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:

bariatricpatients@ghc.org

Call the Consulting

Nurse line if after 4:00

and weekends, with

any symptoms/

concerns.

Site:

https://asmbs.org/patients/bariatric-surgery-misconceptions