Bellevue Bariatric

Program

January 2019

Bariatric Life-long Support

We are pleased to announce the bariatric team now fol-

lows our Kaiser member bariatric patients for a lifetime,

not just the first five years after surgery.

The reason: patients who attend longer term follow-up

visits (annually) may experience better weight loss,

maintenance and minimize complications. .

The bariatric team provides the special care and manage-

ment your new anatomy needs (i.e. nutrition, exercise,

vitamins, etc.).

Weight loss surgery is a tool to help you lose weight and

improve health. Utilizing the tool to its full potential re-

quires hard work on your part and ongoing team care.

Bottom line: follow up is key for long term success. The

Kaiser bariatric team is here to help you on your path to

health and weight management.

January Issue: Goals

Introduction………………….....1

SMART Goal Setting………..2-5

Bean Recipes ………..……….6-7

Daily Vitamins …………….......8

Announcements …………….….9

Bariatric Sound-bites..……….…9

Support Group locations……….10

Clinic contact Info ….....……....11

Bariatric Team …………......….11

Quote of the Month:

Great things never

came from comfort

zones.

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S

M

A

R

T

Specific: clearly define the desired result

Measurable: quantify the objective to

know when you have achieved it

Achievable: it’s within your scope. Define

realistic ways to attain your objective

Realistic: take different constrains in-

to account (resources, environment)

Time-Bound: specify target date for

achieving the objective

Resolutions to “lose weight” or “exercise more “ are worthy aspirations, but

these statements are vague and too broad. The key to successfully integrating

healthy habits into your life is to be S.M.A.R.T. with your goal setting.

2

3

Specific

What do I want to accomplish?

Why is this goal important?

Who is involved?

What resources or limits are involved?

Measurable

How much?

How many?

How will I know when it is accomplished?

Achievable How can I accomplish this goal?

How realistic is the goal, based on other constraints?

Realistic

Does this seem worthwhile?

Is this the right time?

Does this match my other efforts/needs?

Time-Bound

When do I want to reach this goal?

What can I do today?

What can I do six weeks from now?

What can I do six months from now?

Answer each question, to refine the steps

needed to achieve a goal.

2

Specific I will walk 5 days a week at work

Measurable I will walk for 30 minutes at lunch every day

Achievable

Bring walking shoes , socks, rain jacket &

umbrella to keep at work. Plan to walk

building hallways when bad weather.

Realistic

Start with 10-15 minutes walks every day for 3 weeks Increase to 15-25 minutes for 3 weeks Gradually increase to walking 30+ minutes walking every day at work

Time-Bound Target: 30 minutes by March 1, 2019

S.M.A.R.T. Goal: Exercise

Goal: “I will start exercising” This is to too broad and not measurable.

SMART goal : I will walk 30 minutes every day at lunch

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3

Specific Eat more veggies & fruits (Currently eating 1-3 per day)

Measurable Eat a minimum of 5 servings of veggies & fruits serving every day.

Achievable Make a shopping list of veggies & fruits to add for snacks and meals

Realistic

Eat minimum of 3 servings every day for 2 weeks. Add 1 veggie per day for 2 weeks. Once at 4 servings every day, add in 1 fruit serving to my day for a total of 5 servings every day.

Time-Bound Target: February 11, 2019

S.M.A.R.T. Goal: 5+ servings of Veggies & Fruits

A goal of “eating better” cannot be measured.

SMART goal : “I will eat 5+ veggie & fruit servings every day’”

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4

White Chicken Chili

Ingredients

1 lb. boneless, skinless chicken breast or thighs, chopped 1 medium onion, chopped 1 Tbsp. olive oil 2 garlic cloves 2 (14 oz) cans chicken broth 1 (4 oz) can green chilies 2 teaspoons ground cumin 2 teaspoons dried oregano 1-2 tsp cayenne pepper 3 (14 ½ oz) Great Northern beans, drained & divided 1 cup shredded low fat cheddar cheese Sliced jalapeno pepper (optional)

Directions

1. In a Dutch oven over medium heat, cook chicken and onion in oil until lightly

browned.

2. Add garlic; cook 1 minute longer. Stir in the broth, chilies, cumin, oregano and

cayenne; bring to a boil.

3. Reduce heat to low. With a potato masher, mash one can of beans until smooth.

Add to saucepan.

4. Add remaining beans to saucepan.

5. Simmer for 20-30 minutes or until chicken is no longer pink and onion is tender.

6. Top each serving with cheese and, if desired, jalapeno pepper. Enjoy.

January 6th is National Bean Day

Beans (and legumes) are packed with nutrients (fiber, B-vitamins, fiber) and are a good source of plant protein. Plant proteins are not a complete protein (containing all 9 essential amino acids), so as a bariatric patient, think of them as “bonus protein.” Beans are low in fat, calories and fill you up. Average cup of beans are 250 calories & 15 grams of protein.

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5

Spicy Garbanzos & Greens Ingredients

2 (14 ½ oz can) chickpeas (garbanzo beans) 1 tablespoons olive oil 1 large onion, diced 1 medium carrot, peeled & diced ½ lb. spicy chicken sausage, diced 2 cloves garlic, minced ¼ teaspoon smoked paprika 1 teaspoon cumin seeds, lightly toasted and coarsely ground 1 lb. kale, washed and cut into ribbons Salt and pepper 2 Tbsp. pine nuts, lightly toasted, optional Directions

1. Put olive oil in a deep, wide skillet over medium-high heat. 2. Add the diced onion & carrot, season with salt and pepper, and cook, stirring

occasionally, until softened and lightly browned, about 5 minutes. 3. Add the chicken sausage, cook for a few minutes, then turn heat to medium. 4. Add the garlic, paprika, and 1/2 teaspoon of the cumin, and stir to coat. 5. Add the cooked chickpeas and 1/2 cup broth. 6. Bring to a simmer, add the kale and sprinkle with a little salt. 7. Stir to allow the greens to wilt. Put on the lid and cook for 4 to 5 minutes, until

greens are completely cooked. Stir well, taste and adjust seasoning if necessary. 8. Serve & enjoy.

Smoked Salmon & Black Bean Salad

Ingredients

4 oz. smoked salmon 1 (15-oz) can black beans, drained and rinsed 1/2 medium avocado, diced 1/2 cup cherry tomatoes, halved 1 tablespoon freshly squeezed lime juice (from 1/2 medium lime) 1 teaspoon olive oil 1/4 teaspoon ground cumin 1/8 teaspoon kosher salt Pinch cayenne pepper (optional)

Directions

1. Flake the salmon into a medium bowl using a fork or your hands.

2. Add the remaining ingredients and gently toss to combine.

3. Serve on its own or over salad greens.

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Daily Vitamins for the Bariatric Patient

You need to take these vitamins DAILY and for the REST OF YOUR LIFE.

• Bellevue Pharmacy is now carrying Bariatric Advantage & Celebrate Vitamins.

• Buy them at your convenience after the Bariatric Education class or your follow up visits!

• They’re also available online.

• Bariatric Advantage has a special offer for Kaiser patients. Receive Kaiser member pricing of roughly 20% discount & free shipping with validation code: KAISER.

• For a full list of our recommended vitamins: https://wa.kaiserpermanente.org/static/pdf/public/bariatric/meds.pdf

Gastric Bypass (RNY) & Sleeve Gastrectomy

Vitamins & Supplements Servings per Day*

Bariatric formulated multivitamin-mineral with

18 - 60 mg iron and 500 mcg Vitamin B12 1 serving

Vitamin B complex (with 50 mg thiamin) 1 serving

Calcium Citrate with Vitamin D3

(total 1200 - 1500 mg daily)

2 servings of 600 mg per serving

3 servings of 400 or 500 mg per serving

Probiotic 1 serving

*Serving sizes vary with different brands, READ THE LABEL

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Welcome

We are pleased to welcome Liam Malpass, RN, our new Clinical Operations Manager (COM).

Liam will take over the reins for Anna Withee, RN, who has been a huge advocate for bariatrics

over the years. Thank you Anna for your vision and support of our bariatric patients and pro-

gram.

Bariatric Sound-bites

Advice, Ideas, & Tips from your Bariatric Team.

The #1 piece of advice I give patients is THOROUGHLY CHEW YOUR FOOD. Eat slowly and

mindfully; only what you can in 15 to 20 minutes aiming for the right amount and type of food.

Often patients eat too fast and /or too much. They need to learn the difference between

feeling full, feeling over full and eating the right amount of food. I often hear patients say

“I know I’ve had enough when it feels like it’s about to come back up.” This is an example of

eating too much and experiencing food reflux or regurgitation. Instead, aim for the right

amount of food.

Remember your stomach has been dramatically reduced in size. For the first 3-6 months post

op it’s roughly the size of a shot glass. After six months - 1 year its not much bigger unless you

stretch it out by over eating often. This requires you to keep your meals small; eating mindful-

ly, slowly and chewing thoroughly. If you don’t chew it well enough you'll be giving it back or

regurgitate. ~ by William Young, PA-C

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Bariatric Support Group Locations

Bellevue

Kaiser Permanente Bellevue Medical Clinic, Room E101/105

Held quarterly, the 3rd Wednesday of the month

January, April, July & October, 6:00 - 8:00 pm

January 16th at 6:00 pm

Please call 425-502-3454 for more information.

Overlake Bariatric Support Group

Held twice monthly: 2nd Thursday; 6:00 - 8:00 pm and 4th Saturday; 10:00 - 12:00 pm

Overlake Medical Center - PACCAR Education Center

Insight Conference Room

1035 116th Ave. NE, Bellevue, WA 98004

Please call (425) 467-3957 for more information.

Tacoma

MultiCare Center for Weight Loss and Wellness in Tacoma

Held on the 4th Monday of every month, 5:30 - 6:30 pm

2202 S Cedar St. Suite 300 Tacoma WA 98405

Please call (253) 301-5280 for more information.

Sumner (led by MultiCare Center WLW staff)

YMCA in Sumner

Held on the 2nd Wednesday of every month, 5:30 - 6:30 pm

16101 64th St E Sumner WA 98390

Please call (253) 301-5280 for more information.

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Contact Us

Nurse: 425-502-3454

Listen to the Prompts.

Press 3.

Routine Appointments:

425-502-3454

Listen to the Prompts.

Press 1

Consulting Nurse:

1-800-297-6877

*Call the Consulting Nurse line

if after 4:00 and weekends, with

any symptoms/concerns.

Bariatric Team Email:

bariatricpatients@kp.org

*For specific questions regarding your health, please email us through Kaiser’s MyChart to en-sure privacy.

Bariatric Team

Bariatric Surgeon:

• Dr. Gupta MD, FRCSC,FACS,FASMBS

Diplomate, American Board of Surgery

Diplomate, American Board of Obesity Medicine

Kaiser Permanente Bellevue Bariatric

Program Director

Bariatric PAs:

• Kat Cozza, PA-C

• Lynda Crescenzi, PA-C

• Travis Sears, PA-C

• Heather Vincent, PA-C

• William Young, PA-C

Bariatric ARNP:

• Lori Gokee, ARNP

Bariatric RN:

• Sarah Chan, BSN, RN

Bariatric Dietitian:

• Lisa Stariha, RDN, MA ABS

Medical Assistant:

• Karen Kucera, MA-C

Clinical Operation Manager:

• Liam Malpass, RN

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We want to hear from YOU!

• What do you want included in the monthly newsletter?

• Send us your ideas to:

bariatricpatients@kp.org