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Weight Loss Surgery Covered by Medicare and Private Health Insurance

29th August 2019

We are often asked if weight loss surgery is covered by Medicare and private health insurance. The short answer is, yes bariatric surgery is covered by Medicare and most private health insurers.

Patients covered by Medicare are entitled to subsidised medical services for bariatric surgery, provided they meet the medical criteria requirements.

Under the current Medicare Medical Benefits Scheme (MBS) weight loss surgery or, Bariatric Procedures are related to Items 31569 to 31581, and anaesthesia item 20791.

Items 31569 to 31581 and item 20791 provide for surgical treatment of clinically severe obesity and the accompanying anaesthesia service (or similar).

Private insurance may cover weight loss surgery and programs, but it’s important to check directly with your insurer. Individual private insurers can have differing terms and conditions for weight loss surgery.

The Types of weight-loss surgery Medicare and private health insurance may cover

Dr Lockie performs both gastric sleeve and gastric bypass surgery, which are both covered by Medicare and most private health insurers, for patients who meet the criteria.

Laparoscopic Sleeve Gastrectomy (gastric sleeve)

Gastric sleeve surgery removes 70 to 80 per cent of the stomach, turning the stomach from a spacious bag to a small tube. There is no foreign device left in the body and there is no significant alteration to the gastrointestinal tract.

This operation is a good option for obese patients. It is a good volume control option, and this is often an issue for men in particular.

It may not be the best option of you have any significant reflux.

Laparoscopic Gastric Bypass

Another common type of weight loss surgery, the laparoscopic gastric bypass. The Roux-en-Y gastric bypass (RYGB) has been around for 40 yrs, and is still the operation that all other operations are compared to. RYGB can result in a 65 to 75 per cent reduction in excess weight. It involves the creation of a small pouch from the upper part of the stomach. The rest of the stomach is disconnected and left inside.

A loop of the small bowel is then brought up and attached to the new stomach pouch. Another join is made lower down on this loop to connect the food to the rest of the small bowel. When patients eat, the food goes through the small pouch and into the loop of the small bowel but does not meet the digestive juices for around 100cm.

This type of surgery is considered the best option for Type 2 or non-insulin dependent diabetics, the super obese (BMI>50), sweet eaters, emotional eaters and patients with significant reflux.

A fixed ring can be added to the gastric bypass. This is done in super obese patients and often in revisional surgery.

How much is the Medicare rebate?

Medicare will provide reimbursement for the procedures indicated by the item codes, although individuals may still need to rely on private insurance to meet the remainder of the cost. Here, a set rate is applied for each surgery.

Private health insurance for weight loss surgery

The amount of cover a private insurance company provides for weight-loss surgery typically ranges between $1,700-$5,300, after the Medicare rebate.

Without private insurance patients may be forced to pay around $12,000-$18,000, even after the Medicare rebate. With the support of private health insurance, this drops to about $2,800 - $7,000.

Costs will also vary depending on the surgery recommended for each patient.

Free bariatric surgery consultation is available

Book in for your free, no-obligation consultation with our Perioperative Nurse, Surgical Assistant, Shirley Lockie. In this consultation you will be provided with information on the different types of surgeries, program appointments and we will answer any questions you may have about the process. Shirley will also help guide you on Medicare cover and how to navigate your private health insurance options.

Contact us on 07 3355 2011 or schedule a consultation here.

Medical criteria for bariatric surgery

To undergo weight loss surgery covered by Medicare and private health insurance, patients need to meet certain medical criteria.

Does BMI matter?

BMI is one of the most important considerations. This measures body composition based on height and weight.

According to the Medicare MBS, the term clinically severe obesity generally refers to a patient with a Body Mass Index (BMI) of 40 or more, or a patient with a BMI of 35 or more with other major medical co-morbidities or obesity related disease.

Obesity-related diseases include:

  • Heart disease
  • Obesity
  • Asthma
  • Sleep apnoea
  • Osteoarthritis

It’s important to note the BMI values in different population groups may vary due, in part, to different body proportions which affect the percentage of body fat and body fat distribution. Consequently, different ethnic groups may experience major health risks at a BMI that is below the 35-40 provided for in the definition.

These guidelines were set out when surgery was performed as an open operation, whereas surgery is now all key-hole. The MBS states the decision to undertake obesity surgery remains a matter for the clinical judgment of the surgeon.

Therefore, I will consider individual patients with a BMI>32 for bariatric surgery, with or without an obesity related disease.

Factors that determine the cost of weight-loss surgery

The cost of bariatric surgery depends on several factors. These include:

  • Surgeon consultation fees
  • Type of surgery chosen
  • Surgeon fees
  • Surgical assistant fees
  • Hospital fees
  • Anaesthetist’s fees
  • Medications prescribed after surgery

9 Common Weight Loss Myths

19th July 2019

You've tried everything: exercise, calorie counting, ketogenic diet, Zumba, and all the weight loss tips you can find on the net, but nothing can seem to shake off those extra pounds. Are they really not working or are you just getting inaccurate information?

Here are common weight loss myths that may be sabotaging your plans:

Myth 1: Supplements are Effective for Weight Loss

Weight loss supplements claim to burn and decrease absorption of fat, but the bad news is that there is research that indicates most weight loss supplements don't work, and in fact, many of them are hazardous to your health. “What people want is to lose weight and maintain or increase lean tissue mass,” researcher Melinda Manore stated. “There is no evidence that any one supplement does this. And some have side effects ranging from the unpleasant, such as bloating and gas, to very serious issues such as strokes and heart problems.” *

Myth 2: Obesity is Strictly About Willpower

This myth was busted by the largest study of its kind. Researchers at the University of Cambridge have found that obesity is not a breakdown in willpower but a matter of biology and genetics.

It appears that people who manage to be slim no matter what they eat are favored by the genetic dice while people suffering from obesity just don't have the same luck. In the same study, hundreds of genes that can increase a person's chances of being obese have been discovered, along with faulty genes that can cause severe obesity among the very young.

"This research shows for the first time that healthy thin people are generally thin because they have a lower burden of genes that increase a person's chances of being overweight and not because they are morally superior, as some people like to suggest," Professor Farooqi said. "It's easy to rush to judgment and criticise people for their weight, but the science shows that things are far more complex. We have far less control over our weight than we might wish to think."**

Myth 3: Fats & Carbs Make You Fat

Is it fat or carbohydrates? The debate rages on, but the truth of the matter is that it is calories, not carbs, not even fat that causes you to gain weight. If you're not mindful of your caloric intake, even fat-free and low-carb foods will be stored in your body as fat. Weight gain, after all, is caused by more caloric intake than energy expenditure.

Myth 4: Commercial Diets Can Help You Lose Weight

There are many "Diet" foods on the market that claim to achieve weight loss. There is a long list of dieting products with unproven, irrational claims. Some of these products work because they contain potent, yet hazardous components, such as thyroid hormone and ephedrine, known to cause rapid heart rate and even death.***

Myth 5: Fasting is Effective for Weight Loss

It's true that eating nothing will result in weight loss for the short term, but fasting can be detrimental to your health. The initial weight that you lose when you fast is not fat, but water. You also stand to lose some muscle mass. When you break your fast, you tend to regain the weight you lost, and a few extra kilos more. Why? Because you tend to binge after starving yourself. Worse, the weight that you regain will most likely be fat, not muscle. To regain the muscle mass you lost, you need to exercise.

Myth 6: ‘Skinny Tea’ is an Effective Weight Loss Method

The problem with skinny teas is that they can cause stomach troubles, cramps, and diarrhea. Obviously, frequent trips to the bathroom can assist with weight loss but did you know that losing weight this way for more than two weeks can cause electrolyte imbalance. This can lead to kidney and liver damage, muscle weakness, as well as heart problems? ****

Myth 7: A Gluten-free Diet will Help you Lose Weight

Unless you have a medical condition that requires you to go gluten-free, you shouldn’t restrict your nutrients. Wheat products, which contain gluten can even be beneficial for weight loss because they have more fiber. Gluten-free pastries can also have more calories because more fat and sugar are added to make the food tastier.

Myth 8: Cleansing Diets can Assist in Weight Loss

There isn't any convincing evidence that detox or cleansing programs remove toxins from your body or improve your health, according to the National Center for Complementary and Integrative Health. *****

We have kidneys, a liver, and other organs that can handle detoxification effectively. Weight loss on a detox diet is simply because they are often very low in calories.

Myth 9: All You Have to do to Lose Weight is Exercise More

Exercise Training regardless of weight loss does have numerous health benefits. However, according to studies, both physical activity and caloric restriction is more likely to result in significant weight loss. ******

Despite the daily bombardment of secrets to losing weight, Australia is getting alarmingly fatter, according to recent statistics.*******

Losing weight should never be this difficult. If you are struggling to keep healthy habits, contact us today.

Book your free consultation with Dr Phil Lockie's practice here:

http://www.drphillockie.com.au/infopage/request-a-free-consultation-with-shirley-lockie

References:

* https://today.oregonstate.edu/archives/2012/mar/study-most-weight-loss-supplements-are-not-effective

** https://www.sciencedaily.com/releases/2019/01/190124141538.htm

*** https://www.tandfonline.com/doi/abs/10.1080/11026480510032052

Avoiding Weight Regain After Bariatric Surgery

31st May 2019

Bariatric Surgery is Not a Quick Fix

Weight loss can sometimes feel like a never-ending battle. If you are considering bariatric surgery or have already undergone surgery, it is important to remember that the surgery isn’t a quick fix and you may still experience some setbacks.

Statistics reveal that the range of weight loss for people who undergo bariatric surgery is 12% to 39% of presurgical body weight or 40% to 71% of excess weight. Moreover, bariatric surgery results in the most signi´Čücant and sustained weight loss as well as reversal of type 2 diabetes mellitus.*

When you regularly eat more calories than you burn, your weight increases but aside from caloric consumption, there are other reasons why people gain weight. Medications, some medical conditions, hormonal imbalance, toxins, stress, depression and slow metabolism are also contributing factors to weight gain. These factors have to be taken into consideration even when you choose bariatric surgery as an option.

Bariatric surgery may be a solution to obesity for some individuals, but without proper care, it can lose its effectiveness, leading to weight regain.

A recent research published in the American Medical Association’s journal JAMA Surgery found that nearly half of patients experience significant weight gain after five years following laparoscopic sleeve gastrectomy.**

Why You May Gain Weight Following Bariatric Surgery

1. Mental Health

Studies reveal that Binge Eating Disorder (BED) impairs weight loss following bariatric surgery. Based on these studies, some investigators recommend that patients be treated first for this condition before undergoing surgery. ***

Binge eating is related to stress, depression, anxiety, low self-esteem and other negative feelings. Even stressful thoughts can activate metabolic pathways that cause weight gain.

2. Poor Nutritional Habits

Problematic eating behaviors can lead to weight regain. Chaotic eating, skipping meals (which can result in overeating), poor choice of food, grazing, night eating, alcohol - all these may stretch the capacity of the stomach and thus lead to weight gain.

3. Lack of exercise

Regular exercise, even just walking, is important for long term weight maintenance. This is particularly important for peri and post menopausal women.

How to Avoid Regaining Weight After Bariatric Surgery

The key to avoid regaining weight after surgery is education and counseling in diet, health behaviors and exercise. Here’s how to avoid regaining weight after surgery.

1. Attend follow up appointments with your surgeon, dietitian and psychologist

Professionals can help you identify the emotional triggers and underlying issues that may lead to regaining weight and manage them effectively.

2. Stick to your prescribed diet

Closely following your prescribed diet helps you lose weight safely and avoid regaining weight.

Your doctor or dietitian will explain to you the types of food you'll need to follow after surgery, and how much food you can eat per meal. Your doctor may recommend:

- Eating and drinking slowly

Consuming your meals in at least 30 minutes will avoid dumping syndrome. It should also take you 30 to 60 minutes to drink 1 cup of liquid. You should also observe a 30 minute interval between meals and liquids.

- Eating small meals

You will be required to eat smaller meals - about a half-cup each meal to start with, but you can eat several meals a day, up to a maximum of six times. This will vary from patient to patient so it is important to follow the advice of your dietitian.

- Drinking between meals

Drinking too much liquid at or around mealtime can make you feel full, thus preventing you from consuming enough nutritious food.

- Chewing your food properly

Large pieces of food can get stuck in the very narrow passage between your stomach and intestine and block the passing of food. Blockages can cause vomiting, nausea and stomach aches.

- Choosing high-protein foods over fatty and sugary foods

Protein can help you maintain muscle mass. Fatty foods and sugar can cause dumping syndrome.

- Avoiding alcohol

Alcohol causes disinhibited eating (which involves a lack of restraint over food intake) and lack of satiety. It is also a source of easy calories.

- Taking supplements

Because you will be eating less, you may not be getting enough nutrients from your food, so you may require supplements.

3. Make fitness a priority

Increase your daily physical activity. You can start slow and progress gradually. Progressive resistance training decreases abdominal fat.

4. Enlist the support of your family and friends

People who care for you can help you stick to healthy eating and fitness habits, as well as help you overcome emotional issues.

Our Multidisciplinary Approach

A very common misconception is that it's very easy to lose weight - it's just a matter of eating less and moving more. But what most people don't understand is that there are secondary considerations and complications that need to be dealt with when it comes to obesity.

Long term weight management is a difficult task and it takes a multidisciplinary team consisting of a psychologist, dietitian, exercise physiologist and a surgeon to ensure we get the best results for our patients.

Each intervention is an individual one, so unless there is a multidisciplinary approach, you run the risk of missing key areas where you may need extra support. That makes a multidisciplinary approach a must.

At Dr. Phil Lockie, we also run a support group which includes talks on a wide range of pre and post surgery topics. Individuals can choose the sessions they wish to attend.

The support group is a wonderful avenue for giving and receiving support. It's also a great occasion for talking and sharing with each other, as well as learning a little bit more about the journey. If you are struggling to keep healthy habits, contact us today:

http://www.drphillockie.com.au/infopage/request-a-free-consultation-with-shirley-lockie


*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3208891/

**https://jamanetwork.com/journals/jamasurgery/fullarticle/2422341

***https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085093/


 

Boredom Eating: Tips to break the habit

16th May 2019

Eating When Bored  Can Lead to Unhealthy Eating Habits

If you ransack your refrigerator, pantry and kitchen cabinets when you're bored, welcome to the club.

Boredom does make you hungry. Not hunger for food, but emotional hunger. When you're bored, you are hungry for that dopamine surge. Dopamine is a neurotransmitter that helps control the brain's reward and pleasure centers. When you feel pleasure - eating your favorite food for example - your brain releases dopamine.

When your dopamine level is low, you may experience feelings of boredom. Eating is an enjoyable and comforting experience, so it makes sense that people are drawn to eating when bored.

So, boredom leads to unhealthy eating habits caused by this emotional hunger. The only problem with this kind of hunger is you never feel satisfied as your brain continues to seek a solution to your boredom.

But it’s a vicious cycle: when you binge-eat out of boredom, you gain weight; when you gain weight, you tend to lose self-confidence which may lead to depression; when you are depressed, you end up eating more to defeat the feeling of emptiness. Eventually, your relationship with friends, family and social circle may begin to suffer.

How to Prevent Boredom Eating

  1. Pause before you eat. Now that you're aware of the root cause of your problem, you should be able to identify emotional hunger from real hunger.
  2. Drink a glass of water. Thirst can easily be mistaken for hunger.
  3. Find a diversion. Take a walk, call a friend, read a book, do housework - anything that can burn calories instead of collecting them.
  4. Chew on sugar-free gum. This can prevent mindless munching.
  5. Schedule your meal and snack time. The key is awareness. If you eat according to schedule, you become more aware of your food intake, giving you greater control.
  6. Embrace boredom once in a while. Food is tastier when you are famished, water tastes sweeter when you are parched. In the same manner, life can be more satisfying and fulfilling if we can tolerate not being entertained all the time.

I’m struggling ! What do I do now?

If you are struggling to control your boredom eating, you can stock up on healthy and mood-boosting food so when you feel the urge to eat, you can quickly choose healthier options.

Instead of sugary and fat laden food, try snacking on:

- Vegetables and hummus

- Light popcorn

- Mixed nuts

- Fresh Fruits

- Greek Yogurt

- Dark Chocolate and Almonds

- Hard boiled eggs

- A piece of cheese

- Whey protein shake

- Canned Salmon or sardines

- Dried, unsweetened coconut

- Olives

The Dr Lockie Multi-disciplinary Approach May Help

Don’t let boredom eating hold you back - there are many more enjoyable and fulfilling things in life.

At the Dr. Phil Lockie Surgery our multi-disciplinary approach of a surgeon, nurse, dietitian and psychologist provides comprehensive support to patients pre and post obesity surgery.

If you have trouble with weight loss, there could be an alternative. We offer a free, no-obligation consultation with our Perioperative Nurse Surgical Assistant, Shirley Lockie, to answer questions and discuss your options.

http://www.drphillockie.com.au/infopage/request-a-free-consultation-with-shirley-lockie

*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381486/

 

Important Information for Bariatric Patients re Alcohol

4th April 2019

As part of our pre-operative advice we do talk about alcohol intake and bariatric surgery.

A recent study from the U.S.A. looked at the effects of drinking alcohol after gastric bypass and sleeve gastrectomy and compared them to patients who were yet to have bariatric surgery. The study looked at 28 women, 11 had a sleeve gastrectomy approximately 2 years prior to testing, 8 had a gastric bypass approximately 2 years prior to testing and the remaining 9 were scheduled for surgery.

In the surgical groups, the sleeve gastrectomy group and the gastric bypass group, their blood alcohol concentrations increased faster and peaked approximately 2 times higher than the pre-surgical group. The surgical patients felt more drunk as a result. Interestingly, testing with a breathalyser under estimated blood alcohol levels by nearly one third. Obviously, this could have significant implications for bariatric patients who drink and then drive. If roadside testing showed a slightly elevated breath test, subsequent blood testing could find peak blood alcohol levels that were up to one third higher and this could result in a much more significant penalty.

So, to re-emphasise what we discuss prior to surgery, alcohol intake is easy calories and can result in transfer of addiction and have potential issues when it comes to drinking and driving.

BARIATRIC SURGERY JUST THE BEGINNING TO SUCCESSFUL WEIGHT LOSS

4th April 2019

The following article has been reproduced with the kind permission  of St Andrew's War Memorial Hospital, publishers of Best Practice Magazine.

Currently bariatric surgery is the most effective treatment for obesity  and associated co-morbidities such as diabetes. However, to sustain long-term weight loss success and for resolution of co-morbidities, St Andrew’s War Memorial Hospital’s upper GI and laparoscopic surgeon, Dr Phil Lockie warns that surgery needs to be combined with behavioural and dietary change.

Latest results from Dr Lockie’s practice, demonstrate weight loss outcomes better than the national average, and he credits these results to his team approach before and particularly following a patient’s surgery.

“We know, through experience, that bariatric surgery is not an easy option, and it is important that patients participate in the pre and post-operative psychological and dietetic support that we offer to sustain their weight loss,” said Dr Lockie.

Dr Lockie’s patients at 12 months post-surgery had an average BMI of 30 (compared to a national average of 32.5); an excess weight loss of 80.2% (compared to a national average of 64.8%); and a total weight loss of 31.3% (compared to a national average of 25.5%).

Dr Lockie’s pre and post-operative care program for patients includes the following key elements:

Bariatric co-ordinator: a complimentary consultationfor patients to discuss their surgical options and learn how the practice works. This helps guide the patient through the process and acts as a point of contact for questions.

Dietician: regular sessions in person and over the phone with a dietician to discuss diet changes immediately post-surgery, and then at specific intervention points like hair loss at three months and managing appetite beyond twelve months. Vitamins and micro-nutrients are checked
on a regular basis by Dr Lockie and the dietician.

Psychologist: patients are provided with pre- and post-op sessions to help put in place the fundamental lifestyle changes required to help consolidate behavioural change. Behavioural change is essential for long-term weight management. The team’s psychologist specialises  in bariatric patients and has completed a PhD in weight  loss patients.

Weight loss support group: a monthly support group provides the opportunity for patients to discuss their concerns in a group setting under the supervision of a psychologist. Guest speakers present on a regular basis on a range of topics including post-weight loss plastic surgery.

Specialist consultations: as part of weight loss surgery is managing and improving weight related co-morbidities such as diabetes, we collaborate with a number of specialists at St Andrew’s, both pre-operative, in-hospital and post-operatively, to ensure patients are as well as possible prior to surgery, have the best possible management of their co-morbidities in hospital and as they lose weight post-operatively.

Exercise: patients are encouraged to attend the support group with an exercise physiologist and have the opportunity to book individual one-on-one sessions with the exercise physiologist. Formal and incidental exercise is important for long-term weight management.   

Dr Lockie said bariatric surgery should be regarded as a tool to aid weight loss and the importance of behavioural factors (eating behaviour, diet and exercise) cannot be overemphasised.

“Modification of poor behaviour or food choices, through dietary and psychological assistance is important for long-term success. Our team members, have been working together for ten years, and are here to provide as much support as needed,” he said.

Importance of Our Two-year Multi-Disciplinary Program

19th March 2019

Two-year Multi-Disciplinary Approach to Permanent Weight Loss

At Phil Lockie Surgery your support doesn’t stop once surgery is complete, we follow a two-year, multi-disciplinary approach to ensure you get the most out of your procedure. It is important to remember that surgery isn’t a quick fix, there are significant dietary, psychological and lifestyle changes required post-surgery. During our two-year program we aim to address any weight gain at an early stage, improve long term weight and psychosocial outcomes, and assist patients to achieve and maintain optimal weight loss.

Our multi-disciplinary approach involves the surgeon, dietitian and psychologist. We ensure that all follow-up appointments coincide with your routine pathology so that we can review the results and address any concerns in a prompt matter. At each check-up relevant information to your recovery will be discussed, at 3 months we discuss managing hair loss and at 6 months coping with the return of hunger. All of our patients also have access to a monthly, complimentary weight loss support group.

Follow Up Is Vital

Your progress is important to us, we supply a range of services to ensure you succeed in your weight loss journey. Sticking to your scheduled follow-ups is essential to your health and maintaining your weight. Along with numerous studies and first-hand experience those who don’t attend their appointments are more likely to gain weight post-op.

A recent study indicates that as many as 50% of patients don’t attend their follow-up appointments and therefor no matter how good their surgery was, they didn’t benefit as well. Studies showed that after one-year type 2 diabetes remission rates were 62% in the group who completed follow-up and 57.5% in the group with incomplete follow-up. The completed follow-up group also had greater improvements in blood pressure and cholesterol.

The importance of follow-up appointments and post-operative care is immense, it’s the difference between an average result and a great result. Our clinic doesn’t just look at your weight loss, we also ensure you are progressing mentally, emotionally and physically. It allows us to possibly spot potential barriers before you see them coming. We review your latest lab work and provide a supportive environment where you can talk about your journey and ask questions.

Get Started Here

We want to see you succeed in your weight loss journey. Contact us today for a free, no obligation appointment with our Perioperative Nurse, Shirley Lockie, and see how we may be able to help you.

Getting Fit In Ten Minutes (or Less)

19th March 2019

Each January millions of people make New Years Resolutions to eat better, lose weight or exercise more. A staggering 8% of people actually achieve their goals, although your goal of cutting out all carbs or running every day may seem like a fantastic idea, you must ask yourself how sustainable this is.

You need to set your self realistic milestones and goals, your end goal may be to run 10kms but first aim to run for 5 minutes each day. The way to sustain a new healthy lifestyle is easing your way into creating habits, you should focus on becoming 1 per cent better at something each day.

The 5-minute run

Running has huge benefits on your health, studies show that even running a few minutes a day can improve your blood pressure, cholesterol levels and help you lose weight. Runners of all fitness levels have shown that they have a 30% lower risk of death from all causes and a 45% lower risk of death from heart attack or stroke.

As your fitness levels improve you will need to increase the time and pace of your run to maintain the benefits, if you are time poor a great alternative is interval training.

Interval training is a form of exercise that involves short periods of high-intensity exercises designed to get the same benefits in a shortened time period. The benefits of high-intensity training include improved endurance, lowered blood pressure and blood cholesterol.

Researchers have created an approach known as 10-20-30 training, essentially you jog for 30 seconds at a comfortable speed, then you pick up the pace for 20 seconds, then for the last 10 seconds you sprint as fast as you can. You then repeat this circuit five times without a break, rest for 2 minutes, then repeat the cycles again. The whole thing will last 12 minutes, not including warm up or cool down.

Create an at-home circuit

We understand that sometimes you don’t have the time or budget to attend a gym, creating an at-home circuit allows you to workout with convenience. The ideal fitness regime will consist of a warm-up, cardiovascular workout, resistance training, flexibility exercises and a cool down.

There are a number of exercises you can complete using the furniture around your house. The at-home circuit should be strenuous and completed as quickly as you can, the good thing is that you are finished within 10 minutes.

Your at home circuit should include star jumps, push-ups, step-ups, squats, planks, tricep dips, wall-sits, lunges, push-ups, and side planks. You need to do each exercise for 30 seconds, going as hard as you can and only taking a 10 second rest between exercises.

The 12 minute Yoga Routine

Yoga improves flexibility, muscle strength and creates healthier bones. A 2016 study by Loren Fishmen discovered that a 12 minutes yoga routine is all you need to improve your general health and help prevent osteoporosis.

To stimulate osteocytes it is recommended that you hold each pose for 12 to 72 seconds and focus on your form. Your pelvis should always be level and your standing leg should be facing forward. It is essential that you can feel your muscles tensing as you need to build muscle to build bone. Using Fishmen’s technique there are a number of beneficial poses to complete including, tree pose, extended triangle, warrior, extended side angle, locust, bridge, reclining, and the corpse pose, hold each pose for 30 seconds on each side.

The nine-minute weight training session

Strength training is a great way to improve your flexibility, reduce injury risk, build muscle and maintain an overall healthy body. You don’t need to join a gym or dedicate hours of time to do weight training, all you need is a set of dumbbells and a timer. You should aim to find a square or hexagon ended dumbbell at a comfortable weight, try the 2kgs and if they’re too easy get a heavier weight.

A report in the journal Applied Physiology, Nutrition, and Metabolism investigated whether short strength training sessions with different lift techniques could improve strength. The investigation found a program of nine, 60-90 second exercises achieved significant strength gain. The report indicates that you don’t need to spend 5 days a week at the gym for 2 hours at a time, in the study even the individuals that spent the least amount of time at the gym still made gains.

To complete the 9 minute training session, select weights that are heavy for you but still give you the ability to complete eight to 12 repetitions. When doing your exercise try and target all areas of your body by including lunges, squats and chest press. Complete a set of three exercises for 60 seconds without a break, then take a 60 second break and continue onto the second set of exercises, repeat for the third set. For best results try and repeat these exercises at least three times a week. As your strength gains remember to upgrade your dumbbells to a heavier weight.

The 2-minute walk

If you don’t have time to complete a 30 minute walk a day, have you ever considered a 2 minute walk every hour? A report in the Journal of the American College of Cardiology found that you don’t necessarily need to exercise for a long time as long as it’s consistent. Finding time for a 30 minute walk each day can seem daunting but getting up every hour for a 2 minute walk is a great way to get your daily exercise and also avoid the issues associated with constant sitting.

The best way to try the activity is to set your timer for 2 minutes every hour, go for a quick walk wherever you are, then repeat 15 times daily.

Mindfulness for 10 minutes

Improving your physical appearance can be more difficult if your mind isn’t in the right place. There are currently a number of anecdotal evidence and recent research that suggests mindfulness can impact a persons ability to maintain or improve their physical wellbeing. Mindfulness has the ability to reduce symptoms of anxiety, enhance cognitive functioning and may even improve a person's immune response.

Author of Ten to Zen, Owen O’kane says that taking 10 minutes a day of mindful thought will create the right headspace to set you up for the rest of the day.

To participate in the activity lie down and be completely still. During this time begin with checking in on your emotions, assure your self that all emotions you are feeling are normal. Now find your own calm space, place your arms across your chest and start alternatively tapping with each hand 20 times. Once you have found your calm place, spend 2 minutes concentrating on your breathing and focus on mindful thoughts. Once the exercise is complete think about how you feel and try to introduce this exercise into your daily routine.

If you are experiencing trouble with weight loss, there could be an alternative. At the Dr Phil Lockie Surgery we offer a free, no-obligation consultation with our Perioperative Nurse Surgical Assistant, Shirley Lockie, to answer your questions and discuss your options with obesity surgery.

*Dr Phil Lockie Surgery advises that all people should seek advice from their General practitioner before engaging in physical activity.

Dr Lockie Awarded BSR Leading Contributor Status for 2017

25th February 2018

Bariatric Surgery RegistryFor the second year running, Dr Lockie's Practice has started the new year by being awarded gold status of Leading Contributor for the Bariatric Surgery Registry (BSR).

Dr Lockie and his team have again demonstrated the committment in delivering the best possible outcomes for their patients.

Dr Phil and Shirley Lockie and the entire team are driven by a passion for and a pursuit of excellence in Metabolic and Bariatric surgery.

The Bariatric Surgery Registry measures quality and safety outcomes for patients undergoing bariatric surgery in Australian and New Zealand hospitals and is part maintained by  Monash University.

The BSR also has the support of Australia and New Zealand Metabolic and Obesity Surgery Society (ANZMOSS - formerly OSSANZ) and the Royal Australasian College of Surgeons (RACS) as it is of vital importance in monitoring and evaluating patient outcomes across Australia and New Zealand.

Click here to read more about the Bariatric Surgery Registry.

Put yourself into that supportive team environment by taking a free (no charge, no obligation) initial consulation with Shirley Lockie, Perioperative Nurse Surgical Assistant.

Latest Research Shows Benefits of Lap Band Surgery for Type-Two Diabetes Sufferers

14th May 2017

CORE Study

The latest research coming out of the prestigious Monash University's Centre for Obesity Research and Education (CORE), suggests that Gastric Band (Lap Band) surgery can be effective in the treatment of type two diabtetes sufferers who are overweight (BMI 25 - 35).

About 90% of those with type two diabetes are overweight or obese.

The study, which took place over a 6 year period showed that compared to the control group which lost an average of 1.8% of body weight, those who were given the sugery lost an average of 12.8%.

There were other significant benefits as well which lead report's co-author, Prof John Wentworth, to advocate for the change in guidelines which currently recommends this procedure for those who are obese (BMI > 35).

Read more about the research here.

The Bariatric Surgery Registry measures quality and safety outcomes for patients undergoing bariatric surgery.

STAMPEDE Trial

Another study from the USA published in the prestegious New England Medical Journal conducted by Cleveland Clinic (STAMPEDE group) appears to confirm these findings.

This study, with a five year follow up period, compared treatment following bariatric sugery compared to the best possible medical treatment alone.

Resolution of diabetes at 5 yrs was 5% medical patients compared to 29% gastric bypass patients and 23% sleeve gastrectomy patients.

A range of other health benefits in the bariatric group were also recorded including improved quality of life and reduced insulin usage. These patients had a pre operative BMI between 27 and 43 (mean of 37.5).

See the report summary here.

Dr Lockie at the Leading Edge of Bariatric Practice

At Dr Lockie's practice, his multi disciplary team can provide you with the best options for your individual circumstances.

Being a leading contributor to research in this area and through his Brisbane Institute of Obesity Surgery (BIOS), his team are at the leading edge of best practice in this field.

If you think you could benefit from a weight loss procedure and are currently overweight, make contact to get a free (no charge, no obligation) initial consulation, knowing that any future procedure is only ever done in the patient's best interest.

 

Dr Lockie Awarded BSR Leading Contributor Status

14th May 2017

Bariatric Surgery RegistryDr Lockie's Practice has started the new year in the best possible way by being awarded gold status of Leading Contributor for the Bariatric Surgery Registry (BSR).

This award demonstrates the committment Dr Lockie and his team have, in delivering the best possible patient outcomes, and it comes directly from the personal passion that drives both Phil and Shirley Lockie in bariatrics.

The Bariatric Surgery Registry measures quality and safety outcomes for patients undergoing bariatric surgery in Australian and New Zealand hospitals and is part maintained by  Monash University.

The BSR also has the support of the Obesity Surgery Society of Australia & New Zealand (OSSANZ) and the Royal Australasian College of Surgeons (RACS) as it is of vital importance in monitoring and evaluating patient outcomes across Australia and New Zealand.

Click here to read more about the Bariatric Surgery Registry.

Experience the difference by taking a free (no charge, no obligation) initial consulation with Shirley Lockie, Perioperative Nurse Surgical Assistant.

Dr Lockie's March 2017 Newsletter

27th March 2017

We have just published our March 2017 Newsletter.

As a preview you will find information about:

  • Michele Van Vuuren's successful PhD Research
  • Our participation in upcoming reseach projects
  • Other practice news

Click here to read the newsletter. (PDF 3.7mb)

Shirley Lockie Presentation at ANZGOSA - OSSANZ 2015

23rd October 2015

Recently the combined ANZGOSA - OSSANZ  Conference 2015 was held in Queensland. Shirley Lockie who is a member of OSSANZ, presented at the conference on their coordinated care approach to weight loss surgery.

You can read view her presentation here.

http://www.drphillockie.com.au/files/ossanz_10-15.pdf

To find out more about the conference, please click here.

If you wish to schedule a free, no obligation consulation with Shirley, please click here.

Presentations

3rd February 2015

Shirley is a member of the Obesity Surgery Society of Australia & New Zealand (OSSANZ) and recently presented at their event.

To download her presentation click here

 

 

Dr Lockie Featured in Best Practice Magazine

29th January 2015

NOVEMBER 2014

We have been featured in the November Issue of St. Andrew's Best Practice magazine. See full article here

 

 

Dr Lockie Takes a Team Oriented Approach

8th November 2014

Dr Phil Lockie's surgery takes a team approach to patients to help improve patient outcomes.

This multi-disiplinary approach includes a pre-operative specialist, dietitian and pyschologist in addition to our surgeon Dr Lockie.

Additionally, our support group meetings are managed by our psychologist and have proven to be an invaluable asset once the initial postoperative recovery is over. Monthly guest speakers help provide more detailed information and resources to attendees.

If you are considering taking action on your medical condition, please call us on 07 3353 2011 or click here to send an online enquiry.

Dietary Advancement Post Sleeve Gastrectomy

2nd May 2013

It has come to my attention that a Brisbane-based practice is providing their laparoscopic sleeve gastrectomy patients with literature whereby solid foods are being introduced within the first week following their procedure. We wish to advise that we do not support this instruction and that we strongly recommend you follow our liquid dietary guidelines after your surgery.

You are provided with clear fluids in hospital and then progress to free fluids (or nourishing liquids) for 2 weeks duration when you are discharged home. This allows your stomach pouch to heal, reduces the risk of potential leaks and signficantly decreases any discomfort or pain that is associated with eating solids too soon after the surgery. It also ensures you are able take in sufficient volumes for hydration and adequate protein for good recovery. This intervention is evidence-based and is reinforced by our many years of experience in this field.

Margaret Brooke – Accredited Practising Dietitian
Locum for Michelle Graham

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    With Shirley Lockie. Book Now Consultations are conducted by Shirley Lockie free of charge, to provide information on the types of surgery available and the program appointments.

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