the time - I was eating it. My weight chart shows a different mindset and so do my pants.
What about you?
ASMBS - When can I resume exercise after my WLS?
Exercise after surgery is absolutely imperative, and it may be the most important factor that can help a patient achieve long-standing and successful weight loss.
Independent of what phase a patient may be in before or after surgery, there are certain basic safe and reliable rules to follow in regard to exercise:
In addition to loss of fat mass, there are other numerous benefits to exercise. These benefits include prevention of loss of muscle mass when losing weight rapidly after surgery, and improved overall weight loss. One’s immune system is enhanced by exercise and this will help maintain overall general health. Exercise may also reduce a person’s appetite. Fatigue, which sometimes is problematic after surgery, may be reduced. Finally, there can be improved balance, improved self-confidence, and overall improved sense of well being.
"Because of my line of work, the doctor specifically thinks this is the surgery best suited for me," he says. "With gastric bypass and other surgeries, there's some ingredients you can't eat because it will cause you to get sick. This procedure will allow me to still taste and try everything.”
Via OAC - Nominations END tomorrow!
We are proud to open the nomination process for the OAC’s 2013 Annual Awards that will be presented on Saturday evening, August 17, at the 2nd Annual Your Weight Matters National Convention in Phoenix, AZ.
Last year, the OAC unveiled its Annual Awards Program as a way to honor outstanding OAC members and volunteers for their tireless efforts to advance the cause of obesity and help individuals affected through education, advocacy and support. Our members truly drive the successes of the OAC, and we are excited to celebrate the individuals that have made a direct impact in furthering the goals and mission of the OAC.
During this year’s awards ceremony held in conjunction with the 2013 National Convention in Phoenix, we will present seven awards in key areas of focus for the OAC. A complete list of the awards to be presented may be found to the right. Of the seven awards, four are open to the membership to submit nominations. The remaining award recipients will be selected by the Annual Awards Program Review Committee.
If you know someone who is deserving of one or more of the OAC’s awards, we encourage you to submit a nomination using the below links. Self-nominations are also welcomed and accepted.
Candidates for the below awards are nominated by the OAC membership and will be submitted for final review by the OAC Annual Awards Program Review Committee. Self-nominations are accepted. The description, qualifications and criteria for review are available once you click the link provided for the respective award.
We hope you submit a nomination for the OAC’s Annual Awards and invite you to join us in Phoenix for the presentation. Here are the details of this year’s Awards Ceremony:
Saturday, August 17
7:00 pm – Arizona Grand Ballroom – Conference Center at Arizona Grand
Arizona Grand Resort & Spa
8000 South Arizona Grand
Phoenix, AZ 85044
Plated Sit-down Dinner
Tickets to the 2nd Annual OAC Awards Dinner are included in Full Convention Registration and can also be purchased separately. To learn more about registering for the Convention and this event, please visit the official Convention Web site at www.YWMConvention.com.
I've got that Barenaked Ladies song "One Week" playing in my head as I write this post --
It's a funny thing when you post your lowest-to-date weight, instant comments happen. I suppose I should expect it. I watch the comments scroll on other people's blogs, pages, etc and I try to ignore them but I do wonder what the guidelines or cut offs are for making judgements on a person's shape/size.
I don't think it matters which direction you go - there is a comment somewhere.
And it just proves that we are SO INDIVIDUAL. You cannot judge your path against someone else. Please don't try.
*cue Britney Bitch*
Why do other people feel compelled to immediately (No, seriously, THE SECOND YOU TAKE A BIG SHIT AND POST YOUR WEIGHT LOSS...) judge themselves against you?
Oh my goodness, aren't you a crass little creature! *unsubscribe*
I have never (in my life) seen 145 lbs. I am a short woman, which makes 145 lbs "overweight." May I own it for five seconds before I sabotage it?
Please do not make body comments about anyone. Ever. You have NO idea what kind of lasting impression it has on them. I am stronger than most.
“The process is the goal.”
― Geneen Roth
YOU ARE INVITED to join us for the 2nd Annual Your Weight Matters National Convention, taking place this year in Phoenix, AZ, August 15 – 18 at the beautiful Arizona Grand Resort & Spa!
“Rise to the Challenge” with the Obesity Action Coalition (OAC) in Phoenix, where you can learn from the country’s leading experts and arm yourself with the knowledge to better manage your weight and your health!
The Your Weight Matters National Convention is the largest National meeting dedicated to providing evidence-based strategies for individuals impacted by excess weight and obesity, proudly brought to you OAC. As a National non-profit organization, the OAC is dedicated to helping the millions of Americans impacted by excess weight and obesity through education, advocacy and support.
The OAC’s National Convention is a 3-day educational event designed to bring together all individuals who struggle or are concerned with weight-related issues. The entire weekend is dedicated to presenting a comprehensive agenda, comprised of diverse topics that are designed to help any individual who has ever had a concern about their weight. We bring-in the country’s leading experts on weight and health and give you the RIGHT tools to be successful in your lifelong journey with weight.
Would you join us? Please do.
The OAC invites you to “Rise to the Challenge” and have the opportunity to win an all-expenses paid trip to the 2013 Convention in Phoenix.
Caesar demands - asks...
(If you have not watched this - DO - embed the words inside your brain - that little dance - can you? Would you?)
Have you already registered for #YWM2013? (GO YOU!)
JACKSON, Miss. — Uninsured Americans who are hoping the new health insurance law will give them access to weight loss treatments are likely to be disappointed.
That's especially the case in the Deep South, where obesity rates are among the highest in the nation, and states will not require health plans sold on the new online insurance marketplaces to cover medical weight loss treatments like prescription drugs and bariatric surgery.
Dr. Erin Cummins directs the bariatric surgery department at Central Mississippi Medical Center in the state capital of Jackson. She grew up in the Delta, her husband is a cotton farmer, and although she's petite and fit, she understands well enough how Mississippians end up on her operating table.
"You have to realize in the South, everything revolves around food. Reunions, funerals, parties — everything revolves around food," Cummins says.
That long-standing food culture, as well as other factors like inactivity and poverty, have saddled Mississippi with the highest obesity rate in the nation.
Credit: Produced by Dave Anderson/Oxford American; Narrated by Debbie Elliott/NPR
Roughly 1 in 3 adult Americans is now obese. And ground zero for the nation's obesity battle is Mississippi — where 7 of 10 adults in the state are either overweight or obese. The problem is most pronounced in Holmes County — the poorest and heaviest in the state.
Doctors here are no longer surprised to see 20-somethings with diabetes, hypertension, sleep apnea, heart disease and severe joint pain. And the prevalence of severe and super-obesity is growing rapidly. For those patients, bariatric surgery is considered the most effective treatment to induce significant weight loss.
Cummins describes the procedure: "We're restricting the stomach size to where a patient isn't going to eat as much. Then we reroute the intestines a little bit and realign it to delay digestion, so to speak, to bypass it. So everything a patient eats in a gastric bypass is not going to be absorbed."
After surgery, many of the complications of obesity, like sleep apnea and high blood pressure, are reversed. Multiple studies have found that about 80 percent of diabetics can stop medication in the first year.
Medicare and about two-thirds of large employers cover bariatric surgery in the U.S. But the procedure is pricey — an average of $42,000 — and many small employers, including those in Mississippi, don't cover it.
When the Affordable Care Act became law in 2010, one goal was to erase those sorts of regional variations in access.
"Our hope was that there would be a single benefit for the entire country, and as part of that benefit there would be coverage for obesity treatment," says Dr. John Morton. He is director of bariatric surgery at Stanford University Morton, and has led national and state lobbying efforts to get insurance coverage for teh surgery.
But amid worries that a uniform set of benefits would be too expensive in some states, and sensitive to the optics of the federal government laying down one rule for all states, the U.S. Department of Health and Human Services changed course. It decided instead to match benefits to the most popular small group plan sold in each state, in essence reflecting local competitive forces.
That's led to an odd twist: In more than two dozen states, obesity treatments – including intensive weight loss counseling, drugs and surgery – won't be covered in plans sold on the exchanges.
Bariatric surgery won't be covered on the exchanges in Alabama, Louisiana, Arkansas, Texas and Mississippi. That's where, according to the Centers for Disease Control, obesity rates are among the highest.
Morton applauds the growing awareness around obesity prevention in the U.S., but, he says, some 15 million Americans who are already severely obese still need medical treatment.
"If they don't have insurance, they're not going to get the therapy," Morton says. "We see cancer therapy covered routinely. We see heart disease covered routinely. Why is it that we don't see obesity coverage routinely?"
Therese Hanna, Executive Director of the Center for Mississippi Health Policy, isn't surprised that obesity treatments are excluded on the insurance exchange in her state. She says it all has to do with keeping cost down for many people who will be buying insurance for the first time.
"With the discussions around what should be covered under the exchange within the state, a lot of it had to do with balancing cost versus the coverage," says Hanna.
Hannah says Mississippians who buy insurance on the exchange will likely be the cashiers, cooks, cleaners and construction workers that make up much of the state's uninsured. And even though many of them will qualify for federal subsidies, the price of monthly premiums must be kept low.
"If you try to include everything, the cost would be so high that people wouldn't be able to afford the coverage, so you defeat the purpose," Hanna says. The discussion in Mississippi, she says has focused on providing care for things like high blood pressure, diabetes and heart disease. "So we have a lot of needs to be covered other than obesity itself."
Carnie Wilson Speaks At WLSFA 2013 Las Vegas Luncheon
PHILANTHROPY is based on voluntary action for the common good. It is a tradition of giving and sharing that is primary to the quality of life. To assure that philanthropy merits the respect and trust of the general public, and that donors and prospective donors can have full confidence in the not-for-profit organizations and causes they are asked to support, we declare that all donors have these rights:
I'm going to add one more:
Don't do this to your donors - particularly when they're YOUR PEOPLE.
That is a scanned image of the check I donated to the Weight Loss Surgery Foundation of America or WLSFA organization.
I was not home twenty-four hours before I received a letter from the CEO of the foundation and this image with the letters V O I D enscribed across it. I have not slept much yet - so - forgive my even sharing this with you -
I especially like how I wronged the sponsors. Because many of them are also mine. (*See sidebar. I love my sponsors. Click their links. Buy stuff.)
That feels really good, Antonia. That makes my heart swell with pride and stuff.
It's a day later and I've received no response as to what I did, aside from hand the WLSFA $1000 in a non-confrontational manner. I actually had to beg them to take it - we were skipped over in the first round of donation announcements - they took it publicly and gave it back like this.
The event itself? Was a non-issue. I only have two or three issues that I'd concern myself with -- and they wouldn't involve this check. At all. One issue was big enough for me to want to blog - but - I've refrained so far.
My bariatric support group's fundraising is obviously not wanted in this exclusionary non-profit. I do not know if it's legal to shun a cash donation from legal fundraising. Lawyers?
As a group we are more than disgusted. I have spent hours promoting this event, and spent thousands of dollars, and frankly I sit here ashamed that I asked my peers to donate to the cause.
Consider for a second how much I spent just for myself -
I am more sickened that I suggested friends JOIN ME at the event -- and asked them to spend their hard-earned money on the event as well just to be shunned so specifically. Friends brought husbands -- this isn't cheap.
I am not a happy MM. I apologize to YOU. We learned a hard lesson here.
We have have offers to take our GOOD elsewhere, of course. I got offers of help in the middle of the night. And we will, if you donated or made a purchase - your money is going to another reputable non-profit. Thank you.
New Jersey Governor Chris Christie has come to the dark side.
He got banded. Go him. Good for him.
New Jersey Gov. Chris Christie secretly underwent lap-band stomach surgery to aggressively slim down for the sake of his wife and kids, he revealed to The Post last night.
The Garden State governor agreed to the operation at the urging of family and friends after turning 50 last September. He told The Post he was thinking of his four kids and how it was time to start improving his health when he decided to have the procedure.
“I’ve struggled with this issue for 20 years,” he said. “For me, this is about turning 50 and looking at my children and wanting to be there for them.”
He also insisted that, contrary to what observers may say, the effort to slim down was not motivated by thoughts of a presidential bid.
“It’s so much more important than that,” he said.
Christie checked in to a surgery center on Feb. 16. A source said he registered under a false name.
The operation included placing a silicone tube around the top of his stomach, where it restricts the amount of food he can eat at one time and makes him feel fuller, faster.
“A week or two ago, I went to a steakhouse and ordered a steak and ate about a third of it and I was full,” he said of his newly tamed appetite. He declined to say how much he lost, but sources said he has already shed nearly 40 pounds.
Christie has struggled with his weight for decades. He sometimes jokes about it, while other times, it’s a sensitive topic. Insiders said it was the only thing keeping the straight-talking executive from higher office.
Despite Christie’s denials, political fund-raisers say that the surgery is a clear sign that he’s going to join the 2016 race — and will do whatever it takes to win.
“This means he’s running for president. He’s showing people he can get his weight in control. It was the one thing holding him back,” a top political donor told The Post.
Sources said Christie didn’t make the decision lightly — he even had private conversations about the operation with once-rotund Jet coach Rex Ryan.
Ryan lost about 100 pounds — down from a massive 350 — after he had the same procedure done in 2010.
Christie has never revealed his weight, but estimates have run from about 300 to 350 pounds.
He hired the same ace laparoscopic and bariatric surgeon as Ryan — Dr. George Fielding, head of NYU Medical Center’s Weight Management Program.
Katie Jay of www.nawls.com was the keynote speaker at an event at Southcoast Center for Weight Loss in Wareham, MA yesterday.
She is amazing.
Thank you, Katie.
Here we are -
150 patients returned to the Southcoast Center for Weight Loss Saturday for a reunion as the group marked its own milestone: 3,500 patients since Dr. Rayford Kruger launched the unit nine years ago.It is now the largest and busiest bariatric surgery program in New England, with three surgeons who perform about 650 procedures at Wareham's Tobey Hospital a year.
Recently when I saw a fresh weight loss and posted it, I was confronted with a commenter who asked me why I posted my body-weight. It is a fair question and I do not challenge her asking it, because it's been asked of me many times when I have posted my actual weight-as-a-number.
I will say that number-sharing is the norm (...or was?) in the weight loss surgery/bariatric community as a whole for as long as I have been a part of it -- and that is at least 10-12 years that I have actively read and participated in emails, groups and chats. I posted the question as a poll this morning on Facebook as well. Go answer! Come back.
Back in the hey-day of message boards we would add a line of text to our signatures (..siggies!) to signify our -
They would look alot like this!
HW - 320 SW - 298 CW - 151 - GW - 150
Don't judge the comic-sans.
I would go back to *my old posts circa 2003/2004 and show you, except I was banned from my message board back then, and my posts via BethLButterfly disappeared. She posted in Comic Sans at times. Her demise is why MM exists.
Number or weight sharing is. Was. Always will be? I would say that in general -- most individuals that have bariatric surgery are often proud of every single pound lost, and want to wear their "pounds lost" as a badge of honor. Some post ops are extraordinarily proud and not only wear the pounds lost, current weight, but will add things like "LBS GONE FOREVER!"
Losing weight is no easy feat, and after bariatric surgery -- it feels like victory. Why wouldn't someone want to own it -- even just for a while? I suppose when you've been 500, 400, 300, 250 lbs -- wearing a newly slimmed down self is quite a change and being able to put that number out there to the universe -- even just for a while is worth it.
Bariatric surgery and the life afterwards is ALL ABOUT NUMBERS. Losing pounds, inches, and sometimes counting calories, measuring food, and exercise. If you're a pre-op that doesn't want to 'hear that' - I am sorry - but it really, truly, is.
I absolutely understand that some people take these numbers to an extreme - and extremes are unhealthy at any level -- and that is how we get into situations like: needing bariatric surgery. Extreme caloric intake is unhealthy, an extreme sedentary lifestyle is unhealthy. We require balance.
It takes a very long time for some people to learn this: example ----> ME.
While I have always "weighed-in," I am also The Queen Of Avoidance, and as soon as I see the scale move up - I remove the scale. (That's magic, if I can't see my regain, no one else can. That is, until I SEE THE PHOTO EVIDENCE MYSELF AND SCREAM. *See below.)
So what has changed? I removed myself from the effects of negative influences -- changed my views on some things and ... GASP ...
I added ACCOUNTABILITY to my daily life. I now weigh myself near-daily, or at LEAST weekly. I check-in my food nearly every single day on a journal.
Is that obsessive? No. Why? Because before -- not paying attention led to weight regain. Surrounding myself by people with negative and apathetic views on life - brought me down.
Apathy causes failure.
Yes, I am fully aware I am a Bariatric Bad Girl - but maybe now you understand - BAD DOES NOT EQUATE "BAD," or breaking rules, or doing things WRONG.
It's BAD-ASS. (Help us help, BTW.)
*June 2012 - April 2013
But, recently I started paying attention - and seeing results:
My brain likes to see results, black and white, literal, on paper, in lines, to show me that if I DO X - Y WILL HAPPEN.
Because it works. (Shut up Weight Watchers.) And my little brain likes proof.
If I can see tangible results I will keep going - I will keep doing a thing if I can see a result. I do not like to work for "free - " you see. Does that make sense? Here's an example, a very simple one. I started going to the gym and doing basic exercise (...long walks on the treadmill and seated elliptical) about a month ago (...I'll check back in my Facebook check ins) and I noticed a tangible result the night before last. My leg muscles are coming back. This is enough to create a positive reaction to keep me motivated.
It's not about obsessing about a number. I don't have a goal.
ObesityHelp, the leading weight loss surgery support community, announced today that Dr. Arya Sharma, world-renowned thought leader on obesity prevention and management will be the ObesityHelp 2013 National Conference Keynote Speaker.” The two day conference takes place in Anaheim, California.
On Saturday, October 5, 2013, Dr. Sharma will present his keynote “Moving Beyond Diet and Exercise”. Dr. Sharma told ObesityHelp, “As anyone battling obesity is well aware, the age-old mantra “Eat-Less-Move-More” (ELMM) is about as effective for weight management as watching a comedy show is for treating depression.”
During his keynote presentation, Dr. Sharma will discuss the many complex causes of weight gain and the many barriers to weight management including, time, stress, genetics, metabolism, sleep, trauma, mental health, medications and many others, to reveal why ELMM approaches to obesity management are so ineffective.
For agenda updates or to purchase tickets visit http://events.obesityhelp.com.
Importance Weight loss surgery (WLS) has been shown to produce long-term weight loss but is not risk free or universally effective. The weight loss expectations and willingness to undergo perioperative risk among patients seeking WLS remain unknown.
Objectives To examine the expectations and motivations of WLS patients and the mortality risks they are willing to undertake and to explore the demographic characteristics, clinical factors, and patient perceptions associated with high weight loss expectations and willingness to assume high surgical risk.
Design We interviewed patients seeking WLS and conducted multivariable analyses to examine the characteristics associated with high weight loss expectations and the acceptance of mortality risks of 10% or higher.
Setting Two WLS centers in Boston.
Participants Six hundred fifty-four patients.
Main Outcome Measures Disappointment with a sustained weight loss of 20% and willingness to accept a mortality risk of 10% or higher with WLS.
Results On average, patients expected to lose as much as 38% of their weight after WLS and expressed disappointment if they did not lose at least 26%.
Most patients (84.8%) accepted some risk of dying to undergo WLS, but only 57.5% were willing to undergo a hypothetical treatment that produced a 20% weight loss.
The mean acceptable mortality risk to undergo WLS was 6.7%, but the median risk was only 0.1%; 19.5% of all patients were willing to accept a risk of at least 10%.
Women were more likely than men to be disappointed with a 20% weight loss but were less likely to accept high mortality risk.
After initial adjustment, white patients appeared more likely than African American patients to have high weight loss expectations and to be willing to accept high risk.
Patients with lower quality-of-life scores and those who perceived needing to lose more than 10% and 20% of weight to achieve “any” health benefits were more likely to have unrealistic weight loss expectations.
Low quality-of-life scores were also associated with willingness to accept high risk.
Conclusions and Relevance
Most patients seeking WLS have high weight loss expectations and believe they need to lose substantial weight to derive any health benefits.
Educational efforts may be necessary to align expectations with clinical reality.
NO SHIT, REALLY?! Go back and READ IT AGAIN.
WHAT HAVE WE BEEN TELLING YOU?! Please. START. LISTENING.