Doctor insights on:
Intramuscular Injections In Obese Patients
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
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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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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