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Archive for the ‘Post Surgery’ Category

Friday, May 11, 2012

Don’t Be Afraid To Take That Step

That’s the message that Shiv Sahani of Queens has for people considering weight-loss surgery.

Shiv comes from a close-knit Indian family. He’s 28 years old, and for the past six years, he’s been working with his father as a New York Life Insurance agent. Previously, he owned his own recording studio and was one of the engineers who recorded Lady Gaga’s first album.

“I’ve been overweight my whole life,” says Shiv, who is 5-foot-10 and once weighed 358 pounds. “I grew up in New York City public schools and was always being made fun of. It really hurts when someone picks on you because of your weight. I don’t think people understand that.”

Weight-loss programs? He tried them all. “I’ve seen a nutritionist, a personal trainer, tried every diet in the book, pills — nothing ever worked for me. Or if it did, I would drop 20 to 30 pounds, but it wouldn’t sustain itself. The weight would just come back on.” He describes himself as goal-oriented. “I asked myself, what are my goals for my life? I knew I wanted a family. I want to have kids. Being overweight doesn’t keep you from that, but it sets limits on your lifestyle. I wanted to be able to run with my children, to go to the park and throw a ball around with my son. I realized I needed to take some sort of action to better my life situation.

“I did my research and came across lap band surgery. I brought up the idea to my parents, and right away, they shot it down, which was disappointing. My parents are very old-school, but we are a tight unit at home, and out of respect, I always tell them everything. They didn’t like the idea of surgery. They didn’t understand that I’ve tried everything else.

“I decided to do a little more research, and learned about two great doctors — Dr. Sean Garber and Dr. Spencer Holover. I saw that they did seminars about the lap band system. One day, I decided to attend one with my sister and brother-in-law. It was an eye opener.

“I made an appointment to meet with them personally, and they told me I’d be a perfect candidate. From there, we started the process. I went back and told my parents that this was something I needed to do to get my life back. Whether they liked it or not, it was going to happen, so please give me your blessing. At that point, they were more supportive. They saw I was willing to take the risk.

“But there really wasn’t any risk. Lap band surgery is one of the safest procedures out there. My only regret was not doing it sooner.

Shiv had lap band surgery on Oct. 25, 2010. Since then, he has lost more than 110 pounds.

“That’s like losing a whole person. Imagine the amount of energy you gain back with that. It builds your confidence. It gives you your life back. Before, I could hardly keep up with my dad when we went to see a client in the city, and my dad is 40 years older than me. Now he’s having a hard time catching up with me.”

Why does the surgery work? “Think of the lap band as a signal — like a red light, green light,” says Shiv. “If you’re overweight, it’s not your fault. For some reason, because of our body chemistry, we just don’t get the signal to stop when full. Now after the surgery, I do get the signal. My stomach tells my brain: Shiv, you’re full. Don’t take another bite. It’s really a cool thing. The surgery helps you realize your limits. It’s controls your food intake.”

Describing the surgery, Shiv says, “It wasn’t scary at all. There were a lot of friendly faces in the operating room. I went in around 10 a.m., and around 11:30 a.m. I was waking up in the recovery room. When I woke, they put me in my hospital room, and within 30 or 45 minutes, I started walking again. The hospital stay was actually fun. I was there less than a day.”

Shiv now weighs 234 pounds and is working to get down to 185. “I go to the gym two times a week — four if I’m lucky. I went from a size 58 pants to size 42. My shirt size went from 4XB to XXL from a regular store. That’s a good feeling.”

About his diet, Shiv says, “I enjoy food, and I enjoy life, but it’s all about control for me. If my family goes out for pizza, I’ll have a slice — or a half a slice — and I’ll be happy with that. But I make sure I also get a salad with some chicken, and I have that first, so I get my protein in. I love salads. I don’t stay away from anything. If you want to give me a nice piece of steak, fine. Just understand that I’ll probably eat four or five bites and I’ll be full.”

And about his new life, he says, “It’s the little things that mean something now. I like to dance, I like movies, and hanging out with my friends. Before I wouldn’t always want to go out, wondering what to wear and how I would look. Now if there’s any opportunity, I jump on it.”

To those considering surgery, Shiv says, “It’s a big decision, not something you take lightly. But it’s a chance to get your life back, so why not do it?”

Wednesday, April 18, 2012

Single Incision Laparoscopic Surgery (SILS): Virtually Scarless Sleeve Gastrectomy

When science makes our lives easier and better, what’s not to like?

The New York Bariatric Group is proud to be among the first and only surgeons in the area to perform single-incision sleeve gastrectomies. With just one incision through the belly button, recovery times are quicker, and there is virtually no scar.

In most cases, patients spend just one night in the hospital following the procedure.  And since there is no need to cut through stomach muscle, there is less pain.

Not too long ago, weight-loss surgeries required a long incision, which, of course, would leave a large scar.  Then came laparoscopic surgery, known as minimally invasive surgery, which involves multiple small incisions, each a few centimeters long, and the use of a tiny camera, enabling the surgeon to visualize the surgery and to cut less tissue.

Single-incision laparoscopic surgery — or SILS — is even less invasive.

We already have done several hundred SILS lap band cases, so we have extensive experience with the approach. It is only in the past year that single-incision sleeve gastrectomies have become more common. New York Bariatric Group surgeons are among a select group in the country now offering this procedure. About 40 percent of our patients are now choosing this option. As a group, we have performed about 100 single-incision sleeve gastrectomies, and these patients have been doing very well.

Virtually Scarless Single Incision Sleeve Gastrectomy

Virtually Scarless Single Incision Sleeve Gastrectomy

Single-incision sleeve gastrectomies are simpler to perform than gastric bypass operations, resulting in lower complication rates.

During surgery, about 75 to 80 percent of the volume of the stomach is removed, while maintaining the natural openings into and out of the stomach.  Because the gastrointestinal track is not changed, the chances of complications like vitamin deficiencies that can occur with gastric bypass surgery are decreased.

The data shows that the overall weight loss with sleeve gastrectomy is similar to gastric bypass. The weight loss helps patients get rid of their medical problems.  Because a long tube is created with a lot of resistance, it does severely limit the amount of food that a patient can eat, which contributes to sustained weight loss.

The disadvantage of a sleeve gastrectomy is that because it is a relatively new operation, long-term data is not yet available.

Minimally invasive surgery is a scientific advance that has improved the quality of life for many.  Ask your surgeon if you qualify for the new virtually scarless, single-incision sleeve gastrectomy.

Tuesday, March 22, 2011

Weight Loss Surgery Recovery Times

The process leading up to a weight loss surgery is generally long and involved, with many visits to surgeons, nutritionists and even psychologists before the actual surgery is performed. While it is easy to think of bariatric surgery as a magical solution for weight management, it is important to remember that the real work begins once a patient comes home from the hospital.

Losing the weight will happen, but it take dedication.

Losing the weight will happen, but it take dedication.

Depending on the type of surgery or procedure performed, doctors usually recommend taking 3-8 weeks off from work to fully recover. Immediately after the surgery, patients must adhere to a liquid diet for their first two to three weeks at home. After this initial phase you will meet with your nutritionist or surgeon, and they will explain how to reintroduce soft and solid foods slowly over the course of two to three months.
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Monday, March 14, 2011

Simple, Yet Delicious, Post-Bariatric Surgery Recipes

Following a weight loss surgery, the biggest adjustment for patients is learning how to reintroduce their favorite foods into a new, healthy lifestyle. Instead of eating large meals during the day, the focus shifts to dietary quality over quantity. Now that the stomach has been reduced to the size of an egg, each meal has to pack serious nutritional punch to ensure weight loss success. The following recipes, courtesy of Weight Loss Surgery Cookbook For Dummies, are prime examples of how to make delicious-tasting meals that limit calories while providing excellent sources of protein.

Cooking healthy is a vital component in the bariatric surgery process.

Cooking healthy is a vital component in the bariatric surgery process.

Havarti Scramble with Salmon

Not only are eggs a high source of protein, but they make for a quick meal any time of the day. Feel free to substitute your favorite variety of cheese in this recipe or swap in shrimp instead of salmon. Yield: 4 servings.

  • 6 large eggs
  • ¼ cup nonfat milk
  • 2 ounces Havarti cheese, cut into small pieces
  • Salt and Pepper to taste
  • 1 teaspoon minced chives
  • 1 teaspoon butter
  • ½ cup canned salmon, no skin or bones

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Tuesday, February 22, 2011

The Value of Vitamins

The value that vitamins have in our lives has been in our race long before the first acknowledgements and studies of nutrition were made. Although sometimes their benefits were confused for miracles or magic tricks, every culture knew of specific food that agreed with their bodies and improved their health.

As organic compounds required as a nutrient by our body, vitamins are essential for the normal growth and development of our organisms. If there is serious lack in one or more of these nutrients, a human may develop a deficiency disease. Even minor deficiencies may cause permanent damage.

Vitamin rich fruits are a building block of healthy living.

Vitamin rich fruits are a building block of healthy living.


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