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re: The obesity epidemic
Posted on 6/8/22 at 6:05 pm to crazy4lsu
Posted on 6/8/22 at 6:05 pm to crazy4lsu
quote:
From the beginning I've been talking about the 'chronic' aspect of this in the patient demographics that are most likely to present inpatient, which is a massive demographic, despite what this other moron will try to tell you.
I qualified, sever times, from the beginning I wasn't talking about that demographic, yet you continued to insult saying I didn't know what I was talking about.
quote:
Patient compliance is shite
No one has EVER argued otherwise
And they call me dense, holy shite you are an idiot.
Im hoping you are just being arrogant because if your communication skills are this bad, I feel for your patients (more than I already do)
1
Posted on 6/8/22 at 6:05 pm to GeauxxxTigers23
quote:
You missed a couple champ
No I didn't. I quickly assumed it was a speech-to-text thing.
This post was edited on 6/8/22 at 6:06 pm
Posted on 6/8/22 at 6:06 pm to Mingo Was His NameO
quote:
You've point blank said there's no way for people to keep weight off without pharmaceuticals. That's not true.
Nope. I said that the across a population, in the face of absent regulation, would be for the use of pharmacologic aid, because of the scale involved. I also literally said that I work on trying to fix patient's relationship with disordered eating. Again, you have straight up misunderstood everything I've said.
quote:
It is certainly possible your points weren't understood, but based on everyone who's being honest in this thread not agreeing with you, the misunderstanding is your fault.
Brah, I'm certainly not saying I'm the best writer, but you were the only person to misunderstand me in that last thread we had, and you were resistant to correction then. And then you repeated that notion here, and just did in this very post, again, despite me repeating myself numerous times. That leads me to one conclusion.
Posted on 6/8/22 at 6:07 pm to crazy4lsu
quote:
Brah, I'm certainly not saying I'm the best writer, but you were the only person to misunderstand me in that last thread we had,
Bad communicator and liar to boot. Sad!
quote:
despite me repeating myself numerous times
You repeating shite that makes no sense does no good.
This post was edited on 6/8/22 at 6:09 pm
Posted on 6/8/22 at 6:07 pm to mikelbr
Nah, I was just trying to add some levity to a thread that had gotten pretty heavy.
Posted on 6/8/22 at 6:08 pm to The Third Leg
Obesity epidemic is a tough one. Personal responsibility and choices obviously play a role, but it's really a byproduct of societal shifts and technological advances. In years past people generally didn't have to try to keep weight off, most people were on their feet all day and food was simpler and calories not as plentiful.
We now all live in an environment that's highly conducive to obesity. Food is everywhere tempting us, calories are cheap, most of us have sedentary jobs. It takes hard work and effort for most people to keep weight at bay now, because its counter to the environment we live in.
Then enter things like the HAES movement, which is asinine. I don't think anyone should be disrespected because of their weight, we all have our battles. But to put one's head in the sand and ignore all medical literature on negative outcomes surrounding obesity is just... Stupid. And counterproductive.
We now all live in an environment that's highly conducive to obesity. Food is everywhere tempting us, calories are cheap, most of us have sedentary jobs. It takes hard work and effort for most people to keep weight at bay now, because its counter to the environment we live in.
Then enter things like the HAES movement, which is asinine. I don't think anyone should be disrespected because of their weight, we all have our battles. But to put one's head in the sand and ignore all medical literature on negative outcomes surrounding obesity is just... Stupid. And counterproductive.
Posted on 6/8/22 at 6:09 pm to Mingo Was His NameO
quote:
I qualified, sever times, from the beginning I wasn't talking about that demographic, yet you continued to insult saying I didn't know what I was talking about.
Brah, what demographic were you talking about? My original point was specifically about this massive demographic, and then you came in screeching as though I didn't know what I was talking about.
quote:
No one has EVER argued otherwise
No shite no one has argued otherwise man. You are intensely fond of reading something, and then assuming the exact opposite. It's a retarded way of reading something. I'm investigating way patients fail compliance in the face of large-scale, comprehensive plans. Did you literally not read the rest of the post? Are you just being dishonest out of habit?
quote:
Im hoping you are just being arrogant because if your communication skills are this bad, I feel for your patients (more than I already do)
Nah, I'm amazing with patients.
Posted on 6/8/22 at 6:10 pm to Mingo Was His NameO
quote:
Bad communicator and liar to boot. Sad!
Lol. It was another poster who actually corrected you, you utter moron. What does that indicate?
quote:
You repeating shite that makes no sense does no good.
You are the only one who can't seem to piece it together.
Posted on 6/8/22 at 6:12 pm to crazy4lsu
quote:
Brah, what demographic were you talking about?
Fat and obese people.
quote:
My original point was specifically about this massive demographic
People so obese they need medical intervention is not a "huge demographic" which was the very first thing I said to you.
quote:
Nah, I'm amazing with patients.
I believe you believe that, but you also come off as an arrogant know it all a-hole so it doesn't really matter
Posted on 6/8/22 at 6:12 pm to crazy4lsu
That sounds like a generalized method to combat diet adherence rather than specifically targeting why they do it.
In the end it’s just an energy imbalance. Metabolic disorders suck but just means they need to eat less than someone that doesn’t and in same condition. Using medicine will just allow them to eat more to lose the weight. Of course that type of treatment will help adherence because it allows them to be closer to their old routine. They need to be counseled on how to track food and learn what tools to use to stay in a calorie deficit.
Things that will help will be reading atomic habits, track food for at least a month, plan ahead on meals they can get at certain restaurants, and learn basic macros are.
Same type of thing as drug addicts. Can’t remember the study but it was something along the lines of rehab participants and the number one reason for adherence was whether or not they were in the same environment they were prior to rehab.
In the end it’s just an energy imbalance. Metabolic disorders suck but just means they need to eat less than someone that doesn’t and in same condition. Using medicine will just allow them to eat more to lose the weight. Of course that type of treatment will help adherence because it allows them to be closer to their old routine. They need to be counseled on how to track food and learn what tools to use to stay in a calorie deficit.
Things that will help will be reading atomic habits, track food for at least a month, plan ahead on meals they can get at certain restaurants, and learn basic macros are.
Same type of thing as drug addicts. Can’t remember the study but it was something along the lines of rehab participants and the number one reason for adherence was whether or not they were in the same environment they were prior to rehab.
Posted on 6/8/22 at 6:14 pm to crazy4lsu
quote:
Nah, I'm amazing with patients.
It takes a lot of patients to be able to put up with a bunch of fat patience.
Posted on 6/8/22 at 6:14 pm to Mingo Was His NameO
quote:
People so obese they need medical intervention is not a "huge demographic" which was the very first thing I said to you.
It is a massive demographic, because again, you can't seem to apply the clinical guidelines to actual practice. Why did I reference the AACE 2012 position statement, you moron?
quote:
I believe you believe that, but you also come off as an arrogant know it all a-hole so it doesn't really matter
You come off as an arrogant retard, Dunning-Kruger personified. You can't understand complexity, that much is clear.
Posted on 6/8/22 at 6:16 pm to crazy4lsu
quote:
It is a massive demographic,
I disagree. I'm estimating, but I'm guessing somewhere in the neighborhood of 98% of people who are overweight or obese could get to a healthy weight by cleaning up their lifestyle.
quote:
You can't understand complexity, that much is clear.
I just can't understand you... Because you make no sense.
Posted on 6/8/22 at 6:18 pm to Hu_Flung_Pu
quote:
That sounds like a generalized method to combat diet adherence rather than specifically targeting why they do it.
Not just diet adherence, but yes, that was the original aim. Categorizing all the reasons patients fail to comply is complicated, and in some cases dependent on physician communication techniques.
Posted on 6/8/22 at 6:19 pm to crazy4lsu
quote:
Categorizing all the reasons patients fail to comply is complicated
Not really
Posted on 6/8/22 at 6:21 pm to Mingo Was His NameO
quote:
I disagree. I'm estimating, but I'm guessing somewhere in the neighborhood of 98% of people who are overweight or obese could get to a healthy weight by cleaning up their lifestyle.
Motherfricker, 2% is a massive demographic. If we were to relate this to infectious disease, 2% would be just under the estimated CFR for the 1918 Pandemic (which was 2.5%). You really have no frame of reference for anything, yet you still keep chugging along. This was an impressive self-own too. My god.
quote:
I just can't understand you... Because you make no sense.
Nah, you seem intent on reacting emotionally a lot. It's okay. Using your finger as a pacer can increase your reading level immediately. You should try it. Sound the words out slowly, and remember that paragraphs are units where ideas are linked to one another to make arguments.
Posted on 6/8/22 at 6:22 pm to Mingo Was His NameO
quote:
Not really
Hit me with the link then.
Posted on 6/8/22 at 6:24 pm to crazy4lsu
GPs are also typically terrible at giving dietary advice and that’s the front line of most obese people. Once a patient hears they have hypothyroidism, they say “that’s it!” Get on medicine and don’t lose weight because they never made a change in how they see portions and food. After trying the medicine they talk to another person that lost weight and they typically recommend a crash diet (which we all know will fail) and rebound harder because of eliminating everything that tastes good.
Basically what I’m saying is that GPs need way more nutrition classes and should be a great front line for these people.
Basically what I’m saying is that GPs need way more nutrition classes and should be a great front line for these people.
Posted on 6/8/22 at 6:24 pm to crazy4lsu
quote:
Motherfricker, 2% is a massive demographic. If we were to relate this to infectious disease
But being fat isn't an infectious disease so your false equivalency is noted but not accepted.
quote:
Nah, you seem intent on reacting emotionally a lot. It's okay.
If anybody is emotional it's you. You are the one name calling and bitching. I'm just pointing out your complete lack of ability to communicate.
The funny thing is, once I decoded your riddle, I think for the most part we agree. Yet you are still melting like a 4 year old who doesn't know how to use their words.
Posted on 6/8/22 at 6:26 pm to Hu_Flung_Pu
quote:
Get on medicine and don’t lose weight because they never made a change in how they see portions and food.
Well according to the autistic doc, actually eating right is impossible so there's no point.
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