I recently saw a post-surgical patient who was frustrated that the scale had not showed any weight loss even though she was eating correctly and had increased her exercise. So I asked Erin Light, Fitness Coordinator, to do a body analysis on her.
Once completed it turned out that she was losing a good amount of body fat, however she was also increasing her lean muscle mass. Because muscle weigh more than fat, the scale showed no weight change.
The truth is great changes were taking place as the muscle mass will also help her to burn fat at a much faster rate in the future. We need to keep in mind good changes can take place even if we cannot see them on the outside as quickly as we would like.
Stick to the plan and keep up the good work!
Benefits of weight loss surgery are lower blood pressure, remission of diabetes, decreased risk of heart disease, lower blood cholesterol level, etc. as we all know, every benefit has a potential risk. A recent article in the Journal of Urology looked at the risk of kidney stones and gastric bypass surgery.
4,639 patients who underwent bypass surgery and 4,369 obese patients in a control group who didn’t have bariatric surgery were followed for four years. Of those, 4.6 percent of the control group developed kidney stones versus 7.7 percent of the bypass surgery group developed stones. This is a slight increase risk of developing kidney stones after bariatric weight loss surgery.
Prevention of kidney stones requires staying hydrated by drinking at least 64 ounces of fluid each day. This will prevent concentrating your urine which will decrease risk of kidney stones. If possible learn what type of kidney stones that you may be at risk of developing –calcium based kidney stone may require you to watch your intake of dairy products or if it is oxalate based may require you to limit your intake of dark green vegetables (spinach, kale,) and herbal teas. Consult with your primary care doctor if you suspect you are at risk of kidney stones.
Dr. Ditslear is a native of Noblesville, Indiana. He graduated with honors in

chemistry at Miami University of Ohio and then graduated from the Indiana University School of Medicine in 1994. During medical school he was elected to the Alpha Omega Alpha Medical Society for Academic Honors. He completed his general surgery residency at Methodist Hospital in Indianapolis. He is certified by the American Board of Surgery. Dr. Ditslear is on the teaching staff for the Indiana University General Surgery Residency Program. He is married and the father of four children. Dr. Ditslear's honors include Alpha Omega Alpha Honor Society, E.B. Rinker Scholastic Scholarship, Certification for Research Program in Academic Medicine and Golden Key Honor Society. He is an Associate Fellow of the American College of Surgeons and a member of the American Medical Association, Indiana State Medical Association and Indianapolis Medical Society.
I recently saw a post-surgical patient this week that had lost 90 pounds. He was very happy to report to me that he participated in an event this year with his wife, that in previous years he was only a spectator at due to his weight.
He was extremely proud of the fact that they came in second. What event you might ask? Admittedly, it is not your common sporting event but he was so happy with his success that I enjoyed the story as well.
They came in second in an Outhouse race. This is the first time I have heard of, or had a patient participate in an Outhouse race, but nonetheless thrilling to me, that as a surgeon I have been able to help him achieve success!