Core Bariatrics

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Embark on an enlightening journey with Dr. Ian Soriano, UCSF's head of robotic surgery, as he unveils his continuous quest for excellence in both the medical field and personal growth. Our recent conversation illuminates the transformative power of stepping outside one’s comfort zone, exemplified by both Dr. Soriano and even Tammie. Their stories serve as a beacon, guiding us through the importance of quality improvement and patient safety that has sculpted Dr. Soriano's illustrious career and his pivotal role in guiding UCSF's Clinical Performance and Improvement Committee.

Venture into the future of medicine as we dissect the advantages of robotic surgery beyond its clinical implications. Discover how cutting-edge technology not only enhances patient care but also safeguards the physical well-being of surgeons, offering a persuasive argument for the ergonomic benefits of robots in the operating room. Dr. Soriano demystifies the concept of robotic surgery, clarifying its intricacies and the necessity for surgeons to be at the helm, guiding with precision and finesse. His personal anecdotes underscore the seamless integration and adaptability of robotics in contemporary surgical practices, challenging the myths surrounding these technological marvels.

Our dialogue with Dr. Soriano extends to the delicate dance between efficiency and patient safety in the realm of surgery. He shares invaluable insights into how data-driven evaluations of surgical techniques contribute to refining a surgeon's craft, ensuring the highest quality of care. We wrap up with an appetite for more discussion, as we touch upon the symbiosis of robotics and surgery's future. Although constrained by time, our exchange was rich with the promise of continued exploration into how technological strides are reshaping healthcare and the global surgical landscape. Join us and be inspired by the innovation and unwavering dedication that propels the world of surgery forward.

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Imagine being dismissed by your healthcare provider, told that your choice for bariatric surgery is unnecessary and lazy. This is a reality many face, and in this episode of the Core Bariatrics Podcast, Tammie reads a message that dives into a listener's disheartening experience and examine the critical misconceptions that persist around bariatric surgery. Hear firsthand why informed support is essential and why you should never let uninformed criticism deter you from your health decisions. It's time we challenge these outdated views and advocate for compassionate, informed healthcare.

Ever wondered about the unspoken challenges post-bariatric surgery? Tammie discusses the unexpected shift from using food as an emotional crutch to potentially increased alcohol consumption. Dr. Iliakova and Tammie speak candidly about the personal struggles of adapting to a new lifestyle, the strain on long-term relationships, and the loneliness that can come when friendships change. Discover the importance of finding true friends who understand and support your journey. It's a raw and real conversation about being fundamentally different and finding your way through it all.

Lastly, we delve into the journey of self-expression and the fear of judgment. How do you find self-confidence in a world quick to judge? Through stories of personal growth, including dancing sober and managing societal perceptions, Dr. Iliakova and Tammie offer insights on embracing self-care and mental well-being. We discuss the delicate balance between self-care and selflessness, especially in high-pressure professions like medicine. With practical advice and heartfelt anecdotes, this episode is a compassionate guide to navigating life's challenges with grace and finding gratitude in supportive communities. Listen in and learn how to stand strong in your truth.

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Discover the profound insights of Dr. Shauna Levy, the trailblazing Chief of Minimally Invasive and Bariatric Surgery at Tulane University, as she joins us to discuss the complexities and triumphs in the fight against obesity. In an intimate conversation, Dr. Levy unveils her journey from an aspiring pediatrician to a pioneer in bariatric surgery, her advocacy for insurance coverage for obesity treatments, and her unyielding commitment to educate the medical community about obesity as a multifaceted disease. Our discussion delves into the significance of a multidisciplinary treatment approach, combining the expertise of providers, dietitians, and mental health professionals to craft personalized care plans for those grappling with obesity.

Join us for a powerful episode where we tackle the pervasive misconceptions and discrimination surrounding bariatric surgery and obesity. Dr. Levy passionately dissects the stereotype of bariatric surgery as the "easy way out," instead highlighting its role as an essential lifeline for many individuals. We also celebrate the transformative "losers bench" tradition, where patients commemorate their weight loss milestones. Through Dr. Levy's narrative, we explore the joy and fulfillment that accompany the life-changing impacts of bariatric surgery, and how support groups play a critical role in dismantling obesity stigma. This episode promises not just a deeper understanding of obesity care but also a look at the heartwarming victories that come with it.

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Have you ever struggled with the balance between savoring life's journey and maintaining your health on the road? That's the tightrope we walk in our latest episode, where we share tales from our medical conference adventure in Cleveland, and the attendant challenges of eating post-bariatric surgery. Our conversation takes flight with the introduction of Bari Buddy, the AI assistant that's revolutionizing post-op life with reliable, guideline-based advice, a creation honed through over a hundred hours of meticulous programming. Tammie dishes out her wisdom on navigating airports and staying true to dietary needs without sacrificing the joy of travel.

When the road takes a turn towards the procedural, we've got you covered with the nitty-gritty of colonoscopy prep for the bariatric patient. It’s a must-listen for anyone facing the daunting prospect of a colonoscopy, offering practical tips on a liquid diet and debunking the 'pouch reset' myth with an emphasis on a holistic approach to weight regain. Through Tammie’s lens, each patient's journey is underscored as unique and deserving of tailored care, sidestepping the notion that additional surgery is the go-to solution for complex issues related to weight.

Closing out, our discussion pivots to challenge the healthcare industry's fixation on BMI and weight. We advocate for a focus on overall wellness and metabolic health, pondering the conundrum faced by patients and doctors alike when cultural standards and medical requirements clash. From the diversity in athletic physiques to the comparative recovery paths of different bariatric surgeries, we shed light on the multifaceted world of weight management. This episode is an exploration of the many layers of obesity and body standards, offering insights and empathy to anyone affected by these pervasive issues. Join us for a heart-to-heart on the transformative potential of bariatric surgery, set against the intricate tapestry of societal, genetic, and psychological factors that shape our health and self-image.

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Unlock the secrets to successfully navigating revisional bariatric surgery as we invite Dr. Francesca Dimou, a pioneering Bariatric and General Surgeon with a talent for robotic procedures, to illuminate the complexities of this life-altering medical journey. Transitioning into a new chapter at USF and Tampa General Hospital, Dr. Francesca Dimou outlines the essential steps she takes in the intricate dance of preoperative evaluations. As she shares her algorithm and stresses the importance of diagnostic tests, you'll discover the empathy and expertise needed to set patients up for triumph in the face of obesity's challenges.

As we wade through the murky waters of insurance coverage for bariatric surgery, Dr. Francesca Dimou and her team of patient navigators emerge as beacons of hope, guiding patients through the labyrinth of policies and procedures. It's not just about the physical transformation; the conversation turns to the emotional odyssey patients embark upon, confronting societal misunderstandings and internal battles. With Dr. Francesca Dimou's insight, we're reminded that obesity is a chronic disease demanding a cocktail of surgical intervention, medication, and lifestyle changes, all delivered with a generous dose of compassion.

Finally, we converse on the synergistic power of a multi-generational surgical team, where experience meets innovation, and colleagues become confidants. Dr. Francesca Dimou reflects on her own professional voyage, which took an unexpected detour from anti-reflux to bariatric surgery, a field ripe with the potential for impactful change. She emphasizes the mentorship that sculpted her career and offers pearls of wisdom to young surgeons: Embrace the strength of a united team, and you'll not only excel in your field but also ensure the highest standard of care for those you serve.

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Ever been caught off-guard by the silent but deadly post-op enemy, constipation? We're cracking open a dialogue on this hushed subject, revealing why that first post-surgery toot matters more than you might think! Join us as we dissect the ins and outs of keeping things moving smoothly after surgery. With a blend of our own tales from the trenches and expert clinical advice, we've revamped the typical pre- and post-op playbook to tackle constipation head-on, discussing everything from the mysterious ileus to the impact of stress on your gut.

Sip along with us as we spill the beans on staying hydrated with more than just plain old H2O—think flavored waters, shakes, and high-water content snacks. We're serving up a full course of wisdom on the crucial balance of proteins, fats, and carbs, and why your Keto diet might be backing you up, literally. Our chat meanders through the interplay of a varied diet, the importance of sleep, and even how your meds could be messing with your movements. So, grab your favorite drink, and let's get to the bottom of what keeps your digestive tract on track!

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Unlock the secrets of a good night's sleep and its profound impact on weight management with sleep medicine wizard Dr. Ethan Emmons. Our latest episode traverses the shadowy links between sleep disorders like apnea and weight gain, especially in the bariatric world. Dr. Emmonss, with his rich background in pulmonary and critical care, decodes the body's adrenaline-laced response to sleep interruptions, illuminating how they can sabotage blood sugar and fat regulation. Whether you're a health aficionado or a medical professional, this conversation packs a wealth of insights, demystifying the complexities of sleep and weight for a healthier you.

Discover the transformative power of sleep hygiene and its pivotal role in prepping patients for bariatric surgery in our compelling dialogue. Dr. Emmons dissects the nuts and bolts of at-home sleep apnea testing, providing reassurance with non-invasive techniques that pave the way for better health. We lay out a practical blueprint for enhancing sleep quality, from screen-time curfews to curbing caffeine, guided by recommendations from the American Academy of Sleep Medicine. These nuggets of wisdom aren't just theoretical; they're life-changing rituals that could lead to sweet dreams and even sweeter health outcomes.

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Join e Dr. Maria Iliakova and Tammie Lakose, as they delve into the intricate web of factors that shape our weight. From genetics to the hustle of daily life, they explore the complex influences on what we eat and how it affects our weight. Forget the age-old advice of "eat less, move more"—their discussion will lead you on a journey through the often-overlooked aspects of weight management that go far beyond calorie counting.

Strap in for a candid talk about the harsh economics of eating well, as we navigate through the paradox where processed foods often pinch our wallets less than fresh produce. The struggle is real when time and money dance in a tango of compromise, affecting not just meal choices but our collective well-being. Maria and Tammie venture further and discuss the surprising connections between obesity, nutrition, and the quality of your slumber. Ever considered how the climate you live in, or your financial literacy could play pivotal roles in your health? They dissect these factors and more, leaving no stone unturned.

Closing the loop, Maria and Tammie share their personal encounters with the real-life hurdles that complicate weight management, such as work stress, familial patterns, and the inevitable curveballs life throws their way. Whether it's navigating the challenges of sleep apnea or hormonal changes, or debunking misconceptions around conditions like COPD, they lay it all out on the table. This episode isn't just about shedding light on the issues—it's about empowering you with understanding and strategies for a healthier lifestyle, one informed choice at a time.

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