HISTORY OF PRESENT ILLNESS: , In short, the patient is a 55-year-old gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7 with comorbidities of hypertension, atrial fibrillation, hyperlipidemia, possible sleep apnea, and also osteoarthritis of the lower extremities. 
HISTORY OF PRESENT ILLNESS : , In short , the patient is a 55 - year - old gentleman with long - standing morbid obesity , resistant to nonsurgical methods of weight loss with BMI of 69.7 with comorbidities of hypertension , atrial fibrillation , hyperlipidemia , possible sleep apnea , and also osteoarthritis of the lower extremities .