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Doctor insights on: How To Echo An Obesity 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
4,465 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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Left arm pain & strong or fast heart beat that come and go did echo ECG stress blood tests everything ok what can cause the pain im obese 23 y old?

Left arm pain & strong or fast heart beat that come and go did echo ECG stress blood tests everything ok what can cause the pain im obese 23 y old?

Pinched nerve: Because patients having cardiac problems can have these symptoms, you should have this ruled out. But the most common cause is an irritation of a nerve in the neck by a bone spur or herniation that can cause pain or numbness that runs down the arm into the hand. An MRI can usually show the cause of the problem if it does not resolve. Thank you for the question. ...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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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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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 is recommended preparation for an obese patient undergoing a cardiac rehabilitation program?

What is recommended preparation for an obese patient undergoing a cardiac rehabilitation program?

Cardiac rehab: A baseline treadmill stress test is useful to provide an exercise prescription. This helps tell us the boundaries that can be safely set for an exercise workload for a particular patient. This will vary from patient to patient. It is also something that we can measure progress against over time. ...Read more

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Is a left ventricular hypertrophy (12mm) in a former obese (90 kg for 1.75 m) patient, now 81 kg and still dropping £s, reversible?

Is a left ventricular hypertrophy (12mm) in a former obese (90 kg for 1.75 m) patient, now 81 kg and still dropping £s, reversible?

Possibly: But consider this: lv wall thickness of 11 mm is normal. I wouldn't sweat the 1 mm. Just keep your risk factors for future issues (weight and bp) under control as you are. ...Read more

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Is there a specific doctor that treats obesity and overweight patients to help them lose weight?

Is there a specific doctor that treats obesity and overweight patients to help them lose weight?

Obesity doctor: All physicians are trained in treating obesity related conditions. These include high blood pressure, elevated cholesterol, arthritis, reflux, heart disease, diabetes, among others. So, all physicians should be helping their patients loose weight. Specifically regarding weight, their are medical doctors...Bariatricians. And surgeons...Bariatric surgeons. Dieticians are also very helpful. ...Read more

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Can a clear CT be wrong if patient is obese?

Can a clear CT be wrong if patient is obese?

Yes possible: The challenges facing radiology departments include difficulties in transporting patients to the department, inability to accommodate large patients on currently designed imaging equipment, and difficulties in acquiring desired image quality. ...Read more

Dr. Jeffrey Stevens
2 doctors shared insights

Echo (Definition)

ECHO is also known as Echocardiogram. 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