Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 In a message dated 9/11/2003 11:08:59 AM Eastern Daylight Time, wlslori@... writes: hi a.j. so good to hear that docs are coming around, i had to do some major persuasion on my wonderful PCP. Well, I had to change my PCP because my original doctor Mark Orgel refused to ever give me a referral to even inquire about WLS. I have had this doctor ever since I was a teenager and he is the kind of doctor who turns beet red when he even tells you to cough to see your tonsils LOL. I was so mad at him when I first went to inquire about WLS information. He said I have nothing to refer you to just eat low fat, stay on a diet and get lots of exercise. He even had the audacity to give me a referral to a weight loss doctor who wanted to put me on Meridia and xenecal something like those names I said I have over 100 pounds to lose and I did not want to infect my body with drugs like that I want my liver to stay alive not be burdened with drugs. Finally I ran into an old friend who had the same medical plan as I have and she told me that her PCP had actually recommended a WLS referral to her so I immediately that same day called my HMO administration and changed my PCP to her Doctor Dubin HIP and I spoke to him and he gave me the referral to the surgeon that I had already did research on and selected to do my surgery and the rest is history. I guess my lesson learned here is that I am in charge of my own health and I did not let my old PCP and his views stand in my way to keeping my life and my health protected. Oh did I mention that my mom died almost 2 years ago under his care she died of complications of being over weight and diabetes. I thank God that he lead me away from that PCP into the care of a more modern thinking one. Save your own life people do whatever it takes to change your PCP or even your Health Insurance Program to get what you want the WLS to improve your health and help you be free. Lori Anne Lap RNY 8/25/03 274/259/135 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 11, 2003 Report Share Posted September 11, 2003 hi a.j. so good to hear that docs are coming around, i had to do some major persuasion on my wonderful PCP. he's 1000% convinced now. it was brilliant of your doc to note that obesity is a result (among many other variables) of adaptive efficient genes. those thrifty genes kept my ancestors alive. & now i'm adapting to my environment as well. though wls isn't a cure, & i'm VIGILANT on a daily basis, b/c my system may just try to fight me & get greedy w/ each & every calorie. i don't blame my MO on anyone or anything, but i agree that we are sedentary society. when i travel, i'm amazed to see people walking to places. i'm guilty in the 1st degree, maybe it's the stifling miami weather, maybe it's my couch-loving behind. oh, & best of luck @ the info seminar, keep us posted. lori h. 16 1/2 grateful months out > He absolutely > recommended the surgery using his words that " It's the only thing > that works at the moment. " I was very nervous that he would be one > of the stalwarts and he would be absolutley against it. I was so > relieved when he said that he was sick of " misinformed f***ing > nutrionists, doctors and trainers telling patients to just " push away > from the table and get more excersice. They are just f***ing stupid. > " When he said that, I had a big old grin on my face. He went on to > explain that there are some promising medications in development but > that it could be years down the line. By that time, the damage would > be done from years of wear and tear on a body carrying 100lbs extra > weight. The other impressive thing about the visit was his knowledge > of getting approval for insurance. He was already trying to " find " a > comorbidity to help my process. He is going to get a letter and my > charts and history of previous attempts at managing my weight > together to present to Cigna. I am so excited. Next Tuesday is my > mandatory seminar with the surgical clinic staff. He even > recommended the surgeon I had already contacted as being one of the > best. Lastly, I wanted to share the mos insightful thing my Dr. said > to me at the visit. > > He is absolutely convinced that morbid obesity is not so much a > disease as it is a metabolic adaptation. For example, if gravity > were to suddenly reverse itself instantly, humans do not have any > mechanism for maintaining our feet on the ground. There has never > been a need. Conversely, we have many mechanisms adapted over > thousands of years to combat the effects of gravity. From balance to > the design of our skeletal and muscular structure, it is all to keep > us upright against gravity. Now, to lay that against a metabolic > example, for thousands of years humans have been fundamentally > starving. It was a constant battle to find, forage, hunt, and kill > food. So our bodies have adapted with that generational history to > favor a metabolism that protects from starvation. A hording > metabolism. It is only in the last 50+ years that the western world > has experienced obesity. The abundance and convenience of food in > the west is something our bodies and metabolisms are not prepared > for, like the reversal of gravity. Until we can find a way to > trigger mechanisms that overcome our starvation metabolisms, obesity > is not going to vanish with a little excercise and eating healthy. > It will require genetic and chemical manipulation of our bodies > metabolism. > > THanks for listening. > A.J. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2003 Report Share Posted September 14, 2003 Sounds like you have found one of the good drs. My surgeon considers MO to be a birth defect. Some people suffer from it while others are lucky enough to be without it. He is amazed at how just changing our stomachs, changes our desire for food. Like the hormone they think they have found is not produced anymore after surgery. I have not done alot of reading on the subject, but I know that for me... i dont care about food anymore. It is eating to live not living to eat as someone shared. God Bless your Dr. Lori - MI Open Distal RnY 8-1-03 > Well, I had my Dr appointment on Tuesday. I have never ever heard my > family physician swear before, but by the time I had left he had used > the " f " word and the " s " word several times. He absolutely > recommended the surgery using his words that " It's the only thing > that works at the moment. " I was very nervous that he would be one > of the stalwarts and he would be absolutley against it. I was so > relieved when he said that he was sick of " misinformed f***ing > nutrionists, doctors and trainers telling patients to just " push away > from the table and get more excersice. They are just f***ing stupid. > " When he said that, I had a big old grin on my face. He went on to > explain that there are some promising medications in development but > that it could be years down the line. By that time, the damage would > be done from years of wear and tear on a body carrying 100lbs extra > weight. The other impressive thing about the visit was his knowledge > of getting approval for insurance. He was already trying to " find " a > comorbidity to help my process. He is going to get a letter and my > charts and history of previous attempts at managing my weight > together to present to Cigna. I am so excited. Next Tuesday is my > mandatory seminar with the surgical clinic staff. He even > recommended the surgeon I had already contacted as being one of the > best. Lastly, I wanted to share the mos insightful thing my Dr. said > to me at the visit. > > He is absolutely convinced that morbid obesity is not so much a > disease as it is a metabolic adaptation. For example, if gravity > were to suddenly reverse itself instantly, humans do not have any > mechanism for maintaining our feet on the ground. There has never > been a need. Conversely, we have many mechanisms adapted over > thousands of years to combat the effects of gravity. From balance to > the design of our skeletal and muscular structure, it is all to keep > us upright against gravity. Now, to lay that against a metabolic > example, for thousands of years humans have been fundamentally > starving. It was a constant battle to find, forage, hunt, and kill > food. So our bodies have adapted with that generational history to > favor a metabolism that protects from starvation. A hording > metabolism. It is only in the last 50+ years that the western world > has experienced obesity. The abundance and convenience of food in > the west is something our bodies and metabolisms are not prepared > for, like the reversal of gravity. Until we can find a way to > trigger mechanisms that overcome our starvation metabolisms, obesity > is not going to vanish with a little excercise and eating healthy. > It will require genetic and chemical manipulation of our bodies > metabolism. > > THanks for listening. > A.J. Quote Link to comment Share on other sites More sharing options...
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