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Doctor insights on: Intramuscular Injections In Obese Patients

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If patient is non-compliant to antipsychotics, can they be given covert intramuscular injections against their will by a family member whose a nurse?

If patient is non-compliant to antipsychotics, can they be given covert intramuscular injections against their will by a family member whose a nurse?

Reality can change: If a psychotic patient is non-compliant and lacking enough medication in his brain, he is sick and may see his caregivers as giving him injections against his will. Once he gets enough medications in his brain, he is better and may see the identical situation as his caregivers helping him by giving the injections he himself wants in order to avoid going psychotic again. Reality is not constant. ...Read more

Dr. Quang Nguyen
4,511 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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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 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

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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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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

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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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Are there medical procedures given to those who are overweight but not obese? Can i doctor refuse to do a surgery for a patient?

Overweight treatment: No, there are no procedures that are approved for people that are overweight but not obese. Yes, a doctor can refuse to perform surgery on anyone if they are not comfortable performing it for any reason. ...Read more

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