Posts Tagged ‘bariatric surgery’

When Health Systems Delay Obesity Care

September 7, 2021 — Care delayed is care denied. The truth of this is obvious in emergency medicine. In the case of a stroke or a traumatic injury, unnecessary delays in care lead to immediate harm. But with a chronic, progressive disease, the harm can be more subtle. Add in systemic bias and delayed care can become quite a […]

Better Pregnancy Outcomes After Bariatric Surgery?

August 7, 2021 — Obesity can be very real problem for women who want to have a baby. First of all, it can interfere with getting pregnant. Even when pregnancy becomes a reality, obesity can lead to problems. Preeclampsia, gestational diabetes, postpartum hemorrhage, cesarean delivery, excess fetal growth, stillbirth, congenital anomalies, and neonatal death are all more frequent issues […]

Mandates, Choices, and Shared Decision Making

July 31, 2021 — Mandates are very much in the news this week. We’re hearing a lot of angst about vaccine mandates and mask mandates. In some situations, it seems there’s not much room for debate about what to do. Yet we find that even when reality is unyielding, people still have choices to make. So in between the […]

A New Study of Facts and Feelings in Bariatric Surgery

July 27, 2021 — The gap between facts and feelings about bariatric surgery never ceases to amaze. In 2016, we were presenting at a CDC conference in Atlanta, when a prominent family physician interrupted. He wanted to tell us that surgery usually leads to patients regaining all their weight. Or too often, he said, death. We responded by asking […]

How the Brain Responds to Bariatric Surgery

July 10, 2021 — Most people – even many healthcare professionals – simply don’t get it. Because the popular concept of bariatric surgery is that it prevents people from eating – just by altering your gut. But the reality is that it works very differently. Bariatric surgery changes the signaling between the brain and the gut in ways that […]

Louisiana Decides to Cover a Little Bariatric Surgery

June 28, 2021 — For state employees in Louisiana, this might seem like a big step forward. Or it might be so small that it doesn’t amount to much. Last week, the Governor of Louisiana signed a bill into law that requires the state employee health plan to cover bariatric surgery. However, it comes with some serious limitations. Thousands […]

Serious, Thoughtful, and Rare Conversations About Obesity

June 22, 2021 — How rare is it to have serious and thoughtful conversations with primary care providers about obesity? Here’s a clue that it’s rare. Less than one in ten patients who might benefit from bariatric surgery discuss it with their doctor. Yet when this happens, things get better. Not everyone who discusses the surgery goes on to […]

A Sneaky Artifact of Weight Bias That Should Fade Away

June 15, 2021 — Bias makes us human. It can even help us thrive by recognizing patterns in our lives. But of course, bias is sneaky, reinforcing patterns that keep people down for no good reason. So it is with weight bias – which some people believe causes more harm than obesity itself. One of the ways that weight […]

Rejecting Delayed Care for Teens with Severe Obesity

May 28, 2021 — It has long been true that health systems delay care for teens with severe obesity. Health plans stall and do their best to avoid paying. Many pediatricians are uncomfortable with the subject. Parents are unsure of what to do and often feel blame for their child’s medical condition. Guilt and blame breed denial and delay. […]

Drug Therapy After the “Last Resort” of Bariatric Surgery

May 8, 2021 — It’s 2021 and the medical world has mostly moved on from the archaic view of bariatric surgery as a treatment of last resort for obesity. For many patients, delaying bariatric surgery harms their health. The rest of the world is still struggling to catch up. But healthcare providers who care for people living with obesity […]