Gastric Sleeve explained by Dr. Myers

Monday, October 25, 2010

Diabetes May Double by 2050, Bariatric Surgery Can Help!



Front page news in the USA Today and the Columbus Dispatch newspapers this week reported the most recent CDC prediction for diabetes in America.

1). Diabetes may increase from the present rate if 1 in 10 to 1 in 3 persons over the next 40 years.
2). Presently there is about 200,000 diabetics in central Ohio
3). It is estimated that the number of diabetics in central Ohio will increase by 13,000 every 2 years




Most of the increase will be in Type II diabetes. Why?

1). Improved diabetic care is allowing diabetics to live longer
2). Earlier diagnosis
3). Growing minority populations
4). Increasing frequency of obesity

How can bariatric surgery help?

For those persons of size who develop type II diabetes, their diabetes is resolved 84% of the time after bariatric surgery. For those who were diagnosed with diabetes within the last 5 years the results are even better: 95% of patients will resolve their diabetes.

Although all bariatric operations can help to prevent diabetes, the best operation to resolve diabetes is a Roux en-Y Gastric Bypass. A Roux en-Y Gastric Bypass is the only operation that changes to patients hormonal situation to increase the amount of insulin the pancrease produces in response to carbohydrates.

Learn more about diabetes and bariatric surgery on other posts on this blog.

Our practice is available to help as many persons of size with diabetes who want to be helped.

Wednesday, October 20, 2010

Bariatric Surgery Decreases the Risk of Breast Cancer

A recent study showed that the risk of developing breast cancer over the 5 years after bariatric surgery is decreased by 80%.

Nicolas Christou at McGill University in Montreal, Quebec, Canada compared a group of bariatric surgery patients with a group of people of similar weight over a 5 year period of time.

Only 2% of those who chose bariatric surgery developed breast cancer over the subsequent 5 years compared to 8.5% of people of similar size that did not have bariatric surgery.

This is the first study that clearly shows the risk of developing breast cancer is decreased by 80% over the next 5 years after bariatric surgery.

Baraitric surgery could be the most important choice some women make.

Tuesday, September 28, 2010

Dressing for Excess Skin

A posting from Stephanie Myers, Dr. Myers' daughter, on 3 problem areas that can be improved by focusing on appropriate wardrobing.

One of the major issues post bariatric surgery is the issue of excess skin. Although the fatty tissue will be gone soon because of the surgery, exercise, and nutrition adjustments, the skin which has been stretched to accommodate that fatty tissue will remain (some to a more severe degree than others, depending on an individual basis). Regardless if you choose to have bariatric surgery or not, I want to give you a few ideas to work around the excess skin in the mean time.

At a recent support group I shared about what clothing to look for in order to resolve the issues of discomfort and embarrassment. Those are both valid issues and the key to solving this issue is having the correct undergarments. Of course, all three can be used at the same time if necessary. Most likely these ideas are not foreign to women, such as Spanx, or control top hosiery. Now, I will explain the three main problem areas, the solutions, (what to look for to work with each area), and styling tips.




1). The problem area: The “Apron” - This is what is known for the the excess skin area of the stomach. Again, once the weight is lost, the skin can still remain.

The solution: A good solution here is to find a very fitted stretch tank top that will help to hold in excess skin. This tank can be a few sizes smaller than you would typically wear so that you get the supporting effect.

This picture is a great example. It is a Spanx for Plus sizes that can be found at Lane Bryant. You could even look for a longer version that will go just below the hips.

How to Style: The key with styling this is that it does not have to show, in fact it really shouldn't. The best idea is to layer and especially going into fall and winter this will be easy to do.



2). The problem area: The “Wings” - This area of excess skin is from any stretched skin that caused by the fatty tissue in the arms.
The Solution: A very fitted three quarters length fitted t-shirt will hold skin in place so you don’t have that 'flapping' feeling. This shirt needs to be more fitted than your usual clothing, again to support your arms.

How to Style this garment: The purpose of this garment is also to be an undergarment, and should be worn with other clothing that fit appropriately.

This example is a top that is on sale at Nordstrom.









3). The problem area: The Inner Thighs - The inner thighs are an area that can be an annoyance.
The solution: Very fitted bicycle shorts or spanx (apparently, these shorts to the left are lined with zebra print. Zebra print is optional when you do your shopping!
How to style: Another great trick is to wear bicycle shorts under your pants or dresses in order to give you a more controlled feeling and therefore, will be more comfortable. This pair is from Lane Bryant.

Again, I am here as a resource for your wardrobing issues now. I also will work with you to create a look that is uniquely yours. Please contact me at Stephanie.Myers1@gmail.com to arrange a meeting to begin!

Get Well Picture for Grandma


Mikey Pyle drew this picture for his grandmother who had her bariatric operation last week and was seen in the office today. Look closely to find the following 4 details:

1). Grandmother's size before and after the operation

2). What is that in Dr. Myers hand?

3). Note the Gandmother + Surgery = Smaller Grandmother format

4). The facial expressions are terific

Great job! Thank you, Mikey, for cheering up your grandmother and bringing a smile to all of us.

Great Message from My Patient, Wendy Hartman. Check Out Her Blog!


My husband and I have been together for 26 years. Married, 19. He met me at about 180 pounds. I was about 250 when we married. I was at 395 when I had surgery.

Scott told me the other day something that had me in tears.

I knew he was worried about me, but we never talked about it. He said: "6-8 months ago, I was crying myself to sleep wondering what I would do when you were gone. How was I going to handle the kids? How was I going to pay the bills when I don't even know where the passwords are for the accounts? I had no idea that our lives could change so much in 6 months. Everything is so much better. You are a better person. We are better." Wow.

Thank you, Dr. Myers!!!

Wendie Hartman

http://margaretandelwood.blogspot.com/

Monday, September 20, 2010

Finding "New" Things after Bariatric Surgery




Finding “New” Things after Bariatric Surgery

Last week one of my patients who had lost a lot of weight after her bariatric operation returned complaining of finding a new mass just below her breast bone. She was obviously very worried.

After I examined her I indeed noted a firm ½ inch hard rubbery mass just as she had described.

I explained that this finding is called the xiphoid process and is a normal anatomic structure. She was just now finding this for the first time because she had lost enough weight it was no longer hidden in the fatty tissue!

This is a very common occurrence. As a bariatric surgery patient loses a lot of weight, say 100 to even 200 lbs or more they are able to “find things” they did not even know they had such as hip bones, back bones, clavicles, tail bones and even ribs that they thought were breast masses!

Of course these patients are often embarrassed when they find out these structures were always there but could not be felt until they lost significant amount of weight but it is just part of discovering themselves anew.

Having bariatric surgery is truly a Fresh Start for many and a new discovery of the new you.

New Video! Dietitian explains Nutrition Facts Label

In this video, You will see Dietitian, Kristi Highley sharing the importance of the Nutrition Facts Label. The photo on top is an image of the exact Label she is referring to, but enlarged. One more thing before we get started, Dr. Myers wants to know something about the beginning of the video, "What's up with the tongue Kristi?"