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The benefits of sleep

Written by Keith McEwen, M.D. on 7/30/2014 2:00:00 PM

By Keith McEwen, MD, bariatric surgeon, Hamilton Bariatric Services

One of the major reasons men and women seek a proven weight loss treatment is they are so tired all the time. Sleep apnea is an obesity-related health condition. If you are only getting 4-5 hours of sleep, that typically is not long enough for your body and brain to recharge and heal.

Better sleep helps with obesity and weight loss

Here are a couple of questions to ask yourself:

  • Does it take you longer than 30 minutes to fall asleep at least three nights a week?
  • Do you have sleepless nights?

Bariatric surgery can help with sleep issues

Bariatric surgery has been proven to help with sleep issues including snoring. Losing weight around your abdomen, throat and face helps to open the airway. As you lose weight on your Lap Band® journey, you'll begin to regain higher levels of energy. Make taking an evening walk or bike ride part of your evening routine. You may just find that this activity helps you sleep better. continue reading ...


Together, anything is possible

Written by Keith McEwen, M.D. on 7/28/2014 8:00:00 AM

By Keith McEwen, MD, bariatric surgeon, Hamilton Bariatric Services

At a recent weight management workshop, Dr. McEwen asked this question: Is obesity a failure, a disease process or somewhere in between?

Losing weight is the hardest thing we (physicians) ask our patients to do. From a medical point of view, it's not straightforward. The course of treatment is different for every man and woman. In the nine years that I have been performing bariatric surgery there is no one single answer to my question. We don't like using or hearing the word "obesity," but all medical conditions have a representative term. Obesity is a term with Latin roots that derives from obedere (meaning to devour).

So what's in a word? I choose to focus on the positive. If we devour healthier foods and devour healthier lifestyle habits our body will be filled with the nutrition it needs to become healthier and happier. Obesity is not failure unless you fail to do nothing to improve your health. But coming to weight management meetings, like the ones we have each month, is doing something-something very important. continue reading ...


Transformation Tuesday: Katy's story

Written by Cheryl - Outpatient bariatrics, Dr. Keith McEwen on 7/8/2014 10:00:00 AM

My story really begins when I made the decision that I was ready. I know a lot of people think that their story begins when they think they are overweight all of their lives, but mine truly begins when I decided that I was ready. That one picture I saw...that one moment in my life when I said enough is enough, I can't do this anymore. I am truly unhappy with myself. I need to make a change.

Katy before Lap-Band surgery for weight loss, 2012In September 2012, I saw a picture of myself sitting with my fiancé on a rock jetty on the beach, smiling into a camera, looking terribly uncomfortable, trying to be happy on vacation. All I could think was that I was a beached whale.

When I started looking into my options for Lap-Band®, I really did not have any questions in my mind. I knew that I would have to get through the struggle with insurance. At this point, I had thrown around the ideas long enough. I had had friends that had thrown around the idea with me. I knew it was time for a drastic change and I needed to make the lifestyle changes that would change my life once and for all—no more diets, no more ups and downs. continue reading ...


The Dean's Lap-Band journey: Overcoming barriers to success

Written by Keith McEwen, M.D. on 5/7/2014 8:00:00 AM

Brad and Jamie Dean, Dec 2013, several months after lapband surgeryJamie and Bradley Dean started their Lap Band® journey by having surgery the exact same day back to back at the Community Surgery Center Hamilton in an outpatient setting. They both have a very positive mental attitude. What’s their secret as a married couple both seeking a healthier weight?

Secrets to success

  • Don’t be afraid of making a mistake: Sometimes we set a goal and then if we don’t reach it we can be very hard on ourselves. You have to learn that mistakes are not the end of the world, and that you will eventually reach your goal.
  • If you go over the calories for the day by 150, cut off 50 calories for the next three days and add exercise.
  • Be accountable. We like using tools like MyFitnessPal for food journaling and the Fitbit® flex wristband that sync together so that we can see each other’s daily steps, activity level, sleep, and weight – they are tools that help keep us on track as individuals and to also encourage each other.
  • At restaurants, split one food entrée; you’ll still have enough left over to take home a doggie bag. continue reading ...


The Dean's Lap-Band journey: What I don't miss

Written by Keith McEwen, M.D. on 4/30/2014 8:00:00 AM

By Bradley Dean, 5 months into his Lap-Band® journey. Learn more about Brad and his wife, Jamie's, Lap-Band journey in their blog series. They underwent Lap-Band surgery on the same day - together!

Brad Dean, January 2014, several months after lapband surgeryBefore I had the Lap-Band surgery, I couldn’t stop the weight gain roller coaster. In the winter I would get a cold and have a lingering cough that lasted well into spring. Now I seem to recover faster when I get sick in the winter and that cough is gone in a couple of weeks. 

My back and joints used to hurt every day. At 350 pounds it was very difficult to walk around and do basic activities. Now after losing even 80 pounds my energy is so much higher and the joint pains have basically disappeared.

The weight bogged me down. It was like a ball and chain. I didn’t have the energy to go out and play with my daughter as she was growing up, and if I did I found ways to cut it short so I could go in and sit down. Now I have renewed energy and I’m trying to be a more involved dad in my daughter’s active life.

I had what seemed like a lifetime of bad eating habits. Dr. McEwen and his staff are giving me and my wife Jamie the tools we need to make wiser food choices. I am finding that I have a flare for being creative in our food preparation so that it has more flavor. It’s now about making good food choices.

Stay tuned!

Look for Part 4 next week! In the meantime, if you have any questions or comments for Brad, please leave them on our Facebook page.


Being overweight or obese complicates pregnancy

Written by Keith McEwen, M.D. on 4/28/2014 8:00:00 AM

By Keith McEwen, MD, bariatric Lap-Band® surgeon, Community Bariatric Services - Hamilton, Noblesville, IN

A 2013 study revealed that expecting mothers who are obese have increased rates of preterm deliveries. A June, 2013 JAMA article, “Maternal Obesity Ups Rate of Preterm Delivery,” reported that of more than 1.5 million deliveries in Sweden over an eight-year period, 3,082 were extremely preterm, 6,893 were very preterm, and 67,059 were moderately preterm. The mother’s weight early in the pregnancy and throughout the pregnancy was linked to a higher risk for preterm delivery.

Obese moms more at risk for pre-term delivery

In Sweden, "Maternal overweight and obesity has, due to the high prevalence and associated risks, replaced smoking as the most important preventable risk factor for adverse pregnancy outcomes in many countries," the authors wrote. "To our knowledge, this is the first study investigating the effect of overweight and obesity on risks of spontaneous and medically indicated extremely preterm deliveries."

Here in Indiana, I find that after nearly ten years of providing bariatric services, specifically LAP-BAND adjustable band surgery, young mothers or women looking forward to motherhood are very motivated to:

  1. Lose weight safely to improve fertility
  2. Lose weight safely to reduce the risk of health problems associated with maternal obesity (preeclampsia, miscarriage, gestational diabetes, cesarean delivery, and preterm delivery) continue reading ...


The Dean's Lap-Band journey: Sometimes we slip up

Written by Keith McEwen, M.D. on 4/23/2014 9:00:00 AM

Brad and Jamie Dean are a couple who both had Lap-Band® surgery on the same day in 2013. In Part 2 of our blog series about their journey, they share Brad's experience with an adjustment after band "slippage."

If you have had your first Lap-Band® adjustment, the band may feel differently - some call it “morning tightness.” Women often identify with this tightness around their menstrual period. Each person is different and you need to listen to your body. Like acid reflux, some foods and liquids affect us differently. That is why Dr. McEwen advises all patients to avoid bread and bread-like products.

Why does the band "slip"?

Brad Dean's band slipped and had to be adjustedBe assured, the Lap-Band® System will not tighten on its own. (Band slippage occurs in less than 2.8% of all Lap-Band System patients.) However, eating the wrong foods may increase your chances of having the food become “stuck” or the esophagus to become irritated. Chronic vomiting or productive vomiting (meaning intentionally spitting up foods) can lead to “slippage.” 

Patients sometimes misinterpret the term “slippage” to mean the band actually moved. In fact, it is the stomach moving from below the band – through the band - then becoming stuck above the band. This leads to nausea, vomiting and discomfort. The band actually does not “slip” around; it appears to be out of position due to the stomach being stuck above it. continue reading ...


The Dean’s Lap-Band journey: Two in the family

Written by Keith McEwen, M.D. on 4/16/2014 7:30:00 AM

This is Part 1 of a series about Brad and Jamie Dean, a couple who had Lap-Band surgery together, on the same day. In the blogs, they share their experiences before and after Lap-Band, and how they have worked together to realize their personal transformation and weight loss goals.

How many couples do you know that have had their weight loss surgery on the same day back to back? In Dr. McEwen’s eight years as a bariatric surgeon, Bradley and Jamie Dean are the first couple to have the Lap Band® AP System procedure on the same date. Married for five years, Bradley and Jamie recognize their different personalities complement each other—a great support system for their individual Lap Band journeys. It’s now been more than five months since the surgery.

Meet Dean

“At 350 pounds I knew I needed to do something, I drew the line in the sand and said no more,” remembers Bradley Dean, 42, a husband, father and systems analyst, who steadily found himself gaining weight since his high school years. “After a lot of questions and research, Jamie and I felt this could be a safe solution. I was committed to moving ahead with the band surgery and then Jamie asked Dr. McEwen if they could do it at the same time.”

Meet Jamie

At age 38, Jamie is a project manager for a custom home builder and an assistant director for the Indianapolis Syrens, the dance squad for the Indianapolis Tornados, a local semi-pro football team. She has a different weight-loss goal: “I was an insulin-dependent, type 2 diabetic and being overweight only made my symptoms worse. Now I’m off the insulin pump and I take oral medication. The Lap-Band is a tool that is helping me manage my diabetes.” It helps that Jamie is a very organized person, so she found it easy to follow the new food guidelines and work with her endocrinology nurse to adapt portion sizing and the timing of her meals. It’s been a smooth transition.

Preparing for surgery

While Jamie’s parents were there for the outpatient surgery and took them home after, Bradley and Jamie took it from there. They credit their successful start by doing their homework, asking lots of questions, prepping with the prescribed nutritional pre-surgical shakes and planning their soft food menus after surgery. continue reading ...


Get a good night's sleep to manage diabetes

Written by Keith McEwen, M.D. on 4/9/2014 7:30:00 AM

A new review article in Lancet Diabetes & Endocrinology says people with type 2 diabetes also struggling with obesity need to address their sleep routines to better manage the metabolic disease. Getting short amounts of sleep due to sleep apnea is an obesity-related health condition. The authors reported the importance of raising healthcare providers' awareness about the metabolic importance of sleep for these patients. The researchers also commented on the negative effect of the “24-hour digital lifestyle” that has more and more adults using electronic devices for social media, gaming, online shopping or watching previously recorded television programs.

Overweight man using CPAP to sleep

Keith McEwen, MD, bariatric surgeon said at a recent Community weight management workshop that sleep apnea is a consistent problem for many of the men and women who come in for their first consultation. “We ask about sleep patterns as well as the behaviors that influence poor eating habits and a sedentary lifestyle. In our program, our bariatric team works one-on-one with each patient to identify how to make the daily experience supportive for overall weight loss and that includes getting a good night’s sleep. continue reading ...


Lap-Band® seminar - you're invited!

Written by Cheryl - Outpatient bariatrics, Dr. Keith McEwen on 4/8/2014 7:30:00 AM

You're invited! Our next FREE class about bariatric surgery is tomorrow, April 9, 2014 at 6 p.m. Join us in Noblesville for our monthly seminar featuring Dr. Keith McEwen, Lap-Band® specialist, and members of our bariatric surgery team.

Click the button below to register for the class or call 317-621-2511. If you prefer to stay home, you can also watch a free video to learn more about surgical weight loss options that may be right for you.

We look forward to meeting you and helping you start your transformation!

Register for a free class to learn more about weight loss surgery options in IndianaRegister to view a free online video to learn more about weight loss surgery options in Indiana


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