The bariatric clinic doctor helps you avoid weight loss misconceptions
2025-03-17
Bai Yansong: What is overweight? The simplest way is to divide your weight by the square of your height. As an adult, as long as it is greater than or equal to 24, you have entered the threshold of overweight. For example, an adult who is 1.7 meters tall and weighs over 70 kilograms is already overweight. In recent years, some hospitals have established weight loss departments and entrusted professional tasks to professional doctors. So, how does the weight loss department help patients? This week, the news of weight loss clinics opening in several hospitals, mainly Peking Union Medical College Hospital, has received widespread attention from society. The First Affiliated Hospital of Chongqing Medical University has been operating an obesity clinic for 18 years since 2007. Zeng Menghua, Deputy Chief Physician of the Gastroenterology Department at the First Affiliated Hospital of Chongqing Medical University: After arriving at the outpatient department, we will have a dedicated case management nurse to receive him and conduct a physical measurement. Then we will conduct a consultation and understand all the examination results before we can give him a weight loss method. Whether it is a simple adjustment of diet and lifestyle, medication, or surgical intervention, a plan will be given to him. Due to significant individual differences among patients, each person's weight loss plan varies in the prescription of professional doctors. But during the consultation, Zeng Menghua still found that some patients had significant misconceptions about weight loss and had taken many detours before seeking medical treatment. Zeng Menghua: The first one is that among our patients, those with body anxiety have a completely normal weight and feel unsatisfied with their current weight. They must lower it to the level of bone beauty. The second person believes that obesity is not a problem, and many of them may come to see a doctor because their loved ones or parents force them to do so. There are two extremes, one is excessive anxiety, and the other is excessive indifference. Also, I know that I want to lose weight when I gain weight, but the method is incorrect. There are also problems with the treatment methods, either excessive obsession with drugs or obsession with surgery. There are many such doubts, and I need to spend a lot of time explaining them. At present, most hospitals have established weight loss departments with strong medical capabilities. Taking this hospital in Chongqing as an example, the weight loss clinic is staffed by experts from multiple disciplines such as gastroenterology, endocrinology, and clinical nutrition. When encountering complex cases, they will also focus on discussions, which also leads to the early termination of daily account sources. It's not easy to see a disease once, which is the biggest feeling of obese patients. However, just seeing a disease once is not enough to solve all the problems. In clinical practice, Zeng Menghua often encounters problems such as patients not being able to persist and inadequate follow-up. Weight management requires long-term effort, and weight loss is not just a one-day effort, but a long-term effort. Last week, the "National Health Weight Loss Camp" project, guided by the National Health Commission, was launched. 11 public hospitals across the country were included in the first batch of health weight loss camp science popularization units, and this hospital is one of them. Currently, their weight loss camps are voluntarily participated by patients, and they gather together every week to share their experiences and supervise each other. Doctors also participate in it, providing science popularization and personalized guidance for patients. In the weight loss camp, most patients are grateful to have joined the hospital's weight loss camp. But for the obese population in the whole society, relying solely on the power of one hospital is far from enough. With professional equipment and standard movements, these sweating weight loss enthusiasts are not in the gym, but in a community hospital in Nanjing. Patient Mr. Gao: Because we used to exercise in the gym, but the intensity may not be suitable for people like us with underlying diseases, which could be dangerous. Going to a big hospital for treatment is too troublesome, and going to the gym is not suitable for oneself, so weight loss is delayed. In the past, the community hospital found that patients often complained about not receiving convenient and professional weight loss guidance during consultations. Therefore, in 2021, it also opened a weight loss department with its own characteristics. Chen Baoyi, Vice President of Maigaoqiao Community Hospital in Qixia District, Nanjing City: I think what we compare with top tier hospitals is not technology, they solve difficult and complicated problems. We are closer to patients, and our patients can come to our place for fitness and exercise on their way after work. Secondly, we can track patients for a long time through a team of family doctors for health management. Chen Baoyi: The minimum fee is 397 yuan for three months. Each patient has a personalized plan, and whether they can use medical insurance depends on their specific situation. If they need to undergo some tests such as thyroid or blood sugar tests due to chronic diseases, they can use some medical insurance. Due to the supervision of local health departments in areas such as examination, prescription, and fees, weight loss camps held in community hospitals are highly recognized by residents and are bustling every day. Although the hospital already has 8 professional medical staff working in the weight loss department, the workload is still increasing day by day. With the increasing attention to weight loss departments in various regions, it is still worth paying attention to how to meet the needs of patients. Zhao Jiajun, member of the Standing Committee of the National Committee of the Chinese People's Political Consultative Conference and Chairman of the Endocrinology Branch of the Chinese Medical Association: Weight loss is very popular, and various hospitals are preparing to establish or have already established weight loss departments. From a long-term perspective, top-level policy design is still needed. Firstly, it is necessary to cultivate more specialized talents. Secondly, it is necessary to improve the discipline settings. For example, if the originally recruited students did not have this major, it is a problem of system construction. (New Society)
Edit:Ou Xiaoling Responsible editor:Shu Hua
Source:CCTV
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