Monthly Archives: March 2016

Weight Loss

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

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Dr Eslami is an active member of the medical staff at several Mercy Hospitals. He has obtained Board Certification in Surgery from the American Board of Surgery. He is a member of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Dr Eslami is designated as a Center of Excellence- Bariatric Surgeon through the American Society for Metabolic and Bariatric Surgery (ASMBS) of which he is an active member. Dr. Eslami is an avid runner, biker, and swimmer. He enjoys boating, spending time with friends and family, participating in cultural meetings, and reading history in his spare time.

Your body needs to receive the proper vitamins in order to survive. We have created our own special vitamins for you to take after the operation. Your doctor will also go over with you any medicines you need to take. Most patients actually stop taking their medication from pre-surgery because they are healthy!

Right after the operation, we will put you on a strict menu of liquid foods. You will be on our strict diet plan while you heal. The doctor will let you know what foods you will be able to eat and when you start eating them. Most of our patients become lactose intolerant after the operation. We will work with you after the operation to change your diet and show you which foods are good for you and which are not. You will eat whatever you want, but in small portions. Even so, your appetite will feel satiated, and you will not feel hungry.

Most of the weight will be lost in the first six months. Some patients have even been able to lose weight for up to two years after the surgery. This surgery is a tool to help you lose weight, and exercise and diet will help you achieve your ideal body weight. We even have had patients reach a size zero! Losing weight this fast is not a dangerous procedure if you maintain your vitamin supplements and diet. Our team will be with you 100% to support you after the operation.

 

 

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Afshin Eslami, M.D.

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

Dr Eslami is an active member of the medical staff at several Mercy Hospitals. He has obtained Board Certification in Surgery from the American Board of Surgery. He is a member of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Dr Eslami is designated as a Center of Excellence- Bariatric Surgeon through the American Society for Metabolic and Bariatric Surgery (ASMBS) of which he is an active member. Dr. Eslami is an avid runner, biker, and swimmer. He enjoys boating, spending time with friends and family, participating in cultural meetings, and reading history in his spare time.

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Like every operation, there is a risk. Because our patients already have health-related problems, there is an increased risk of complications. However, our team makes sure the thoroughly screen you to make sure that there are no surprises on the operating table. If we feel that it is not safe to operate on you, we will not proceed. However we will gladly work with you in order for you to be eligible for the operation. Your team will be behind you 100% before, during, and after the surgery.

We strongly recommend for you to not get pregnant during the first year after you’re the operation. Most of the excess weight is lost during this time. Your fetus’ health may also be endangered.

Many of our patients opt for plastic surgery, but we recommend you wait until you reach your ideal body weight before any plastic surgery.

We strongly recommend you exercise after your operation to help you lose the weight the fastest. Feel free to take some light, brisk walks when you return home. Most of our patients can proceed with a regular stint of exercise after 6 weeks.

Procedure of Surgery

The Day Before

Bowel Preparation before Surgery

You will be given instructions for bowel preparation at your pre-operative appointment.  It is important that you follow these instructions completely.

The day before surgery, you may drink only clear liquids.  Clear liquids include water, coffee, tea, apple juice, grape juice, cranberry juice, bouillon, broth, clear popsicles, clear soda and gelatin.

After midnight the day before your surgery, you must take nothing by mouth except medicines that have been approved by the anesthesiologist and surgeon.  Your stomach must be empty at the start of the procedure to reduce the risk of aspiration.

If you are ill Before Surgery

Should you develop a cold, persistent cough, fever, skin breakdown or any changes in your condition during the days before your surgery, please notify the surgeon immediately, as you will need to be re-evaluated for surgical readiness.  You need to be in the best possible shape for anesthesia.  Scheduling can be adjusted to your condition, if necessary.

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The Day of Surgery

Personal Preparation

We recommend that you shower in the morning on the day of surgery, but do not use any moisturizers, creams, lotions or makeup.  Remove your jewelry and do not wear nail polish.

You may wear dentures, but you will need to remove them just prior to surgery.

What to bring to the Hospital

It is recommended to bring only the bare necessities to the hospital.  Do not bring any jewelry or more than $20 cash.  You may want to bring a picture of a family member, friend or pet to help you relax.

There are a few other things that may make your stay a little more comfortable:

  • This guide
  • A small overnight bag with toiletries such as toothbrush, toothpaste, soap, shampoo and lotion
  • Your eyeglasses and a case, if possible
  • Protective storage cases(s) for corrective lenses, dentures, hearing aids, ect
  • Bathrobe
  • Address and phone book of loved ones
  • Lip balm
  • Comfortable, loose-fitting clothes to wear when you go home. Clothes that are easily removed and easy to slip on are the best

Hospital Pre-admitting Procedure

Before you can have your surgery, you will need to follow your hospital’s policy on pre-admission testing and registration.  Specific instructions will be given to you by your hospital or surgeon’s office.

After you are registered and checked-in, you will be asked to change your clothing and put on a hospital gown and slippers.  If you wear dentures, corrective lenses or hearing aids, you will be asked to remove them for safety reasons, so it’s best to bring your own container for storing each of these items.

You will be asked to sign an operative consent form, even though you may already have done so at your surgeon’s office.  Your signature indicates that the procedure has been explained to you, that you understand it and that you have no further questions.

Your blood pressure, pulse, respiration, oxygen saturation, temperature, height and weight will be measured.  An intravenous (IV) line will be placed in your forearm.  This allows fluids and/or medications into your blood stream.  You may also be given some medicine to help you relax.

 

Preparing For Surgery

The Operating Room

  1. Going to the operating room (OR) is not a normal experience for most of us. Your surgical team recognizes the natural anxiety with which most patients approach this step in the process to achieving their goals. We believe that a description of the surgical experience will help you prepare for it.
  2. Specialists using the most modern equipment and techniques possible will attend to you. This team includes at least one board certified anesthesiologist, a trained surgical assistant and nurses that will assist your surgeon. A registered nurse is in charge of the OR.
  3. Once you enter the OR, the staff will do everything they can to make you feel secure. You may walk to the OR be transported on a gurney (a bed or stretcher on wheels). There, the nurses who will be assisting your surgeon will review your chart.
  4. Once you are settled on the operating table, you will be connected to several monitors and an intravenous (IV) catheter. A quick acting sedative will be given through the IV tubing after you have breathed pure oxygen for a few minutes. Once you fall asleep, your anesthesiologist will usually slip an endotracheal tube through your mouth into your windpipe to guarantee that your breathing is unimpeded.  An anesthetic gas and other medications will keep you asleep and pain free.  At the same time, the anesthesiologist will connect you to monitoring devices.
  5. After you are asleep, a small plastic nasogastric (NG) tube is placed through your nose into your stomach, and another tube called a urinary catheter into your bladder.
  6. The surgery will last about two hours to three hours, but the length of the operation is dependent on the type of procedure(s) performed, number of extra procedures necessary, if any and the difficulty of finding working space within a very large abdomen.
  7. When your surgery has been completed and your dressings are in place, you will be moved to the recovery room.

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Recovery

  1. The hospital stay for bariatric surgery averages two to five days, longer for those with complications. Patients undergoing the laparoscopic method usually have a shorter hospitalization period.
  2. When you return to your room after surgery, you will continue to be closely monitored by your nurses. The first few days after the operation are a critical time for you to heal.
  3. Along with periodic monitoring of your vital signs (blood pressure, pulse, temperature, respirations), your nurses will encourage and assist you in performing deep breathing, coughing, leg movement exercises and getting out of bed after surgery. These activities can help to prevent complications.
  4. Be certain to report any symptoms of nausea, anxiety, muscle spasms, increased pain or shortness of breathing to your nurse.
  5. To varying degrees, it is normal to experience fatigue, nausea and vomiting, sleeplessness, surgical pain, weakness and light-headedness, loss of appetite, gas pain, flatulence, loose stools ad emotional ups and downs in the early days and weeks after surgery. You may discuss specific medical concerns with your surgeon.

Gastric Banding

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

Dr Eslami is an active member of the medical staff at several Mercy Hospitals. He has obtained Board Certification in Surgery from the American Board of Surgery. He is a member of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) . Dr Eslami is designated as a Center of Excellence- Bariatric Surgeon through the American Society for Metabolic and Bariatric Surgery (ASMBS) of which he is an active member. Dr. Eslami is an avid runner, biker, and swimmer. He enjoys boating, spending time with friends and family, participating in cultural meetings, and reading history in his spare time.

Slim Life Solutions – Check of the Weight loss treatment such as Sleeve Gastrectomy California, Obesity surgery,  Weight loss surgery, Gastric bypass California, lapband surgery and laparoscopic surgery.

Right after the operation, we will put you on a strict menu of liquid foods. You will be on our strict diet plan while you heal. The doctor will let you know what foods you will be able to eat and when you start eating them. Most of our patients become lactose intolerant after the operation. We will work with you after the operation to change your diet and show you which foods are good for you and which are not. You will eat whatever you want, but in small portions. Even so, your appetite will feel satiated, and you will not feel hungry.

Most of the weight will be lost in the first six months. Some patients have even been able to lose weight for up to two years after the surgery. This surgery is a tool to help you lose weight, and exercise and diet will help you achieve your ideal body weight. We even have had patients reach a size zero! Losing weight this fast is not a dangerous procedure if you maintain your vitamin supplements and diet. Our team will be with you 100% to support you after the operation.

Gastric Bypass

Dr. Eslami earned his Doctor of Medicine degree from the University of Tehran in Iran. Upon graduation, Dr. Eslami completed two years of service in the military as a general practitioner. In 1999 he relocated to the United States and completed a residency program in General Surgery at the University of Maryland in Baltimore, and was awarded a chief residency completion in both surgical trauma and intensive care shock trauma. He then went on to the Baylor College of Medicine in Texas to complete his fellowship in Advanced Minimally Invasive and Bariatric Surgery.

In addition to his formal education, Dr. Eslami has been very involved with clinical research, and often presents his articles at various conferences around the country.

Slim Life Solutions – Check of the Medical weight loss California treatment such as  Sleeve Gastrectomy California, Obesity California, Gastric bypass California, lapband surgery and laparoscopic surgery.

Morbid Obesity is typically defined as being 100 lbs or more over ideal body weight, or having a BMI (Body Mass Index) of 40 or higher. Morbid Obesity reaches a point of significantly increasing the risk of co-Morbidities that result in either significant physical disability or even death. Morbid Obesity is a serious and chronic disease. Treatment is available, and surgery is an extremely viable option for you.

Most health insurance companies will cover most of this Weight loss California surgical procedure. However, there are so many plans that it is best to contact us and to schedule an appointment.

Like every operation, there is a risk. Because our patients already have health-related problems, there is an increased risk of complications. However, our team makes sure the thoroughly screen you to make sure that there are no surprises on the operating table. If we feel that it is not safe to operate on you, we will not proceed. However we will gladly work with you in order for you to be eligible for the operation. Your team will be behind you 100% before, during, and after the surgery.

The average stay of our patients is three to four days.

We strongly recommend you exercise after your operation to help you lose the weight the fastest. Feel free to take some light, brisk walks when you return home. Most of our patients can proceed with a regular stint of exercise after 6 weeks.