A New Form of Bulimia: Pump Eliminates Need to Purge

Decades ago, patients had their mouths literally wired shut. Then came the era of the balloon inserted and inflated in the stomach to mimic the sensation of fullness. Then we moved into radical surgery that rerouted the gut altogether. The most recent attempt to achieve weight loss is the lap band, considered less invasive and still far short of a fail-proof miracle cure for most people.

Never let it be said that companies are asleep at the wheel when it comes to creating new, and ever more bizarre, devices to “help” the morbidly obese.

Acquiring rapid approval from the Food and Drug Administration this week, the AspireAssist is being touted as the new solution for those who have failed to lose weight. After all, it is minimally-invasive, reversible; it’s a simple procedure that offers quick recovery; it has proven results in clinical trials and is affordable. How great is that?

Now, let’s talk about what is actually true. This is a pump that allows people to consume food, and then mere minutes later drain it from their stomachs straight into the toilet. Many experts are calling it a bulimia-assist device. And well they should. The individual gets the same result without having to engage in that pesky, far more dangerous act of vomiting.

The makers of the device also tout that another “real benefit” of it is that people get to engage in “a healthy, normal lifestyle.” It seems they have skipped over the part about having to go to the bathroom after every meal and dump out undigested food from the stomach directly into the toilet.

The evacuation takes from five to ten minutes, should be executed after every large meal, and can “easily” be accomplished in a public restroom.

There is nothing normal about this.

In a statement, the FDA cautions that the device should not be used by those with eating disorders. Now what does this organization in its infinite wisdom think that, at the very least, a sizeable minority of those with severe obesity are struggling with? Cancer?

Many of those whose weight would classify them as obese have a very real eating disorder – most will go undiagnosed and untreated. These are exactly the people who will go to great lengths to get such a device installed. A quick fix; it’s every addict’s dream, indeed, every American’s dream.

The only thing this company is doing right is advocating lifestyle counseling while using this product. Imagine what results we would see if we offered ongoing individual therapy, lifestyle counseling provided by nutrition and exercise specialists and lifelong supportive group therapy without the “purge device.”

What does it say about our country’s obsession with thinness and its widespread disdain for people of size that the FDA so rapidly approved this device, essentially a bulimia-assist product for the “treatment” of those classified as obese based on their BMI?

Our healthcare system is short-sighted, symptom-focused and very broken. When we start to understand people first and foremost as human beings and view their “symptoms” in that context, perhaps we will deliver care to people in ways that enhance their health (physical, mental, emotional, social and spiritual) sustainably. And, at a fraction of the cost that we are currently dumping down the toilet due to our broken system.

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SunCloud Health has helped countless patients understand and overcome their eating disorders, offering binge eating disorder treatment programs for adults and teen eating disorder treatment for adolescents
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-Our Research Team-
Timothy D. Brewerton, MD, DLFAPA, FAED, DFAACAP, CEDS-S
Professor Emeritus of Psychiatry and Behavioral Sciences
Dr. Christopher Womack
Medical Director, Child and Adolescent Psychiatry

Dr. Christopher Womack joins SunCloud as our Medical Director, Child and Adolescent Psychiatry.

Dr. Womack is board certified in Adult as well as Child and Adolescent Psychiatry, attending the University of Chicago Pritzker School of Medicine. Adult psychiatry residency and child fellowship training were completed at the University of Chicago Medical Center.

Dr. Womack’s treatment  philosophy hinges on strength based, evidence informed care, where collaboration is central to guiding individualized treatment.  He has experience caring for children and teens from varied backgrounds, appreciating the importance of how identity can inform treatment.

Favorite pastimes are cooking new recipes and exploring Chicago’s rich cultural diversity through its neighborhood and fine dining experiences.

Elizabeth E. Sita, MD
Medical Director of Adult Services

Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award.

Upon completing her training, Dr. Sita joined the staff atAscension Alexian Brothers Behavioral Health Hospital Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders.

Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making.

She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!

 

VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services

 

Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.