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Bon Secours St. Mary’s Hospital Bariatric Surgery Patient’s Newsletter
Respect • Compassion • Justice • Integrity • Quality • Innovation • Stewardship • Growth
Winter 2014
Good Nutrition: Holiday Super Foods
by Sara Rammer, RD
It’s hard to believe the holidays are fast approaching. This year, instead of a feast featuring carbohydrate rich and starchy items, challenge yourself to try some exciting seasonal fruits and vegetables. Quick Tip: Remember to limit your serving of starches to once per day. Adjust serving size to ½- ¾ cup if you are less than a year post-op. Look for leafy greens, winter squash, cruciferous and root vegetables. All are nutrient dense, meaning they provide a wealth of vitamins, minerals and fiber and are relatively low in calories. Try the following tips and recipes with your friends and family. We have chosen 4 common holiday feast items and suggested some exciting alternatives. Give them a try and let us know your feedback. Email me at: [email protected]
SPAGHETTI SQUASH: (Great replacement for pasta or potatoes) This winter squash is a low carbohydrate alternative to potatoes during the holidays. Per ½ cup serving, there is ~5 g carbohydrates compared to ~15 g per ½ cup of noodles or potatoes. They also provide a source of Potassium and Vitamin A. Feature them at your holiday feast and incorporate them year round as a pasta alternative. Simply cook squash and serve with marinara sauce, lean ground turkey and garlic. Check out the recipe for spaghetti squash on page 3.
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To schedule an appointment with the Dietitian, call Central
Scheduling at 627-5660.
If you have questions or concerns for Sara Rammer, RD, call
287-7037 or email at [email protected]
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FRESH APPLES: (Great replacement for pie) Apples contain soluble and insoluble fiber. Research has linked apple consumption to reduced risk of some cancers, cardiovascular disease and diabetes.
Cooking fresh apples will intensify natural flavors and decrease the need for added fat or sugar. Enhance with cinnamon, nutmeg or clove. Season with rosemary, sage and thyme when serving baked apples with meat or poultry.
Quick Tip: Combine 4 peeled, sliced apples (Golden Delicious or Honeycrisp) with 3 Tbsp. water, 1 tsp. nutmeg, 2 tsp. cinnamon and 1 Tbsp. artificial sweetener. Spray large baking dish with non-stick spray. Place sliced apples in dish. Preheat oven to 350 degrees. Cover baking dish and cook for 30 minutes or until tender and firm.
CAULIFLOWER: (Great replacement for mashed potatoes) This cruciferous vegetable is a good source of fiber and an excellent source of vitamin C and folate. To retain flavor, store in cool, dry place and use within 2 days of purchase. To the surprise of many, mashed cauliflower is an excellent low-carbohydrate alternative to mashed potatoes. Check out the recipe for mashed cauliflower on page 3.
COLLARD GREENS: (Great replacement for green bean casserole) This non-starchy vegetable provides a source of Vitamin K, potassium, calcium, and fiber among many other nutrients. For low fat cooking method, omit ham hock.
Quick Tip: In a medium skillet, heat 1Tbsp oil. Sauté’ ½ cup chopped onions and 1minced garlic clove until vegetables are translucent. Add 1 lb. raw collard greens, cook down. For a citrus twist, add ½ cup orange or lemon juice. Adding an acidic ingredient, such as juice enhances their color and appearance.
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Good Recipes: Healthy Recipes Provided by Sara Rammer, RD
Cauliflower Mashed Potatoes Serving Size: ½ cup Yield: ~6 cups or 12 servings Prep Time: 10 minutes Cook Time: 30 minutes Ingredients: 3 cups cauliflower florets 2/3 cup skim milk 4 tablespoons fat free sour cream or plain Greek yogurt Pepper and/or Garlic to taste. Directions: 1. Place cauliflower in a steamer. Insert in 4 quart pot, cover and steam for 10-15 minutes until
very soft. 2. Place cooked cauliflower florets in food processor and puree (or mash by hand with spoon). 3. Add milk, sour cream, pepper, garlic to cauliflower and puree until smooth. 4. Put mixture in microwave safe dish and heat for 2 minutes, spray with butter spray. Nutrition Facts (per serving): 30 Calories, 0 g Total Fat, 5 g Total Carbohydrate, 1.5g Fiber, 2 g Protein.
Recipe taken from: Eating Well After Weight Loss Surgery by Patt Levine, Michele Bontempo-Saray.
Roasted Spaghetti Squash Serving Size: ½ cup Yield: 6 cups or 12 servings
Prep Time: 10 min Cook Time: ~60 minutes
Ingredients:
1 large spaghetti squash
Black pepper, onion and/or garlic powder
Directions:
Cut 1 spaghetti squash half lengthwise, scoop out the seeds with a spoon. Place halves on baking sheet cut side up. Sprinkle with black pepper, onion powder and/or gar-
lic powder. Bake at 350 for about an hour or until the skin is easily pierced with a fork. Actual cooking time
will depend on size of squash. Next, using a fork, scrape out the flesh into spaghetti-like strands. Place in serving dish or re-
turn to hollowed spaghetti squash for a unique serving dish.
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Everyone has a story to tell about an event that has occurred during their life. We know our bariatric patients have these unique stories to tell as well. This month’s featured patient is Scott Moe.
Meet Scott Moe: “My name is Scott Moe and I am a gastric bypass patient. I had the bypass in September of 2008 and I have lost 310 pounds and maintained that weight loss. This is my story.
I have been over weight since as long as I can remember in elementary school. I remember my parents then always having to buy clothes in husky sizes for me and then getting into a size 42 pants in middle school while the rest of the boys wore 30 and 32 waists. People always looked at me differently because of my size and treated me differently. The older I have gotten the bigger I have gotten and it has affected not only my living skills but my social coping skills, until right before my surgery.
I was very bad with starting and maintaining personal relationships. This inability came from my being so self-conscious about my weight. I came to a point in my life where these inabilities had to end.
I had been trying to lose weight for a very long time with very little success. I made the decision to get my surgery and to alter my life to be healthy on a long road of change that takes me to where I am now, six years out. Keeping off 310 pounds is a constant fear that motivates me.
I hope that this tool along with the others I am using now, which are diet modification and specific exercise times can give me the life changing move I need to have more quality years to spend with my family and loved ones.
I know I needed this surgery to help me shed the unhealthy weight and to make myself feel and look better. I have a loving family and friends around who supported my decision to do this. I have shown myself that I have the will power to make a major change in my life since I had my surgery in 2008. All this combined with the support I get from everyone, gave me more willpower to make this life changing decision.”
- Scott Moe
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We would love to hear your story, significant moments in your life, and even stories related to your weight loss journey.
We encourage you to submit these stories to be published in our quarterly bariatric newsletter.
If you need a little help, we will be glad to assist you in telling your story. We eagerly wait to hear from you and to share your story with St. Mary’s wonderful bariatric population in upcoming newsletters.
Email stories to Keri Collins at [email protected] Shar
e Yo
ur S
tory
Take A Look at This Patient Superstar!
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Now Offering - Bariatric Advantage Products Bariatric Advantage offers a comprehensive line of vitamins and supplements designed specifically to meet the needs of patients preparing for surgery, as well as those that have undergone weight
loss surgery.
Visit the Good Health Pharmacy at St. Mary’s Hospital (next to Starbucks) to fulfill your pre
and post op needs.
We can be reached at (804) 281-8425.
Hours of operation:
8:30am – 7:00pm Monday – Friday
9:00am – 1:00pm Saturdays
MULTIVITAMINS
Advanced Multi EA Multivitamin/Mineral Chewable Tablets, 60 ct. $36.00
PROTEIN BARS
Ketogen X Chocolate Snack Bar $2.85
Ketogen X Peanut Butter Chocolate Snack Bar $2.85
Ketogen X Peanut Snack Bar $2.85
CALCIUM CITRATE CHEWS
Calcium Citrate 500 mg/Vitamin D 500 IU, 90 ct. in two great flavors:
Calcium Chewy Bites Caramel - $31.70
Calcium Chewy Bites Peanut Butter Chocolate - $31.70
VITAMIN D
Vitamin D3 Chewable Gels 10,000 IU - Lemon Flavored, Sugar-Free, 30 ct. $16.90
HIGH PROTEIN MEAL REPLACEMENTS
Chocolate 35 servings $67.95
Vanilla 35 servings $67.95
Orange 35 servings $67.95
Banana 35 servings $67.95
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Your Physician's Office can Provide an Access Code to get Started!
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Our Bariatric Surgeons at Bon Secours General Surgery at St. Mary’s Hospital: Dr. Eliseo Bautista, Dr. Brennan Carmody, Dr. Joseph Karch, & Dr. Nathan Lee (804) 893-8676
Dr. Brengman and Dr. Schroder (804) 360-0600 Our Nurse Practitioners & Physicians Assistants at Bon Secours General Surgery at St. Mary’s Hospital: Jeanine Moss, Maya Paige, Erin Brown, & Stacy Gittler (804) 893-8676 Our Registered Dietitians at St. Mary’s Hospital: Sara Rammer & Laura Ellison (804) 287-7037 or email them at [email protected] & [email protected]
Winter is such a special time of the year. It reminds me of this quote: “Winter is the time for comfort, for good food and warmth, for the touch of a friendly hand and for a talk beside the fire: it is the time for home.” ― Edith Sitwell I hope you will take time to gather in a warm place with family and friends. May you sing songs, hold hands, tell stories, share traditions, kindle fires, warm hearts, share your abundances, light candles and embrace this special season. Also, don’t forget to bundle up in warm sweaters, coats, and gloves to take part in fun winter activities! I pray that the warmth of the season blesses you now and in the new year to come.
Your Support Team For Life Is just a phone call away...
Good Words - From the Desk of: Barbara Ferguson, RN, BS, BSN, MHA, NE-BC Director Clinical Management: Cardiac Services, Bariatric Service Line, Surgical Specific Populations
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Find a Support Group Meeting at: http://richmond.bonsecours.com/news-and-events-calendar-of-events.html
St. Mary’s offers several weight loss surgery support groups. These group meetings offer education, support, guidance, the opportunity to network with other members, share information and ideas, and learn about healthier lifestyles. Open to surgical weight loss patients who are considering a gastric bypass or sleeve gastrectomy surgery, just had surgery, or are five years out from surgery. This group is appropriate for patients after adjustable gastric band, gastric bypass and/or sleeve gastrectomy. Family members and friends are also welcome to attend this meeting.
Topics include nutrition education, information about taking care of your operation, problem solving, and coping strategies. All groups are led by qualified staff including; Nurse Practitioners, Registered Dietitians, Registered Nurses, and Physicians.
Good Support: St. Mary’s Bariatric Surgery Patient Support Groups
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Change for Life Bariatric Support Group St. Mary’s Hospital, Education Center (1st floor)
6:00PM – 7:00PM
November 13, 2014 – Holiday Cooking Demo
November 20, 2014 – Healthy Holiday Eating
January 8, 2015 - “Goals for 2015…What are Yours?”
January 15, 2015 - “Are You a Sugarholic?”
February 12, 2015 - Topic to be Determined
February 19, 2015 - “Exercise Progression – When, Where, Why, and How Long”
March 12, 2015 - “Staying on track/ Getting back on track”
March 19, 2015 - Topic to be Determined
Save the Date for more 2015 Support
Group Meetings:
August 13
August 20
September 10
September 17
October 8
October 15
November 12
November 19
April 9
April 16
May 14
May 21
June 11
June 18
July 9
July 16
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