A bariatrician is a licensed physician (Doctor of Medicine [MD] or Doctor of Osteopathy [DO]) who, as a member of the American Society of Bariatric Physicians (ASBP), has received special training in bariatric medicine the medical treatment of overweight and obesity and its associated conditions. Bariatricians address the obese patient with a comprehensive program of diet and nutrition, exercise, lifestyle changes and, when indicated, the prescription of appetite suppressants and other appropriate medications. (The word bariatric stems from the Greek word barros, which translates as heavy or large.)

While any licensed physician can offer a medical weight loss program to patients, members of the ASBP have been exposed, through an extensive continuing medical education program, to specialized knowledge, tools and techniques to enable them to design specialized medical weight loss programs tailored to the needs of individual patients and modify the programs, if needed, as the treatment progresses. ASBP members are uniquely equipped to treat overweight and obesity and associated conditions.

A physician-supervised medical weight loss program may be the safest and wisest way to lose weight and maintain the loss. Overweight and obesity are frequently accompanied by other medical conditions, such as type 2 diabetes, hypertension, cancer and others. A bariatric physician is trained to detect and treat these conditions, which might go undetected and untreated in a non-medical weight loss program.

How do you compare grapefruits and zebras?  The question is fair but to try and answer it for every person is impossible.  Have you noticed all the weight loss advertisements that show a person losing 100 pounds the small print that says “results not typical”?  

Since assuming the medical practice at Cudmore Clinic, Dr. Rader has tracked in a data base the average weight loss of all 2500 patients making at least two visits to the clinic.  He is presenting the results in a series of presentations at local medical practices and at the National Weight Loss Physician programs.  His hope is by documenting the success of the program, insurances will begin to reimburse the medical expenses for patients.

As of Aug 1 2004, 3500 patients lost over 33,000 pounds in the first month.

Overweight and obesity is a very complex medical disease.  Very often, unrecognized or undiagnosed medical conditions are associated with the weight gain.  These conditions may prevent weight loss or worse, be harmful to you if not recognized and treated.  A medical weight loss specialist knows these metabolic conditions and can test for them.

A medical weight loss specialist has done extra study, training, and testing to become board certified in weight loss medicine.  Also, to become board certified, the national board of Bariatric Medicine sent a previously board certified physician to Boise to investigate Dr. Rader’s practice and the physician reported back to a board of physician before certifying Dr. Rader’s qualifications.  Dr. Rader is Idaho’s only MD to pass all three parts of the process and become board certified in weight loss medicine. 

Not only is Dr. Rader a treatment specialist, he is an instructor teaching other physicians in his weight loss medicine methods.  He has been a presenter and lecturer at the national conferences in 2003 and 2004. He has other physicians train in his office.  Local physicians are referring patients to his office, but a MD referral is not necessary.

Money is and should be an issue when considering any weight loss program.  In developing his program and deciding on fees, Dr. Rader considered many options. One program in Philadelphia advertised $2000 for the first visit. When asked who takes care of school teachers and bus drivers, the doctors said “I'll let someone else do that.” Another weight loss program locally tries to get the patient to commit to hundreds of dollars of food purchases on the first visit. Another local program is $350 first visit.

Dr. Rader wants to make his program available to everyone because he knows what weight loss did for his life.

He is the only board certified medical doctor in weight loss medicine in the state of Idaho. The cost of the first visit at the Boise is extremely reasonable and includes:

• History and physical exam done by the Dr.
• Infrared body composition determination.
• Weight, measurements, and vital signs.
• Dr. Rader also does a 45 minute presentation in a small group
• Dr. Rader talks with each patient again individually
• Medications and nutritional instructions are included 

Contact the clinic with specific questions on first visit procedures and pricing.  At the first visit, Dr. Rader may order certain blood tests.  These tests include blood chemistries, liver functions, kidney functions, serum triglycerides, total cholesterol, good cholesterol, bad cholesterol, CBC (white and red blood cell counts) and two thyroid blood tests

EKGs are often obtained. This depends on your medical history here physical and other factors. They are not done on everyone but only when indicated.

Dr. Rader does only the blood test and EKGs that he feels absolutely necessary... There are multiple causes of overweight and obesity that may be identified in some screening labs.  Also, many consequences of overweight and obesity may cause abnormalities in blood testing. These must all be identified prior to beginning a weight loss program. 

Most biochemical causes of being overweight and obese are fairly common. These can usually be identified with some basic lab testing. However a few causes of being overweight obesity are identified only with very unique and often very expensive lab testing. Many offices will do hundreds of dollars of blood testing on every patient to try to find the one patient with the very rare biochemical causes of obesity. This means in some offices patients spend hundreds of dollars on blood testing that wasn't necessary.

Dr. Rader has chosen to only do a basic profile on every patient, and then do the more expensive blood testing only on patients that don't progress with weight loss like expected. This is always discussed with the patient in advance. Together Dr. Rader and the patient try to determine the least expensive way to obtain the labs.

Successful Results and Experience

Dr. Rader is now tracking over 4000 patients he has treated in his program in Boise ID. Several thousand patients had been treated in his previous weight loss practice.  Computer software programs were designed by Dr. Rader in order to follow patient results.  This program documents that changes in the program have improved patient care. Results have been so successful that he has been invited to train other physicians around the nation how to become successful weight loss physicians.

Four out of five patients that come to Dr. Rader for just three visits lose enough weight to reduce their long-term risk of diabetes over 50 percent. Patients that lose weight in the program have improvements in their lipid profile (cholesterol and triglycerides) equal to or better than commonly used cholesterol medicines. Many patients are able to come off blood pressure medicines, lipid medicines and antidepressant medicines.

Patients have now lost over 36,000 pounds in just their first month in our program. Numerous MD’s, DO’s, and nurses are patients in the program.

Professionalism

The American society of bariatric physicians has a set of 15 criteria “principles of excellence” that all bariatricians are encouraged to follow. These include always putting patients’ welfare above all, avoiding value judgments concerning a patient’s behavior, complying with all state and federal laws, providing adequate and truthful information to the patient about their disease, and cooperating fully with other physicians in providing medical care to every patient.

Scientific Knowledge

As a specialist in weight loss medicine, Dr. Rader has passed written and oral examinations. The office has also passed and on-site examination by the American Bariatric society.  National Conferences are attended by Dr. Rader and members of his staff twice a year to maintain current knowledge on advances in obesity.  Dr. Rader has been a lecturer at the past two national conferences.  Dr. Rader constantly researches all new information on weight loss.  He also works with other physicians, and has spoken to various physicians around Idaho.  He has been published in the field of research and in patient care.

Compassion and Understanding

Upon a first visit to the clinic, Dr. Rader discusses that he too shares the disease of obesity.  There was a time in his life that he would wear the same pair of pants two times in one week because none of his other suits fit.  All the while he was working 12-hour shifts in the ER (and chairing in his department), coaching his sons Little League team, being a dedicated Scout Master with his youngest, presiding over two companies and staying actively involved in his church.  Despite this busy lifestyle his weight continued to rise.  Dr. Rader then made the life changing decision of devoting his time to helping those like him, and became dedicated to living and promoting a healthier lifestyle.  With over 15% of his initial body weight and 90% of his excess body weight lost, he has been pioneering this healthy lifestyle for himself and thousands of patients for over 8 years.  Obesity is a disease; Dr. Rader has experienced flare-ups, but has remained dedicated in his attempts to control the disease.  His struggles with this allow him to be empathetic and understanding towards both the emotional and physical well-being of his patients.

Prices that are affordable to most everyone.

Monitoring a patient active in a weight loss program is essential. The rate of weight loss, the amount of weight loss, vital signs, percent body fat and percent lean tissue, emotional stability, and biochemical health must all be considered as a patient is losing weight.

Dr. Rader is a bariatric (medical weight loss) specialist and is specifically trained to know how and when to follow-up with patients.  Several programs are available.  Most patients are monitored monthly with visits in the office.  Sometimes a person needs more frequent visits for closer observation, training, and motivation.

The clinic maintains a database and is tracking over 4000 weight loss patients. Based on experience with other patients, after a patient history, physical exam, blood tests, and the first month weight loss, Dr. Rader is able to predict what expected weight losses should be following that first follow-up visit.  If expected weight loss is not obtained, then he knows the questions to ask, tests that might be necessary and changes in medication that might help pull the patient up to the expected weight loss.

Training patients for weight loss maintenance begins on the very first visit. Information from national weight loss conferences, experiences from patients, experiences from his own weight loss maintenance, and information from the national health-care weight loss registry of 10,000 weight loss patients who have lost 30 or more pounds is used to help determine an appropriate maintenance plan for every patient.

He establishes with the patient, weight guidelines to help every patient be prepared for relapses in their weight.  All patients have a safety plan and know when to return to the office.

Patients that fall out of the program for what ever reason are contacted by the office on a reasonable basis for encouragement in maintaining their weight loss or are invited to return to the office for additional bariatric care.