When you have a hammer

Truism: When you have a hammer, every problem looks like a nail.
Application: Gastric bypass surgery.

What gets me about gastric bypass is that it’s a surgical problem to what is most often a psychological or behavioral problem. I’m sure that there are those for whom it is necessary, but it seems, in a lot of cases, that it’s (here’s my personal vendetta again) the easy way out. The solution to the wrong problem. These people have eating disorders, not enlargement of the stomach.

For example, one man’s son says that before the surgery, “All he did was watch videos, [but] now he can do stuff.” At a last-hurrah meal for one couple undergoing the surgery together, the woman ate until she vomited. Of course, she can still do that and lose weight– she’ll be full to sickness after a few bites. There are a lot of personal experience stories out there– blogs and so forth — that suggest a lot of food issues hidden behind the surgery. Look at Basil White’s description of what he ate at his last meal before surgery– or rather, his four or five last meals. It sounds like a junkie trying to kick. Only his last fix included a dozen donuts as an appetizer for a meal of chicken-fried steak, fries, and biscuits.

This FAQ downplays the possibility of becoming malnourished or losing too much weight, but it does point out that people who eat compulsively can gain weight even after gastric bypass, by eating constantly, by bingeing until they throw up again and again, or eventually just stretching their stomachs back out to full size.

Lots of information out there, though: recipe guides and of course suggestions for meal supplement, shakes, given that a diet of normal food would leave you malnourished. Not to mention discussion of different varieties of the surgery. The NIH site on gastric bypass seems pretty informative.

I’m not knocking it– it seems to work for a lot of people. Even proponents recognize that it’s a brute-force way of dealing with obesity, and most places require psychological screening beforehand. Still, I’m concerned that there doesn’t seem to be a lot of acknowledgement of the psychological issues behind the whole thing, at least not in media coverage and celebrity stories.

One thought on “When you have a hammer”

  1. I agree with almost everything said about my diary, except the idea that “gastric bypass is that it’s a surgical problem to what is most often a psychological or behavioral problem.”

    GB is a medical solution to the medical condition of obesity. Sure, there can be a host of psych/behavioral problems that lead to obesity, or there might not be. It doesn’t matter to the clinician: they treat the patient in front of them.

    A lot of the psych/behavioral stuff does erupt after the weight loss, but you swing at what you can see. I go into this on my diary. Don’t worry; I don’t sell ads or products or any of that crap.

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