Table of Contents
I dedicate this book, with utmost respect, to my father, Robert Davis. It was always a dream of mine to grow up to be like him, and I am still striving to do so. It is an amazing honor to be his partner, and it has cemented our relationship, not only as father and son, but also as the best of friends. Neither this book nor the wonderful weight-loss program we have set up in Houston would be possible without him.
Acknowledgments
I would like to acknowledge first and foremost the many people who have given me the chance to help them. I know that the struggles and triumphs presented in this book are just the tip of the iceberg compared to what they go through on a daily basis. I am honored that they trust me to care for them, and I thank them for allowing me to share in their joy and success.
I would also like to thank all the invaluable team members who have helped me create and continue such a wonderful weight-loss program. Sue Thompson, Kathie Nelson, and Karin Larson-Pollock have created an amazing weight-loss program at the Methodist Hospital, and Trudy Ivins singlehandedly brought to life a center of excellence in bariatrics at University General Hospital. Our very large program requires quite a bit of coordination, so I must thank Allison Skelton, Zola Landers, and Tara Corbett for their dedication and support. The dieticians in our program are crucial to its success, so I am grateful to Kathryn Lito, Jennifer Naples, and Stephanie Barrocas for all their hard work in helping my patients reach their goals.
Diet and surgery are only part of a successful weight-loss team. I am therefore indebted to Mary Jo Rapini for all the hard work she has put into our program, this book and for costarring on Big Medicine with me. I consider her to be an invaluable part of our successboth my own and the patients I treat. I also would like to thank Monica Agosta, Stephen Morris, and Deborah Lindeen, who also have played such important roles in the mental health of my patients.
I am always impressed at Austin Daviss dedication to our program. Besides helping me with this book, he regularly attends our support groups and has selflessly taught many of my patients who had never exercised before the true meaning of what it means to be fit.
I must also thank my truly amazing office staff. Jamie Carr is one of the most experienced and well-known bariatric nurses in the country. I cannot thank her enough, not only for helping me with this book, but also for agreeing to become a part of this team and helping me both create and lead the program. I must also thank Kimberly Taylor, who was invaluable in helping me with this book, and with my office; her professionalism and dedication are much appreciated. I could go on forever, so let me just give a huge thanks to Melinda, Alma, Zintia, Maria, Tammy, Melissa, Tameki, Becky, Tricia, and Ellen. I appreciate you all more than you know.
I never could have written this book without the help of Laura Tucker. I was absolutely amazed that after spending just a few days with me she was able to learn not just about the weight-loss surgeries but also the plight of the obese patients. She is a fantastic writer, and I thank her dearly for her patience and her help in writing this book.
Id also like to thank the amazing team at Hudson Street Press for their professionalism, particularly Luke Dempsey for his continued faith in me and in the project, and Danielle Friedman for her sensitivity, guidance, and meticulous attention to detail.
I must thank my loving family for all their support. To my sisters, Toni and Kim, who have always been so loving and supportive, and to my always doting and caring mother, Arlene, thank you so much for all of your care and love. And to my brother-in-law, Paul, who handled the amazing number of legal issues that go into writing a book, and who is always watching my back. Finally, I would like to thank Kelly, my wife, who is so patient with my long hours, and who truly is my partner in life, and my sweet baby, Avery, who is my motivation.
Introduction
I look down at my body and think, How did I get to be like this? Im trapped in here; its like a prison.
It is not an exaggeration to say that I have felt guilty and anxious about every single bite of food that has passed my lips in the last thirty years.
I see how happy and confident and sexy other women look. I see the attention they attract, the fun they have showing off their clothes and their bodies, and the voice inside my head says, Thats not for you. That has never been for you, and it will never be for you.
There is no diet I havent tried. Low-carb, no-carb, all-carb, low-fat, no-fat, good fat. WeightWatchers, Jenny Craig, Quick Weight Loss, grapefruit, cabbageyou name it, Ive starved myself on it. Do I lose? Sure I do. Do I gain it back? Every time, plus some for good measure.
Do any of these sentiments sound familiar to you? If they do, then youre probably struggling with the disease called obesity. Youre not alone; millions of Americans are right there with you, and those numbers are increasing every year. And if you heard your own voice in the statements above, then youre reading the right book.
The simple fact is that obesity is a disease, and an inherited one. Most of the population doesnt realize this. In fact, many doctors dont realize this, which is why the prevailing medical advice to people struggling with the disease of obesity continues to be eat less, and exercise more.
The problem with that advice, as you probably know all too well, is that it doesnt work. Do diet and exercise play a role in how much you weigh? Sure. In fact, as well discuss at greater length later, the role they play is an important one. But the fact remains that most people who rely on diet and exercise alone to control obesity will fail.
Diet and exercise alone are overwhelmingly unsuccessful interventions for the obese.
So too many people with this disease go untreatedand with severe consequences to their health. Living with obesity means more than simply coping with a compromised quality of life and poor self-esteem; it often means living with painful chronic diseases, such as arthritis, and potentially fatal ones, such as heart disease and diabetes. In fact, obesity is currently poised to outstrip cigarette smoking as the single leading cause of preventable disease in the United States.
It doesnt have to be this way. There is a solutionone that can help you not only shed pounds and the health risks associated with obesity but also calm your hunger and normalize your relationship with food. That solution, and whether or not its the right one for you, is the subject of this book.
My name is Garth Davis, and Im a weight-loss surgeon in Houston, Texas. You may have seen me and my father, Dr. Robert Davis, on our TLC show, Big Medicine. The response to the show has been a little overwhelmingneither one of us ever thought wed be recognized in airports!but it also has been tremendously gratifying. We agreed to do the show in the first place because we wanted to give our patients a voice, something that is too often denied to the obese. We wanted to show the realities of weight-loss surgerythe good as well as the badwithout media sensationalism. Most of all, we wanted to show that while surgery might not be the right choice for everyone, if it is the right choice for you, it can truly change your life.