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Counselling Diabetes, obesity, and their treatments can take a lot out of a person. These are particularly challenging phases of your life and need to be treated as such. If you’re suffering from obesity or diabetes, and if especially you need medical treatment and surgery to help your health, then it will take a huge toll on your overall well-being. Having a surgery can be particularly stressful and counselling can lend a helping hand to pull you out of it. Diabetes counselling is recommended for those who are struggling with high blood sugar. Even if you don’t have to undergo any form of surgery, living with diabetes everyday is not easy, and you need all the professional help that you can get to help you through this. With the proper counselling, you can make the right changes in your diet, in your lifestyle, and in even in your outlook. Obesity is a disease that is almost always associated with diabetes. Obese people are more likely to get diabetes. Even if you haven’t yet contracted diabetes, you will need proper guidance to help you deal with and fight with other complications that are brought about due to obesity. Be it diabetes or obesity, or even post-surgical treatment, the benefits of counselling cannot be undermined. People who are about to undergo weight loss surgeries need to go through counselling sessions at Healios. Professionals may conduct one-on-one counselling sessions as well as group sessions, with either the patient’s family or with other patients, to ensure an improvement in their mental and emotional state prior to the surgery. Weight loss surgery will unquestionably bring about some changes in all aspects of your life. Be it your career, your personal relationships with your friends, family and spouses, and even your own individual well-being, a thorough counselling session will help you come to terms to the changes happening in your life. People who have undergone drastic weight loss through bariatric surgery require rigorous counselling sessions after surgery, to make them feel comfortable and confident in their new bodies. The post surgical counselling sessions will help them with re-building an identity and their self-esteem, align self image with their body image, defining goals in the post-surgical healing process, maintain the new body and new lifestyle, and deal with any emotional and psychological changes. With Healios’ Obesity counselling, you can gain back lost confidence and make psychological progress to be at par with the physical progress that you make through the obesity treatment packages. Healios also provides pre- and post-surgical counselling sessions to help you through all the stages of weight-loss surgery. Other than these counselling sessions, Helios also provides its patients with Lifestyle Management sessions, to assist them in improving their overall quality of life.
Healios provides: Obesity counseling Obesity associated with Diabetes Post Pregnancy Obesity Childhood Obesity Teenage Obesity Adult Obesity Pre surgery Counseling Post- Surgery Counseling Life Style Management
Abdominoplasty is a commonly performed body-contouring procedure to improve the shape and tone of your abdomen. This operation is often referred to as a ‘tummy tuck’. The operation is suitable for people with loose abdominal skin following pregnancy or significant weight loss, or if you have fatty bulges in the lower tummy that you just can’t get rid of with exercise. An abdominoplasty removes any excess skin and fat as well as improving the abdominal contour by tightening the muscle layer. Liposuction is often performed at the same time to optimise the result. The surgery results in a firmer abdomen with a more flattering contour. It is not a weight loss surgery (Bariatric Surgery). PRE OPERATIVE ASSESSMENT It is important for you to tell your surgeon the specific areas that concern you. These may include loose skin, stretch marks, fatty bulges, loose abdominal wall muscle tone and also other medical problems which can affect wound healing, such as smoking and diabetes, as well as risk factors for deep venous thrombosis (DVT or leg vein clots). People contemplating future pregnancies or significant weight loss are best to defer surgery. The expected scars, as well as the other risks of the operation will be explained. THE SURGERY Abdominoplasty is performed under a general anaesthesia. The surgical scar is at the lower most part of the abdomen thus hiding the scar. There are many variations on the procedure ranging from a mini-abdominoplasty with laparoscopic abdominal wall tightening to a full abdominoplasty involving removal of excess skin and fat, tightening of the abdominal wall muscles and repositioning of the umbilicus (belly button). AFTER THE SURGERY After the operation your abdomen or stomach will feel very tight and you may have a slightly flexed posture for a couple of weeks. This means you will be slightly bent over, not able to stand up completely straight. Most patients stay in Hospital for 2-4 days. Recovery times vary with most people being able to return to work in two to four weeks, with no sport or heavy lifting for 6-8 weeks.
ABOUT PILATES Untitled-31 Pilates is a rigorous form of exercise which emphasizes core strength and improvement in posture. During the Bariatric surgery journey, it is important to take up a form of exercise that you feel committed and passionate about. When you’ve lost sufficient weight after bariatric surgery, more intense exercise such as Pilates will be easier for you to try. Pilates is an excellent form of physical fitness to help keep you in shape for long term weight loss surgery results. Benefits of Pilates post Bariatric surgery include: Strengthen your back and abdominal muscles Improve your alignment and posture Develop muscle balance to help prevent injuries Increase your flexibility Improve your circulation Develop a long, lean and strong body Enjoy more energy ITS NOT JUST A EXERCISE PROGRAM, ITS AN EDUCATION. We just don’t exercise you, we educate you about your own body. Many conditions are managed by educating the patient about posture or ways to reduce strain on the body. Particularly relevant with work related problems. Our physiotherapists are experts in prescribing the right exercises to resolve various problems. eg : low back pain, early arthritis, etc DO NOT PUNISH YOURSELF AT GYM Most of the people fight their bodies at gym after weight loss surgery or any other surgery, but gym is not the right place for you. You need an medical expert to guide.
Importance of Counseling Counseling is a specialty that maintains a focus on facilitating personal and interpersonal functioning across the life span. This specialty pays particular attention to emotional, social, vocational, educational, health-related, developmental and organizational concerns. The weight loss process is not about being perfect but about loving and accepting yourself as an individual. With our coaching and/or counseling, we assist you with developing a sense of empowerment, defining your boundaries and developing and maintaining optimism with the greater appreciation for the ‘self’. In case of weight loss surgeries, counseling is a support process in which a counselor holds talks with patients on one to one, with families, with groups to help him/her to solve issues related to obesity. Counselor basically helps the patient and their family in the journey of weight loss till the goal is achieved successfully. Presently, prior to the weight loss surgery date being scheduled, the bariatric surgery patients are required to undergo pre-operative counseling. A weight loss surgery can cause ripple effects and change many areas of your life. A person will often experience changes in their emotional state in terms of their depression going away. The patients could also experience reduced levels of physical pain and fewer obstacles. There will be some changes in the following areas of your life: Career Relationships Marriage Friendships Spirituality
Exercise Is Crucial for Weight-Loss Success Exercise after gastric bypass surgery is critical for effective weight loss. “When we lose weight rapidly, we lose muscle. Muscle gauges and controls our metabolism. Exercise is a safe and effective way of maintaining lean body mass, which maintains metabolism and will facilitate [healthy] weight loss. Exercise also shortens recovery time for bariatric surgery patients and reduces the risk of postsurgical complications We offer typical exercise program recommended to bariatric surgery patients. The exercises in class are prescribed and performed for various reasons including weight loss, strengthening muscles, improving the cardiovascular system and developing or maintaining physical skills like balance. HIGHLY QUALIFIED AND CERTIFIED EXPERTS Every person that is referred receives a detailed assessment on their first visit. A senior physiotherapist evaluates the patient thoroughly and puts him/her on a exercise program which will be taken over by a physiotherapist cum certified Pilates instructor for further evaluation and a course of exercise program.
Young Adulthood: “A Neglected Period That Requires Attention” The worldwide prevalence of obesity is rising dramatically.It was 5% for men and 8% for women in 1980 and has increased to 11% for men and 15% for women in 2014. There is also an increase in obesity in young adults. This increases the risk of diabetes, hypertension, joint pains, infertility, hypercholesterolemia and also some cancers at a later age. A study was conducted on US women from the Nurses Health Study and US men from the Health Professionals Follow-Up Study to evaluate the association of weight gain from early to middle adulthood with health outcomes later in life. The cohorts analyzed in this study included 92, 837 US women in the Nurses' Health Study (1976-June 30, 2012) and 25, 303 US men in the Health Professionals Follow-Up Study (1986-January 31, 2012). Participants recalled their weight at age 18 years (women) or age 21 years (men) and reported their current weight at age of 55 years. Mean weight gain was 12.6±12.3 kg over the course of 37 years in women and 9.7±9.7 kg over the course of 34 years in men. Participants were also followed from age 55 years for mortality and for development of type 2 diabetes, hypertension, cardiovascular disease, cancer, cholelithiasis, severe osteoarthritis, and cataracts.It was found that the strongest direct association of weight gain was with type 2 diabetes, followed by cholelithiasis and hypertension. Colorectal cancer was significantly associated with early adulthood obesity, with the greatest risk in men who were overweight during early adulthood and subsequently gained the most weight. Among women, but not in men, moderate weight gain was associated with cholelithiasis and severe osteoarthritis. Higher BMI in early adulthood and subsequent weight gain were independently associated with increased mortality later in life. The above study and its results make us realize that efforts are to be taken to prevent and control obesity in young adults and should be accorded a high priority.
CARDIOLOGY ASSESSMENT: An accurate assessment of your health is needed before surgery. The best way to avoid complications is to understand their potential in the first place. It is important to know because surgery increases cardiac stress, your heart will be thoroughly evaluated with: ECG: as apart of routine pre-operative investigation it is necessary for all cardio and non-cardiopathic patients. 2D Echo: Morbidly obese patients are at risk of cardiovascular events and their optimal assessment before surgery is necessary. A transthoracic echocardiography was routinely performed in non-cardiopathic patients to rule out cardiovascular risk Two-Dimensional Echocardiogram (2D Echo) is a test in which ultrasound is used to picture out the heart. It is capable of displaying a cross sectional “slice” of the beating heart, including the chambers, valves and the major blood vessels that exit from the left and right part of the heart. TMT(STRESS TEST): The TMT involves exercising on a treadmill while you are closely monitored. The test is used to: Determine your likelihood of having coronary artery disease Identify abnormal heart rhythms Evaluate the effectiveness of your cardiac treatment plan Help you develop a safe exercise program
Liposuction is a surgical procedure aimed at removal of fat from your body. Though you can lose some weight this is not primarily intended at weight reduction and it is not a bariatric surgery. Patients with following problems are good candidates for this procedure. It helps to get rid of excess of fat from localized areas like abdomen, buttocks, hips, love handles, saddlebags, thighs, calves, back, arms and neck. Liposuction is equally effective in both men and women. Improves the contours Can be done in post bariatric patients who want body contouring. Can be done in combination with abdominoplasty. The procedure can be done in OPD basis under local anesthesia for small areas, or else regional or general anesthesia where patient needs to get admitted on the day of the procedure and can be discharged on the same day evening or on the next day. Liposuction Technique: The basic technique of liposuction involves the removal of fat via a hollow metal tube (cannula) that is passed through the fatty tissue. One of the most common types of liposuction involves the aspiration of fat by attaching a pump that generates a vacuum. This is known as suction assisted lipoplasty (SAL). In addition, a motor may be used on the cannula that causes the cannula to vacillate back and forth thus performing much of the “work” of liposuction known as power assisted liposuction (PAL). In tumescent liposuction, local anesthetic and other medications are injected into the fatty layer before suctioning excess fat. Risks & Complications The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your plastic surgeon. Some of the potential complications that may be discussed with you include bleeding, infection, changes in sensation, scarring, allergic reactions and damage to underlying structures.