Dear Friends and Family of Laparoscopic Associates of San Francisco,
to our April 2005 newsletter. We hope to offer lots of helpful tips for
weight loss surgery patients as well as success stories and invitations
to our events! Please feel free to submit your tips or your success
story with pictures to firstname.lastname@example.org.
The Docs of Laparoscopic Associates of San Francisco
Dr. Jossart and Dr. Cirangle want to welcome you to our April
Newsletter. After all the rain, spring brings lots of opportunities for
you to get outside and exercise. Make sure you take advantage of the
sunshine this summer. Any tips that you have for great outdoor
activities are always welcome, we will put your suggestions in our
summer newsletters, extra credit for pictures!!
Dr. Jossart ~ Dr. Cirangle
To learn more about the doctors, click here.
SUCCESS STORY : Allen gets his life back with Weight Loss Surgery
My name is Allen. I am 44 years old and I live alone here in Northern
Sonoma County. My life wasn’t that bad before surgery. No, I take that
back it wasn’t a life. I was sitting around the house doing nothing but
watching TV all day long when I wasn’t working. I was eating all the
time. Even though I was a big guy I could always handle the extra
weight OK. I could do my job whether I had to tarp my loads of lumber
in the rain or chain up in the dead of night in the middle of winter. I
just would be totally out of breath and sometimes wish I was dead to
stop the pain. Being a truck driver I never ate right to begin with. I
ate snacks all the time, Pepsi and donuts in the morning for a sugar
high to keep me awake.
In October 2002 I met Dr. Greg Jossart. I knew in my heart here
was a man who could get things done. He was always available. Every
time I wrote him an email it was answered within a very short time. I
once sent him a question around 11:30 at night and within 15 minutes I
had my answer back. He has been my best doctor and friend throughout
this journey. He sent me to another specialist there in the city to
check on my esophagus, a Dr Snape. While with Dr Snape, he performed a
Barium swallow, an upper endoscopy, a pH test, and a Esophageal
Motility Study. The results were that my stomach was making 4 times as
much acid as it was supposed to be making.
During one of my return appointments with Dr. Snape, I was
sitting in the lobby of CPMC waiting for my appointment. I was talking
to another gentleman who was waiting for his wife, when I heard, "Hey
Allen, How are you doing". It was Dr Jossart. He came over and sat down
and talked with me for about five minutes finding out what was
happening so far with Dr Snape. I’ve never in all my life had a doctor
like Dr Jossart. Most doctors the only way they will talk to you is in
their office and making sure you pay for their time.
After all the results were given to Dr Jossart I came back in for
another consultation and was told the only way to fix my problem was to
have the RNY gastric bypass. I told him whatever it takes, to give me
back some sort of life. He sent all the paperwork in to Blue Cross and
then came the waiting. We all know about the waiting game. My surgery
was scheduled for Tuesday March 4, 2003 at 11AM. My highest weight was
422 pounds, but had come down to 404 pounds the day of surgery due to
depression and not eating. I was so ready for this surgery. To me the
surgery was a snap, no problems. I had no pain following surgery, just
was tired. I tried to sleep but as we all know who have had the surgery
the nurses don't want you to sleep they want you up and walking.
Drinking nothing but beef and chicken broth, sugar-free popsicle,
water, and Crystal Light, after those first couple of weeks I was so
tired of broth. YUCK!!! I followed my diet guide to the letter making
sure I stuck with everything the doctors wanted. It was so strange
first thing in the morning when I woke up and got a drink of cold
water, I could feel the pouch fill up, then a few seconds later feel a
small pop and then feel the water slide all the way down to my mid
section. I moved up to thicker liquids around the 3rd week. At last
something other than broth, but still had the broth along with some
For the past two years I have eaten mostly the same foods day in
and day out, just because it worked. I hate going grocery shopping
anymore. There are some people that have had this surgery that after 6
or 7 months they started feeling hungry and had to fight the urge to
eat. With me it's the other way around, I have no desire to eat. It has
gotten to the point where I must set the alarm on my wristwatch to tell
me when it's time to eat.
Here it is almost at my two year mark, everything is coming along
fine. My high blood pressure is gone, (BP is 100/82) no diabetes, my
knees or back never cause me any problems. My total cholesterol level
is at 173. I have lost a total of 228 pounds since I started this
journey way back in February of 2002. I have lost a total of 30 inches
off my waist. I have gone from a size 64" waist down to a 34" waist. I
have gone from 6XL shirts down to a large shirt. My BMI is now down to
24.0. I owe my life to Dr Jossart for without him I know in my heart
that by now I would probably have died from cancer. Dr Cirangle was also a good source of help with questions at the support
The support groups are the second most important people to have
in this journey. There are those that have come before you that give
the greatest advice for what you are going through, either some advice
on what to eat or a swift kick in the head cause you’re NOT doing what
your doctor has told you to do. We are very important to each other. If
you have this surgery, do whatever it takes to find a local support
group and it will help you in ways you never dreamed of.
Find out more about the Roux En Y Gastric Bypass that Allen had.
Lap-Band patients: When do you need a Band adjustment or fill?
Patients who undergo the Lap-Band procedure know that the Lap-Band is
adjustable. Sterile salt water or saline can be injected into the
reservoir port to help tighten the Band around the upper stomach. The
Lap-Band balloon/reservoir system is usually empty at the time of
surgery to avoid any problems with obstruction from the swelling of the
upper stomach after surgery. About 3 weeks after surgery, patients
begin progressing their diet from the liquid fast phase. At this time,
many but not all patients begin to feel hungry and not significantly
restricted soon after a meal. Of course, to help prevent Band slippage,
patients are eating no more than 3 ounces of food at each meal.
The meal needs to be mainly protein since it is this type of food
that allows the patient to better use their Band as a tool. The reason
for this is that solid protein such as eggs, fish, chicken, beef and
lean pork needs digestion to be broken down and absorbed. Thus, protein
is more likely to stay in the stomach pouch above the Lap-Band for a
longer period of time, resulting in a prolonged sensation of fullness.
Thus, if a patient who is not losing weight, exercising, and is eating
the 3 ounces of protein as prescribed but feels hungry within 1-2 hours
after the meal, that patient needs a band fill. These patients
sometimes describe that they feel like they are “struggling with
dieting,” and end up eating snacks between mealtimes.
On the contrary, if a patient is not losing weight because he or
she is eating carbohydrates or sweets mainly, or drinking a lot of high
calorie liquids, and not exercising, he or she doesn’t need an
adjustment. That person needs to change their behaviors and habits. If
a small quantity of protein helps you feel full for hours, you do not
need a fill. Carbohydrates and liquids do not help you feel full.
The Lap-Band is a tool for weight loss and requires a strong
commitment to using it as such, probably more so than the other weight
loss procedures. It allows a person to feel full with a small meal for
a long period of time with the right adjustment level. Eating right -
protein first in a meal, exercising, taking your supplements, drinking
plenty of liquids, getting adjustments, seeing your surgeon, and going
to support group meetings are all integral parts of optimizing your
weight loss results.
For the answers to your questions, feel free to join our online
chat every Thursday evening (except the last Thursday of the month when
the docs are at the SF support group) at 9pm for our chat with one of
Follow this link to our Thursday night chat room.
Don't Forget to Get Your Yearly Lab Work Done Early!
We are busy gathering yearly lab statistics from our patients. Believe
it or not, the lab where you get your lab work done takes 3-4 weeks to
get us the results of your complicated one year labs. This means that
you should schedule your one year lab tests at least one month before
your one year appointment. Don't forget to stop taking your vitamins 3
days before your annual lab tests. Please see our website or the link
below for an annual lab form. If you cannot download it, call our
offices and speak to Michelle. We appreciate you getting your labs done
Click here for your annual lab form.
Seminars and Support Group Dates 2005 - NEW SUPPORT GROUPS IN STOCKTON AND HAWAII!!
We have monthly seminars and support groups in 8 different locations.
SAN JOSE: We meet on the third Wednesday of the month at 6pm for pre-ops and 7pm for post-ops. All meetings are at the
Courtyard Marriott by the San Jose Airport, 1727 Technology Drive in San Jose.
SACRAMENTO: Our support group location and date has changed! Our
support group meeting will change from the third Wednesday of the month
at 7pm to the 4th Saturday of the month at 9am. The location will be
the Doubletree Hotel at 2001 Point West Way in Sacramento near Arden
STOCKTON: We now have a Stockton Support Group! Our new Stockton Support Group will meet in Classroom 2 or 3 at 7pm at
St. Joseph’s hospital at 1800 N. California Street in Stockton.
PETALUMA: Our Petaluma support group meets the third Saturday of
the month. New patient seminar at 9am, support group at 10:30am. Please
meet at Groverman Hall at Petaluma Valley Hospital on North McDowell in
EUREKA: Our Eureka support group generally meets at 7pm on the
third Thursday of the month. They meet in the Burre Conference Room on
the roof. General Hospital in Eureka.
EAST BAY: Our East Bay support group meets at 8pm on the second Tuesday of the month in the Lion’s Den Room.at the
Mt. Diablo Regional YMCA in Pleasant Hill at 350 Civic Drive.
SAN FRANCISCO: Our SF support group normally meets the last
Thursday of the month. Parking is validated. We usually meet in the
Telegraph Room at 6pm at the Cathedral Hill Hotel in San Francisco, at
the corner of Van Ness and Geary.
HONOLULU: We have a new monthly support group in Hawaii! We meet
the second Saturday of the month at the Diamond Head Room - Kapi‘olani
at Pali Momi at 10am.
Click here to see our Seminars and Support Groups listed on our website.
Satellite Office Locations
We have office locations
in 6 different Northern California areas. The doctors see patients in
most of these offices once a month. If you live near one of these
locales, feel free to call our main office number to make an
appointment for a satellite clinic day. We'll see you there!
Eureka - 2607 Harrison Street, Suite B Eureka, CA
Chico - 111 Raley Blvd. Suite 120 Chico, CA
Sacramento - 631 Fulton Ave, Sacramento, CA
Stockton - 415 East Harding Way, Suite G Stockton, CA
Petaluma - 1456 Professional Drive, Suite 406 Petaluma, CA
San Jose - 3803 South Bascom Ave, Suite 100 Campbell, CA
Click here for a list of our locations and driving directions.
April's Weight Loss Surgery Recipe: Turkey Diane
Yield: 4 SERVINGS
Non-stick cooking spray
1 Pound TURKEY BREAST CUTLETS, pounded to an even thickness
2 Teaspoons lemon pepper seasonings
2 Tablespoons freshly squeezed lemon juice
1 Tablespoon Worcestershire sauce
1 Teaspoon Dijon mustard
1 Teaspoon fresh parsley, chopped
Lemon wedges for garnish
Coat a large skillet with cooking spray and heat pan over medium heat for 30 seconds.
Sprinkle both sides of turkey cutlets with lemon pepper. Place
turkey in hot skillet and saute for 3 to 5 minutes on each side until
browned and no longer pink in the center.
Combine remaining ingredients in a small mixing bowl, mixing well. Add to pan and cook until heated through.
Garnish with lemon wedges and parsley.
Total Carbohydrate 1g
Click here to send us a recipe!
Thank you for your support to date, see you at the next support group meeting!
Dr. Gregg Jossart ~ Dr. Paul Cirangle
Laparoscopic Associates of San Francisco
2100 Webster Street, Suite 518
San Francisco, CA 94115
866-957-3627/(415) 561-1713 fax
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