Health Care Acquired Infections in US Hospitals Remain at Epidemic Proportions

Based on voluntary reporting from 26 states over 2 MILLION American get a hospital acquired (HAI) infection and 200,000 of them die. The odds of you getting an HAI are now one in nine. Surgery makes the risk much higher. Bariatric surgery has a very high risk of killing you with an infection.

It's not surprising that the state with the filthiest hospitals and now laws protecting patients are mostly red states.

Find a retired nurse in her sixties or seventies and ask her about the number of hospital acquired infection that she was aware of when she first became a nurse. She will tell you that they were extremely rare. She will go on to tell you that they were not tolerated and that when they did occur the county health department tracked them down, asses got kicked and the problem got fixed. Back in her day HAIs were taken very seriously. Today hospital infections are routine and expected. Thirty years ago medicine was a profession. Today it's an industry. Forty years ago doctors were compassionate healers who honored their profession and their oath. Today they are LLC (Limited Liability Corporations)

Today there are companies like Kimberly-Clark and organizations like RID Committee to Reduce Infection Deaths who sell products and promote effective protocols to eradicate HAIs. The disinfecting products that Kimberly-Clark sells are far superior to what was available thirty years ago.Kimberly-Clark is aggressively publicizing the desperate need for infection control in American hospitals and hospitals worldwide.



Kimberly-Clark has launched a NOT ON MY WATCH a campaign that is aimed at educating doctors (good luck with that) and other health care workers on how to prevent Hospital Acquired infection. If you click this link you will find some very disturbing data that Kimberly-Clark is presenting to warn patients. It is the same data that your doctor and hospital would rather you not know.



Kimberly-Clark and RID are not the only ones working on behalf of patients in trying to educate hospitals and doctors on the importance basic hygiene. Johns Hopkins School of Public Health along with Consumers Union has issued effective protocol that hospitals ignore and doctors still ignore. The federal government does not now nor will it regulate health care. hat is and will continue to be left up to corrupt and weak state medical boards. Johns Hopkins is urging people to contact their state legislatures to ask hem to pass laws that will protect patients from these deadly pathogens that infest our hospitals and I am not just talking about doctors. If you go to this LINK you will find  who to write to in your state. Please take a few minutes to write to your state senator or assemblyman. They may have lost a loved one to the gross negligence of a hospital and may be inclined to do the right thing for the citizens of your state.

Kimberly-Clark and others are offering hospitals and health care facilities great tools and great advice for eradicating hospital borne infection but damn few hospitals are listening. It would be easy to blame the working stiffs who get treated like crap by their higher ups. Most hospital workers are scared shit less of management and if they were ordered to keep the hospital clean or else, the hospital would be clean and disease free.

According to Time Magazine In the U.S., hospital-acquired infections affect 1 in 10 patients,killing 90,000 of them each year and costing as much as $11 billion each year

Read more:http://www.time.com/time/specials/2007/article/0,28804,1733748_1733754_1735344,00.html#ixzz0oujrz8ti

Stopping hospital infections is a no brainer. From Wikipedia, the free encyclopedia Peter J. Pronovost is an intensive care specialist physician at Johns Hopkins Hospital in Baltimore, Maryland.^[3] He is a Professor at the Johns Hopkins University School of Medicine in the Departments of Anesthesiology and Critical Care Medicine, and Surgery, Professor of Health Policy and Management at the Johns Hopkins Bloomberg School of Public  Health, and is Medical Director for the Center for Innovation in Quality Patient Care.

He introduced an intensive care checklist protocol that during an 18-month period saved 1500 lives and $100 million in the State of Michigan.^[4] According to Atul Gawande in The New Yorker,Pronovost's "work has already saved more lives than that of any laboratory scientist in the past decade".

In 2008 Time named Pronovost one of the 100 most influential people in the world; that same year, Pronovost was awarded a MacArthur Fellowship, otherwise known as a "genius grant".

One of the good guys Peter Prononost.

Pronovost's book Safe patients, smart hospitals: how one doctor's checklist can help us change health care from the inside out was released in February 2010.


So here we have Peter Provonost whose simple check list saved 1500 lives and most hospitals ignore him. Why? Why? Why?! Is it because bad medicine is more lucrative than good medicine and while an ounce of prevention may still be worth a pound of cure treating hospital borne infections is worth a lot more... a hell of a lot more.

So much for the slick photos of attractive models portraying concerned and vigilant doctors, medical technicians and nurses. Now it's time to see the results of medical negligence when it comes to infection control.


Thanks Doc! 

Here's a link to some real people telling their stories about being infected.

Another Reason to Avoid Weight Loss Surgery

Click HERE to watch the Full Interview!


Download Interview Transcript

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By Dr. Mercola

Medical errors are one of the leading causes of death in the United States, and what’s even more shocking is that the harm often is preventable.

Hospitals often make egregious errors ranging from minor mistakes to treating the wrong patient, leaving behind surgical tools in a person after surgery, or operating on the wrong body part.

According to the 2011 Health Grades report,¹ the incidence rate of medical harm occurring in the United States is estimated to be over 40,000 harmful and/or lethal errors DAILY!

Dr. Martin Makary is the author of The New York Times bestselling book Unaccountable: What Hospitals Won’t Tell You and How Transparency Can Revolutionize Healthcare, which is a story about the dangerous practices and mistakes of modern medicine. He’s a practicing surgeon at Johns Hopkins Hospital and an associate professor of public health policy at the Johns Hopkins School of Public Health.

As a busy surgeon, he’s worked in many of the best hospitals in the country, and can testify to the amazing power of modern medicine to cure. But he’s also been a witness to the medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting.

Healthy eating, exercise, and stress management can help keep you OUT of the hospital, but if you do have to go there, knowing your rights and responsibilities can help ensure your hospital stay is a safe and healing one.

Variations in Quality Medical and Safety of Health Care Driven by 'Perverse Incentives'

One in four patients in a hospital is harmed in some way from a medical mistake, according to the New England Journal of Medicine. Many doctors have been concerned about the quality and mistakes in healthcare, but the culture has been such that it dissuaded open discussion and transparency.

“We’re really at a very exciting time in medicine,” Dr. Makary says. “For the first time, we’re speaking up openly and honestly about this problem. We’ve got research now that supports it.

...[W]hen I was at a major medical conference once, I heard a surgeon at the podium ask the audience of thousands of doctors, 'Do you know of somebody out there in practice who should not be practicing because they are too dangerous?' And every single hand went up. Everybody seems to know about this problem. Everybody even knows of somebody who’s too dangerous to be in practice. Yet for a long time, we haven’t been honest about the problem.”

Dr. Makary goes on to tell a story from his days as a medical student. A young man came to the emergency room with a fractured humerus, and the doctor told him he needed an MRI, an X-ray, and a CAT scan. The young man replied he didn’t have health insurance, at which point the doctor suddenly changed his tune, telling him to just stay off his arm, wear a sling, and all would be fine.

“I thought about it,” Dr. Makary says, “The doctor was right; all those tests don’t really change what we do, because the treatment for that type of fracture was just a sling and to rest it. So, we see these wide variations on what we do. And when you ask the doctors, 'Look, what’s going on? Why do we have so much variation in quality and safety in America?' they point out things like 'Look at our perverse incentives that promote bad care among as subgroup of doctors out there.'”

Is Your Surgery to Satisfy Your Doctor’s Quota?

Doctors are under tremendous pressure these days. Not only are they asked to see more patients per hour, many surgeons even have surgery quotas to meet.

“They’re told they need to do so many operations in a month,” Dr. Makary says. “Sometimes doctors tell me they get text messages and emails, saying, 'You need to do so many operations by the end of the month.' They’re expected to do more, often with less resources.”

Quotas aren’t the only symptom of a major disconnect between healing a patient’s problem and running a for-profit disease management scheme. As discussed by Dr. Makary, sometimes a computer software program will order tests and studies automatically, and the doctor just has to sign off on them.

“Doctors don’t like blind triggers that result in overtreatment. They want to practice medicine the way it was intended to be practiced – individualized in care,” he says.

While computers can help with some standardization in medicine increasing dependence on computerized diagnosis and even treatment is an issue that needs to be seriously considered and discussed. We’ve had a continually evolving improvement in artificial intelligence, so much so that in the next 20 to 30 years computers will be able to interview a patient and then spit out an entire battery of recommendations. However, the recommendations will only be as good as the information it’s based on. What good will it do if all RoboDoc can do is spit out tests and treatment protocols based on biased, inaccurate or fraudulent data at a more efficient rate than human M.D.'s?

Unnecessary Treatment is a Massive Problem

According to a report by the Institute of Medicine, an estimated 30 percent of all medical procedures, tests and medications may in fact be unnecessary² – at a cost of at least $750 billion a year³ (plus the cost of emotional suffering and related complications and even death – which are impossible to put numbers on). While overuse and misuse have become a deeply ingrained part of the culture of medicine, there are hopeful signs that things are starting to change. Dr. Makary points out a number of standard blanket recommendations that have been changed in recent years, such as daily aspirin regimen, PSA testing, and annual mammograms.

“[N]ow people are saying, 'Wait a minute, maybe we’ve gone too far.' ...We told everybody for decades [that] everybody should be on an aspirin once a day. And a lot of people were saying, 'Wait a minute, do I really need to be taking a pill every day, even thought I’m totally healthy?' There were studies, and they looked at certain outcomes but a recent large study has shown that the internal bleeding consequence balances out the benefits to your heart. So we’re now pulling back that recommendation. If you have a healthy heart, if you don’t have a history of heart problems, we’re now pulling that recommendation back.

Same thing with PSA testing. You’re seeing the medical community say, 'Wait a minute, we don’t need to do a PSA test for prostate cancer on every older man in the world.' We’re also seeing the recommendations on breast cancer screening with mammography in that middle-aged group being pulled back.

We’re seeing a lot of research coming out now that’s saying some of these giant recommendations to do more stuff probably were not based on sound science. When we look at the full gamut of consequences of overtesting, we may be creating too many false-positives and hurting more people then we’re helping.”

More Doctors Beginning to Realize What They Were Taught is Wrong

Many doctors are now beginning to accept that some things they were taught in medical school is simply wrong.

“I was taught, for example, that everybody has one million nephrons (the unit in a kidney). We now know that’s not true. We now know that it ranges from 200,000 to two million, and everyone’s different. If you have a lot, you may have more of a reserve. If you have few, you may be more frail in your ability to withstand an insult to your kidney.

We were taught fat was bad for you. We were taught, 'Don’t eat fat. Fat is bad. Go low-fat everything.' That was probably wrong advice that the medical community gave to the general public. We now know that what’s far more important than avoiding fat is limiting sugar, a highly addictive substance, which a driver of obesity and heart disease and has many detrimental effects, mainly the hormonal effect of changing your fat storage balance. Little did we doctors know that by demonizing fat we were encouraging high-carbohydrate foods because they are notoriously 'low-fat.' Obesity surged parallel to the 'avoid fat' era of medicine. We are now dealing with a generation addicted to sugar and we’re seeing the largest growth in obesity in the history of the country.

In terms of the percent of our population on disability and the average time on disability, we are now the most disabled country in the world. And one leading driver is obesity-related chronic diseases—a problem burdening our healthcare system. These are lifestyle diseases (medical problems that can be avoided with better behavior). We’re now recognizing that some of the emphasis in the direction that we had in medical school was just not based on the solid evidence that we’re now seeing.”

Helping Patients and Doctors Choose Wisely

For the past two years, the American Board of Internal Medicine Foundation, one of the largest physician organizations in the US, has released reports on the most overused tests and treatments that provide limited or no benefit to the patient, or worse, causes more harm than good. Last year’s report warned doctors against using 45 tests, procedures and treatments. This year, another 90 tests and treatments were added to the list. To learn more, I encourage you to browse through the Choosing Wisely web site,⁴ as they provide informative reports on a wide variety of medical specialties, tests, and procedures that may not be in your best interest. As reported by NPR:⁵

“The idea is to curb unnecessary, wasteful and often harmful care, its sponsors say — not to ration care. As one foundation official pointed out last year, rationing is denial of care that patients need, while the Choosing Wisely campaign aims to reduce care that has no value.”

Unfortunately, it seems matters will only get worse with the passage of the Affordable Care Act because it’s just a continuation of the same broken process. I agree that people should be covered under health insurance, but they should be covered with appropriate care; not care that perpetuates the same problems addressed in Dr. Makary’s book.

“What we’ve got to do is educate the everyday patient to empower themselves, to understand what they’re having done, and to learn to ask the right questions,” he says. “We’ve put together a list of sort of important questions a patient should ask, and we’ve put it on the book website, UnaccountableBook.com.

Things like: 'Do I really need to have this done? What if I don’t take this medication? And then, whatever that consequence could be, what are the odds that that could happen? And if it does happen, can we treat it once that happens?'

I remember consenting people for surgery as a resident. I was way over my head. They would ask me, 'What happens if I don’t have an operation or take a medicine?' And I just give them a standard answer sometimes. 'You could die. Something could go wrong.' And yet, I was rushing. You’re working sometimes for 40 straight hours; you’re working 120 hours a week. As a resident, you’ve got a mission. You get certain things done to get through this little list of things you need to do during the day... Research now shows that most patients are under-informed about the risks of medical tests, procedures and medications, and the benefits are overstated.”

On Referrals, and...

According to Dr. Makary, under-referral is another major issue that leads to improper medical treatment. Some doctors will simply declare that “nothing can be done,” without realizing a specialist may have an entirely different set of tools at their disposal. There are even “micro-specialists” out there specializing in a tiny area within a particular field of medicine. The trick is to find them.

“There are probably not enough referrals to specialists as there should be. I think sometimes you need to take things in your own hand and just ask for one. Or say, you know, 'Would it help if I spoke with someone who specializes in this?' Or go to their websites and find the experts. There are some very good websites out there now for patients, [like] ConsumerReportHealth.org. Medicare is now putting a lot of hospital performance up on the web in their website Hospital Compare. It’s HospitalCompare.hhs.gov. So, there are some good resources out there now.”

Dr. Makary suggests asking an emergency room nurse for their recommendations for specialists and doctors well-versed in a particular ailment. Another helpful strategy can be to ask around for alternative practitioners or treatment options. Your local health food store can be a good place to start.

“If you don’t know of a nurse, secretary, doctor, or technician that works for a hospital that can give you this scoop on who’s really good, ask some of these important questions.”

Dr. Makary suggests “For surgery, ask the following questions:

• Do I really need this done?
• When am I going to be back to feeling good?
• What if I don’t have this procedure done?
• Can I wait a year and see if this gets better?
• What if I wait and then something develops in the interim? How do we handle it that at that point and what are the odds of success then versus now?

There’s a movement – a revolution – that we described in the book Unaccountable, which is starting to provide useful information on websites, so that patients can navigate the healthcare system.”

Safeguarding Your Care While Hospitalized

Once you’re hospitalized, you’re immediately at risk for medical errors, so one of the best safeguards is to have someone there with you. Dr. Andrew Saul has written an entire book on the issue of safeguarding your health while hospitalized. Frequently, you’re going to be relatively debilitated, especially post-op when you’re under the influence of anesthesia, and you won’t have the opportunity to see the types of processes that are going on.

Dr. Makary agrees it’s important to have someone there to act as your personal advocate, or to take the time to stay with your loved one who is hospitalized. This is particularly important for pediatric patients, and the elderly.

“Sometimes, we rely on a competent talking patient to help verify what we’re doing before we go in the operating room. But if we got somebody who’s not mentally coherent because they’re elderly or a kid and there’s no family member around, these are danger zones. These are high-risk areas for medical mistakes,” Dr. Makary warns.

“It’s important to ask what procedure’s being done or why is the procedure being done. 'Can I talk to the doctor?' You have a right to know about what’s being done to you or your loved one in the hospital. When you’ve got a kid in the hospital, I think it’s particularly important to ask the questions.”

For every medication given in the hospital, ask, “What is this medication? What is it for? What’s the dose?” Take notes. Ask questions. Building a relationship with the nurses can go a long way. Also, when they realize they’re going to be questioned, they’re more likely to go through that extra step of due diligence to make sure they’re getting it right—that’s human nature.

Pushing for Greater Transparency in Healthcare

The issue of transparency is a big focus of Dr. Makary’s book, Unaccountable. In it, he discusses a number of ways transparency can be improved, not only from an organization-hospital perspective, but also from an individual position perspective.
We now have a lot of data metrics to measure healthcare quality, such as different hospital’s infection rates, re-admission rates, patient satisfaction scores, and surgical complication rates. According to Dr. Makary, the ways to measure hospital performance are now maturing to the point where they need to be available to the public, and he’s seeing a “transparency revolution” starting to take place.

“I believe it’s going to reshape our entire healthcare landscape,” he says. “Instead of choosing a hospital based on a billboard advertisement or valet parking at a hospital, you should be able to look up a hospital’s performance – their quality, their volumes, and their satisfaction [rate]. You know, 60 percent of New Yorkers will look up a restaurant’s ratings before choosing a restaurant. Yet people are walking into the hospitals blind to the hospital’s performance. We’re seeing an exciting revolution now in healthcare. It’s a transparency revolution, and it’s really why I wrote this book, Unaccountable.”

Help for Victims of Preventable Medical Errors

Part of the nature of being human is that we make mistakes. No one is perfect. Mistakes will be made. And with more transparency, these mistakes will be known. So, what can you do should you find yourself a victim of a preventable medical mistake? Dr. Makary suggests connecting with patient communities like:

• Citizens for Patient Safety⁶
• ProPublica Patient Harm⁷

Besides that, he suggests:

“Ask to talk to the doctor about that mistake. If you’re not satisfied, write a letter or call the patient relations department. Every hospital is mandated to have this service. They are set up to answer your concerns. If you’re not satisfied with that, write a letter to the hospital’s lawyer, the general council. And you will see attention to the issue, because you’ve gone through the right channels.

We don’t want to encourage millions of lawsuits out there. But you know, when people voice what happened, what went wrong, and the nature of the preventable mistake, hospitals can learn from their mistakes. Sometimes they’re taking a lot of attention now to prevent mistakes from happening again. You should let that mistake be known.”

Additional Resources

Dr. Makary co-developed a checklist for surgeons to use before surgery or any other hospital procedure. His research partner, Peter Pronovost, created a checklist in the ICU for patients that are in the intensive care unit. The World Health Organization (WHO) ended up taking an interest in their checklists and used some of their principles to develop the official World Health Organization checklist.

The WHO surgical safety checklist and implementation manual,⁸ which is part of the campaign “Safe Surgery Saves Lives” that Drs. Makary and Pronovost were a part of, can be downloaded here. If a loved one is in the hospital, print it out and bring it with you, as this can help you protect your family member or friend from preventable errors in care. You can also learn more in Dr. Makary’s book, available on UnaccountableBook.com and other book stores.

Avoiding Unnecessary Medical Care Can Save Your Life

One of the reasons I am so passionate about sharing the information on this site about healthy eating, exercise, and stress management with you is because it can help keep you OUT of the hospital. But if you do have to go there, you need to know how to play the game.

My primary recommendation is to avoid hospitals unless it's an absolute emergency and you need life-saving medical attention. In such cases, it's advisable to bring a personal advocate -- a relative or friend who can speak up for you and ensure you're given proper care if you can't do so yourself. If you're having an elective medical procedure done, remember that this gives you greater leeway and personal choice—use it!
Many believe training hospitals will provide them with the latest and greatest care, but they can actually be far more dangerous. As a general rule, avoid elective surgeries and procedures during the month of July because this is when brand new residents begin their training. According to a 2010 report in the Journal of General Internal Medicine,⁹ lethal medication errors consistently spike by about 10 percent each July, particularly in teaching hospitals, due to the inexperience of new residents. Also be cautious of weekends.

Knowing how to prevent disease so you can avoid hospitals in the first place is clearly your best bet. One of the best strategies on that end is to optimize your diet. You can get up to speed on that by reviewing my comprehensive Nutrition Plan. Additionally, knowing what to do to make your hospital stay as safe as possible is equally important if you have the misfortune of being hospitalized. Understand that you, the patient, are the most powerful entity within the entire hospital system. However, the system works on the assumption that the patient will not claim that power. Knowing your rights and responsibilities can help ensure your hospital stay is a safe and healing one.

Antibiotic Resistance Poses 'Catastrophic Threat'

If you are still dumb enough to have weight loss surgery your odds of dying within the first 30 days may now be greater than the usual one in 50. For decades idiot doctors have been overprescribing antibiotics as a result more and more people are dying from a antibiotic resistant bacteria. The surgical site infection rate in the US is 20% growth surgeries but it's much higher for gastric bypass. So when the greedy idiot surgeon with his idiot procedure mangles your intestines and stomach and causes leaks you are now much greater risk that the antibiotics they give you will not work. You will suffer an agonizing death and then you will die.

This is just one more reason for why should never have any form of weight loss surgery and especially any form of gastric bypass.  



So you big fat idiot glutton, what are you going to do now, be a weak willed glutton and rely on some greedy bastard doing a barbaric procedure on you or you going to screw up the courage and find little ambition to feed yourself in a responsible manner?

Deadly MRSA Infection being treated with maggots!

Antibiotic Resistance Poses 'Catastrophic Threat' To Medicine, Says Britain's Top Health Official

Reuters  |  By Kate Kelland  Posted: 03/10/2013 11:10 pm EDT  |  Updated: 03/11/2013 9:47 am EDT

By Kate Kelland

LONDON, March 11 (Reuters) - Antibiotic resistance poses a catastrophic threat to medicine and could mean patients having minor surgery risk dying from infections that can no longer be treated, Britain's top health official said on Monday.

Sally Davies, the chief medical officer for England, said global action is needed to fight antibiotic, or antimicrobial, resistance and fill a drug "discovery void" by researching and developing new medicines to treat emerging, mutating infections.

Only a handful of new antibiotics have been developed and brought to market in the past few decades, and it is a race against time to find more, as bacterial infections increasingly evolve into "superbugs" resistant to existing drugs.

"Antimicrobial resistance poses a catastrophic threat. If we don't act now, any one of us could go into hospital for minor surgery and die because of an ordinary infection that can't be treated by antibiotics," Davies told reporters as she published a report on infectious disease.

"And routine operations like hip replacements or organ transplants could be deadly because of the risk of infection."

One of the best known superbugs, MRSA, is alone estimated to kill around 19,000 people every year in the United States - far more than HIV and AIDS - and a similar number in Europe.

RELATED: Learn Why Dr Oz Is Weight Loss Scam Artist CLICK HERE!

And others are spreading. Cases of totally drug resistant tuberculosis have appeared in recent years and a new wave of "super superbugs" with a mutation called NDM 1, which first emerged in India, has now turned up all over the world, from Britain to New Zealand.

Last year the WHO said untreatable superbug strains of gonorrhoea were spreading across the world.

Laura Piddock, a professor of microbiology at Birmingham University and director of the campaign group Antibiotic Action, welcomed Davies' efforts to raise awareness of the problem.

"There are an increasing number of infections for which there are virtually no therapeutic options, and we desperately need new discovery, research and development," she said.

Davies called on governments and organisations across the world, including the World Health Organisation and the G8, to take the threat seriously and work to encourage more innovation and investment into the development of antibiotics.



"Over the past two decades there has been a discovery void around antibiotics, meaning diseases have evolved faster than the drugs to treat them," she said.

Davies called for more cooperation between the healthcare and pharmaceutical industries to preserve the existing arsenal of antibiotics, and more focus on developing new ones.

Increasing surveillance to keep track of drug-resistant superbugs, prescribing fewer antibiotics and making sure they are only prescribed when needed, and ensuring better hygiene to keep infections to a minimum were equally important, she said.

Nigel Brown, president of the Society for General Microbiology, agreed the issues demanded urgent action and said its members would work hard to better understand infectious diseases, reduce transmission of antibiotic resistance, and help develop new antibiotics.

"The techniques of microbiology and new developments such as synthetic biology will be crucial in achieving this," he said. (Editing by Jason Webb)






The same greedy medical industry that has a vested interest in making people obese also have a vested interest in making them sick so that they can develop new and expensive antibiotics.

Gastric Bypass Surgery Death Rate

Gastric bypass surgery, the drastic procedure used to help some obese people lose weight, continues to grow in popularity. 

It's estimated that 140,000 people had this procedure in 2004, with the number expected to grow even higher this year. And for the majority of patients, this surgery is a lifesaver, but not for all, reports The Early Show correspondent Melinda Murphys. 

Like many people who seek out this surgery, Dave Weindel had been morbidly obese for most of his life. So he was eager to have surgery to help him lose weight, get healthy, and live longer to watch his four young children grow. 

"I graduated from eighth grade a couple years later," Christy Weindel says, crying. "And he wasn't there for that. And he wasn't there for prom. And I just got married in September. And he wasn't there for that. It's really tough.

Christy Weindel lost her father when she was 12 years old. Dave Weindel died three weeks after having gastric bypass surgery. 

"I had to come home and had to tell the kids that their dad died. Was very, very hard," says, Cathy Weindel. According to Weindel's wife, it wasn't supposed to turn out this way. 

She says, "Well, they told us it was major surgery. But they said, 'You know, you're going to be home in three days.' "

Weindel's surgery was July 17, 1998. His stomach was reduced to the size of an egg and his intestines were re-routed. The surgeon told Cathy Weindel the operation went well. But within days, Weindel's health worsened. 

He was transferred to a second hospital, where a CT scan revealed a large abscess. Weindel was treated, but his health continued to decline. 

Cathy Weindel says she thinks her husband knew what was happening to him. 

"I still remember, and I still see this in my mind," she says very emotionally. "When they're shutting everything down and there was nothing else they could do. I was talking to him. And I saw a tear come out of his eye. And, I mean, it still stays with me."

Dave Weindel died three weeks after his surgery. He was 38. The official cause of death: abscess, pneumonia and a pulmonary embolism.

Was Dave Weindel's case a complete anomaly? Not really. 

A recent study by researchers at the University of Washington found that 1 in 50 people die within one month of having gastric bypass surgery, and that figure jumps nearly fivefold if the surgeon is inexperienced. 

Attorney Herman Praszkier says, "You want to know, basically, as much information about the surgeon's background as you can. Anyone who evades your question, get up and walk out."

Praszkier represented Cathy Weindel in her lawsuit against her husband's surgeon and the hospital. It was settled days into the trial and was the first of a dozen gastric bypass malpractice cases he's handled.

Praszkier explains, "The most common problem in bariatric surgery in the cases I take (which are only death cases) is that the post-operative care was insufficient." 

Nora Malone is Praszkier's most recent client. She tried to talk her husband, Ron, out of the surgery.

"I said, 'Let's go. Let's just go.' And he said, 'Oh, I'll be OK, honey. You'll be so proud of me when I get out of here,' " Malone recalls.

Nora Malone met her husband when he was a naval officer stationed in the Philippines in 1973. They had three daughters. 

Their daughter. Liberty. says, "When they went to talk to the doctors, they came back thinking it was a good thing. You know, he'd get off his high blood pressure medicine, his diabetes medicine." 

Malone had laparascopic gastric bypass surgery just before Thanksgiving 2003. 

"They said there's no risk," Nora Malone says.

But days after the surgery, Ron Malone became very ill. Doctors told his family there was a leak - and operated again. He didn't improve. 

Nora Malone recalls, "And I said, 'I think you have to do something, doctor.' And he said, 'Mrs. Malone, trust me, your husband is OK.' " 

On Dec. 9, 2003, Ron Malone died during his third surgery. The official cause of death: cardiac arrest. More accurately, Malone died from complications of gastric bypass surgery.

Dr. Harvey Sugerman says, "There is a risk of a leak following gastric bypass that can be fatal." 

Dr. Sugerman is a retired bariatric surgeon and the president of the American Society for Bariatric Surgery (ASBS). He says early diagnosis of a problem is the key.

"I think some doctors got into it without adequate training and experience and felt that they could do this," Dr. Sugerman says, "The ASBS is very concerned about deaths after obesity surgery. And we are doing everything we can to improve quality care by establishing the Center of Excellence program." 

This program will have stringent guidelines that must be met in order for a bariatric surgery facility to be called, "a Center of Excellence." When the program launches in June, information will be posted on a Web site to help patients find quality doctors and hospitals. Unfortunately, it comes too late for Ron Malone.

And too late for Dave Weindel, whose wife no longer believes in the surgery. 

"I don't think it's worth it," Cathy Weindel says "It tears your family apart."

CLICK here to watch gastric bypass video 

Still not convinced? 

More on the Actual Gastric Bypass Death Rate

A helpful blog reader send me the full PDF version of the study of the long term outcome of weight loss surgery in Pennsylvania which was cited in the previous blog post.

Death Rates and Causes of Death after Bariatric Surgery for Pennsylvania Residents 1994-2004. Bennet I. Omalu et. al. Arch Surg. 2007;142(10):923-928.

Typically when a surgeon tells you the mortality rate for a surgery, he tells you only the percentage of those who died within 30 days of the surgery. This study looked both at the actual deaths within 30 days after surgery and in the death rate in the years after the surgery.

As the study reports, in the 16,683 people who had weight loss surgery in Pennsylvania between 1994 and 2004, .9% died within 30 days of the surgery. That translated into 150 people.

But wait. That statistic was taken from the group as a whole. When the population is broken out by age, a much scarier statistic emerges: In the age group 55-64 1.53% were dead within 30 days, or 15 out of 1000 who had the surgery. And for the age group of those 65 and older, 3.1% died within 30 days, or 3 out of every hundred.

But that was just in the first 30 days after surgery. The study looked at time since surgery, and with each passing year the number of dead grew greater.

By one year after surgery, 2.1% of the group had died. (Twenty-one out of every thousand.) By two years, 2.9%. Then things got worse. Three years after they had had the surgery, 3.7% were dead. By four years, 4.8% and by five years, 6.4%.

The authors of this study remark that they did not follow up on the results of subsequent surgeries. But other studies have found that many people who have weight loss surgery require one or more follow up surgeries in the years that follow the initial surgery. It is likely that each subsequent surgery raises the risk of further complications and death.

Another chilling statistic emerged from the analysis of this data. In a population of the same size of the same demographic make up, the expected number of suicides would be 2. However, in this group, there were 16 suicides and an additional 14 drug overdose deaths. Most of these occurred at least one year after the surgery. The authors of the study speculate that many of the drug overdoses were probably suicides too, and flag this as a serious problem that requires more study.

What was missing in this study was one important piece of information: the weight loss achieved by the people who died. The authors assume that the high death rate is due to health conditions contracted while obese or due to weight regain. But this is only speculation. They did not review any statistics about the size of the people at death, which would have been difficult to do since only about 1/3 of these victims were autopsied.

But based on stories I have heard and cases like Mrs. Yamin's it may be premature to assume that the deaths were caused by obesity. Mrs. Yamin weighed 100 lbs at her death. Instead deaths may have been caused by long term malnutrition--i.e. starvation. Though the most common cause of death listed on death certificates after a year was cardiovascular (i.e. heart attacks) that is what kills a lot of people with anorexia and starvation. When the body is no longer absorbing nutrients the electrolytes can become dangerously unbalanced and that causes heart attack. Without independent autopsies, it is very hard to know what really happened.

Doctors don't like autopsies, because a patient who didn't have an autopsy is a patient whose family is going to have a much tougher time suing for malpractice. So if a heart stops beating, well, write it down as cardiovascular death, and since the person was once fat, who is going to challenge it?

But folks, please take these statistics seriously. And please note that the things that killed people within the first 30 days were NOT necessarily caused by obesity. Among the biggest killers were pulmonary embolism (20.7% of all early deaths)and sepsis (i.e. infection that spread through the body causing organ shut down). Sepsis killed 11.3% of those who died in the first 30 days. One out of four died of vaguely specified "therapeutic complications" which is a catchall term entered on the death certificate that included things like sepsis, bleeding, ruptured surgical wounds, etc.

One last word. Many people erroneously believe that before a doctor can perform a specific kind of surgery, that surgery must undergo the same kind of safety testing and approval process that drugs get. This is not true. Surgeons can perform any surgery they want, as long as they are licensed surgeons.

There is only one limitation on what kind of surgeries are performed: whether or not insurance companies will pay for them. Most insurers won't pay for operations that have a poor safety record--once they have enough data to know that the operation isn't safe.

But weight loss surgery is usually NOT paid for by insurers. Like plastic surgery, it is a surgery that patients pay for out of their own funds. This is one reason surgeons promote it so strongly. There are no forms for them to to fill out, no limit on what they can charge, and most importantly, no evaluating the patient's suitability for the surgery by pesky insurance review boards. All the doctor has to do is sell the patient on the operation, and the fun can begin.

So don't let yourself become a victim of a surgeon who has found a dandy way to make himself a multi-millionaire. And don't trust that the doctor who stands to make $25,000 for a few hours of work has your welfare in mind when he assures you that a surgery is no more dangerous than crossing the street. Remember, surgeons rarely track the outcome of their surgeries beyond six weeks. But as the Pennsylvania study suggests weight loss surgery keeps on killing for years after the initial surgery.