Good News! Medicare and The Sleeve


Today's missive will be rather short and sweet…..
Medicare image

For those of you covered by Medicare you may (or may not) be aware that Medicare was not covering the Sleeve Gastrectomy.  Well (drum roll, please…) as of March 1st Medicare is now covering the sleeve!!!  Good news indeed (score one for the 'good guys') our persistence and patience has paid off.

For instance, if you are a Medicare patient who came to the office last year but didn't want to do either the band or the bypass, now is your chance, or perhaps you are a Medicare patient who had a gastric band several years ago but have not had great success.  Well, now that Medicare is covering the sleeve you may want to come back and we can discuss possibly converting the band to a sleeve.

The Gastric Sleeve is a procedure which basically all insurance companies (except Medicare) have been covering since 2009.
I have had many discussions with Medicare patients over the last several years about this issue and I always mentioned that when Medicare starts covering the sleeve I will send out a newsletter to let everyone know…well, here it is.  So, if you (or someone you know) is covered by Medicare please feel free to let them know.  Medicare now covers the sleeve!  🙂

  Sleeve pic




This is an amazing picture taken on March 12th near Flagstaff, Arizona. What you are seeing is a comet on the left and on the right the new and old moons at the same time.  The new moon is the narrow crescent at the bottom and the rest of the moon is the old moon as seen by what is called "earth shine". Here is the Wikipedia page that explains 'earth shine' Trust me it's not photo-shopped! Cool pic 2Another Cool Pic!


From the Gut... by Glynn Fluitt
Mr. Fluitt is a patient, member of the Century Club and graciously contributes his thoughts and insights as a patient, a champion and an advocate for us all!



 Follow me

So I had surgery 4-plus years ago.
One of the things that was drummed in as I prepared for the surgery, and the period of time immediately after the surgery, was that the surgery is not a "fix" . . it is merely a "tool". It is MY responsibility to develop new habits, and to implement them as a new lifestyle.



Harder said than done!!
So, after my surgery I was very VERY limited in the amount of food that I could take in. In the first 4 weeks, I lost 50 pounds. WAY too much . . Dr. Bilof told me that I needed to take in more protein. My skin was not keeping up with my weight loss, and I was very concerned about FSS . . . Flappy Skin Syndrome (my own acronym). I increased my protein intake and we all were much happier with my new weight loss progress.
The RNY bypass re-architected my plumbing, and the body did not absorb the calories that it used to absorb (nor the nutrients . .but that's a different story). However, after a few years, my body has rebounded . . it found out where the food was hiding and adjusted to the new digestive road map. Ergo, the calories have been rediscovered. I'm now back in the world of the non-bypass people . . . weight maintenance (or loss) is just as arduous as it is for everyone else. It really IS my job . . and I am supposed to have learned the tools that help me do my job. Tools like portion control, healthy foods, exercise, and Reduced Food Frequency (RFF — another "Glynn" acronym).
There are still foods that are very Pavlovian for me . . . if I eat a donut (e.g, a Krispy Kreme!!!!!!) I KNOW that I'm going to feel miserable. I haven't had a Krispy Kreme in 4-plus years. And, when I eat pizza I don't always eat the crust. THEN I realize . . I really shouldn't eat pizza.
There are some foods that I see and gravitate to . . chips and queso,Cheetos, pretzels. I know that I shouldn't be eating these types of things, but it is usually AFTER they've been eaten that I grimace and remind myself that I didn't use my new tools. Then I get mad at myself, and my first reaction is to grab something to eat. WHOA! STOP! Put down the comfort food!!
It's okay . . I'm going to get over this. And I'm going to report back on these successes. I haven't lost much ground . . but at this rate, I could be morbidly obese again in a decade. Not doing it!!! It's time to get back to work. It's almost time to get the bike out, I'm doing an 70-mile bike ride to Montauk in June. I've been jogging while walking the family dog. I walk everywhere where walking is feasible.
Follow me @BariatricDude.
But don't bring cheez-its.







This quick, easy recipe for pulled pork sliders will keep you out of the kitchen and
at the party with your guests. The garlic spinach topping adds a hearty flavor to the mellow pork


BBQ Pulled Pork Sliders

Makes 18 sliders – Portion 1 Slider



    1 lb pork loin
    1/2 cup BBQ sauce
    2 tsp olive oil
    3 garlic cloves, minced
    4 cups chopped spinach
    18 whole wheat mini-burger buns, split


    Preheat oven to 425�.
    Lightly coat a shallow skillet with nonstick cooking spray.  
    Sear pork loin in skillet over medium-high heat, turning to brown all sides.  
    Transfer to baking pan and cover with foil.  
    Bake for 20 minutes.
     As an alternative to baking in the oven, the pork loin can be cooked in a slow-cooker, on high, for 4 hours.
    Allow pork loin to cool for 5 to 10 minutes.  
    Using 2 forks, shred pork completely. In a large bowl, toss pork with BBQ sauce, coating evenly.
    In a large skillet, heat oil over medium-high heat until hot.
     Add garlic and saut� until fragrant. Add spinach and saut� for 3 to 5 minutes, or until spinach is wilted.
    Transfer pulled pork to buns and top with spinach. Serve hot.


    Calories: 141
    Fat: 3 grams
    Protein: 11 grams
    Carbohydrate: 18grams
    Cholesterol: 14mg
    Sodium: 258 mg
    Saturated Fat: 0   
    Fiber: 1 grams

Click Here for More Recipes to Enjoy!    



Patients are frequently asking for suggestions on how to keep track of what they eat and how they know the mix of what is in what they eat – Protein, Sodium, Fiber,Carbs, Good and Bad Fats) especially when they are out or do not have access to the labels of the food they are eating.  If you want a mobile application to assist you when on the run, out eating or just like having it at your fingertips at all times…there is a Free Smartphone App called "LOSE IT!" that I have been suggesting to patients as an option to work the menu and menu the work for before, during and after surgery.  I have reviewed the app and find it to be a good way to help you work your plan.  

If you are using it now – would love to hear how it is working for you.  
We are not associated with the app in any way or receive any compensation for recommending the application 🙂 –
Upcoming Free Informational Seminars

The next Free Informational seminar is at our Millburn office on Wednesday March 20th, 2013 starting at 6:30pm.  Dr. Bilof leads the discussion on weight loss, your surgical options and if 'Bariatric Surgery is Right for Me?'

If you or your guests cannot make the 3/20/13 seminar, Dr. Yurcisin continues to lead our seminars with our next seminar on Wednesday April 3rd, 2013 at 6:30pm in our Millburn office. Reserve your seat for you and your friends!


   Always happy to take our Informational Seminars on the road, Dr.  Bilof is leading a FREE Informational Seminar on Thursday April 18th , 2013

from 5:30pm-7:30pm at the Center for Healthy Living (part of Kimball Medical Center) located at 198 Prospect Street , Lakewood,NJ 08701.  Register to reserve your seat at 1.888.724.7123 then press prompt#4. You can also call us directly to reserve your seat or email at to be sure we have you on the guest list!

In This Issue Medicare and The SleeveFrom the GutMarisol's Nutritional CornerEnd Quotes

This Designation  is the 1st line of Defense for All Patients when looking for a Certified Center of Excellence Bariatric Surgeon.  GSBWC has proudly been Certified since we began our practice.

CLICK HERE to Share Your GSBWC Journey on Obesity Help!!!!
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More About Us
GSBWC Office Happenings

March 2013 Team Happenings!

Birthdays in March are Here! Happy Birthday to Cathy on March 16th and Keisha on March 23rd!  As always, we wish them the Happiest of Days!!!
people in arms


1% club  

Help your friends, family, and colleagues join the 1% club and permanently cancel their membership in the 99% club.


" Never believe that a few caring people can't change the world. For, indeed, that's all who ever have"   — Margaret Mead   


Pay It Forward 2013
We will adding a new section to our website:
BIZ BUZZ?? (Please Help Us with a Great Name for the New Section on our website dedicated JUST to Patient's business):
 allowing patient's to list their businesses on our site! We know so many up to good things, creating businesses and taking on their dreams and want to give you an opportunity to let others know what you are up to in life!
If you are interested in your business being featured on our website, please email Laurie at: to get started.


Upcoming Dates and Locations of Support Group in Your Area:

Next Support Group at ACC in Livingston, NJ is April 10th, 2013 from 6pm to 7:30pm.  Support Group attendance and participation is an important part of keeping and maintaining your health and weight goals!

Thanks For Trusting Us with Your Health!

End Quotes:  

"You just can't beat the person who never gives up."

-Babe Ruth  


 "Patience, persistence and perspiration make an unbeatable combination for success."

–Napoleon Hill

"In the confrontation between the stream and the rock, the stream always wins – not through strength, but through persistence."



 Yours in Good Health,  
  Michael Bilof, MD
 Basil Yurcisin, MD

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