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re: Question for very large people

Posted on 7/6/20 at 11:48 am to
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35519 posts
Posted on 7/6/20 at 11:48 am to
quote:

Doctors are people too and can get desensitized to what they see on a daily basis. At my heaviest I was going on 250 at 5'7". My BP was 135/95 and the nurse made no note of it. The only reason I knew about it was because I looked at the monitor. When I mentioned it to the doctor, my doctor said "That's not insanely high".

It's literally hypertension and the doctor was so used to seeing blood pressure in that range that I'm guessing her frame of reference shifted. Perhaps she looked at all my other factors, and noted that for my BMI it wasn't insanely high BP and I seemed fine otherwise so she didn't think anything of it. But it's objectively high blood pressure. And, objectively, I was extremely obese. And my doctor didn't seem to make a big deal of it.
I was 260 (at 5' 8") at my heaviest so probably close to you proportionately. I went in for a routine surgery, fell in a coma, almost died, had to relearn to walk again, etc. Not once before my surgery did my doctor mention how big of a risk factor obesity is in causing complications. You can argue that it's intuitive and I'd agree but I had no idea the scale of how big a factor it is. To the contrary, he told me I was healthy as a horse and as ready as I'd ever be for surgery.

I think Dr's are becoming as desensitized to obesity as everyone else seems to be. It's what they see day after day. And if they started started discouraging overweight people from having surgery that they can put off, until after they lose the weight, the industry would probably collapse.

That was 4 years ago. 162 now, moving to 155 goal and then I'm going to try this shite again. In the end, it was a good thing. It finally forced me to pull a foot out of the grave and do something about it.
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
25455 posts
Posted on 7/6/20 at 11:50 am to
quote:

I was 260 (at 5' 8") at my heaviest so probably close to you proportionately. I went in for a routine surgery, fell in a coma, almost died, had to relearn to walk again, etc. Not once before my surgery did my doctor mention how big of a risk factor obesity is in causing complications. You can argue that it's intuitive and I'd agree but I had no idea the scale of how big a factor it is. To the contrary, he told me I was healthy as a horse and as ready as I'd ever be for surgery.

I think Dr's are becoming as desensitized to obesity as everyone else seems to be. It's what they see day after day. And if they started started discouraging overweight people from having surgery that they can put off, until after they lose the weight, the industry would probably collapse.



4 or so of my friends from high school are now medical residents. I know way more about nutrition than them. I dont necessarily blame them, the shite they are taught in med school is at best antiquated and at worse just flat out wrong. They haven't moved out of like the mid 80s in the way they teach nutrition.

Its really concerning
This post was edited on 7/6/20 at 11:51 am
Posted by Oilfieldbiology
Member since Nov 2016
37576 posts
Posted on 7/6/20 at 11:54 am to
I’ve got a coworker, smartest man I know, that couldn’t/wouldn’t quit smoking. One day his doctor looked him straight in the eyes and said if you don’t quit smoking you’ll die in 5 years.

He quit smoking that day and started eating better. He said he knew smoking was bad, he knew it would take years off his life, but no one ever put it to him that bluntly. Maybe doctors are desensitized, maybe they don’t want to hurt feelings, but they need to be brutally honest with people.

And btw, I know I’m overweight and I’m actually beginning to lose some now as my wife started her lifestyle change to eat better and eat less, so don’t take any of my comments as I think I’m perfect and all that jazz.
Posted by Oilfieldbiology
Member since Nov 2016
37576 posts
Posted on 7/6/20 at 11:55 am to
You don’t have to teach nutrition to let someone know that their life style will lead to them dying prematurely. And there is enough info at your fingertips now that “the doctor not knowing good nutrition” is no longer a valid excuse for you not knowing nutrition.
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
25455 posts
Posted on 7/6/20 at 12:00 pm to
quote:

You don’t have to teach nutrition to let someone know that their life style will lead to them dying prematurely.


I agree, but they are giving people bad advice on how to get healthy.

quote:

And there is enough info at your fingertips now that “the doctor not knowing good nutrition” is no longer a valid excuse for you not knowing nutrition.


You'd think so, but its not that they "don't know" nutrition, its they are being taught bad information.
Posted by Aristo
Colorado
Member since Jan 2007
13292 posts
Posted on 7/6/20 at 12:03 pm to
quote:

I quit smoking & really didn’t notice I was eating THAT much more


Same here. Instead of being addicted to nicotine, you get addicted to food, so I decided to get addicted to lifting and running.
Posted by Oilfieldbiology
Member since Nov 2016
37576 posts
Posted on 7/6/20 at 12:04 pm to
quote:

so I decided to get addicted to lifting and running.


Posted by Aristo
Colorado
Member since Jan 2007
13292 posts
Posted on 7/6/20 at 12:05 pm to
Posted by Oilfieldbiology
Member since Nov 2016
37576 posts
Posted on 7/6/20 at 12:06 pm to


I’m glad you can laugh at it. I wasn’t sure how that was goi to go
Posted by Original Big Dawg
Member since Jan 2019
91 posts
Posted on 7/6/20 at 12:10 pm to
as a child i was celebrated for being large. ill never forget my football coaches cheering when they saw me get out the car and jog on to the field for the first practice. 'BIG boy!' 'who we got here?'.
This post was edited on 7/6/20 at 12:11 pm
Posted by RT1941
Member since May 2007
30264 posts
Posted on 7/6/20 at 12:28 pm to
quote:


4 or so of my friends from high school are now medical residents. I know way more about nutrition than them. I dont necessarily blame them, the shite they are taught in med school is at best antiquated and at worse just flat out wrong. They haven't moved out of like the mid 80s in the way they teach nutrition.

Doctor's rely heavily on their clinical dietitians for their patient's nutritional needs. As long as they have dietitians on staff they don't need to know that area of the field.
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
25455 posts
Posted on 7/6/20 at 12:30 pm to
quote:

Doctor's rely heavily on their clinical dietitians for their patient's nutritional needs. As long as they have dietitians on staff they don't need to know that area of the field.



Thousands and thousands of doctors are writing scripts for statins like they're skittles and giving horrible nutrition advice.
This post was edited on 7/6/20 at 12:31 pm
Posted by dirtytigers
225
Member since Dec 2014
2459 posts
Posted on 7/6/20 at 12:33 pm to
I had to about a month into this quarentine. Ive always been active but when that started up I started eating like shite and drinking like 6 nights a week. Got up to 215 which is like 15 pounds heavier than I had ever been. Started running and working out 4x a week and eating very clean during the weeks. Also only drinking Wednesday-Saturday now. Down to around 192 but also have more muscle and atleast 50 lbs of strength in all my workouts than I ever have. With that being said its not hard to put in a little bit of effort to get in shape.
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
25455 posts
Posted on 7/6/20 at 2:28 pm to
quote:

and drinking like 6 nights a week.


I'll never understand this. Whats the point of living in a continuous fog?
Posted by Jim Rockford
Member since May 2011
98301 posts
Posted on 7/6/20 at 4:55 pm to
quote:

I’ve got a coworker, smartest man I know, that couldn’t/wouldn’t quit smoking. One day his doctor looked him straight in the eyes and said if you don’t quit smoking you’ll die in 5 years.

He quit smoking that day and started eating better. He said he knew smoking was bad, he knew it would take years off his life, but no one ever put it to him that bluntly. Maybe doctors are desensitized, maybe they don’t want to hurt feelings, but they need to be brutally honest with people.


This happened with my mother. She was in the hospital for bad flu complications. The doc asked her if she smoked. She said yes. "Not anymore you don't." That was over 5 years ago and she hasn't smoked since. We had pleaded with her for years and nothing worked. All it took was one medical authority figure.
Posted by LouisianaLady
Member since Mar 2009
81222 posts
Posted on 7/6/20 at 5:01 pm to
quote:

I'll never understand this. Whats the point of living in a continuous fog?



I drank almost each day the first month of quarantine. I don't normally drink during the week, but I'm a social drinker and drink on weekends when I socialize and/or when we do a big cooking day at home.

So when everything went on pause and my SO was released from work for a month, we kinda naturally started treating it as social time like we do on his limited days off. That ended after those first few weeks when it became apparent this might be lasting a long time. Realized it was smarter to use the time to get stuff done at home. But I'm sure lots of people figured the quarantine would be short lived at first and used it as a staycation.

I wasn't getting wasted every day. More like, "Its happy hour!" every day at 5pm which isn't helped by the fact that we had a solid 2 months of perfect beautiful weather and a newly remodeled patio.
Posted by yellowfin
Coastal Bar
Member since May 2006
97700 posts
Posted on 7/6/20 at 5:40 pm to
5 pm?

More like 9 am
Posted by LSUtoBOOT
Member since Aug 2012
12481 posts
Posted on 7/6/20 at 5:45 pm to
quote:

If we don't stay active we become lardasses.


Lose weight in the kitchen, build muscle and endurance in the gym.
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