A PCP with a specialty in Bariatric Medicine??
Was walking around the block thinking (yeh I know it can dangerous). I was thinking it would be nice if there were PCPs who had a two or three year specialty in Bariatric Medicine. No medical schools provide it (they would be lucky to have a week's rotation on the subject). The doctors who seem to know the most are the bariatric surgeons. Yet their time is taken up with their patients and possible complications...They just don't have time for those who are going on years and years out post op.
Just was thinking, it would be nice to see a couple of medical schools that have a specialty in Bariatric Medicine or at least an internship...with continuing education. I find I am having to educate my doctor. Good guy with average smarts (Family Medicine). It is just that there is so much out there, they can't keep up on everything. Thoughts? Brian
Just was thinking, it would be nice to see a couple of medical schools that have a specialty in Bariatric Medicine or at least an internship...with continuing education. I find I am having to educate my doctor. Good guy with average smarts (Family Medicine). It is just that there is so much out there, they can't keep up on everything. Thoughts? Brian
The program at St. vincents has two surgerons and they work directly with a third doctor who you also see for all follow up appointments and preadmission testing. This is very helpful as he makes sure all your prescriptions are correct and is much easier to get into see him then the surgeron. The program requires three follow up appointments at 3weeks post op, 6months and 1 year post op. At each of these visits you meet the surgeron and the third doctor and a dietian Many people switch to this doctor as their pcp after surgery. The program at ST V. is a complete package compared to others I checked into. I think this works well as I can keep my PCP and if I feel I have a problem related to wls I can allways visit the doctor in the program at St. V,
Hey Brian,
You hit the nail on the head imo regarding the role of the PCP and that being......"It is just that there is so much out there, they can't keep up on everything."
I think my PCP had two bariatric patients in total including me so I can't expect her to spend time learning about "how I'm different." That's why 1) I rely so much on my WL surgeon and his bariatric team of specialists and 2) why this board is so important as a learning tool.
Boner
You hit the nail on the head imo regarding the role of the PCP and that being......"It is just that there is so much out there, they can't keep up on everything."
I think my PCP had two bariatric patients in total including me so I can't expect her to spend time learning about "how I'm different." That's why 1) I rely so much on my WL surgeon and his bariatric team of specialists and 2) why this board is so important as a learning tool.
Boner
At Lehigh Valley where I go, there is a full time "Bariatrician" who is not a surgeon, a former internist/PCP who supervises the program with the Bariatric nurse doing a lot of the presurgical work.
I have never seen her, but I'm told that one could, and that a fair number of people go to her with medical problems, but pre and post surgery.
I have never seen her, but I'm told that one could, and that a fair number of people go to her with medical problems, but pre and post surgery.
Port repaired 6/16/2010 weight that day 270
Hi Brian:
You think that you in the US have it rough that the drs. are not experts on bariatric medicine. Here In Canada there are a handful that do lapbanding and a handful that do RNY and that it is. Yesterday I was takling to one and told him that I had a ds and I had to describe the operation in detail. 2-3 months ago I went to the local hospital for an MRI and the technitian wanted me to drink 3 26 oz. glasses of this liquid. I told her that this was impossible and explained why. She did not take that for an answer and called the dr. who also said that I must drink the liquid. After an argument he said that it was ok and he was going to have a test run. Guess what? my digestive track was full of that stuff even though I had only drink about 7 oz. I personally think that there should be a mandatory lecture on bariatric medicine for every one. I also think that some of the medical schools shoud offer full courses on the subject. We are told that obesity is an epidemic. Let's do something about it.
Have a FART day
George L.
You think that you in the US have it rough that the drs. are not experts on bariatric medicine. Here In Canada there are a handful that do lapbanding and a handful that do RNY and that it is. Yesterday I was takling to one and told him that I had a ds and I had to describe the operation in detail. 2-3 months ago I went to the local hospital for an MRI and the technitian wanted me to drink 3 26 oz. glasses of this liquid. I told her that this was impossible and explained why. She did not take that for an answer and called the dr. who also said that I must drink the liquid. After an argument he said that it was ok and he was going to have a test run. Guess what? my digestive track was full of that stuff even though I had only drink about 7 oz. I personally think that there should be a mandatory lecture on bariatric medicine for every one. I also think that some of the medical schools shoud offer full courses on the subject. We are told that obesity is an epidemic. Let's do something about it.
Have a FART day
George L.
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