Posts Tagged ‘bariatric surgery’

Stigma, Shame, and a Choice to Have Bariatric Surgery

September 7, 2020 — A new review in JAMA is unequivocal. The choice to have bariatric surgery is something that every patient with severe obesity should be considering: All patients with severe obesity – and especially those with type 2 diabetes – should be engaged in a shared decision-making conversation about the risks and benefits of surgery compared with […]

Meeting People on Own Their Terms in Obesity Care

August 30, 2020 — I am a psychologist working in a bariatric medicine and surgery program. To give some context, the average BMI for a patient referred to our program is approximately 45. We receive referrals from a wide variety of medical specialties in our practice. So I am constantly learning from meeting people with obesity who come with […]

Obesity Care and Prevention: Less Death and Cancer?

August 26, 2020 — Can obesity care and prevention lead to less death, cancer, and other complications of obesity? This question has been a hard one to answer. For one thing, we’re not too good at prevention. Obesity rates keep going up, not down. However, on the plus side, we have pretty good data on preventing death, cancer, and […]

Comparing Apples & Scalpels in the NEJM

August 20, 2020 — This is unfolding today in the New England Journal of Medicine. A fascinating little study of 22 patients is offering up a comparison of apples and scalpels today. The researchers compared metabolic effects of weight loss from very low calorie diets and from bariatric surgery. They found similar effects for similar amounts of weight loss. […]

A Parachute for Obesity in the Midst of a Pandemic

August 4, 2020 — Just how important is bariatric surgery for someone living with obesity in the midst of a pandemic? We’re getting all kinds of advice about how to best take care of ourselves in this stressful time. Barely a day passes without another study confirming the reasons for concern. Obesity raises the risk for hospitalization and death […]

The UK Tries a Bait and Switch Obesity Deal

July 27, 2020 — That long-awaited day has arrived and the UK now has a brand new, shiny obesity deal. This “world-leading plan” aims to help people lose weight, beat the coronavirus, and protect the NHS. It bans buy one, get one free deals on food. But apparently, bait and switch is A-OK, if it’s a public policy deal. […]

A Blind Spot in UK Obesity Planning

July 24, 2020 — Any day now, we will see a new obesity plan for the UK. Some of the loudest voices in the process leading up to this great unveiling have been focused on prevention. But this is a problem that already affects 64 percent of the population in England. In my opinion, this focus reflects simplistic weight […]

COVID-19: Prioritizing Bariatric and Metabolic Surgery

July 21, 2020 — A healthy conversation is shaping up because of COVID-19. It’s all about the gap between talk and action on obesity. In the UK, it has a hashtag: #ActOnObsityNow. Though it’s happening more quietly in the U.S., the same conversation is in play. Will actions match our words about the urgency of obesity? The question of […]

RCT: Metabolic Surgery Tops Best Medical Therapy

June 17, 2020 — A randomized controlled trial (RCT) in surgery is quite a challenge. For good reason, people are reluctant to sign up for a study in which they might randomly get surgery. Or not. Surgery is a big decision and leaving it to chance doesn’t sit well with most people. Yet an RCT is the very best […]

Pre-Op Weight Loss and Mortality, Cause and Effect

May 15, 2020 — It’s fascinating how readily people agree with the truth that correlation does not prove causation. Talk is cheap. But throw a study of correlation at them and poof! Caution evaporates. People leap from correlation to causality. So it is with a new study of pre-op weight loss and mortality after bariatric surgery. In JAMA Network […]