CAT Tracks for March 16, 2010
I'LL TAKE IT AS A SIGN

Last Tuesday, in "Stupid Is As Stupid Does", I confessed that I was almost moved to make a trip to Carbondale on Monday, March 15th, for a 1 p.m. public hearing by the Illinois Department of Public Health...but then detailed why I would NOT go.

"Coincidentally", without even thinking about it, at 1 p.m. yesterday - the appointed day...the appointed hour - I clicked on an "appealing link" at the MSNBC.com website. When I arrived, it jogged my memory of where I had threatened to be.

An article on patients, doctors, and the "battle of the bulge"...

I have seen the light!


As you have read during the past week on CAT Tracks, I have dissed the President of the United States for wimping out on his campaign promise to reform health care and his convenient ballyhooing of his "new" education plan to provide political cover for his failure.

As you know, a new champion has stepped forward to lead MY "education crusade"...the esteemed Dr. Diane Ravitch. I humbly step aside and gratefully allow her and her colleagues to expose the false education prophets. I am more than willing to be a lowly member of the "Amen Chorus".

However, I shall not fade into the background.

Instead, I shall shift gears...and wade into the battle over health care. In fact, I shall become a "convert" to the philosophy of George W. Bush and Barack Obama...as it would be applied to health care instead of education.

Yes, I have a solution to the "obesity crisis" facing the United States.

It's all about "accountability"...

George W. Bush and Barack Obama identified "the problem" in public education...INCOMPETENT TEACHERS. Their "solution"...fire teachers based upon the test scores of their students. Get rid of all the teachers whose students don't achieve suitable test scores - regardless of "outside factors" beyond their control. Hire new teachers who will raise test scores...and the problem in education is solved.

So, MY SOLUTION...

I hereby identify "the problem" of obesity...INCOMPETENT DOCTORS. My "solution"...fire doctors based upon the height-weight scores of their patients. Get rid of all the doctors whose patients don't achieve suitable height-weight scores - regardless of "outside factors" beyond their control. Hire new doctors who will improve height-weight scores...and the problem of obesity is solved.


Yes, there are two "nit-picking" complications:

However...

My "solution" would allow "We, the People" and politicians to FEEL GOOD. It's not "our fault" - that we and/or our kids are fat! We have a handy-dandy scapegoat for America's health care/obesity problems...DOCTORS!

And, doctors make a helluva lot more money than teachers, so surely they won't object to their critical role in avoiding real solutions...


An afterthought...

They criticize teachers and their unions for their job security, their tenure...the small percentage of teachers who get fired.

Just wondering...what's the percentage of doctors who get fired each year?


From the Newsweek.com Website...


Link to Original Story

Strong Medicine
Doctors must do more to help patients battle the bulge.

By Claire McCarthy, M.D. | NEWSWEEK

(From the magazine issue dated Mar 22, 2010)

For years, I had a straightforward approach to dealing with overweight children in my practice: at well-child visits, I would tell the family that the child was overweight, and we would discuss healthy eating and exercise habits. Off they would go, until their next well-child visit.

The thing is, it didn't work. They came back fatter the next year. We'd have the conversation again. And again, year after year. With a third of American children and two thirds of American adults overweight or obese, I'm not the only doctor out there failing.

I've been thinking recently about the definition of insanity attributed to Albert Einstein: doing the same thing over and over again and expecting different results. The way I was treating obesity definitely qualified as insane.

Obesity comes down to a simple energy equation: if you eat too many calories, or you don't burn off enough, or both, you gain weight. People know this. So why is everyone getting fat? After talking with lots of overweight people, I think that there are four major reasons—the four "D's":

We need people not just in health care but in government, education, agriculture, industry, and the media to take action if we want to address all the factors that contribute to obesity. But doctors have a central role to play. We are the ones sitting in those exam rooms with those patients, talking to them about their weight and their health; we are the ones who know, or who can know, the details of their lives. We are the ones whose words—clear, authoritative, and personalized--can have the most impact. We need to do this—and we need to do it in a way that recognizes the realities of how our patients think and live.

Here's what I'm doing. I'm going after denial by being very clear with people when they or their children are overweight, and by scaring them. Which isn't hard, because the consequences of obesity are scary: a higher risk of diabetes, heart disease, cancer, and orthopedic problems, not to mention social and emotional problems. As kids get older, I talk to them directly; sometimes they get it better than their parents.

I don't let people delay. I work with them to find a change they can make immediately—taking a daily walk, for example, or not buying soda—and then I see them frequently. Which helps fight discouragement, too, because even if they don't lose weight I can celebrate every change in lifestyle--and every pound not gained. If one diet or exercise idea doesn't work, we figure out a different one together. The message is that I'm not giving up.

To fight the difficulties, I spend time understanding their lives so that I can help them find solutions that make sense. I'm also learning as much as I can about community resources, like low-cost exercise options, or farmers' markets, and connecting families to them. Bit by bit, I'm seeing some success. Not much, and not in every patient, but enough to give me hope.

If all of us—doctors, parents, employers, teachers, legislators, everyone—do things differently, I think we might just turn this epidemic around. Let's stop being insane. There are lives at stake.

McCarthy is a pediatrician, assistant professor of pediatrics at Children's Hospital Boston, Harvard Medical School, and a senior medical editor for Harvard Health Publications.


As for the scheduled public hearing by the IDPH...

From the Southern Illinoisan


Link to Original Story

Ideas on combating obesity heard in Carbondale hearing

BY ROB CROW, The Southern

CARBONDALE - Dozens of people offered testimony Monday during a public hearing on obesity in Carbondale.

The forum, hosted at the Carbondale Civic Center, included a panel of three state health experts: Dr. Damon Arnold, director of the Illinois Department of Public Health; and Kevin Hutchison and Karen Phelan, both from the Illinois State Board of Health. The three listened as local health officials, students, teachers and other concerned citizens shared thoughts and ideas on how to combat the nation's growing weight problem.

The biggest topic of discussion was curbing the obesity problem among children, and ways to implement healthy eating and exercise into everyday school experiences.

Monday's hearing was the third conducted by IDPH across the state, following ones in Chicago and Springfield. The hearings are required under the Obesity Prevention Initiative Act of 2009.