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Doctor insights on: How To Echo An Obese Patient

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Is svt episode that happens once a month and lasts 20-30 seconds 160bpm dangerous in a 17 year old patient with normal ekg and echo?

Is svt episode that happens once a month and lasts 20-30 seconds 160bpm dangerous in a 17 year old patient with normal ekg and echo?

Not: That would be a nuisance but not dangerous. There are medications and procedures which could help to control it. It would be helpful to see the EKG during the episode. You should see a cardiologist. ...Read more

Dr. Quang Nguyen
4,506 doctors shared insights

Obesity (Definition)

The definition started with Louis Israel Dublin, chief statistician of the Metropolitan life insurance company, in the early 1940s, as a BMI >25 (definitely >30) for people in their 20's based on retrospective observational life insurance data of the age at which people died later in life. This was subsequently adopted by the medical disease industry. However, BMI is ...Read more


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Which patients should be considered for obesity surgery?

Which patients should be considered for obesity surgery?

High BMI: Most insurance companies provide bariatric surgery coverage for patients with a bmi (body mass index) > 40, or a bmi of 35 with certain comorbidities. Your doctor should know your bmi, or online bmi calculator is widely available. ...Read more

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Is the cardiac echo accurate if the patient doesn't try his hardest?

Is the cardiac echo accurate if the patient doesn't try his hardest?

Echo: There is no trying involved, this is taking images from the heart using ultrasound. Patients need to follow the directions of the technician and the images will be recorded. ...Read more

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Why is there fat bias when an ors treats a slim patient differently from an obese patient with the same injury.

Why is there fat bias when an ors treats a slim patient differently from an obese patient with the same injury.

Perhaps: I can't speak for everyone but justifiably or not some healthcare providers may well feel that at least a part of the injury might have been sustained due to obesity's effect on one's body. It is also likely that it is harder to examine an obese person than a normal-weight one. On the other hand, it may also be your own perception . If you are obese, losing weight can only help. ...Read more

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Can you get accurate results from heart echo without patient turning on side? I went from 30% to 63% without any changes in meds in 3 months.

Can you get accurate results from heart echo without patient turning on side?  I went from 30% to 63% without any changes in meds in 3 months.

Probably: Usually imaging is done both one one's side and flat. The sonographer and reading physician must have felt that the images were adequate. Speak with your doctor/cardiologist. ...Read more

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What happens if heart patient troponic test is good is there need of echo doppler test ?

What happens if heart patient troponic test is good is there need of echo doppler test ?

Depends: The troponin level should be normal and is used in the setting of worsening chest pain to evaluate for a heart attack. if you have other symptoms like shortness of breath or fatigue, an echo doppler might still be useful despite a normal troponin. ...Read more

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What information does a 2d echo give ....what does a doctor look at in the 2d echo test that convinces him to take the patient for an angiogram?

What information does a 2d echo give ....what does a doctor look at in the 2d echo test that convinces him to take the patient for an angiogram?

Switch the doctor: end up with a needless angiogram . Must have a compelling indication for performing an invasive procedure . Speak to your own doctor will explain why it is not done. If you are not satisfied take a second opinion first not the angiogram. ...Read more

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You have obese 55 y old patient with htn and BP average 140 /90 but no spike above 155/90, how many and what BP medicine would you put him on. ?

You have obese 55 y old patient with htn and BP average 140 /90 but no spike above 155/90, how many and what BP medicine would you put  him on. ?

None: Everybody wants a pill these days. I would get him to commit to regular moderate exercise and weight loss. Have him see a nutritionist. Also see if sleep apnea needs to be excluded. He won't like you in the beginning but it is the right thing to do and he may thank you in the end for saving his life. ...Read more

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What goes through the mind of a doctor when they are examing an adult obese patient's body?

What goes through the mind of a doctor when they are examing an adult obese patient's body?

How to reverse it: With any obese patient, the questions are: Why is the patient obese? How did she end up obese, and how long has she been obese? Can she eat less and reverse the obesity? Can she exercise more to burn more calories each day? ...Read more

Dr. Sanjiv Kaul
2 doctors shared insights

Echo (Definition)

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more