Notes
Slide Show
Outline
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What We Will Cover Today
  • What is obesity?
  • Why weight-loss surgery?
  • Pros and cons of surgical options for obesity
  • The LAP-BAND System
  • Insurance and patient financing
  • Why oBand Surgery Centers, Inc.?
  • Questions and answers
  • Next steps
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Before We Start…
  • At the end of the seminar, please complete seminar evaluation form
  • Feel free to ask questions as we go along
  • You can sign up for an office consultation with our surgeons by talking with our Patient Coordinator after the seminar


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oBand Surgery Centers, Inc.
  • oBand Surgery Centers, Inc is a leading bariatric network of outpatient surgical facilities.
  • Our board certified bariatric surgeons are among the few American specialists experienced in the state of the art adjustable and reversible gastric banding procedure. oBand expert surgeons have successfully performed thousands of bariatric procedures.
  • Our facilities are physician designed to provide a uniquely comprehensive environment focused on the safest, most effective minimally invasive surgical treatment and care of obesity.


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What Is Obesity?
  • Obesity is a chronic disease
  • People who are obese have too much body fat
  • Excess body fat often results in health problems
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What Causes Obesity?
  • Being obese is the result of a combination of influences:
    • The genes you inherited from your parents
    • How well your body turns food into energy
    • Your eating and exercising habits
    • Your surroundings
    • Psychological factors
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Sizing Up Your Level of Body Fat
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Where Do You Fit In?
  • Terms Used to Describe Various Levels of Body Fat
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1985 Obesity* Trends Among U.S. Adults
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1990 Obesity* Trends Among U.S. Adults
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1995 Obesity* Trends Among U.S. Adults
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2000 Obesity* Trends Among U.S. Adults
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2001 Obesity* Trends Among U.S. Adults
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Consequences of Obesity
  • If you are obese, severely obese, or morbidly obese, you may have:
    • Major health risks
    • Risks to psychological and social well-being
    • Difficulties with day-to-day living
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Health Risks: Body Mass Index
vs. Mortality
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Health Risks (cont)
  • Severe and morbid obesity greatly increases the risk of dozens of serious medical problems:
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Risks to Your Psychological
and Social Well-Being
  • Negative self-image
  • Social isolation
  • Discrimination
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Difficulties With Day-to-Day Living
  • Normal tasks become harder when you are obese
    • Movement is more difficult
    • You tend to tire more quickly
    • You find yourself short of breath
  • Bus or airplane seats, telephone booths, turnstiles, and cars may be too small for you
  • You may find it difficult to maintain personal hygiene
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Obesity Treatment Options
  • Non-surgical methods result in little long-term success
    • Diet and exercise
    • Weight-loss programs
    • Appetite suppressants
    • Hypnosis, jaw-wiring, counseling
  • Doing nothing is really not an option
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Using Surgery to Treat Obesity
  • Surgery is an option when other weight-loss therapies have failed
  • Types of weight-loss surgeries
    • Malabsorptive procedures shorten the digestive tract
    • Restrictive procedures reduce how much the stomach    can hold
    • Combined procedures shorten the digestive tract and reduce how much the stomach can hold
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Using Surgery to Treat Obesity (cont)
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Open vs. Laparoscopic Surgery
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Gastric Bypass
  • Advantages
  • Rapid initial weight loss


  • Disadvantages
  • Stomach cutting, stapling and intestinal re-routing required
  • More operative complications than        LAP-BAND
  • Portion of digestive tract is bypassed, resulting in nutritional deficiencies
  • “Dumping syndrome” can occur
  • Non-adjustable
  • Extremely difficult to reverse
  • Higher mortality rate than LAP-BAND
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The LAP-BAND System
  • Advantages
  • Lowest mortality rate
  • Least invasive surgical approach
  • No stapling, cutting, or intestinal re-routing
  • Adjustable
  • Reversible
  • Lowest operative complication rate
  • No Dumping Syndrome
  • Low malnutrition risk since no portion of digestive tract is bypassed
  • Disadvantages
  • Regular follow-up critical for optimal results
  • Rarely, the access port may leak and require minor revisional surgery


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Your Decision
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Comparing Weight-Loss Results
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How the LAP-BAND System Works
  • A silicone band is placed around the upper part of the stomach
    • A small pouch is created
    • Your stomach holds less food
    • You feel full faster and longer
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The LAP-BAND System Procedure
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The LAP-BAND System Is Adjustable
  • The plastic band is hollow
  • It is filled with a saline solution
  • By adding or removing the saline, your surgeon can tighten or loosen your band
  • This allows control over individual weight loss
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Medical Insurance Criteria for
LAP-BAND System Candidates includes the following
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Self Pay Criteria for
LAP-BAND System Candidates includes the following
  • Are prepared to attend regular follow-up sessions and make lifestyle changes
  • Do not drink alcohol in excess
  • Consultation with surgeon to evaluate individual needs and goals
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Possible Risks and Complications
  • Risks associated with any surgery
  • Slippage
  • Erosion
  • Access port problems
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LAP-BAND Weight-Loss Results
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LAP-BAND System Patient:
Robin (Before)
    • “Here’s what my life was like. Pick up three 50-pound bags of dog food; strap them to your body. Then try walking.
    • It was difficult to even bend down to pick up my little girl.”




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LAP-BAND System Patient:
Robin (After)
    • “Now, I have the energy to play with my children and am comforted to know I’ll be around when they grow up.”






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Living with the LAP-BAND System
  • LAP-BAND will help you feel satisfied with a small amount of food
  • You will enjoy meals and eating out with family and friends—just in smaller portions
  • Your motivation and commitment is key to your success!
    • Learn to eat few small, nutritious meals
    • Begin an exercise program
    • Schedule regular check-ups
    • Get your band adjusted from time to time to optimize your individual weight loss
    • Regularly attend support group meetings
    • Use your LAP-BAND as a tool to help you lose weight
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A Word on Adjustments
  • Following surgery, LAP-BAND is usually partially inflated
  • First adjustment is typically not until 4-6 weeks after surgery
  • Adjustments depend on:
    • Your weight loss
    • Amount of food you can comfortably eat
    • Amount of fluid already in your band
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Weight Loss Can Change Your Life
  • Improved or resolved health problems
  • Reduced health risks
  • Increased energy and activity level
  • Improved self-esteem
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LAP-BAND Affordability
  • Pursue insurance coverage
    • Review the coverage in your insurance policy
    • Understand the appeal process and probability of coverage
    • Speak with our office
  • Direct pay alternative
    • Lump sum payment (401(k) fund, savings, stocks, etc.)
    • Loans (equity) and credit cards (low rate or “cash back”)
    • oBand Surgery Centers, Inc. work with  several finance companies to help make your dream come true.
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The LAP-BAND System Finance Program
  • Free expert advice
  • Low monthly payments
    • Competitive interest rates
  • Lenders are large, stable, well-funded companies
    • Focused on financing the LAP-BAND procedure only
  • Diverse financing options (secured and unsecured)
    • Higher loan approval ratio
  • Quick decision
    • Preliminary decision within 1-2 days
    • Funding in 5-15 business days
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Potential Savings
  • Thousands of dollars in potential tax savings
    • According to the new Internal Revenue service (IRS) policy (Revenue Ruling 2002-19), “obesity is medically accepted to be a disease in its own right”
    • A taxpayer can now claim weight loss expenses as a medical deduction
    • Savings of $2,000 to $4,000 are common
  • Changes in monthly expenses
    • Change in the cost of living before and after weight-loss surgery can be dramatic
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The Personal Cost of Obesity
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Mission Statement
  • To promote, encourage and enhance outpatient bariatric surgical care, research and education for the benefit of all patients
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Why oBand Surgery Centers, Inc.?
  • Only exceptional surgeons with superior outcomes perform surgery at oBand Surgery Centers, Inc.
  • Thousands of successful bariatric procedures performed
  • Comprehensive program including cardiology, plastics, gynecology, internal medicine, anesthesiology to meet the needs of patients.
  • Have surgery in the morning and go home in the afternoon.
  • Less risk of infection than in a hospital setting
  • Caring and compassionate staff
  • JCAHO certified and AAAHC certified
  • Owned and operated by nationally recognized Lap Band surgeons


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oBand Surgery Centers, Inc.
  • oBand Surgery Centers, Inc. is THE standard of care for outpatient Lap Band Surgery.
  • oBand Surgery Centers, Inc. not only has industry credentials such as JCAHO and AAAHC, but has established criteria above and beyond these certifying bodies to make patient care and safety at the forefront of everything we do.
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Next Steps
  • Question & Answers
  • Please fill out seminar evaluation forms
  • If you would like to schedule a consultation to see if the LAP-BAND System is appropriate for you:
    • Speak with our Patient Coordinator after the Q&A or
    • Contact oBand Surgery Centers, Inc. directly at:
          • 866-883-BAND or 866-886-BAND

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Lose Weight and Feel Great with