...imagine, if on top of your simple day to day struggle you had an even bigger issue that you couldn’t get rid of. One that stuck with you day and night. This struggle affects your health, reduces the amount of income/increases discrimination towards you at your place of employment and deprives you a wonderful quality of life. Which struggle am I speaking of, Obesity. It effects approximately 14.5 million people in the United States. (Holtorf, Rinde, Rupprecht, Alder and Brixner, 2012) There are different processes or procedures to weight loss, some more effective than others. One in particular is increasing in popularity is bariatric surgery. Research suggests that bariatric surgery is effective because it improves patients’ health, procduces greater income/less discrimination in the job market, and improves quality of life. Bariatric surgery improves patients’ health by reducing or totally eliminating medical conditions brought on by severe obesity. With obesity on the rise, it is important to know and understand your Body Mass Index (BMI). A person with a BMI of 30 or more is considered obese, and a person with a BMI of 40 or more is considered to be morbidly obese. Studies show that 67% of the population variance in BMI and be from heredity, but it is unlikely that is causing the rapid growth of obesity. (DeMaria, 2007) During a study, the Swedish Obese Subjects (SOS) trial, a comparison was made between one group (men with a BMI of 34 or greater and women with...
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...Negative Side-Effects from Bariatric Surgery Attending a bariatric conference, Dr. Bartels, a bariatric doctor and lawyer at Bartels Medical Associates, PLLC, once told me that, “Surgery shouldn't be someone's first option into losing weight, unless the individual is morbidly obese and the only viable choice is a surgical intervention.” He also stated that, “Some people are born with an abnormally large heart, and they need a smaller heart to make them better. If people were born with an abnormally large stomach, then I would see the need for needing a smaller stomach.” Bariatric surgery has grown in popularity over the last decade and shows no signs of slowing down anytime soon, especially since most healthcare insurances cover the procedures after meeting lax qualifications. Currently, the two most popular surgeries are roux-en-y gastric bypass (RYGB) and the adjustable gastric band (AGB). Even though these surgeries offer the same outcome, they do come with different post surgical side effects. Parents of obese children and adolescents are beginning to take notice of the benefits of bariatric surgery. With longterm studies of the surgeries still being performed, it is cautioned for pediatrics to utilize this form of treatment for obesity due to their ongoing need for growth and development. It's not just the longterm studies that should be of concern either, it's also the preoperative deficiencies that can become exacerbated after the surgery. Adolescents don't usually...
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...Running Head: The History of Bariatric Surgery The History of Bariatric Surgery, Informative Essay Cathleen Anderson Strayer University, Online ENG 115, English Composition Professor Gus Weekley May 29, 2011 The History of Bariatric Surgery The History of Bariatric Surgery started about sixty years ago. The first procedure called Jejunoileal which is no longer performed was performed in 1954 by doctors named Kreman, Linder, and Nelson at the University of Minnesota. This type of bypass eliminated a large portion of the Intestines creating significant malabsorption. (Roets, L). The Bariatric gastro intestinal Surgery, Gastric bypass as it is called for short is used for morbidly obese people who want to achieve weight loss. This surgery often times eliminates diabetes mellitus and high blood pressure, sleep apnea. When Gastric bypass started it had a high mortality rate however, since the revision of this procedure the rate is very low. More people with the previously stated serious conditions are having this procedure performed to reduce their life threatening conditions. By the end of the sixties these procedures had been revised. But, complications were still very high with the malabsorptions procedure. This procedure alone was abandoned. In 1967 Dr. Mason and Ito were credited with the first combined gastric bypass. This seminal procedure became the foundation for the...
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...How Does Bariatric Surgery Work? Bariatric surgery, such as gastric bypass, gastric sleeve, and laparoscopic adjustable gastric banding, work by changing the anatomy of your gastrointestinal tract (stomach and digestive system) or by causing different physiologic changes in your body that change your energy balance and fat metabolism. Regardless of which bariatric surgery procedure you and your surgeon decide is best for you, it is important to remember that bariatric surgery is a “tool.” Weight loss success also depends on many other important factors, such as nutrition, exercise, behavior modification, and more. By changing your gastrointestinal anatomy, certain bariatric procedures affect the production of intestinal hormones in a way that...
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...Laparoscopic Surgery using Insurance For patients using insurance and who decided to opt for Laparoscopic surgery once again we had to calculate the time spent by each professional per day, per week and according to the number of employees available, the number of patients each professional can treat per week. Time spent with a patient: | (min.) | Patients per week/ employee | Employees available * | Patients per week (5 days surgery) | Receptionist | 16,17 | 222 | 1 | 222 | Surgeon | 1594,74 | 2 | 4 | 8 | Care nurse | 242,4 | 20 | 3 | 60 | In doing that we found out that the bottleneck in this case would be the bariatric surgeons, who could only treat 8 patients per week given the time she had to spent with each one (1594,74 minutes). We now want to improve the Hospital’s capacity and for that we have to invest on our ‘bottleneck’. Surgeons are the professionals who have to spend more time with the patients and therefore the ones where we should invest if we want to improve our capacity. For that we have one of either options; either hire one more bariatric surgeon or hire two general practitioners who will handle the first consultation. (a) First Option: hire one more bariatric surgeon As we can see, if we hire one more surgeon, we will now have 5 surgeons available, that would improve our surgeons capacity in two patients. With one extra bariatric surgeon, our bottlenck would now be 10 patients per week. Time spent with a client: | (min.) | Patients...
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...weighing within the normal weight range of my peers was the second grade. Although I was just as active as every other child playing both school sports and outside with neighborhood children, the pounds continued to pile onto my small frame of five foot two. Growing up can be difficult within itself, but growing up severely obese is a whole other ballgame with its own set of rules which can cause both physical and emotional damage. To better understand my choice for bariatric surgery, it is helpful for me to discuss the history as well as the type of surgery I had. Weight loss surgery was introduced in the United States in the 1960’s. The gastric bypass was based on the weight loss observed among patients undergoing partial stomach removal for ulcers. Over several decades, there would be modifications of this operation to bring us to today’s version which is known as a Roux-en-Y Gastric Bypass. This form of bariatric surgery is considered to be today’s “gold standard” and is the most commonly performed bariatric procedure worldwide. There are two components to this procedure: First, a small pouch, of approximately one ounce in volume is created by dividing the top of the stomach from the rest of the stomach. Next, the first portion of the small intestine is divided bringing the bottom end of the divided small intestine to the new small pouch. The procedure is completed by connecting the top portion of the divided small intestine to the small intestine further down so that...
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...Introduction The bariatric diet is designed to provide fluids and nourishment while promoting weight loss and healing after bariatric surgery. The diet is divided into 3 stages. Go from one stage of the diet to the next with approval from your health care provider. What do I need to know about diet after bariatric surgery? Your surgeon may have individual guidelines for you about specific foods or the progression of your diet. Follow your surgeon's guidelines. You will follow these general guidelines during all stages of your diet: Eat at set times. Allow 30–45 minutes for each meal. Take small bites. Chew your food until it is almost a liquid before swallowing it. Try setting down your utensils between bites to help yourself eat slower or...
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...Beth Zender Total Support a Comprehensive Support System for Bariatric Surgery Candidates 1 The Total Support System will provide comprehensive support through the patient’s process of choosing bariatric surgery as a choice for weight loss and a healthier lifestyle. The goal is successful support starting with the first consultation and following the patient through the process. To provide a comprehensive support program the four major components will include mental support, medical support, nutritional support and healthy life style assistance. Mental support will include personal, one on one counseling, group therapy with a psychologist and other members in the program. Nutritional support will begin with regular sessions, meeting with the nutritionist and registered dieticians. Health care or medical support will be provided by the patient’s Primary Care Physician, Bariatric Surgeon, nursing staff, surgical team and hospital staff after surgery. Office staff and local business will also lend a hand to support the patients in their community. 2 Physical activity and life style changes will be guided by Exercise Physiologists, personal trainers and community gyms. Obesity is the #1 health issue in our country today with so any Americans suffering from morbid obesity. There are multiple health risks associated with obesity that can improve with any of the surgical treatments offered where there is successful weight loss...
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...Threat of Substitution: (High) Relatively high: Jenny Craig, Slim Fast, eDiets, Atkins Diet, Pills, Book, etc!!! Consumers have many different options to choose from. Threat of Substitution: (High) Relatively high: Jenny Craig, Slim Fast, eDiets, Atkins Diet, Pills, Book, etc!!! Consumers have many different options to choose from. Supplier Power: (Low) Low because there are many alternatives Weight Watchers can turn to in order to stay successful Smart One: can go to the next farmer to get the vegetables they want. Supplier Power: (Low) Low because there are many alternatives Weight Watchers can turn to in order to stay successful Smart One: can go to the next farmer to get the vegetables they want. Buyer Power: (High) Large impact on the bargaining power due to the number of weight loss products and services available Uses many celebrities to market their brand to consumers : Jennifer Hudson, Jessica Simpson, Charles Barkley Buyer Power: (High) Large impact on the bargaining power due to the number of weight loss products and services available Uses many celebrities to market their brand to consumers : Jennifer Hudson, Jessica Simpson, Charles Barkley Threat of New Entry: (Moderate) Does not require a lot of capital to start New entrants need a high level of credibility to be able to overcome the brand loyalty that exists New weight loss programs are constantly being introduced Threat of New Entry: (Moderate) Does not require a lot of capital to start New entrants need...
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... Kathy Gambsky Just a Girl in a Fast Food World What is a girl to do when the consumption of fast food has rapidly expanded her from a size 12 to a size 22? The United States has become a fast food world where everything must happen now. Americans want fast food, fast cars and fast results. With the ever increasing popularity of fast food restaurants becoming the standard for eating on the run, coupled with the increase in portion size, the fast food world is rapidly becoming the “fat” food world. Following the trend of needing to have everything happen quickly, one option that is widely debated is bariatric surgery. Although today’s population craves rapid results, risk of bariatric surgery to obese patients outweighs the benefits of diet and behavior modification in successful weight loss. Over the past decade, the trend in obesity has risen to 1/3 of the population of the United States. According to a study published by the Center for Disease Control (CDC) there is no delineation between adult men and women of any age, however, those over 60 years of age were more likely to be obese than young adults. (Ogden CL, 2012) Obesity is defined by a person’s Body Mass Index (BMI). BMI is an important health factor that should be monitored by everyone. The four main levels of BMI are normal (BMI of 18-25), overweight, (BMI of 25-30), obese (BMI of 30-40), and morbid obesity...
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...band 1 Lap band surgery process, and what is involved. Stevie Vieth Axia College of University of Phoenix Lap band 2 Lap band surgery has become one of the most popular forms of bariatric weight loss surgery out there. Like every surgery there are a few steps to take before a patient can proceed with the actual surgery. First they would need to see if they qualify for the procedure. Then they would need to prepare and understand the process of this procedure. As well as understanding the risks and complications that can occur throughout the process. While there are many risks and complications involved with lap band surgery, it can still provide obese patients with the opportunity for a healthier life in the future. Although many people believe they are overweight, or believe they need weight loss surgery. There are still many standards and qualifications that they still have to meet before being approved for lap-band surgery. One of the important standards is that they must meet is having a body mass index of 40 or higher. Having a body mass index of 40 or higher proves to be the ideal candidate for lap-band surgery. Going by body mass index is a useful indicator of whether or not a patient is a good candidate for weight loss surgery. Some patients who do not have a body mass index of 40 or higher, but have obesity related health issues can also prove to be an ideal candidates for lap-band surgery. Along with the main standards...
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...Strategies for Successful Weight Loss Strategies for Successful Weight Loss Weight loss is one of the most difficult goals a person can set out to accomplish and yet, it is one of the most publicized topics in society today. Television commercials are ubiquitous with all the various forms of exercise equipment, weight loss medications, diet foods, exercise programs, and infomercials on weight loss surgery. After seeing this abundance of information, a person may ask himself or herself what is the best strategy for weight loss, diet with exercise or surgery. Diet with exercise and surgery are two successful forms of weight loss, but surgery does not eliminate the need for exercise or diet modifications. A person’s diet plays a large role in weight loss. With the access to quick meals such as fast food restaurants, frozen dinners, and vending machines it is easy to become lax in paying attention to caloric intake. Many of these quick meals contain large amounts of calories, which are more calories than the body burns tends to burn in a day. The increased caloric intake leads to weight gain. Therefore, in order to have successful weight loss, a person has to make modifications in his or her diet. These diet modifications play a key role and may seem difficult at first, but will be beneficial in the end. Modifying a diet to reduce calories consumed in a day is a beginning step towards weight loss. In order to do this, a person must make some simple changes...
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...Bariatric Surgery vs. Commercial Diets Odessa Whitehouse COM/155 May 26, 2013 Donna Jay An ABC 20/20 episode in 2012 states that there are about 108 million people on diets in the United States with dieters making four to five attempts at weight loss per year. The video also states that there is approximately $20 billion dollars in annual revenue in the weight loss industry, including diet books, diet drugs, and weight loss surgeries. Even though bariatric surgery is dangerous, it is comparable in cost and effectiveness to commercial diets, with proven, lasting results. According to the Obesity Action Coalition, “obesity is a rising health epidemic in our country”. More than 93 million Americans are affected by obesity, with an estimated 9 million considered severely obese. Over two-thirds (68.8 percent) of adults are considered to be overweight. Overweight is defined as more than normal in body weight after adjustment for height, body build, and age, or 10% to 20% above the person’s ideal weight, or having a body mass index (BMI) between 25.0 and 29.9. More than 1 in 20 (6.3 percent) adults are considered severely or morbidly obese. The prevalence of obesity is similar for both men and women (about 36 percent). About 3 of every 4 men are considered overweight or obese. Approximately 8 percent of women are considered severely or morbidly obese. Obesity is defined as an abnormal accumulation of body fat, usually 20% or more over an individual’s ideal body weight, whereas...
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...Natural Weight Loss vs Weight Loss Surgery Brandy Cherry COM/155 June 02, 2013 Paul Howell Millions of people around the globe have been taking risk of reducing calories by undergoing surgery, while others prefer to burn fat the natural way. There are so many natural weight loss benefits to consider before agreeing undergoing a painful and costly surgery that has no guarantee. Too many people are seeing these weight loss surgeries as the easy way out instead of as a last option. Many Surgeons have become popular for satisfying their clients while many manufacturing companies have introduced new products for weight loss. According to Timothy B. Curry, MD of the Mayo Clinic, almost 2/3 of Americans are overweight or obese, and that number continues to rise. Many people want to lose weight, but for those who have become very large, surgery may be the only way to successfully do this. Others may take the weight off by making diet and exercise changes. Natural weight loss benefits are so much more motivating than those of surgery. With natural weight loss you are not shocking your body into starvation with an intensely reduced stomach. Instead you are retraining your body to appreciate the right foods that provide the nutrients you need to be healthy. Other natural weight loss benefits include the introduction of better habits into your life style. By taking the time to learn to eat well, to learn to appreciate and enjoy regular exercise, and to learning how to overcome...
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...Obesity HCA/250 March 2, 2014 University of Phoenix Obesity One of the leading causes of death in America today is Obesity. There are many different reasons a person will become obese. Whether it be gender, income, age or race it is still an epidemic and a health issue that needs to be addressed. When looking into the issue not only causes need to be addressed, the ways to prevent also need to be cited. People who are obese might not know how to get the help that they need, but education will help them learn. Living in Pennsylvania my entire life I have seen the obesity population grow from minor to major over the past twenty years. The town is better known as the “Mountains”, and is a large tourist and college town that borders New Jersey, and within two hours of New York City. With the school district noticing that childhood obesity is on the rise, there is only one psychological educational program that is offered for both children and adults. The program is called “Healthy in the Poconos”. Healthy in the Poconos offers counseling, education, nutrition counselors, and low cost fitness trainers for the community to access. Healthy in the Poconos on the outside seems like a great program but when researching the program in its entirety there is not a lot of education from professionals that can assist the community fight the ever growing obesity problem. Improvements that I would do immediately. First I would look into the funding. There doesn’t seem to be a lot of...
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