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BARBARA_BOO's Photo BARBARA_BOO Posts: 9,794
4/25/10 11:59 A

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I'm happy I took the time to read the Atlantic article. It does a thorough job of explaining where science is today, in seeking solutions to our obesity issues. I'll probably go back and look at parts of it again, as needed, for reference. I keep the Martha book near my desk, for the same purpose.

DANCINGPENGUIN, one of our team members, recommended Martha Beck's "Four-Day Win", plus Dr. David Kessler's "End of Overeating", and Judith Beck's "Beck Diet Solution" to us last fall. Each has been instructive to me, very "in step" with current research. The Martha book is my favorite.

I love what you're doing with your patients, DOC. I especially appreciate your comments like this one: "I think the approach has a lot of power to help us with this impossible problem".
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Boo, Barb, BSue, Queen Legarathien of Nargothrond

"YOU'RE NEVER TOO OLD TO PLAY!"

~Team Leader, Separation of Church and Weight
www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=2072

~Team Leader, The Darker Side of SparkPeople www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=89


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MOMMYDOC3's Photo MOMMYDOC3 Posts: 299
4/25/10 10:08 A

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I did get a chance to read the Atlantic article that started this thread today, and it is definitely worth the time. Well-researched description of the issue.


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ANN5497's Photo ANN5497 Posts: 1,591
4/25/10 9:14 A

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Sounds like Martha Beck's approach has a lot of wisdom. I agree that this is a difficult and life-long struggle b/c that is what it has been for me. And, unlike other addictions and compulsions, you can't completely eliminate food so you will be tempted every day.
Will have to see if I can find the Beck book at the library. If not, I will break out my wallet and buy it.

Life shrinks or expands in proportion to one's courage. Anais Nin


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MOMMYDOC3's Photo MOMMYDOC3 Posts: 299
4/25/10 7:55 A

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My usual strategy, in just about all patient encounters actually, is to acknowledge the struggles my patient is facing. When I describe to patients the primitive part of the brain that breaks out from the control as soon as life gets a little more stressful and a little chink develops in the armor leaving them eating chips out of a bag, they seem relieved that I understand.

Then I say, "check out this book and see what you think, I think the approach has a lot of power to help us with this impossible problem" or something like that.

I have only been preaching Martha Beck for a month so no feedback yet.

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BARBARA_BOO's Photo BARBARA_BOO Posts: 9,794
4/24/10 11:17 P

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I'm really glad that you are aa impressed with Martha Beck as I am, DOC. Do your patients seem relieved when you slip them a little Beck wisdom? Or do they resist it, since they are expecting you to preach restriction?



Boo, Barb, BSue, Queen Legarathien of Nargothrond

"YOU'RE NEVER TOO OLD TO PLAY!"

~Team Leader, Separation of Church and Weight
www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=2072

~Team Leader, The Darker Side of SparkPeople www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=89


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MOMMYDOC3's Photo MOMMYDOC3 Posts: 299
4/24/10 10:22 P

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One of my best friends is a bariatric surgeon. I think her group has lower complication rates than the national average. But one of her patients with the MOST complications was a patient of mine, so I will certainly never forget the risks.

My friend requires a certain % weight loss before the surgery and cancelled someone last week because she had gained weight. There is no question that the surgery is just one tool and the food/exercise choices remain vital.

Another of my patients is several years out from surgery, and got out of the habit of taking her vitamins. She needed a month of IV iron and vitamin B12 to get back to normal levels.

But then, I have a lot of patients who can't seem to get started until the begin the 1-2 year process of planning surgery.

I am trying to teach Martha Beck a little at a time. I'm done preaching restriction and setting people up for failure and self-loathing. I have learned so much here!

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ANN5497's Photo ANN5497 Posts: 1,591
4/24/10 1:43 P

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If bariatric surgery worked well for everyone, or nearly everyone, who tried it, I would be a big proponent. But it is a mixed bag. Some excellent results, some poor results, and a whole lot so-so results in between. Not to mention the numerous complications of undergoing major surgery, including the unfortunate 1 out of 300 who die on the table.
In my view, it is not a miracle cure, but a last resort for morbidly obese people who have tried conventional weight loss methods and failed. And I would never suggest it for someone who isn't already suffering serious complications of obesity, such as diabetes.
The bottom line is that diet and exercise, if done properly, do not kill or injure anyone. Surgery, even if perfectly executed, kills people every day. I would never take that risk unless I thought it was the only way to keep myself from dying of obesity.

Life shrinks or expands in proportion to one's courage. Anais Nin


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BARBARA_BOO's Photo BARBARA_BOO Posts: 9,794
4/24/10 10:08 A

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Your method, "I'll just keep keeping my fat a$$ as active as possible and try to eat as healthy as I can", is the best one I've found for me, as well, ROOB.
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There are two dancers on the Seniorgee team with me who each lost roughly 150 lbs with bariatric surgery 5 yrs ago. They haven't had complications, but they are worried that it's becoming increasingly difficult to keep their weight down. Now, they're working as hard as I am.

Obviously, the answers are not all "physical". Habits, emotions and thought patterns still have to be dealt with, in order for us to gradually and permanently change our ways.

In the final analysis, I'm not really convinced that short-cuts do us much good. It seems we inevitably find ourselves finding the most success, if we can do the ROOB METHOD.

Dr. Martha Beck's book, "Four-Day Win" is helping me a great deal with retraining my brain. Coach Dean's expertise helps me with breaking my "self-bashing" habits. I LOVE his articles (I re-read them often).

And my SparkFriends, especially those I've gotten to know best, provide understanding and support. All of this gives me hope for myself, and I hope for all of us.

EDIT: I forgot to add that ROOB'S friend, the accountant, must have been under almost unbearable pressure. That kind of thing adds another hurdle. As ROOB says, this is all VERY COMPLEX. I still think we can make progress, finding our way.




Edited by: BARBARA_BOO at: 4/24/2010 (10:21)
Boo, Barb, BSue, Queen Legarathien of Nargothrond

"YOU'RE NEVER TOO OLD TO PLAY!"

~Team Leader, Separation of Church and Weight
www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=2072

~Team Leader, The Darker Side of SparkPeople www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=89


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ROOBYBEGONIA's Photo ROOBYBEGONIA Posts: 728
4/24/10 2:34 A

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It's SUCH a complex issue. I had a friend who had bariatric surgery. She was over 400 pounds and had multiple health issues. She had complications, and learning to eat without vomiting up each meal was a challenge. She had had hernias repaired with synthetic material that failed, repeated hospitalizations, infections.

AND she had a husband with emotional issues and three little kids. She was my accountant and bagged on her business and disappeared - but a few years later I heard that she had relocated to another state after things spun out of control. I wish her the best.

Then I've read of people who had the bariatric surgery who, within two years, stretched their stomachs back out and gained it all back.

And others who became extremely ill because they didn't have adequate nutrient absorption.

So I'll just keep keeping my fat a$$ as active as possible and try to eat as healthy as I can.




I like to have a martini,
Two at the very most.
After three I'm under the table,
after four I'm under my host. -Dorothy Parker
My Blog: ostridoodle.com/wordpress


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ROOBYBEGONIA's Photo ROOBYBEGONIA Posts: 728
4/24/10 2:34 A

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OOPS

Edited by: ROOBYBEGONIA at: 4/26/2010 (16:48)
I like to have a martini,
Two at the very most.
After three I'm under the table,
after four I'm under my host. -Dorothy Parker
My Blog: ostridoodle.com/wordpress


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BARBARA_BOO's Photo BARBARA_BOO Posts: 9,794
4/24/10 1:38 A

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I just finished reading Dr. David Kessler's book, "The End of Overeating", and it's one I recommend. He is quoted a couple of times in this article from Atlantic Monthly. Thanks for posting the link.

It's a long article, but worth reading. I was a little disappointed that the author, in the throes of having had bariatric surgery, seems to promote surgery as "the answer" for everyone who struggles, as we do, with obesity. And yet, at other places in the article, he acknowledges that there really is no answer. It's a very complex problem that varies with every individual.

I wish the experts luck in finding things to help. In the meantime, what we're doing here, paying attention to nourishing our bodies, exercising, and strengthening our healthy habits, as we weaken the ones that got us here, with the support of one another, is working as well as anything I've ever tried.

Boo, Barb, BSue, Queen Legarathien of Nargothrond

"YOU'RE NEVER TOO OLD TO PLAY!"

~Team Leader, Separation of Church and Weight
www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=2072

~Team Leader, The Darker Side of SparkPeople www.sparkpeople.com/myspark/groups_i
ndividual.asp?gid=89


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ROOBYBEGONIA's Photo ROOBYBEGONIA Posts: 728
4/24/10 1:17 A

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Talk about tying all the recent obesity articles together coherently. Thanks for the link. Much, much food for thought.

I like to have a martini,
Two at the very most.
After three I'm under the table,
after four I'm under my host. -Dorothy Parker
My Blog: ostridoodle.com/wordpress


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ANN5497's Photo ANN5497 Posts: 1,591
4/23/10 10:14 P

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This is a great article about the myriad problems causing obesity and the incomplete or nonexistent solutions. Dense, and a bit depressing, but important:
www.theatlantic.com/magazine/archive
/2
010/04/beating-obesity/8017/1/?


Life shrinks or expands in proportion to one's courage. Anais Nin


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