Thread by @DoctorTro

THREAD 🚨

tears roll down my face right now

I just saw a patient who had a gastric bypass 10 years ago, who regained all her weight & the surgeon “upgraded” her to a duodenal switch

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She has been re-hospitalized several times after the procedure several months prior with multiple complications

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I asked her if anyone had ever talked to her about diet and she said yes the nutritionist told her to count calories and review the myplate

I asked her, given her history of diabetes had anybody mentioned low carb dieting, she said no.

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She proceeded to tell me her story of hunger and appetite out of control, constant weight gain and now issues with malnutrition.

She told me about all her complications from the surgery including infections and nausea/vomiting

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Basically, now after two bariatric surgeries and back to the weight she was when she started ... she looked at me and said

“I wish this surgery could be reversed”

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She said, “I wish I never had this done”

I cried instantly, feeling her pain

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The surgeons were eager to cure her condition but nobody addresses her root cause.

I asked her how many times she saw her surgeon and she said maybe 5-10 times in 10+ years

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This patient was abandoned, she was given two multi-thousand dollar procedures with no guidance on her metabolic health and appetite.

Nobody even followed her to determine if she was nutritionally replete (which she wasn’t)

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Surgeons collected checks, put a bandaid on an issue and then re-upped when faced with their failure.

AND not one doctor out of the countless she had seen had explained to what drives human appetite and hunger.

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In tears, I shared my story with her and have her my knowledge and my struggles.

I told her to start with the @DietDoctor website and explore further

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My parting advice to her was to FOREVER take her vitamins, and to avoid foods that make her more hungry while focusing on foods that make her feel satiated.

This needs to change. I will do it

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