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Bariatric Whistleblower
"I am a physician in the Western US. I have read your book and am in awe: you have really opened up a can of worms here—and I couldn’t be happier! "Among my duties as a doctor is to perform pre-operative assessments on overweight patients who want to undergo bariatric surgery, a.k.a. gastric bypass, gastric sleeve, laparoscopic band procedure, etc. All of these procedures involve surgery to promote weight loss and avoid/prevent/avert the complications of obesity, such as diabetes and heart disease, although, for many people, it is vanity-based: They can buy fake nails and color their hair and wear fancy jewelry, but they can’t hide their weight. As the volume of patients and the volume of the patients (i.e. waist circumference) being evaluated for these procedures continues to rise in our community, I find myself in an ethical dilemma: How can I, in good conscience, help these patients undergo an invasive procedure to lose weight when the same and even better outcome could be achieved by eliminating wheat? "Let me give you more details..." http://www.wheatbellyblog.com/2012/0...-and-lap-band/ -- Dogman "I have approximate answers and possible beliefs in different degrees of certainty about different things, but I'm not absolutely sure of anything" - Richard Feynman |
#2
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Bariatric Whistleblower
Dogman quoted:
"I am a physician in the Western US. I have read your book and am in awe: you have really opened up a can of worms here—and I couldn’t be happier! "Among my duties as a doctor is to perform pre-operative assessments on overweight patients who want to undergo bariatric surgery, a.k.a. gastric bypass, gastric sleeve, laparoscopic band procedure, etc. All of these procedures involve surgery to promote weight loss and avoid/prevent/avert the complications of obesity, such as diabetes and heart disease, although, for many people, it is vanity-based: They can buy fake nails and color their hair and wear fancy jewelry, but they can’t hide their weight. As the volume of patients and the volume of the patients (i.e. waist circumference) being evaluated for these procedures continues to rise in our community, I find myself in an ethical dilemma: How can I, in good conscience, help these patients undergo an invasive procedure to lose weight when the same and even better outcome could be achieved by eliminating wheat? Wheat is addictive for some. High glycemic foods incluing wheat are addictive for more. Thus eating them is rewarded by the body. With diet alone there's no physical punishment for eating the wrong thing. Lap band surgery adds that physical punishment. Positive reenforcement works better than negative reenforcement. With addictive foods the positive reenforcement is physical and immediate. Negative reenforcement is only available in slower behavioral form. To me that's the key of why diets fail such a high percentage of the time - Too much immeditate link between behavior and physical reward; too much delayed link between behavior and psychological punishment. Until there is some product that offers physical punishment for eating the wrong food no voluntary diet system is going to work for certain people. With lap band someone can make the voluntary choice to put punishment in place. Then it's not voluntary until reversal surgery is done. Terrible but it's the only working alternative available. |
#3
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Bariatric Whistleblower
On Mon, 3 Sep 2012 11:16:57 +0000 (UTC), Doug Freyburger
wrote: Dogman quoted: "I am a physician in the Western US. I have read your book and am in awe: you have really opened up a can of worms here—and I couldn’t be happier! "Among my duties as a doctor is to perform pre-operative assessments on overweight patients who want to undergo bariatric surgery, a.k.a. gastric bypass, gastric sleeve, laparoscopic band procedure, etc. All of these procedures involve surgery to promote weight loss and avoid/prevent/avert the complications of obesity, such as diabetes and heart disease, although, for many people, it is vanity-based: They can buy fake nails and color their hair and wear fancy jewelry, but they can’t hide their weight. As the volume of patients and the volume of the patients (i.e. waist circumference) being evaluated for these procedures continues to rise in our community, I find myself in an ethical dilemma: How can I, in good conscience, help these patients undergo an invasive procedure to lose weight when the same and even better outcome could be achieved by eliminating wheat? Wheat is addictive for some. High glycemic foods incluing wheat are addictive for more. Thus eating them is rewarded by the body. With diet alone there's no physical punishment for eating the wrong thing. Lap band surgery adds that physical punishment. Positive punishment, to really be effective, must occur almost immediately following that which is to be punished. For example, smoke a cigarette, immediately get violently ill. **** into the wind, etc. Positive reenforcement works better than negative reenforcement. Not really. It all depends on the application. Negative reinforcment (R-) is very effective in training dogs, for example, and works much faster than using positive reinforcment (R+) alone. The dog is first taught that he is in total control of the collar's stimulation. The collar is stimulated by the trainer, then the trainer gives a command, and the dog knows that the faster he obeys, the faster the stimulation goes away. This is a very powerful way to LEARN, but it has its limitations. So does positive reinforcment, positive punishment (P+) and negative punishment (P-). With addictive foods the positive reenforcement is physical and immediate. Negative reenforcement is only available in slower behavioral form. Yes, timing is everything when it comes to operant conditioning. But R- doesn't need to be "slower," as illustrated above. I'm pretty sure that if I could get you to wear an electronic collar, I could get you to eat only the foods that are "good" for you. In fact, I bet I could get you to eat dog feces to get that collar turned off. To me that's the key of why diets fail such a high percentage of the time - Too much immeditate link between behavior and physical reward; too much delayed link between behavior and psychological punishment. Very true! Which is why I recommend that newbies focus on their diets at first and forego a lot of exercise (other than cardio). Going on a diet and watching your weight go up (or not come down) can be extremely nonproductive. Until there is some product that offers physical punishment for eating the wrong food no voluntary diet system is going to work for certain people. With lap band someone can make the voluntary choice to put punishment in place. Then it's not voluntary until reversal surgery is done. Terrible but it's the only working alternative available. Well, I'll admit that surgery is sometimes a rational option, but given the potential for serious side effects, and the many alternatives that should be fully explored first, I'm not a fan. -- Dogman "I have approximate answers and possible beliefs in different degrees of certainty about different things, but I'm not absolutely sure of anything" - Richard Feynman |
#4
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Bariatric Whistleblower
On Sep 2, 1:47*pm, Dogman wrote:
"I am a physician in the Western US. I have read your book and am in awe: you have really opened up a can of worms here—and I couldn’t be happier! "Among my duties as a doctor is to perform pre-operative assessments on overweight patients who want to undergo bariatric surgery, a.k.a. gastric bypass, gastric sleeve, laparoscopic band procedure, etc. All of these procedures involve surgery to promote weight loss and avoid/prevent/avert the complications of obesity, such as diabetes and heart disease, although, for many people, it is vanity-based: They can buy fake nails and color their hair and wear fancy jewelry, but they can’t hide their weight. As the volume of patients and the volume of the patients (i.e. waist circumference) being evaluated for these procedures continues to rise in our community, I find myself in an ethical dilemma: How can I, in good conscience, help these patients undergo an invasive procedure to lose weight when the same and even better outcome could be achieved by eliminating wheat? "Let me give you more details..." http://www.wheatbellyblog.com/2012/0...blower-fake-na... -- Dogman "I have approximate answers and possible beliefs in different degrees of certainty about different things, but I'm not absolutely sure of anything" - Richard Feynman Sorry, but I don't buy this. I'd like to see the studies that show morbidly obese people can drop major weight, or even any weight, by just eliminating wheat and not making other major changes in their diet. You have any such studies or is this just the loon idea of the day? |
#5
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Bariatric Whistleblower
On Wed, 5 Sep 2012 09:05:35 -0700 (PDT), "
wrote: On Sep 2, 1:47*pm, Dogman wrote: "I am a physician in the Western US. I have read your book and am in awe: you have really opened up a can of worms here—and I couldn’t be happier! "Among my duties as a doctor is to perform pre-operative assessments on overweight patients who want to undergo bariatric surgery, a.k.a. gastric bypass, gastric sleeve, laparoscopic band procedure, etc. All of these procedures involve surgery to promote weight loss and avoid/prevent/avert the complications of obesity, such as diabetes and heart disease, although, for many people, it is vanity-based: They can buy fake nails and color their hair and wear fancy jewelry, but they can’t hide their weight. As the volume of patients and the volume of the patients (i.e. waist circumference) being evaluated for these procedures continues to rise in our community, I find myself in an ethical dilemma: How can I, in good conscience, help these patients undergo an invasive procedure to lose weight when the same and even better outcome could be achieved by eliminating wheat? "Let me give you more details..." http://www.wheatbellyblog.com/2012/0...blower-fake-na... "I have approximate answers and possible beliefs in different degrees of certainty about different things, but I'm not absolutely sure of anything" - Richard Feynman Sorry, but I don't buy this. I'd like to see the studies that show morbidly obese people can drop major weight, or even any weight, by just eliminating wheat and not making other major changes in their diet. You have any such studies or is this just the loon idea of the day? Read the book. Or don't. I couldn't care less. -- Dogman "I have approximate answers and possible beliefs in different degrees of certainty about different things, but I'm not absolutely sure of anything" - Richard Feynman |
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