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	<title>Comments on: A food binge prior to gastric bypass</title>
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	<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html</link>
	<description>medical blog</description>
	<lastBuildDate>Fri, 19 Mar 2010 16:25:03 -0400</lastBuildDate>
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		<title>By: Gasman</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67312</link>
		<dc:creator>Gasman</dc:creator>
		<pubDate>Fri, 22 Sep 2006 18:49:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67312</guid>
		<description>I don&#039;t know, how many people do go on a binge before quitting smoking?  It doesn&#039;t seem like this is the most productive way to initiate a new and permanant lifestyle change.  The very act of binging in any manner suggests a degree of poor self control that would predict continued recalcitrant behavior.  &lt;br/&gt;Regardless of any theories to explain obesity, the actual behavior of eating is the final common pathway for all.  If one is unable or unwilling to excercise a little conscious control over their reflexive primitive and animalistic behavior then there will be no success for weight loss.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know, how many people do go on a binge before quitting smoking?  It doesn&#8217;t seem like this is the most productive way to initiate a new and permanant lifestyle change.  The very act of binging in any manner suggests a degree of poor self control that would predict continued recalcitrant behavior.  <br />Regardless of any theories to explain obesity, the actual behavior of eating is the final common pathway for all.  If one is unable or unwilling to excercise a little conscious control over their reflexive primitive and animalistic behavior then there will be no success for weight loss.</p>
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		<title>By: gastricman</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67202</link>
		<dc:creator>gastricman</dc:creator>
		<pubDate>Tue, 19 Sep 2006 06:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67202</guid>
		<description>Is this man&#039;s behavior as he approaches &lt;a HREF=&quot;http://gastricbypassfacts.info&quot; REL=&quot;nofollow&quot;&gt;gastric bypass&lt;/a&gt; surgery really any different many people&#039;s behavior?&lt;br/&gt;&lt;br/&gt;How many people, for example, who are contemplating quitting smoking go on a smoking binge before they quit?</description>
		<content:encoded><![CDATA[<p>Is this man&#8217;s behavior as he approaches <a HREF="http://gastricbypassfacts.info" REL="nofollow">gastric bypass</a> surgery really any different many people&#8217;s behavior?</p>
<p>How many people, for example, who are contemplating quitting smoking go on a smoking binge before they quit?</p>
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		<title>By: Okulus</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67167</link>
		<dc:creator>Okulus</dc:creator>
		<pubDate>Sat, 16 Sep 2006 13:55:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67167</guid>
		<description>I agree, poor prognosis due to poor motivation. This man doesn&#039;t want to change the habits that made him obese in the first place. He doesn&#039;t want to be a meaningful participant in his own effort to lose weight and become healthier; he wants someone else to do that for him. No insight at all. He is behaving as if his surgeon is a magician.&lt;br/&gt;&lt;br/&gt;And I agree, if this fails, he will probably blame someone else for his failure.&lt;br/&gt;&lt;br/&gt;Really, he is a poor surgical candidate.</description>
		<content:encoded><![CDATA[<p>I agree, poor prognosis due to poor motivation. This man doesn&#8217;t want to change the habits that made him obese in the first place. He doesn&#8217;t want to be a meaningful participant in his own effort to lose weight and become healthier; he wants someone else to do that for him. No insight at all. He is behaving as if his surgeon is a magician.</p>
<p>And I agree, if this fails, he will probably blame someone else for his failure.</p>
<p>Really, he is a poor surgical candidate.</p>
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		<title>By: Diana</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67161</link>
		<dc:creator>Diana</dc:creator>
		<pubDate>Fri, 15 Sep 2006 23:08:00 +0000</pubDate>
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		<description>I hope the surgery works out for him. Doesn&#039;t seem likely if this is his mindset, but I do wish him well.</description>
		<content:encoded><![CDATA[<p>I hope the surgery works out for him. Doesn&#8217;t seem likely if this is his mindset, but I do wish him well.</p>
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		<title>By: Gasman</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67159</link>
		<dc:creator>Gasman</dc:creator>
		<pubDate>Fri, 15 Sep 2006 21:03:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67159</guid>
		<description>Amazing how low someone will stoop for their 15 minutes of fame.  Sure, he may be slovenly glutton, but geez man, have some self respect.  &lt;br/&gt;The overweight folk who are at least trying should be all over this porker who is seriously damaging the idea of obesity as a medical disease vs merely bad behavior gone wild.</description>
		<content:encoded><![CDATA[<p>Amazing how low someone will stoop for their 15 minutes of fame.  Sure, he may be slovenly glutton, but geez man, have some self respect.  <br />The overweight folk who are at least trying should be all over this porker who is seriously damaging the idea of obesity as a medical disease vs merely bad behavior gone wild.</p>
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		<title>By: Jon Mikel M.D.</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67158</link>
		<dc:creator>Jon Mikel M.D.</dc:creator>
		<pubDate>Fri, 15 Sep 2006 21:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67158</guid>
		<description>Bad prognosis! And... who will operate him? I&#039;ll never operate this dumb,&lt;br/&gt;&lt;br/&gt;He should see a psychiatrist.&lt;br/&gt;&lt;br/&gt;Bariatric management shold be multidisciplinary. When first evaluating this kind of patients, a psychologist or psychiatrist will reject this patient as a candidate.</description>
		<content:encoded><![CDATA[<p>Bad prognosis! And&#8230; who will operate him? I&#8217;ll never operate this dumb,</p>
<p>He should see a psychiatrist.</p>
<p>Bariatric management shold be multidisciplinary. When first evaluating this kind of patients, a psychologist or psychiatrist will reject this patient as a candidate.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67154</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 15 Sep 2006 17:45:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67154</guid>
		<description>&quot;Its a glandular problem.&quot;&lt;br/&gt;&lt;br/&gt;Hah!  No it is not.  The problem is that these fat beasts have no self control and cram their pieholes with every manner of beastfood that they can find.  Mothers... Keep you children away from these beasts lest you find your child crammed into their gullets</description>
		<content:encoded><![CDATA[<p>&#8220;Its a glandular problem.&#8221;</p>
<p>Hah!  No it is not.  The problem is that these fat beasts have no self control and cram their pieholes with every manner of beastfood that they can find.  Mothers&#8230; Keep you children away from these beasts lest you find your child crammed into their gullets</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67153</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 15 Sep 2006 16:38:00 +0000</pubDate>
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		<description>What a sick beast!</description>
		<content:encoded><![CDATA[<p>What a sick beast!</p>
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		<title>By: M. Dyspnea</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67151</link>
		<dc:creator>M. Dyspnea</dc:creator>
		<pubDate>Fri, 15 Sep 2006 15:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67151</guid>
		<description>I wonder if the complications he&#039;s inviting were explained to him in all their appropriate horror.  A slideshow, perhaps.</description>
		<content:encoded><![CDATA[<p>I wonder if the complications he&#8217;s inviting were explained to him in all their appropriate horror.  A slideshow, perhaps.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2006/09/food-binge-prior-to-gastric-bypass.html/comment-page-1#comment-67150</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 15 Sep 2006 15:19:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/09/a-food-binge-prior-to-gastric-bypass.html#comment-67150</guid>
		<description>&quot;I think I&#039;’m going to miss the buffets the most,&quot; he added. &quot;I always got my money&#039;’s worth on the buffets.&quot;&lt;br/&gt;&lt;br/&gt;I wonder if he&#039;ll feel he got &quot;his money&#039;s worth&quot; from the operation after his wounds dehisce at the local buffet a week post-op.</description>
		<content:encoded><![CDATA[<p>&#8220;I think I&#8217;’m going to miss the buffets the most,&#8221; he added. &#8220;I always got my money&#8217;’s worth on the buffets.&#8221;</p>
<p>I wonder if he&#8217;ll feel he got &#8220;his money&#8217;s worth&#8221; from the operation after his wounds dehisce at the local buffet a week post-op.</p>
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