New Supervisory Physician
Shebani Sethi Dalai , MD, is my new supervisory physician. While Dr. William Franklin was immensely helpful filling in until we could make this work, you can see from Dr. Sethi Dalai’s background why I’m thrilled about her taking on this role. Dr. Sethi Dalai is board certified in both Psychiatry and Obesity medicine. She received her MD from Duke University School of Medicine and National University of Singapore, and a master’s degree in Biotechnology from Johns Hopkins University. She completed her residency in psychiatry at Stanford University and is now an Attending Psychiatrist in Stanford’s Department of Psychiatry and Behavioral Sciences as well as Director of Metabolic Psychiatry. She is currently involved in research on the effectiveness of a low carbohydrate dietary intervention in patients with obesity and bipolar illness or schizophrenia.
So Where is Carol, anyway?
Life is change. Growth is optional.
- Karen Kaiser Clark
While I really miss the Central Coast and seeing patients live, life is about change and compromise. I’ve returned to my native New England to be closer to my daughter who lives in New York City, as well as cousins and old friends in the Boston area. After spending months commuting between my new home in Rhode Island and the Central Coast, the pandemic put a stop to that. I have joined many of my colleagues who specialize in weight management using telehealth. I’ve gotten advice from experts in the field and while it has its limitations, there are also advantages. You don’t have to drive anywhere to see me, so visits use less of the time you value. I’m also pleased to announce that I am working one day a week at Integrated Medical Weight Loss in East Greenwich, RI. It’s exciting to be working with other people sharing the same goals.
I continue to look around me and see that most people my age have retired. And I say, “Huh? Why did they do that?” I love what I do. Why would I want to stop doing this??? I have NO plans to retire. I love working with my patients and plan to continue doing so for many years.
I’ll still be available by phone in the usual ways. I’ll just be in a different time zone. (Sounds like an insult: Hey, that one’s in a different time zone, isn’t she?) So, I’ll be 3 hours ahead of you. I’ll be there as usual to discuss any new symptoms or problems at the same phone number. If you have any questions about the new plans, call either Terri at the office 805-748-0954 or me on my cell. Terri will still be booking both new and follow up patient appointments.
Carol Rowsemitt may be just the weight loss solution you are looking for.
Just eat less and exercise more!! Tired of hearing that? So am I. If you have trouble losing weight and keeping it off, then you’re in the right place. You know it’s more complicated than that. You succeed at many other things, but this just isn’t working. Maybe you’ve lost 10 or 20 pounds. Then the system seems to put on the brakes. You keep doing the same behaviors that helped you lose that weight, but now the scale doesn’t budge. And you seem to be thinking about food even more than usual. The starchy, fatty foods are calling your name.
Many of us know these things and we think it’s just lack of will power. But the body of scientific evidence grows weekly. Here’s the truth:
Primitive parts of your brain can tell when there’s not enough food coming in. The brain says, “Hey, if we can’t find more food, we’re going to die!” So changes in brain chemistry and hormones cause several things:
Increased interest in food.
More food in the stomach is needed to feel full.
Resets your body’s metabolism to burn fewer calories at rest.
The lowered metabolism makes you tired, and possibly depressed, so you become less active.
Makes your muscles become more efficient, so when you do work out, you burn fewer calories for the same amount of work.
These changes have been studied as far out as one year after weight loss. And guess what? These changes still haven’t returned to normal.
So now you know what you’re up against. It’s not weakness – it’s your primitive body doing what it’s supposed to do to keep you alive when there’s not enough food coming into your stomach. It’s going to take superhuman will power to continue to lose weight and to keep it off. That’s why this is such a challenge.
Getting help for these problems involves using medications that decrease appetite and interest in food. For some people, getting the metabolism back to normal is also part of the process.
While most people accept the idea that we should treat type 2 diabetes, high blood pressure, and cholesterol problems with medications, some people continue to think that we should not use medications to help with weight loss and maintenance. But problems such as high blood pressure, diabetes, etc., generally improve with weight loss. And there’s a very long list of other things that improve with weight loss including liver problems, weight-related arthritis pain, sleep apnea, and many more. Weight loss also can decrease the risk of developing cancer.
A variety of prescription medications can be used alone or in combinations to help you lose weight and keep it off. Some of these medications are approved by the FDA for weight loss, others are approved for other problems but have decreased appetite as a side effect.
Working with Dr. Thomas Najarian in Los Osos, CA, for seven years, I learned and contributed to the evolution of his approaches to helping people lose weight and keep it off. San Luis Obispo weight loss is my specialty and my experience can help make a difference in the way you feel about yourself and give you confidence.
Many people have found my philosophy and style to be very helpful for supporting them in their weight loss efforts over the long-term as well as to keep that weight off. Take a look around the website; you will find information about my experience and philosophy. If you are looking for a great program for weight loss in the San Luis Obispo area or anywhere else in California, know that we’re just a tele-visit away.
New Patient Visit: $200, 1-hour appointment
A deposit of $100 is required to hold the appointment time. The deposit will be applied to your first visit.
Follow-up Visit: $110, 30-min appointment.
Follow-up visits for weight management are every 6-8 weeks.
Once you reach your goal, maintenance visits are approximately 3-4 months.
For thyroid-only patients, follow-up visits vary from 3- 6 months.
Restart Visit: $185: 45-60-min appointment.
If your health insurance is a PPO, I will provide a receipt/superbill so that you can submit a claim to your insurance company. It’s easy to do. In many cases, they will provide some level of reimbursement directly to you. You may want a superbill for tax purposes or a health savings account.
I also work with people who have thyroid disorders with or without weight issues. Many providers pay more attention to thyroid stimulating hormone (TSH) than to any other factor when evaluating thyroid.
I assess a variety of lab values as well as listening to your report of symptoms to determine how to evaluate and treat thyroid problems.