Originally Posted by
aquateen
1. I wasn't referring directly to you judging overweight cyclists in this thread although since I was quoting you I can see how that came across.
2. Your example of your patient shows that you might want to review your med school notes on mental health. Here is a study that might interest you.
http://www.ncbi.nlm.nih.gov/pubmed/1734744
3. Enjoy your bike ride. I got my miles in this morning

And you might want to read more carefully.Note that I did
not say that mental illness and obesity were not related. With regards to the super morbidly nowhere did I state that mental illness was not an issue. Indeed there are studies in the bariatric surgery literature of up to 80 percent of obese females desiring or undergoing bypass surgery having depression and a substantial percentage of these patients having been sexually abused in their youth with the suggestion that the pathologic eating is a way of
repulsing the offending sex.
But these issues are separate from the discussions above and even if included, raise the valid question " so what".... after all sexual abuse and depression are not new issues however the prevalence of obesity we are seeing now clearly is a unique contemporary phenomena. And please don't assume that I am judging these individuals in a derogatory manner...I am not. I work with obese and super obese patients every day. They get my love, my energy and my attention every day. They also get the truth as I see it and not the deflected responsibility that seems the current craze in the bariatric practices I have been involved with.
Oh and it was a great ride, just got back. While returning I was swallowed by a gaggle of over 30 turkeys. They ran, flew with me in their panic for a fairly long time. I thought they must have recognized my obvious leadership qualities. I could see in my mind their accolades as I rode....." Surgeonstone.... a leader of turkeys". Were I a hunter I could have filled the freezer pretty darn quickly.