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Bellevue Bariatric
Program
June Issue: National Safety
Month
National Safety Month…..……..…...1
Important Announcements .……..….2
Quarterly Support Group ….……......2
Bariatric Surgery Misconceptions and
Truths………... ….…………….….3-5
Breeze Through Summer by Avoiding
Social Pitfalls…………..……….....6-8
Edamame Cucumber Salad Recipe and
Ingredients………………...………....9
Contact Info………………………...10
• This month we’re focusing on the importance of Bariatric
Specific Safety Guidelines with:
• Bariatric Misconceptions and Truths
from ASMBS (Association of Meta-
bolic Bariatric Surgery)
• Breeze through Summer by Avoiding
Social Pitfalls
• Safe Summer Snack Recipe:
June 2018
Bariat r ic Specif ic Safety Guidel ines
We want to hear
from you!
We encourage you
to give our new
Bellevue Support
Group a try. Our
new group will
meet on a quarterly
basis, with a variety
of speakers and
demonstrations. If
you have topics,
speakers or demon-
strations that you
would like for us to
consider, please
don’t hesitate to
reach out to us for
your suggestions.
Upcoming: Wednesday
July 18, 2018
Following: Wednesday
October 17, 2018
Time: 6:00pm- 8:00pm
Location: Kaiser Permanente
Bellevue. Conference Room
E101/105 (right by the elevator
on the first floor, follow the
signs)
Registration: is not needed.
See you there!
Kaiser Permanente Bellevue
Quarterly Support Group:
Important Announcements: • The Bariatric Step’s to a Healthier
Future is available online. As we
update the booklet, we will post the
most recent version on:
https://wa.kaiserpermanente.org/ bari-
atric-patients
• Kaiser Permanente Bellevue
Pharmacy will now be carrying
Bariatric Advantage Vitamins. Buy
them at your convenience after the
Bariatric Education class or your
follow up visits!
• Celebrate Vitamins are also availa-
ble at our Bellevue Pharmacy!
• They’re also available online
through their website. Type in pro-
mo code KAISER and get a dis-
count and free shipping.
2
Safety of Bariatric
Surgery
Thanks to improved patient-
care protocols and the lapa-
roscopic approach, mortality
rates after bariatric surgery
have fallen by 80% in the
past decade. Data involving
nearly 60,000 bariatric pa-
tients from American Society
for Metabolic and Bariatric
Surgery (ASMBS) Bariatric
Centers of Excellence data-
base show that the risk of
death within the 30 days fol-
lowing bariatric surgery av-
erages 0.13%, or approxi-
mately one out of 1,000 pa-
tients. This rate is considera-
bly less than most other com-
monly performed operations,
including gallbladder (0.7%)
and hip replacement surgery
(0.93%). The data shows
that the chance of dying from
bariatric surgery is excep-
tionally low and it is safer
than gallbladder and hip re-
placement surgery.
Read the rest @:
http://surgery.ucla.edu/
bariatrics-safety-of-bariatric-
surgery
Bariatric Surgery Misconceptions
through their website. Type in pro-
3
Truth: As many as 50 percent of patients may regain
a small amount of weight (approximately 5 percent) two
years or more following their surgery. However, longi-
tudinal studies find that most bariatric surgery patients
maintain successful weight-loss long-term. ‘Successful’
weight-loss is arbitrarily defined as weight-loss equal to
or greater than 50 percent of excess body weight. Often,
successful results are determined by the patient, by their
perceived improvement in quality of life. In such cases,
the total retained weight-loss may be more, or less, than
this arbitrary definition. Such massive and sustained
weight reduction with surgery is in sharp contrast to the
experience most patients have previously had with non-
surgical therapies.
*Success and Healthy Habits taught by our
Bariatric Team go hand in hand with long
term success. If you have further questions
or need support please don’t hesitate to reach
out.
Misconception: Most people
who have metabolic and bariatric
surgery regain their weight..
News and Information
Overload: Safety Tips
• In this day and age it’s
even more important to be
diligent and make sure that
the bariatric information
you’re reading is in align-
ment with your KP Bari-
atric Program and is from a
licensed healthcare provid-
er.
• Please review Steps To-
ward a Healthier Future
Bariatric Binder.
• Try and differentiate facts
from opinion. Is this arti-
cle/study evidenced based?
• Consider the Source. Is this
a reputable information?
• Note the date of the article
and see if it’s current.
• If there’s any information
that requires further clarifi-
cation, feel free to reach
out to us via MyChart (if
you’re active on there.) If
not, you can also reach out
to us via telephone.
4
Misconception: The chance of dying from metabol-
ic and bariatric surgery is more than the chance of
dying from obesity.
Truth:
As your body size increases, longevity decreases. Individuals with
severe obesity have a number of life-threatening conditions that greatly
increase their risk of dying, such as type 2 diabetes, hypertension and
more. Data involving nearly 60,000 bariatric patients from AS-
MBS Bariatric Centers of Excellence database show that the
risk of death within the 30 days following bariatric surgery av-
erages 0.13 percent, or approximately one out of 1,000 pa-
tients.
This rate is considerably less than most other operations, in-
cluding gallbladder and hip replacement surgery. Therefore, in
spite of the poor health status of bariatric patients prior to surgery,
the chance of dying from the operation is exceptionally low.
5
Misconception: Surgery is a ‘cop-out’. To lose and
maintain weight, individuals affected by severe obe-
sity just need to go on a diet and exercise program.
Truth:
Individuals affected by severe obesity are resistant to long-term weight-loss by diet and exercise.
• The National Institutes of Health Experts Panel recognize that ‘long-term’ weight-loss, or in
other words, the ability to ‘maintain’ weight-loss, is nearly impossible for those affected by
severe obesity by any means other than metabolic and bariatric surgery.
• Bariatric surgeries are effective in maintaining long-term weight-loss, in part, because these proce-
dures offset certain conditions caused by dieting that are responsible for rapid and efficient weight
regain following dieting.
• When a person loses weight, energy expenditure (the amount of calories the body burns) is reduced.
With diet, energy expenditure at rest and with activity is reduced to a greater extent than can be ex-
plained by changes in body size or composition (amount of lean and fat tissue).
• At the same time, appetite regulation is altered following a diet increasing hunger and the desire to
eat. Therefore, there are significant biological differences between someone who has lost weight by
diet and someone of the same size and body composition to that of an individual who has never lost
weight.
Veggies
Load up on the abundance of delicious
fresh vegetables available in the summer:
tomatoes, green beans, peas, zucchini,
carrots, and herbs. Try making broccoli
slaw instead of coleslaw. Toss in shred-
ded carrots and other favorite veggies and
toss with a light yogurt dressing.
Summer is a great time to take a vacation, connect with
friends and enjoy the sun. It’s also a time packed with food-
laden events. With 3 major holidays, graduations, weddings,
family & class reunions, weekend BBQs,
picnics, and vacations, summer time can
be a danger zone for healthy habits and
your waistline.
The attitude of “what the
heck” can run rampant when on va-
cation or faced with tables loaded
with typical summer foods: ham-
burgers, hot dogs, chips, potato sal-
ad, brownies, pies and free flowing alcohol. Instead,
with a shift in mindset and a bit of preparation, you can
still enjoy special events and eat healthy. While it does
take some planning but it’s well worth the effort!
6
Grilling
Swap proteins. Instead of mystery-meat hotdogs and greasy
hamburgers, grill up some shrimp kabobs, herbed chicken
thighs or salmon. High protein, low fat and calories and de-lish!
Make sure to add some veggies to the grill too. Vegetables such
as portabella mushrooms, red peppers, onions, and zucchini
make a great side dish. Just toss the veggies with your favorite
light vinaigrette and cook it on the grill.
Snacks
Veggies make an easy snack. Cut
cucumbers, carrots, bell peppers, jicama,
daikon radish and celery into spears for
easy on the go snacks. Add in some cherry
tomatoes to pop in your mouth. For a
healthy high protein dip, make the high
protein ranch dip recipe attached in the
newsletter.
Fresh seasonal fruits are abundant
so grab them while you can. Fresh nectar-
ines, watermelon, peaches, and berries are
great finger food at a picnic. Try cutting
up your favorite fruits and tossing them
with sugar free yogurt to add some pizzazz
and a bit of protein.
Fluids
It’s easy to become dehydrated when the temperatures
start to soar. Make sure to have your water bottle close by. For
added flavor, make a jug of fruit and herb infused water such as
strawberries and mint or pineapple, mint & ginger.
7
A couple more tips:
Get moving. Plan a vacation that involves being active; walks, hik-
ing, swimming. Take a walk, get on the dance floor or play with
the kids. Being active will burn some calories and keep your mind
off food.
Be social. Instead of focusing on the food, connect with your
friends and family. Move away from the food table so it’s out of
sight, out of mind.
High Protein Ranch Dip
1 pint nonfat or low fat (1%) cottage cheese
1 packet dry Uncle Dan’s Ranch mix
Nonfat milk
Place cottage cheese and Uncle Dan’s Ranch dry mix into blender or food processor.
Add enough milk to your desired consistency.
It can be used as dip, sauce or dressing.
For ¼ cup*
45 calories
7 protein grams
*based on 1% fat cottage cheese
If using Hidden Valley seasoning packet it is 65 calories for ¼
cup.
Note: you could also substitute the cottage cheese with nonfat plain Greek yogurt, light
ricotta cheese or tofu; though cottage cheese will provide the best calorie to protein ratio
and cheesy flavor.
8
9
Ingredients
Salad
3 English cucumbers, spiralized or very thin-
ly sliced
2 cups frozen shelled edamame, thawed
1 large red bell pepper, chopped
1 jalapeno pepper, seeded, deveined and
chopped
Dressing
¼ cup extra virgin olive oil
¼ cup seasoned rice vinegar
2 Tablespoons toasted sesame oil
1 Tablespoons low sodium soy sauce
1 ½ teaspoons ginger paste
1 teaspoons Dijon mustard
1 teaspoons fresh garlic
½ teaspoon red pepper flakes
Garnish with 1 teaspoon each toasted sesame seeds and black sesame seeds
Directions
Thinly slice or spiralize the cucumbers.
Soak up excess liquid from cucumber
with a paper towel so they are no so wet.
Toss the cucumbers, edamame, red bell pep-
per and jalapeno in a large bowl. Set
aside.
In a small bowl, add all ingredients for the
dressing and whisk well.
Pour dressing into the cucumber mixture and toss well. Sprinkle with
sesame seeds.
Cover and refrigerate for at least 2 hours. Serve within 24 hours for best
results.
Bariatric Surgeons:
• Dr. Gupta MD, FRCSC,FACS,FASMBS
• Dr. Landers, MD, FACS, CDR-USN (RET)
Bariatric ARNP/PAs:
• Kat Cozza, PA-C
• Lynda Crescenzi, PA-C
• Lori Gokee, ARNP
• Travis Sears, PA-C
• Heather Vincent, PA-C
• William Young, PA-C
Bariatric RN Case Managers:
• Sarah Chan, BSN, RN
• Melissa Darragh, BSN, RN
Medical Assistant:
• Tamara Simanic
Bariatric Dietitian:
• Lisa Stariha, RDN
Clinical Operation Manager:
• Anna Withee, BSN, RN
Bariatric Team Contact Us
We want to hear from you!
Nurse: 425-502-3454
Listen to the Prompts.
Press 3.
Routine Appointments:
425-502-3454
Listen to the Prompts
Consulting Nurse:
1-800-297-6877
Bariatric Team Email:
Call the Consulting
Nurse line if after 4:00
and weekends, with
any symptoms/
concerns.
Site:
https://asmbs.org/patients/bariatric-surgery-misconceptions