2010-02-08T00:48:04Z urn:uuid:60a76c80-d399-11d9-b93C-0003939e0af6 CoalEngine CoalSpeak urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2010-02-08T00:48:04Z

In Dana’s Shoes By: Lisa Samalonis Category: Weight Loss Surgery Download Article with Graphics Printer Friendly Dana Erbayri is like so many people who have struggled with weight for years. At 5’4,” 299 pounds, Dana says it upsets her that she has trouble keeping up with her two young children. She also struggles to manage her type 2 diabetes regimen. Recently, her doctor has doubled her dose of insulin, and placed her on high blood pressure medication. Now, she sees her doctor more frequently. “My doctor warned me that, at my present weight, complications from my diabetes are only going to get worse,” explains Dana. “So, I decided to undergo bariatric surgery.” A Peek at the Process As Dana strives to gain control of her diabetes, she wants to help others in the same situation. So, she has decided to share her journey of weight loss surgery with the world by allowing a film crew to follow her through the process. Videos of Dana’s journey can be viewed on the web site Bariatrics4Diabetes.com/WLS. This educational resource contains information and tools to help prospective patients begin to resolve their diabetes through weight loss surgery. “Understanding the process and knowing what to expect in advance may reduce those fears or doubts that keep someone from proceeding,” she says. Dana also wants to get the message out that surgery may be an effective option for other people like her with type 2 diabetes. “My doctor has explained that in about 77% of patients, diabetes completely disappears or treatment with medicine or insulin is no longer needed,” she adds. Support Along the Way Even with her lack of success with many diets and recommended exercise, surgery was not something Dana was eager to pursue. “Even when I am hesitant, I continually find support and encouragement to help me persevere,” says Dana. One source of inspiration has been Pat Foster, a coordinator at Dana’s medical center. Pat is an encouraging example, because she herself had successful bariatric surgery 7 years earlier. According to Dana, this strengthened her resolve. Yet, Dana’s children are the ones who have really inspired her to take action. “I cry my eyes out thinking I don’t want to miss out on their lives because I’m too heavy, or because diabetes hurts me. I have to lose the weight; I have to do it now.” These feelings motivated Dana to attend an information seminar at her local hospital, where she met Pat, the bariatric coordinator. “Pat walked me through the risks and benefits of surgery from an empathetic perspective,” says Dana. “That’s a big help and something everyone who goes through this needs. I’m not hesitant to call her if I have a concern because I know she won’t look at me funny. She’s been where I am.” Pat relishes her role as a friendly driving force through the process. “We all get to know the patient intimately. I’ll get to know Dana so well that I’ll know what she’s thinking. Then, I can respond to her questions before she even asks them. That allows me to be her number one cheerleader,” Pat says with a smile. A First–hand Glimpse “This surgery will enable me to be the person I want to be – a person who isn’t afraid to speak in front of people, to get on the dance floor, or to walk into her children’s school without feeling self-conscious,” Dana says. Still, every day, she says, concerns run through her head: “How will I look? Will I change so much I regret it? Will people think I took the easy way out? What if something goes wrong in surgery? Can I get through the process of preparing for surgery, paying for surgery? Will I be able to stick to the diet changes?” Dana’s videos provide a first-hand glimpse of her entire journey – from contemplation and initial medical appointments through surgery and beyond. Viewers will see how Dana maintains the drive to handle setbacks and doubts as she works toward her goal. By sharing Dana’s intimate moments with family and counselors, viewers may find their own inspiration and motivation. The first episode of Dana’s videos, which is on the site now, features Dana’s decision to have surgery and her family’s reaction to the announcement. Remaining episodes will be completed and placed on the site as she progresses through her journey. Subsequent episodes will show, among other motivating milestones: Dana’s visits to a support group, counseling sessions with her surgeon and a glimpse of the surgery itself— how quickly it is done and how quickly Dana recovers—and finally, the results of her surgery. “This is my story,” says Dana. “I am one woman who has chosen to make a change, to take back control.” Hopefully, as she finds motivation, she will help motivate you, too. To follow Dana’s journey visit Bariatrics4Diabetes.com/WLS Besides Dana’s videos, there is much more valuable information for you at Bariatrics4Diabetes.com. Learn more about the connection between bariatric surgery and diabetes, explore the various procedures and which one may be right for you, and even locate a bariatric surgeon in your area. Bariatrics4Diabetes.com has the resources and support you need for this important change in your life. Download Article with Graphics Printer Friendly

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2010-02-07T22:02:57Z

Masters of Resolutions By: Beverley Mucciardi, LCSW, ACSW Category: Weight Loss Surgery Download Article with Graphics Printer Friendly Sitting together on the couch in my office in late January were a pair of sisters, both attractive, beautifully groomed, articulate, married women in their 40’s with charming Georgia accents and both considerably overweight. Every year since they were teenagers, the two of them and their mother had made New Year’s resolutions to lose weight. Every year began with some success and ended with each of them adding more pounds. The previous year when the sisters each had their annual January checkups, they had similar diagnoses: elevated cholesterol, hypertension and hypoglycemia. The treatment plan was weight loss, exercise and medications. They were distressed when they recognized the medications as “Mom’s drugs” and had vowed to manage their health with diet and exercise. Their doctor agreed to see what they could accomplish in a year before insisting they begin medications. Mary Kay had little change in weight and worse lab results; Cindy had gained 9 pounds! Now both were taking medications they did not want to be on and suffering minor side effects. Their obese, diabetic, 68-year-old mother, had suffered a major stroke the previous spring, followed by congestive heart failure and other complications. She had been hospitalized three times that year and was in a rehabilitation facility. “Neither of us wants to end up like our mother, but my sister is saying that it is our fate. I won’t accept that! Our doctor said you might be able to help us keep our resolutions. Can you?” asked Mary Kay, the elder sister. “If you’re willing to make some changes, I can coach you to help yourselves,” I told her and they both nodded, if a bit doubtfully. These sisters were a study in contrasts. Mary Kay was taller, a brunette with brown eyes and the personality of the corporate executive that she was. She was accustomed to setting goals and attaining them. Her inability to keep her health resolutions in the same way she managed business challenges was extremely frustrating. Cindy, a blue-eyed blonde, was the mother of three children. Her husband and their kids were the focus of her life. She wanted to be healthy for her family, did not want her daughters to deal with the stress she and Mary Kay were going through as a result of their mother’s illnesses. She also remembered the painful teasing she had endured in elementary school and her horrible adolescent self-disgust. She knew she could best help her already “plumpish” daughters escape similar torments by making changes herself. Mary Kay had efficiently printed out her resolutions in the form of a spreadsheet. She had identified seven life areas and made resolutions for improvements in each of them in the form of goals – major goals. Lose 80 pounds; go to the gym 5-6 days a week; spend quality time with my husband; etc. She had directed her sister to come similarly prepared. Cindy sheepishly pulled two rather crumpled pieces of notebook paper out of her stylish handbag. Her sister’s distain was unspoken, but unmistakable, and Cindy mumbled that she hadn’t had time to do a spreadsheet. Then she defiantly declared that she had made resolutions in all of the seven categories. Cindy’s resolutions were as admirable, as grand and as unworkable as her sister’s. In response to my question, Cindy proudly said they’d been making “complete life resolutions” every year since college. When I asked how this approach had worked out, the response was a silent shrug. Both of them seemed intensely interested in studying the carpet. Making a resolution is basically a way of telling ourselves that we intend to change a habit, or more accurately, a whole constellation of habits. Most of us have no appreciation for how challenging it is to change habits. Think about the power and usefulness of habit. This morning I woke, showered, made and ate breakfast, brushed my teeth, dressed and drove to my office. All of these activities, from turning off my alarm to driving my car, were easy because they are supported by habits, patterns laid down in my nervous system. To understand what I mean, consider how much effort a toddler puts into brushing his teeth or buttoning her blouse. All of that effort, and all of the mistakes and corrections that a little person makes over weeks and months, create neural patterns which support habitual behaviors that adults take for granted. The way we eat, how we celebrate holidays, how active we are, all of these are the result of neural patterns built up over years of repetition. It requires a lot of effort to change behaviors as basic as what and how much we eat, how we handle stress, even how we manage the discomfort of change. For this reason, successful resolutions are made and implemented one or two at a time. Otherwise, we get exhausted, burnt out, and slip back into familiar habits. If the resolution is to improve health by losing weight, it may be useful to have a long-term goal like Mary Kay’s 80 pound target, but that large goal is best broken down into small attainable goals within the larger goal. The sisters agreed that their most important goal was health. Their homework assignment was to develop a plan of small, specific changes to their regular routine, which would be a start toward a mini goal, that each was to identify. I asked them to do the task separately, and to refrain from comparing notes until our next session. Mary Kay’s revised resolution was to lose 10 pounds in 30 days by making major changes in her diet and exercising at the gym 5 days a week. Cindy’s was to lose 1 pound a week. Her plan involved walking with her husband and kids 3-4 times a week, taking a weekly yoga class, and eating fruit when she craved something sweet. Not perfect, these were more realistic and attainable plans. We spent the second session discussing how they could set themselves up for success instead of failure. The most important skill is to make resolutions and plans to implement them that suit you, not someone else. Mary Kay wanted Cindy to use her plan. That would have set them both up for failure because Cindy felt “little” when Mary Kay told her what to do, and Mary Kay used a great deal of her energy “being responsible” for other people. The next skill is to refuse failure! It is important to expect obstacles and plan for them (What will you eat at the party?). Slipups or backslides can be used as an opportunity to learn more about what triggers and maintains old patterns of self sabotaging behavior. They are simply signals that some adjustments need to be made to the plan, not the excuse to quit or label yourself a loser. Be persistent! The third skill set we discussed were some techniques to stay motivated. Write out goals and post them in a public part of your home as a self-reminder and to encourage others to support you; ask for regular encouragement from trusted friends and family members. Use affirmations and visualization (see yourself stepping on the scale and feel the happiness when it reads 5 pounds less!). Reward yourself as you achieve your mini goals. Throughout the year, Mary Kay and Cindy continued to come for sessions every three or four weeks, sometimes together, sometimes alone. By the fall, they were both able to discontinue medications. In December, they declared themselves Masters of Resolutions and delightedly laughed about needing a new category of resolution to reign in their appetite for sleek new clothes! about beverley… Beverley N. Mucciardi, LCSW, ACSW is a licensed psychotherapist in private practice in Coral Springs, Florida. She earned both her Bachelor of Arts in Psychology and her Master’s Degree in Clinical Social Work at the University of Maryland. She has received additional training in various treatment modalities including Ericksonian Hypnosis. Her particular clinical interests are in the impact and opportunity of life change periods (i.e. marriage, divorce, birth, death, severe illness, geographical moves, job loss or change, rapid weight loss or gain, etc.) and the body, mind, emotion connection in physical disorders. Please visit her website LifeLoveBalance.com. WLS Lifestyles - www.wlslifestyles.com – Copyright 2010 Download Article with Graphics Printer Friendly

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2009-11-02T12:28:01Z

Weight Loss Surgery As a “Family Affair” By: Gregory Jones, Ph.D. Category: WLS Lifestyles Fall 2009 Weight Loss Surgery BRIEF ARTICLE OVERVIEW: Understanding how family members can play an important role in your life changing transformation.   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2009-09-12T16:58:18Z

Are You Heading for a Weight Loss Disaster? By: Katie Jay, MSW, National Association for Weight Loss Surgery Category: Weight Management BRIEF ARTICLE OVERVIEW: Why putting their wants above your needs can be hazardous to your health.   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2009-08-02T16:13:04Z

Can We Talk? By: Dr. Russ L'HommeDieu, DPT Category: Weight Management BRIEF ARTICLE OVERVIEW: 8 ways you can help a loved one achieve their healthy weight.   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2009-04-04T13:42:14Z

External Psychological Reactions To Bariatric Surgery Patients By: Lori Sperling Nevins, MSW, LCSW Category: Weight Loss Surgery In our complex and busy lives, we all belong to a system of people, places and things that connect us to others who, in turn, impact our lives in a variety of ways. Many people…   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2008-06-21T21:24:18Z

My Friends and Family Seem to Prefer the Old Me By: Warren Huberman, Ph.D. Category: Weight Loss Surgery BRIEF ARTICLE OVERVIEW: Humbly go forward with the new you; changes and all …do not compromise personal development to please others.   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2008-02-16T20:05:05Z

And the Oscar for “Best Actor in a Supporting Role in a WLS Drama” Goes to… By: Mike Jay Category: Weight Loss Surgery BRIEF ARTICLE OVERVIEW: All leading “stars” need to be supported. If you are a supporting actor in a weight loss surgery drama your support will not be optional. Study your part, become familiar with your role. Set the “stage” for success. And the Oscar goes to… Step up, don’t be shy lay claim to your hard earned award.   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2007-11-10T01:02:12Z

The Importance of Having the Right Tools By: Melissa McCreery, Ph.D., ACC Category: Weight Loss Surgery BRIEF ARTICLE OVERVIEW: Destination: Unknown. There is no magic carpet ride smoothly guiding you into the weight loss surgery journey future. A timely arrival and gentle ride depends on identifying all available post-op tools. Once you have established that you are using the right tools, praise and acknowledgement will be yours.   For unlimited access to all magazine articles online, (click here to order)

urn:uuid:1225c695-cfb8-4ebb-aaaa-80da344efa6a 2007-10-20T19:24:26Z

Practice What is Preached By: Kate Bird Category: Weight Loss Surgery BRIEF ARTICLE OVERVIEW: Six lifestyle strategies that “support” post-surgery success and demonstrate healthy habits for you and your family. Be a healthy lifestyle helper, not an obesity enabler. Knowing that you are leading by example will help you stay aware of your actions and produce great rewards.   For unlimited access to all magazine articles online, (click here to order)