Sentara Obici Hospital will add a weight loss program to provide medical and surgical options that will be fully operational by the end of August.
Dr. Gregory Adams will lead the surgical part of the program to provide bariatric surgery in Obici. Adams is a board-certified general surgeon who comes to Centara from Bon Secours and has nearly 20 years of experience in bariatric surgery, including 13 in the Hampton Roads area, many of whose patients are residents of Western Tidewater. Earlier this month, she underwent her first weight loss surgery in Obici, which is just one of 4,000 she has performed in her career.
But it will not be all about surgical options. At the same time, the hospital will provide medical weight loss options, as well as psychological counseling, nutrition, and retail products.
Sentara is pushing to increase its comprehensive weight loss solutions program in Obici with the 2018 Community Health Needs Assessment by the Obici Health Foundation, which found more than 80% of adults in the fund’s service area: Suffolk, Franklin, White Island County, Gates County, NC, Greensville County, Southampton County, East Surrey և Sussex counties are overweight and 45% obese.
“Sentara realizes that they have a group of patients they do not serve,” Adams said. “And I mean,: There are a lot of people who live here in Suffolk, Franklin, White Island և etc. to drive themselves to Norfolk to go for weight loss surgery և weight. “Missing management is just a bridge too far.”
Weight loss medical services will be available in the last week of August and will target people with a body mass index of about 30 or more. Adams said this would be done through diet, therapy, “medication” and possibly psychotherapy.
Adams noted that the National Institutes of Health has come up with criteria that suggest which patients should be considered for weight loss surgery. These include more than 40 patients with a body mass index or BMI, regardless of their general health status, or anyone with a body mass index between the ages of 35 and 40 with obesity-related health problems.
Body mass index ի is your weight և height ratio և Adams generally said that if someone’s BMI is 40, they are more than 100 pounds more than their ideal weight.
“What I like about the Sentara program is that it’s not just surgery, which I do, it’s a component of that metabolism, in other words, it works with an internal medicine doctor trying to work on people medically. “People who can not have surgery, they really got a great program that was made for it.”
He said that Centara’s program has a strong educational basis, providing people with many ways to lose weight that give them the best chance of losing weight.
“Every good charity program does that, there is no doubt about it,” Adams said. “My program, from which I came, did a really good job. But I’m extremely impressed with Centara’s program, the depth of education they provide to patients. The patients are exceptionally well prepared. “
Resources come through in-person counseling, print, and online educational materials that follow, help, and encourage patients. The program is designed as a one-stop shop for people who want to lose weight, have metabolic health. Its team includes a medical pediatrician, a baritone psychologist-nutritionist who works with surgical and non-surgical patients.
Adams said that two groups of patients will come to see them. It is less common for them to see a referral to a primary care physician or another doctor to discuss weight loss surgery. He said orthopedic surgeons often refer someone for weight loss surgery because orthopedic surgeries, such as joint replacements, are more durable and can be made safer if patients are underweight.
According to him, the most common calls come from patients who see information about the program online. According to Adams, these people have tried different diets, they have had some success in losing weight, but they do not prevent it.
“The problem with obesity,” Adams said, “is that it’s not the inability to lose weight.” It is an inability to keep it after losing it. ”
When they enter, they will watch a seminar, or a video, or a personal presentation of why weight loss surgery is performed, and what other options are available. Then, if interested, they can schedule a meeting for further evaluation.
As for bariatric surgery, Adams said two types are most commonly performed: spinal gastrectomy, which is the most common option, and gastric bypass surgery. A gastrectomy takes about 60 minutes, a gastric bypass operation takes about 90 minutes, and people spend the night in the hospital. People will be on their feet, walking after surgery, within two hours of drinking in the evening. They will start with a liquid diet and then move on to regular meals within a month of surgery.
The total period from consultation to action, if one goes through the procedures, is three to six months, which is mainly due to the insurance requirements. This time is used to teach people how to take care of themselves և prepare for surgery.
With both surgeries, Adams said, people can expect to lose about 80% of their excess weight, meaning that those who are 100 pounds overweight should be able to lose about 80 pounds.
The most common question about the procedure is whether the person will die. While Adams tells patients that any surgery carries risks, weight loss surgery has become one of the safest procedures performed.
People also worry about losing weight too fast, depending on their skin. But he said that hanging skin determines how much weight someone should lose և where they take their fat. If it is where their skin envelope is stretched, then that person will most likely have weakened skin after surgery. Some will ask if their joint pain will go away with surgery, but while this does not work, the weight removed from the joint will make any pain more bearable. Blood pressure in general will also be easier to control.
Adams says that obesity factors in many things, including metabolism, genetics, its endocrine, behavior, and environment.
People who get injured as a result of weight gain, he says, tend to maintain weight better because weight gain was not so much a lifestyle as an event.
As Obici offers a weight loss program, Adams believes it will be more beneficial for residents of the Western Tidewater region.
“It is not easy to run away to take care of something like the problem of obesity, which, unfortunately, requires a lot of visits, requires a large investment,” said Adams. “It’s not that we can give them one magic pill, everything is better. So for them, that trip to Norfolk, where our center has always been, is just hard for patients to do. ”
And Obici is a better place to serve people on Western Tidewater, noting that Obici already has patients who previously chose not to lose weight because it was far from their ability to do so.
“The Sentara app also makes it easier to reach patients,” Adams said in their phone calls. Encourage people to keep up with letters and even text reminders.
He warns that weight loss surgery is a great tool, but not a magic wand. People also have to change their eating habits and lifestyle.
“If patients are more concerned about their weight, they feel they can’t fix it on their own,” Adams said. “It’s not a shame to call us.” Patients often believe that if they come, they see someone helping to lose weight, that somehow, they went to the easiest way out. This is not an easy solution. That’s just the right way. That’s the way we can really help. “
Anyone interested in comprehensive weight loss solutions at Sentara Obici Hospital can be appointed by calling 757-934-4646.