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Bariatric News
Kaiser Bariatric Surgery
Support Group Meetings
This Month’s Topic
Protein Power
Bellevue
Wed
5-17-17
6:30–8:15
Central
Wed 5-10-17
6:15–8:15
Everett
Wed 5-24-17
6:15–8:00
Fed. Way
Wed 5-3-17
6:30–8:00
Olympia
Wed 5-10-17
6:30-8:00
Silverdale
Thurs 5-18-17
6:00–7:30
Tacoma
Tues 5-23-17
6:00–8:00
Protein first! You will hear this repeated often from
your bariatric medical team…and with good reason.
Support Group Announcement
Protein is the cornerstone of your diet after bariatric
Bariatric Team Members to visit all support groups
in the first six or seven months of the year.
surgery.
Protein is needed to help preserve muscle, lose fat,
Guest Speakers
and promote healing, it is very essential to take in
May: Bariatric Team: Tacoma Support Group
enough protein in your diet. The body makes
June:
Bariatric Team: Silverdale Support Group
thirteen amino acids, which are the building blocks
of protein, but there are nine "essential" amino acids
Upcoming Topics
that your body cannot produce, which must be
June: The Power of Journaling
obtained from dietary sources. When protein intake
July: Get Moving!
is not adequate, the body will break down lean body
this loss, adequate high-quality protein must be
Kaiser Permanente Bariatric Web Page
*On the KP.org Web Site *
consumed.
http://www.ghc.org/bariatric-patients/
The diet following bariatric surgery can be a bit
Copy and paste this URL to your favorites for easy
access.
mass to compensate for dietary intake. To minimize
overwhelming at first, but over time, most patients
Monthly newsletter posted the 1st of each month (if
the 1st is a weekend/holiday, it will be posted the
next business day). About 2 years of past
newsletter issues are also available.
find the guidelines become a natural part of their
everyday routine.
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Protein
Cottage Cheese - Pleeze!
Protein Primer
Little Miss Muffet
Sat on a tuffet,
Eating her curds and whey.
Protein has a big role in the body and is the most
important nutrient in the bariatric diet. Protein is a
part of every cell in your in body and these proteins
are continually being broken
down and need to be
replenished daily.
Miss Muffet had the right idea – she was eating
cottage cheese! Cottage cheese is a low-fat, high
protein powerhouse that can be added to many
meals and snacks.
Protein’s Role
• Protein assists in proper wound healing after
bariatric surgery.
• Protein helps your body burn fat instead of
muscle for a healthier weight loss.
• Protein supports your metabolism so you
lose weight faster.
• Protein helps keep you fuller, longer.
• Protein helps keep your hair, skin, and nails
healthy.
• Protein helps form hormones, enzymes, and
immune system antibodies to help your body
function properly.
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1 cup of 1% fat cottage cheese is only 160
calories and a whopping 28 grams of
protein.
Substitute cottage cheese for recipes calling
for mayonnaise or sour cream.
Blend up a pint of cottage cheese until nice
and smooth and spoon back into the
container.
Add a few tablespoons of this smooth
cottage cheese whenever you want to add
some moisture, cheesiness and a big kick of
protein to your meal or snack.
Try cottage cheese with:
Protein Goals
• Protein needs vary with each individual
based on their age, sex, lean muscle mass,
daily exercise, and overall health.
• Immediately after surgery the protein goal
will range from 40 - 60 grams per day as
you are adjusting to a small stomach and a
new way of eating.
• Once you have transitioned to regular food,
the goal is 60 - 80 grams of high quality
protein daily.
• The best sources of proteins are animalbased proteins (known as complete proteins)
because they contain all nine of the essential
amino acids your body needs to function
properly.
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Canned tuna, chicken or salmon
PB2
Nonfat fried beans
Hard boiled eggs and mustard (aka deviled
eggs)
Scrambled eggs
Uncle Dan’s Ranch seasoning packet - great
for veggies
Blue cheese (1.5 oz) to make a dip
Cottage cheese & hummus
Tomato or bean soup or chili
Creole Omelet
More protein snacks & meals ideas to try:
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Ingredients:
¼ cup chopped onion
¼ cup chopped bell pepper
¾ cup fat-free liquid egg substitute
Pinch of garlic powder and black pepper
2 oz of Trader Joes Andouille chicken sausage,
cut into small pieces.
2 tbsp. shredded reduced-fat cheddar cheese
Optional topping: light sour cream
Deli roll-ups - 2 slices
deli meat (turkey,
chicken, ham, roast
beef) rolled around a
low-fat string cheese
wrapped in a lettuce leaf. Dip in gourmet
mustard.
Chunky monkey shake – vanilla protein
shake with PB2 and a few chunks of frozen
banana.
Edamame (soybean) Poppers -buy precooked frozen & briefly microwave to
defrost, sprinkle with salt and enjoy.
Yogurt parfait – alternate layers of nonfat
Greek yogurt wit flavored with vanilla stevia
drops and some fresh or frozen berries.
Tuna in a pouch – in a variety of flavors
(ranch, hickory smoked, sweet & spicy, etc.)
Greek yogurt with fresh berries a few
slivered almonds.
Celery sticks filled with PB2.
Apples dipped in PB2
Over-easy eggs on top of a mixed greens
salad.
Egg bites – mix eggs with veggies and
seasonings, pouring the mixture into a
muffin tin and then bake. Eat hot or cold.
Jerky – a chewy snack that can stay fresh for
months. Choose the natural, low sodium,
lightly flavored brands.
Flavored chicken or turkey sausage: they are
(usually) pre-cooked and come in many
yummy flavors. Just heat & eat.
Nonfat plain Greek yogurt & salsa dip –
great with veggies.
Iced latte – vanilla protein shake over ice
and 1-2 shots of espresso.
Protein bars – look for a ratio of 100
calories: 10+grams of protein.
Directions:
Bring a skillet sprayed with nonstick spray to
medium heat. Cook and stir onion and bell pepper
until slightly softened and lightly browned, about 2
minutes. Add Andouille chicken sausage and cook
for 2 more minutes.
Reduce heat to medium low. Season egg substitute
with garlic powder and black pepper. Add to the
skillet with the veggies and chicken sausage, and let
it coat the bottom. Cover and cook without stirring
for 3 minutes, or until just set.
Top half of the omelet with shredded cheese. Fold
the bare half over the filling.
Plate and top with a sprinkling of cheese or low fat
sour cream.
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Announcements
Program Updates
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 http://www.ghc.org/bariatricpatients/ web page.
Group Visits:
Last update: 4-1-2017
All patients will be at least one year post op.
We will be beginning to do the group follow up visits
again very soon. We did a few of these last spring and
they were got good reviews by patients who attended.
How the group works:
You will complete a questionnaire to return to us in
advance of the group follow up meeting.
Interested in a Walking Group:
Olympia:
Contact:Carrie Hoesing
[email protected]
Charolotte Hoesing
[email protected]
Join the fun!!
The group will include about 12 fellow patients.
It will last for two hours.
You will have your vitals taken with the medical
assistant.
You will then meet with of out PA’s for a brief (about 5
minute) physical exam.
Lisa (dietitian) will be facilitating the group, while the
medical assistant and PA are filtering through all 12
patients. This will take up the first hour.
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.
The PA will then facilitate the group for the second
hour.
Topics covered will include things that Lisa and the PA
feel are common questions or concerns, as well as things
that may have come to our attention from your returned
questionnaires.
What we have found from our previous group follow up
visits is that patients get the benefit of the PA expertise,
the dietitian expertise as well as the comradery of their
fellow patients.
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,
we want our patients to know that they can
come to us for clarification of questionable
information or posts.
If you are at least one year post op and would like your
next follow up to be in the group format, please email or
give us a call (425-502-3454). We will provide details
of the upcoming group visit options.
Unfortunately we’ve had a bit of a delay in getting these
off the ground again. We will announce when we have
new dates available.
Second Chancers link:
https://www.facebook.com/groups/28525681500
1402/
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Research Project
We are currently participating in a project with the
Kaiser Permanente Research Institute. The study, called
BariFit is a program being offered only to patients at the
time of their initial post op appointment (7-10 days post
op). Not all patients will qualify, so unfortunately if it
wasn’t offered to you at the time of your post op
appointment, you likely are not a candidate. If the
program turns out to be successful, we hope to offer a
version of it all bariatric patients.
Support Groups:
Required prior to surgery, but so very important
after surgery. Take the time to attend the group
nearest you. This is one easy thing you can do for
yourself to help stay the course – long term!!
NO CHILDREN AT SUPPORT GROUPS
Please call our office (425-502-4351) with questions.
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Your Questions Answered
Upcoming Event
Will we need new surgery/restaurant cards now that we
are Kaiser Permanente?
Making A Difference: Portland
No. You can continue to use your current card. The
phone numbers and other information has not changed.
www.WLSFA.org
May 19-21
Will diabetes be removed from our medical records?
(this is from their web page):
Typically no. If you were previously diagnosed with
diabetes and have seen resolution since your
surgery/weight loss, diabetes will typically stay on your
problem list, but as diet controlled.
The Weight Loss Surgery Foundation of America
(WLSFA.ORG) invites you to join us in Portland
Oregon! Your participation at this annual fundraiser
allows the WLSFA to make a difference in the lives
of people with no access to the medical treatment
they need to overcome the disease of obesity.
Dollars raised at this event fund grants and saves
lives! We anticipate the largest gathering of weight
loss surgery patients ever assembled. Together we
can look forward to an event that will be life
changing for attendees and those that benefit from
the gathering our grant recipients!
Probiotics......should these be an everyday or as
needed?
We recommend that you take them on a daily basis.
Research has shown that probiotics are very healthy and
help to prevent a multitude of symptoms and medical
problems. They’re good for you!
Bowel Cleanse....is this something we should avoid
after surgery?
• Friday Night Opening Reception & MAD Hatters Weird
Tea Party
• 2017 Grant Recipients Revealed and *Special Carnie
Wilson Grant Awarded!
• Saturday Sparkle & Shine Making Lives Brighter & 7th
Annual BLING Off
• Full Slate of Speakers and Workshops
• Product and Services EXPO & Attendee Goody Bags
• Bariathlete® of the Year & Community Service Awards
• 2nd Annual WLSFA 5/10K Walk/Run
• 3nd Annual Bari-friendly CHOPPED competition hosted
by Carnie Wilson
• Special Event Fundraisers to be announced!
You don’t necessarily have to avoid bowel cleanse
following surgery. It’s hard to get the entire gallon
down in the first year or so after your surgery, but we
also wouldn’t recommend forgoing a colonoscopy, if
one has been recommended. If it can wait until 1-2
years post op, it will likely be easier to drink the prep.
If a patient experiences significant constipation in the
first year, your bariatric provider might actually
recommend some sort of bowel cleanse. Good to check
with your bariatric provider first.
Why do some have to do bowel cleanse before and
others don't?
How to Contact the Bariatric Clinic
This often depends on your personal medical history,
your age and/or BMI as well as which surgeon. If it is
recommended that you do a bowel cleanse prior to
surgery, it’s very likely because you are at a higher risk
of significant constipation and the goal of the cleanse is
to prevent issues following surgery.
Bariatric Nurse: 425-502-3454
General Surgery Nurse: 425-502-3450
Routine Appointments: 425-502-3450
Bariatric Team Email: [email protected]
Follow Up Appointments
Patient Secure Messaging: Through My Group
Health / My Chart
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!!
Consulting Nurse: 1-800-297-6877
Please email 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.
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