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WLS Surgical Associates
and Texas Bariatric Innovations Newsletter

June 2010
 Greetings!

Medication for depression is changing and improving.  Biochemical deficiencies are correctable.  This issue identifies some of the resources and options to consider for yourself or a loved one who is facing depression.
 
Sincerely,  Joseph A. Kuhn, MD
Depression and You

Depression is a complicated medical condition that is based on a variety of biochemical abnormalities like serotonin and norepinephrine.   
 
Causes of Depression
Abuse-past physical, sexual, or emotional abuse can cause depression later in life.
Medications--some drugs used to treat high blood pressure such as beta-blockers can increase the risk of depression. 
Conflict-- depression may result from personal conflicts or disputes with family members or friends.
Death or Loss== sadness or grief from the death or loss of a loved one.
Genetics-- a family history of depression may increase the risk.
Major Events-- Starting a job, losing a job, getting divorced
Personal problems-- social isolation due to other mental or phyical illnesses (including obesity).
Substance abuse--nearly 30% of people with substance abuse problems also have major or clinical depression.
Chronic Pain--pain disturbs sleep, exercise, and your relationship, contributing to depression.
 
One thing is certain-depression is a complex illness with many contributing factors.  The latest scans and studies of brain chemistry show the effects of antidepressants help us understand the biochemical processes involved in depressions.  Health professionals will be able to make better "tailored" diagnoses and prescribe more effective treatment plans.
 
Diagnosis of Biochemical Depression
persistenty sad or empty moods, loss of pleasure in all activities, feelings of helplessness or worthlessness, persistent crying, thoughts of suicide, loss of memory or concentration, irritability.  The doctor must consider these and other symptoms, along with a complete history.    
 
 
JUNE SUPPORT MEETING: 
 
    Jun 14  (Mon)  Medical City Dallas
            7777 Forest Lane, Building A
            Cafetorium  (NEW TIME, PLACE
            7:00-8:00
    Jun 17  (Thurs)  Baylor Park Lane
            9101 N Central Expwy
            2nd floor conference room
            6:30 to 7:30
    Jun 24  (Thurs) Baylor Southwest FW
            2nd floor conference room
            6:00 to 8:00
   

 
 
 
MEDICAL CITY SUPPORT MEETING:

 
Depression/Bipolar  Treatment options
 
Presented by Dr. Aditya Sharma
 
Member of The Holiner Psychiatric Group, which is a full-service psychiatric practice committed to providing inpatient and outpatient services for children, adults, and seniors. 
 
 
June 14, 2010   7:00 pm
 
Building A, Meeting Room (In Cafeteria) Medical City Dallas
   7777 Forest Lane  (free parking)
 
 
 
Holiner Group
 
New Healthcare Plan and OBESITY

The new Obama healthcare plan may have a significant impact on society.  The plan is now LAW and the regulations are now being written to implement the law.
 
Regarding weight loss managment, it appears that the new proposed plan does allow for intensive behavioral counseling for obesity in the private insurance market, Medicare, and Medicaid.  Several provisions target prevention through a healthier school environment and improved access to nutrition and exercise.
 
The current Medcicare coverage for surgery is not likely to change.
 
The Department of Health and Human Services will define the benefit packages for employers to have a qualified health plan and for the health exchanges.  These may or may not include bariatric surgery. 
 
Starting in 2014, employers can institute wellness programs which give some employees a reward from 30-50% of the total cost of their health insurance if they meet specific benchmarks like a certain BMI.  This will have the effect of directly shifting a great deal of healthcare expenses onto persons who cannot meet artificial and unattainable weight targets. 
 
The Obesity Action Coalition is the single best voice to represent YOU.  I strongly encourage you to join the OAC and know that they will lobby for you. 
 
New Referrals

 
 
 
For new referrals, we will mail a DVD to a potential person who is considering their options or who simply wants to learn more about bariatric surgery.
 
You can Email our new patient coordinator to assist with mailings:
 
 
 
COE emblemCOE emblem
 
 
 
Sincerely,
 

Joseph Kuhn, MD, Medical Director
 

WLS Surgical Associates
Vitamins for Depression

There is some evidence that various vitamins and nutritional supplements may influence some of the biochemical changes that accompany depression. 
 
The following agents are likely to be effective:
 
St John's Wort
SAMe
Lithium
Melatonin
 
The following agents have been identified on WebMD as possibly effective:
 
Tyrosine
Saffron
Inositol
Folic Acid
Fish Oil
Prayer and Depression

I found these excerpts from the Beth Moore book about overcoming Strongholds (a stonghold is anything that seems insurmountable)
 
She quotes Kay Arthur, in "As Silver Refined"  who says, "The first degree of depression is dejection--a lowness of spirit, a feeling of spiritual and emotional fatique.  If not reversed this dejection takes us down even further, plunging us into depair and finally into utter dmoralization.  At this stage of descent, hope is entirely abandoned and is replaced by apathy and numbness. . . my goal is that no matter how fierce or long the battles we face, you and I together will be able to say, "But in all these things we overwhelmingly conquer through Him who loved us (Rom. 8:37). 
 
There are many other quotes in Beth Moore's book that can help the hurting soul.
 
 
Buddy System
do you want to help?

Would you be willing to offer words of encouragement to new patients who are scheduled to have surgery?  This could be done over the internet or phone. 
 
If so, send an email to our new patient coordinator
 
 
OLD NEWSLETTERS


Sometimes, there can be valuable news in old newsletters.  You are welcome to review old newsletters on the website beginning later this week.  
 
 
 
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