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Monday, February 4, 2013

Think Gastric Sleeve is Safe? Think Again!


Look at these butchers operating with chopsticks.

In this barbaric procedure 3/4 of the stomach is removed. The problem with that is, we need our entire stomach for proper digestion of the proper foods. After your stomach has been butchered it can not do it necessary role in the digestive process.

The aftercare for all weight loss surgery is substandard. They will tell you that it is ok to eat right after the procedure. Complications mean more money for these thugs.

What's the death rate from Gastric Sleeve Surgery?

The industry will tell you that the death rate from gastric sleeve surgery is one in 400. That's a lie. The industry will tell you that the death rate from gastric bypass is one in 200 when the real number is one in 50 and that is just within the first 30 days. It's hard to find good data on the actual death rate but based on the industry lies a reasonable guess would be one in 100.

When a fool asks one of these butchers what the death rate is they will cite industry numbers but they will plan claim that their death rate is much lower. Chances are they are lying. That is what criminal types do.

Maybe you would be better off dead?!

RELATED: SEE Dr Oz Get Caught Lying to Congress. CLICK HERE

Adverse Effects of Weight Loss Surgery

Complications from weight loss surgery are frequent. A study of insurance claims of 2522 who had undergone bariatric surgery showed 21.9% complications during the initial hospital stay and a total of 40% risk of complications in the subsequent six months. This was more common in those over 40 and led to an increased health care expenditure. Common problems were gastric dumping syndrome in about 20% (bloating and diarrhea after eating, necessitating small meals or medication), leaks at the surgical site (12%), incisional hernia (7%), infections (6%) and pneumonia (4%). Mortality was 0.2%.[30] As the rate of complications appears to be reduced when the procedure is performed by an experienced surgeon, guidelines recommend that surgery be performed in dedicated or experienced units.[4]

Metabolic bone disease manifesting as osteopenia and secondary hyperparathyroidism have been reported after Roux-en-Y gastric bypass surgery due to reduced calcium absorption. The highest concentration of calcium transporters is in the duodenum. Since the ingested food will not pass through the duodenum after a bypass procedure, calcium levels in the blood may decrease, causing secondary hyperparathyroidism, increase in bone turnover, and a decrease in bone mass. Increased risk of fracture has also been linked to bariatric surgery.[31]

Rapid weight loss after obesity surgery can contribute to the development of gallstones as well by increasing the lithogenicity of bile. Adverse effects on the kidneys have been studied. Hyperoxaluria that can potentially lead to oxalate nephropathy and irreversible renal failure is the most significant abnormality seen on urine chemistry studies. Rhabdomyolysis leading to acute kidney injury, and impaired renal handling of acid and base has been reported after bypass surgery.

Nutritional derangements due to deficiencies of micronutrients like iron, vitamin B12, fat soluble vitamins, thiamine, and folate are especially common after malabsorptive bariatric procedures.

Seizures due to hyperinsulinemic hypoglycemia have been reported. Inappropriate insulin secretion secondary to islet cell hyperplasia, called pancreatic nesidioblastosis, might explain this syndrome.[32]

The death rate for gastric bypass is 1 in 50!
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. 

LINK! PROOF!  Click it liars!!

Twinkle Twinkle Little Czar: - Demotivational Poster






Wednesday, January 30, 2013

Only A Fool Would Pay a Surgeon To Destroy Their Digestive System




If you're fat, it has nothing to do with your digestive system. Your digestive system is not the problem. Having gastric bypass surgery because you eat too much instead of controlling your eating the responsible and old-fashioned way is like going to a doctor because you bite your fingernails and then having the Dr. cut off your fingers. Removing your currently healthy digestive system simply because lack the will or the ambition to learn how to eat correctly and do it is insanity. Any Dr. who recommend or perform gastric bypass surgery is a piece of shit.

What you are doing is a choice. Every morsel of food you shove into your mouth is a result of a choice. When you choose this behavior you choose a consequences and you know the consequences of obesity are bad health. The pleasure that you derive from food far outweighs your sense of social and personal responsibility. There is a word for people like you, is called glutton. So take a good look in the mirror and tell that person staring back at you that he or she to the greedy and selfish glutton. The first stepped in solving a problem is to correctly identify diet and then own it. Grow up in on the fact that you are glutton.

You need to ask yourself whether your perceived inability to learn proper nutrition and apply it to your lifestyle is a matter of can't or a matter of won't. If you are even half way honest you know that it's a matter of won't but because you're poor impulse control and because you're intellectually lazy and intellectually dishonest you will probably let some slick moneygrubbing Dr. talk you into the barbaric procedure known as weight loss surgery.

Obesity has proven many things about your character. It proves that you choose blissful ignorance over knowledge. It proves that you place your hedonistic pleasure above your loved ones. Your obesity proves that food is more important to you than your spouse. Your lust for food is clearly stronger than your love for your children.




If you get gastric bypass surgery there is a one in 50 chance that you will die within 30 days of the procedure. Most surgeons will not tell you that. There industry will tell you that the mortality rate is 100 or one in 200. There industry for the bunch of liars.


If you get gastric bypass surgery and you survive you will face a life of malnutrition and constant digestive problems such as dumping syndrome. You are never addressed the reasons for why you behave in such a blatantly selfish manner.

Here you go stupid... You need to eat less any need to move more and when you do that you will lose weight. If you never remember anything in your miserable life remember this. If you are a female and you eat 2000 cal a day the most weight you can maintain his 140 pounds. If you are active you will be able the maintain much less. If you are a man and you eat 2500 cal a day the most weight you'll be able to maintain his 160 pounds. If you're active you'll be able to maintain much less weight. That's reality and if anybody tells you anything different than that they are a liar and or and idiot and if you believe them you are an idiot so maybe you should pay that surgeon $60,000 to fuck you up.

Tuesday, January 29, 2013

Gastric Bypass Versus Dieting

Gastric bypass and dieting for weight loss to do the same thing and that is calorie restriction. Dieting causes calorie restriction when the dieter consciously decides which foods to eat and which foods to avoid. Typically a weight-loss diet includes low-calorie foods. A good weight loss diet not only includes low-calorie foods but it includes foods high in fiber, nutrients and protein. Weight loss surgery also restricts calories but it does it by two methods. The two methods employed by weight loss surgery for calorie restriction are restriction and or malabsorption.
http://drsimpson.net/07_surgery_stories%20(ss)/7_ss_02/RNY/Transected%20Roux-en-Gastric%20bypass%20-%20Gastric%20Bypass%20with%20RNY.gif


Laparoscopic banding is a form of restriction. A surgeon/butcher places a band around the upper reaches of the stomach causing a stricture that slows the transport of food into the stomach. This forces the patient/victim to eat more slowly. It also makes it impossible for the patient/victim to get adequate fibrous foods low in calories so the patient ends up eating high calorie foods because there hunger cues become very powerful. Stomach stapling is another form of restriction.
http://upload.wikimedia.org/wikipedia/commons/thumb/7/7b/Adjustable_Gastric_Band.png/230px-Adjustable_Gastric_Band.png


Gastric bypass uses both restriction and malabsorption. During gastric bypass butchering the surgeon/butcher goes in with a stapler and reduces the size of the stomach he then reroutes the intestines so that only a small part of the small intestine actually receives food from the stomach. 90% of digestion and nutrient absorption occurs in the small intestine.

There is no way to accurately to know or control how many calories and nutrients actually be absorbed after gastric bypass surgery. Gastric bypass victims end up living on protein shakes. Nearly all gastric bypass victims suffer from malabsorption syndrome. Not only do they absorb less calories from the food they eat they also absorb less vitamins and minerals and that gets compounded by the fact that they are unable to eat nutrient dense foods to begin with. Is also been shown that nutritional supplementation does little to correct this problem. In fact the weight loss surgery victim suffers from serious malnutrition. If you don't believe me Google it.

Dieting for weight loss avoids all the problems of weight loss surgery. The dieter can eat any food he or she chooses. The dieter does not face a one and 50 chance of dying simply by eating less and moving more. The dieter has a chance to learn better eating habits and control how rapidly he or she loses weight. This is important for several reasons. Rapid weight loss is very dangerous. It can also result in stretch marks on the skin and gallbladder disease among other problems.

Greedy surgeons won't tell you how lose weight safely and easily but I will.


Let's start with some basic facts about metabolism.

You may hear a lot of people saying that they have a slow metabolism. You've probably seen ads on television saying that certain products can rev up your metabolism. This is mostly a lie. The basal metabolic rate and humans varies by about 35 cal per day in individuals of the same age weight and gender. That represents a piece of hard candy or walk around the block.

To calculate your approximate basal metabolic rate multiply your body weight in pounds by 10. If you would like a more accurate measurement of your basal metabolic rate go to an online metabolic calculator and simply put in the numbers that it suggests.

Basal metabolic rates are higher for men than they are for women. Basal metabolic rate as defined by Wikipedia: Basal metabolic rate (BMR), and the closely related resting metabolic rate (RMR), is the amount of energy expended daily by humans and other animals at rest. Rest is defined as existing in a neutrally temperate environment while in the post-absorptive state. In plants, different considerations apply.

There is very little you can do to increase your basal metabolic rate. If you get heavy your basal metabolic rate will increase and when you lose weight your basal metabolic rate will decrease. Some foods can slightly increase your basal metabolic rate but their effect is generally insignificant. Forget the idea that you are fat because you have a slow metabolism. Accept the fact that you are fat because you eat too much and is sedentary.

When most people decide to lose weight they see it as a war against fat. The problem with that is, fat is not the enemy, the enemy's behavior. The behaviors that cause people to eat too much can be fairly complex and these behaviors are driven by a variety of factors. Hunger is a powerful motivator, so in order to lose weight and keep it off the dieter needs a strategy to control hunger.

Without going into any detail explanation going to tell you how lose weight and not be hungry and have success. I could get into the psychological reasons for why you are a glutton but for now just accept the fact that you are fat and your fat because you are a glutton. You need to decide whether the pleasure derived from food is more important to you then the benefits and the personal responsibility of being lean and healthy. Most people choose delicious food over good health and personal and social responsibility. I cannot make you have an epiphany to decide to choose good health and responsibility over gluttonous hedonism but I can give you the best mechanics for weight loss that you will find anywhere.

The mechanics of weight loss.

Let's say that you are a 300 pound lummox. Your doctor has told you that the majority of your health problems are due to your obesity and the cure for your melodies is reducing your body weight. Unfortunately your doctor is too stupid and uncaring to tell you how to do it. I'm not tired do it.

1. Calculate your basal metabolic rate. If you are 300 pounds and mail then your basal metabolic rate will be about 3000 + 10% cal per day. If you're female it will be a little less than 3000 calories per day. FREE METABOLIC CALCULATOR

2. you will be reducing your calories by about 2000 cal per day because currently if you are a slightly active male and 300 pounds you are eating close to 5000 cal a day to maintain your weight. If you're female we were eating 4500 cal per day to maintain your weight. In both cases that's double the amount of calories required for normal human being.

3. Even if you have the discipline of a normal person this about calorie reduction will result in hunger but since we are weak willed you're going to need strategies to deal with the hunger. Normal people call the feeling that we get in our stomach hunger pangs but fat people refer to this as hunger pains. That rumbling we have in our tummies is not painful. It is merely a signal from our brains reminding us that it's time to eat something. Fat people so indulge this feeling that hunger becomes an itch that they just love to scratch and they do it with great zeal. In a sense it is a psychological addiction and on some levels it can be argued that it is a physical addiction as well.

The strategy for dealing with hunger is to come up with ways of controlling that hunger. The best way to control hunger is to eat frequently. This means to eat every two or three hours. It also means eating smart and eating smart means eating healthy wholesome foods that are filling. The greatest food for controlling hunger is protein. The next greatest foods for controlling hunger are foods that are low in calories but contain a lot of fiber. If you have gastric bypass surgery it's impossible to get even the minimum amount of fiber in your meals.

Use your head and get educated about nutrition. You have decided to remain ignorant regarding nutrition. Because you're lazy you're going to listen to a greedy Dr. but that's only going to get you into more trouble. At this point you need to decide to stop being intellectually lazy.

If you eat every few hours and you include the right foods we are not going to be hungry. If your daily caloric intake remains at your basal metabolic rate you will lose 1 pound per week per 100 pounds of body weight. I will repeat. If your daily caloric intake remains at your basal metabolic rate you will lose 1 pound per week per 100 pounds of body weight. If you disagree with that it only proves one thing. Your stupid and maybe you should let some greedy surgeon wreck your perfectly healthy digestive system.

4.Create those meals. Waddle your fat ass to the supermarket and buy foods that are high in fiber and high in protein and from those foods create six meals that total your basal metabolic rate in calories. Make sure that those meals contain at least .5 g of protein per pound of bodyweight. The minimum daily fiber requirement is 38 g but you to will be eating much more than that. Learn foods that are low in calories and are good sources of fiber and keep them.

5. Count calories! Anyone who tells you that calories don't count is a lying sack of shit. Calories count and calorie is a calorie is a calorie. Here's a more facts you should know because you're probably too lazy to look them up. A gram of carbohydrates contains 4 cal. A gram of protein contains 4 cal. A gram of alcohol contains 6 cal and a gram of fat contains a whopping 9 cal. Connect the dots. If you're thinking about the low-carb insanity then you're an idiot. Low-carb has been around since the 1970s. It didn't work then and it won't work now.

There is no reason for why you can't create and eat six meals a day that are equal in calories to your basal metabolic rate. What you need to admit about your failure to maintain a normal healthy weight is it was never a matter of can't but always a matter of won't. You need to admit to yourself that you remained blissfully ignorant about basic nutrition. You need to admit yourself that time and time again you selected and eight foods that you knew would make you fat. You need to admit yourself that you habitually placed your hedonistic pleasures before personal social and in many cases parental responsibilities.

You can hate me all you want for telling the truth but maybe some of you will thank me. There are some people who would not exploit your moral failings and there are some people who would exploit your moral failings in a heartbeat.

In a month be only to recalculate and that means he will need to readjust your caloric intake. This incremental approach is a safe and sane way to attain and maintain a healthy body weight. Because this takes six months to year you will read learn new habits and reprogram the neurology involved in hunger. You may have to remain vigilant but in most cases people who do this completely reform the relationship with food. 












Saturday, January 12, 2013

The Untold Story of Psychotropic Drugging


If you had Gastric Bypass you probably feel like crap so if you are not already on a deadly psychiatric poison yet some doctor will put you on one.

Friday, January 4, 2013

Weight Loss Surgery Complications







The chances of dying from  Gastric bypass are greater than one in 50. You have the ability to control your eating. You can select foods that are low in calories that are healthy. Your obesity is a result of your choices and you need to admit that if you ever want to be lean and healthy. Weight loss surgeons are greedy bunch and they are an unethical bunch. Avoid them.

If you go onto YouTube you will find hundreds of more testimonies like these from patients who nearly died and are maimed for life. Unfortunately the families of the victims of weight loss surgery early post videos about the murders of their loved ones.


For every one of these horror stories that you see on YouTube there are thousands that you will never know about. The problems with weight loss surgery and gastric bypass particular are many and varied. If you decide to get serious about reforming your eating habits and learning a little bit about the right way to lose weight and keep it off you will not be fat ever again. When you learn to become empowered you realize that you don't need some butcher to surgically induce bulimia in you. If you really want to be healthy a proper diet will lead you to good health. The problem with gastric bypass is that after it's done you cannot eat properly matter how hard you try. What happens with gastric bypass is a greedy butcher pokes some holes through your abdominal wall and goes in with glorified chopsticks and destroys your perfectly healthy digestive system. That is not only unethical and against Hippocratic oath it is immoral.

There are videos of actual bypass surgery on YouTube. Take the time to wash one. Even if you are squeamish watch them but realize that the surgeon or the narrator in the video is doing sales job.

If you are serious about losing weight the old-fashioned way leave a message in the comments section and we a discussion on this page. I can only answer one person and hopefully others will read it and benefit from it.





Tuesday, December 25, 2012

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.