WASaBubbleButt

hellooooooooooooo out there... where is everyone?

OMG, I can't believe what I am reading. I am helping someone determine if Medicaid in Georgia will cover banding. On the Georgia Medicaid website, check out this load of crap I just found: gacfr.dhr.georgia.gov/DHR-GACFR/DHR-GACFR_PreventionResources/5myths.pdf <nobr>5 H</nobr> <nobr>EALTH</nobr> <nobr>C</nobr> <nobr>ARE</nobr> <nobr>M</nobr> <nobr>YTHS</nobr> <nobr>Frances M. Berg, </nobr> <nobr>M.S., L.N. </nobr><nobr>Unfortunately, much current health care for obesity is based on misinformation, myth and size bias, not</nobr> <nobr>on accurate scientific information. Consider these myths and controversies: </nobr><nobr>Myth #1. Obesity causes severe health risks. Fact: We don't know, but it seems doubtful. Obesity has</nobr> <nobr>been associated with, and assumed to cause, higher risk for type 2 diabetes, hypertension, and</nobr> <nobr>cardiovascular disease. More recent CDC research questions even the association. The evidence suggests</nobr> <nobr>these disease risks, as well as obesity, are likely caused by other factors, including genetics and</nobr> <nobr>inactivity. Increased physical activity dramatically reduces risk factors without weight loss. </nobr> <nobr>1, 2, 3, 4, 5, 6, 7 </nobr><nobr>Myth #2. âHealthy weightâ defines the range of lowest health risk. False. The weight associated with</nobr> <nobr>the lowest death rate is in the âoverweightâ range (BMI 25 to 29.9), with almost no related risk up to a</nobr> <nobr>BMI of 35, according to the latest CDC research. This confirms an earlier NIH review of 236 controlled</nobr> <nobr>studies with similar findings. (Despite this evidence, federal agencies continue to define healthy weight,</nobr> <nobr>or normal weight, as a BMI of 18.5 to 24.9, and to recommend weight loss above this level.) </nobr> <nobr>8, 9, 10 </nobr><nobr>Myth #3. Health is always improved by weight loss. False. Long-term studies indicate higher risk with</nobr> <nobr>weight loss. At least 15 large comprehensive studies show higher death rates after weight loss, including</nobr> <nobr>the Framingham Heart Study, Harvard Alumni Study, and NHANES I follow-up. Researchers suggest</nobr> <nobr>that loss of lean mass from muscle, organs and bone, and weight cycling can jeopardize health.</nobr> <nobr>11, 12, 13, 14, 15 </nobr><nobr>Myth #4. Current weight loss treatments are safe and effective. False. All methods must be considered</nobr> <nobr>experimental. None are proven long-term safe and effective. Dieting causes short-term weight loss</nobr> <nobr>followed by regain or weight cycling, which has its own risks, and leads to food preoccupation, bingeing,</nobr> <nobr>dysfunctional eating and sometimes eating disorders. Drugs offer only minimal weight loss (5-11</nobr> <nobr>pounds) and must be taken long-term, with increasing risk: of 6 million adults who took fen-phen/Redux,</nobr> <nobr>FDA reports one-third developed leaky heart valves; others died of primary pulmonary disease. Bariatric</nobr> <nobr>surgery carries risk of nearly 5 percent death rate (nearly 50 percent for patients age 75 and over) and</nobr> <nobr>over 60 complications including severe infection, leaks, blood clots and malnutrition.</nobr> <nobr>16, 17, 18, 19, 20, 21, 22 </nobr><nobr>Myth #5. Scare tactics and pressures to be thin help prevent obesity, promote weight loss, and do no</nobr> <nobr>harm. False. Increasing the social and medical pressures to be thin over the last two decades has not</nobr> <nobr>worked and may have backfired: studies link repeated weight loss to increased weight. These pressures</nobr> <nobr>have failed to help people lose weight or prevent obesity. In addition, they have done harm by leading to</nobr> <nobr>nutrient deficiencies, dangerous weight loss, eating disorders, size discrimination, body hatred, stress,</nobr> <nobr>anxiety, immune suppression, lasting injury and even death.</nobr> <nobr>23, 24, 25, 26, 27, 28, 29 </nobr><nobr>These five myths benefit the diet industry, but not the individual or society. The fiction they keep alive is</nobr> <nobr>that overweight and obesity are severe health risks that threaten the lives of most Americans and add greatly</nobr> <nobr>to health care costs; therefore weight loss is urgently needed, even though it is not safe or effective.</nobr> <nobr>Reprinted and adapted from Underage and Overweight: Our Childhood Obesity Crisis â What Every Family Needs to</nobr> <nobr>Know, by Frances M. Berg. New York: Hatherleigh Press. Copyright 2005, 2004 by Frances M. Berg. All rights reserved.</nobr> <nobr>The author permits use of this 5 Health Care Myths feature as a handout or in nonprofit newsletters for educational</nobr> <nobr>purposes, provided it is reproduced in its entirety with this citation. Written permission is required for use in books or</nobr> <nobr>publications for sale. Contact Healthy Weight Network, 402 S. 14</nobr> <nobr>th</nobr> <nobr>St., Hettinger, ND 58639 (701-567-2646; fax 701-</nobr> <nobr>567-2602). For more information visit www.healthyweight.net.</nobr> <nobr>(over)</nobr> <hr><table border="0" width="100%"><tbody><tr><td align="right" bgcolor="#eeeeee">Page 2</td></tr></tbody></table> <nobr>Increasingly, however, health providers are moving ahead to the Health at Every Size approach (also known</nobr> <nobr>as Health at Any Size). This new paradigm focuses on active living, normal eating, self-acceptance, and</nobr> <nobr>physical, emotional and spiritual well-being for everyone of every size.</nobr> <nobr>References</nobr> <nobr>1. </nobr><nobr>Taylor R. Causation of Type 2 diabetes â The Gordian knot unravels. N Engl J Med 2004;350:639-641.</nobr> <nobr>2. Miller W. Health promotion strategies for obese patients. Healthy Weight Journal 1997:11:3:47-51.</nobr> <nobr>3. Blair SN, Kohl HW, Barlow CE. Physical activity, physical fitness, and allcause mortality in women: do women need</nobr> <nobr>to be active? J Am Coll Nutr 1993;12(4):368371.</nobr> <nobr>4. Barlow CE, Kohl HW III, Gibbens LW, Blair SN. Physical fitness, mortality and obesity. Int J Obesity 1995;1 (Suppl</nobr> <nobr>4):S41-44. Miller W. Health promotion strategies for obese patients. Healthy Weight J 1997:11:3:47-51.</nobr> <nobr>5. Blair SN, Bodney S. Effects of physical inactivity and obesity on morbidity and mortality: Current evidence and</nobr> <nobr>research issues. Medicine and Science in Sports and Exercise 1999;31:S646-S662</nobr> <nobr>6. Flegal KM, Graubard BI, Williamson DF, Gail MH. Excess deaths associated with underweight, overweight, and</nobr> <nobr>obesity. JAMA 2005;293:1861-1867.</nobr> <nobr>7. Berg F. Underage and Overweight: Our Childhood Obesity Crisis â What Every Family Needs to Know, 2005, 2004,</nobr> <nobr>p13-29. New York: Hatherleigh Press.</nobr> <nobr>8. Flegal KM. JAMA 2005;293:1861-1867.</nobr> <nobr>9. NIH-NHLBI Clinical Guidelines on Identification, Evaluation, and Treatment of Overweight and Obesity. National</nobr> <nobr>Institutes of Health, National Heart, Lung, and Blood Institute. Pre-print June 1998. Bethesda, MD.</nobr> <nobr>10. Berg F. Underage and Overweight, p147-151.</nobr> <nobr>11. NIH Technology assessment conference: Methods for voluntary weight loss and control. Conference report:</nobr> <nobr>program and abstracts. March 30-April 1, 1992. Office Medical Research, Bethesda, MD 20892.</nobr> <nobr>12. Andres R, Muller DC, Sorkin JD. Long-term effects of change in body weight on all-cause mortality: a review. Ann</nobr> <nobr>Intern Med 1993;119:737-743.</nobr> <nobr>13. Williamson DF, Pamuk E, Thun M, et al. Prospective study of intentional weight loss and mortality in never-</nobr> <nobr>smoking overweight US white women aged 40-64 years. Am J Epidemiol 1995;141:1128-1141.</nobr> <nobr>14. Allison DB, Zannolli R, Faith MS, et al. Weight loss increases and fat loss decreases all-cause mortality rate: results</nobr> <nobr>from two independent cohort studies. I J Obesity 1999;23:603-611.</nobr> <nobr>15. Berg F. Underage and Overweight, p13-29, 156-194.</nobr> <nobr>16. NIH Technology assessment conference: Methods for voluntary weight loss and control. March 30-April 1, 1992.</nobr> <nobr>17. Lee IM, Paffenbarger RS Jr. Is weight loss hazardous? Nutr Rev 1996;54(suppl):S116-124.</nobr> <nobr>18. Kassirer JP, Angell M. Losing weight: An illfated New Yearâs resolution. N Engl J Med 1998;338:5254.</nobr> <nobr>19. Garner DM, and Wooley SC. Confronting the failure of behavioral and dietary treatments for obesity. Clin Psych</nobr> <nobr>Rev 1991;11:729-780.</nobr> <nobr>20. Lissner L, Odell P, DâAgostino D, and Stoke J, et al. Variability of body weight and health outcomes in the</nobr> <nobr>Framingham population. New Engl J Med 1991;324:1839-44.</nobr> <nobr>21. Flum DR, Salem L, et al. Early Mortality Among Medicare Beneficiaries Undergoing Bariatric Surgical Procedures</nobr> <nobr>JAMA 2005;294:1903-1908.</nobr> <nobr>22. Berg F. Underage and Overweight, p156-194.</nobr> <nobr>23. Third report on nutrition monitoring in the US, Vol 1-2, Dec 1995. Life Sciences Research Office, US Health/</nobr> <nobr>Human Serv, US Dept of Agriculture. Natl Ctr for Health Statistics, NHANES III. Advance Data Nov 14, 1994.</nobr> <nobr>24. Levine P. Presidentâs message. Eating Disorders Awareness and Prevention Newsletter. Spring 1995:1-3.</nobr> <nobr>25. Pipher M. Reviving Ophelia. 1994. Ballantine Books, Random House, NY.</nobr> <nobr>26. Fallon P, M Katzman, S Wooley, edits. Feminist perspectives on eating disorders. 1994. Guilford Press, NY.</nobr> <nobr>27. Grange D, J Tibbs, J Selibowitz. Eating attitudes, body shape, and self-disclosure in adolescent girls and boys.</nobr> <nobr>Eating Dis 1995:3:3:253-264.</nobr> <nobr>28. Smolak L, M Levine. Toward an empirical basis for primary prevention of eating problems with elementary school</nobr> <nobr>children. Eat Disorders 1994;2:4:293-307.</nobr> <nobr>29. Berg F. Underage and Overweight, p76-94, 195-205.</nobr> <nobr>5 Health Care Myths</nobr> <nobr>(continued)</nobr> <nobr>1-atetalkshandouts5myths</nobr>

I have a hunch the 5% mortality rate for WLS is going to do more harm than the loaded line of crap she spewed about everything else. People already associate bypass with death and reading this from a sort of "authority" type person, they'll believe it. Our 2nd graders in this world know the article overall is a load, but people will believe the WLS stats.

Sugar free. ;o) I am the anti-white carb queen. I'm so afraid I'm going to fall into bad habits again. When I start white carbs I can't quit. But in all honesty sugar isn't my vice, stuff with flour is. That starts bad bad bad behaviors.

What I can't believe is that a thread about farts and poops is 20 pages long! HA! I wrote in the opening post that I felt like a child writing this but it is pretty darn funny. ;o) I think we need more examples of how DS farts are beneficial to the person or society. Never know, we might have future DSers reading. ;o))))

I have people on my ignore list. I don't consider it a power issue. Their posts are just too stupid to read. That, and trolls. If someone is talking about a flat earth and an assortment of other bizarre and crazy concepts then what is the use of reading the nonsense? Nahhh... not a power issue at all.

In one of those links posted in this thread there was a story about a girl who did get caught speeding, right after she farted in her car. She wrote of how embarrassed she was. I kinda feel sorry for the policeman. :)/

Nononoooooo, it's not MY state. I was researching for someone else. I don't even want to know what my state would say regarding the benefits of WLS. How hillbilly and backwards can one state gov't be?

We knew LONG before the 90s the health risks associated with obesity. And the article was written in 2007 *I think* (going by memory). I love the death stats for WLS, I can't begin to question where the moron author got that information. I honestly don't believe I have ever read anything as one sided, appearing to be yellow journalism-like, and blatantly dishonest regarding obesity issues before.

Yep, it's for real. I even provided the link cuz I figured NOBODY would believe me! You know, I kept reading that and rereading and I thought surely I was missing something here. Amazing, of health related issues the lowest death rate is for overweight vs. obese. And this isn't giving them a clue?? MicheleK: Well of course it is! Just exercise but don't worry about losing weight. Then you are good to go. Lotz: Their medicaid system (where I got this link) doesn't cover WLS. Funny how that works. I hope tax dollars are not going to cover WLS for state employees in this case.

$5500 for banding? OMG, what shortcuts are you taking other than stealing advertising space? No way.... I know the costs of banding and you are taking shortcuts. Spooky. Just think, if you actually paid for advertising as the rules state, you too could charge what is necessary for adequate medical care! You don't even have a profile on OH... never had a patient write about you. Have you actually done any lapbands? Be careful before you respond, I call band manufacturers and verify the # of bands sold to you. Getting a band the same day? How does that liver shrinking pre op diet work? Dude, if you really did have 10 years of experience your name would come up on lap band boards. Me thinks you are fibbing.

HA! It's plain broth that will NEVER cross these lips again. S/F jello is once again doable. Any chicken, especially Southern fried chicken made by a little old Southern lady and I'm gonna have it 7/4. Lots of it and I'm NOT sharing! ;o) Yep, tuna salad and protein shakes. My staples in life.

Each and every time a sale hits at Dillards I KICK myself for not getting DS! I sooo want to stink up the place. Yes, sleeves are an interesting procedure. I wasn't ready for it when I was banded, I wanted reversible. Thing is, your perspective changes at goal, you'd give your right arm and stinky DS farts for permanent. I feel very confident that I have permanent now.

THAT is the very restaurant I was telling Denise about. I really like that place, casual food in a nice restaurant. Great salad bar too!

Standing ovation! Hear hear! Excellent post.

Your excuses are accepted. Thank you. With that said I was directing my comments to you. Since the US docs have been changing the post op diet (per Inamed) slips have more than doubled. Slips from messing with the post op diet do not happen overnight, they can happen a year down the road. Cheers.

And we wonder why slips have more than doubled. Hmmmm...

Mindy didn't say anything wrong, she was not "bitching". She was telling you the truth and truth can be a hard pill to swallow. Yes, she is one to tell you that you aren't ready for solids. She knows what she is talking about and she also explained it to you in detail. You are the one that is not following your MDs advice, she does know what she's talking about. Instead of focusing on the fact that she called you on your behaviors, why not just do as your doc says?

You know how in the summer when you are outside at a picnic and the bugs are annoying you? Gnats flying around? Just fart and even the bugs won't come around. Of course, neither will your picnic mates.

What am I eating? LMAO! A quarter cup of this, a quarter cup of that. Refried beans, baked beans, tuna salad, ice cream, frosting, full sugar jello, cheese, pretty much anything loaded with carbs, sugar, and fat. Yeah, I'm tired of clothes not fitting too. I recall the days I would have begged for this to happen but damn, it gets expensive.

A cheaper way of removing the wallpaper from the walls. Instead of paying someone they just fart in a room and the wallpaper peels away by itself.