Bariatric Surgery Things You Should Be Aware Of

Bariatric Surgery Things You Should Be Aware Of When all other measures fail to control morbid obesity, weight loss surgery is a source of hope to the overweight. American doctors perform weight loss surgery over 140,000 times a year. The oldest form of weight loss surgery is the most familiar, stomach stapling. In this 30-year-old procedure, most of the stomach is sliced and then stapled shut. After the procedure, only a small pouch remains. Shrinking the stomach so it can only hold half a cup of food makes it easier to feel full. In fact, most people who have weight loss surgery feel full after eating the amount of food that you could put on a coffee saucer. It becomes impossible to eat more than two quarter-cup servings (about 50 grams altogether) of anything at a single meal. Weight loss follows calorie restriction. The newer and now more common form of weight loss surgery, the Roux-en-Y gastric bypass, also makes the stomach surgically smaller. In this procedure, however, the stomach is not dissected and stapled shut. In this newer form of weight loss surgery, the stomach is cut and sutured, or sewn, and the intestines are moved so that the end of the stomach is connected farther down the intestine. This procedure leaves a smaller stomach that fills more quickly. It also leaves a shorter length of intestine to absorb fats (and other nutrients) from the smaller amounts of food that are eaten. With this form of weight loss surgery, you dont just eat less. Your intestines absorb less of the food you do eat. Roux-en-Y bariatric surgery produces quicker and more significant weight loss than just stapling or banding the stomach. Theres also a third approach to weight loss surgery, the lap band. The benefit of the lap band is that the weight loss surgery to install it can be laparoscopic, that is, done through an incision as little as one inch (25 mm) wide. Lap band surgery can even be an outpatient procedure, with the patient going home the same day. After lap band surgery, many patients go back to work in three to four days and resume all normal activities (except eating) within a week. The other gastric bypass procedures require a minimum of four days in the hospital and six to eight weeks before resuming an active lifestyle. Another advantage of lap band surgery is a much lower risk of infection. Lap band surgery goes around the stomach, not into the stomach. The bacteria in the stomach do not leak into other parts of the body, and the risk of infection is greatly reduced. Lap band surgery is much less painful than the other procedures. And since pain in the muscles is so much less, patients are very unli kely to develop pneumonia or other breathing problems. The disadvantage of lap band bariatric surgery is that not everyone can have it. The FDA at one time required that recipients of lap band bariatric procedures be at least 18 and no more than 50 years of age. Its also utterly essential not to be allergic to the material used to make the band. And if you overeat after you have a lap band in place, the effect is a little like pulling a napkin through a napkin ring. Too much food can stretch the band so that it damages the stomach. Lap band surgery is easier, but requires more discipline. There is no form of weight loss surgery that is a complete cure for obesity all by itself. Lifetime attention to diet and exercise are still necessary. But successful weight loss surgery can give you the boost you need to regain control of your life and become truly, lastingly, healthily thin. The Promise and Potential of Fat Surgery When Diets Fail When all other measures fail to control morbid obesity, weight loss surgery or fat surgery is a source of hope to the overweight. American doctors perform surgical procedures to make weight loss easier well over 100,000 times a year. The oldest form of fat surgery is the most familiar, stomach stapling. In this well-established procedure, most of the stomach is sliced and then stapled shut. After this form of fat surgery, only a small pouch of the stomach remains connected to the esophagus. The newly resized stomach can only hold half a cup of food. Having a smaller stomach makes it easier to feel full. In fact, most people who have fat surgery feel full after eating the amount of food that you could put on a coffee saucer. It becomes impossible to eat more than two quarter-cup servings (about 50 grams altogether) of anything at a single meal. Weight loss naturally follows. Stomach stapling is the oldest form of fat surgery, an d you can probably find a physician in your area who has a lot of experience doing it. In fact, you should only consider physicians and hospitals who have performed at least 100 operations. You dont want your doctors training to be performed on you. Other procedures are little harder to arrange. The newer form of stomach reduction, the Roux-en-Y gastric bypass, also makes the stomach surgically smaller. In this procedure, however, the stomach is not dissected and stapled shut. Instead, after the stomachs size is reduced, it is reattached to the small intestine at a lower point. Roux-en-Y fat surgery leaves a smaller stomach that fills more quickly. It also leaves a shorter length of intestine to absorb fats (and other nutrients) from the smaller amounts of food that are eaten. With this form of fat surgery, you dont just eat less. Your intestines absorb less of the food you do eat. Roux-en-Y bariatric surgery produces quicker and more significant weight loss than just stapling or banding the stomach. Theres also a third approach to fat surgery, the lap band. The benefit of the lap band is that the weight loss surgery to install it can be laparoscopic. The entire fat surgery can be done through an incision as little as one inch (25 mm) wide. Lap band surgery can even be an outpatient procedure, so you can go home the same day. After lap band surgery, many patients go back to work in three to four days and resume all normal activities (except eating) within a week. The other forms of fat surgery require a minimum of four days in the hospital and six to eight weeks before resuming an active lifestyle. You may be asking, Why just shrink the stomach? Wouldnt it be simpler just to surgically remove all the fat? This procedure, called lipectomy, actually exists. Liposuction has the same effect. The problem with both lipectomy and liposuction is that high blood pressure, high cholesterol, and high blood sugars dont go down just because fat is removed from the body. Only the process of di eting seems to have this effect. There is no form of fat surgery that is a complete cure for obesity all by itself. Lifetime attention to diet and exercise are still necessary. But successful weight loss surgery can give you the boost you need to regain control of your life and become truly, lastingly, healthily thin.

Gun control (Self defence low) Essay Example | Topics and Well Written Essays - 750 words

Gun control (Self defence low) - Essay Example The argument over the right to own a gun and be armed within the home is centralized against a statistically failed premise that to be armed is to be protected. The Second Amendment of the Constitution of the United States is written to say â€Å"A well regulated militia, being necessary to the security of a free state, the right of the people to keep and bear arms, shall not be infringed† (Harpre 80). The language of this Amendment is convoluted and is not clear on the actual intent of this addition to the Constitution. The problem with the way it is stated is that it can be interpreted to read that the people are entitled to a free militia that may arm themselves, or that the people are entitled to be armed. Regardless to the way the amendment is read, the historical relevancy of the Amendment must be taken into account before deciding if it is contemporarily necessary to allow anyone who can pass through a Historically, the Amendment arose from an issue that the colonies were having with the English monarchy attempting to disarm the citizens. In the period of time surrounding 1768 - 1775, the British government had occupied the colonies with troops loyal to the monarchy. One of the many attempts to assert control over the colonists was to declare in certain areas that personal firearms would not be allowed (Halbrook 21). The collection of personal firearms by the military was undertaken on occasion, denying the colonists the freedom of owning their own guns. In the world of 1768, the necessity of a gun was quite different than it might be in the current culture. As well, the colonists were arming themselves in anticipation of a revolution and the occupying government was aware of this threat. The tension between the monarchy’s needs and the needs of the colonists incited the framers of the Constitution to give this right back to the people. Owning a

To the Betrayed Inhabitants of the City and Colony of New York By Essay

To the Betrayed Inhabitants of the City and Colony of New York By Alexander McDougall - Essay Example McDougall wrote that the people of New York were being tyrannized by evil forces and factions working overtime to see that their vested interests were fulfilled rather than ensuring that the country was insulated from disasters. The message clearly breathed the spirit of reconstruction rather than retribution, and was easily more constructive than destructive. McDougall's message was not only powerful, but as any historian can make out, it was a wakeup call, a call to liberty and freedom, and not a baleful message addressed to the masses, giving them false hope and instigating wanton and unnecessary violence. In his message to the people of New York, McDougall wanted to warn them to beware of "the minions of tyranny and despotism." These words written at the very outset of his message, we can very well appreciate his deepest interest in his fellowmen - the people of New York to whom he had addressed his message. In the message, McDougall praised the efforts of all his fellow merchants, who like himself, had solely sidestepped their personal egos and ambitions in favor of public welfare. The initial bearing of his message is more about the efforts taken by the Massachusetts and South Carolina assemblies towards collecting and dispatching money for the troops: which is an act he felt extremely unreasonable from the very beginning. McDougall's message communicated the words: Our granting money to the troops, is implicitly acknowledging the authority that enacted the revenue acts, and their being obligatory on us, as these acts were enacted for the express purpose of taking money out of our pockets without our consent; and to provide for the defending and support of government in America; which revenue we say by our grant of money, is not sufficient for the purpose aforesaid; therefore we supply the deficiency. These words clearly specify the reason why McDougall felt that the money sent to the troops by the two assemblies testify the fact that colonies still were oppressed by corrupt sources in the assembly, and that they had to break free as soon as they could. The entire message was revolutionary in its truest sense but must not be confused with instigating anti-British and revolutionary feelings among the people. That was the entire beauty of McDougall's broadside message. Upon a close analysis, we will find that his call was to rally the people, make them realize their rights, and look up to the English "friends of liberty," as he addressed them, and to help them stand on their own feet. He also wrote that the sorry state of the New Yorkers could be attributed only to the oppressive and corrupt elements present in the assembly and he fervently pleaded with his countrymen to assert themselves the way they should have. Even as we read the text we can clearly observe McDougall's fantastic expression. Using that persuasive tone, McDougall had touched the most sensitive of topics, and yet made it look as if he was teaching to inspire, and not plotting to revolt. In this context, we can observe the manner in which he wrote about