Tag Archives: Asthma

Types of Weight Loss Procedures that can save your life.

Weight loss although has risks, can be a benefits including curing diabetes, lowering blood pressure, lowering cholesterol, easy joints and arthritis pain, digestive issues. Asthma and lung disease, sleep apnea, pre diabetes, Hepatic Steatosis, non alcohol related cirrhosis, PCOS for infertility, Joint disease, pseudotumor cerebri, uniary incontinense, venous stasis disease which causes swelling and varicose veins, Depression and mental illness, Quality of life. Longer life.
LAGB:
The Lap Band, adjustable Banding System. Placement of a flexible silicone band around the upper part of the stomach. the result is your not as hungry, feels fuller faster and eats less. there is a port left under the skin, so the Doctor can tighten the band or make it looser.

LRYGB, Laparoscopic Roux-en-Y gastric Bypass, t in involves the creation of a small capacity stomach pouch and a small outlet from the pouch directly into the small intestine, where nutrients are absorbed. The pouch will hold less then the previous stomach, can fee satisfied sooner, eats, Hormonal issues make a difference in your calories being burned.

LSG, Laparoscopic sleeve gastrectomy, This removes a large portion of the stomach, the remaining portion of the stomach is formed into a long tube that is unable to enlarge or balloon up with food. The restriction reduces the amount a person can eat and causes satiety with less food.

MGB, Mini-Gastric Bypass or loop Gastric Bypass is a laparoscopic gastric bypass the involves connecting a loop of the small intestine to a small stomach ouch, creating the same sense of satiety and reduced hunger This procedure tissue connection instead of two and can be performed out patient.

The Duodenal Switch, This procedure involves a more complex re-routing of the intestines, that results in reduced stomach capacity and reduced nutrient absorption, It is the most invasive of the procedures and has the most risks but it may still have a role as a revisional procedure of for people with severe diabetes and very high BM!.

Band with imbringcation, This procedure which adds an imbrication or surgical in -folding and tightening of the stomach, to the placement of any adjustable gastric band. this is also out patient procedure it may improve weight loss produce faster results over LAGB Alone.

The laparoscopic improvement allow surgeons to spend less time in operating room and usually can go home that day.

In order the Qualify you must have a approval from a bariatric surgeon, the surgery center, BMI over 55. No history of Pulmonary hypertension, anesthia approval, sleep apnea under control
If you are over 65 most likely you won’t qualify.
You may want to keep your decision to have bariatric surgery to your self, the last thing you need is others opinions, it just between you and your Dr. You can even go under another name in the hospital to protect your privacy, but if you want to share your decision, make sure its with positive people that will support you in your journey and help you in your recovery.

A fantastic Book to read which gives you the in’s and outs, pro’s and con’s to any Gastric surgery. It is called A Sasse Guide, Outpatient Weight loss surgery, Dr Sasse is a highly experienced and accomplished bariatric surgeon, author expert and featured speaker national in the field of Weight reduction, bariatric medicine, remission of diabetes and surgery.

I have met him personally and just felt comfortable with his knowledge, He has refused patients because they don’t qualify, which I think is good, instead of just making the money. His office staff is incredible, kind and not judgmental. You can order the book off Amazon.com
If you would like to contact his office for their information conferences or a consultation the phone number is 775-7999. He resides in Reno, NV

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Agamaglobulinesia! Say what?????????

Agammaglobulinemia

Agammaglobulinemia is an inherited disorder in which a person has very low levels of protective immune system proteins called immunoglobulins. Immunoglobulins are a type of antibody. Low levels of these antibodies make you more likely to get infections.
Causes
This is a rare disorder that mainly affects males. It is caused by a gene defect that blocks the growth of normal, mature immune cells called B lymphocytes.
As a result, the body makes very little (if any) immunoglobulins. Immunoglobulins play a major role in the immune response, which protects against illness and infection.
People with this disorder develop infections again and again. Common infections include ones that are due to bacteria such as Haemophilus influenzae, pneumococci (Streptococcus pneumoniae), and staphylococci. Common sites of infection include:
Gastrointestinal tract
Joints
Lungs
Skin
Upper respiratory tract
Agammaglobulinemia is inherited, which means other people in your family may have the condition.

Symptoms
Symptoms include frequent episodes of:
Bronchitis (airway infection)
Chronic diarrhea
Conjunctivitis (eye infection)
Otitis media (middle ear infection)
Pneumonia (lung infection)
Sinusitis (sinus infection)
Skin infections
Upper respiratory tract infections
Infections typically appear in the first 4 years of life.
Other symptoms include:
Bronchiectasis (a disease in which the small air sacs in the lungs become damaged and enlarged)
Asthma without a known cause
Exams and Tests
The disorder is confirmed by blood tests that measure levels of immunoglobulins.
Tests include:
Flow cytometry to measure circulating B lymphocytes
Immunoelectrophoresis – serum
Quantitative immunoglobulins – IgG, IgA, IgM (usually measured by nephelometry)
Treatment
Treatment involves taking steps to reduce the number and severity of infections. Antibiotics are often needed to treat bacterial infections.
Immunoglobulins are given through a vein or by injection to boost the immune system.
A bone marrow transplant may be considered.
Outlook (Prognosis)
Treatment with immunoglobulins has greatly improved the health of those who have this disorder.
Without treatment, most severe infections are deadly.
Possible Complications
Health problems that may result include:
Arthritis
Chronic sinus or pulmonary disease
Eczema
Intestinal malabsorption syndromes
When to Contact a Medical Professional
Call for an appointment with your health care provider if:
You or your child has experienced frequent infections.
You have a family history of agammaglobulinemia or another immunodeficiency disorder and you are planning to have children. Ask the provider about genetic counseling.
Prevention
Genetic counseling should be offered to prospective parents with a family history of agammaglobulinemia or other immunodeficiency disorders.
Alternative Names
Bruton’s agammaglobulinemia; X-linked agammaglobulinemia; Immunosuppression – agammaglobulinemia; Immunodepressed – agammaglobulinemia; Immunosuppressed – agammaglobulinemia
Images
Antibodies
References
Buckley RH. Primary defects of antibody production. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 124.
Cunningham-Rundles C. Primary immunodeficiency diseases. In: Goldman L, Schafer AI, eds. Goldman’s Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 250.
Pai SY, Notarangelo LD. Congenital disorders of lymphocyte function. In: Hoffman R, Benz EJ Jr, Silberstein LE, Heslop HE, Weitz JI, Anastasi J, eds. Hematology: Basic Principles and Practice. 6th ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 49.
Review Date 3/20/2016
Updated by: Stuart I. Henochowicz, MD, FACP, Associate Clinical Professor of Medicine, Division of Allergy, Immunology, and Rheumatology, Georgetown University Medical School, Washington, DC. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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