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Dolittle

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Posts posted by Dolittle

  1. Ok,, I'm going to reply to this topic.

    For all of those whom seemed to be concerned about certain patients that have a low BMI and are thinking of having WLS,, please consider their reason or reasons they have not mentioned.

    When a patient calls the OCC via the 866-376-7849 and talks to an OCC surgery coordinator, the process of evaluating a patient begins.

    Dr. Ortiz reviews every patients reasons for having WLS,, he's the one that makes the final decision. Most important, he's is not going to preform a WLS procedure on someone that doesn't really need it. If the patient has a low BMI, they better present multiple medical reasons or have a family history.

  2. Just call Ora at the Ariel Center and ask. 1-866-376-7849

    One thing I can say, Cosmetic/Plastic surgery is a whole different ballgame. I've been through a Lap-band,, Sleeve Revision and a Lower Body Lift. The Lower Body Lift was "Brutal" compared to the other two. I had my LBL back in 2008 and I'm still shaking my head wondering if that was the smartest thing I had done.

    Also,, Do your homework when it comes picking a procedure and a surgeon. There are a lot of bad plastic surgeons. I've named names here before. Just look into my past posts for that info.

  3. Day 3, part 2.

    I really didn't have much to report. It was a travel day from TJ to San Diego. I ended up meeting Ora, she's the Ariel Centers patient coordinator and her boyfriend for a wonderful lunch at Phil's BBQ near Sea World. If you ever have the free time to do some local sightseeing before and after visiting the OCC, Phil's BBQ is a must stop. Phil's was on the Food Networks Top 10 BBQ joints in the USA, and I can see why, it's really good.

    Ora got a first hand visual experience on how a Sleeve/Band patient has to eat. You get a lot of food at Phil's, so I ended up taking half of my lunch back to the hotel. The hotel had a mini fridge/micro wave and I ended up eating the remainder the rest of the day. If you have been banded or have a sleeve, you know what I'm talking about. The rest of day was a take easy day.

    Day 4, Travel day. Got up and checked out from hotel, jumped on a bus and trolley and headed to airport. Spent most of my day sitting on my butt in several airports and planes. It was a long day.

    Did notice that my drain pump was working well and was collecting plenty of fluid. I'm going to try to keep this drain pump inside of me as long as possible.

  4. Day 3, still swollen, black and blue all over the groin area, but feeling good. Today I cross the border and spend the night in San Diego. Tomorrow I head home. Plastic surgery scar looks great. After all this swelling goes down I'll be able to see the results better.

  5. Day 2,, everything is swollen, and I mean everything. lol. I got to take a shower last night and my new scar looks a lot better than the original scar from the lower body lift. Today Dr. Medina is going to check me and hopfully I get the ok to travel. I'm going to try to keep the drain in as long as possible to avoid having the same issues I had before this.

  6. Today I'm at the OCC with Dr. Mendina, having plastic surgery to correct a couple complications from my Lower Body Lift done in 2008.

    Let me bring you up to speed. I was lap-banded at the OCC in March 2007. I had great results and lost over 100lbs with it.

    I LOVED MY LAP-BAND! Then a year and a half goes by, I decide to come to MX and have a lower body lift to get rid of all my excess skin.

    Back in 2008 the OCC didn't have an "in house" plastic surgeon, so I choose another TJ plastic surgeon. It didn't turn out to my expectations and I've had small complications ever since. Last year in August, I had revision surgery from band to sleeve and I found out the OCC has a great plastic surgeon named Dr. Medina "in house". While here I talked to Dr. Medina and got his opinion on how to correct my complications from the lower body lift.

    Today this is where I'm at, right here at the OCC getting "fixed" by Dr. Medina.

    I haven't seen the results yet, I'm very swollen and black and blue. But he did his magic and removed some deep scar tissue and sutures that were giving me grief.

    I'll keep everyone posted as to how things go in the next couple weeks.

    Time to run,, heading to the Marriott.

    • Like 1
  7. A lot of patients worry about the pre-surgery weight loss. You need to relax and take a deep breath. You'll do fine if you follow the diet as much as possible and EXERCISE!

    The hotel is ok, food is good, prices are comparable to other large hotels. There's a Walmart a couple blocks South of the Marriott, you can buy water and other things. There's a McDonalds and Carl jrs a couple blocks North of the hotel.

    Questions about companions staying with you at the Marriott can be answered by Gloria at the OCC.

    As far as how you will feel post-surgery is a individual thing. I felt really good. I even walked 5 miles the next day. Easy surgery for me.

    • Like 1
  8. Article from Weather.com

    July might be the peak of American meat-eating with all the backyard barbecues and summer parties. All in all, Americans are notable carnivores, downing about 260 pounds of meat per year, James Hamlin recently wrote for The Atlantic.

    But there are some among us who still might come up short on protein, Cindi Lockhart, the senior program manager of nutrition and health coaching for Life Time Fitness, told weather.com. "For the average person, you should get some form of protein every time you eat," she said. "Depending on how active you are, you'll also want protein snacks in between."

    Seattle sports dietician Kim Larson, R.D.N., a spokesperson for the Academy of Nutrition and Dietetics, told weather.com that protein problems are relatively rare in the United States, but that getting a protein boost at every meal is essential, especially as we age.

    To find out if you might need more of this essential nutrient, read on, though this article is not meant to diagnose any medical condition.

    Cravings for "sugar, carbs and starches" might be symptoms of a protein insufficiency, Lockhart said, noting that insufficiencies are more common than deficiencies in the Western world.

    "If you're reaching for crackers, cookies, breads and other refined carbs, and if you're hungry all the time, you might not be getting enough protein," Larson said. This is one reason why protein is so important for people who are trying to lose weight. It not only helps build muscle, which can stoke your metabolism, but also it can help you feel fuller, longer.

    Protein supports muscle growth, so if you're having trouble building or maintaining muscle, that might be a sign of an insufficiency, Lockhart said.

    Because of protein's role in muscle and bone growth, it's particularly important for people over the age of 50 to prevent the muscle wasting associated with aging, Larson said. Muscle wasting could also be a sign of too few calories, she said, adding that when the body has too few carbohydrates for energy, it breaks down protein. "Your muscles breakdown the protein that you're eating for energy, and then that protein is not used to build your muscle mass," she explained.

    Protein fortifies the immune system — another reason it is so important as we age. "Getting sick a lot would certainly relate to protein intake," Larson said.

    "Protein does so much for us. It regulates a lot of different metabolic systems," Larson said. "We think of sodium and potassium for fluid balance, but it's a very key component in fluid balance as well."

    The important thing is to know is that you should have high-quality proteins for breakfast, lunch and dinner, she said.

    If you're losing hair or noticing an uptick in split ends, your protein intake might be to blame, Lockhart said. This happens because when the body lacks protein, it stops growing hair to use protein elsewhere, according to WebMD.

    Horizontal, white bands on your nails can also be a sign of a protein problem, Lockhart said.

    "Protein insufficiency is more prevalent in kids — they can be picky eaters, and they're developing fast, so they need that protein," Lockhart said. "Anyone else who is a growing phase — adolescents, [during] pregnancy or lactation."

    Vegetarians and vegan also have to be more conscious of what they are consuming, she said. Although it is completely possible to get enough protein on a vegetarian diet through beans, soy, nuts, dairy and eggs (depending on dietary restrictions). Although, Larson cautions, few plants sources contain all nine indispensable amino acids, so a variety of plant sources are needed.

    The elderly are another at-risk group, Larson said, as muscle wasting is a problem associated with aging. Some very active people also might lack protein, which can help the body recover. "In general, marathon runners are not very buff. They don’t have a lot muscle mass," Larson said as an example. "They're a group that tends to under-consume [protein] and under fuel."

    It was once believed that too much protein could cause kidney failure, but that is an out-of-date concern, Larson said. "We really don't see kidney failure even at 2.5 grams of protein per day per kilogram of body weight [170 grams a day for a 150-pound person]," she said. "That concern is obsolete."

    Gender, weight, age, activity level and more all play a role in determining an appropriate protein intake, Larson said. Generally, 0.8 grams per kilogram of body weight is a good starting benchmark, with more protein needed if you're trying to lose weight, or if you're a very active athlete. Athletes who are heavily strength training might need as much as 2 grams per kilogram a day, she said.

    "Proteins are made in our body all throughout the day, so you constantly have to replenish that steady stream of amino acids by eating protein at breakfast, lunch and dinner," Larson said.

    Meat and fish are go-to protein sources for most people (and the reason why true protein deficiency is not much of an issue in the United States). Low-fat dairy and eggs are also great complete sources, Larson said.

    As far as plants, "soybeans are one of the best sources of complete protein," Larson said. "Edamame, tofu: These things provide all of the indispensable amino acids [though] variety is really the key."

    Protein combining used to be a big deal for vegetarian — for example, eating rice and beans together to hit all the amino acids at once — but now it is believed that a generally varied plant-based diet is enough.

    Protein powders can also supplement intake, Lockhart said, particularly for on-the-go athletes.

    • Like 1
  9. The $4,000 Diet Pill The magic fat blaster you've always dreamed about is here, and it's drug-free. Liz Krieger explores the latest treatments.
    By Liz Krieger on Jul 22, 2014

    It sounds like something out of Alice in Wonderland: a pill that truly makes you smaller. "Pill," however, is something of a misnomer because inside this capsule is actually a deflated balloon, called the Obalon. But it can help you shed pounds—without even trying. Here's how it works: First, you swallow the pill, which is attached to a long, slim tube. Once the pill has made its way to your stomach, doctors use the tube to inflate the balloon with gas; the tube is then disconnected and pulled out. The balloon can stay in for up to three months, and you can have up to three balloons in place at a time. The idea is that the balloon(s) simply make you feel full. After 12 weeks, during an endoscopy done under light sedation, a doctor deflates the balloon and removes it through your mouth.

    Although manufacturer Obalon Therapeutics makes no specific weight loss promise, in a recent study, 110 patients lost an average of 50 percent of their excess weight, or more than 8 percent of their total body weight, in three months. And while the Obalon is not FDA approved for use in the U.S., since 2012, patients abroad have been swallowing the pill, which has a price tag of up to $4,000 a pop. (In the U.S., preliminary safety trials have been done, and a larger, clinical trial is planned.) The most common complaints are nausea and vomiting, but those tend to dissipate after 72 hours, says bariatric surgeon Ariel Ortiz, director of the Obesity Control Center in Tijuana, Mexico, who helped develop the Obalon. As with any device, there's a chance it could cause an obstruction if it got lodged in a tight spot, notes bariatric surgeon Aurora Pryor, director of Stony Brook Medicine's Bariatric and Metabolic Weight Loss Center on New York's Long Island. The odds of a balloon actually popping are rare, according to Obalon, but if that were to occur, it should travel (uneventfully) through to your, um, bottom line.

    For U.K. resident Helene Fleckney, 45, the Obalon has ended a long struggle with her weight. Fleckney enrolled in an Obalon trial last fall, ultimately swallowing two of the pills over several weeks. Twelve weeks later she had both balloons removed—and was 19 pounds lighter. "It's quick and painless," says Fleckney, who notes that she has lost an additional six pounds since then. "I've gotten used to eating smaller portions," she says. This pill "could be a serious game changer in the field of obesity treatment," says John Morton, director of bariatric surgery at Stanford Hospital & Clinics in Palo Alto, California. Pryor says that a reversible device like this could straddle the line between bariatric and plastic surgery: "I could imagine someone wanting this before a big reunion or something." And for some people, doing it a few times in a row may mean they can extend the treatment past the three-month mark, although studies of that duration have not been done.

    For more information visit www.stomagic.com or www.obesitycontrolcenter.com

    or call 1-866-376-7849

    link to complete article: http://www.harpersbazaar.com/beauty/health-wellness-articles/latest-weight-loss-treatments-0814

    • Like 1
  10. This subject drives me nuts. A lot of American doctors do their fills this way. Why? I have several ideas, but I can't go there. I don't know where you had your band surgery done and I don't know how much a fill would cost you out of pocket. But, I'd seriously consider looking at having someone else do your fills. If you do decide to try a different doctor, find one that does the fill with a barium swallow at the same time. The OCC does their fills using this procedure. Using the barium during the fill procedure lets the doctor see if you have restriction while injecting the saline into the band.

    Otherwise, play the fill game with your doctor and insurance and eventually you will get to the point you'll have restriction.

  11. I'm one of those WLS patients that has a hard time getting in my daily protein requirements. Every once in a while I'll run into an very informitive website that will help me with protein ideas. Recently I found one called Unjury.com. They put out a great news letter via email that's full of great recipes and protein tips. You can go to their website and sign up for the email news letters without buying anything.

    I'm pretty picky when it comes to protein. I have a cupboard full of different brand protein shakes I'm just not to fond of. I'm not trying to promote Unjury's products, but I can say that I've tried their chicken broth protein mix and found it to be pretty tasty. I haven't tried any of their other products.

    If any of you forum members have tried their other products, please share your opinion.

    If you have tasted other protein products from other protein manufactures, good or bad, please share your thoughts concerning their products.

    Thanks

    Dolittle

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