Blog Archives


Dr. Forrest Ringold Performs Surgery for Virtual Audience of 1000+ Surgeons

Here at Surgical Association of Mobile we are blessed to have truly some of the best bariatric robotic surgeons in the US. Dr. Forrest Ringold was recently selected to demonstrate his robotically assisted gastric bypass for surgeons hoping to learn and grow in their own minimally invasive surgery offerings.

During the Intuitive Connect Up Robotics Forum 2021, Dr. Ringold was able to perform a robotic gastric bypass in real-time for a live audience of surgeons across the nation from right here in Mobile, AL at Mobile Infirmary Medical Center. Over 1,200 attendees were able to watch and learn as Dr. Forrest Ringold operated and Dr. Richard DiCicco of Tampa, FL narrated throughout the procedure.

Dr. Forrest Ringold’s operating team prepares to bring a live broadcasted robotically assisted gastric bypass surgery during Intuitive’s Connect Up Robotics Forum 2021. The Da Vinci robotic surgical system sits at center with surgeon at console to right and OR staff with patient at left under surgical robotic arms.

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Avoid the Midday Blues by Hydrating

Most of us experience them – the midday blues. Whether at home or at work, sometime after lunch, we start to get tired and just want to take a nap. For some, a nap is possible and may be a great way to relieve the stress of the day and feel fresh for the afternoon. After all, sleep is an incredibly important part of keeping our bodies in top shape.

Women with jeans and a white shirt drinking a glass of water

However, for those that cannot take a quick nap, many may turn to quick fixes like energy drinks or caffeine to get them through the rest of the day. Of course, there is the immediate benefit of such remedies, but as the artificial stimulation begins to wear off, we get more tired and less able to enjoy the rest of the day and evening. Further, these stimulants can cause issues with sleep and the natural circadian rhythm.

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SAMPA’s Weight Loss Surgeons are 2021 Nappies Finalists!

We are thrilled for another year are being nominated as finalists in the Lagniappe Nappies Awards. As reigning champions in the Weight Loss Docs – Surgical category, we need your votes to stay on top for another year. Click here to vote for our doctors daily.

This year our Nappies Finalists include Dr. Dusty Smith, Dr. Barry Ballard, and Dr. Forrest Ringold.

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The Right Bariatric Procedure for Those with GERD

While every bariatric procedure has the potential to reduce or even eliminate the diseases associated with morbid obesity, GERD or gastroesophageal reflux disease – chronic acid reflux that lasts for more than several weeks represents an interesting conundrum. On one hand, a procedure like the gastric sleeve is incredibly effective, but on the other, the method by which the stomach is made smaller may actually worsen existing GERD or may cause GERD de novo… new instances of GERD that never existed before.

Doctor holding a stethoscope with a clipboard, glasses, pencil at a wood desk with a patient

We have also learned that patients with hiatal hernias are far more likely to experience GERD after a gastric sleeve, but even when a hiatal hernia is repaired during surgery, GERD can occur in a significant portion of the population.

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Why Weight Loss Surgery Is Not the Easy Way Out

A common reason patients postpone their weight loss procedure revolves around their misconception of weight loss surgery being “the easy way out.” This can be exacerbated by the stigma that surrounds weight loss surgery and obesity more generally. Oftentimes, when someone who doesn’t understand the struggle of obesity hears weight loss surgery, they scoff. However, they don’t know how hard it was for that patient to get where they are.

Older Man In Red Shirt with White Towel Around His Neck Drinking Bottled Water

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Practice & Hospital Protocols to Minimize the Transmission of Coronavirus

The Coronavirus has been present in the United States for over a year, and SAMPA is still extremely committed to keeping up to date on the infection prevention protocols that we, as a practice, and the hospitals at which we perform surgery, use. After all, no one wants to go in for medical care and leave with an infection. As a result, we’ve had a number of patients questioning what they should do for their office visits or surgeries as a result of coronavirus.

Currently we are trying to minimize the number of patients who come to our office.  We continue to use Telemedicine for follow up visits on our routine bariatric patients. If you come into the office for your appointment, we ask anybody that chooses to accompany you to wait in the car. They can be called during the visit.

If you are ill (coronavirus or not) you should call your PCP for instructions so we can determine the best course forward and then call our office to cancel or postpone surgery, if needed. For most patients, maintaining their current medical schedule is just fine.

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Is Fast Food Ever OK After Bariatric Surgery?

When we think of dieting, the last thing we think of is fast food. And there is good reason to support that. Fast food has traditionally been loaded with fat, carbs, sugar, and just about anything that you would consider to be diet unfriendly. Is it really that bad though, and is there a place for it in the postoperative diet?

The answer is…

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How A Psychologist Can Help with Bariatric Surgery

Some insurers require a psychological evaluation prior to surgery.  Many patients don’t realize the importance of this.  In turn, they do not take advantage of the professional assistance they can receive from a qualified mental health professional. In fact, many patients believe the psychological evaluation means there may be something wrong with them, but that is not the case. Instead, the psych eval is meant to address some of the underlying causes of obesity and why a patient may be overeating or unable to lose weight.

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How to Manage Food Cravings after Bariatric Surgery?

Food cravings can feel like the enemy, but they are a very normal, healthy bodily response. Rather than trying to suppress them at all costs, learning how to manage them is an important part of the post-operative bariatric lifestyle.

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The Staggering Cost of Diabetes in the US

Back in 2007, statistics courtesy of the American Diabetes Association pegged the total cost of diagnosed diabetes treatment in the US at that time at about $174 billion. This included direct and indirect costs. That is a staggering figure by all accounts.

The same organization estimated in 2017 the cost rose to $327 billion. It’s almost impossible to imagine how devastating to our society this disease truly is. To put that in context, the Centers for Disease Control estimates more than 30 million Americans have diabetes (about 1 in 4 don’t know it) and over 84 million Americans have pre-diabetes (9 of 10 don’t know they have it). About 4,000 people are diagnosed with diabetes each day, and many of these patients are younger than ever before. The CDC estimate in 2050 one in three US adults (CDC estimate) is expected to have the condition.

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