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¿Es la cirugía bariátrica adecuada para usted?
You’ve likely heard about bariatric surgery — and perhaps even have friends who’ve done it. But is it a potential solution for you? Here, Dawn Remme, RN, Metabolic Bariatric Surgery Program Manager, provides insight. You may have been struggling with excess weight for years. You’ve tried high-protein diets, low-carb diets and more. Most patients considering weight loss surgery have tried numerous dieting methods. The truth is, some patients who suffer with obesity are successful dieters. Unfortunately though, excess weigh often returns. This impacts their health and the quality of their life. It can be a disheartening battle. Weight loss surgery is a big decision. In making this decision, keep in mind that surgery is only one step toward your goal of achieving better health. It is neither magic, nor is it the “easy way out.” Weight loss surgery can offer you a TOOL to help you become more successful in controlling the disease of morbid obesity. By combining this tool with a lifelong commitment to important lifestyle changes, medical follow-up and nutritional modifications, you have the potential to become a healthier you. Bariatric Surgery By the Numbers Exploring the facts about obesity, how it impacts your health, and how surgery can resolve or significantly improve your chronic medical conditions is the first step to making a decision. Obesity is medically defined as “excess body fat” and is measured by a mathematical ratio known as the Body Mass Index (BMI). To calculate your BMI, we consider your height, weight, age, gender and body build. Here are the standards: “Normal” BMI: less than 25 Overweight: 25 – 29.9 Obese: BMI of 30 – 39.9 Morbid obesity: BMI of 40 or more Morbid obesity (BMI over 40) is a lifelong, progressive disease, and the prevalence of morbidly obese Americans (100 or more pounds over a healthy weight) is increasing rapidly. According to the CDC, the disease of obesity affects 78 million Americans. Further estimates indicate about 24 million have morbid obesity. Serious medical problems known as co-morbidities often occur when someone is morbidly obese. Studies tell us conditions such as type 2 diabetes, high cholesterol, sleep apnea, high blood pressure and degenerative arthritis increase in severity as the BMI is increasing in patients. When may weight loss surgery be an option? When someone has a BMI greater then 40. If a person’s BMI is 35 – 39.9 and they have significant health problems such as type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or other diagnosed health conditions related to obesity. Gastric Sleeve, Gastric Bypass Explained To resolve or significantly reduce these health conditions, bariatric surgery can be done when diet and exercise haven’t worked. Weight loss surgery makes changes to your digestive system to help you lose weight. The gastric sleeve limits how much you can eat, whereas gastric bypass limits how much you can eat and reduces the absorption of certain nutrients. Other Benefits of Surgery You can greatly increase life expectancy by resolving or significantly improving conditions like diabetes, high cholesterol, high blood pressure, sleep apnea, and obesity itself. Infertility can also be positively affected. A significant weight loss and relief from serious health conditions and diseases will greatly improve your quality of life. Studies tell us that type 2 diabetes is resolved or significantly improved in 84 percent of patients following bariatric surgery. Cholesterol levels dropped in 95 percent of patients. And hypertension and sleep apnea showed improvement in 68 and 80 percent of patients, respectively, following bariatric surgery. Bariatric Surgery at Renown In making the decision to move forward to better health, it is important to remember: Obesity is a disease, and the desire to have a healthier, longer, more fulfilling life is possible. If you are interested in learning more, please visit the Bariatric Surgery Program page to view more information about Renown Regional Medical Center’s MBSAQIP accredited bariatric program, as well as information about upcoming educational seminars. Or call 775-982-RSVP (7787) to reserve your seat. Learn More
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A Transformative Journey: Mary's Bariatric Surgery Story at Renown Health
Embarking on the path to bariatric surgery is a unique and deeply personal journey. Individuals like Mary Escobar choose this life-changing route for reasons ranging from improved cardiovascular health to managing diabetes or finding relief from various health complications. In Mary's case, her two-decade-long healthcare journey not only underscores the challenges she faced but also highlights the support and expertise that ultimately led to her successful transformation through bariatric surgery. Mary's Resilience: December 2002 through February 2003 More than two decades ago, Mary experienced unforeseen health complications just days after giving birth via c-section. Septic shock, hemolytic uremic syndrome, thrombocytopenia, renal failure and a blood clot in her lung plunged her into a critical state. Intensive care, plasma exchange and a long recovery followed. After being discharged with compromised kidney function, Mary faced complete renal failure two years later, leading to dialysis and a spot on the donor list. Mary's brother, a perfect match, selflessly donated his kidney on Dec. 14, 2007, marking a turning point in Mary's health. However, the post-transplant period brought new challenges, including diabetes, high blood pressure and a significant weight gain, reaching 230 pounds. Determined to regain control, Mary explored various diets without success until she consulted with a bariatric doctor. Journey to Bariatric Surgery: November 2009 - April 2021 In November 2009, Mary opted for a gastric band, shedding 40 pounds within a year. Despite initial success, issues with the gastric band arose, prompting a consultation with Dr. John Ganser at Renown Health in April 2021. Together, they decided to transition to a gastric sleeve, with comprehensive education provided to ensure long-term success.
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Strategies for Lasting Weight Loss
Managing weight is a complicated and often difficult journey for many individuals, and obesity stands as a common and serious chronic health condition. In fact, the Center for Disease Control and Prevention reports that the prevalence of obesity in the US is greater than 40% in adults and 20% in children, and those numbers are continuing to climb. In Nevada, according to the 2020 Behavioral Risk Factor Surveillance System, 28.7% of adults reported being obese. By 2030, almost 80% of American adults may be overweight and half of them will be obese. But obesity isn't just about the numbers on the scale; it's a multifaceted, lifelong, neurobehavioral disease triggered by a combination of factors. These include abnormal eating patterns, reduced physical activity levels, environmental stressors, genetics and various other contributors. Obesity extends far beyond appearance, often leading to the development of numerous medical conditions such as diabetes, heart disease, elevated blood pressure, stroke, sleep apnea, liver disease, various cancers and infertility. Join us as we delve into the complexities of obesity and explore strategies for effective weight management available right here in northern Nevada. Why Can Losing Weight be so Difficult? The challenge behind weight loss finds its roots in the Set-Point Theory of Obesity, a concept that says our bodies have a predetermined weight, or fat mass, within a defined set-point range. In other words, when an individual's weight deviates from this set point, the body initiates mechanisms to bring it back to the established range. So, if someone loses weight below their set point, the body may respond by increasing hunger and reducing metabolism, making it challenging to sustain weight loss. There Isn’t One Right Answer, But Renown is Here to Help Various weight management strategies can be utilized by patients struggling with obesity, which may lead to substantial weight loss, resolution of associated medical conditions and improved psychosocial health. In fact, the most successful strategy involves a multidisciplinary approach under the guidance of trained specialists that includes a combination of tactics, including: Behavioral adaptations Dietary modifications Physical exercise Anti-obesity medications Weight loss surgery
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12nov
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
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13ago
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
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8oct
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
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10dic
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
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10sep
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
Leer más About Grupo de apoyo virtual de cirugía bariátrica
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11Junio
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
Leer más About Grupo de apoyo virtual de cirugía bariátrica
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9jul
Led by Renown’s Bariatric Program Manager, this group connects you with peers and leaders so you can support, coach, encourage and lean on one another when you need it most. Whether you are facing post-surgery challenges or thinking about weight loss surgery and want to learn more about the client’s perspective or help reluctant family and friends better understand the process, attending this support group meeting can be invaluable. This support group is an excellent resource where you’ll find people who share your health and wellness goals. We are devoted to people with everyday experiences, sharing their feelings in a safe environment, and developing relationships that can contribute to improved physical and emotional health. We’ve found that our most successful clients attend support groups regularly. Video enabled attendance is available. Patients can access remotely and join from any video-enabled device (smart phone, iPad, laptop, or webcam/desktop). Al registrarse, recibirá instrucciones sobre cómo conectarse virtualmente. La asistencia a esta clase es gratuita.
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¿El mejor regalo? ¡Una familia totalmente vacunada!
Renown se une al Distrito de Salud del Condado de Washoe para ofrecer vacunas contra la COVID-19 a niños de entre 5 y 11 años en clínicas de vacunación. Renown Health se asocia con el Distrito de Salud del Condado de Washoe para ayudar a distribuir los suministros inicialmente disponibles y limitados de una dosis apropiada según la edad de las vacunas de Pfizer-BioNTech contra la COVID-19 a niños de entre 5 y 11 años. En este momento, todos los residentes mayores de 5 años son elegibles para recibir una vacuna. Renown anunció hoy que para los padres o tutores que tienen acceso a la aplicación MyChart de Renown como representantes de sus hijos, ahora hay disponibles citas de vacunación para niños de entre 5 y 11 años. Cuando se reciban los suministros, Renown espera poder vacunar a 1,600 niños con la serie de dos dosis en una cantidad limitada de centros de fin de semana. At this time, due to limited supplies, no vaccines for children are available through Renown Medical Group pediatric offices. Vaccine appointments may only be scheduled through the Renown MyChart app; please do not contact a Renown doctor/health care provider or the Engagement Center at this time. There is no cost to establish a Renown MyChart account, and you do not need to have a Renown provider to enroll. Para obtener asistencia técnica para MyChart, llame al 775-982-2781. Renown is covering all costs of the vaccine, and it is offered free of charge. “As a pediatrician, an intensive care physician, a public health practitioner and a grandparent, I encourage parents to vaccinate their children against COVID-19 now. No child should suffer, be hospitalized or die from a disease that can prevented by simply getting a shot,” says Tony Slonim, MD, DrPH, President & CEO of Renown Health. “We remain steadfast in fighting the good fight for our community, and that includes protecting kids. Being able to serve kids and their parents, with the only Children’s Hospital in northern Nevada, and being able to administer COVID-19 vaccines to children is incredibly gratifying for our team. This vaccine will prevent deaths, ICU admissions and will prevent significant long-term adverse outcomes in children." “I tell parents, get your kids vaccinated now- because every kid is at risk,” says Kristina Deeter, M.D., MBA, Pediatric Intensivist, and Vice Chair of Pediatrics at Renown Children’s Hospital. “Please get your family- including your kids, vaccinated now to keep your family safe. Being fully vaccinated and being able to hug Grandma and Grandpa at the holidays may be the greatest gift of all this holiday season.” “Los CDC recomiendan que todas las personas mayores de 5 años reciban una vacuna contra la COVID-19 para ayudar a protegerse de la COVID-19. Widespread vaccination for COVID-19 is a critical tool to protect everyone, especially those at highest risk, from severe illness and death. Currently, the Pfizer vaccine is the only option currently authorized for children,” says Vanessa Slots, MD, a pediatrician with Renown Children’s. “It was found to give kids strong protection against COVID-19, including against the Delta variant. Children who are vaccinated may have some side effects (chills, redness and swelling at site injection), which are normal signs that their body is building protection.” Children are advised not to receive the vaccine if: • They are ill at the time of vaccination (fever, shortness of breath, vomiting, diarrhea or acute illness). • se les ha diagnosticado COVID-19 en los 14 días anteriores; • They have a history of significant allergic reaction to any of the ingredients in the vaccine. About Renown Health Renown Health is the region’s largest not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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Renown Thanks Community as COVID-19 Drive-Thru Ends
Después de administrar más de 73,000 vacunas de primera y segunda dosis a nuestra comunidad, el equipo de vacunación de Renown concluirá sus esfuerzos en el centro de vacunación al paso de Renown a finales de este mes. Renown Health has been pleased to work with the Washoe County Health District, the state, and the CDC to distribute the limited supplies of COVID-19 vaccines. Los líderes de la fuerza de trabajo que administra las vacunas contra la COVID-19 en Renown anunciaron hoy que el miércoles, 12 de mayo de 2021 será el último día en que la organización administrará la primera dosis de la vacuna contra la COVID-19 a los miembros de la comunidad en la clínica de vacunación al paso. La clínica de vacunas de Renown permanecerá abierta hasta que todas las personas que reciban su primera dosis de la vacuna a través de Renown tengan la oportunidad de recibir su segunda dosis. Hasta la fecha, el equipo de vacunas de Renown ha administrado más de 73,000 dosis 1 y 2 a miembros del personal médico, empleados de Renown, estudiantes, voluntarios y miembros de la comunidad elegibles. “It has been an honor assisting our local and statewide health partners in the herculean feat of vaccinating the hundreds of thousands of area residents excited to receive the vaccine,” said Tony Slonim, MD, DrPH, President and CEO of Renown Health. “As we conclude our efforts at our drive-thru vaccine clinic, we are glad to continue working closely with our community health leaders and be ready to assist once again should there be a need for our support in the future. We are proud to be part of the solution for our community and pleased to have made a genuine difference in the health and well-being of others throughout this unprecedented time in our history.” “Mientras miramos hacia un futuro mejor más allá de la pandemia, no podemos dejar de reflexionar sobre las más de 73,000 dosis de vacunas que nuestros equipos administraron a nuestra comunidad”, declaró Melodie Osborn, RN (enfermera certificada), directora de Enfermería y Calidad de Servicios de Salud en Renown. “From our nurses, pharmacists, security teams, public safety experts and countless volunteer staff, each dose of the vaccine was made possible—rain, snow or shine—by dedicated healthcare champions committed to the health and safety of northern Nevadans.” “We want to offer our sincere gratitude and appreciation to the public for placing their trust in Renown to receive their vaccines, and for their patience and support of this important work,” said Wendy Meyers, Manager of Health and Wellness at Hometown Health. “The masked smiles, emotional tears of gratitude and relief, heartfelt thanks, food deliveries and many other acts of kindness will forever hold a special place in our hearts.” Los miembros de la comunidad mayores de 16 años que aún estén interesados en recibir la vacuna de Pfizer en Renown el 12 de mayo están invitados a programar una cita a través de MyChart; se aceptarán visitas sin cita desde las 12 p. m. hasta las 2 p.m. Los menores de 16 y 17 años deben estar acompañados por su padre, madre o tutor para recibir la vacuna. Para obtener asistencia, llame al 775-982-2781. To schedule your COVID-19 appointment in Washoe County outside of Renown, please visit covid19washoe.com. Renown will continue providing ongoing updates to help keep our community safe on our website at covid.renown.org. Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local y sin fines de lucro más grande de la región, que presta servicios a Nevada, Lake Tahoe y el noreste de California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Clinical institutes include; Cancer, Heart and Vascular Heath and Neurosciences. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Para obtener más información, visite renown.org.
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