Weight Loss Surgery
FREE publication from
Weight Loss Surgery:
Finding the Thin Person Hiding Inside You.
In This Issue
* Fistula Help Needed
* Special Deal: Try My CD’s
* Warning: The Window is Closing
* Attention Nurses
* Blog News
* Research Article: Obesity and Children
* Recipe: Quick Beef with Broccoli
* Success Story: Hank Lougee
Fistula: Help Needed
I received an email from Karen who
developed a fistula since her original surgery in 2003. A
fistula is an abnormal connection between two organs.
After gastric bypass surgery a fistula can form between
the pouch and the original stomach. It is very rare, but
it can happen.
The fistula is causing Karen extreme
abdominal pain. Unfortunately, the insurance that Karen
has now does not cover weight loss surgery or any
complications associated with it. Karen cannot afford to
pay for the surgery to correct this problem and is living
with the pain.
My heart went out to Karen when she
wrote, “I spent nearly three years researching gastric
bypass surgery. I very carefully selected my surgeon, who
was highly recommended by many respected entities.
Throughout all of my research, I never found "transfer
addiction" or "fistula revisional surgery". Seems I have
now experienced both of these. Right now, this minute, I
am completely sorry that I had this procedure. This is
the first time I've ever felt this way. I am scared. I
am angry. I am in extreme pain. I am at a loss as to
where to turn. And it seems that even if I discover a
viable option, it is zapped -- as my insurance excludes
coverage for gastric bypass (or any complications from
gastric bypass surgery). Being self-employed, we do not
have many options for health coverage. I feel like I will
just die a slow and very painful death.”
If you have experience with a
fistula, please email me at
Barbara@WLScenter.com. I know among this readership,
there are people who have suffered from this. Additionally
if there is a bariatric nurse who has expertise in this
area who would like to contribute an article on this topic
written in layman’s terms, we would all appreciate that.
Warning: The Window is Closing
In your weight loss journey, of up most
importance is to keep the window of opportunity open as long
as possible. The window of opportunity is that time following
surgery when you have rapid weight loss. That window can close
from 10 months post-op to perhaps 18 months post-op. It will
never be as easy to lose weight again – ever in your life!
Take advantage of every day. “Eat your
protein first” and “drink water” are 2 of my rules of success
that are fairly easy to follow, but then there are the other 2
rules – “no grazing” and “exercise.” This is where many
patients drop the ball. You can out eat your surgery by
grabbing and eating small bits of food all day long. This can
stop your weight loss dead in its tracks. And failing to
exercise can put you on a plateau because your metabolism is
dropping as rapidly as your weight. You need to exercise to
keep your metabolism revved up so the weight loss continues.
When your window of opportunity does
close, you want to be at your goal weight. You don’t want to
be many pounds from your goal when you will be struggling and
regretting not having taken advantage of the time when you
were in weight loss heaven. It is so easy to think that the
weight loss will go on forever and that you will never have to
struggle with your weight again. Those of us who are a few
years post-op know that once the window shuts, weight loss is
still possible, but it is a struggle. Don’t get caught in that
Would You Like to Have
Obesity Sensitivity Training
Your Hospital Staff?
(Guess What - It
If you are a bariatric coordinator and need obesity
sensitivity training for your hospital staff, contact me at
Barbara@BarbaraThompson.net. Obesity sensitivity
training is a Center of Excellence requirement. I have
sponsorship that your hospital may qualify for.
Want to know what is going on in the TV
show Big Medicine? Then check out my Blog. Find out what
happened when Montel Williams devoted his show to the
principles on the program, including interviews with some of
There are a lot more articles there as
Stay up-to-date on all the latest information about weight loss
Don't forget to register to
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Have you ever seen an obese mother walking
down the street with 2 very overweight children walking behind
her? Has the thought crossed your mind, ‘It’s a shame what that
mother is doing to her children. She’s just teaching them bad
eating habits. That’s child abuse.’ Or do you feel that someone
thought that of you at some point in your life with your
Many of us experience guilt and worry about
our children that we see headed down the same road we have
traveled. We try to teach our children good eating habits and
the importance of movement that we have learned post surgery.
But all the badgering our parents may have done for us didn’t
make any difference, and it probably won't with your children.
Do you wonder why you have the problem of
obesity? I know I have wondered that many times. Why was it
that I couldn’t control my weight? How was it that I became
All of this can be explained by one word,
“genetics.” A British study of over 5,000 pair of twins between
the ages of 8 and 11 has found that 77% of a child’s weight can
be attributed to genetics.
“This study shows that it
is wrong to place all the blame for a child's excessive weight
gain on the parents; it is more likely to be due to the child's
genetic susceptibility," said Jane Wardle of University College
London.” It is wrong to blame the parents and it is wrong
to blame yourself for falling prey to this disease of obesity.
To read more about the study, go to
Quick Beef with Broccoli
Quick Beef with Broccoli
1 1/2 tablespoons cornstarch
1/4 teaspoon salt
1/4 teaspoon black pepper
3/4 pound sirloin beef tips, sliced against the grain 1/8 inch
3 tablespoons vegetable oil
10 ounces frozen broccoli florets, thawed
3 garlic cloves, chopped
3 tablespoons soy sauce
1/3 cup water
Toss together cornstarch, salt, pepper, and
beef in a bowl until meat is coated.
Heat 2 tablespoons oil in a wok over
moderately high heat until hot but not smoking, then stir-fry the
beef until just cooked through, about 1 minute. Transfer with a
slotted spoon to another bowl and keep warm, loosely covered with
Add the remaining tablespoon of oil to the
wok along with broccoli and garlic and stir-fry over moderately
high heat until the broccoli is just tender and the garlic is pale
golden, about 2 minutes.
Add soy sauce and water and bring to a boil.
Return the meat to the skillet and cook, stirring, until the sauce
is thickened, about 2 minutes.
Makes 4 servings.
Per serving: 257 calories, 15g fat (2g
saturated), 51mg cholesterol, 515mg sodium, 9g carbohydrates, 2g
fiber, 21g protein
If you have a
recipe that you would like to share in future issues of this
newsletter, please send it to me at
I want to offer a special thanks to Hank Lougee. Here is his story:
My name is Hank Lougee and I am from North Carolina. Last year there came a
time when I felt like I had to do something about my health.
First I want to say that I am 60 years old and had to retire from the Durham
Fire Dept in 1994 due to a job related injury. Since the injury I have gained a
large amount of weight and felt like I would not live 5 more years if I did not
do something about the weight. I was at the point that when I went to the Duke
Weight Loss Center for the introductory class on gastric bypass surgery, I was
out of breath just walking from the parking lot to the hospital.
Since the surgery, March 28, 2007, I have gone from 334 lbs to 230 or a total
of about 104 pounds lost. I was 53 in the waist and everything was 3X or
larger, but now I am 38 to 40 in the waist and extra large in shirts. I lost my
weight in 8 months but have hit a plateau.
I am now walking 4 miles every morning and have gotten myself back into the
shape I was 25 years ago, with the exception of my back being fused and
rheumatoid arthritis. It is a life change and I work everyday to keep the
weight off. I have found that I am about at the weight that I want to be and
have had friends tell me that since I am a big boned person that I should not go
any farther. So if I lose 5 more pounds that would be ok for some up and down
weight I’m sure will happen.
I must say that I had a problem after surgery, but would do it again
tomorrow. What I had was a small bleed and I had to go back into the hospital
for a few days and have a drain tube put in. It didn’t last long and I have
been doing well since. I called it a bump in the road and like I said, I would
do it again. The doctors at Duke University looked after me the entire time and
The biggest problem I have found since surgery is that I feel like I want to
eat more than I can. I feel like I could sit down and eat that big steak but
now I share a small one with my wife. I used to love to eat shrimp but now I can
only eat about 6.
This has been a good experience. I think there ought to be a support group in
each town and/or each state where people can call others that have had the
surgery to ask questions about all parts of the surgery and concerns. Maybe
there could be a database set up where people can find someone near their home
that they can call and talk to. By the way,, we went on a cruise to Bermuda
last July and I lost weight!!
|I love good news. If you have good news, a success
story to share, or inspiration, please send it to me at
Barbara@wlscenter.com so that I can include it in future issues.
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