COMMENT3

 Hi Carol, absolutely agree! The best thing for all patients is to   attempt weight loss and diet control first.  I will share a story   now of a poor poor patient who was a victim of practice.  In fall   of 2007 I was working in a Med/Surg intensive care MSICU in the   largest system here in Greenville, SC. Greenville hospital system has   multiple campuses and many of the extremely ill patients were sent to   us from our smaller outlying campuses with smaller facilites if   stability was becoming an issue. We received a transfer from one of   our campuses of a patient who had just had gastric Bypass about 2 days   prior, she went down hill very quickly.  My co-workers and I were   really upset by this and shocked.  This patient was a 73 year old   female who weighed more than 300 lbs prior to surgery and the surgeon   just jumped the gun and said ok you need this surgery.  Blown   away by this surgeons poor clinical choice, we sustained this patient   for 5-6 days with about 3 pressors Levophed, dopamine,   neosynepherine... and a few other medical interventions in the IV   form.  She was unresponsive by the time she made it to our unit   and unresponsive until death.  I still think about this horrible   surgical intervention done by this unknown surgeon.  If I knew   then what I know now, I would have called ethics commitee on this   suirgeon for making the patient and the family suffer so.  Better   we never remebered his name. 

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