Bariatric News Kaiser Bariatric Surgery

Size: px

Start display at page:

Download "Bariatric News Kaiser Bariatric Surgery"

Reynold Baldwin
6 years ago
Views:

Bariatric News Kaiser Bariatric Surgery ` This Month s Topic Eat Your Colors Eating a wide array of colors every day is the best approach to getting the vitamins and minerals your body needs.

1 Bariatric News Kaiser Bariatric Surgery ` This Month s Topic Eat Your Colors Eating a wide array of colors every day is the best approach to getting the vitamins and minerals your body needs. Support Group Meetings Bellevue Wed :30 8:15 Central Wed :15 8:15 Everett Wed :15 8:00 Fed. Way Wed :30 8:00 Olympia Wed :30-8:00 Silverdale Thurs :00 7:30 Tacoma Tues :00 8:00 Skagit Valley Thurs :00-8:00 Support Group Announcement See Page 4 for more information So what does color have to do with the diet? We all know that fruits and vegetables are better for us then junk food. The also contain phytochemicals, which occur naturally only in plants and provide many health benefits that are only obtained from colorful produce. A wide array of colors to your diet every day will promote good health and keep your meals interesting and delicious. I challenge you to plan meals and shopping trips ahead of time. Once at the grocery store, head straight to the produce section. Look at seasonal options, which in general will be less expensive. Select a variety of fruits, vegetables and berries of different colors. Eat your fruits and vegetables simple and plain or browse cookbooks or online websites for delicious recipes. Review the following article of color options and produce to choice from and health benefits you will get from each. 1 of 7 Guest Speakers August: No Visits Planned September: No Visits Planned Upcoming Topics September: Time Saving Cooking Tips October: Community Support Options Kaiser Permanente Bariatric Web Page *On the KP.org Web Site * Copy and paste this URL to your favorites for easy access. Monthly newsletter posted the 1 st of each month (if the 1 st is a weekend/holiday, it will be posted the next business day). About 2 years of past newsletter issues are also available.

2 Eat Your Colors An apple a day keeps the doctor away. Summertime brings a bounty of fresh fruits and vegetables packed full of nutrients and the healthy carbohydrates your body needs for fuel. Eating vegetables and fruits is like adding motor oil to your car. The gasoline fuels the car but if you forget to add motor oil, the entire engine seizes up and is damaged. Our bodies work similarly. We are a society of malnourished, obese or overweight people. In our grab and go culture, the easy foods to eat are the white-processed-lack-of-anything-resembling-anutrient-foods. Carbs such as crackers, chips, cookies, candy, pasties and other sealed for months foods are common snacks or meals. These foods may provide fuel for your body but are void of the nutrients you need to thrive. The solution is a colorful one: Eat the colors of the rainbow. When you eat an array of rainbow colored fruits and vegetables, you ll provide your body with a wide variety of all beneficial compounds: vitamins, minerals, phytonutrients, and fiber. Research suggests that phytochemicals act as antioxidants and have disease preventing properties. While studies have not yet determined exactly how these substances work together or which combination offers exact benefits, incorporating a rainbow of colored foods in a diet plan ensures a variety of those nutrients and phytochemicals. Eat your 5 and thrive. Being healthy never tasted so good! To peel or not to peel? Phytochemicals are found in all edible portions of a vegetable or fruit, but are often concentrated in the skin. So if you can tolerate the skin, eat it! If you are what you eat, don t be fast, cheap, easy or fake. Unknown Color Nutrients Health Benefits Fruits Vegetables Red Orange Lycopene Anthocyanin Quercetin Vitamin C Carotenoids Bioflavonoids Help heart health Lower blood pressure Circulatory system Boost immune system Skin protection Prevention of cancer & heart disease Boost immune system Healthy joints Maintain healthy eyes & skin 2 of 7 cranberries guava pink grapefruit red cherries red grapes raspberries watermelon apricots cantaloupe guavas mangoes oranges peaches papayas tangerines beets radishes red bell peppers red potatoes tomatoes carrots pumpkins sweet potatoes squash winter squash

3 Color Nutrients Health Benefits Fruits Vegetables Yellow Vitamin C Carotenoids Bioflavonoids Lutein Reduce inflammation Prevent heart disease Reduce risk of cataracts Prevent allergies Maintain healthy skin bananas grapefruit lemons pineapples yellow pear corn summer squash yellow bell peppers yellow tomatoes Green Blue & Purple White & Tan Lutein Indoles Anthocyanin Phenolics Allocin Flavonoids Lignans Blood purifier Blood clotting Strong bones & teeth Improves eye health Promote healthy aging Improves memory function Overall health Supports immune system Improves heart health honeydew kiwifruit blackberries blueberries grapes plums purple grapes artichokes arugula asparagus avocado bok choy broccoli brussels sprouts celery collards cucumbers green beans green cabbage green peppers kale leafy greens limes peas romaine spinach sugar snap peas zucchini eggplant purple cabbage cauliflower daikon radish garlic ginger jicama Jerusalem artichoke kohlrabi mushrooms onions parsnips turnips 3 of 7

4 Support Group Updates We have made some recent changes to our support groups. We d like to that this opportunity to explain that decision and address some questions, concerns and feedback that we have received. First, some history on our support groups. These groups were formed around Patients were selected to facilitate each group, with members of our team visiting each group at least once per year. Some concerns arose a few years later that there wasn t enough professional oversight of the groups. We reached out to our social workers at each of the facilities that had a support group (the same facilities as current), requesting that they facilitate each monthly group. This went fairly well for about 5 years, at which time the manager of the social workers removed this work from her budget. Our options were to disband the groups or go back to having our patients facilitate. Our former surgeon choose to keep the groups running, returning to patient facilitated groups. Over the years, some groups have run fairly smoothly and others have frequently turnover of facilitators. Some groups have a core group that attend routinely, others have dwindling attendance. Many patients attend just once, simply to cross it off of their checklist. From all groups, we get routinely feedback. What we ve found is that our groups truly do not have enough professional oversight. We hear from our patients about incorrect or inaccurate information being expressed (not just by facilitators, but participants). Some advice could prove to have serious consequences. New patients have many questions about procedures, complications, vitamins, appropriate eating. While patients have tons of experience to relate to the newbies, their feedback is based on experience, not professional education, training and experience. This is not discounting our support group facilitators in the least. They do an amazing job and we ve put them in a position of representing us, without the training. Unfortunately our geography makes it difficult for us to be any more present at your groups than we currently are. Our decision to disband the Kaiser Bariatric Support Groups did not come easy. I ve personally been in this program fr.om way back when. I ve seen the changes and as the long time program manager, have been in the best position to evaluate the changes and consequences of them. For me this is particularly difficult however I m a professional and have to present my feedback and suggestions based on my professional option, not emotion. As we move forward, now as Kaiser and at a time where we are making some significant changes to our program and processes, it was decided, as a team, that while we certainly encourage support groups and patient comradery, we also need to consider what best practice is. What is best for our patients, what puts us in compliance as an ASMBS accredited center for bariatric surgery and what do our partner bariatric programs do in regards to support groups. A professionally program lead group is the recommendation and what other Kaisers provide. We ve also gotten feedback from our legal department. They have concerns for potential legal consequences of non-professionally lead groups. We continue to include them in our conversations moving forward with this topic. Our current monthly groups may continue to meet at the currently locations, date and time. We have the rooms reserved through the end of the year. In that time, we hope that patients will find ways to continue to support each other locally. We will continue to research other support systems that are available in our community for our patients. We had hoped to share some of those for this month s newsletter, however we would like to be sure that we are providing you with not only accurate, up-to-date information, but also we want to make sure our suggestions align with our goals and that are agreed upon by our group as a team. More to come on these. Finally, about our new Support Group: We will be changing our Bellevue group to a quarterly group, rather than monthly. This group will have an entirely different format than what we currently have. Bellevue August group will run as usual. The new group will be 2-3 hours in length, our team will be present at all groups (yes, including your surgeons one or both). More focus will be on back on track. Stay tuned for more on this!! 4 of 7

Recipes of the Month Asian-Inspired Cabbage Rolls 1 head cabbage 1 Tbs. olive oil, plus some for the baking dish 1 tsp. minced garlic 1 tsp.

Rinse 8 cabbage leaves and boil for 3 minutes. Transfer leaves to a bowl of ice water. 2. Remove and dry with a paper towel. Set aside. 3. Heat 1 tablespoon olive oil, garlic and ginger in a skillet until garlic has browned.

Slowly roll cabbage up, while also folding the ends inward. Repeat for all leaves. 8. Place rolls on an oil baking dish. Lightly brush with a little olive oil (or spray with olive oil spray). 9.

5 Recipes of the Month Asian-Inspired Cabbage Rolls 1 head cabbage 1 Tbs. olive oil, plus some for the baking dish 1 tsp. minced garlic 1 tsp. minced ginger 1 large carrot, shredded 4 fried eggs, chopped 1 zucchini, finely chopped ¼ cup chopped green onion soy sauce, for dipping Instructions 1. Preheat oven to 400. Rinse 8 cabbage leaves and boil for 3 minutes. Transfer leaves to a bowl of ice water. 2. Remove and dry with a paper towel. Set aside. 3. Heat 1 tablespoon olive oil, garlic and ginger in a skillet until garlic has browned. 4. Add carrots, egg and zucchini; fry over medium heat 2 minutes. 5. Remove from heat and stir in green onion. 6. Lay leaves flat on clean work surface & divide mixture among leaves. 7. Slowly roll cabbage up, while also folding the ends inward. Repeat for all leaves. 8. Place rolls on an oil baking dish. Lightly brush with a little olive oil (or spray with olive oil spray). 9. Bake for minutes. 10. Serve warm with soy sauce, refrigerate any leftovers. Crab-Stuffed Avocados ½ cup plain non-fat Greek yogurt ¼ cup fresh lemon juice 3 Tbsp. chopped fresh tarragon ½ ts. black pepper 12 oz. lump crabmeat Cooking spray 2 ripe avocados Instructions 1 Combine first 4 ingredients in a bowl; gently fold in crabmeat. 2 Heat a large skillet over medium-high heat. Coat pan with cooking spray. 3 Place avocado halves cut sides down, in pan; cook 2 minutes or until lightly browned. 4 Place avocado halves, cut side down, on a cutting board; cut a very thin slice (1/16 ) from the bottom on the avocado halves, so it stands flat. 5 Turn over; spoon crab mixture into each halve. Caprese Tomato Salad 3 cups multi-colored cherry tomatoes, halved 1/8 tsp salt ½ cup basil leaves 1 Tbsp. extra-virgin olive oil, 1 Tbsp. balsamic vinegar ½ tsp. black pepper ¼ salt 1 oz. diced fresh mozzarella cheese (about 1/3 cup); toss. Instructions 1 In a bowl, mix all the ingredients. 2. Let stand for 5 minutes. 3. Toss and serve. 5 of 7

Watermelon, Feta & Mint Salad 4 cups 2-inch chunks seedless watermelon 1 lime, juiced 1 cup fresh chopped mint leaves 1 cup crumbled feta cheese Salt & pepper to taste Preparation 1.

Yields: 4 servings Serving size: 1 cup Calories per serving: 145 Protein per serving: 5.

6 Watermelon, Feta & Mint Salad 4 cups 2-inch chunks seedless watermelon 1 lime, juiced 1 cup fresh chopped mint leaves 1 cup crumbled feta cheese Salt & pepper to taste Preparation 1. In a large bowl, combine the watermelon, lime, mint, and feta. 2. Add salt & pepper to taste. 3. For a little more zing, substitute red pepper flakes for the black pepper. Yields: 4 servings Serving size: 1 cup Calories per serving: 145 Protein per serving: 5.5 grams Cucumber Salad 3 medium cucumbers, thinly sliced 1 small red onion, thinly sliced ½ cup nonfat plain Greek yogurt 1 lemon, juiced 1 tbsp. chopped dill Kosher salt & freshly ground black pepper to taste Preparation 4. In a large bowl, combine cucumbers and onion. 5. In a small bowl, combine yogurt, lemon juice & dill; whisk until smooth. Add salt & pepper to taste. 6. Pour dressing over cucumbers and onions. Toss until combined. Yields: 4 servings Serving size: 1 cup Calories per serving: 55 Protein per serving: 2 grams Announcements The Bariatric Step s to a Healthier Future is available online. As we update the booklet, we will post the most recent version on the web page. Last update: Webpage: Check out the page on a routine bases!! Lisa is continually adding new handouts that you will undoubtable find useful. Facebook: Bariatric Facebook: This Facebook is not an official Kaiser Permanente Facebook page. This was started by patients for patients. Kaiser Permanente staff do not participate or moderate the group. This is a closed group, meaning you must be one of our patients and request to participate. The Administrators will respond fairly quickly to your request. We do ask that patients report any information or posts that you are concerned about to our staff. While we don t participate or have access to this Facebook group, we want our patients to know that they can come to us for clarification of questionable information or posts. *** (new name) link: / New Support Group Skagit Valley Hospital Schuksan Room 3 rd Thursday of each month 6:00-8:00 No registration needed Facilitator: Susan Roughton 4dogs2much@comcast.net 6 of 7

the connection / disconnection Recipes protein in particular Supplements what to take, timing, why take them at all Guest Speaker you d like to present at Support Group Previous successful patients

The answers for this were all over the place Thank you to all that provided feedback! As we make changes to our program and process, your feedback is increasingly valuable to us.

7 Our Questions For YOU Follow Up Appointments I posed some questions to the support groups and in the July Newsletter here are some of your responses. Newsletter Topics you d like to see covered All season exercise ideas (for rain or shine warm or cold) Journaling resources and templates Back on Track (this was a popular suggestion) Mind and Body the connection / disconnection Recipes protein in particular Supplements what to take, timing, why take them at all Guest Speaker you d like to present at Support Group Previous successful patients The surgeons the most popular response Bariatric Advantage Representative Dietitian Psychologist topic how to change my fat mind What day or time of day is best for a Support Group? The answers for this were all over the place Thank you to all that provided feedback! As we make changes to our program and process, your feedback is increasingly valuable to us. Our goal is to make our program even more comprehensive and supportive of our patients, as well as more in-line with other Kaiser Bariatric Programs and our national bariatric accreditation body the ASMBS. We understand that you may not always agree with those changes and updates and we are happy to address your questions and concerns as well welcome your feedback. Please remember how important it is to make and keep your bariatric follow up appointments. Being seen by the specialists in this area will help you to have the healthiest and most successful outcome. Your bariatric team has a lot offer you in the way of insight, suggestions and expert advice. We know that it can be a hassle to come to Bellevue, but please keep in mind how much you have gone through to get where you are. Let us help you to attain the best bang for your buck!! How to Contact the Bariatric Clinic Bariatric Nurse: General Surgery Nurse: Routine Appointments: Consulting Nurse: Bariatric Team bariatricpatients@ghc.org Patient Secure Messaging: Through My Group Health / My Chart Please any medical concerns, pre or post op questions through the Kaiser Permanente member web site or call the bariatric nurse. Call the Consulting Nurse line if after 4:30 and weekends, with any post op concerns. 7 of 7

LESSON 3 E AT A RAINBOW OF SNACKS

E AT A R A I N B O W O F S N A C K S LESSON 3 E AT A RAINBOW OF SNACKS Objectives for the lesson: 1. Compare the nutrient content and cost of vegetables and fruits as snacks to conventional snack foods.