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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Bariatric/Weightloss Surgery FAQS

Home >> Our Specialities >> Bariatric Weight Loss Surgery >> Bariatric/Weightloss Surgery FAQS
What all should i carry for my first appointment?

Nothing in particular is required on the first appointment as the doctor usually take medical history i.e. history of any previous illnesses, previous surgeries, list of medications that you are on. If you have any recent test reports you may carry them along.

How do i know if i am eligible for weight loss surgery?

Weight-loss surgery is only recommended if the patient has had unsuccessful attempts at weight loss and sustenance and keep it off by dieting, changing your overall lifestyle and exercising alone. Doctors often use the body mass index (BMI) and health conditions such as type 2 diabetes and high blood pressure to determine which patients are most likely to benefit from weight-loss surgery. Patients who qualify are those with BMI above 32.5 kg/m2, with associated co-morbidities like diabetes etc or patients with BMI above 37.5 kg/m2, with or without associated co-morbidities.The right candidates are the ones who:
1) Have a BMI>32.5 and associated diseases like diabetes, hypertension, osteoarthritis, obstructive sleep apnea.
2) Have a BMI>37.5, with or without associated illnesses
3) Did not benefit from the weight loss management techniques
4) Are uncomfortable in performing routine activities due to excess weight 

Which all procedures do you perform?

The common procedures we perform are:
• Gastric Bypass
• Sleeve Gastrectomy
• Minigastric bypass 

Which procedure would you recommend for me?

The procedure is recommended by the bariatric surgeon after considering various factors like BMI, associated co-morbid conditions, past medical history etc. 

What are the risks of weight loss surgery?

During your counselling and evaluation, the doctor will explain the risks pertaining to each individual.

How long is gastric bypass procedure?

It is 1.5 hours procedure and requires three to four days hospitalization.

What are the pros and cons of Gastric Sleeve Surgery?

The Pros:
• Eliminates the portion of the stomach that produces the hunger stimulating hormone (Gherlin).
• Dumping Syndrome is not observed.
The Cons:
• A gastric sleeve is irreversible.
• There are chances of weight regain in case the patient does not adhere to a healthy lifestyle.   

What are the pros and cons of Gastric Bypass Surgery?

The Pros:

• Weight loss is quick and sustained (long term).
• Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly.

The Cons:
• The surgery may result in dumping syndrome, which occurs when food moves too quickly through the stomach and intestines. Dumping syndrome can cause sweating, dizziness, nausea, and severe diarrhoea. Dumping syndrome happens in response to carbohydrate rich diet. However this can be easily avoided if you follow small dietary modifications suggested by the nutritionist.
• Staple line leak. 

How much weight can i lose after surgery?

One loses approximately 60 to 80 % of excess body weight at a pace of 6 kilograms weight loss every month. The weight loss is long term and sustained. 

How long do i have to stay in hospital after surgery?

Generally, hospital stay can be between three to four nights, unless there are situations demanding longer stay due to co-morbid conditions/high risk patients and adverse events. 

When can i resume my work?

It will depend on the type of surgery and the type of your work. You must plan to take out 7-10 days from work if recovery is uneventful. 

Should i exercise after weight loss surgery?

Yes, regular exercise is necessary for maintaining weight loss. 

What are the lifestyle changes necessary post surgery?

• Eat small meals
• Eat nutritious and balanced diet (high in protein and low in carbohydrates and fats).
• Exercise regularly.
• Regular follow up with your surgeon. 

Will i continue to take vitamins?

Yes, you will require a lifetime of vitamin supplementation. 

"What is the cost of procedure and Will my insurance cover the procedure cost?"

The cost will depend on the type of the procedure and the room category you opt for. 

"Will my social relationships suffer because of weight loss surgery?"

No. You can opt for many healthy alternatives like foods and drinks at social functions with the help of your nutritionist.

Will diabetes make the surgery riskier?

Of the people diagnosed with type-2 diabetes, about 60 percent are also diagnosed as obese. This fact provides an interesting clue to the link between diabetes and obesity. Understanding what causes the disease will hopefully allow us to prevent diabetes in the future.
Being overweight places extra stress on your body in a variety of ways, including your body’s ability to maintain proper blood glucose levels. In fact, being overweight can cause your body to become resistant to insulin. If you already have diabetes, this means you will need to take even more insulin to get sugar into your cells. And if you don’t have diabetes, the prolonged effects of the insulin resistance can eventually cause you to develop the disease.
The good news is type 2 diabetes is largely preventable. Research studies have found that lifestyle changes and small amounts of weight loss in the range of 5-10% can prevent or delay the development of type 2 diabetes among high-risk adults. Lifestyle interventions including diet and moderate-intensity physical activity (such as walking for 150 minutes per week) were used in these research studies to produce small amounts of weight loss. The development of diabetes was reduced 40% to 60% during these studies that lasted 3 to 6 years. Preventing weight gain, increasing activity levels and working toward small amounts of weight loss if you are overweight can have a big impact on the likelihood that you will develop diabetes in the future. Managing your weight is the best thing you can do to prevent the development of diabetes. 

Is there a possibility that i might lose my hair after surgery?

Not always observed and not true for everyone. However, since there are fat cells between your hair follicles, you can expect some hair loss which can be managed with a zinc rich diet and supplementation. Better quality hair will come back once the weight stabilizes. 

"Can i get pregnant after weight loss surgery?"

Weight loss surgery improves fertility especially in women suffering with PCOD (Polycystic Ovarian Syndrome) and the ones who are having difficulty in conceiving. In fact, several women who are trying to conceive are advised to lose weight to increase the chance of conception and a healthy pregnancy.  

"How frequent should be the follow ups?"

Twice to thrice in the first year and then once in every year for atleast 5 years.

"Is weight loss surgery reversible?"

It entirely depends on the type of procedure. Roux-en-Y Gastric bypass is reversible; however, sleeve gastrectomy is irreversible. 

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