West Plains Couple First Weight Loss Surgeries at OMC
John and Nicole Smith began their weight loss journey over a year ago
John and Nicole Smith of West Plains are obsessed with
My 600-Pound Life, a reality show where each episode follows a year in the life of a morbidly
obese person. Together, John and Nicole weighed 615 pounds at the beginning
of their weight loss journey, with Nicole weighing in at 275 and John
at 340. The couple knew they could not reach their weight loss goals alone,
and sought help from Dr. Magdy Giurgius, a board certified bariatric surgeon
at Ozarks Medical Center Surgical Specialist Clinic.
“We knew we had come to the right place to begin this journey. The
family atmosphere that we experienced from Dr. Giurgius and his staff
just felt right,” said Nicole. “And the warmth and compassion
from Dr. Giurgius made it seem right to trust him with, basically, our
lives,” John added.
John’s weight loss goal is fueled by his need for ankle surgery.
Born with a birth defect of an extra tendon in his foot, he had surgery
when he was young to remove the tendon and reset the foot. The surgery
didn’t repair the problem and he soon began walking on the side
of his foot. A few more surgeries, metal bracket and screws put in, and
he was still in severe pain when walking. He met with an ankle surgeon
in Springfield and was told he weighed too much for the surgery to be
a success. John was referred to a pain management clinic and it appeared
that his only option was to be on pain medication the rest of his life.
“I decided that I wasn’t going to settle for that. I want to
lose the weight and go back to that ankle surgeon and say, ‘Am I
too fat now?’ ” John said. “I wanted to get off the
pain meds, get back to a real life, and be able to run with my son.”
John and Nicole’s son, Zackary, is a motivator for them both. “We
want to be healthy not only for our sake, but for Zack’s, too,”
Nicole said. “We are planning to drive down to Mammoth Spring to
walk around the park with him. That is something that we would have never
After the initial visit with Dr. Giurgius, John and Nicole began their
treatment plan prior to their gastric sleeve surgery. John started his
appointments with Dr. Aaron Newton, a primary care doctor at OMC Gainesville
Medical Clinic in January 2016. Nicole soon followed, and began seeing
Dr. Newton in April 2016. They both met with Dr. Newton monthly to weigh
in, visit about their progress, or work to figure out what went wrong
if they didn’t lose weight for the month. They also had preoperative
appointments with Chris Henson, OMC Dietician; Josh Drummond, OMC Physical
Therapist; Jennifer Crockarell, OMC Bariatric Coordinator, and Dr. Jennifer
Long, OMC Psychologist.
“We both found the support system we needed in Dr. Giurgius, Dr.
Newton and the bariatric surgery team. They were all there for us. When
I couldn’t break the 300 pound mark, Dr. Newton took the time to
talk to me to find out what was working and what wasn’t. He got
me back on track,” John said.
During Dr. Newton’s care prior to surgery, John lost 63 pounds and
Nicole lost 49 pounds. The monthly visits, weigh-ins, and treatment plan
were documented for insurance purposes, and in both cases, insurance covered
their visits and their weight loss surgery.
“This is not an easy fix. This is a lifestyle change. We changed
to a low carb, low calorie diet,” Nicole said. “It’s
a mind thing, you have to set yourself up to win and not fail,”
John added. John and Nicole both stressed that keeping a food journal
is important. “It keeps you accountable,” Nicole said. They
use the phone app
My Fitness Pal to log their meals.
Dr. Giurgius performed Nicole’s gastric sleeve surgery on January
25, 2017 and John’s on February 1, 2017. Gastric Sleeve Surgery
consists of creating a small, sleeve-shaped stomach about the size of
a banana, during a laparoscopic surgery. Weight loss occurs because the
procedure causes the stomach to tolerate a limited amount of food, causing
the feeling of fullness more quickly.
Nicole had her surgery on a Wednesday and was back to work on Friday. “By
Sunday, I was able to move perfectly fine, but it took about a week and
a half to not have any pain when doing movements that required using my
stomach muscles,” Nicole said.
John’s recovery was a little more difficult. “It was about
a week before I was getting around. I did make myself get up and walk
when I felt bloated or sick to my stomach,” John said.
“It definitely helps having your partner go through this with you,”
John said. “You need a strong support system, and we had one with
each other. For those who don’t, we created a Facebook group, so
we can help others who are considering gastric sleeve surgery,”
Nicole said. The group can be found on Facebook in a search for: West
Plains Gastric Sleeve Journey.
The couple still has a ways to go in meeting their goals. Nicole’s
goal weight is 140 to 160 pounds and John’s goal weight is 180 to
200 pounds. “It’s not an easy journey,” Nicole said.
“But we have a wonderful support system with Dr. Giurgius, Dr. Newton
and Chris Henson.” That support continues for John and Nicole until
they reach their weight loss goal and beyond. They will have follow-up
appointments with the bariatric surgery team which include continuous
monitoring of weight loss, nutrition counseling, adherence to vitamin
intake and daily exercise and activities.
“You know you’ve cured yourself when you can drive through
McDonald’s and buy your son a kid’s meal and not order anything
for yourself,” John said.
“The sleeve is a tool, just another thing to help us in our weight
loss,” Nicole said. “The weight loss has definitely helped
us. We’re happier, our marriage is better,” Nicole said
“Going into this with a positive attitude and outlook is important,”
Nicole said. “And make the best of the situation and not be scared
of it,” John added.
For more information about Gastric Sleeve Surgery, contact OMC Surgical
Specialist Clinic at 417-256-1774.
John and Nicole Smith, down a total of 112 pounds together on their journey
to lose 255 pounds total. The Smiths both had gastric sleeve surgery performed
by Dr. Magdy Giurgius of OMC Surgical Specialist Clinic.