Bariatric Chat With Dr. White - 13abc.com Toledo (OH) News, Weather and Sports

Bariatric Chat With Dr. White

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What follows is a verbatim transcript of last night's chat with Dr. Patrick White, MD (Dr. White is located at the ProMedica Toledo Hospital Metabolic and Bariatric Clinic:3909 Woodley Rd. Suite 200, Toledo, Ohio. 419-291-6740. Website at http://www.ProMedica.org/bariatric

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JHarris: 

We're going to go ahead and get started! Welcome to the first live web session on www.13abc.com, where Dr. Patrick White is here to answer any questions you have about Bariatrics.

 
5:02

Comment From Carly  
What is Bariatrics?
 
5:02

Patrick White M.D>: 
Bariatircs is the surgery for obesity.
 
5:03

Comment From Bob  
I am wondering how overweight you have to be to have bariatric surgery?
 
5:04

Patrick White M.D>: 
In general, about 100 pounds or more over your ideal body weight. It can also depend on what guidelines your insurance company has as well.
 
5:04

Comment From elise  
How old do i have to be to have surgery?
 
5:04

Patrick White M.D>: 
You need to be old enough to sign your own surgical consent or 18 years of age.
 
5:05

Comment From KMM  
What's the process before during and after bariatric surgery?
 
5:07

Patrick White M.D>: 
Our program provides a thorough process that is followed as it does take some time to review. Our monthly informational seminars are a great way to learn more about the process as it is very individualized. Our seminars are held the second Tuesday of the month from 6-8pm at the Bariatric clinic located at 3909 Woodley Rd. Suite 200, Toledo, Ohio.
 
5:08

Comment From KMM  
Is it usually covered by insurance?
 
5:09

Patrick White M.D>: 
Many companies offer bariatric coverage, but contracts can vary amoung employers. We encourage prospective patients to contact their insurance company to see if they do provide coverage as it may be an exclusion and not cover it.
 
5:09

Comment From Carly  
How does the surgery work? What does it involve?
 
5:12

Patrick White M.D>: 
There are 5 different operations done for obesity. Some limit how much you can eat and some limit how much of the food you can absorb. Rearrangemnt of the intestines causes hormonal changes which can suppress your appetite. The most common surgery, the gastric bypass works by all three of these mechanisms.
 
5:12
Comment From Chris

What's the recovery period?
 
 
5:13

Patrick White M.D>: 
Generally, one to two day hospital stay and two to three weeks before you would be able to return to work.
 
5:14

Comment From elise  
How long will it take to notice a difference in my weight?
 
5:15

Patrick White M.D>: 
The average weight loss at 3 months is 45 pounds. At 1 year weight loss can vary from 75 pounds to 200 pounds.
 
5:16

Comment From Jan  
Are there any options for those on disability and now have no insurance?
 
5:17

Patrick White M.D>: 
That woudl fall into the private pay plan that costs about $22,000.00
 
5:17

Comment From Suzy  
What types of risks may be associated with weight loss surgery?
 
5:21

Patrick White M.D>: 
In the immediate post operative period, the main concern is about leaks from the intestine or pulmonary emboli. In 900 patients I have had 3 significant leaks, 1 pulmonary embolus and no deaths. In the long term, we worry about the occassional bowel obstructions and deficiencies in vitamins and calcium. These deficiencies are easily prevented if you follow your instructions.
 
5:21

Comment From Linda  
What types of tests will my surgeon conduct prior to my surgery?
 
5:23

Patrick White M.D>: 
This surgeon would order a chest X ray, ultrasound of the gallbladder, upper GI, EKG, and basic blood tests.
 
5:27

Comment From Lois 
Do you offer services that aren't surgery based for those not significantly overweight?
 
5:28

Patrick White M.D>: 
Not at this time. Our clinic is a surgical option for weight loss.
 
5:28

Comment From Joan  
Are your bariatric surgeries typically performed via open or laparoscopic (minimally invasive) procedures?
 
5:29

Patrick White M.D>: 
Over the course of the last 9 years I have completed 99% of my cases laparoscopically. I have not had to change to the open procedure in the last 5 years.
 
5:30

Comment From Jim  
Will I have to change my diet?
 
5:31

Patrick White M.D>: 
Yes, dramatically. Portions will be much smaller and consist mainly of high protien foods.
 
5:31

Comment From Bri  
Are there any follow-up procedures after the surgery?
 
5:33

Patrick White M.D>: 
No further procedures would be planned but after significant weight loss there is often excess skin, especially on the upper arms and abdominal wall. Some patients elect to have plastic surgery to those and other areas.
 
5:34

Comment From Jim  
Can I expect a full recovery?
 
5:34

Patrick White M.D>: 
Yes, our patients do very well.
 
5:35

Comment From Barbara  
What is the down time from the surgery? When can you return to work?
 
5:35

Patrick White M.D>: 
In general, 2-3 weeks.
 
5:36

Comment From Debbie  
How long is the process from start to finish, if I am 250 pounds over weight?
 
5:38

Patrick White M.D>: 
This really depends upon the time it takes to get insurance authorization. Some plans will authorize in a few days other plans require 6 months of physician supervised dieting before they will consider authorization. Once authorization is accomplished, the surgery can usually be performed within about 6 weeks.
 
5:38

Comment From Edna  
Can you have children later if you have the surgery?
 
5:42

Patrick White M.D>: 
Yes and pregnancies are less complicated. Much lower risk for gestational diabetes and preeclampsia and miscarriages. Futhermore, children born to mothers who have had bariatric surgery tend to have less problems with obesity, diabetes and high blood pressure in later life in comparison to children born to obese mothers.
 
5:42

Comment From kim  
Is there any pain medication supplied to patients after surgery?
 
5:44

Patrick White M.D>: 
We generally give Morphine in the first 24 hours and then Vicodin for the next day and they are discharge with a prescription for Vicodin to use at home.
 
5:44

Comment From kim  
How often will you be checking my blood vitamin levels for deficiencies? Can I be tested more often if I wish? Will I be receiving a copy of the results?
 
5:46

Patrick White M.D>: 
We generally check labs pre-operatively, at 6 weeks, 3 months, 6 months and 12 months. As long as things remain stable, then yearly thereafter and we are happy to provide copies of the results to our patients,.
 
5:47

Comment From Terry  
Can you have the plastic surgery at the same time? I mean remove the excess along with the reduction?
 
5:48

Patrick White M.D>: 
The plastic surgery is maily to remove the excess skin once the fat has disappeared. We never do plastic surgery at the same time with bariatric surgery.
 
5:48

Comment From KMM  
Besides weight loss, what other changes are typical with bariatric patients? lower blood pressure? fewer heart issues? less back pain?
 
5:51

Patrick White M.D>: 
Diabetes goes into remission 85 % of the time, hpertension resolves about 70 -80% of the time, pain in the knees, hips and ankles usually disappears or becomes less severe, heart function improves, cholesterol goes down. The course of back pain is unpredictable and it very often does not get better.
 
5:51

Comment From Karen  
Where are you located and how do I contact you for more information?
 
5:53

Patrick White M.D>: 
We are located at the ProMedica Toledo Hospital Metabolic and Bariatric Clinic. Our address is 3909 Woodley Rd. Suite 200, Toledo, Ohio. Our phone number is 419-291-6740. We also have a website at www.promedica/bariatrics.org. Our office hours are 8 am to 4:30 pm.
 
5:54

Comment From Judy  
How small will my pouch be? Do you have a standard measurement, or do you use "anatomical landmarks?"
 
5:55

Patrick White M.D>: 
The volume of the pouch is about 25 cc or somewhat smaller than a shot glass. We use a balloon tipped catheter to measure the size of the pouch.
 
5:55

Comment From Zory  
How long have you been practicing? Does my general md have to refer me to you?
 
5:57

Patrick White M.D>: 
I have been practicing since 1980 and I have been doing bariatric surgery since 2002. Referral rules are sometimes set by insurance comapnies. We prefer a referral from your primary care physician but it is not neccessary.
 
5:57

Comment From Adam  
How long can I expect weight loss to continue after surgery? Will it ever again become very difficult or impossible to lose weight
 
5:59

Patrick White M.D>: 
Weight loss occurs over about 9 - 18 months depending on the amount of weight you have to lose. Most weight loss is usually maintained if you do a reasonable job of following the recommended diet.
 
6:00

JHarris: 
We have reached the end of our time for the live chat session. I'd like to thank you all for your questions, and Dr. White for taking the time to answer them.
 
6:01

JHarris: 
Dr. White is located at the ProMedica Toledo Hospital Metabolic and Bariatric Clinic:3909 Woodley Rd. Suite 200, Toledo, Ohio. 419-291-6740. Website at http://www.ProMedica.org/bariatric.
 
6:01

Patrick White M.D>: 
You're welcome.
 
6:02

JHarris: 
The chat will stay up on our site for a few days for anyone who would like to look through the questions and answers in the future. Thank you all for coming!