Too little, too late. I share -- because my friend Rob from Former Fat Dudes is quoted, and Taunia from DivaTaunia.
University of Pennsylvania orthopedic surgeon John D. Kelly IV says the monthly humor column he writes for a medical trade magazine was due, so he "threw some jokes together" about fat patients.
"You should worry about performing surgery on the supersized," Kelly riffed in that August piece, if "there is a comma in your patient's body weight."
Or if a patient "wears his wristwatch on his finger," needs "a blood pressure cuff the size of Montana," or "has more chins than a Chinese phone book."
And 26 other one-liners, many cribbed from Joan Rivers, Rodney Dangerfield, and their ilk.
Thus did Kelly, a respected physician known for his corny stand-up comedy and kind heart, become an object lesson in the pervasive prejudice faced by fat people - and the perils of perpetuating it.
Kelly, 54, has been chewed out by obesity-bias fighters, subscribers of Outpatient Surgery Magazine where the article appeared, and his bosses at Penn, who issued a statement saying his "comments do not in any way reflect" the health system's views.
In response, Kelly has expressed what even critics call "heartfelt" remorse.
Rob Portinga, a gastric-bypass patient who now blogs as FormerFatDudes.com, posted Kelly's mea culpa: "I have issued an apology [in the magazine] and have answered every e-mail I received from this mistake. . . . I blew it. I was not respecting the dignity of my patients. I didn't recognize that this is a different audience than the comedy clubs. Of course, I will revamp my comedy routines now that I know the potential hurt some jokes can inflict."
There could be a REASON why we fail diets. Or -- diets fail us.
One year after initial weight reduction, levels of the circulating mediators of appetite that encourage weight regain after diet-induced weight loss do not revert to the levels recorded before weight loss. Long-term strategies to counteract this change may be needed to prevent obesity relapse.
Ghrelin. You may have heard of this evil little hormone.
Hormones regulating when a person feels hungry or sated do not rapidly adjust to weight loss, which may be a factor in the yo-yo effect observed among dieters, researchers found.
One year after losing weight, levels of appetite-regulating hormones didn't revert to baseline levels, Joseph Proietto, PhD, of Heidelberg Repatriation Hospital in Australia, and colleagues reported in the Oct. 27 issue of the New England Journal of Medicine.
The findings suggest that the "high rate of relapse among obese people who have lost weight has a strong physiological basis and is not simply the result of the voluntary resumption of old habits," Proietto and colleagues wrote.
It's well established that heavy patients who lose weight dieting often fail to keep the pounds off, the researchers explained.
Studies have shown that restricting calories can lower levels of the hormones leptin -- which tells the brain that the body is full -- and ghrelin -- which stimulates hunger.
Doesn't this also help explain why some forms of weight loss surgery ... work better overall in the long term? In certain types of WLS -- most of ghrelin producing factor -- is removed.
Go DS. Or not. It's up to you. Surgery flame wars!
Approximately 70% of the stomach is removed along the greater curvature, also called a vertical sleeve gastrectomy (VSG). The remaining stomach is fully functioning, banana shaped and about 3 - 5 oz in size which restricts the amount you can consume. The pylorus continues to control the stomach emptying into the small intestine; as a result patients do not experience "dumping". The upper portion of the duodenum remains in use; food digests to an absorbable consistency in the stomach before moving into the small intestine. This allows for better absorption of nutrients like vitamin B12, calcium, iron and protein when compared to gastric bypass procedures.
A benefit of removing a portion of the stomach is that it also greatly reduces the amount of ghrelin producing tissue and amount of acid in the stomach.
Ghrelin is the "hunger hormone" and by reducing the amount of the hormone produced the appetite is suppressed.
Spurred by strict insurance policies that limit surgery to high BMIs
of 35 or 40, some obese people are actually striving to gain weight
-- in order to lose it.
Web sites devoted to weight-loss surgery
are full of advice and anecdotes from would-be losers who claim they ate
piles of bananas, chowed down on burgers and curly fries or swilled
gallons of water to nudge the scale to the correct heights.
happens all the time,” said Dr. Robert Michaelson of Northwest Weight
Loss Surgery in Everett, Wash., who was a clinical investigator for the
FDA trial. “I’ve seen people come in with ankle weights on.”
The OAC recently was alerted to an issue of weight bias, and we need your voice and action! An offensive article recently appeared in Outpatient Surgery Magazine, authored by a physician from the University of Pennsylvania Department of Orthopedic Surgery. In this article, the physician targets individuals affected by presenting 25 derogatory and insulting jokes. In addition, the author also uses insulting language and refers to individuals affected by obesity as "behemoths." To view this article in its entirety, please CLICK HERE. As a Coalition, we cannot allow this article to be published and not raise our voices. As part of our commitment to put an end to weight bias and stigma, the OAC is asking you to sound off and let the author and publication know how you feel about this disturbing article. Here's What You Need To Do: Write a letter to the author and/or the publisher expressing your concern about this article and demanding the author and/or publication submit a formal apology to readers. Here is who you should contact: Author John D. Kelly, IV, MD University of Pennsylvania Dept. of Orthopedic Surgery 34th and Spruce St. Philadelphia, PA 19104 Phone: (215) 615-4400 firstname.lastname@example.org Publisher Dan O'Connor Editor-in-Chief Outpatient Surgery Magazine 255 Great Valley Parkway, Suite 100 Malvern, PA 19355 Phone: (610) 240-4918 x16 email@example.com We want to hear about any responses you receive! If you hear back from the author and/or publisher, please forward a copy of the response to the OAC at firstname.lastname@example.org, or send us an email with the details of the response you receive!
Do you tell about your Weight Loss Surgery -- or is it a big secret?
Eight years ago, when it was my turn for surgery: everyone knew. I saw no reason not to share -- in fact I didn't realize until later why someone might not want to share. To be honest, I was very young and naive, and I absolutely thought it was Wonderful! Amazing! and Why Wouldn't Everyone Support My Choice!
There are a number of questions associated with whether or not to
tell people about your bariatric surgery. Whom do you tell? When do you
tell them? Who needs to know? Who has a right to know? Whom do you want to tell? Whom do you not want to tell?
The obvious list of potential people to tell about your surgery
includes your spouse/partner, children, parents, siblings, friends,
bosses and coworkers. It is not mandatory that you tell all of the people on this list.
You need to take some very important things into consideration before
you tell people about your decision to have bariatric surgery.