• Episode 23: Revisional Bariatric Surgery with Dr. Francesca Dimou
    Jun 20 2024

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    Unlock the secrets to successfully navigating revisional bariatric surgery as we invite Dr. Francesca Dimou, a pioneering Bariatric and General Surgeon with a talent for robotic procedures, to illuminate the complexities of this life-altering medical journey. Transitioning into a new chapter at USF and Tampa General Hospital, Dr. Francesca Dimou outlines the essential steps she takes in the intricate dance of preoperative evaluations. As she shares her algorithm and stresses the importance of diagnostic tests, you'll discover the empathy and expertise needed to set patients up for triumph in the face of obesity's challenges.

    As we wade through the murky waters of insurance coverage for bariatric surgery, Dr. Francesca Dimou and her team of patient navigators emerge as beacons of hope, guiding patients through the labyrinth of policies and procedures. It's not just about the physical transformation; the conversation turns to the emotional odyssey patients embark upon, confronting societal misunderstandings and internal battles. With Dr. Francesca Dimou's insight, we're reminded that obesity is a chronic disease demanding a cocktail of surgical intervention, medication, and lifestyle changes, all delivered with a generous dose of compassion.

    Finally, we converse on the synergistic power of a multi-generational surgical team, where experience meets innovation, and colleagues become confidants. Dr. Francesca Dimou reflects on her own professional voyage, which took an unexpected detour from anti-reflux to bariatric surgery, a field ripe with the potential for impactful change. She emphasizes the mentorship that sculpted her career and offers pearls of wisdom to young surgeons: Embrace the strength of a united team, and you'll not only excel in your field but also ensure the highest standard of care for those you serve.

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    33 mins
  • Episode 22: We're Talking S**T
    Jun 13 2024

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    Ever been caught off-guard by the silent but deadly post-op enemy, constipation? We're cracking open a dialogue on this hushed subject, revealing why that first post-surgery toot matters more than you might think! Join us as we dissect the ins and outs of keeping things moving smoothly after surgery. With a blend of our own tales from the trenches and expert clinical advice, we've revamped the typical pre- and post-op playbook to tackle constipation head-on, discussing everything from the mysterious ileus to the impact of stress on your gut.

    Sip along with us as we spill the beans on staying hydrated with more than just plain old H2O—think flavored waters, shakes, and high-water content snacks. We're serving up a full course of wisdom on the crucial balance of proteins, fats, and carbs, and why your Keto diet might be backing you up, literally. Our chat meanders through the interplay of a varied diet, the importance of sleep, and even how your meds could be messing with your movements. So, grab your favorite drink, and let's get to the bottom of what keeps your digestive tract on track!

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    36 mins
  • Episode 21: How Sleep Affects Weight with Dr. Ethan Emmons
    Jun 6 2024

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    Unlock the secrets of a good night's sleep and its profound impact on weight management with sleep medicine wizard Dr. Ethan Emmons. Our latest episode traverses the shadowy links between sleep disorders like apnea and weight gain, especially in the bariatric world. Dr. Emmonss, with his rich background in pulmonary and critical care, decodes the body's adrenaline-laced response to sleep interruptions, illuminating how they can sabotage blood sugar and fat regulation. Whether you're a health aficionado or a medical professional, this conversation packs a wealth of insights, demystifying the complexities of sleep and weight for a healthier you.

    Discover the transformative power of sleep hygiene and its pivotal role in prepping patients for bariatric surgery in our compelling dialogue. Dr. Emmons dissects the nuts and bolts of at-home sleep apnea testing, providing reassurance with non-invasive techniques that pave the way for better health. We lay out a practical blueprint for enhancing sleep quality, from screen-time curfews to curbing caffeine, guided by recommendations from the American Academy of Sleep Medicine. These nuggets of wisdom aren't just theoretical; they're life-changing rituals that could lead to sweet dreams and even sweeter health outcomes.

    Create Harmony

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    30 mins
  • Episode 20: Factors of weight
    May 30 2024

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    Join e Dr. Maria Iliakova and Tammie Lakose, as they delve into the intricate web of factors that shape our weight. From genetics to the hustle of daily life, they explore the complex influences on what we eat and how it affects our weight. Forget the age-old advice of "eat less, move more"—their discussion will lead you on a journey through the often-overlooked aspects of weight management that go far beyond calorie counting.

    Strap in for a candid talk about the harsh economics of eating well, as we navigate through the paradox where processed foods often pinch our wallets less than fresh produce. The struggle is real when time and money dance in a tango of compromise, affecting not just meal choices but our collective well-being. Maria and Tammie venture further and discuss the surprising connections between obesity, nutrition, and the quality of your slumber. Ever considered how the climate you live in, or your financial literacy could play pivotal roles in your health? They dissect these factors and more, leaving no stone unturned.

    Closing the loop, Maria and Tammie share their personal encounters with the real-life hurdles that complicate weight management, such as work stress, familial patterns, and the inevitable curveballs life throws their way. Whether it's navigating the challenges of sleep apnea or hormonal changes, or debunking misconceptions around conditions like COPD, they lay it all out on the table. This episode isn't just about shedding light on the issues—it's about empowering you with understanding and strategies for a healthier lifestyle, one informed choice at a time.

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    31 mins
  • Episode 19: Genetics and Obesity
    May 23 2024

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    Embark on a scientific odyssey with us as we reveal the hidden ties between our genetic blueprints and the scales. With expertise in molecular biology and genetics, Dr. Iliakova dives into the nuanced interplay between DNA and obesity, breaking down myths and simplifying science. Discover rare genetic syndromes and their surprising implications for our understanding of weight regulation. We also inspect groundbreaking medications targeting genetic factors in overeating, offering a sneak peek into the future of personalized obesity treatment.

    Our journey doesn't stop at genetics; we traverse the complex terrain of hormones and their delicate dance with our weight. We unpack how obesity can disrupt this balance, affecting everything from fertility to metabolic health. Learn about the link between conditions like PCOS and hormonal harmony, and how thoughtful weight management can bolster fertility and overall well-being. Plus, we highlight cutting-edge treatments, from receptor agonists to the staggering potential of CRISPR gene editing and the transformative power of fecal transplants. Join us for this enlightening exploration of weight, health, and the pioneering science that's shaping our approach to both.


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    34 mins
  • Episode 18: The Worst 5 Minutes of Tammie’s Life
    May 16 2024

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    Embark on an emotional voyage with us as we explore the intricate world of bariatric surgery and the heartfelt journeys of those who traverse it. Tammie who is both a bariatric coordinator and a patient herself, provides an insider's look at the tangled web of feelings and fears that patients face, emphasizing the critical need for a compassionate healthcare environment. We delve into the significance of empathy and the essential role of post-operative support in shaping a patient's experience—because the road to wellness extends far beyond the operating room.

    Dr. Iliakova and Tammie share their insights on the transformative power of respect and understanding, discussing the profound impact these gestures have on building trust and ensuring patients stay engaged with their post op journey long after they leave the hospital.

    Tailoring the treatment to the tapestry of each patient's life, we discuss how personal circumstances and individual needs are the threads that, when woven together, produce the most successful outcomes in bariatric care. We invite listeners to weigh in with their experiences and perspectives on clinical environments, as we strive to create a supportive community attuned to the nuances of bariatric healthcare. Join us in this heartfelt conversation that's not just about shedding pounds, but also about shedding light on the path to a healthier, more understanding world.


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    34 mins
  • Episode 17: What Tammie Wish She Knew
    May 9 2024

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    Ever felt a chill after a hearty salad, or craved Brussels sprouts wrapped in bacon? That's the kind of unexpected shift in appetite and body temperature regulation Maria and Tammie are talking about on this episode, where they peel back the curtain on the life-altering journey of bariatric surgery. Their conversation serves up the raw, unspoken truths about post-op life, including why Tammie's water mug is now her most treasured accessory. Their narrative stitches together the fabric of lifestyle readjustments, unwrapping the delicate dance between treating oneself and adhering to a new health-conscious existence.

    Social dynamics take a front seat as Tammie navigates the post-bariatric world, from the anxiety of standing out in a crowd to the emotional tumult of weight-loss compliments. Maria and Tammie dissect the influence of cultural and familial dining customs that clash with the new reality of smaller portions and the tactics to manage the ensuing social tension. And just when you think you've got it all figured out, they bring to light the post-operative surprises like gallbladder woes, urging open dialogue with your surgeon, and confronting the emotional impact of significant weight loss. Tune in for an honest, heartfelt exploration of the post-bariatric life that goes beyond the scale.

    & so much more
    A bi-monthly podcast where we share the stories of our Caregivers, patients and...

    Listen on: Apple Podcasts Spotify

    Create Harmony

    This is a podcast about setting an intentional rhythm, savoring life’s blessings and...

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    42 mins
  • Episode 16: Talking with Healthcare Professionals
    May 2 2024

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    When a fellow physician's offhand remark about obesity struck a nerve, it brought home the reality of the insensitivity that pervades our medical community. It's discussions like this that Tammie and Maria tackle head-on, breaking down the complexities of weight management far beyond the oversimplified calories in versus calories out. Their conversation sheds light on the multifaceted influences of genetics, metabolism, and lifestyle choices on an individual's weight, underscoring the urgent need for a more educated approach within healthcare.

    As they peel back the curtain on bariatric care, they're confronted with the stark realities of accessibility, especially in rural areas. The advancements in surgery and evolving outpatient policies come into sharp focus alongside the role of primary care physicians in the referral process. Maria gets personal, sharing her own experience with binge eating disorder, and together, Tammie and Maria expose how few eligible patients receive the care they need. They also explore how telemedicine, a beacon of hope post-COVID, could revolutionize follow-up care and bridge the healthcare divide.

    The finale of the episode takes on a proactive stance, stressing the significance of early intervention in weight management. They emphasize the value of a multi-disciplinary approach and the necessity for primary care doctors to be well-versed in weight management. Wrapping up, they extend an open invitation to our listeners to connect with them on social media for further discussions and insights. With Tammie's invaluable perspective, they hope their candid dialogue resonates with listeners and sparks a much-needed transformation in how the healthcare field addresses weight management.

    & so much more
    A bi-monthly podcast where we share the stories of our Caregivers, patients and...

    Listen on: Apple Podcasts Spotify

    Create Harmony

    This is a podcast about setting an intentional rhythm, savoring life’s blessings and...

    Listen on: Apple Podcasts Spotify

    Support the Show.

    Show more Show less
    42 mins