Mar 17, 2010

Under Obama Plan, Health Premiums Would Rise


AP, WASHINGTON -- Buyers, beware: President Barack Obama says his health care overhaul will lower premiums by double digits, but check the fine print.

Premiums are likely to keep going up even if the health care bill passes, experts say. If cost controls work as advertised, annual increases would level off with time. But don't look for a rollback. Instead, the main reason premiums would be more affordable is that new government tax credits would help cover the cost for millions of people.

Listening to Obama pitch his plan, you might not realize that's how it works.

Visiting a Cleveland suburb this week, the president described how individuals and small businesses will be able to buy coverage in a new kind of health insurance marketplace, gaining the same strength in numbers that federal employees have.

"You'll be able to buy in, or a small business will be able to buy into this pool," Obama said. "And that will lower rates, it's estimated, by up to 14 to 20 percent over what you're currently getting. That's money out of pocket." And that's not all.

Obama asked his audience for a show of hands from people with employer-provided coverage, what most Americans have. "Your employer, it's estimated, would see premiums fall by as much as 3,000 percent," said the president, "which means they could give you a raise."

A White House press spokesman later said the president misspoke; he had meant to say annual premiums would drop by $3,000. It could be a long wait.

"There's no question premiums are still going to keep going up," said Larry Levitt of the Kaiser Family Foundation, a research clearinghouse on the health care system. "There are pieces of reform that will hopefully keep them from going up as fast. But it would be miraculous if premiums actually went down relative to where they are today."

The statistics Obama based his claims on come from two sources. (READ MORE...)

Feb 15, 2010

The Key to a Healthy Pregnancy = Nutrition

   The key factor to any healthy pregnancy is nutrition and this is especially true for bariatric surgery patients. Please make sure your Obstetrician is aware of the type of bariatric surgery that you have undergone and also maintains close contact working with your Bariatric Surgeon throughout your pregnancy to ensure that both you and your baby are getting proper nutrition.

   Although it would be easier if there were, there are no set recommendations about how much of specific nutrients a pregnant woman should consume daily. Everyone is different. Talk with your surgeon about your needs and work with your dietician to make sure you are receiving the proper nutrition. Post bariatric surgery, women should be sure that they are receiving enough of the following:
  • Folate
  • Calcium
  • Iron
  • Vitamin B12
  • Vitamin D
   Prenatal vitamins are extremely important to pregnancy and contain many, if not all, of these essential nutrients. Remember, gastric banding is adjustable. The band can be deflated during pregnancy due to severe nausea and vomiting or if the mother is unable to fully swallow prenatal vitamins. Keep your bariatric surgeon in the loop, because if you are experiencing morning sickness, loosening the band can help to make you feel better. Talk to your obstetrician about chewable or liquid prenatal vitamin options. It is recommended that women start taking prenatal vitamins before they even become pregnant.

Is There Pregnancy After Bariatric Surgery?

Congratulations, you’ve completed your successful bariatric surgery and reached your weight loss goals. You’ve decided to start a family, but wonder “Is it safe or even possible to become pregnant after my bariatric surgery? How long should I wait?”

These are but a few of the questions you may be asking yourself. Well, we’re here to tell you that if you are a woman able to get pregnant, yes you can! In fact, it is often safer for both mother and child to have a baby after bariatric surgery rather than while still being morbidly obese. Morbidly obese women are often infertile and more apt to experience pregnancy-related complication such as gestational diabetes, hypertension, pre-eclampsia, and fetal distress. Also, morbidly obese women are prone to require a cesarean or C-section delivery.

How Long Should I Wait? …


Any woman of childbearing age who wishes to become pregnant after gastric banding surgery with Lap-Band is suggested to wait approximately 6 months post-surgery. This 6 month span consists of a period of weight loss which will create challenges in meeting nutritional needs without the added stress of pregnancy. Often times during weight loss, a growing fetus may be deprived nutrients needed to develop.

We recommend all of our female patients of child-bearing age use a reliable contraception during the 6 month waiting period.


How is Pregnancy After Bariatric Surgery Safer? …

The latest review of 75 studies found that becoming pregnant after bariatric surgery is actually less risky than becoming pregnant while still obese and decreased the rates of adverse outcomes for mothers and their newborns. The study, appearing in the November 2008 issue of the Journal of the American Medical Association, found specifically that none of the women who had weight loss surgery developed gestational diabetes, however this condition was discovered in 22.1 percent of obese women. Also, none of the women who had bariatric surgery were found to have pre-eclampsia but this condition was discovered in 3.1 percent of their obese counterparts.

Weight loss surgery may actually help protect obese women and their babies from the following common complications:

• Gestational diabetes or high blood sugar (glucose) levels

• High blood pressure

• Overly large babies


Many mothers who have previously undergone weight loss surgery prior to pregnancy experience less gained weight during their pregnancy. This is beneficial to both mother and child because too much weight gain is risky. All in all, pregnancy after Lap-Band surgery has been found to be both safer and more beneficial to the health and well-being of both mother and child.