首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
外语
Preparing for Weight Loss Surgery For those who consider weight loss surgery, they are at the end of their ropes. Traditiona
Preparing for Weight Loss Surgery For those who consider weight loss surgery, they are at the end of their ropes. Traditiona
admin
2010-08-21
43
问题
Preparing for Weight Loss Surgery
For those who consider weight loss surgery, they are at the end of their ropes. Traditional methods of diet and exercise have had no effect, and this procedure is a last resort. But by no means is the leap from thinking about weight loss surgery to the operating table a short one.
"People need to be aware, in great detail, of the risk and benefits of weight loss surgery so they understand what it is all about," says Harvey J. Sugerman, president of the American Society for Bariatric Surgery. "The procedure is not without risk, and there is a great deal of anxiety that comes with it, so it takes considerable preparation."
From checking on insurance coverage to psychological exams to support groups, preparing for this life-changing procedure takes time, physical and mental readiness, and most of all, commitment.
First Steps
"From the time a person first thinks about having weight loss surgery, to the time they make the commitment to have it done is typically about two years," says James Kolenich, a bariatric surgeon at the University of Pennsylvania Medical Center, Horizon. "Most people don’t rush into this, they talk to family and friends, they talk to the hospital, they go home and they think about it more; it’s usually a very thoughtful approach."
More than 60 million obese people are living in the U. S. , according to the American Obesity Association (AOA), and about 9 million are severely obese. Weight loss surgery, also called bariatric surgery, can be successful when diet and exercise have failed, and a person’s health is on the line. Overweight is the second leading cause of preventable death, after smoking, in the U. S. , according to the AOA.
"The first thing a person should do is contact his insurance company to learn if he is covered for the surgery, and he should contact his primary care doctor to find out if there is documentation of his struggle with obesity," says Kolenich. "Many insurance companies want to know that a primary care doctor has tried to help the patient lose weight with psychological counseling, diet, and an exercise plan for five years, and for many patients, this is a big road block."
While there are other options, such as personally financing the procedure, they are costly: The National Institute of Diabetes and Digestive and Kidney Diseases web site states that this procedure can run from $ 20,000 to $ 35,000.
With such a hefty price tag on weight loss surgery, it pays to ensure that your doctor documents your battle with obesity early on, to open up options down the road. When you’ve crossed all your is and dotted all your is in the insurance category, it is time to find a hospital or center, and a surgeon, which are first-rate.
Finding a Batiatric Surgeon
"When you’re looking for a surgeon, ask if he or she is board-certified by the American Board of Surgery," says Kotenich. "Is he a member of the American Society of Bariatrie Surgeons? What is the mortality rate of the surgeon, the morbidity rate, the success rate?"
Clearly, the surgeon you find should be well experienced in the area of weight loss surgery.
"Make sure the surgeon you choose is an experienced and qualified bariatrie surgeon," says Daniel Herren, chief of bariatric surgery at Mt. Sinai Hospital in New York. "It’s clear that the more experienced the surgeon, the lower the risk of mortality. Ideally, you would prefer to find a surgeon who has performed at least 100 of these procedures."
What you are looking for doesn’t stop with numbers and statistics--you will also need a support system, Look for a center or hospital that offers educational seminars to those who are just beginning the process so you can learn more about the actual procedure, the benefits, and the risks. Also look for support groups, that can be utilized pre-and post-operatively.
Preparing for Weight Loss Surgery
"The single most important factor is that they have to realize the surgery is not a cure for obesity," says Herren. "It’s a very powerful tool used in the fight against obesity. It needs to be considered as part of a process, and a lifelong commitment to follow up with physicians, a regular exercise program, and healthy eating. If a person doesn’t understand that this is a lifelong commitment, that it’s net a quick fix, then he or she is not a good candidate."
From a physical standpoint, the preparation for weight loss surgery involves meeting with doctors--a lot of them.
A person also needs to meet with a nutritionist, to begin to better understand the elements of healthy eating, and how eating habits need to change before and after the surgery. "By getting into a proper nutritional mindset before surgery, such as learning to eat smaller portions, eating Slowly, paying closer attention to the nutritional make-up of meals, a person is better adapted for the major changes in their lifestyle after the surgery," says Herron.
Understanding the Risks
Understanding the possible outcomes of weight loss surgery, including the risks, is an important part of preparing for the procedure. "Education is a tremendously important part of the preoperative process," says Herron. "There is no question that there are major risks associated with the operation. However, those risks can be minimized by having a thorough preoperative workup so there aren’t surprises during the procedure, and by making sure the surgeon is experienced and qualified."
Nonetheless, dealing with the emotional toll of this procedure can be difficult, especially when considering the possibility of death. "There have been good studies looking at the risk of dying after weight loss surgery, showing that although there is a risk of death with surgery, the overall survival rate is improved with surgery compared to not having the surgery at all, and living with obesity," says Herron.
It helps that most centers and hospitals and insurance companies, require psychological evaluations prior to the allowing the procedure--which benefits both patient and doctor. "You have to fill your mind with as much optimism and positive thinking as possible," says Joe De Simone, PhD, a psychiatrist in private practice in N. Y., who works with patients preparing for weight loss surgery. "Basically, the preparation is to become more conscious of what you are thinking and feeling, and start preparing yourself to think of food and your life in a different way. This is a courageous step for people to take, and it’s not just about weight changing--it’s about life changing."
Pest-Op Expectations
While weight loss surgery does have a major impact on a person’s life, it requires, like any surgical procedure, some recovery time. "The recovery period is quite variable," says Herron. "I have some patients who take a week off and are back full time, and others who take three to four weeks to recover. While it’s certainly physically possible to be back to 90% of capacity after a week, most people take longer to adjust to the new lifestyle."
New techniques have also helped to lessen recovery time. Today, the procedure can be performed minimally invasively via small incisions. In a few centers around the country it can even be done on an outpatient basis.
Patients also need to remember weight loss surgery is not a cure. "It’s not a magic bullet, but is an amazingly powerful weight-loss tool," says Herron. "A person will find they will lose about a pound per day for the first month or so. Then they’ll lose between 50%-75% of their excess body weight typically during the first 12 months after surgery." What follows is dedication to a healthy diet and exercise regimen, continual follow-up with doctors to monitor progress, and commitment to a new life.
A person also might be required to quit smoking to improve the outcome of the operation.
选项
A、Y
B、N
C、NG
答案
C
解析
文章中没有提到要求患者手术前戒烟的问题。故判断为NOT GIVEN。
转载请注明原文地址:https://kaotiyun.com/show/Tt7K777K
0
大学英语六级
相关试题推荐
Fastfood,amainstayofAmericaneatingfordecades,mayhavereachedaplateauintheUnitedStatesasthematuringbaby-boom
Fastfood,amainstayofAmericaneatingfordecades,mayhavereachedaplateauintheUnitedStatesasthematuringbaby-boom
A、Collectingearlystamps.B、Sellingfalsesignature.C、Makingfastfood.D、Writingdetectivestories.B该题问“在费城Robert靠什么谋生”。文中谈
Tobesuccessfulinajobinterview,youshould【B1】______certainandprofessional【B2】______.Youneedtocreateagood【B3】___
Depression:TheHiddenEpidemicFeltdown?Gottheblues?You’renotalone.Everyonegetssad(yes,everyoneyou’veevermet
Itisanage-old【B1】______:MenarefromMars;WomenarefromVenus.Malesandfemalesshowdifferentbehaviorsalmostfrom【B2】
A、Thecookstherearenotwell-trained.B、Notallthecondiments(佐料)canbefoundintheU.S.C、Thecookingmethodshavebeenm
A、Gettinghelpfromothers.B、Alwaystryingnewmethods.C、Dependingonmodernmachines.D、Trustingtheirownideas.D事实细节题文中提到
A、Thedriver.B、Ten-year-oldJake.C、Thepolice.D、Thekidsonthebus.B司机下车后并没有关闭引擎,因此校车开始慢慢地滑动,车上的孩子们都尖叫起来,但是十岁的Jake抓住方向盘,用力地
随机试题
如果一国出现国际收支逆差,该国外汇供不应求,则该国本币兑外汇的汇率的变动将表现为()。
题31图所示电路中,已知US1=20V,US2=13V,R1=R3=2Ω,R2=6Ω,试用叠加原理求电流I。
具有胃肠促动作用的药物是:
初产妇,25岁,孕足月出现规律性宫缩,1小时后来院,由于宫缩过强.立刻将产妇放在产床上,未来得及消毒及保护会阴,胎儿急速娩出,正处理婴儿时,见阴道有较多血流出。腹部检查:子宫收缩良好。此产妇于胎盘娩出后,持续阴道出血,检查发现胎盘又不完整,那么首选措施
下列不属于慢性宫颈炎的病理分型的是
权证持有人有权按规定价格卖出基础资产的是()
合同履行中的抗辩权是指债权人行使债权时,债权人根据法定事由,对抗债务人的权利。()
教育心理学发展的成熟时期所对应的年代是()
一、注意事项1.申论考试是对应考者综合分析材料的能力、提出和解决问题能力、文字表达能力的测试。2.作答时限:建议阅读给定资料40分钟,作答110分钟。3.仔细阅读给定资料,按照后面提出的“申论要求”依次作答。二、给定资料
Youwillnowlistentopartofalecture.Youwillthenbeaskedaquestionaboutit.Afteryouhearthequestion,giveyourself
最新回复
(
0
)