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Wednesday, February 9, 2011


Managing a patient with bariatric issues requires high level of dedication and team-spirit approach. A person who has tried for achieving optimum body weight and has not been successful requires motivation, disease education and an inclusive approach by the team of attending clinicians. Every case has its own merit, while sometimes it may be possible to achieve the results quite fast the same may not be true for everyone. An in-depth analysis regarding dietary schedules, physical regimen, family history is important as many vital links can be obtained regarding future approach. Though Psychoanalysis remains a separate specialized stream of medical sciences, the chief attending clinician should be able to make out the emotional and psychological factors associated with the disease. Patient’s can provide unmatched compliance if the rapport is established well with the attending team. Obesity in patients poses a challenge to clinicians, especially if the person is unreceptive, but sometimes it is unexpectedly easy to break through hostility and gain patient trust. If I recall, most of the rapport establishing sessions have been a blend of bitter-sweet experience, then. But there was consolation in knowing I had learnt something useful and brought a little light into my patient’s life. I couldn’t ask for more than that as the road to health begins when mutual faith is born between doctor and patient.

The disease burden was known to be high in developed countries, however in past few years; it has silhouetted even developing nations in a big way. Escalating prevalence of obesity in children will lead to higher obesity rates in the adult population, resulting in a greater health burden caused by obesity-related metabolic and cardiovascular complications. In fact, obese children may already exhibit early signs of disorders such as hypertension, elevated cholesterol levels, and insulin resistance. A patient should always be made comfortable, giving attention to his / her small needs, and after establishing the rapport, treatment options should be narrated along with their merits and limitations. It is highly recommended if the patient could be shown animated videos of the bariatric surgery (if the person is required to undergo surgical intervention) with highlighting step by step approach in a nice way. It helps the patient to be mentally prepared and to be equipped with a lot of questions which in turn will help the outcomes, as the expectations turn to be more real. Clinician should always tend to involve the patient’s family support in the applicable capacities as post surgery the outcomes can radically differ if the optimum mental and physician care has been imparted and patient’s emotional solace is a very important factor.

Importance of keeping up sessions with obesity support group has been highlighted every now and then and I believe this is one of the best methods for the patient to understand the best postoperative measures which can help in achieving adequate weight loss. Acquiring bariatric surgery support is essential to letting the patient effectively navigating his / her own struggles after weight loss surgery. In order to get a decent jump start on exactly what to expect after weight loss treatment, the patient should join a support group meeting prior to having the procedure. Mentors, found usually in obesity support groups, can be a concrete rock in moments when the patient doesn’t seem to really want to move further on his / her quest to weight loss. There’s a wealth of answers that individuals will provide in a group environment and ground realities can be explored which mostly encourage the patient to undergo the procedure and follow the schedules thereafter.

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