Getting started with the CurryCare app!

CurryCare icon

Getting Started with the CurryCare App

“CurryCare” is an iPhone/Android app that integrates with our own wireless bioimpedance scale and wireless activity/sleep tracker.  It enables our team to remain in close communication with you, alerts us when you may be deviating from your program, and gives us objective data on your food intake to help keep you on track with your weight loss goals.  We offer the scale/tracker combo for just $99 at any of our office locations and the app is free! To get started, go to the iOS or Android app store and download the CurryCare app.

  • Open the app and tap on “Don’t have an account?  SIGN UP”
  • Enter personal info, create a password, and choose which office you will most commonly visit.
  • After you have completed all the fields, click “Create Account” at the bottom.
  • Scroll through the mini-tutorial pages and you will be at the home page and ready to go!

The first thing to do is to populate goals in your Profile.  Access this by tapping on the 3 horizontal bars at the very upper left-hand corner of the app, then tapping on “Profile.”  The first 3 tabs should already be complete, so just tap on “Goals.”

  • Weight goal
      • Use the slider to set your weight goal.  Talk to your team about what a reasonable goal weight should be for your particular program.
  • Daily steps goal
      • Typically a minimum of 10,000 is recommended, however for some patients this is not practical at first.  Just start with a goal somewhere and you can increase it with time.
  • Daily water goal
      • Start with a minimum of 64 ounces.  If you are working out a lot you may need to increase this!
  • Daily sleep goal
      • Typically this should be 8 hours.
  • Daily calories goal
    • Discuss this with your dietitian.  They will be able to send a message in your app that has goals for calories, protein, carbs, etc.

Once you complete these, tap on the left arrow at the top to get back to the home screen.

Home Screen Sections

Weight (upper left):  If you are using the integrated bluetooth scale from our office, this is where you go each morning to weigh-in by syncing your scale (you need to put batteries in it first). When you first get up, after you empty your bladder, just tap on “Weigh In” and step up on your scale in your bare feet. Stay still for about 10 seconds and the app will notify you on the screen when the sync is complete!

Steps (upper right):  If you are using the integrated tracker from our office, this is where you go to sync your steps.  It’s a good idea several times throughout the day to tap on the “Sync tracker” button and then the “Sync now” button on the next page to update your steps.

Calories (middle):  This section will show your daily calorie intake goal, your consumed calories that you’ve tracked thus far, and your remaining available calories to be consumed for the day.

Water:  Tap on this as you consume fluids through the day to track your intake.

Supplements:  For most programs the dietitians will be recommending vitamins and/or supplements to be taken twice a day.  After your complete your morning regimen, tap here to go to the Supplements screen and hit the plus button and then Save.  You will see on the home screen that your morning supplements will indicate that they are completed. Do the same for your evening regimen.

Other Important Areas

Messages:  Here you can send private messages to the team member of your choice, and we can send you messages as well.  Currently the app does not support notifications in iOS (it’s coming soon!), but you will get notified via email when you have a new message and then you will need to log in to read the message. 

Scheduling:  In the future, dietitians and providers will be making some time available for scheduling through the app for phone or virtual appointments.  Stay tuned for this as it’s coming soon.

Plus Icon:  At the bottom center there is a “+” symbol.  When you tap it a menu will cascade out. Most of these are duplicates of functions already available on the home screen except for:

  • Sleep:  If you are using the integrated tracker from our office, click the moon with the zz’s by it when you go to bed to put it into sleep mode. Likewise click it when you wake up to put your tracker back into activity mode.
  • Fork/Knife: This section is quite extensive and is where all your food journaling happens.  If you are eating a product out of a box or a can, you can click the barcode icon at the upper left and simply scan it to get the nutritional info.  Otherwise you can enter part of a food item in the search box and quickly find almost anything. Once you select an item you can click on the star in the upper right corner to add it to your favorites so you can find it easily again.  
    • It is critical to add every single food item you consume to your journal!
    • Add items as you consume rather than adding them all at the end of the day.
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Obalon Pre-Procedure Meds

obalon pillThe Obalon swallowable gastric balloon is unique in that treatment is gradual, and the balloons are filled with nitrogen gas which makes them float on top of the gastric contents.  These are the primary reasons that Obalon patients tend to have much less nausea and vomiting than patients receiving traditional saline-filled balloons.  Although symptoms are usually minimal, we highly recommend a pre-procedure medication regimen that will reduce symptoms even further.

It is recommended to start this regimen THE DAY BEFORE each scheduled balloon swallow:

  • Zofran (generic ondansetron) – 4mg tablets
    • Take one tablet every 6 hours.
    • Start the morning before each balloon swallow and continue until your appointment.
    • Continue for 24 hours after then use as needed.
  • Levbid (generic hyoscamine) – .375mg tablets:
    • Take one tablet every 12 hours by mouth with a sip of water.
    • Start the morning before each balloon swallow and continue until your appointment.
    • Continue for 24 hours after then use as needed.

These medications can be ePrescribed for you, so if you have not yet given us your pharmacy information please call us with the pharmacy name and full address (with zip code).

It is required to have liquids only on the day of the balloon swallow, with minimal intake for two hours immediately prior to the appointment to ensure that the stomach is fairly empty.

After the swallow you must do clear liquids only for the next 24 hours, pureed food for 24 hours after that, then you can transition to solids on the 3rd day.

 

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Obalon Placebo Swallow

The Obalon “Swallowable” Gastric Balloon is a unique new treatment for obesity.  Since the capsule itself is slightly bigger than a large multivitamin capsule, we need to make sure the patient can swallow it adequately beforehand.   We do this with what is called an “Obalon placebo swallow.”

Obalon supplies us with dissolvable capsules that are the exact same size as the balloon capsule itself, so the patient can swallow this in the office so that we can observe the patient.  In the rare event that it doesn’t go down, it will dissolve within a few minutes and pass into the stomach.

We do two back-to-back placebo swallows, just to make sure and give the patient confidence that they won’t have any trouble on the day of their Obalon swallow!  No special preparation is required, but it is best to not eat any solid food for a couple hours prior to your appointment.

Dr. from New Jersey demonstrates how easy this is in this YouTube video:

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Obalon “Swallowable” Gastric Balloon in Cincinnati, Ohio

In Cincinnati, Ohio our physicians at JourneyLite have done many ReShape and Orbera insertions over the years.  Gastric balloons have been a significant breakthrough in the field of non-surgical weight loss, and now a new device, the Obalon “swallowable” gastric balloon is out.

Overall, advantages of gastric balloons include:

  • lower risk than surgery
  • lower cost than surgery
  • faster recovery than surgery
  • does not permanently alter the patient’s anatomy
  • can be a great kickstart for a patient who is not a candidate for surgery to make a lifestyle change

Up until now, in the US at least, a gastric balloon has required two procedures:  one endoscopy (with anesthesia) to insert the balloon, and then one endoscopy (also with anesthesia) to remove it 6 months later.  The Obalon gastric balloon changes this equation for the better, as it can easily be placed in the office with no anesthesia and no downtime.

Both ReShape and Orbera gastric balloons have more similarities than differences.  Both of them require two endoscopies, both of them are filled with saline, and both of them have a reasonably high rate (8%-16%) of intolerance, which requires early removal of the device.  See Table 1 below for a list of similarities and differences between these devices.

Obalon is a definite game-changer in the gastric balloon world.  Obalon patients receive a total of 3 smaller balloons over a total of 8 weeks.  Each balloon insertion is a simple process:  the patient comes into the office, stands in front of an xray machine, and swallows a capsule with a tiny catheter attached to it.  The physician uses xray to confirm that the capsule is in the stomach, and then it is inflated with a special cannister of gas up to 250cc.  The patient comes back then every 4 weeks until all 3 balloons have been placed.

Obalon Uninflated & Inflated

obalon gastric balloon
This technique has some major advantages over traditional gastric balloons.  Most importantly, increasing the total balloon volume gradually over time results in much better tolerance than inserting an Orbera or ReShape and immediately inflating it up to 900cc’s.  This results in much less nausea and vomiting upon each balloon placement, allowing most patients to return to work the next day.

Their initial trial, SMART, showed excellent safety profile with no balloon leaks or early removal.  Weight loss was roughly double that of the control group.

The development of less-invasive treatments such as Obalon will hopefully allow physicians to attack the disease of obesity much earlier, avoiding major disease like type 2 diabetes and sleep apnea.

Click here to schedule an Obalon “swallowable” gastric balloon consultation!

 

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Our First Virtual Support Group!

Join us on VHPGO!

Virtual+Live Support Group

Wednesday January 24th, 6:30-7:30 pm

Topic: Goal Setting

Join us on Wednesday, January 24th at 6:30pm for our first ever virtual support group through our new VHPGO app!  Rebecca Erdman RD/LD will discuss strategies on successful goal setting towards achieving your healthy weight.  This will be a great way to start off the new year!

In order to participate you must have an active VHPGO membership.  You can learn more or sign up at LoseWeightCincy/VHPGO

Any active VHPGO membership will work, but the best value is definitely the $99/year flat access.

VHPGO will also give you the ability to do virtual visits with our dietitians right on your phone, which will greatly reduce your office wait times!

You can also attend the support group live, at the usual place in our Cincinnati office (10475 Reading Road).

We are excited about this new technology and would like to encourage everyone to participate.  We are offering this at our cost with no markup as I feel strongly that it will improve weight loss outcomes!

Go to LoseWeightCincy.com/VHPGO and sign up now!

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What is Lovenox? Why do I need it and how do I do the injections?

Blood clots after surgery are a risk for any patient, and being overweight can increase the risk significantly. Lovenox is a short-acting, injectable blood thinner that is frequently used after surgery to prevent deep vein thrombosis (DVT).  Some surgeons use it in 100% of patients, and others use it selectively based on the patients risk.  In any case, if your doctor prescribed Lovenox for you either before or after surgery, it is IMPORTANT that you use the medication as directed by your physician!

DVT’s can be serious after surgery as sometimes they can travel to the lungs, which is called a pulmonary embolism (PE).  In addition to blood thinners such as Lovenox, frequent walking after surgery will also reduce the risk of DVT.

Lovenox (generic: enoxaparin) is dispensed in pre-filled syringes matching the dosage your doctor wants you to have.  Injecting is pretty simple and causes minimal discomfort.  Please view the information below from the Lovenox® web site to learn more about how to do your injections properly. Note that significant black-and-blue bruising can occur around injection sites, this is normal. If you have any signs of significant bleeding please call your doctor immediately!

Note:  You may have received heparin if Lovenox was too expensive on your insurance plan.  The protocol for injecting heparin is different.  Please click here for instructions on heparin injections.

When you start your injections is based on what time your surgery started:

  • If your surgery started before 3pm, start your injections at 8pm on the night of surgery
  • If your surgery started after 3pm, start injections the following AM


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