Tuesday, March 6, 2012

Informed Consent and CAM: Truth Not Optional

In three recent posts, Drs. Novella, Gorski and Atwood took the Bravewell Collaborative to task over a report on its recent survey of U.S. ?integrative medicine? centers. As Dr. Novella noted, So what is integrative medicine? When you strip away the rebranding and co-opting of features and treatments of mainstream medicine, you are left with [...]

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Monday, March 5, 2012

Trip to HR

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Heart awareness for newborns: Learn how a simple screen can save a life!

February is heart awareness month, a time when we encourage adults to reflect and make changes in their lives for healthier hearts. This is also a good time to raise awareness of congenital heart disease (CHD) and children who start their lives with heart conditions.
CHD is the most common birth defect, and it is present [...]

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Sunday, March 4, 2012

Rusty?s Release!!

� On March 1, The Turtle Hospital �released yet another rehabilitated sea turtle back into the wild. Rusty, a 43lb green sea turtle, arrived at the hospital in December 2009 after being rescued from a fishing line entanglement around his front right flipper. Rusty also had tumors on his eyes and along the neck and [...]

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A Blast from the Past

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Saturday, March 3, 2012

What a dog taught me about foster care

J.C., the sweet angelic boy I wrote about last time, lived with us along with his sister for 16 months until they were reunified with their parents. During the time we fostered them, J.C. refused to go on the ?big boy potty.? Try as we might, nothing worked. Bribes, sinking cereal, promises of great presents [...]

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Stronger Code of Practice for Global Pharma Industry

Corruption and bribery are rife in many emerging markets that Big Pharma is targeting for growth to offset declining profits in developed markets.

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Wednesday, February 29, 2012

Tips for Easy Healthy Recipes

If you would like an straightforward method to offer pleasure in an exceedingly healthy everyday life for your family then one in every of the right ways to try and do it?s by preparing home-cooked foods by the utilization of straightforward Healthy Recipes. You?ll considerably perk up the health gains by staying in to own [...]


Related posts:
  1. Diabetes Prevention Tips Diabetes is a group of diseases characterized by high sugar...
  2. Healthy Food Well there are a lot of foods for us to...
  3. Some Pointers For Keeping Teeth Healthy We are always advised by dental practitioners to brush and...

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Sexual Activity and Satisfaction in Healthy Community-dwelling Older Women

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Tuesday, February 28, 2012

Sport

Lobster trap entanglements are a common occurrence here in the Florida Keys. Sport is a sub-adult loggerhead who is yet another turtle to become entangled. On January 23 the commercial fisherman themselves brought Sport back to land where they met up with Florida Wildlife Commission for transport. Sue Schaf from FWC brought in this 113 [...]

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Massive Aquaresis After Tolvaptan Administration and Albumin Infusion in a Patient with Alcoholic Cirrhosis

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Monday, February 27, 2012

AJM's December 2011 issue is online

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11 Weight Loss Tips for 2011 (Recap)

We started off January with 11 individual weight loss tips for 2011, and now here they are, re-presented in one handy list.

  1. Make a weight loss plan. Write it out, and stick to it.
  2. Drink water for better weight loss. Keep yourself hydrated and healthy.
  3. Control your portions to reduce caloric intake. Reduce portions before you begin eating, so you are not tempted.
  4. Get moving with light physical activity to burn excess calories. Even fidgeting burns calories, so get up off the couch and do something.
  5. Join a weight loss support group. If you can't find one you like then work on developing your own unique support system.
  6. Exercise to burn fat. Set a goal, start slow, and increase your effort over time.
  7. Eat plenty of protein. It makes you feel fuller longer and nourishes your body.
  8. Keep a journal of your weight loss efforts. You might be surprised what you actually eat in a single day.
  9. Visit with your doctor about your weight loss goals. Remember that weight loss is not only cosmetic; losing weight can help you improve your health.
  10. Treat illnesses without letting them become an obstacle. If a cold or flu knocks you down, treat it and then get back on the plan.
  11. Reward yourself for weight loss successes. Find non-food motivators and use them to push yourself forward.

Weight Loss Surgical Center offers long-term weight loss support for patients who have had laparoscopic adjustable gastric band surgery. Many of the weight loss lessons that are usable by the general public are still important to lap band patients.

If you are interested in weight loss surgery as a powerful tool to help you lose weight, download our free kit of weight loss surgery information today.

 

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Sunday, February 26, 2012

Informed Consent and CAM: Truth Not Optional

In three recent posts, Drs. Novella, Gorski and Atwood took the Bravewell Collaborative to task over a report on its recent survey of U.S. ?integrative medicine? centers. As Dr. Novella noted, So what is integrative medicine? When you strip away the rebranding and co-opting of features and treatments of mainstream medicine, you are left with [...]

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What is Science?

Consider these statements: …there is an evidence base for biofield therapies. (citing the Cochrane Review of Touch Therapies) The larger issue is what constitutes ?pseudoscience? and what information is worthy of dissemination to the public. Should the data from our well conducted, rigorous, randomized controlled trial [of 'biofield healing'] be dismissed because the mechanisms are [...]

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Saturday, February 25, 2012

?Obama Promises $156 Million to Alzheimer?s?But where will the money come from?? That?s easy: the NCCAM!

The quoted language above is part of the headline of this story in today’s The Scientist: Citing the rising tide of Americans with Alzheimer?s?projections suggest 10 million people will be afflicted by 2050?the Obama administration and top National Institutes of Health officials are taking action. On February 7, they announced that they will add an [...]

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A.M. Vitals: Fake Avastin Turned Up in Syria in 2009

Also: gauging the deadliness of bird flu; seven states sue over birth-control coverage; changing care for the elderly.

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Friday, February 24, 2012

Welcome New Members

We would like to welcome our newest members that joined our family during the month of December: Amy Hopkins, Mary Crist, Stefan Goslawski, Katelyn Widmer, Joyce Gruber, Nancy Tatum, Bruce Jonas, Debbie Sue Jonas, Gail Kulikowsky, Bill and Zoe Hopkins, Allyson Felsher, Debra Meydag, Carla Siciliani, Henry Brent, John Kocinski and Ray Gabrish Thank you [...]

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Technology Is Great ? Except When It Doesn't Work

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Thursday, February 23, 2012

Boot Camp Exercises For Fat Loss

Have you known anyone that has been through fitness boot camps or watched them on t.v.? It does not take an costly fitness center membership and hours in the gym to commence losing fat. Losing stomach fat is actually much less difficult than most people imagine. The thing that comes to mind for most people [...]


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Heart awareness for newborns: Learn how a simple screen can save a life!

February is heart awareness month, a time when we encourage adults to reflect and make changes in their lives for healthier hearts. This is also a good time to raise awareness of congenital heart disease (CHD) and children who start their lives with heart conditions.
CHD is the most common birth defect, and it is present [...]

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Wednesday, February 22, 2012

Craig Hospital is the recipient of the prestigious El Pomar Spencer and Julie Penrose Award for the Outstanding Nonprofit in the state of Colorado

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Saying Goodbye

After more than three years of blog postings, we are no longer adding posts. Our original aim was to bring many medical humanities voices, perspectives, and projects to the attention of those who are working in the field. To that end we published 78 invited entries by almost as many different authors. Our posts always [...]

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Tuesday, February 21, 2012

Obesity briefs - Brain Proteins, School Food and Metabolic Surgery

Here are some news briefs on the obesity front from the weekend covering everything from a study about brain proteins' effect on weight to using bariatric surgery to treat metabolic diseases.

KC-Area Benefits Company Argues in Support of Bariatric Surgery Benefits: Midwestern Benefits Company Lockton has released a report encouraging employers to offer weight loss surgery benefits in addition to wellness programs.

Obesity regulating gene found? London researchers have identified a gene they claim regulates obesity. The gene was previously known to be linked to cholesterol and type 2 diabetes. This study found that it also influenced other genes that regulate BMI (body mass index), cholesterol and glucose and insulin levels. The study, which was pubished in Nature Genetics offers hopes for new treatments for metabolic diseases.

Overweight? It's all in your head:A story from the Weizmann Institute of Science, published in the May issue of Cell Metabolism, followed mice that were engineered to lack the protein tyrosine phosphatase epsilon (PTPe) and found that without PTPe, mice were better able to regulate their weight. They found that PTPe dampens signals from the hormone leptin in the hypothalamus, leading to reduced appetite and increased physical activity. Researchers know that obese people tend to have an exess of leptin in their blood.

The results of the study suggest that another part of the obesity puzzle involves leptin insensitivity and if scientists could inhibit PTPe, it could improve leptin response to reduce appetite and increase physical activity. Think about that next time someone says that you simply need to eat less and exercise more.

Can video games contribute to obesity? Danish and Canadian researchers watched teenage boys who played video games and compared them to similar boys who were not playing video games. If they played for an hour, video gamers would burn an extra 21 calories compared to the others, but when offered a snack, they would eat 80 more calories than the kids who did not play video games. 

Parents in Oman Worried about Childhood Obesity, School Lunches: Parents of children in Oman are fighting problems familiar in America: the impact of school lunches on childhood obesity. Specifically, they are looking to remove low-quality meats, french fries and fizzy drinks from private schoole menus.

Bariatric Surgery recommended for Metabolic Diseases: with recent recommendations from the FDA and the American Heart Association, lowering the Body Mass Index specifications for people to get weight loss surgery if they suffer from diabetes, the mainstream media is starting to pay attention. 

From the Orlando Sentinel:

One review study of 3,188 obese, Type 2 diabetics who had bariatric surgery found that 78 percent of them no longer had diabetes afterward, according to a 2009 report published in the American Journal of Medicine. And the disease still had not returned by the two-year follow-up.

Another randomized study of obese Type 2 diabetics, published in 2008 in the Journal of the American Medical Association, found that 73 percent of those who had gastric-banding procedures achieved remission of their diabetes, compared with only 13 percent using lifestyle and medication to treat their diabetes.

It is, however, important to note that one can never be rid entirely of diabetes and that remission is always a possibility. It is also important to note that while the article speaks of various bariatric procedures, surgeons at Weight Loss Surgical Center perform only laparascopic adjustable gastric banding, which does not involve cutting, stapling or re-routing of your digestive tract.

Alcohol addiction risk with gastric bypass: A study of a Sweedish database of bariatric patients revealed that bypass patients were twice as likely to need treatment for alcohol addiction. The article explains that bypassing part of the digestive tract allows for faster alcohol absorption and increased risk of dependency.

If you're suffering from the dangerous combination of obesity and diabetes, weight loss surgery may be an option to help. Learn more about diabetes and LAP-BAND Surgery today.

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Medical Humanities and Live Theater. See It Now!

an unusual opportunity to attend one or all of three plays that bear directly on individual experiences of illness, altered bodily states, and the cultural and social context in which those alterations occur.

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Sunday, February 19, 2012

Jane Doe

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On Pain as a Global Public Health Priority

Daniel S. Goldberg (East Carolina University) and Summer J. McGee (Center for Practical Bioethics & University of Kansas Medical Center) have a new article out in BMC Public Health entited Pain as a Global Health Priority. Like all papers in...

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Saturday, February 18, 2012

Jersey?s Release!

A very happy day finally arrived for the Turtle Hospital and a sub-adult loggerhead who had� almost�a�three month stay with us!�This loggerhead named Jersey�was entangled in a lobster trap�line that�cut off�circulation to her�left rear flipper.�This entanglement was wrapped around the flipper long enough�to require an amputation of that flipper. After surgery, antibiotics, and healing time; [...]

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A.M. Vitals: Drug Counterfeiters Turn to Injectables

Also: self-insured organizations and the no-copays-for-birth-control conundrum; paying for the doc fix; bird flu researchers gather in Geneva.

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Friday, February 17, 2012

Dr. Candyman: Your party hook-up

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MyRightSelf

Arthur Robinson Williams is a PGY2 Resident in the Department of Psychiatry at New York University. He earned his M.D. and a Master in Bioethics at the University of Pennsylvania School of Medicine and Center for Bioethics. Williams studied photography at Princeton University with Emmet Gowin, Mary Berridge, and Lois Conner. His work, sponsored by [...]

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Thursday, February 16, 2012

11 Weight Loss Tips for 2011, Part 6: Exercise

This is the sixth in an 11-part series of weight loss tips for 2011. Yesterday, we talked about support groups for weight loss. Today, we’re talking about exercise.

Today we’re going to step up our talk about physical activity and discuss how exercise can help you lose weight.

A crucial part to any weight loss program – even a surgical weight loss program – is exercise. If you’re trying to lose 100+ pounds, though, you may need to start slow with simple physical activities and work your way up.

I’ve found some interesting internet sources to help you get started. Try hundredpushups.com, even if you can’t make it through five pushups. They have a plan to get you moving from whatever your current ability allows to a regular 100 pushup routine.

Along a similar vein or ramping things up, you could try c25k.com, where they take you from the couch to a 5K run in 9 weeks.

100 pushups? 5 kilometers? Does it sound impossible?

It is if you don’t try. But these popular sites start with realistic goals and give you a structure to build and improve your exercise ability.

If you need a more personal approach, consider joining a gym AND meeting with a physical trainer. Commercial gymnasiums make a lot of money on those of us who pay our monthly dues but never show up. It may cost some extra money, but at least schedule an initial session with a personal trainer to teach you how to use the equipment. Once you’re comfortable with it you will be much more likely to come back again and again.

While sitting at the beginning of a weight loss journey, exercise can be intimidating, but there are plenty of resources available to help you start small and work your way to a healthier lifestyle.          

At Weight Loss Surgical Center, we help people lose weight with adjustable gastric band surgery and a special focus on long-term support after surgery. If you would like to learn more about what we do, download our free kit of adjustable gastric band surgery information.

Read more:
Next: Weight Loss Tip 7: Eat Protein
Prev: Weight Loss Tip 5: Get Support

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Informed Patient: New Push to Improve Care From First Responders

Of special concern are survival rates for cardiac arrest outside the hospital, which have remained low for years in all but a few communities.

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Wednesday, February 15, 2012

Welcome New Members

We would like to welcome our newest members that joined our family during the month of December: Amy Hopkins, Mary Crist, Stefan Goslawski, Katelyn Widmer, Joyce Gruber, Nancy Tatum, Bruce Jonas, Debbie Sue Jonas, Gail Kulikowsky, Bill and Zoe Hopkins, Allyson Felsher, Debra Meydag, Carla Siciliani, Henry Brent, John Kocinski and Ray Gabrish Thank you [...]

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Dr. Hitchcock Joins Weight Loss Surgical Center

Dr. Thomas Hitchcock is now at Weight Loss Surgical CenterToday, we announced that Dr. Thomas Hitchcock has joined Weight Loss Surgical Center as our fourth surgeon on our team specializing in laparoscopic adjustable gastric band procedures to help patients lose weight and keep it off.

Dr. Thomas Hitchcock is now performing LAP-BAND® Surgeries and follow-up care only at Weight Loss Surgical Center.

“Weight Loss Surgical Center is the only surgery practice in the Kansas City area that is currently specializing exclusively in adjustable gastric band surgery for weight loss,” said Dr. Hitchcock. "I believe that adjustable gastric bands are still the safest, most effective and the healthiest option over the long term.”

Dr. Hitchcock was involved with a variety of surgical procedures developed for weight loss through the years. He spent 3 decades helping people suffering from morbid obesity and has worked specifically with adjustable gastric band patients since 2004.

He is a Board Certified General Surgeon, a member of the American Society of Metabolic and Bariatric Surgery and a fellow of the American College of Surgeons.

Dr. Hitchcock joins Dr. Lawrence Drahota, Dr. Scott Ellison and Dr. Stanley Augustin with privileges to perform weight loss surgery for us at Blue Valley Hospital.

We have clinics in Overland Park, Topeka and Wichita, Kan.; Springfield, St. Peters, Independence and Kansas City, Mo.; West Des Moines and Council Bluffs, Iowa; and Omaha, Neb., for initial consultations and long-term post-operative follow-up care.

You can find out if you qualify for the adjustable gastric band procedure and learn more it by taking the our free weight loss surgery seminar.

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Tuesday, February 14, 2012

Saying Goodbye

After more than three years of blog postings, we are no longer adding posts. Our original aim was to bring many medical humanities voices, perspectives, and projects to the attention of those who are working in the field. To that end we published 78 invited entries by almost as many different authors. Our posts always [...]

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Against the Very Idea of the Politicization of Public Health Policy

Daniel S. Goldberg (East Carolina University) has a new article out in the American Journal of Public Health (First Look) entitled Against the Very Idea of the Politicization of Public Health Policy. Here is the Abstract: I criticize the concern...

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Monday, February 13, 2012

Introducing Sully!

Sully was found about two miles offshore in Islamorada, Florida. She was found by Suelle Rodriguez and Bart Harts who were out on Captain Jeremy Pfaffendorf’s charter boat “A Little Tail”. Jeremy had Suelle and Bart fishing for mackrel, snapper, and grouper in the Florida Bay when they saw a loggerhead sea turtle struggling to [...]

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Sunday, February 12, 2012

The Lap Band Empowered Chuck to Exercise

In our recent interviews, Independence Lap Band patient Chuck told us that before his band, he used to go to the gym, but didn't make it to the exercise floor very often.

After his lap band surgery, though, he felt like he had a tool to empower him to walk, then run, then exercise on an elliptical machine. Then he moved on to weights, and now he says he is obsessed.

When his success story started, he thought he would be excited to get into 38" jeans, but he has long ago thrown those out, needing smaller sizes as he approaches 200 pounds, down from 317.

Even with all his success, Chuck says he plans to rely on his Lap Band to make sure he maintains his success while he works on toning his body.

If you need help losing weight and would like to start your own weight loss journey, request your initial consultation with Weight Loss Surgical Center today.

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Wednesday, February 1, 2012

Monday, January 30, 2012

The Lap Band Empowered Chuck to Exercise

In our recent interviews, Independence Lap Band patient Chuck told us that before his band, he used to go to the gym, but didn't make it to the exercise floor very often.

After his lap band surgery, though, he felt like he had a tool to empower him to walk, then run, then exercise on an elliptical machine. Then he moved on to weights, and now he says he is obsessed.

When his success story started, he thought he would be excited to get into 38" jeans, but he has long ago thrown those out, needing smaller sizes as he approaches 200 pounds, down from 317.

Even with all his success, Chuck says he plans to rely on his Lap Band to make sure he maintains his success while he works on toning his body.

If you need help losing weight and would like to start your own weight loss journey, request your initial consultation with Weight Loss Surgical Center today.

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Dr. No Bullshit on Wussies

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Sunday, January 29, 2012

Walk a Mile in My Moccasins

Commentary by Amy Ellwood, MSW, LCSW; Professor of Family Medicine & Psychiatry, University of Nevada School of Medicine, Las Vegas, Nevada
Communicating Through Story
Storytelling has been around since the dawn of time. Before the invention of paper, the Gutenberg press, telephone, television, internet, Kindle, texting, tweeting, Skyping, and emailing, people communicated by actually talking to each [...]

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Thank You December Donors!

Thank you to all of you who donated during the month of December including: �Joseph & Mary Monahan, Erik Zimmermann, Stephen Johnson, John & Angie McDonough, Michael Lawrence, Kevin Schmitt, Nancy Turner, Frank Kohout, Rachelle Zold, Mary Ann Pohl, Beverly Kuna, Sally Lunn, Ed & Betsy Osman, Jill Baltes, Petra Bennington, Milan Nikolich, Linda Abbott, [...]

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Saturday, January 28, 2012

11 Weight Loss Tips for 2011, Part 11: Reward Yourself

This is the final entry in an 11-part series of weight loss tips for 2011. Yesterday, we talked about what to do when you are sick while trying to lose weight. Today, we’re talking about appropriate ways to reward your efforts.

If you have a 100-pound weight loss goal, you may feel like a failure after losing only 5 pounds in a month. That is why it is important to look for small victories in a variety of ways and reward yourself along your weight loss journey.

Even if you have a difficult time creating and maintaining a weight loss plan, at the very least you should give yourself small goals that will lead you to the larger goal. If at the end of the first month you’ve lost 5 pounds and acknowledge that you attained your 5-pound monthly goal, you will not be as likely to be disappointed in the distance left toward your 100-pound total goal.

Don’t forget, also, that it is not just about the scale. If you’re diabetic, give yourself some glucose monitoring goals. If you have hypertension, give yourself some blood pressure reading goals. Give yourself some goals related to fitting into a certain pair of pants or by measuring different parts of your body for comparison.

Once you have established those benchmarks, you should set rewards or celebrations to motivate yourself, but be careful to not celebrate with food.

Though it seems like a cultural obligation to celebrate, everything with food, it really is not appropriate to celebrate weight loss with food. Here are a few other rewards for yourself when you meet a milestone goal:

  • Go to a movie
  • Take the scenic drive home from work
  • Buy a piece of jewelry to mark the occasion
  • Get a massage
  • Buy some clothes that fit now

Use your own likes and interests (and budget) to create a list of non-food rewards that will keep you motivated throughout your journey. Reward yourself every step of the way, and before you know it, you’ll have rewarded yourself all the way to your final weight loss goal.              

At Weight Loss Surgical Center, we help people lose weight with Lap Band and Realize Band Surgeries. If you would like to learn more about these bands, download our free kit of information about Lap Band and Realize Band Surgery.

Read more:
Prev: Weight Loss Tip 10: Treat Illnesses Appropriately

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Weight Loss Surgical Center now accepting Missouri HealthNet

Missouri HealthNet has contracted with Weight Loss Surgical Center's hospital partner
Weight Loss Surgical Center is now accepting Missouri Medicaid patients in the Missouri HealthNet program, as is Blue Valley Hospital, where its surgeries are performed.

Missouri HealthNet participants should have a card similar to the one pictured to the left.

People with Missouri HealthNet who are interested in getting an adjustable gastric band, commonly known by the brand names LAP-BAND System or REALIZE Band Solution, should be aware of the state's requirements for gastric band surgery for weight loss.

To be qualified for weight loss surgery, patients must:
  • Have a Body Mass Index of 40 or higher
  • Have at least one weight-related health conditions, such as diabetes, high blood pressure, gastric reflux, sleep apnea, etc.
If you are ready to start losing weight so you can get more of life, request your initial consultation for LAP-BAND Surgery today.

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Friday, January 27, 2012

Sherman?s Healthy Heart Mobile has updated locations

In an effort to bring to our community a valuable healthcare service, Sherman's Healthy Heart Mobile offers heart and vascular diagnostic screenings throughout the community.

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Tips for Easy Healthy Recipes

If you would like an straightforward method to offer pleasure in an exceedingly healthy everyday life for your family then one in every of the right ways to try and do it?s by preparing home-cooked foods by the utilization of straightforward Healthy Recipes. You?ll considerably perk up the health gains by staying in to own [...]


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  1. Diabetes Prevention Tips Diabetes is a group of diseases characterized by high sugar...
  2. Healthy Food Well there are a lot of foods for us to...
  3. Some Pointers For Keeping Teeth Healthy We are always advised by dental practitioners to brush and...

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Thursday, January 26, 2012

Rocky D

On January 10th our hospital received its first patient for the year.�A phone call came through early afternoon about a report of a large, possibly 250 lb, floating sea turtle. Stacey Money was out kayaking in the Largo Sound when she saw the turtle floating and reported it to FWC who then made the rescue. [...]

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The 14th Craig Hospital/RE/MAX, LLC Invitational Golf Tournament at the Sanctuary

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Saturday, January 21, 2012

Our New Education Turtle ?Fisher?

Earlier this month, the Turtle Hospital received a special little surprise; a four-month-old post-hatchling sea turtle was delivered to us by Dr. Jeanette Wyneken.� This little loggerhead emerged from her nest on August 17 on a beach in Boca Raton, Florida.� She and nine other hatchlings were taken into a lab as part of a [...]

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Generic Drugs: Are they Equivalent?

With healthcare costs continuing to rise, generic drugs are looking more attractive than ever. The prospect of getting the same drug at a lower cost is tempting to anyone with a large drug bill ? patient or insurer alike. The savings are massive: Lipitor lost patent protection last month ? it was a $10 billion [...]

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Friday, January 20, 2012

A Rare Shock

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Introducing Sully!

Sully was found about two miles offshore in Islamorada, Florida. She was found by Suelle Rodriguez and Bart Harts who were out on Captain Jeremy Pfaffendorf’s charter boat “A Little Tail”. Jeremy had Suelle and Bart fishing for mackrel, snapper, and grouper in the Florida Bay when they saw a loggerhead sea turtle struggling to [...]

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Thursday, January 19, 2012

Opening up medical education: Is this the first Open Access video series of Grand Rounds?

This week, the Division of Emergency Medicine in London, Ontario, Canada, released our first video from grand rounds. There's really nothing new about the idea - well-done archives of grand rounds videos truly are a dime a dozen. But - to my knowledge - we are the first program to make the videos available under an Open Access, Creative Commons license (in our case, By Attribution, ShareAlike).

This move is good for our non-academic physician colleagues, who can now access and remix high quality rounds contents from a reputed academic emergency medicine program. But it is also good for us, since it encourages higher caliber presentations (something about the unforgetting internet is so unnerving to me as a presenter) and will bring peer review to our rounds from the far reaches of the world.

So, we're claiming the crown, but the challenge is out: Who else has done this? We'd love to learn from them and grow together.

tarek : )

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Weight and Weight Change?Think About the Context

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Tuesday, January 17, 2012

Reader Consult: Is Paula Deen a Good Spokeswoman for Diabetes Awareness?

Type 2 diabetes has a host of risk factors, including, yes, being overweight, according to the American Diabetes Association.

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Initial Weight Loss Surgery Consultation Pricing Change

Initial Consultations at Weight Loss Surgical Center now cost only the specialist co-pay required by your insurer.

Previously, the initial consultation fee at Weight Loss Surgical Center was $50, up front, with refunds given to people whose insurance plans covered the visit.

"What many people don't realize is that an initial consultation is not just learning about laparoscopic adjustable gastric banding," said Douglas Palzer, CEO of Weight Loss Surgical Center. "It's a full medical visit, where we take a history and physical. Our healthcare providers evaluate your physical condition to determine if you would even qualify for weight loss surgery."

Information from that physical exam is given to our insurance team, who will research your plan and report back to you with everything you need to know to move forward with weight loss surgery on your insurance plan.

"Sometimes we hear from people who are concerned about the cost of getting started," said Palzer. "We hope that this change will encourage more people will visit with our healthcare professionals to learn how they can lose weight and get more of life."

For people who do not have insurance, the initial consultation price remains $50, and that amount is contributed toward your reduced cash surgery cost, which is $17,900, all inclusive, plus one year of follow-up care. Weight loss surgery financing is available for many people.

If you are interested in getting started - now for only the cost of your specialist co-pay - set up your weight loss surgery consultation now!

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Monday, January 16, 2012

11 Weight Loss Tips for 2011, Part 11: Reward Yourself

This is the final entry in an 11-part series of weight loss tips for 2011. Yesterday, we talked about what to do when you are sick while trying to lose weight. Today, we’re talking about appropriate ways to reward your efforts.

If you have a 100-pound weight loss goal, you may feel like a failure after losing only 5 pounds in a month. That is why it is important to look for small victories in a variety of ways and reward yourself along your weight loss journey.

Even if you have a difficult time creating and maintaining a weight loss plan, at the very least you should give yourself small goals that will lead you to the larger goal. If at the end of the first month you’ve lost 5 pounds and acknowledge that you attained your 5-pound monthly goal, you will not be as likely to be disappointed in the distance left toward your 100-pound total goal.

Don’t forget, also, that it is not just about the scale. If you’re diabetic, give yourself some glucose monitoring goals. If you have hypertension, give yourself some blood pressure reading goals. Give yourself some goals related to fitting into a certain pair of pants or by measuring different parts of your body for comparison.

Once you have established those benchmarks, you should set rewards or celebrations to motivate yourself, but be careful to not celebrate with food.

Though it seems like a cultural obligation to celebrate, everything with food, it really is not appropriate to celebrate weight loss with food. Here are a few other rewards for yourself when you meet a milestone goal:

  • Go to a movie
  • Take the scenic drive home from work
  • Buy a piece of jewelry to mark the occasion
  • Get a massage
  • Buy some clothes that fit now

Use your own likes and interests (and budget) to create a list of non-food rewards that will keep you motivated throughout your journey. Reward yourself every step of the way, and before you know it, you’ll have rewarded yourself all the way to your final weight loss goal.              

At Weight Loss Surgical Center, we help people lose weight with Lap Band and Realize Band Surgeries. If you would like to learn more about these bands, download our free kit of information about Lap Band and Realize Band Surgery.

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Prev: Weight Loss Tip 10: Treat Illnesses Appropriately

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What Health Care Can Learn from Skating

Steven Lewis, President
Access Consulting Ltd., Saskatoon SK Canada
Steven.Lewis@sasktel.net

When performance measurement fails, bad things happen. Figure skating learned that lesson the hard way. Its performance measurement system has evolved from an arbitrary and often corrupt gong show to an increasingly reliable (though still imperfect) science. That it has made progress despite its rigid and hidebound culture is all the more reason for health care to learn from its travails.

Here is a brief history of figure skating fiascos.� First there was the obsession with compulsory figures ? the ability to trace patterns in the ice in slow motion. This arcane talent accounted for 60% of the competition score until 1968, dropping to 20% by 1990. Figure skating is entertainment; it would not exist without paying customers. The figure skating people care about takes place at high speed. The ability to trace figures is like learning to play scales on the piano: essential work done in private. Assigning half the total score to compulsory figures is like awarding a literary prize for grammar and syntax, or a research grant on the basis of where the applicant went to school.

It takes about 17 years for RCT-quality evidence to become standard practice in health care. It took figure skating a quarter of a century to dump compulsory figures in favour of a new balanced scorecard:� technical merit and artistic impression, each judged on a scale of 6. The new metrics shifted the focus from calligraphy to content.

When you solve one problem, new challenges come into sharper relief. In skating the dilemma surrounded artistic impression.� The very term suggests that merit is in the eye of the beholder, an aesthetic response that defies �analysis and quantification.� Yet for all that, far from producing wildly varying scores ? you like Rembrandt, I like Pollock ? the new system generated highly correlated technical and artistic scores. Judges could not bring themselves to give great jumpmeisters like Canadian Elvis Stojko a 5.9 for technical merit and 5.2 for clunky artistic impression. This was tacit recognition that audiences came to see triples and quads and throws and lifts, and booed when high artistic impression scores catapulted lesser athletes to the top. Rather than change the system, the judges fudged it.�

It might have remained to this day but for the sport?s Harold Shipman moment[1]. One of the marquee events of the 2002 Salt Lake City Olympics was the Canada-Russia battle for gold in the pairs competition. The Russians blinked ? a clear stumble on a side-by-side double axel. Otherwise, both pairs skated flawlessly.� By 5 judges to 4, the Russians got the gold, to howls of derision. Ironically, the decision was hardly an unambiguous travesty of justice. Despite their error, the Russians? program was arguably more difficult, and Russian skaters always look like they would be equally at home at the Bolshoi.

But it turned out that the head of the French skating federation had pressured a French judge to place the Russians ahead of the Canadians in pairs, in return for which the Russian judge would tilt the scales towards the French duo in ice dancing. Not even giving the Canadians a matching gold (the Russians kept theirs) could make the stink go away. The debacle forced the International Skating Union to change its scoring system again.

One change was to replace the vague and elastic notion of artistic impression with 5 program component scores that define the overall narrative and coherence of the program. The other was to assign a technical score to every jump, spin, and footwork sequence. In the new scoring system the spread is much greater. Previously, the effective range for the elite skaters was 5.5 to 5.9, a compression ripe for monkey business. By contrast 2011 world champion Patrick Chan scored a record 281, 22 points ahead of his nearest competitor. There is a lot more rank-order validity in a system that uses a wider range of scores.

Again though, progress hatched a new set of problems. The new system is mysterious to the public. It lacks the elegant if corruptible simplicity of the 6.0 system and the face validity of systems with maximum scores, like 4.0 grade point averages or 10 points for gymnastics.[2]� Over time, aficionados figured out what the new scores mean. For everyone else the numbers are meaningful only in relation to each other as proxies for rank-ordering.�

The root cause of figure skating performance measurement problems is that unlike the high jump or 400 meters, it requires judging. �Judging is always subject to error and second ?guessing, especially among international sports governing bodies that have long been havens for Nazi sympathizers (longtime International Olympic Committee head Avery Brundage), fascists (his successor, the Falangist Juan Antonio Samaranch), and pompous elites. They rarely respond to public opinion and sell indulgences like medieval popes. Yet even these sleazy bastions of unaccountability have cleaned up their performance measurement systems. Where there is doubt about the acumen or integrity of a judge, the paper trail is much more transparent than it used to be.

Most of health care is about where figure skating was 30 years ago. It overvalues some metrics: Paying extra for testing HbA1c levels or Pap test screening is akin to handing out medals for compulsory figures. In disciplines like ice dancing, there was a clear hierarchy among the teams, a pecking order largely impervious to actual performance. Sounds a lot like the assumption that the high-profile hospital with good food and valet parking is also safe. Declaring the ?art of medicine? to be inaccessible to reliable measurement is like legitimizing scoring anarchy for artistic impression.

Vague and subjective impressions, bias, and reliance on reputation are enemies of transparency, improvement, and fairness in skating and in health care. Health care does a reasonable job of scoring the discrete ?jumps? ? severity-adjusted surgical mortality rates, 30-day readmissions, infection and other complication rates. It has yet to produce good metrics for choreography and transitions, two component scores in skating of obvious relevance to patients with chronic diseases and the frail elderly.

Great figure skating combines sheer athleticism and technical prowess with program coherence and seamless flow.� For a time it appeared as though nothing mattered except the jumps, but in a four and a half minute long program, all the jumps combined consume maybe 30 seconds. There is great if subtler genius in the remainder, and rather than accepting arbitrary subjectivity or narrowing its focus to the easy-to-measure indicators, skating has worked hard to define and measure it. Good for them for trying.

In health care we are understandably dazzled by the quad bypass and the transplant program, but we should be just as impressed by beautiful, everyday achievements such the avoidance of polypharmacy, the prevention of falls, the transition of patients to self-management, and the responsiveness of the same-day appointment. Many are hard to measure and cause-and-effect may be elusive.� But the stakes are much higher than giving someone the wrong colour Olympic medal. All the more reason to try harder, faster.


[1] OK, this is an exaggeration ? inept or corrupt skating judges don?t kill people, just careers. Shipman was the British doctor who killed 300 of his patients before anyone noticed. His case unmasked the na�ve folly of conferring life-long licensure on the basis of entry-to-practice credentials, with no subsequent practice profiling or other form of quality assurance or risk management.

[2] Ah, but gymnastics abandoned the 10-point system in favour of more nuanced, open-ended scoring that assigns more points to more difficult routines.� Perhaps the sport that has most successfully incorporated two performance dimensions is diving. The score for each dive is the degree of difficulty (maximum 4.8) times the execution score (maximum 10). The former is objective, and cannot be altered by judges.

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Saturday, January 14, 2012

Puffer Fish Vs. Puffer the Loggerhead

Emily and Ben Graue were on vacation with there parents in the keys recently and got the thrill of�a lifetime! They were snorkling on the Jolly Roger dive boat when they noticed a loggerhed sea turtle thrashing and struggling on the surface of the ocean. They informed the crew of the boat Captain Doug Morgan [...]

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Critical thinking corner: What are the missing orders?

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Friday, January 13, 2012

This January, Test Your Home For Radon

The Kane County Healthy Places Coalition is urging homeowners to have their homes tested for the presence of this odorless, tasteless and colorless gas as part of National Radon Awareness Month.

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The Lap Band Empowered Chuck to Exercise

In our recent interviews, Independence Lap Band patient Chuck told us that before his band, he used to go to the gym, but didn't make it to the exercise floor very often.

After his lap band surgery, though, he felt like he had a tool to empower him to walk, then run, then exercise on an elliptical machine. Then he moved on to weights, and now he says he is obsessed.

When his success story started, he thought he would be excited to get into 38" jeans, but he has long ago thrown those out, needing smaller sizes as he approaches 200 pounds, down from 317.

Even with all his success, Chuck says he plans to rely on his Lap Band to make sure he maintains his success while he works on toning his body.

If you need help losing weight and would like to start your own weight loss journey, request your initial consultation with Weight Loss Surgical Center today.

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Thursday, January 12, 2012

Technology Is Great ? Except When It Doesn't Work

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Call for Applications: TT Assistant Professor in Medical Humanities and Health Studies

The Program in Medical Humanities and Health Studies at Indiana University-Purdue University Indianapolis (IUPUI) seeks a tenure-track assistant professor in Medical Humanities and Health Studies to begin August 2012. Teaching responsibilities include a survey course in medical humanities, and upper-level...

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Wednesday, January 11, 2012

Chucks says his health improved after lap band surgery

 

In the second video segment from Chuck, a 100+ pound success story from our Independence, Missouri lap band clinic, Chuck discusses his health.

When he was at 317 pounds, he said that he had trouble playing with his kid, doing yard work or even tying his shoes. His health was at risk, with elevated blood pressure, severe asthma that would leave him in the hospital, and a likely diabetes diagnosis looming in the future.

Fortunately, Chuck knew someone who had lost a lot of weight with her own Lap Band, and he decided to follow her lead. Now his blood pressure, pulse and asthma have all improved, and he's exercising regularly.

If you're ready to begin your own weight loss journey, download our free kit of weight loss surgery information today.

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Average Binge Drinker Knocks Back 8 Drinks At a Time

Binge drinkers reported 4.4 episodes per month -- more than once a week. Each binge, on average, was 7.9 drinks.

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Tuesday, January 10, 2012

The Lap Band Empowered Chuck to Exercise

In our recent interviews, Independence Lap Band patient Chuck told us that before his band, he used to go to the gym, but didn't make it to the exercise floor very often.

After his lap band surgery, though, he felt like he had a tool to empower him to walk, then run, then exercise on an elliptical machine. Then he moved on to weights, and now he says he is obsessed.

When his success story started, he thought he would be excited to get into 38" jeans, but he has long ago thrown those out, needing smaller sizes as he approaches 200 pounds, down from 317.

Even with all his success, Chuck says he plans to rely on his Lap Band to make sure he maintains his success while he works on toning his body.

If you need help losing weight and would like to start your own weight loss journey, request your initial consultation with Weight Loss Surgical Center today.

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30 Articles in Press available on AJM website

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Monday, January 9, 2012

"On the Futility of Screening for Genes that Make You Fat"

J. Lennert Veerman (Univ. Queensland) has a nice commentary out in the latest PLoS Medicine entitled On the Futility of Screening for Genes that Make You Fat. Like all papers in this journal, it is available full-text and open-access. There...

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Grey Literature in Public Health Web Conference Series 2011

AcademyHealth

AcademyHealth is pleased to announce that the archived recordings for all three Web conferences in the Grey Literature Web Conference Series are now available on the AcademyHealth website.�Presentation slides are also available.

To access the archived recordings, visit the Grey Literature Web Conference Series page.

Thank you again for your interest in AcademyHealth and the Grey Literature Web Conference�Series. We hope that you will find the seminars, as well as the other archived materials, useful in your work.

Questions?�Please send an e-mail to:�hsrmethods@academyhealth.org

AcademyHealth gratefully acknowledges the support of the�National Library of Medicine�for this Web conference series.�

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