Bariatric Surgery and Diabetes
First let me mention that if you enjoy bunnies (particularly the chocolate variety) then, Happy Easter! If, on the other hand you are partial to bread (particularly the unleavened variety) I hope you enjoyed your Passover Seder!
Ok, so what is the "big news"!! If you are a regular reader of my newsletter then you probably already know this, but it is good to see the rest of the medical world is catching up…..
New England JOM Logo
Two weeks ago there were two studies involving bariatric surgery, published in the very prestigious New England Journal of Medicine. For those of you who aren't familiar with it, the New England Journal of Medicine is one of, if not the most influential and prestigious journals in medicine. Because of how influential this particular journal is these studies attracted a great deal of attention in the general media.
I knew these studies were a big deal when my mother-in-law called me to find out if "I knew bariatric surgery cures diabetes" because there was a big study out which she had just heard about on CNN or Fox News showing just that! Of course, like a dutiful son-in-law, I thanked her profusely for letting me know :))
So what is all the hub-bub about? Two studies were performed, the first in Cleveland and the other in Rome comparing medical treatment of diabetes to bariatric surgery. Although the number of patients was relatively small both studies showed basically the same thing…surgery is MUCH more effective in treating diabetes than traditional medical therapy. Of course if you are patient in my practice and regularly read this newsletter you hopefully know this already! If you would like to get more of the technical details on both these studies you can read the New York Times article about them here:
In fact many of you may know that 9 years ago I was a vascular surgeon on the front lines of this diabetes epidemic. Diabetes causes severe vascular problems for many patients so they often end up needing the services of a vascular surgeon. In 2003 when I found out bariatric surgery can resolve, not just treat, diabetes I knew that was the field for me! I left my vascular surgery practice and re-trained in bariatric surgery (not a simple matter!) and have not looked back since!
When a new patient comes to our office to find out if surgery is right for them we have lengthy and detailed discussions about the risk of surgery (and that is appropriate), but I would offer that we may need to start considering the risk of NOT doing the surgery.
What happens to the human body after 10 or 20 years of diabetes? I will tell you what happens (because as a vascular surgeon I saw it every day), severe vascular disease (which causes heart attacks, strokes and amputations), kidney disease (with patients needing dialysis or kidney transplants) and "retinopathy" (which is a leading cause of blindness). Diabetes is a serious disease and if you can make it disappear completely as these two studies suggest bariatric surgery can do, then I think that is something you should seriously consider.
If you know someone who is diabetic please feel free to forward this newsletter to them and then invite them to our next free patient informational seminar (which is this Wednesday at our Millburn office) so they can find out for themselves if bariatric surgery is an appropriate option.
Easter is a holiday which celebrates rebirth. If you are a diabetic and have bariatric surgery I can't necessarily promise you a new life but I can promise you that you will add years to the life you have.
From the Gut... by Glynn Fluitt
Mr. Fluitt is a patient that has graciously offered to contribute to the newsletter – his column is a welcomed addition to the GSBWC newsletter and its readers!
So can adults …
As a large adult, I've had my experiences with people who, in other circumstances, have no inclination to be inappropriate. Professionals, passers-by, service people, family members all. Several incidents stand out in my mind, and it is funny how those stingers still guide me — make me recoil just thinking about them. Let me re-live a few …
Shopping at my men's store — note AFTER having lost a good deal of weight
— the dapper salesman states "Are you sure you want to buy that shirt in that size? Do you want to try on something larger?" He hadn't seen me try anything on, he just saw a large guy. I saw his manager!
During vacation with friends, as I ambled up to the diving board, our friend yelled across the pool "CLEAR BACK if you don't want to get hit by the tidal wave!!!" I don't go on diving boards, even now.
The list goes on, and I very clearly see it in my head — I won't bore you.
You probably have your own list, or empathize with someone who probably has that list in their head. It even makes you think about when, perhaps, you've been inadvertently inappropriate.
The OTHER list that I'm building in my head is the one that includes a friend at a cocktail party that asked my wife about the man she was nuzzling up to. Was that a new FLING that my wife hadn't told anyone about?!
"No," my wife said, "that's my husband Glynn. Doesn't he look great?!"
Follow me @BariatricDude
And be nice!
MARISOL'S NUTRITIOUS CORNER
I am all about 1 pot meals because who wants to clean up after dinner! Here is another quick healthy meal you and your family will enjoy.
Chicken with Asparagus and Tomatoes
Serves 4 People
1 tablespoon extra virgin olive oil
1 small onion – halved & sliced
6 cloves of garlic – chopped
6 chicken strips (boneless, skinless) – each strip cut in half season with 1/2 teaspoon of salt & pepper juice from 1/2 a lemon
1/2 cup low sodium chicken broth
1/2 cup cherry tomatoes
1 bundle of asparagus, rinsed and tough ends removed – cut in half
In an 11 inch skillet, heat oil over medium heat. Add onions, saute for 3 minutes. Add garlic, saute until fragrant – about 2 minutes. Add chicken, brown pieces on medium-high heat for about 3 minutes. Add juice from lemon & chicken broth to de-glaze the pan. Bring to a boil, add tomatoes, lower flame to a simmer, cover and cook for 5 minutes. Add asparagus, cover and cook for another 5 minutes.
And You are Ready to enjoy a tasty meal, little clean up and all the Nutrition and Taste!!!!
Click Here for More Recipes to Enjoy!
Upcoming Free Seminars
The next Free Informational seminar is Wednesday April 11th 2012. To Find out more, simply click here for Dates and Locations of Seminars! We welcome your guests and anyone that wants to know more about the benefits of bariatric surgery.
In This Issue Bariatric Surgery/DiabetesGlynn Fluitt's BlogMarisol's Nutritional CornerUpcoming Seminar's
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More About Us
GSBWC Office Happenings
April finds us enjoying Spring Weather and lighter days! GSBWC is finalizing our search for Surgical Coordinator as Dominga moves fully into her new position as Office Manager for Millburn Office! No Birthdays for the Team in April… Sharon is anxiously awaiting hers in MAY!
Upcoming Dates and Locations of Support Group in Your Area
CLICK HERE TO VISIT OUR SITE FOR COMPLETE UPCOMING DATES
"The question isn't who is going to let me; it's who is going to stop me"
Thanks For Trusting Us with Your Health!
Yours in Good Health,
Michael Bilof, MD
Basil Yurcisin, MD
Garden State Bariatrics & Wellness Center
Michael Bilof, MD
Basil Yurcisin, MD
P: 973.218.1990 F: 973.629.1274