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Metabolic surgery for treatment of Diabesity- A reality

Metabolic surgery for treatment of Diabesity- A reality

  Dr. Aparna Govil Bhasker Bariatric Surgeon, Mumbai   “A picture speaks a thousand words”. In February 2016, the cover page of Diabetes Care, one of the best international journals in the field of diabetes, carried a picture of a surgery being performed in the 

Using bariatric surgery to fight obesity

Using bariatric surgery to fight obesity

Dr. Aparna Govil Bhasker
Bariatric and Laparoscopic Surgeon

In the last week amongst the other patients I saw, there was one with a history of a stroke a few days back, one with a history of stroke, 2 years ago and a young lady with a condition called intracranial hypertension.

The one common factor between all three patients was, that all of them suffered from morbid obesity or clinically severe obesity, as it is called now.

The thing about obesity is that it is wrongly perceived as a sign of good health and a well to do economic status, atleast in India. However once people crossover from the overweight to the obese category, which is somewhere around a BMI of 29 to 30 or so, they tend to put on weight faster.

As the BMI continues to increase, obesity gradually starts affecting each and every part of the human body. Diabetes, high blood pressure and dyslipidemia are the big three that alongwith obesity form the metabolic syndrome. Eventually these together increase the risk of having cardiovascular events. Stroke is one of them.

Coming to the treatment part. Bariatric surgery is recommended for patients suffering from clinically severe obesity if their BMI is greater than 35. It can also be considered as a treatment option for patients with a BMI more than 32.5 with two or more associated diseases. As of now it is the only valid treatment option that leads to sustained weight loss in this patient population.

As a bariatric surgeon, I see many such patients on a daily basis. I also usually see that these patients and their families are very scared of getting the surgery done. There are many myths and many detractors who prevent these patients from getting treated on time.

Now here is the thing about treatment of any disease. Firstly, one needs to recognize that he or she is suffering from a disease. Secondly, get one or may be two expert opinions from qualified professionals and specialists about the best way forward. Thirdly, plan the entire process, prepare well and get it done. Last but not the least, dont delay the treatment. Every treatment works best in the early stages of a disease. Every single day that you delay, you are allowing the disease, time to grow and decreasing the chances of curing it.

Problems like stroke, heart related issues, embolism etc are life threatening complications of obesity. Dont let it grow to this extent.

Getting timely treatment can save your life and also improve your quality of life. Consult the right doctor at the earliest. Please dont miss the bus.

Dr. Aparna Govil Bhasker
Bariatric and Laparoscopic Surgeon

HEALERS OF A BROKEN SYSTEM

HEALERS OF A BROKEN SYSTEM

© Dr. Aparna Govil Bhasker When Chandrayan 2 fell short of just one more mile, from making history, no “failure” could be proclaimed to be more “heroic” than that. A true leader, the honourable Prime Minister, went out of his way to support our scientists 

DIL SE EK DUA HAI NIKLI

DIL SE EK DUA HAI NIKLI

© Dr. Aparna Govil Bhasker Dil se ek dua hai nikli, Ki har khwaish teri ho puri, Chand aur sitare ho sarey tere, Har khushi aye hisse hamesha tere, Chu le tu har unchai ko, Na roke koi raste mein tujhko, Dil se ek dua 

AAJKAL AKHBAR KHOLNE KO JI NAHI KARTA

AAJKAL AKHBAR KHOLNE KO JI NAHI KARTA

AAJKAL AKHBAR KHOLNE KO JI NAHI KARTA

© Dr. Aparna Govil Bhasker

Aajkal akhbar kholne ka ji nahi karta,

Umar chahe paanch ki ho ya pachaas ki,
Rang chahe gora ho ya kaala,
Anpadh ho ya padhi likhi,
Shadishuda ho ya nahi,
Kisi se koi farak nahi padta.

Aajkal akhbar kholne ka ji nahi karta,

Ek Jyoti thi, ek hui Priyanka
Beech me na jane kitni thi Anamika,
Hindu thi, ya Isai, ya thi musalman,
Khoon to baha tha lal hi sabka,

Aajkal akhbar kholne ka ji nahi karta,

Yeh khabrein ab khabrein na rahi,
Pehle panne par netaon ka hai raj,
Pachven panne par dhoondne par nazar kabhi pad jati hai,
Kyunki khabar yeh chapti hai to desh ka gaurav hota hai kam,
Yeh khabar kahin kisi aur desh ke log na padh le, yeh soch ke bhi humko aati hai sharm,
Akhir natija hai yeh sab western culture ka,
Isme badi kya baat hai, yeh to sare jag me hota hai,

Aajkal akhbar kholne ka ji nahi karta,

Kyunki abhi to chita bhi nahi hui hai thandi,
Par hamare aakrosh ka graph aa gaya hai neeche,
Thak gaye hain hum #Rape ke bare me sun sun ke,
Bahut ho gaya, ab routine me vapas jana hai,
Akhir humko bhi to ghar chalana hai,

Aajkal akhbar kholne ko ji nahi karta,

Hamare paas nahi hai vakt,
Na hi yeh hamari hai problem,
Priyanka ke maa baap ab kaatenge court ke chakkar,
Saalon nikal jayenge,
Aur isko bhi hum dharm ka issue banayenge,
Vote jodenge, election issue banayenge,
Jab zaroorat hogi, tab mudda uthayenge,

Aajkal akhbar kholne ka ji nahi karta,

Mombattiyan jalti rahengi, petitions filon me padi rahengi,
Kuch salon bad fir ek aur Priyanka hogi ek aur Jyoti hogi,
Kya maloom woh masoom kaun hogi,
Hum fir se aakrosh dikhayenge or fir so jayenge,

Kab tak yeh silsila yuhin chalta rahega,
Kab rapist ko dand milega,
Kab badlega yeh system,
Kab hoga yeh sab khatam,

Aajkal akhbar kholne ka ji nahi karta……

©Dr. Aparna Govil Bhasker

YOU ONLY LIVE ONCE “YOLO” ??

YOU ONLY LIVE ONCE “YOLO” ??

-Dr. Aparna Govil Bhasker I wake up every morning and without fail, spend atleast ten painstaking minutes standing in front of my wardrobe thinking what to wear. And every single day, for as many years as I can remember, I have been plagued by this 

Cadaver- A Surgeons First Teacher

Cadaver- A Surgeons First Teacher

Dr Aparna Govil Bhasker MS, Bariatric and Laparoscopic Surgeon, Mumbai, India   The business of saving lives begins in the company of death. For most of us something changed the moment we walked into the anatomy dissection hall on the first day of our medical 

WOMEN….. THE MOOLAH AND THE GENDER PAY GAP IN HEALTHCARE

WOMEN….. THE MOOLAH AND THE GENDER PAY GAP IN HEALTHCARE

Dr. Aparna Govil Bhasker

The other day I saw a tweet from United Nations about the gap in gender pay parity. “Worldover……women across professions, earn 20 to 30% less than men.”

It has been quite sometime and I just cannot get the figures out of my system. I googled the figures for pay parity in healthcare and there were no surprises there. Women in medicine can earn upto 37% lesser than their male colleagues .

Over the years, I have trained many young surgeons, while most of them were men, there were some young ladies as well. I will not talk about myself yet. That’s for later.

Well, all trainee surgeons are different but when I think hard, there were a few basic traits that seperated male trainees from the ladies. I may be biased, but the ladies were in general more sincere, more loyal, more punctual, more empathetic and better workers. The boys were good too, but the girls certainly scored over them. The girls were also more inclined to follow the rule book and accept dissent and criticism more wilfully.

When it came to surgeries, boys were certainly more proactive in asking the bosses to allow them to operate. And the ladies… well they patiently waited their turn. They would believe that they would be fairly rewarded for their sincere and hard work. They were less forthcoming and certainly not as vociferous as the boys. Well, surgery is one branch where the more hands-on you get, the better you become. No guesses here about who would eventually turn out to be more surgically skilled. Women would either get disgruntled with the system and leave or ended up spending much longer time to attain the same skills as men. And mind you …… this was not because they were bad surgeons, it was mainly because they never would ask!

In general, women hesitate to ask or assert. They rarely question when others make their decisions for them. They do not negotiate and tend to give in easily. Hence a lady doctor who may be more capable than her male colleagues may actually end up with much lesser on her plate.

Why do women do this? Taking my own example, I was uncomfortable around money matters. I tended to avoid financial discussions. I was happy if someone else did that on my behalf. In my entire career I only focused on work ethics and skill development, never gave much heed to finances. Well, these traits are not limited to me alone, I am sure that a lot of women will identify with me. Some of us actually take pride in our ignorance about financial issues and no wonder the gap in gender pay parity is ever increasing.

“The real issue here is that women are nurturers by nature. We tend to derive our value from being needed and not by being rewarded.”

While many times women are ignorant about what their colleagues are taking home, organizations are also not transparent about pay scales between employees. It is totally possible that the woman employee may be the most capable, appreciated or honoured in the workplace but her take home salary may not be at par with her male counterparts. Would she be aware of this disparity? Probably yes or may be not. Would she go back to the boss’s office to renegotiate? I think not. What we need to remember is that sometimes even “excellence” can be taken for granted and one may need to remind the organization about its value from time to time.

I have also come across a few lady doctors who were more assertive and did not hesitate to call a spade as a spade. What do we think about them? Honest confession, at times I have myself labelled those women as being too pushy or bossy! Too forthcoming… is what I would think of them! Would I think the same way about a male colleague with similar traits? Probably not. This is where the problem lies. Even women themselves dont think kindly about other women who are more assertive. Somewhere we like being the underdog! Do women bosses play a fair game when it comes to them? I don’t have the answer to that.

Ofcourse, we need better work place policies, we need more understanding bosses and there is a need to empower women. But most of all what we need to change is, ourselves. We need to introspect take charge and be more assertive. We have to learn to value ourselves before we expect others to value us. We need to stop cringing from financial discussions and have to understand that money is not evil. It is just a way to value our expertise. By accepting less, we undervalue ourselves. The gap in gender pay parity may not fill in the near future but we need to start somewhere and that place is within us.

Because ultimately we need to be the change that we want to see in the world.

– Dr. Aparna Govil Bhasker is a bariatric and Laparoscopic surgeon.

All You Need is Love and Flowers

All You Need is Love and Flowers

Dr Aparna Govil Bhasker   There are good days and then there are the bad days. How much ever we wish for life to follow a logical course, every day the sun rises with new challenges. Some that can be tackled, some that are pushed