(gentle guitar music) – The National Institute of Health has a hard time calling obesity a disease but it is a disease. It is a disease of metabolism and it causes so many other
problems like diabetes, high blood pressure, sleep apnea, degenerative joint disease. So it is truly a disease. It increases your risk
of cancer, heart disease. So many things. It can’t be classified as
anything but a disease. But because of the social implications and the social attitudes toward
obesity for so many years the NIH has had trouble
calling it a disease, but it truly is in all sense of the word. We tend to treat high
blood pressure, diabetes. We spend billions and billions of dollars treating those diseases
with other specifically. But they’re all interrelated and are all intertwined with obesity and if you treat obesity you
treat all of those diseases. So instead of treating
them all individually I think we can attack
’em all as a single group by treating obesity itself. So it’s kind of like treating cancer without actually attacking the tumor. We need to attack the tumor
and the tumor is obesity. Well surgery becomes an option when all other modalities have failed. Unfortunately, there are
no other good modalities. Medical therapy, despite the fact that everyone talks about it,
has been a dismal failure. When only a very small percent of patients can lose any type of substantial weight with medical therapy, surgery really becomes the option for almost anyone suffering
from severe obesity. And it’s a shame that patients delay their surgical intervention until their health really begins to fail when we should consider it much earlier. The big advancements in bariatric surgery has been safety. We’ve gone from open operations
that were highly invasive to laparoscopic procedures that, while we’re doing
the exact same operation laparoscopically as we are doing open, it’s tolerated far more physiologically by these very sick patients. These operations are tools and only tools. They have to be combined
with diet and exercise in order for them to be successful, not only in the long-term but also in the short-term. Now there are tools, if
you look at the lap band, the gastro bypass, the duodenal switch they’re operations of different power. So we have the least powerful
operations is the lap band. That’s gonna take more determination, more education, more commitment by the patient for success. The duodenal switch is the
most powerful operation that we offer that requires
less individual effort on the part of the patient
but still takes an effort to make sure that you
maintain your nutrition, that you eat properly, you take your appropriate vitamins. So, it’s still a very
much a patient involvement in the process and there is nothing free in this world. There’s always a price
that needs to be paid and there is no replacement for diet, exercise, and eating properly. But these are tools that are very powerful that help people do that. – [Announcer] For more
information about this physician or to schedule an appointment, please call our referral line or visit notbiggerjustbetterhealth.com. (guitar strum)

Leave a Reply

Your email address will not be published. Required fields are marked *