A Georgetown grad. in 1977 I did my surgical residency at Maine Medical Center. I had a pretty negative view of bariatric surgery at that time, as the procedures of that day (horizontal gastroplasty, J-I bypass) seemed ineffective or metabolically devastating. I was introduced to R-Y gastric bypass in my first year of private practice, working with Maine's first member of the ASBS Jim Hoffmeister. When he moved out of state I agreed to get further training, become a member of the society, and continue his practice, which soon included revision surgery and long term followup. After 20 or so years my local hospital recruited a bariatric surgeon, at which time I felt no particular need to work in what was instantly a competitive atmosphere. So my interest in bariatrics thereafter was more theoretical than practical as I pursued my other general surgery passions of laparoscopy and breast cancer treatment.
I have remained interested in the ongoing challenges associated with bariatric medicine and surgery since retiring from active practice in 2017.