Tomorrow I head out for Doha again. Not for another round of Doha talks but to slowly chip at their enormous obesity and Diabetes case load. Before I leave I want to leave you all with this paper that shows great results with the Laparoscopic Sleeve resection and for the treatment of Type II Diabetes.

http://www.medscape.org/viewarticle/763098

There are now critics from the medical community who do not see surgery as the mainline treatment for obese diabetics. They are concerned about the high cost and they claim that lifestyle change and weight loss is the key.

We have know this for a century but we should now realise that solutions based on behavorial control are almost impossible to achieve or take a long time. Meantime the terrible compications of Diabetes will take its toll. The critics do not take into account the Billions of dollars spent every year on doctor's visit, medications, and the treatment of complications and coutless investigations.

When we have a one shot solution we should take it.

Toxic Fat

Fat around the waist is nothing but trouble. It is well worth getting rid of. More harm is done by the fat inside the abdominal cavity than the fat just under the skin. Both contribute to the "pot-belly" and the apple configuration. It is one of the features of the Metabolic Syndrome.

Strange sex fact 10: Orgasms can prolong your life
Good news at last! Something pleasurable is actually good for us. In 1997, the British Medical Journal noticed a strong correlation between orgasms and mortality rates, pointing out that those who orgasm two times a week or more can add up to eight years on to their life. Doing the deed adds a bit of ‘oomph’ to the immune system, improves hearth health, boosts brain power and much more. We can’t think of a better excuse to get it on!

This Video shows how more Diabetics are now opting for surgery to gat rid of their Diabtes once and for all. An even simpler operation, Laparoscopic Gastric Sleeve Resection obtains almost the same effect on Diabetes as the Bypass operation.

Cleveland Clinic Report.
Diabetes is now best treated by Surgery.
Cure is possible.

http://www.youtube.com/watch?v=IBfvTBFAByA

Check out this Video Clip.

Cancer and Obesity

One study, using NCI Surveillance, Epidemiology, and End Results (SEER) data, estimated that in 2007 in the United States, about 34,000 new cases of cancer in men (4 percent) and 50,500 in women (7 percent) were due to obesity. Recent studies indicate that obesity and being overweight may increase the risk of death from many cancers, accounting for up to 14 percent of cancer deaths in men and 20 percent of cancer deaths in women. NCI:Fact Sheet:Obesity

According to the Annual Report to the Nation on the Status of Cancer:

• Considerable evidence suggests that excess weight may be associated with increased risk of other cancers, including gallbladder, liver, thyroid, and hematopoietic cancers.
• Lack of physical activity is associated with increased risk of colon, endometrial and postmenopausal and maybe premenopausal breast cancer.
• Excess weight is associated with poorer survival among patients with breast cancer and colorectal cancer.” Eheman C, et al Annual Report to the Nation on the Status of Cancer, 1975-2008, Cancer 2012 May 1;118(9):2338-66

The connection between obesity and cancer have been attributed to:
Hormones, growth factor and inflammation.

Patients who are overweight should go for cancer screening regularly. This should include blood tests and endosopy foe men and women and additionally mammogra/ultrasound of breast and Pap smear for women.

 

Cost of Bariatric and Metabolic Surgery

The main constraint to the uptake of bariatric and metabolic surgery in the Singapore context is the cost of the procedure. The main cost is however not the Surgeon's fee. Two major components are the fascility fee charged by the hospital and the cost of the disposable staplers used to perfom the surgery.

Patients now have the hope of reducing these two components. Some of the simpler procedures can now be done as day surgery. Yes, it has now become that safe and routine. The Fascility fee can now be cut to around one third. A good surgeon can also minimize the number of staplers used thus saving some cost.

The operations are now far more affordable.
http://www.facebook.com/#!/groups/326209247474320/

For information : advancesg@gmail.com

How Obesity shortens your life.
At the end of every chromosome is a sequence of DNA called a telomere. They are repeating sequences and in humans it is thousands of base pairs long. On the average, as we age we lose 50 base pairs every year. Despite this if we live to 100 years our telomeres are just 50% reduced. Fat people lose 250 base pairs per year and thus age 5 times faster. In order to slow down aging we must remain slim.

It has been shown that every 1Kg of excess weight reduces your life expectancy by 2%.

 

Recently I have been doing bariatric and metabolic surgery in Doha in Qatar. There is a big problem with obesity and Type II Diabetes in the country. There are about 2600 patients on the waiting list for surgery. The main operation done there is the laparosocpic sleeve resection which takes care of bothe the obesity and Diabetes in short order. What is more hypertension and lipid disorders are often corrected as well.
The team there is really expert and the surgery usually takes just over an hour. Patients are mobile the day after surgery.
The program is doin a lot to help the people in the country control this huge problem.
Contact : advancesg@gmail.com for information.
I think the problem with Obesity and Diabetes is endemic in many other countries in the Asian region.

This procedure is called the Laparoscopic Gastric sleeve resection. 70% of the stomach is removed using specially designed laparoscopic staplers which resect and seal very safely. The procedure has both weight loss and anti diabetic effects. There are 2600 case on the waiting list at the hospital in Doha, Qatar.

Go to this facebook site to learn more:
http://www.facebook.com/#!/groups/326209247474320/

Back in action 

I have decided to reactivate this blog as there have been real new developments in the field of obesity and the management of Diabetes Type II. Dr. Michel Gagner from Canada developed the operation of laparoscopic gastric sleeve resection and suddenly there is a potent weapon for getting rid of both diabetes and obesity with one quick procedire lasting less than 90 minutes.

This development is so important I decided to start a new facebook group to let people know all about it.
For daily updates, go to : Obesity and Diabetes on facebook
The link is : http://www.facebook.com/groups/326209247474320/

Great to be back.

Peter Goh