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Old 04-29-2012, 11:20 AM
 
Location: Mostly in my head
19,652 posts, read 53,679,668 times
Reputation: 18605

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I have to respectfully disagree with these opinions about gastric bypass. There are certainly doctors and patients who think it's the easy way out of being obese. There are money-hungry doctors in EVERY field. You have to do your research and find a good surgeon.

Medical research has shown that once you reach a certain point, which is years and pounds in the making, you literally can't lose weight on normal diets. Not everyone reaches that point at the same time/weight. At that point, a bypass is really the only sensible choice. For diabetics, the 3 ft of intestine that is removed contains most of the glucose-affecting hormones and thus they can be "cured"if they are Type II. Not an easy choice, very painful, lots of vomiting for a good year if not longer, but life-saving to many of us.
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Old 04-29-2012, 11:38 AM
 
7,497 posts, read 9,313,429 times
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Quote:
Originally Posted by JayCT View Post
Several months ago I had a minor medical problem and went to a new doctor in our local practice (my doctor retired). At that visit she told me to lose weight which I knew I had to do anyway having always been overweiight. I had not had a physical in a whiile so she said she would schedule one for my next visit which was yesterday.

Since the last visit I have lost weight as she recommended. My blood pressure is lower (it was never high enough for medication). Going into the physical I was quite proud of myself for losing weight and looked forward to encouragement. Instead the doctor barely acknowledged that my weight had gone down, lectured me on needing to do more and perscribed a directic drug for a minor water retention problem in my legs that is also for blood pressure.

During the physical I told her how I had cut a lot of sugar out of my diet. She came back saying I need to exercise portion control. I told her I had cut back on the amount of food I ate. She then replied that I needed to exercise more. I reminded her that I had just told her that I now exercise every day. She came back and said it is not enough and that I should immediately go on a strict diet and even consider gastric surgery.

I was shocked. I will admit I am overweight but no one I know ever would say I was at the point to require surgery. I immediately told her no way. That I had seen what others had gone through with that surgery and it should only be considered under the most severe cases as a last resort. I told her that I was no where near that point. She did not say anything and asked me to come back in six months.

I walked out of her office angry and disappointed and cannot stop thinking about what she said. It was more like she was saying that because I am overwieight that I must be doing something wrong and if it wasn't one thing it had to be something else. She was bound to find that thing.

I have pretty much decided that I will not keep her as my doctor. I am also considering writing her a letter explaining why. I can only wonder what she tells other overweight patients and if she realizes that she is likely doing more harm than good with her attitude. Any thoughts? Jay
I'm going to play devil's advocate here and say that she most likely was doing what she thought was right medically and didn't think twice about it. She probably didn't think to acknowledge that you'd lost weight/changed your diet, etc. This lady probably sees enough people in one week/month/year that it hardly affects her when her patients change themselves (although at least a "good try, but..." could've worked wonders.

She could have some inner bias about overweight people and that could have contributed to her attitude but who knows? Either way I don't blame you for wanting to change doctors and if I were you I would.

One time I had a dentist assistant at a new dentist, hoarding me about not flossing when I was still in high school. (My wisdom teeth had grown in and crowded the heck out of my teeth to the point that flossing was really difficult, I had numerous problems because of the wisdom teeth and my wisdom teeth had to be sectioned to be taken out.) I got them removed eventually and my other teeth had a little room after awhile, but she got all flustered at that time when I tried to explain to her that it was difficult to get floss between my teeth, at which point she had really roughly demonstrated that it was possible. I never went back there.

There was also a female doctor, the only one in my city qualified to do surgery on my lazy eye and I met with her once and didn't like her. She was condescending and had an attitude and I didn't go through with the surgery. And I'm sorry, if I don't like someone I don't want them working on my eyes of all things...my mom still doesn't understand.

Good luck to you.
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Old 04-29-2012, 11:59 AM
 
Location: NJ
9,237 posts, read 20,285,032 times
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Quote:
Originally Posted by SouthernBelleInUtah View Post
I have to respectfully disagree with these opinions about gastric bypass. There are certainly doctors and patients who think it's the easy way out of being obese. There are money-hungry doctors in EVERY field. You have to do your research and find a good surgeon.

Medical research has shown that once you reach a certain point, which is years and pounds in the making, you literally can't lose weight on normal diets. Not everyone reaches that point at the same time/weight. At that point, a bypass is really the only sensible choice. For diabetics, the 3 ft of intestine that is removed contains most of the glucose-affecting hormones and thus they can be "cured"if they are Type II. Not an easy choice, very painful, lots of vomiting for a good year if not longer, but life-saving to many of us.
You're right. Watching the series my 600lb life; the Dr mentions something like this. He also says that surgery is not the only fix; the patient has to change the way they eat. It was an eye opener; because 2 of them did start eating bites of unhealthy foods & bites turned to smaller portions until their stomachs stretch & they couldn't lose weight; some gained.

What was interesting if you watched the show was the 2 mothers of the 2 patients- they continued to get larger because they too were eating these foods.
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Old 04-29-2012, 03:24 PM
 
Location: Mostly in my head
19,652 posts, read 53,679,668 times
Reputation: 18605
Yes, I noticed that about the mothers - they were really sabotaging the children's diets. My surgeon said that after a long time of being obese, something in your metabolism turns off, for lack of a more medical term, and you just can't lose weight. Many doctors who are not specialists in bariatric medicine are ignorant about this (as are many people).
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Old 04-29-2012, 06:00 PM
 
Location: Philaburbia
31,288 posts, read 57,490,958 times
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Quote:
Originally Posted by SouthernBelleInUtah View Post
Medical research has shown that once you reach a certain point, which is years and pounds in the making, you literally can't lose weight on normal diets. Not everyone reaches that point at the same time/weight. At that point, a bypass is really the only sensible choice.
I don't discount the validity of this (maybe?), but surgery should always be a last resort. The OP's doctor mentioning bypass when the OP is only a few months into a concerted weight loss effort -- and has been having some success -- seems a little ... off ... to me.
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Old 04-29-2012, 06:42 PM
 
Location: Mostly in my head
19,652 posts, read 53,679,668 times
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Quote:
Originally Posted by Ohiogirl81 View Post
I don't discount the validity of this (maybe?), but surgery should always be a last resort. The OP's doctor mentioning bypass when the OP is only a few months into a concerted weight loss effort -- and has been having some success -- seems a little ... off ... to me.
Of course it is, if he is losing now. But posters got carried away with just losing weight.

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Old 04-30-2012, 06:03 PM
 
Location: Dallas TX
14,360 posts, read 20,639,573 times
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Absolutely find a new doctor. You were treated poorly and should feel very good about your progress!
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Old 04-30-2012, 06:12 PM
 
Location: Boonies
1,776 posts, read 2,597,709 times
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And was she in perfect shape? Jeesh, sounds like she is going a little overboard.
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Old 04-30-2012, 07:14 PM
 
Location: NJ
9,237 posts, read 20,285,032 times
Reputation: 6376
Quote:
Originally Posted by SouthernBelleInUtah View Post
Yes, I noticed that about the mothers - they were really sabotaging the children's diets. My surgeon said that after a long time of being obese, something in your metabolism turns off, for lack of a more medical term, and you just can't lose weight. Many doctors who are not specialists in bariatric medicine are ignorant about this (as are many people).
Wish I could edit...

The one gal; she was over weight because of her mom mentioning her weight when she was growing up. The mother was also over weight & by the end of her story; the mother was as big if not bigger then the gal that had the surgery.

One guys family was eating McD's when they brought him home from the hospital. Poor guy had to smell it & watch them eat. Then the one guys mom would feed him taco's & bites of junk food until he was actually eating it as his meals again. His mom was also larger at the end of his episode then when filming started & actually could have used the surgery herself.

It was amazing to see the way they were supposed to eat to lose weight. Anyone with a weight problem should watch the specials on TLC. I don't doubt they have support pages.
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Old 04-30-2012, 07:39 PM
Itz
 
714 posts, read 1,864,705 times
Reputation: 879
I find this thread interesting because the OP doesn't go in to say what medical condition they were being seen for.. In many cases a lot of conditions can be fixed/cured with diet and excercies.
The Dr is not there to pat you on the back and validate your progress. they are there to do what they do - be your doctor.. if your doctor thinks you need to loose more weight due to your condition... then you need to loose more weight.. They aren't going to give you an atta boy for dropping a few pounds.

Now on the other side of the coin... Some doctors have little to no bed side manner and aren't looking at the patient as a human being with feelings. they are looking at human being with a medical condition. If you feel you were treated so insesitive - then get a new doctor.. You think writting a letter that says
"My doctor was a big meanie and only told me to loose more weight. My doctor never gave me a gold star for my current progres.. *sniff sniff*
In other words.. put on some big girl panties.
I hope you find someone that fits your emotional needs over your medical needs... if you need to loose weight... then loose weight.. it is for YOU.. not for anyone else!
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