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What is Your Preferred Weight Loss Procedure?

As an experienced bariatric surgeon, Dr. Metz is well-versed on all the ins and outs of the various weight loss procedures. There’s no better person to ask for an opinion on which procedure is best. When asked which procedure he prefers above the rest, Dr. Metz indicated the gastric sleeve. He comfortably stated, “It’s what I would have if I were going to have bariatric surgery.”

 For the young, non-diabetic individual in need of weight loss surgery, the gastric sleeve may be the best surgical approach. However, individual circumstances will always be paramount when considering which weight loss procedure to choose. Such a decision is best determined through a one-on-one consultation with your bariatric surgeon. If you would like more information about which bariatric surgery may be best for you, schedule your consultation with Dr. Metz today.
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Surgery is NOT The Easy Way Out

I was at a social function earlier this week and a woman asked me what I do for a living.

“I’m a bariatric surgeon,” I replied.

To which she said, “What do you think about that?  You know, people just taking the easy way out and having surgery for their weight.”

Whenever I tell people what I do for a living, the issues of self-control, discipline, and exercise come up.  I have people judge me as an enabler, and judge all of my patients as weak-willed.  Sometimes, it can be so frustrating that I don’t want to disclose any information about my career.  Then I think about my patients.   My patients are hard-working, caring, sensitive, intelligent individuals that are battling a disease.

Should I ask people at parties to tell me from what diseases their grandparents or parents died?

“Your mother had lung cancer?  She shouldn’t have worked in that factory.  Your father had a heart attack?  He should have checked his cholesterol.  Your sister died of breast cancer? She should have gotten screened earlier. “

People that label bariatric surgery as the easy way out just don’t understand the disease process.   My patients have each tried dozens of diets.  They have lost hundreds of pounds through aggressive medical weight loss programs, only to gain all the weight back and then some.  It’s not just a simple issue of discipline and a diet.  Obesity is a disease, just like cancer, diabetes, heart disease, and stroke.  Those diseases don’t go away with discipline and diet either!  Our own American Medical Association officially declared obesity as a disease earlier this year.

Obesity has genetic components, well documented in the medical literature.  There are socio-economic factors involved.  Many of our patients have an abuse history, and sub-consciously shroud themselves from unwanted physical attention through their weight; hence, obesity has a psychological component.  There are numerous metabolic issues at play, such as diabetes, hypo-thyroid issues, poly-cystic ovarian syndrome, and leptin insensitivity.

Now consider the thought process involved in undergoing surgery.  Patients need to admit to themselves and their families that they have a disease that is so profound that they need to see a doctor to treat it.  Then they have to see a mental health provider, to evaluate them for untreated mental illness and coping skills.  Next they have to see a dietitian, and may need to undergo 6 months of medically supervised weight loss, depending on their insurance.  Then they have to have a major surgical procedure.  Granted, it’s typically performed laparoscopically, but they still need to undergo general anesthesia, and have someone operate on them in order to help fight this disease.  They may incur significant expense, loss of time from work, and/or time away from school.  Finally, they have to take vitamins for the rest of their lives, and they have to follow up with a mean surgeon (me) forever!

Does that sound like the easy way out?  How do I explain to a woman at a party that, without surgical intervention, only 30% of my patients would live to see their 65th birthday?  How do I explain the humiliation involved in asking for a seat belt extender on an airplane?  To not be able to go to a movie, or an amusement park.  To have to have a family member do your toilet care because you simply cannot reach?  To not be able to run after your child when he or she is in danger? To have people judge you as lazy and slovenly before even shaking your hand?  To be discriminated against when applying for a job, just because of the way you look?

Obese people are the last population that folks think of as socially acceptable to ridicule.  Yet, over 30% of Americans are considered overweight.  While I’m thrilled that the AMA has declared obesity  a disease,  how long until the rest of society recognizes that ruling and stops discriminating?

To my patients:  I will continue to fight on your behalf.  Your bravery, your willingness to take control of your health care, and your dedication to a constant battle makes me proud to be your doctor.  Keep up your efforts, and let’s work together!

Great Recipe!

Tonight’s dinner took ~12 minutes to cook, not counting chicken surgery and marination time.

Grilled chicken with broccoli:
1 package of boneless, skinless chicken breast
1 packet of flash frozen broccoli
low sodium soy sauce
sesame seeds
garlic (a lot)
chili powder
red pepper flakes

Mix marinade of sliced garlic, soy sauce, sesame seeds, and spices
Anesthetize chicken (just checking to see if you’re paying attention!)
Cut chicken into strips
Marinate chicken (I did overnight)
Throw on grill until cooked

Place broccoli in boiling water with pinch of kosher salt for ~3 minutes


High protein, low carb, low fat, yummy, tasty meal!  Pictures can be seen on our Facebook Page: Bariatric and Aesthetic Surgery Associates


I love burpees

I love burpees

Today’s workout was inspired by our Nurse Practitioner extraordinaire, Allison.  Many people despise burpees, an exercise that involves dropping from a standing position into a pushup position, doing a pushup, then jumping up in the air, preferably bringing one’s knees to one’s chest.  T-shirts excoriating this exercise have been made, but the fact remains that burpees are a wonderful, full body exercise that can easily bring one’s heart rate up to maximum levels.
At the same time, many people dislike running.  They find it boring, onerous, and painful.
Now imagine if we could combine these two exercises, negating the boredom of the running and the evil of burpees.

Presenting: The Burpees Run!
(Disclaimer: do not attempt any of these exercises without clearance from your physician–I don’t count!   Feel free to subsitute walking for running, and any exercise of your choice for burpees–standing squats, jumping jacks, pushups, whatever you like.  Feel free to alter the number of reps to your comfort level and heart rate as well).

Run: Begin with standard warmup (see earlier blog/facebook entries).  Run for 6-8 minutes, then do 20 burpees.  Repeat for a total of 24-32 minutes of running, and 80 burpees.

This regimen combines strength training with cardio, and interval training.  It also breaks up the monotony of a standard run, or just doing strength training alone.  For folks training for their first 5k or adventure race (Spartan, Tough Mudder, etc), this type of program helps give you the fundamentals to succeed.

Note: burpees scare dogs, especially at night.  Warn your hounds!

Thanks Allison!

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