by Laura Frank, PhD, MPH, RD, CD
Part 2 of 3

INTRODUCTION
All macronutrients (proteins, carbohydrates, and fat) have interrelationships in terms of bioenergetics.

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by Douglas Sutton, EdD, ARNP, NP-C,
and Deborah A. Raines, PhD, RN

Introduction
Health-related support groups are an accepted component of care for persons with chronic or life-altering medical conditions. Scheduled face-to-face meetings with either a peer or professional moderator have been the traditional format for these health-related support groups. Regarding the care of the bariatric patient choosing a surgical weight loss intervention (SWLI), support groups have been shown to have a positive impact on the individual’s weight loss and overall wellbeing.

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What do you think expanding the society’s realm to metabolic surgery has accomplished?
Actually, it has always been about metabolic surgery. We just changed our name to be more descriptive and accurate about what we were doing. The name change has done well to focus our efforts and resolve in making access to care a primary objective. As bariatric surgery accomplishes so much to improve the health and longevity of our patients, how can we ethically stand by while insurance companies deny coverage?
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by Sharon Zarabi, RD, CDN, CPT
Ms. Zarabi is the Bariatric Dietitian at Lenox Hill Hospital in New York.

Introduction
Obesity is a growing health concern that has prevailed our country in recent years. Between the years 2000 and 2005, morbid obesity and super obesity increased two- and three-fold, respectively, than that of obesity alone.1 Many patients have turned to weight loss surgery as a means for long-term weight loss after several failed diet attempts and exercise programs. As a result, it is estimated that the rates of bariatric procedures have increased to decrease the mortality rates of obese individuals.

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TELL US ABOUT THE ROLES AND RESPONSIBILITIES OF THE LEAD STAFF AT YOUR FACILITY.
Beaumont Hospital in Royal Oak, Michigan, is a 1,061-bed, major academic and referral center. The yearly surgical volume is routinely in the top two in the nation. Ninety-one medical and surgical specialties are represented on Beaumont’s medical staff of more than 3,100 physicians.

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