Rates of WLS are flatlining. Why?
Two studies published in the New England Journal of Medicine show that bariatric surgery may treat, or even reverse, the effects of type 2 diabetes in overweight and obese patients with high blood sugar levels. Some fear that the risks of the operation overshadow the rewards.
Robert Silverman, the marketing director and president of all of the 1-800-Get-Thin campaigns has resigned.
Hey, maybe bloggers won't be poked to remove posts anymore? Heh.
LA Times -
The president of the 1-800-GET-THIN marketing company, which has blanketed Southern California freeways and television and radio stations with ads for Lap-Band weight-loss surgery, said he has resigned "to pursue other career opportunities."
In a news release Thursday, Robert Silverman said that his resignation was effective Tuesday. He had served as the firm's president since February 2010, the release said.
"I believed in the mission and I believe that I was assisting individuals [to] overcome their battle with obesity, which has reached world-wide epidemic status," Silverman said in the release.
The 1-800-GET-THIN campaign had come under increasing scrutiny after the deaths of five Lap-Band patients since 2009.
In December, the Food and Drug Administration sent warning letters to the marketing company and its affiliated surgery centers, saying the ads for Lap-Band weight-loss surgery were misleading because they did not adequately display warnings about risks of the surgery.
The California Department of Insurance also has confirmed it is investigating the surgery centers affiliated with 1-800-GET-THIN for possible insurance fraud. In February, Lap-Band manufacturerAllergan Inc.said it had halted sales of the weight-loss device to all firms affiliated with the marketing company.
In addition to his role as president of 1-800-GET-THIN, Silverman, a lawyer, had represented the firm and its affiliated surgery centers in several lawsuits. He said in an email to The Times that he no longer represents them.
If you, or someone you know, is in suicidal crisis or emotional distress please call
Follow Up After Bariatric Surgery May Save Your Life- from Mary Jo Rapini
Suicide is one of those things you can never change your mind about. It is final, and it hurts everyone who ever loved or cared for the person who commits it. A recent study reports an increase in suicides two to three years after surgery.Considering that about 225,000 Americans are now having bariatric surgery each year, according to the American Society for Metabolic and Bariatric Surgery, this is a problem we cannot ignore.The latest study, which tracked deaths among Pennsylvania residents who underwent bariatric surgery, examined a longer period than previous research — up to 10 years following the procedure. Among 16,683 who had bariatric surgery between 1995 and 2004, 31 committed suicide by the end of 2006, the researchers found. The data translate into a suicide rate of nearly 14 per 10,000 men per year, and five per 10,000 women each year. Those numbers are substantially higher than the suicide rates among Pennsylvanians in the same 35-to-64 age range, during the same period. Among all men in the state, the suicide rate in 2005 was 2.5 per 10,000, while the rate among women was 0.6 per 10,000. Overall, 30 percent of suicides in the surgery group occurred within two years of the procedure, and 70 percent occurred within three years.Study author, Dr. Hilary A. Tindle of the University of Pittsburgh, reports that the reasons for the higher suicide rates are unclear. She was not able to examine the details surrounding the individual suicides. She does state that this study does not imply bariatric surgery itself leads to suicide, but it may be the emotional conditions the patients suffered prior to bariatric surgery or they may have developed after the surgery which leads to suicide.
With the discussion of post WLS suicide, I've been looking at information abot the psychological care of WLS patient –
From Bariatric Times –
Discussion continues at conferences regarding the question, “What is success?” following bariatric surgery. The obvious answer would involve sufficient weight loss or improvement or resolution of serious comorbid conditions.
However, even if there is initial progress in these areas, the patient and surgeon may not recognize underlying psychological issues or emotional obstacles that may impede continued postoperative success.
The patient who initially loses the weight only to then later regain may not seek any professional help until it is too late or until the challenge for reversal becomes a daunting one.
Such underlying psychological issues or emotional obstacles may include the following:
• “Normal” depression with loss of the “familiar” body
• “Normal” depression and adjustments with a change in relationships
* As a result of jealousy from coworkers
* As a result of unsettling reactions from friends or family who cannot adjust to the new body or lifestyle of their loved one
* As a result of reactions by the spouse or partner due to feelings of jealousy or insecurity, particularly if the spouse is obese or has never known the patient at a lesser weight
• Anxiety as a result of increased attention from others
* Particularly from the opposite sex
* Especially if there is a history of sexual abuse
• Eating challenges related to “mind hunger” or loss of “comfort” eating.
But, beyond the "normal," what then? What do you do? What if your obstacles are much bigger? How do you AVOID desperation? I think I'll be posting a lot about these topics, partly because I see a huge need, and because I was just asked to sweep it under the rug, for fear of "scaring a newbie."
These things MUST be discussed, and although I might have laughed it off seven years ago, I get it now.
This article seems, dramatic. Consider the source. However, I am certain there are hundreds of other stories out there that do not get press.
The state is investigating NYU Medical Center's booming weight-loss surgery practice, after three patients perished — including a young lawyer who may have died of thirst — following bariatric procedures, the Post has learned.