Tenet Healthcare Corporation · NYSE:THC
Tenet Healthcare — Investor Presentation (2023)
20 slides from Tenet Healthcare's investor presentation, Apr 12, 2023
Slide 1: Bariatric Surgery Information Session
BARIATRIC SURGERY INFORMATION SESSION Dr. Abraham Betancourt Dr. Richard Follwell Dr. Gustavo Lopes Dr. Eduardo Parra-Davila
Slide 2: Good Samaritan Bariatric and Metabolic Institute
Good Samaritan Bariatric and Metabolic Institute 1309 N Flagler Drive West Palm Beach, FL 33401 GSMCBMI@tenethealth.com
Slide 3: Meet the Surgeons
Meet the Surgeons Abraham Betancourt, MD Richard Follwell, DO Gustavo Lopes, DO Eduardo Parra-Davila, MD, FACS, FASCRS
Slide 4: Program Experience
Program Experience • Our Surgeons have completed more than 4,000 laparoscopic and robotic cases • Certified Bariatric Nurse with more than 20 years experience • Bariatric Dietitian has more than 15 years experience • Members of American Society for Metabolic and Bariatric Surgery
Slide 5: Obesity Facts
Obesity Facts What is obesity? • A complex disease involving an excessive amount of body fat • Defined by a Body Mass Index (BMI) 30 or greater • According to the Center of Disease Control (CDC): - 1999-2000 through 2017-March 2020, U.S. obesity prevalence increased from 30.5% to 41.9% - The prevale
Slide 6: Body Mass Index
Body Mass Index <18.5 18.5 - 24.9 25 - 29.9 30 - 34.9 >35 Underweight Normal Weight Overweight Obese Extremely Obese
Slide 7: Prevalence of Overweight and Obesity
Prevalence of Overweight and Obesity % All (Men and Women) % Men % Women Overweight 30.7 34.1 27.5 Obesity (including severe obesity) 42.4 43.0 41.9 Severe Obesity 9.2 6.9 11.5 Age-adjusted percentage of U.S. adults with overweight, obesity, and severe obesity by sex, 2017-2018 NHANES Data As shown
Slide 8: Obesity Related Co-Morbid Conditions
Obesity Related Co-Morbid Conditions What comorbidities qualify for bariatric surgery? Diabetes Gastro-esophageal Reflex Sleep Apnea Steatohepatitis Degenerative Disease (Heartburn) (Fatty Liver Disease) Joint Disease Overweight and obesity were associated with nearly 1 in 5 deaths(18.2%) in the U.S
Slide 9: Treatment Options
Treatment Options What are the options to treat obesity? • Healthy eating plan that is sustainable (not a FAD diet!) • Regular structured exercise program • Join a medical weight loss program: - Nutrition therapy with a Registered Dietitian - Anti-obesity medication, supervised by Nurse Practitioner
Slide 10: Surgical Weight Loss Requirements
Surgical Weight Loss Requirements Who is a candidate for surgical weight loss? • BMI > 40 • BMI > 35 with one or more co-morbid conditions • Non-smoker • > 18 years of age • History of weight loss attempts: - Weight Watchers, Atkins, keto, intermittent fasting - Exercise - Weight loss drugs (Ozempic
Slide 11: Surgical Treatment Options
Surgical Treatment Options What are the different types of bariatric surgery? • Robotic-Assisted Laparoscopic Gastric Bypass (Roux-en-Y) • Robotic-Assisted Laparoscopic Sleeve Gastrectomy • Follow up care for Gastric Band • Robotic-Assisted Laparoscopic Sleeve Gastrectomy Conversion to Gastric Bypas
Slide 12: Robotic Laparoscopic Sleeve Gastrectomy
Robotic Laparoscopic Sleeve Gastrectomy • Restrictive Procedure • Non Reversible procedure • Excess stomach is removed (80-85%) • Decrease in Ghrelin • Typically a 25-35% body weight loss from your baseline starting point • Allows food to pass normally through your digestive tract • May worsen or ca
Slide 13: Robotic Laparoscopic Gastric Bypass (Roux-en-Y)
Robotic Laparoscopic Gastric Bypass (Roux-en-Y) • Considered the “Gold Standard “ of bariatric surgery • Combination of restrictive and malabsorptive • Gut hormone changes, improving insulin sensitivity and increased fullness with smaller portions • Creates a smaller stomach pouch • Allows food to b
Slide 14: Complications
Complications Possible Acute Surgical Complications Late Surgical Complications • Nausea • Marginal ulcers • Vomiting • Stricture • Wound infection • Deep vein thrombosis • Hemorrhage • Vitamin deficiency • Anastomotic leak • Dumping syndrome • Pulmonary embolism or deep vein thrombosis • Internal h
Slide 15: Gastric Banding
Gastric Banding • Follow up treatment (Band Fills, if medically appropriate) • Option to convert to surgical option, if medically necessary
Slide 16: Pre-Surgery Requirements
Pre-Surgery Requirements What steps are required before weight loss surgery? 1. Watch this video 2. Complete patient history forms 3. Attend orientation 4. Meet with program nurse, dietitian and surgeon 5. Obtain preoperative class 6. Attend support group 7. Obtain clearances, including an EGD 8. Pr
Slide 17: Post-Surgery Follow Up
Post-Surgery Follow Up What steps are required after weight loss surgery? 1. Lifelong commitment to the program 2. Lifelong follow up with the Bariatric Team 3. Follow up with Surgeon 2 weeks after procedure, 3 months, 6 months and annually for life with Surgeon 4. Lifelong vitamin supplementation 5
Slide 18: Support Group
Support Group What are the benefits of a support group? • Great way to connect to your peers, who are also having surgery or who already had surgery • Hear perspective from others on issues you are experiencing • Listen to the challenges other people are experiencing in similar situations • Long-ter
Slide 19: Keys to Success
Keys to Success How can I ensure my weight loss success? • Lifestyle change with diet and exercise • Improve relationship with food (working with mental health counselor, if needed) • Follow up with Bariatric Team regularly • Attend support groups • Regular visits with dietitian • Vitamin supplement
Slide 20: Bariatric Surgery Information Session
BARIATRIC SURGERY INFORMATION SESSION For any questions, please contact our office: 772-255-7550 GSMCBMI@tenethealth.com