Tips for Finding the Right Surgeon for You

Almost any surgery can cause serious complications, so you always want to be in good surgical hands. With so many doctors, how do you know which is the right surgeon for you?

One indicator to note is how often surgeons perform a procedure. That can be vital for operations that are relatively new, such as gastric bypass surgery for treating obesity. While many surgeons have started performing the operation, not all are qualified. A September 2009 study found that the risk of serious complications from the most common form of gastric bypass surgery fell by 10 percent for every additional 10 cases per year the surgeon had performed.

However, quantity isn’t the only or even most important measure of quality. A May 2009 study of 81,289 adults who had heart bypass surgery, for example, found that success depended more on how well surgeons and hospitals adhered to various markers of surgical excellence—such as using the appropriate technique during the operation and prescribing the right medications before and afterward—than the number of procedures performed.

Don’t be afraid to question your doctor. Ask your prospective surgeon these questions before going under the knife:

  • Is surgery really necessary? The best way to avoid surgical errors is to avoid surgery entirely, so ask about the effectiveness and safety of alternatives. Compare those with the risks of surgery and the chance that it will help you.
  • Is your board certification up to date? Look for a surgeon who has undergone the necessary training, even after being in clinical practice, to maintain board certification in his or her specialty.
  • What’s your experience? Ask how many operations the surgeon has performed in the past year and how that compares with his or her peers. You don’t have to find the busiest, most experienced surgeon in North America, but it’s important to avoid the doctor who does very few of the procedures, especially in a place that does very few.
  • What are your success, failure, and complication rates? Not all will be able or willing to tell you, but the good ones should be.
  • What’s the hospital’s infection rate? Seventeen states now make that information public, and many hospitals report their rates voluntarily.

doctor-650534_960_720Just remember to worry less about bedside manner and more about the final outcome. If you have to choose between a nice surgeon and a highly skilled surgeon, the skilled surgeon is the better bet.

If you live in the Las Vegas area and are looking for a surgeon who is both compassionate and highly skilled, Dr. Tsuda at VIP Surg is everything you’re searching for. Whether you have general surgery needs or are interested in bariatric surgery, he and his team of experts have the experience and skill for you to have an excellent outcome.

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Metabolic Syndrome: The New Silent Killer

For decades, American waistlines have been expanding, and there is increasing cause for alarm. Experts are saying metabolic syndrome is the new “silent killer,” like hypertension in the 1970s. As it turns out, the “love handle” can be fatal.

What is Metabolic Syndrome?

Metabolic syndrome is the name for a group of risk factors that raises your risk for heart disease and other health problems, such as diabetes and stroke. The term “metabolic” refers to the biochemical processes involved in the body’s normal functioning. Metabolic syndrome is a cluster of metabolic disorders. When a patient presents with these conditions together, the chances for future cardiovascular disease is greater than any one factor presenting alone.

What are Metabolic Risk Factors?

Risk factors are traits, conditions, or habits that increase one’s chance of developing a disease. The five conditions described below are metabolic risk factors. You can have any one of these risk factors by itself, but they tend to occur together. You must have at least three metabolic risk factors to be diagnosed with metabolic syndrome.

  • A large waistline. This also is called abdominal obesity or “having an apple shape.” Screen Shot 2017-10-24 at 11.41.55 AMExcess fat in the stomach area is a greater risk factor for heart disease than excess fat in other parts of the body, such as on the hips.
  • A high triglyceride level (or you’re on medicine to treat high triglycerides).
  • A low HDL cholesterol level (or you’re on medicine to treat low HDL cholesterol).
  • High blood pressure (or you’re on medicine to treat high blood pressure).
  • High fasting blood sugar (or you’re on medicine to treat high blood sugar).

Your risk for heart disease, diabetes, and stroke increases with the number of metabolic risk factors you have. The risk of having metabolic syndrome is closely linked to overweight and obesity and a lack of physical activity.

Insulin resistance also may increase your risk for metabolic syndrome. Genetics (ethnicity and family history) and older age are other factors that may play a role in causing metabolic syndrome.

Can Metabolic Syndrome be Treated?

Metabolic syndrome is becoming more common due to a rise in obesity rates among adults, but it is possible to prevent or delay metabolic syndrome, mainly with lifestyle changes. A healthy lifestyle is a lifelong commitment. Successfully controlling metabolic syndrome requires long-term effort and teamwork with your health care providers.

When changes in lifestyle alone do not control the conditions related to metabolic syndrome, your health practitioner may prescribe medications to control blood pressure, cholesterol, and other symptoms. Carefully following your practitioner’s instructions can help prevent many of the long-term effects of metabolic syndrome. Every step counts, and your hard work and attention to these areas will make a difference in your health.

If you live in the Las Vegas area and are looking for answers to obesity and metabolic syndrome problems, schedule a consultation with VIP Surg. Dr. Tsuda and Dr. Ryan and their team of experts can help find the right treatment for you.
 

Exercise: How Much is Enough?

Our bodies were meant to move — they actually crave exercise. As a matter of fact, regular exercise is necessary for physical fitness and good health. It reduces the risk of heart disease, cancer, high blood pressure, diabetes and other diseases, and it can improve your appearance and delay the aging process. So why aren’t we all doing it?

Many say lack of time is their single biggest obstacle to fitness, but experts say you may be overestimating how much exercise you really need to get at one time. Many think exercise means you have to hit the point where you’re completely out of breath and panting after you’ve finished, and you can do that, but for the majority of health benefits, it’s not necessary.

People often assume that more is better. On the contrary; doing too much too soon or performing intense exercises on a daily basis can have harmful effects, such as muscle/tendon strains, loss of lean tissue, and fitness-level plateaus. However, if you don’t exercise at all, your muscles will become flabby and weak, your heart and lungs won’t function efficiently, and your joints will be stiff and easily injured.

If you are overweight or obese, your fitness goals probably go beyond lowering your risk for disease, but even if losing weight is your primary goal, it’s nice to know what research actually shows when it comes to how much exercise you should be doing each week for better health.

Here are a few statistics to consider:

  • 30 minutes of interval training per week (broken into 3 workouts) reduces the risk of type 2 diabetes.
  • 150 minutes of moderate exercise per week reduces the risk of cancer.
  • 120 minutes of moderate aerobic exercise per week offers improvements in memory.

People seem to have heard the message that you need 30 minutes of exercise, five days a Exercise tracking device Dollarphotoclub_101019544 (2)week according to federal guidelines. If you get that, you’ll get 85% of the health benefits we talk about. However, the misconception is that it’s all or nothing. It’s also important to note that federal guidelines call for moderate-intensity exercise, which means you don’t have to be killing yourself with long runs, boot camp, or spin class five days a week in order to relish the rewards. Being consistent with exercise is probably the most important factor in achieving desired results.

If you’re obese and looking for ways to get fit and lower your risk of disease, schedule an appointment at VIP SURG. We can help you find the right treatment.

High Blood Pressure: Do these Things Now to Prevent Future Problems

Blood pressure is the force of blood against the walls of arteries, and it’s normal for it to rise and fall throughout the day. However, when blood pressure stays elevated over time, it’s called hypertension (aka high blood pressure). High blood pressure is dangerous because it makes the heart work too hard and contributes to atherosclerosis (hardening of the arteries). It increases the risk of heart disease and stroke, which are the first- and third-leading causes of death among Americans. High blood pressure also can result in other conditions, such as congestive heart failure, kidney disease, and blindness. About two-thirds of people over age 65 have high blood pressure. This means that even if you don’t have high blood pressure now, you are likely to develop it in the future unless you adopt a healthy lifestyle.

  • Maintain a healthy weight – Being overweight or obese increases your risk of developing high blood pressure. In fact, your blood pressure rises as your body weight increases. Losing even 10 pounds can lower your blood pressure, and losing weight has the biggest effect on those who are overweight and already have hypertension.
  • Be physically active – Being physically active is one of the most important things you can do to prevent or control high blood pressure. Try to engage in physical activity for a total of 30 minutes on most days of the week. You can do this by combining everyday chores with moderate-level sporting activities, such as walking.
  • Follow a healthy eating plan – What you eat affects your chances of getting hightape-403593__340 blood pressure. A healthy eating plan can both reduce the risk of developing high blood pressure and lower a blood pressure that is already too high. An important part of healthy eating is choosing foods that are low in salt (sodium chloride) and other forms of sodium. Using less sodium is key to keeping blood pressure at a healthy level. Use spices, garlic, and onions to add flavor to your meals without adding more sodium. Set up a healthy eating plan with foods low in saturated fat,total fat, and cholesterol, and high in fruits, vegetables, and low-fat dairy foods.
  • Drink alcohol only in moderation – In addition to raising blood pressure, too much alcohol can add unneeded calories to your diet. If you drink alcoholic beverages, have only a moderate amount—one drink a day for women, two drinks a day for men.
  • Take prescribed medications as directed – If you need drugs to help lower your
    lood pressure, you still should follow the lifestyle changes mentioned above. Use notes and other reminders to help you remember to take your meds. Ask your family to help you with reminder phone calls and messages.

These are just a few of the relatively easy things you can do to help lower or prevent hypertension. Ultimately, keeping blood pressure at healthy levels can be quite difficult – especially if you are dealing with other severe health problems such as obesity and the issues that often accompany it. If you live in the Las Vegas area and are considering weight-loss surgery, schedule a consultation with VIP SURG. We can help find the right treatment for you.

LINX: Treating GERD with Innovation

A hiatal hernia occurs when part of the stomach pushes through the diaphragm. The diaphragm normally has a small opening for the esophagus. This opening can become the place where part of the stomach pushes through. Small hiatal hernias often cause no symptoms, while larger ones can cause pain and heartburn, leading to gastroesophageal reflux disease, or GERD. In 2012, the Food and Drug Administration approved a new treatment device called the LINX Reflux Management System to offer a new approach to treating GERD, a disease that is increasing at a rate of 30 percent every decade.

Think of the stomach as a mixing bowl that allows food and digestive juices to combine to begin the digestive process. The stomach has a protective lining that prevents acid in the digestive juices from eating away at the stomach muscle and causing inflammation. Unfortunately, the esophagus does not have a similar protective lining. Instead it relies on the lower esophageal sphincter (LES) to act as a valve to prevent acid from refluxing from the stomach into the esophagus. In the situation of a hiatal hernia, part of the stomach pushes up through the opening allowing acid to pass into the esophagus causing symptoms may include the following:

  • heartburn
  • nausea, vomiting, or retching (dry heaves)
  • burping
  • water brash, the rapid appearance of a large amount of saliva in the mouth that is stimulated by the refluxing acid

Symptoms usually are worse after meals. These symptoms may be made worse when lying flat and may resolve with sitting up or walking.

In some patients, reflux into the lower esophagus sets off nervous reflexes that can cause a cough or even spasm of the small airways within the lungs (asthma). A few patientsanatomy-archers may reflux acid droplets into the back of their throat. This acid can be inhaled or aspirated into the lung causing coughing spasms, asthma, or repeated infections of the lung including pneumonia and bronchitis. This may occur in individuals of all ages, from infants to the elderly.

Fortunately, the innovative LINX procedure is helping with this significant health problem. This device is a series of magnets in the form of ring that is implanted around the bottom of the esophagus during a short, 40-minute laparoscopic procedure.

The ring of magnets is designed to stay closed and prevent the reflux valve from opening thereby preventing acid from the stomach move up into the esophagus. The magnets will open up the ring when people are eating to let food in much like a person’s native reflux valve.

 

Here are some things you need to know about the LINX procedure.

  • It is focused on the underlying cause of reflux disease not the side effect. Reflux disease is a result of a damaged lower esophageal sphincter (LES).
  • It is safer than the long-term use of proton pump inhibitors (PPIs). Studies have proven that reflux disease can progress even when PPI therapy has effectively eliminated GERD symptoms. LINX is effective at reducing symptoms and improving quality of life.
  • A recent study published in the New England Journal of Medicine tracked 100 patients for three years after their LINX surgery. That study found an overall decrease in stomach contents reaching the esophagus, fewer reflux symptoms, and a substantial reduction in PPI usage.
  • The side effects disappear over time in most cases. Initially, most patients experience some discomfort, but it typically dissipates over several weeks. In addition, the most commonly reported side effect is mild difficulty swallowing, which usually subsides over time.
  • The cost can be much less than a lifetime of PPI use: a 2010 study by Consumer Reports found once-a-day PPI use can range from $2,000 to $4,500 per year for brand name prescription PPIs.
  • This is minimally invasive and is performed as an out-patient procedure.
  • LINX is reversible and can be replaced.
  • Since the LINX band is placed around the LES, the device can be removed or replaced, if necessary.
  • This procedure is recommended for those with continued GERD symptoms under maximum therapy prescribed by a specialist.
  • LINX is not for everyone with advanced GERD. Today LINX is not approved for those with Barrett’s Esophagus or anyone suffering from esophageal cancer. It is important for everyone suffering from advanced stages of reflux disease to explore all available options before their disease progresses to the point where options are limited.

It is important to take your heartburn symptoms seriously because they are signals from your body that something is wrong. Since reflux disease is a progressive chronic condition, treating it early could prevent you from having to consider surgery later on.

As the first LINX trained surgeons in Las Vegas, Dr. Shawn Tsuda and Dr. Heidi Ryan at VIP SURG are ready to help you fight back against gastroesophageal reflux disease. Schedule a consultation to learn more.

 

 

The Link Between Seasonal Allergies and Reflux

While many may think of seasonal allergies happening in the spring along with blooming flowers, fall can also be a difficult time for those who are allergic. Ragweed, dust, mold, mildew, and the removal of fall crops are just some of the possible fall triggers for allergy sufferers. What many people don’t know is that allergies can be a big issue for people dealing with acid reflux disease. Separate from food allergies, seasonal allergies can also play a role in exacerbating the symptoms of acid reflux.

The link between seasonal allergies and acid reflux disease is that as allergic response becomes more active, one has more nasal drip, and more nasal drip leads to more acid, and that acid can then reflux up into the nasal passages and make the whole cycle even worse. In addition, one of the ways that seasonal allergies can aggravate acid reflux disease is the pressure from coughing or sneezing. This pressure can temporarily weaken the lower esophageal sphincter (LES) and allow stomach contents to splash into the esophagus. In order to get the added acid reflux pain under control, suffers also need to get the drainage, sneezing and coughing under control.

The first line of defense in the seasonal allergy arsenal is generally the use of antihistamines. Medications provide a way to lessen the reaction the body has to the histamines produced by allergies. These medications can help many people deal with their allergies without any further treatments.

Senior man with reflux

If you do need antihistamines in the pollen season, remember that they can dehydrate and cause constipation. The latter is also a huge reflux trigger. Be sure to drink plenty of water and gradually increase your fiber intake to counteract any unpleasant side effects. You don’t want to trade one reflux trigger for another.

There are a few things that you can do this time of year to help lessen your increased acid reflux symptoms due to allergies:

  • Even though the weather this time of year can be gorgeous, keep the windows closed in at least one room of your house. Spending time in this room throughout the day will give your entire bodily system a break from the environmental stress being placed on it.
  • Shower and change clothes after working or being outside. Most aller
    gens cannot be seen. Especially on a windy day, just assume that if you have been outside, you are wearing allergens when you come inside.
  • Be proactive with your reflux medication and your allergy medication this time of year. Reflux comes in waves. One of the best ways to manage reflux is to understand ahead of time when your reflux may be troublesome and manage accordingly. An antihistamine can be helpful. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. This medication can also slow down your runny nose and nasal drip whichin turn can help your reflux symptoms.
  • Do not experiment with new foods. Keep your eating very simple and reflux friendly until at least the first frost in your area.
  • Avoid raw fruits and vegetables. Allergens can be found in our environment and also in raw fruits and some vegetables. These same foods can often be better tolerated cooked. When foods are heated, the proteins are distorted and the immune system no longer recognizes the food as a problem.

If you live in the Las Vegas area and are suffering from acid reflux. Schedule a consultation at VIP Surg. We can help find the right treatment for you.

 

Eating in Moderation: What Does that Really Mean?

“Everything in moderation,” says a co-worker, dipping the tines of her fork into her low-fat salad dressing.

“Everything in moderation,” says a friend helping himself to a third scoop of ice cream.

What is moderation? If this concept of moderation confuses you, you’re not alone. Everyone appears to define it differently. Eating in moderation is a subjective term, meaning something slightly different depending on your perspective. Individual perception of reasonable limits opens the door to a wide variety of complex answers for a seemingly simple question.

On one end of the spectrum, there are those who don’t put much thought into eating a healthy and well-balanced diet. Convenience and taste are the main factors influencing their dietary decisions.

On the opposite end, one may find those who label food as either wholesome and pure or downright evil, with seldom anything in between. Typical “bad” foods such as sugar, carbs, dairy, and processed or refined foods are avoided at all costs.

Both extremes can have detrimental effects on health. Eating calorie-dense foods high in sugar, fat, and salt on a regular basis, combined with a sedentary lifestyle increases the risk of chronic diseases like heart disease, obesity, and diabetes.

However, cutting out entire food groups without replacing missing nutrients can also pose problems. While “clean eating” might come in an attractive package, severe restrictions can lead to cycles of binge eating, feelings of guilt and shame, and further restriction.

Toward which end of the spectrum do you tend to lean? Where is the fine middle ground?

Eating in moderation means you do not consume more calories than your body needs to function properly. A person who does not eat a moderate number of calories gains weight, risking obesity and its associated illnesses.

The quality of the food is also an important factor when talking about eating in moderation. Consuming food your body does not need or want, such as excess sugar and fat has a detrimental effect on your body.

Eating in moderation means consuming nutritionally dense food so your body gets all the vitamins and minerals it needs without harmful or needless substances. According to the MyPlate scheme from the USDA, a healthy dinner plate contains lean protein, whole-grain foods, fruits and vegetables.

Plan your plate to ensure you are eating the proper foods in moderation. Draw an imaginary line down the middle of your plate. Fill the left half your plate with fruits and vegetables. Draw another imaginary line to cut the right half of your plate into two quarters. Fill one section with lean meat and put whole-grain products in the other section.

Moderation is about a healthy relationship with food – balancing the pleasure of eating with our basic need for sustenance. It is realizing that eating one piece of cake a week probably won’t kill you, but that doing so everyday just might.

If you live in the Las Vegas area and are fighting obesity and metabolic disease, schedule a consultation at VIP SURG. We can help you find the right treatment for your unique situation.