When Demetris first came to the office, he weighed 322 lbs at 5’4″ tall. His congestive heart failure was so severe that he could barely get down the hallway without stopping due to shortness of breath. His essential hypertension was so severe that despite multiple medications his blood pressure was not controlled. He chose gastric bypass surgery and his life has completely changed. 2 years later, he has lost over 120 lbs, his blood pressure is reasonably controlled on fewer medications, and he can do any activity that he wants. He plays basketball with his son, he works out lifting weights, and he is active repairing cars. He has a whole new life thanks to his hard work and the help of surgery.