Posts Tagged ‘bariatric surgery’

High School Memories and Overcoming Obesity

July 27, 2018 — Growing up, I was the definition of meek. I also carried more weight on my frame and towered above my peers. Despite this, I was a good friend to my fellow elementary schoolers. However, In addition to my timid yet friendly nature, I was also painfully aware of my obesity from a young age, which affected […]

Bachelor Scurvy, Bariatric Surgery, and Social Support

July 25, 2018 — The newest case history in the New England Journal of Medicine offers a vivid picture of some important pitfalls after bariatric surgery. We learned a new diagnosis – bachelor scurvy. But most of all, it gives a vivid reminder of the importance of social support after surgery. Leg Weakness, Falling, and Anemia Susan Bennett and colleagues […]

Bariatric Surgery: Health Delayed Is Health Denied

July 12, 2018 — Waiting times for bariatric surgery have nearly doubled in a decade. That’s one of the findings from a study that will soon appear in Annals of Surgery. Health insurers drive most of these delays according to the authors. But those longer wait times apparently do nothing to improve the outcomes or prevent complications. The result is […]

Costly Hurdles for Bariatric Surgery

May 29, 2018 — It’s hard to say exactly why we’ve put so many hurdles in the way of effective obesity care. But a new analysis in Medical Care shows us that these are costly hurdles. David Kim, David Arterburn, Sean Sullivan, and Anirban Basu find that cost sharing for bariatric surgery is a bad idea. Payers lose $7 […]

Where Is the Excellence in Bariatric Centers of Excellence?

May 14, 2018 — Bariatric centers of excellence now perform most bariatric surgeries. So if all those centers are excellent, how much does it matter where someone has a surgery performed? Quite a bit. A new review by Tapan Mehta and David Allison in JAMA offers an important conclusion. Accreditation might be a good idea, but by itself, it doesn’t […]

Putting Obesity Care Out of Reach Where It’s Needed Most

May 10, 2018 — The picture is stark. Writing in the Atlantic, Olga Khazan says bariatric surgery is out of reach where people need it the most. The five states with the highest rates of self-reported BMI in the range of obesity are WV, MS, AL, AR, and LA. But not one of those states requires insurers to cover […]

Roxane Gay: Beautiful Honesty for an Ugly World

April 28, 2018 — Beautiful honesty is a gift for an ugly world. And yet again, Roxane Gay offers us this gift with a well-crafted essay on her decision to have gastric sleeve surgery in January this year. Mixed Emotions About a Harsh Reality This was not an easy decision. Gay describes the final straw: After more than 15 […]

A Story of Persistence for Health at a Young Age

March 23, 2018 — Recently, we wrote of deep concern about teens with severe obesity who are denied effective obesity care. For insight into why this matters so much, consider the experiences of Maria Caprigno, a proud OAC member and brilliant patient advocate. Her story is one of incredible persistence for health at a very young age. I first […]

Denying Care to Teens with Severe Obesity

March 20, 2018 — Two bits of recent research add to our concern about care denied to teens with severe obesity. One study compares bariatric surgery to intensive medical care. Teens with type 2 diabetes and severe obesity had much better outcomes with bariatric surgery. But another shows that very few teens (0.7%) with severe obesity actually receive the […]

AAFP, Weight Bias, and Misinformation About Obesity

February 24, 2018 — This story is profoundly sad. We were reading about a recent decision by the USPSTF to affirm a broad recommendation for intensive lifestyle programs for obesity. The decision is a good one. Reporting on it by the American Academy of Family Practice (AAFP) unfortunately is not so good. AAFP presents the views of someone they […]