SlideShare ist ein Scribd-Unternehmen logo
1 von 52
Obesity:  The Bariatric Challenge Chad S Lewis, MD Emergency Medicine Resident Albany Medical Center
Obesity Defined ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemic Proportions:  US 1991 through 1998  ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
BMI  weight and height ,[object Object],[object Object],[object Object],[object Object],[object Object]
Higher risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heart Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pulmonary Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pulmonary Problems ,[object Object],[object Object],[object Object],[object Object]
Obesity-hypoventilation syndrome:  Pickwickian syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cancer Mortality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obstetrics and Gynecology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obesity and Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Obesity and Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prehospital Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Airway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Brazilian Journal of Anesthesiology, 2005; 55: 2: 256-260 Tracheal Intubation of Morbidly Obese Patients: A Useful Device Ricardo Francisco Simoni
Assessment of Airway
Airway Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Brazilian Journal of Anesthesiology, 2005; 55: 2: 256-260 Tracheal Intubation of Morbidly Obese Patients: A Useful Device Ricardo Francisco Simoni
Alternate Airways ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anticipate airway difficulty ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sphygmomanometry ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pulse Oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Venous Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Improving Chances at  Venous Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ECG Difficulties ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ECG Differences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMS Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meeting the Challenge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Current Education ,[object Object],[object Object],[object Object],[object Object],[object Object]
Provider Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Safety in equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FDNY Guidelines ,[object Object],[object Object],[object Object],[object Object]
FDNY Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obstacles in Transport ,[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges of Removal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transferring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transferring ,[object Object],[object Object],[object Object],[object Object],[object Object]
Creating Company Policy ,[object Object],[object Object],[object Object],[object Object]
Creating Company Policy ,[object Object],[object Object],[object Object],[object Object]
Company Policy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Various Response Methods used by EMS agencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proflexx with LBS
 
 
 
 
More Questions than Answers ,[object Object],[object Object],[object Object]
Many More Questions than Answers ,[object Object],[object Object],[object Object]
Some Helpful Pointers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Best Practices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More Helpful Tips ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More Helpful Tips ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Andere mochten auch

SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011
SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011
SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011Università degli studi di Pisa
 
GIT j club obesity women.
GIT j club obesity women.GIT j club obesity women.
GIT j club obesity women.Shaikhani.
 
Breathing in Obesity
Breathing in ObesityBreathing in Obesity
Breathing in ObesityParthiv Mehta
 
Airway management
Airway managementAirway management
Airway managementmirshafat
 
Anaesthetic managent of Bariatric surgery
Anaesthetic managent of Bariatric surgeryAnaesthetic managent of Bariatric surgery
Anaesthetic managent of Bariatric surgerysneha khobragade
 
Preventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care HospitalsPreventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care HospitalsJoe Tomsic
 
Pathophysiology of Respiratory Failure
Pathophysiology of Respiratory Failure Pathophysiology of Respiratory Failure
Pathophysiology of Respiratory Failure Gamal Agmy
 
Bariatric Surgery: Options, Trends, and Latest Innovations
Bariatric Surgery: Options, Trends, and Latest InnovationsBariatric Surgery: Options, Trends, and Latest Innovations
Bariatric Surgery: Options, Trends, and Latest InnovationsGeorge S. Ferzli
 
Introduction to endocrinology
Introduction to endocrinologyIntroduction to endocrinology
Introduction to endocrinologyAneesh Bhandary
 
Obstructive sleep apnoea(OSA)
Obstructive sleep apnoea(OSA)Obstructive sleep apnoea(OSA)
Obstructive sleep apnoea(OSA)Dhaiirya Joshi
 
Obesity - India
Obesity - IndiaObesity - India
Obesity - Indiaapnaherbal
 
Obesity - Pathophysiology, Etiology and management
Obesity - Pathophysiology, Etiology and management Obesity - Pathophysiology, Etiology and management
Obesity - Pathophysiology, Etiology and management Aneesh Bhandary
 
Obstructive Sleep Apnea (OSA)
Obstructive Sleep Apnea (OSA)Obstructive Sleep Apnea (OSA)
Obstructive Sleep Apnea (OSA)Dr.Aslam calicut
 

Andere mochten auch (20)

Bariatric copy
Bariatric   copyBariatric   copy
Bariatric copy
 
SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011
SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011
SIMONE SBRANA - BEWS Bariatric Early Warning Score - SICOB Reggio Calabria 2011
 
GIT j club obesity women.
GIT j club obesity women.GIT j club obesity women.
GIT j club obesity women.
 
Resume
ResumeResume
Resume
 
Breathing in Obesity
Breathing in ObesityBreathing in Obesity
Breathing in Obesity
 
ROHHAD Syndrome
ROHHAD SyndromeROHHAD Syndrome
ROHHAD Syndrome
 
Airway management
Airway managementAirway management
Airway management
 
Obstructive sleep Apnea
Obstructive sleep ApneaObstructive sleep Apnea
Obstructive sleep Apnea
 
Anaesthetic managent of Bariatric surgery
Anaesthetic managent of Bariatric surgeryAnaesthetic managent of Bariatric surgery
Anaesthetic managent of Bariatric surgery
 
Preventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care HospitalsPreventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care Hospitals
 
Pathophysiology of Respiratory Failure
Pathophysiology of Respiratory Failure Pathophysiology of Respiratory Failure
Pathophysiology of Respiratory Failure
 
Obesity, prevalence, risk factors, approach to management- Dr Shahjada Selim
Obesity, prevalence, risk factors, approach to management- Dr Shahjada SelimObesity, prevalence, risk factors, approach to management- Dr Shahjada Selim
Obesity, prevalence, risk factors, approach to management- Dr Shahjada Selim
 
Bariatric Surgery: Options, Trends, and Latest Innovations
Bariatric Surgery: Options, Trends, and Latest InnovationsBariatric Surgery: Options, Trends, and Latest Innovations
Bariatric Surgery: Options, Trends, and Latest Innovations
 
Introduction to endocrinology
Introduction to endocrinologyIntroduction to endocrinology
Introduction to endocrinology
 
Obstructive sleep apnoea(OSA)
Obstructive sleep apnoea(OSA)Obstructive sleep apnoea(OSA)
Obstructive sleep apnoea(OSA)
 
Obesity - India
Obesity - IndiaObesity - India
Obesity - India
 
Obesity
ObesityObesity
Obesity
 
Obesity - Pathophysiology, Etiology and management
Obesity - Pathophysiology, Etiology and management Obesity - Pathophysiology, Etiology and management
Obesity - Pathophysiology, Etiology and management
 
Obstructive Sleep Apnea (OSA)
Obstructive Sleep Apnea (OSA)Obstructive Sleep Apnea (OSA)
Obstructive Sleep Apnea (OSA)
 
obesity final
obesity finalobesity final
obesity final
 

Ähnlich wie Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge

The Obstetric Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...
The Obstetric   Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...The Obstetric   Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...
The Obstetric Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...Amer Raza
 
TRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENT
TRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENTTRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENT
TRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENTReji Mohan
 
ProningPresentationpptx
ProningPresentationpptxProningPresentationpptx
ProningPresentationpptxCherry Lynn
 
Laparoscopy in obesity Dr.Nutan Jain India
Laparoscopy in obesity Dr.Nutan Jain IndiaLaparoscopy in obesity Dr.Nutan Jain India
Laparoscopy in obesity Dr.Nutan Jain Indiajainnutan
 
06 introduction to trauma
06 introduction to trauma06 introduction to trauma
06 introduction to traumaDang Thanh Tuan
 
Cardiopulmonary%20 resuscitation%20during%20pregnancy
Cardiopulmonary%20 resuscitation%20during%20pregnancyCardiopulmonary%20 resuscitation%20during%20pregnancy
Cardiopulmonary%20 resuscitation%20during%20pregnancyjaxemergency
 
Obstetric High-Dependency unit (hdu) CME
Obstetric High-Dependency unit (hdu) CMEObstetric High-Dependency unit (hdu) CME
Obstetric High-Dependency unit (hdu) CMEJokene Andrew
 
Dr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesDr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesSean M. Fox
 
Infertility up to date1
Infertility up to date1Infertility up to date1
Infertility up to date1RihabAbbasAli
 
Spontaneous pneumothorax: Are we treating the patient or the xray?
Spontaneous pneumothorax: Are we treating the patient or the xray?Spontaneous pneumothorax: Are we treating the patient or the xray?
Spontaneous pneumothorax: Are we treating the patient or the xray?kellyam18
 
6.preoperative assessment
6.preoperative assessment6.preoperative assessment
6.preoperative assessmentHenok Eshetie
 

Ähnlich wie Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge (20)

The Obstetric Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...
The Obstetric   Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...The Obstetric   Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...
The Obstetric Gynaecologis - 2011 - Biswas - Surgical risk from obesity in ...
 
TRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENT
TRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENTTRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENT
TRANSFFERING A CRITICALLY ILL OBSTETRIC PATIENT
 
Prone positioning new
Prone positioning newProne positioning new
Prone positioning new
 
ProningPresentationpptx
ProningPresentationpptxProningPresentationpptx
ProningPresentationpptx
 
OBESITY.pptx
OBESITY.pptxOBESITY.pptx
OBESITY.pptx
 
Trauma
TraumaTrauma
Trauma
 
Anaesthesia in obesity
Anaesthesia in obesityAnaesthesia in obesity
Anaesthesia in obesity
 
Laparoscopy in obesity Dr.Nutan Jain India
Laparoscopy in obesity Dr.Nutan Jain IndiaLaparoscopy in obesity Dr.Nutan Jain India
Laparoscopy in obesity Dr.Nutan Jain India
 
Gas exchange
Gas exchangeGas exchange
Gas exchange
 
06 introduction to trauma
06 introduction to trauma06 introduction to trauma
06 introduction to trauma
 
Cardiopulmonary%20 resuscitation%20during%20pregnancy
Cardiopulmonary%20 resuscitation%20during%20pregnancyCardiopulmonary%20 resuscitation%20during%20pregnancy
Cardiopulmonary%20 resuscitation%20during%20pregnancy
 
Obstetric High-Dependency unit (hdu) CME
Obstetric High-Dependency unit (hdu) CMEObstetric High-Dependency unit (hdu) CME
Obstetric High-Dependency unit (hdu) CME
 
Pediatics
PediaticsPediatics
Pediatics
 
Burn1.pptx
Burn1.pptxBurn1.pptx
Burn1.pptx
 
Dr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December CasesDr. Escobar’s CMC X-Ray Mastery Project: December Cases
Dr. Escobar’s CMC X-Ray Mastery Project: December Cases
 
Infertility up to date1
Infertility up to date1Infertility up to date1
Infertility up to date1
 
Spontaneous pneumothorax: Are we treating the patient or the xray?
Spontaneous pneumothorax: Are we treating the patient or the xray?Spontaneous pneumothorax: Are we treating the patient or the xray?
Spontaneous pneumothorax: Are we treating the patient or the xray?
 
ARDS.pptx
ARDS.pptxARDS.pptx
ARDS.pptx
 
6.preoperative assessment
6.preoperative assessment6.preoperative assessment
6.preoperative assessment
 
4- THR.pdf
4- THR.pdf4- THR.pdf
4- THR.pdf
 

Mehr von MedicineAndHealth14

Preop Assessment Periop Management
Preop Assessment Periop ManagementPreop Assessment Periop Management
Preop Assessment Periop ManagementMedicineAndHealth14
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.pptMedicineAndHealth14
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...MedicineAndHealth14
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLSMedicineAndHealth14
 
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...MedicineAndHealth14
 

Mehr von MedicineAndHealth14 (20)

Diabetic eye disease
Diabetic eye diseaseDiabetic eye disease
Diabetic eye disease
 
Womenseyehealth
WomenseyehealthWomenseyehealth
Womenseyehealth
 
Retinoblastoma
RetinoblastomaRetinoblastoma
Retinoblastoma
 
Glaucoma
GlaucomaGlaucoma
Glaucoma
 
Eye
EyeEye
Eye
 
Radical Neck Dissection
Radical Neck DissectionRadical Neck Dissection
Radical Neck Dissection
 
Entgr Tonsillectomy
Entgr TonsillectomyEntgr Tonsillectomy
Entgr Tonsillectomy
 
Preop Assessment Periop Management
Preop Assessment Periop ManagementPreop Assessment Periop Management
Preop Assessment Periop Management
 
Iodine
IodineIodine
Iodine
 
Deep Neck Infections
Deep Neck InfectionsDeep Neck Infections
Deep Neck Infections
 
Passive Smoking and Health
Passive Smoking and HealthPassive Smoking and Health
Passive Smoking and Health
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
 
Surgery Block Evaluation
Surgery Block EvaluationSurgery Block Evaluation
Surgery Block Evaluation
 
Cough In The Elderly
Cough In The ElderlyCough In The Elderly
Cough In The Elderly
 
Emergency Contraception
Emergency ContraceptionEmergency Contraception
Emergency Contraception
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...
 
Oral Pathology
Oral PathologyOral Pathology
Oral Pathology
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
 
Diabetes
DiabetesDiabetes
Diabetes
 
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
 

Kürzlich hochgeladen

Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Timevijaych2041
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...rajnisinghkjn
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 

Kürzlich hochgeladen (20)

Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 

Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge

  • 1. Obesity: The Bariatric Challenge Chad S Lewis, MD Emergency Medicine Resident Albany Medical Center
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 43.  
  • 44.  
  • 45.  
  • 46.  
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.