Guest guest Posted April 26, 2007 Report Share Posted April 26, 2007 Has anyone ever heard of a condition called watermelon stomach? - and if you have, are there any contraindications for roux-en-y for someone with this condition? Thank you, Dana Swilley, RD Bartholomay <.Bartholomay@...> wrote: Here is their website:http://www.thelifestylecompany.com/wloss/weight.aspHope that helps.>>> " Arini" 4/26/2007 11:39 AM >>>Where can I found out more about the LEARN weight management program? Arini, RD,CDRegistered DietitianUnion Hospital Diabetes Education Center1530 N. 7th Street Suite 503Terre Haute, IN 47807(812) 238-7577 >>> .Bartholomay@... 04/26/07 11:46 AM >>>We are a Bariatric Center of Excellence. Starting last May weimplemented a pre-bariatric surgery weight management course that runs 6sessions over 12 weeks (every other week). This was to cover the usual 3month meeting with a dietitian requirement that most insurance companieswere requesting prior to surgical approval. We are using LEARNprinciples, but the binder we provide to patients is from the WashingtonDairy Council (Healthy Habits book * which is wonderful).What we are finding is that insurance carriers are now changingrequirements - - some not requiring ANY visits with the dietitian priorto approval; some not allowing group coverage; some not paying at all,but still requiring the dietitian visits; some for 6 months and some forone year. The group classes are much more cost effective and much moreinteractive and enjoyable for patients. Our PA that works with bariatricpatients has been finding that the people who have attended thesesessions are much better informed and prepared for the changes that willhappen after surgery.I would like to propose a consistent approach for these patients thatrequires the 6 session weight management classes regardless of whatthird party payors are telling us. I feel that a center of excellenceshould have a consistent program for education of these patients so thatit will enhance the success of their surgical outcome. Our director of the BCOE would like to know if there is any researchout there that supports the three months of weight managementintervention prior to surgery. If any of you are aware of such data, would you please be willing toshare it? I will do some hunting myself as well. I know that thelength of time and amount of intervention for weight management prior tosurgery varies widely from bariatric center to bariatric center acrossthe nation, but I would love it if you could share some successes withme.Thanks in advance!! Bartholomay, LRDManager, Nutrition TherapyMeritCare Health Systems.Bartholomay@... (701) 234-6166This e-mail message is intended only for the named recipient(s) aboveand is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may containinformation that is privileged or exempt from disclosure underapplicable law. If you have received this message in error pleaseimmediately notify the sender by return e-mail and delete this e-mailmessage from your computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2007 Report Share Posted May 28, 2007 Could this "watermelon stomach" be the condition associated with Polycystic Ovary Syndrome? Regards, K.Shattler, M.S.,RDSwilley Dana <danaeswilley@...> wrote: Has anyone ever heard of a condition called watermelon stomach? - and if you have, are there any contraindications for roux-en-y for someone with this condition? Thank you, Dana Swilley, RD Bartholomay <.Bartholomay@...> wrote: Here is their website:http://www.thelifestylecompany.com/wloss/weight.aspHope that helps.>>> " Arini" 4/26/2007 11:39 AM >>>Where can I found out more about the LEARN weight management program? Arini, RD,CDRegistered DietitianUnion Hospital Diabetes Education Center1530 N. 7th Street Suite 503Terre Haute, IN 47807(812) 238-7577 >>> .Bartholomay@... 04/26/07 11:46 AM >>>We are a Bariatric Center of Excellence. Starting last May weimplemented a pre-bariatric surgery weight management course that runs 6sessions over 12 weeks (every other week). This was to cover the usual 3month meeting with a dietitian requirement that most insurance companieswere requesting prior to surgical approval. We are using LEARNprinciples, but the binder we provide to patients is from the WashingtonDairy Council (Healthy Habits book * which is wonderful).What we are finding is that insurance carriers are now changingrequirements - - some not requiring ANY visits with the dietitian priorto approval; some not allowing group coverage; some not paying at all,but still requiring the dietitian visits; some for 6 months and some forone year. The group classes are much more cost effective and much moreinteractive and enjoyable for patients. Our PA that works with bariatricpatients has been finding that the people who have attended thesesessions are much better informed and prepared for the changes that willhappen after surgery.I would like to propose a consistent approach for these patients thatrequires the 6 session weight management classes regardless of whatthird party payors are telling us. I feel that a center of excellenceshould have a consistent program for education of these patients so thatit will enhance the success of their surgical outcome. Our director of the BCOE would like to know if there is any researchout there that supports the three months of weight managementintervention prior to surgery. If any of you are aware of such data, would you please be willing toshare it? I will do some hunting myself as well. I know that thelength of time and amount of intervention for weight management prior tosurgery varies widely from bariatric center to bariatric center acrossthe nation, but I would love it if you could share some successes withme.Thanks in advance!! Bartholomay, LRDManager, Nutrition TherapyMeritCare Health Systems.Bartholomay@... (701) 234-6166This e-mail message is intended only for the named recipient(s) aboveand is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may containinformation that is privileged or exempt from disclosure underapplicable law. If you have received this message in error pleaseimmediately notify the sender by return e-mail and delete this e-mailmessage from your computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2007 Report Share Posted May 29, 2007 That would be interesting. I'll look into that. Thank you for responding to my question regarding " watermelon stomach " Sent via BlackBerry from T-Mobile Re: Watermelon stomach? Could this " watermelon stomach " be the condition associated with Polycystic Ovary Syndrome? Regards, K.Shattler, M.S.,RD Swilley Dana <danaeswilley@...> wrote: Has anyone ever heard of a condition called watermelon stomach? - and if you have, are there any contraindications for roux-en-y for someone with this condition? Thank you, Dana Swilley, RD Bartholomay <.Bartholomay@...> wrote: Here is their website: http://www.thelifestylecompany.com/wloss/weight.asp Hope that helps. >>> " Arini " 4/26/2007 11:39 AM >>> Where can I found out more about the LEARN weight management program? Arini, RD,CD Registered Dietitian Union Hospital Diabetes Education Center 1530 N. 7th Street Suite 503 Terre Haute, IN 47807 (812) 238-7577 >>> .Bartholomay@... 04/26/07 11:46 AM >>> We are a Bariatric Center of Excellence. Starting last May we implemented a pre-bariatric surgery weight management course that runs 6 sessions over 12 weeks (every other week). This was to cover the usual 3 month meeting with a dietitian requirement that most insurance companies were requesting prior to surgical approval. We are using LEARN principles, but the binder we provide to patients is from the Washington Dairy Council (Healthy Habits book * which is wonderful). What we are finding is that insurance carriers are now changing requirements - - some not requiring ANY visits with the dietitian prior to approval; some not allowing group coverage; some not paying at all, but still requiring the dietitian visits; some for 6 months and some for one year. The group classes are much more cost effective and much more interactive and enjoyable for patients. Our PA that works with bariatric patients has been finding that the people who have attended these sessions are much better informed and prepared for the changes that will happen after surgery. I would like to propose a consistent approach for these patients that requires the 6 session weight management classes regardless of what third party payors are telling us. I feel that a center of excellence should have a consistent program for education of these patients so that it will enhance the success of their surgical outcome. Our director of the BCOE would like to know if there is any research out there that supports the three months of weight management intervention prior to surgery. If any of you are aware of such data, would you please be willing to share it? I will do some hunting myself as well. I know that the length of time and amount of intervention for weight management prior to surgery varies widely from bariatric center to bariatric center across the nation, but I would love it if you could share some successes with me. Thanks in advance!! Bartholomay, LRD Manager, Nutrition Therapy MeritCare Health Systems .Bartholomay@... (701) 234-6166 This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error please immediately notify the sender by return e-mail and delete this e-mail message from your computer. Quote Link to comment Share on other sites More sharing options...
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