Weight Loss Surgery – Online Seminar

Weight Loss Surgery – Online Seminar


(upbeat music) – Welcome to Centerpoint Medical Center Surgical Weight Loss online seminar. Whether you’re simply conducting research, comparing weight loss surgery options, or pursuing a revision procedure, we are glad you are here. While you are evaluating your options, you might realize we do
things a bit differently. We hope you realize it is a
compassion and expert care that sets Centerpoint apart from your typical bariatric program. We are fully committed
to your safety, quality, service, satisfaction, and convenience. We realize patients often don’t come to us just for weight loss. People come to us because they
want to change their lives and they want a healthier future. It is our privilege to
provide a program to help you live the life you want. Whatever your goal may be, kicking a soccer ball with your kids, running a 10k, or simply to feel better, and reduce chronic illness, we will be with you each step of the way, throughout your journey. – My name is Brian Sterling. I was a patient of Dr. Sigi Joseph’s, at Centerpoint Medical
Center for bariatric Surgery. We had a fireworks tent at our church, and somebody took a picture, and they put it on the
wall as showing everybody what was going on. And I asked my wife who the fat guy was. And that fat guy was me. I was embarrassed. And so I told my wife to
call our insurance company and see what options were out there. The next day she had an
appointment with Dr. Joseph. And he told me what
steps I needed to take. Two weeks, I was having surgery. Really, didn’t interrupt my lifestyle much except for that day. As far as lifestyle change, there’s a ton of things
I couldn’t do before that I am able to do now. I couldn’t even put on
my own socks and shoes. I had to get help with
that on a daily basis. And I can do that now. I’m walking about eight to 10 miles a day, and enjoying life like I should. When you diet, try everything out there, the old ways, the new ways, and you fail miserably at all of them, you never really think
that there is an option out there for you. I can truly say that, if I
had to do it all over again, I would do it again tomorrow. It’s the springboard that one
needs to get into the pool. All we have to do is keep swimming. And if you can keep on the
regimen that you need to be, eating correctly, and
exercising, you’ll be fine. You’ll continue to lose the weight, and you’ll get that healthy
lifestyle you’ve always wanted. (upbeat music) – Hello, I am Dr. Sigi Joseph. I’m glad you’ve decided
to spend time with us to learn about our program,
our facility, our team, and what to expect when choosing bariatric
weight loss surgery. You have taken the first
step towards creating a wonderful new chapter in your life. For many, the seemingly
hopeless struggle to lose weight is finally overcome with
bariatric weight loss surgery. The surgery is rather quick, and the results are often dramatic. But success is greatly impacted by your engagement and knowledge starting with this video seminar. This is your first step, and we ask that you pay close attention, so that you can be well
prepared for our pre-op meeting. In this seminar, you will hear about our quality and commitment
to service excellence, meet our bariatric navigator, and understand the patient qualifications, and payment options. You will also learn about your options, understand the difference
between procedures that we offer, such as gastric bypass,
gastric sleeve, lap band, stomach balloon, duodenal switch, and revisional procedures if you already had a bariatric
procedure done previously. Superior outcomes start
with patient education, engagement, and commitment. This video seminar is the starting point for all those aspects of the program. We are dedicated to making the
process easy and effective. Our easy to access facility, state of the art technology,
and caring staff, create the comprehensive
program you deserve. As we help you go through this journey, we are fully committed
to you and your success. Let’s get started by meeting the team her at Centerpoint Medical Center
Surgical weight loss Program. (upbeat music) – I’m Angie Knaack, the Bariatric Nurse
Navigator and Coordinator at Centerpoint Medical Center. Our entire team shares
a commitment to quality, safety, and success on your journey to a healthier life. We provide safe, bariatric surgical care, with excellent short
and long term outcomes. As a navigator, I’m here
to help you navigate through the process of
scheduling your appointments, and will follow you after surgery, making sure you are connected
with our support group, and available resources
as needs are identified. Before you are scheduled
for your surgical procedure, you will meet with our
dietitian, pharmacist, and depending on your insurance benefits, our physical therapist
and/or occupational therapist to help you prepare for surgery. Our financial counselors will
help you navigate insurance or self-pay options. – It is my pleasure to assist you in your weight loss journey, improving the health of our community. I first became interested
in bariatric surgery during my residency at
University of Missouri, Kansas City School of Medicine. Pursuing my interest, I
later went on to complete Minimally Invasive Advanced Laparoscopic and Bariatric Surgery Fellowship at Baylor College of
Medicine in Houston, Texas. Returning nearby to Sedalia, I began my practice at Botwell
Regional Medical Center. I am now practicing at
United Surgical Associates with office locations in both
Independence and Lee Summit. My dedication to bariatric
surgery is based on my knowledge that morbid obesity is a life-altering, and often devastating, health condition that so many in our
community face every day. I believe that surgical
treatment of morbid obesity is an essential therapy. It can cure an array of health
and wellness conditions, including diabetes, depression, gastro esophageal reflux disease, chronic heartburn,
joint pain, sleep apnea, hypertension, and a
variety of other conditions associated with obesity. Welcome to our program. It is truly an honor to help
you throughout your journey. (upbeat music) – Deciding to pursue
surgical weight loss options is not something to take lightly, but it may be right for you. There are many statistics and research that indicates surgical weight loss as an excellent option for weight loss, and resolves a variety of conditions you may be suffering from
as a result of obesity. However, if you are at
a point where you weight or your medical conditions
associated with your weight are affecting your life and
your personal wellbeing, it may be time for you
to consider a change. Many of our patients are
consistently frustrated with the lack of results associated with the new exercise or diet fads. Through our comprehensive program, we will not only help you through surgery, but we will offer you the ongoing tools to be successful going forward. The life each of us has is precious, and you owe it to yourself
to be happy and healthy, and to live the lifestyle
you want to live. Many of our patients wake up each day and consistently think, “what if I didn’t have Type 2 diabetes?” “What if I could fit into
a smaller size dress?” “What if I could play in
the yard with my grandkids?” Our goal is to not only help with obesity, and obesity related health conditions, but it truly to transform your life into the one you want to live. (upbeat music) Weight loss surgery is
indicated for people who have significant weight to lose. But it’s not just about weight. Recently, bariatric surgery has been found to significantly improve quality of life through resolution or improvement of other health issues
related to excess weight. Do you suffer from Type
2 diabetes, sleep apnea, joint pain, high blood
pressure, gastric reflux? Often, bariatric surgery
can help improve your life. And these conditions can be indicative of the need for weight loss surgery, which can improve your
health and quality of life. We use the following
indications to determine if you may be a good candidate
for bariatric surgery. A body mass index, often
referred to as BMI, of 40, which is approximately 80-100
pounds over ideal body weight. If you’ve not done so already, you can find your BMI using
our online BMI calculator. If you’ve had previous efforts
with weight loss programs or with working with
your primary care doctor. If you currently have an
uncorrected metabolic disease, such as thyroid disease,
that may cause obesity, that will need to be corrected first. No other serious medical conditions that would make surgery too hazardous. No unstable or untreated
psychological illnesses and/or unrealistic expectations
of surgery and weight loss. No abuse of addictive drugs or alcohol, preferably for at least 12 months. Sufficient motivation to
make the lifelong changes in eating habits and exercise required for success
after bariatric surgery. Willingness to make a formal
commitment to yourself and to the bariatric surgical
procedure of you choosing. These qualifications
are frequently also used by insurance companies
to qualify a patient for bariatric surgery coverage. (upbeat music) We offer options for both
cash-pay and insured patients and are here to assist you
in navigating through either. Here are some recommendations
for moving the process along with your insurance provider. First, contact your insurance
provider to determine if your desired procedure’s covered. We recommend you keep a record of the individual’s name you speak with, and the date and time. Be sure to ask, are there
any exclusions on my policy regarding bariatric surgery? What are your prerequisites for coverage? If you need help with the process, we are glad to have
our financial counselor also call your insurance company to gather information for you. Second, we will need to have
a letter of recommendation from your primary care doctor, stating you are a surgical
weight loss candidate. Your current weight will need to be documented in your chart. We are able to provide an example
of a recommendation letter for your primary care
doctor’s convenience. If you chose our affordable
options for cash-pay patients, you can bypass the insurance requirements and can be scheduled more quickly. (upbeat music) – Bariatric procedures can be either malabsorptive procedures that shorten the digestive tract, or restrictive procedures that reduce how much the stomach can hold, or a combination of both. We are equipped with technology to provide you with safe, effective, minimally invasive surgical options. The best weight loss procedure for you depends on several factors, including your personal preference, associated medical issues,
and medical necessity. Next, we will give an
overview of each procedure, along with the risks and benefits. (upbeat music) A gastric bypass decreases
the size of the stomach and helps to cause a
feeling of early fullness. Gastric bypass surgery has
been around for several decades and has proven successful. It is an irreversible procedure. First, a small stomach pouch is created to restrict the amount of food intake. Next, a Y shaped section of
the small intestines is created and attached to this pouch. This allows food to
bypass the lower stomach. And the first and second
part of the small intestines. This procedure reduces the amount of calories and nutrients
the body absorbs. On average, more than
half the patients lose between 70-80%, or more,
of their extra weight, and then start to maintain their weight. Long term success is dependent
on accepting new rules for eating and food selection, which is taught in the follow up period and the pre-operative
education prior to surgery. The advantages to gastric bypass are a rapid initial weight loss and a higher average total weight loss than the gastric band
or the sleeve procedure. Potential complications can
include leakage, bleeding, nausea or vomiting, ulcerations
which can lead to narrowing, dumping syndrome, and the
small bowel obstructions. Specifics of these complications will be reviewed during
your consultation with me and during the pre-operative
educational process. (upbeat music) Gastric banding is a restrictive operation in which a band is placed around the outside of the upper stomach, creating a small pouch
and a narrow passage into the rest of the stomach. Tightening or loosening the band controls the rate at which food travels from the upper to the lower stomach. The adjustable gastric band
is surgically implanted during a short laparoscopic procedure. A port is placed under the patient’s skin which allows for adjustments
to the band after surgery. The adjustments can make it
tighter to increase weight loss, or looser to slow down weight loss. This procedure does have a
slower initial weight loss than the gastric bypass. And regular follow-up
is critical for success. On average, we expect patients to lose between 40-50% of
their excess body weight following this procedure. There are some advantages
to gastric banding. It is the least invasive approach, it has the lowest operative
complications rate, lowest mortality rate, and
lowest malnutrition risk. But gastric banding is not
recommended for everyone. You should review your
specific case with me to determine the right option for you. After gastric banding surgery,
potential risks include band slippage, erosion and deflation, port-site infection, severe reflux, dilation of the esophagus,
or nausea and vomiting. (upbeat music) The duodenal switch procedure combines restriction with malabsorption to give you a very powerful
bariatric surgical procedure. The operation is usually, but not always, reserved for obese patients
with BMI in excess of 50. The special benefit of this procedure is that you may lose 85% or
more of your excess weight, allowing you to achieve
a truly healthy weight. In the duodenal switch, we
take out a part of the stomach, similar to a gastric sleeve, then the first portion of the
small intestines is divided so that the pancreatic and
the bile drainage is bypassed. The near end of the small intestines is then attached to the
beginning of the duodenum. These operations often
result in a high degree of patient satisfaction because patients are
able to eat larger meals than with a purely restrictive or standard gastric bypass procedure. The long term maintenance of
body weight can be successful if the patient adapts and adheres
to a straightforward diet, exercise, and behavioral regimen. There may be a period of
intestinal adaptation, when bowel movements can be
very liquid and frequent. The condition may lesson over time, or may be a lifelong occurrence. Close, lifelong monitoring
for protein malnutrition, anemia, and bone disease is recommended. Since food bypasses the duodenum, the malabsorption of some
minerals and vitamins also apply to these techniques,
only to a greater degree. (upbeat music) The vertical sleeve gastrectomy
is a restrictive form of weight loss surgery, in which approximately about 70-80% of the stomach is removed, leaving a cylindrical,
or sleeve shaped stomach, about the size of a banana. As of now, this is the most
common bariatric procedure in the United States. With this surgery, the stomach is drastically reduced in size, but it’s function is preserved, The sleeve gastrectomy
is also not reversible, as a portion of the stomach
is actually removed. The vertical sleeve
gastrectomy is a good choice for patients who need to
lose significant weight but do not have severe Type 2 diabetes. Some of the advantages are that the stomach functions normally, there is more weight loss
than a gastric banding, there is no re-routing involved. There are also far fewer
long term complications. One disadvantage of the sleeve gastrectomy is that weight loss can be slower than with a gastric bypass. On average, these patients generally lose between 60-65% of their
excess body weight. Complications can occur, such as bleeding, or leakage along the staple line. Again, these complications
will be discussed in greater detail during
the consultation with me. (upbeat music) The weight loss field continues
to develop new options to help patients live a healthier life. Centerpoint Medical Center
is extremely excited to offer the intragastric
balloon procedure. As opposed to a surgical procedure, we simply place a balloon,
endoscopically, in your stomach. After six months, we remove the balloon. This procedure, coupled
with our behavioral and dietary program, provides a nonsurgical option
to help you lose weight. Patients who have this
procedure commonly lose between 20-30% of their excess weight. The procedure is
attractive to many patients because it is a temporary intervention that does not involve a
permanent change to the anatomy. However, it is not tolerated
well by some patients, as nausea and vomiting sometimes occur, especially during the
first one to two weeks after the procedure. Please talk with us to determine if this is a good option for you. (upbeat music) – We require a psychiatric
consultation prior to surgery. This is to get a trained opinion
and ensure you are stable, cooperative, and ready
for a lifelong commitment. Other tests such as an EGD, cardiac clearance, or sleep study, may need to be done based
on your medical history, and will be determined at your
appointment with Dr. Joseph. If you’ve been diagnosed with, or have symptoms of sleep apnea, we may require a sleep
study before surgery. (upbeat music) Every attempt is made to
control your pain after surgery to make it possible for you
to move about and be active. This helps avoid problems
and speeds recovery. Often several medications
are used together to help manage your post-surgery pain. (upbeat music) Although it can vary, the average hospital stay for
gastric sleeve is one day, and gastric surgery is two days. For the lap band procedure, most people go home that same day. (upbeat music) Almost immediately after surgery, we will require you to
get up and move about. We want you up and walking in
your room within four hours. After leaving the hospital, you should be able to care
for all your personal needs, but you will need help
with shopping, lifting, and with transportation for a few days. (upbeat music) For your own safety, you should not drive until you have stopped
taking narcotic medications and can move quickly and
alertly to stop your car, especially in an emergency. Usually this takes three
days after lap band surgery, and five to seven days after gastric bypass and
gastric sleeve surgery. (upbeat music) – As you know, weight loss is something with which millions of Americans struggle. Dieting and exercise, while effective, has a hight relapse rate, as a patient tends to regain much of their lost weight over time. Here at the Centerpoint Medical Center Surgical Weight Loss Program, our focus is on the individual patient, and tailoring a solution to help you achieve
your weight loss goals. While surgery is an important aspect, it is only one component
of what we believe makes our patients successful. Bariatric surgery gives me an opportunity like no other surgical discipline to form great patient relationships while being part of your success. At the end of the day, our
patients come to our program for three main reasons: to lose weight, to get healthier,
and to change their lives. We look forward to partnering with you on your exciting journey. You are truly taking an
exciting step to a better life. Thank you. (upbeat music)

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