Commentary

FP’s patients are successful “losers”


 

As a family physician at a clinic at which obesity is the No. 1 disease treated, I thought “Weight loss strategies that really work” (J Fam Pract. 2010;59:378-385) was a great article. The authors made several key points about successfully helping patients lose weight.

Several years ago, I became so frustrated by my inability to help my obese patients that I began extensive research into what I could do better. In March 2009, I opened a separate business alongside my busy practice to give patients another option for weight loss and, more importantly, better health. My weight loss clinic now treats more than 150 patients each month, and members of our community have collectively lost more than 20,000 pounds. I’ve seen my patients reduce—and in many cases eliminate—medications for diabetes, hypertension, hyperlipidemia, and other diseases. The greatest part for me has been the renewed gratification of practicing medicine and seeing my patients get well.

Based on my experience, there are several points I would like to make: The first is the importance of becoming role models for patients we treat for obesity. That doesn’t necessarily mean having a BMI between 20 and 25, but it does mean promoting a healthy lifestyle.

Second, the fact that most health insurers do not cover many weight loss issues is actually a blessing. I’ve found that patients need to make both a financial and time commitment to succeed in achieving and maintaining a healthy weight. In addition, the lack of insurance coverage means less hassle for the treating physician.

Finally, treating obesity in the communities in which we practice just might be the answer to our nation’s health care crisis. The more people we help to make healthier, the less money will be needed to provide care for people who are sick.

Mike Hagaman, MD
Mountain Home, Ark

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