Happy Retirement to Jorie Borden, RN!Majorie (Jorie) Borden, one of our much appreciated nurses, retired on July 11. Jorie worked most of her nursing career at Southcoast Health, joining the Weight Loss Surgery Program in 2008. She wore many hats on our team – triaging patient calls, educating patients, leading quality initiatives and maintaining quality metrics. She was truly a dedicated and highly valued bariatric team member. We will miss Jorie here in the office and wish her the best in her retirement!

Contact us: 100 Rosebrook Way Suite 300, Wareham 508-273-4900

300 Hanover Street Suite 1F, Fall River 508-973-8610

Tobey Hospital 43 High Street, Wareham 508-295-0880

Nutrition and Psychology Services 508-273-4900

Call 508-273-4900 for seminar locations.

Our program continues to assist patients in the South Coast region in receiving the highest quality of bariatric care. We are excited to announce the Bariatric Accreditation of Charlton Memorial Hospital as our second MBSAQIP accredited comprehensive center for bariatric care. This will now provide patients in the Rhode Island and Fall River areas with easier access to surgery as well as the already provided outpatient care. Our patients are our best messenger’s to help people who are struggling with their weight as they are aware of the availability of our two excellent accredited centers at Southcoast Health.

Notes from your surgeons

We are also excited to announce the addition of Kamini Hambly, LICSW, Licensed Social Worker to our behavioral health team. Kamini will join Suzanne Gokavi and Maria Cruz in providing care and support for our bariatric patients.

Many patients ask how they can prevent weight regain or lose more weight. The simple triad of food choices, portion size and activity level are the three variables that patients need to focus on to affect their weight loss or weight gain. Small changes in each of these three items can result in significant progress toward one’s goal. Attending support groups and keeping in touch with the bariatric team will also help keep you or get you back on track.

Ray Kruger, MD, FACS | Thomas Streeter, MD, FACS | Donald Colacchio, MD | Jorge Huaco, MD, MPH | Rachel Jones, MD

Your Journey to Healthy Living For Roux-en-Y, Adjustable Gastric Banding and Sleeve Gastrectomy Patients

Fall 2016

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Everyone knows that weight loss surgery is a big helping hand to start you off in living a healthier lifestyle. You get a nice small stomach, a jumpstart to increase your metabolism and some initial help with hunger and cravings. But you also know that most of your journey is in your hands!

Your successes are yours and so are your choices and behaviors. This is great news because when you are working hard on your eating, exercising and self care, it’s all you. My guess is that this a huge source of pride because you truly understand the hard work,

sacrifice and commitment. You truly know the struggle it takes to keep it all going.

On the other side of the same coin is being accountable for your own actions and behaviors. A person grows and changes when he/she takes full responsibility for all the choices they make and owns the consequences of those choices. It is what we try to do as parents…teach our kids to be in charge of their good and poor choices and learn lessons from it.

So if you find yourself making poor food choices, drinking too much alcohol, or in some way not

Own It!

Psychology

Maria Cruz, LICSW | Suzanne Gokavi, LICSW | Kamini Hambly, LICSW

Fall is in the air and it is time to say goodbye to the lazy hazy days of summer and fall back into a routine. Just as all students prepare to start a new school year so must we prepare to get into a daily, healthy routine.

Fall is the perfect time for outdoor activities such as biking, walking and hiking and don’t forget raking leaves. Exercise should be fun so find enjoyable activities and don’t be afraid to try new things. A regular exercise regimen will help you feel better and reach and maintain your weight loss goals.

Nurse’s Corner

Now that the cookouts and picnics are over, it’s time to get back to planning and preparing your meals for home and work to help prevent unwise choices. Eat three protein containing meals a day and aim for 60 to 80 grams of protein per day. If there is a time of day you feel that you need a snack chose a healthy snack with protein or some fruits and vegetables.

Now is the time to schedule your yearly appointment if you do not already have one. Be aware of the critical need to continue your vitamins to prevent nutritional deficiencies and to have your yearly lab work checked.

Suzanne Clancy, RN | Michelle Croft, RN | Rachel Fortes, NP | Bethany Pereira, NP | Jodie Plouffe, PA-C | Grace Rego, RN

Nutrition Support GroupsRosebrook Medical Office Building, WarehamTuesdays at 5:30 p.m.3rd floor waiting room Oct 25 Building a Healthy BreakfastNov 22 Sit Down Workouts and Other ExercisesDec 20 Nutrition and Exercise Phone AppsJan 24 Vitamins for Life The Cape Codder Resort, HyannisWednesdays at 5 p.m.NEW! Psychology Group follows at 5:30 p.m.Oct 5 Sit Down Workouts and Other ExercisesJan 4 Nutrition and Exercise Phone Apps

Charlton Memorial Hospital, Fall RiverThursdays at 5:30 p.m.Mooney Room at Southcoast Centers for Cancer Care Oct 27 Vitamins for LifeDec 22 Nutrition and Exercise Phone AppsJan 26 Sit Down Workouts and Other Exercises

Please note: To reach the Mooney Room at Charlton Memorial Hospital, park in the Surgery Center parking lot on Prospect Street, behind the hospital. Enter through the Centers for Cancer Care entrance. Continue straight and the room is directly ahead at the end of the hallway.

Reconnect with your fellow weight loss surgery friends by attending support groups or using online support to help maintain your weight loss surgery success or to help you get back on track.

The clocks are due to be set back November 6, so now is the time to refocus and establish those long-term behaviors for success. As we remind our children to make sure summer reading is completed and school supplies are bought so they are prepared for the upcoming school year, we must also lead by example. Let’s make sure we are prepared as much as our children for a successful year ahead.

Psychology Support GroupsPatients may bring one support person where noted below.

NEW Daytime Group: Psychology & Nutrition combinedRosebrook Medical Office Building, WarehamThursdays at 11 a.m.October 13, November 17, December 15, January 12

Rosebrook Medical Office Building, WarehamTuesdays at 6 p.m.Oct 25 Plastic Surgery PresentationNov 22 Addictions/Obsessions (Support person)Dec 20 The Gifts of Surgery Jan 24 You Are a Priority (Support person)

The Cape Codder Resort, HyannisWednesdays at 5:30 p.m. No groups in Nov & DecOct 5 Emotional EatingJan 4 Celebrating the New You

Daytime Group: Psychology & Nutrition combined Charlton Memorial Hospital, Fall River Oct 12 12:30 p.m. Changing with the Season (Support person)Nov 16 11 a.m. Healthy Self EsteemDec 7 11 a.m. Emotional EatingJan 11 11:30 a.m. Mood and Food

Thursdays at 6 p.m. No group in NovemberOct 27 Addiction/Obsessions with Food (Support person)Dec 22 Celebrating your New Lifestyle (Support person) Jan 26 Struggles for the Under Age 30 Patient: Special group for this demographic!

following the guidelines you learned…you have to really own that also. Only by being truthful about our mistakes can we truly make the changes necessary for long term change. You are in charge!

The surgery doesn’t make you do things “right or wrong” does it? It’s just surgery. You don’t have total control of what the number on a scale might be, but you can make decisions about how you live your life. Many of you have had so much

BaritasticCost: FreeWe love this app because it is created specifically for bariatric patients. You can set reminders for fluid intake, meals and vitamins/supplements to help you remember everything! Use their timer to help slow down your meals, and log meals for nutrient breakdown — especially protein. In addition, they have a weekly motivation tab, recipe database and a photo timeline to keep track of your progress!

Mayo Clinic Bariatric Surgery Cost: $4.99 each (There are two: Pre- and Post-Surgery)Set real-time alerts for motivation, nutrition and exercise reminders. This app also has learning modules to brush up on nutrition and physical activity knowledge. You can also track your food and fluid intake, and exercise all in one! Just remember these were designed for the Mayo Clinic program.

MyFitnessPalCost: FreeMyFitnessPal wasn’t created specifically for bariatrics, but it does have great features that you can use! It has one of the best food trackers, and we love that you can add your own recipes! In addition, you can easily log exercise, and access other recipes and cooking tips.

Charity MilesCost: FreeThis app can provide additional motivation for exercise! You’ll be able to earn up $0.25 per mile walked for a charity from their list. You can also run or bike. Included charities are Wounded Warrior Project, Alzheimer’s Association, ASPCA, and Feeding America.

Own It!continued from cover

Weight Loss Apps to Know About

Nutrition

Alexandra Carlin, RD | Natia Corsi, RD | Maureen Fletcher, RD | Suzanne Kokkins, RD | Stacy Medeiros, RD | Jennifer Schlitzer, RD

success, in spite of setbacks and mistakes, and I truly hope you OWN IT. If you know you are heading down an unhealthy path, please OWN IT and do whatever you need to do to turn it around and start back on the path you want to travel. The feeling of pride that comes from struggling with your health and food until you have reached a better place is a kind of peace and freedom. So OWN IT!

Technology is all around us all the time, why shouldn’t it help you meet your weight loss goals? These apps can help keep you on track no matter what stage you’re at. While there are many options out there (ask your dietitian for a complete list), we’ve heard a lot about three and think you’ll like them! We’ve also found an app that provides some great motivation for your walking program — doing good for others! Good luck, and let us know what you think!