If you’ve had gallstones at some point in your life, you’re not alone! Between 10-15 percent of Americans have experienced gallstones – almost one million people are diagnosed a year. Gallstones occur when your digestive fluids harden into a stone-like formation and deposit in your gallbladder. They can vary in size, and for many, they do not cause any symptoms at all.
So, now what? You might have a gallstone and you don’t even know it. Do not worry, we have taken the time to calm your jitters by busting a few myths about gallstones.
Pain in the abdomen can be interpreted as being caused by several things. Whether you think you ate too much that last meal or it is that time of the month and you think you have cramps – we tend to guess and brush off the cause of stomach pain. Although you know your body well, and can usually pinpoint the cause, there are some abdominal pains that you should not ignore.
When a patient gains weight after their primary bariatric procedure – usually several years after surgery, if ever, we evaluate whether it is simply a lifestyle issue, where the patient is not compliant with their post-operative lifestyle, or whether the procedure needs to be converted or revised to offer better weight loss potential.
Many patients don’t realize the importance of their psychological evaluation before bariatric surgery and, in turn, do not take advantage of the professional assistance that they can receive. In fact, many patients believe that the need for a psychological evaluation means that there may be something wrong with them. That is decidedly not the case.
Let’s get right to it, walking is a great exercise for anyone, at any age, with just about any ailment. The exercise guidelines that we as a practice provide, include a significant amount of walking, which will start immediately after the surgical procedure. In fact, while you’re still in the hospital recovering, you will be encouraged to get up and walk around the hospital floor to get blood moving. This helps avoid blood clots and minimizes the risk of infection.
This walking will continue in the early recovery stage once you are home. You will be asked to walk progressively further each day. This will increase your mobility, help your medium-term recovery and ultimately kickstart you are postoperative exercise plan.
It may seem obvious but running after bariatric surgery is not as simple as tying up those laces and bolting down the street. Immediately after bariatric surgery, you will not have lost a significant amount of weight and your excess body weight will still be putting significant pressure on your joints. This is especially true in the knee and ankle joints which take the brunt of the force when you run.
Over time, of course, much of this weight will disappear and it will be easier and safer for you to run.
Being that the gastric sleeve is the most popular bariatric procedure in the United States, many of our patients wonder exactly how much it will cost and unfortunately, the answer to that does vary. The variance is ultimately in how you intend to pay for surgery.
A number of Nevada health insurance policies cover bariatric surgery. However, there may be exclusions for bariatric surgery even if other policies with that same company cover it. We always suggest that you take a look at your coverages and exclusions and work with our team to verify your benefits. If you are covered by your insurance plan, you will also have a number of financial obligations associated with your policy. These will include a co-pay, deductible, and coinsurance. one or more of these may apply until you reach your out-of-pocket maximum at which point your health insurance policy should handle all covered services. You can work with our billing and benefits verification staff to understand exactly how much your procedure will cost if using insurance.
Obese patients are often told by their doctors that the extra weight they carry can contribute to osteoarthritis – a degenerative form of arthritis often caused by wear and tear on the joints. Decades ago, it was mostly middle to older age adults that experienced osteoarthritis, but the average age of onset has declined as the obesity epidemic has gotten worse. Figure that an extra pound of body weight puts an additional 4 pounds of pressure on the knee joint. Being that we use our knees throughout most of the day, it is no wonder that the cartilage in the knee would start to break down if one were dozens or even hundreds of pounds overweight.
The early phase of the post bariatric surgery recovery plan involves significant dietary restrictions. For the first several weeks after surgery, you will cycle through various restrictive dietary phases including clear liquids, liquids, soft foods and ultimately a modified regular diet. Some modifications will continue for the rest of your life, but after six to eight weeks, the overall diet will become somewhat less restrictive.
There will be a point however where dietary restriction alone no longer works. This is why we stress that diet and exercise must go hand-in-hand. You will lose weight faster by limiting the number of calories you consume, but there is a finite number of calories you can cut before it becomes unhealthy. Continue reading
Obesity is a prevalent issue in the U.S. that affects people of all ages and backgrounds. By some estimates upwards of 40% of all American adults are obese. A full 2/3’s of adults are overweight. The medical complications that come with obesity are numerous, increasing in severity the higher a person’s weight is. The health impact of obesity has once again come to the forefront of concern and is has been shown to be a major risk factor for poor outcomes in patients who contract the Covid-19 virus.
Some of the facts, available at www.cdc.gov, that impact obesity and Covid-19 are:
- increasing the seriousness of respiratory compromise from Covid-19.
- tripling the risk of hospitalization if you are infected by Covid-19
- increasing your risk of dying from Covid-19