Re: Obesity and cultural authority. [3 Attachments]

[Guest guest]

Hey , Couldn't agree with you more. The big risks of the obesity surgeries is not the surgery, it is the anesthesia. They are taking these seriously undernourished beings, .....do you have any idea how much muscle relaxation pharmaceuticals it takes to allow a surgeon to get into one of those types of bodies ... after they get them asleep? A L O T! This being doesn't have what it needs to digest and metabolize food, much less man-made poisons not to mention that amount of man-made poisons. They don't teach them about the effects of dairy on the liver. My cousin's daughter died 4 months after one of these things due to pneumonia secondary to dairy consumption and never, NEVER was it suggested she tuck up her vit C consumption! She had no liver base or immune system to fight off the pneumonia. But she had lost 45#s! Big Pharma wins again. Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com To: oregondcs From: dcdocbrian@...Date: Wed, 11 Apr 2012 16:38:54 -0700Subject: Obesity and cultural authority. [3 Attachments]

[Attachment(s) from BRIAN SEITZ included below]

To the topic of “cultural authority” consider the medical

management of obesity. I started thinking about this yesterday because on my way to work are

2 billboards within ¼ mile which are advertising Bariatric Surgery for weight

loss. Then I received the ACA news today (April 2012 issue) which has an excellent article on "The Obesity Epidemic".

In 2009-2010 the obesity rate was approx 35% for both men and women and 17% in children and adolescents. These individuals when seeing their PCP are advised to “eat healthy and exercise”, and perhaps given information which tells them to eat according to USDA guidelines. When they don’t lose

weight the morbidly obese may be encouraged to consider gastric bypass surgery. The argument is “you

will have multiple health problems and die prematurely if you don’t lose the

weight”. Statistics (from observational

studies) will support this. However, the surgical solution skips over the issue

of causation. The experts will tell us that

gastric bypass is a safe and cost-effective solution because it will reduce the

health risks associated with obesity.

Really? What about

the risks of the surgery and the aftermath? What if the risks associated with obesity are a result of

the cause

of the obesity and not primarily from the obesity itself. That cause—the

Standard American Diet—is not typically addressed. So, after being told by the experts to eat right

and exercise—but not how to eat right or exercise right—and then failing to lose weight, a person is encouraged to surgically change their GI system forever! And this is considered rationale, cost-effective ($25,000) and safe! (Read the gastric bypass article enclosed for how safe is defined!)

Now consider what could happen if insurers would pay

“experts” such as interested, educated and motivated Chiropractors to

appropriately counsel, coach and support the morbidly obese through weight

loss. Such change takes time, money and would not be 100% successful. However, wouldn't it be safer and more “cost-effective” than bariatric surgery?

Obviously, not all Chiropractors want to manage the

morbidly obese. But for those that are truly interested shouldn't we have the opportunity to help and get paid appropriately? Yes, we can currently treat and counsel such patients, but it is typically a cash proposition which depends entirely on individual reputation and marketing

rather than any “Cultural Authority”. If you haven't read the ACAnews article I would highly recommend it! The attached "Why we get fat" is the introductory chapter of a book of the same name by Taubes. Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724

[Guest guest]

,My favorite scenario is when they make a patient lose 50-100 lbs by changing their diet BEFORE they will consider doing the surgery! Why not continue the weight loss with the diet?!?If you think about the surgeries... they are actually forcing patients to restrict their dietary carbohydrates as a result of the surgery. I've heard that if the patient tries to eat a lot of carbs after having gastric bypass, they will get very sick - indigestion and diarrhea. They are essentially being forced to eat more protein and fat.What has not been done yet is a head-to-head study comparing a clinically supervised low carb diet to gastric bypass surgery. The way our government and many universities spend their research dollars is just insane!A couple of the best evidence-based scientific groups out there on clinical weight loss is the American Society of Bariatric Physicians (ASBP) and the Nutrition and Metabolism Society. If chiropractors are going to play a serious role in helping with the obesity epidemic, I believe they need to get involved with these groups.Jamey Dyson, DC

To the topic of “cultural authority” consider the medical

management of obesity. I started thinking about this yesterday because on my way to work are

2 billboards within ¼ mile which are advertising Bariatric Surgery for weight

loss. Then I received the ACA news today (April 2012 issue) which has an excellent article on "The Obesity Epidemic".In 2009-2010 the obesity rate was approx 35% for both men and women and 17% in children and adolescents. These individuals when seeing their PCP are advised to “eat healthy and exercise”, and perhaps given information which tells them to eat according to USDA guidelines. When they don’t lose

weight the morbidly obese may be encouraged to consider gastric bypass surgery. The argument is “you

will have multiple health problems and die prematurely if you don’t lose the

weight”. Statistics (from observational

studies) will support this. However, the surgical solution skips over the issue

of causation. The experts will tell us that

gastric bypass is a safe and cost-effective solution because it will reduce the

health risks associated with obesity. Really? What about

the risks of the surgery and the aftermath? What if the risks associated with obesity are a result of

the cause

of the obesity and not primarily from the obesity itself. That cause—the

Standard American Diet—is not typically addressed. So, after being told by the experts to eat right

and exercise—but not how to eat right or exercise right—and then failing to lose weight, a person is encouraged to surgically change their GI system forever! And this is considered rationale, cost-effective ($25,000) and safe! (Read the gastric bypass article enclosed for how safe is defined!)Now consider what could happen if insurers would pay

“experts” such as interested, educated and motivated Chiropractors to

appropriately counsel, coach and support the morbidly obese through weight

loss. Such change takes time, money and would not be 100% successful. However, wouldn't it be safer and more “cost-effective” than bariatric surgery? Obviously, not all Chiropractors want to manage the

morbidly obese. But for those that are truly interested shouldn't we have the opportunity to help and get paid appropriately? Yes, we can currently treat and counsel such patients, but it is typically a cash proposition which depends entirely on individual reputation and marketing

rather than any “Cultural Authority”. If you haven't read the ACAnews article I would highly recommend it! The attached "Why we get fat" is the introductory chapter of a book of the same name by Taubes. Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724