#bariatric patient

[indiaobesity]

Bariatric surgery is a new beginning for people suffering from obesity, but bariatric surgery alone is not the solution. It combines proper nutrition and a planned workout to become successful.

[insipid-drivel]

Endometriosis, Fat Doctors, And Bellybuttons: What They Don't Teach You In Health Class

Woo another rambling TED talk, but I just got home from a meeting with a doctor specializing in wound care that I really feel a lot of you should hear:

Firstly, I've been having mysterious pains in my bellybutton area since... probably last Autumn? But I've had menorrhagia (extremely heavy, painful, and even dangerous periods that can cause spontaneous hemorrhaging) since I was 13 years old. Since my menorrhagia became active, I've been begging for a hysterectomy. I'm moving into my 20 year anniversary of Living With A Uterus That Hates Me As Much As I Hate It.

Being trans (agender) also really incentivizes the whole "yeet the uterus" thing, too, but that doesn't really have anything to do with why I wanna talk to y'all about endometriosis and bellybuttons.

Anyway, as of this year, I've had a lot of issues with my bellybutton region. Random infections, inflammation, pain, trips in and out of the ER; the works. My doctor has been so confused by my bizarre constellation of symptoms that he hasn't been sure of what's going on or what the best course of action is, aside from referring me for more tests and prescribing comfort measures in the meantime.

Until today. My desperate track for a diagnosis began over a week ago when my symptoms became alarmingly sepsis-like, but my test results came back with nothing but signs of an elevated white blood cell count. My doctor has been rushing me from specialist to specialist, and today was a wound care doctor that specializes in treating bariatric, hospice, and disabled patients that can't necessarily follow conventional wound-care advice meant for young, abled, and thin people.

I didn't expect much. Maybe some magnifiers, swabs, and a biopsy at worst, followed by antibiotics and whatever else, but definitely nothing that would help me solve this latest scary health mystery. While the worst of the pain I had that landed me in the ER went away on its own enough that I can get by with mobility aids, I still haven't had a diagnosis.

Until Awesome Fat Doctor.

Awesome Fat Doctor I celebrate. I live for this man. He literally gave me a reason to keep on trying and not give up. I was so scared of the appointment I'd gone nonverbal (not weird for me these days), but I got my voice back after I spent a while with him and his nurse (who was also fantastic). Even though I only met him for a few minutes and he forgot to introduce himself so I can't remember his name right now, Awesome Fat Doctor was a rock star. He was in his later middle age, scruffy, unshaven, and fat - enough that I could imagine the reason he specializes as a wound care doctor is because he may have gotten fed up of other doctors blaming his own health problems on his weight and life choices.

AFD gave no fucks. Along with being a big guy, he carried himself with the gruff no-nonsense of a man that's probably beaten up his ableist colleagues overdiagnosing fibromyalgia in the back of a Wendy's parking lot. He had been informed of my autism and my own needs for a wheelchair due to my own long-term chronic pain and other health issues, as well as my troubles speaking, and treated me like a little cousin that was having a rough go of things like he'd had.

He was compassionate and a straight-shooter with me. He was respectful of my boundaries, talked to me as casually as if I could respond like anybody else with working vocal cords (which I was eventually able to), and generally had all the bedside manner of someone that has worked with patients with special needs of all kinds. He looked at the trouble area and my records and history, told me that he was gonna do his best to get things straightened out, and then went quiet as he studied the timeline of my issues.

"Do you have endometriosis?" he asked, while studying a photo my mom had taken of a... skin infection over my lower abdomen, which had spread from my bellybutton.

I was confused.

"Not that I know of," I answered. I'd found my voice already when he and his nurse both helped put me at ease and showed me I was respected, safe, and seen. I've been tested a few times in my life for endometriosis and had my fair share of ultrasounds (the most common way to diagnose endo), and nobody had found anything unusual. But I have menorrhagia, am always in pain from my reproductive organs, and am desperate to get them removed. I'm on a 24/7 regimen of 2x normal birth control pills just to keep me from menstruating for my own safety. It sucks.

"My wife once had to get emergency surgery for what we thought was appendicitis. Do you know what it turned out she had?" he asked me, very suddenly, and like he had an idea.

"Ectopic pregnancy?" was my first guess, because women have died in the past to ectopic pregnancies that were mistaken for appendicitis.

AFD shook his head. "It was her menstrual cycle, and she had endometrial tissue bleeding into the space beside her appendix. I think you may have endometrial tissue in your bellybutton, and every time your hormones try to cycle in spite of your birth control pills, it bleeds and infects."

I was gobsmacked. Endometriosis and PCOS run in my family as reliably as eye and hair color, but I'd never really thought of how pernicious endometrial tissue could actually be. When I picture endometrial tissue, I picture overgrowths inside of reproductive tissue, or clinging to the outside; not growing randomly within the abdominal cavity or emerging out of my fucking skin like a turkey pop-up timer of doom.

AFD slowly nodded. "And the only way we'd be able to see the endometrial tissue is if you had it tested while you were menstruating and the tissue itself was inflamed and bleeding. Otherwise, it won't show up as anything different to the normal, healthy tissues surrounding it. A biopsy isn't reliable, either, because we have to know exactly where the tissue is before we test it. You have to have your hormones triggering the tissue to inflame and behave differently so it can be diagnosed if there are no big deposits of tissue to see."

After a long time of my ears ringing, I asked him, "Do you think it's possible that the ultrasounds were showing false negatives? Like, I have endometriosis and had it all along, but the tissue is too small to see or were being looked at at the wrong time?"

As it turns out, that's exactly what may be going on.

I see my doctor tomorrow, and meet with my surgeon at the beginning of next month.

Listen to your bodies, y'all. I am so thankful to that doctor, who wound up diverting into a very colorfully-worded rant about how much he hates the American medical system immediately after that. He gave me hope that I was just having new issues with old problems and was right all along about what my body really needed, and that my symptoms now are just showing what happens when doctors neglect their patients' needs.

I did wind up asking if he specialized with wound care because of how other doctors responded to his weight, and he said that it was a mix of reasons beginning with Yes: Both so he could have a safe space from fatphobia and ableism for himself and his patients, but also so his wife - who, while I hadn't seen her, he explained was about as big as he was - would have her own pain taken more seriously, being both fat and female. As he'd already explained, she hadn't been successfully diagnosed with endometriosis until she was symptomatic of full-blown appendicitis-levels of pain as an adult and her doctors were forced to stop blaming her pain on her weight.

Now, as I sit here reflecting... It's hard to believe that, thanks to this doctor's theory, I may finally be free from pain and dysphoria sooner than I imagined. It just took a doctor who could empathize with me to see me, and choose to take the scarier hill to fight on with me.

[rabiesofficial]

i remember when i talked to one of the nutritionist (idk if that was her title) people and I was like, "yea so basically I need help figuring out what i need to feed myself, i am not interested in bariatric surgery at all" and she said something along the lines of why are you here 😭 did i literally... not just say that in the first part of my sentence.... are you upset i dont want surgery??? 💀

and then my cousins got the surgery and i could just tell my mom wanted to say something to me but then she saw a clip about how a mom pressured her daughter to get the surgery and the daughter died and she rethought it all but also like... do you really think... in a test of will... you would beat me on this one.... i'm glad you reconsidered for your own peace, but this was never gonna happen for me

[pollenallergie]

:/

[larnax]

ppl are making videos on watertok recently and every time i saw a bunch of people in the comments like "this trend was started by bariatric patients to treat their water nausea" and my immediate thought as a guy whos having surgery in less than a week was "woof thats gotta be rough itd be miserable to have to get a surgery where you need to drink a ton of water but it makes you nauseous enjoy your powders ladies" but i couldn't remember what bariatric surgery was specifically so i looked it up and . yknow im starting to think medical fatphobia might be some kind of issue if ppl are being pressured into having their stomachs partially amputated making them Unable To Drink Water

[galwaygremlin]

it must be a truth universally acknowledged that the day you go to the gym before work is the day you get slammed with heavy lifting calls

[dratefahmed1]

Laparoscopic Sleeve Gastrectomy /Step By Step Surgery / Bariatric surgery / Weight Loss surgery

#sleevegastrektomi #sleevegastrectomy #bariatricsurgery #bariatricsurgeryrisks #surgery #MCQS #Mrcs #medical_student_exam #Medical_Student_Exam #No1doctor #dratef #usmle #frcs #exam #student #lecture #ukrian #russia #russian #war #news #trend #movie #film #song #doctor #nurse #medical #medical_exam #explorer #instagram #twitter #youtube #emergency #good _doctor…

[tx-hospitals]

Navigating Bariatric Treatment: Options and Considerations

Bariatric surgery is a medical procedure aimed at helping individuals with severe obesity achieve weight loss by making changes to their digestive system. It involves reducing the size of the stomach or rerouting the digestive tract to limit food intake and absorption. Get the best results in Bariatric surgery by visiting  TX Hospitals, Hyderabad. 

Introduction: Obesity has become a global health concern, affecting millions of individuals and posing significant risks to physical and mental well-being. Navigating the world of bariatric treatment is crucial for those struggling with obesity, as it offers various options that go beyond traditional diet and exercise approaches. This guide aims to provide a comprehensive overview of bariatric treatment, discussing symptoms, available treatment options, different procedures, and the recovery process.

Symptoms of Obesity: Obesity is characterized by an excessive accumulation of body fat that can lead to a wide range of health issues. Common symptoms include:

Increased body weight and body mass index (BMI)

Difficulty in achieving sustainable weight loss through diet and exercise alone

Joint pain and mobility limitations

Sleep apnea and breathing difficulties

High blood pressure and cholesterol levels

Increased risk of diabetes, heart disease, and certain cancers

Emotional and psychological challenges, including low self-esteem and depression

Available Treatment Options: Bariatric treatment encompasses various approaches tailored to the individual's needs. These options consider factors such as the degree of obesity, overall health, and lifestyle:

Lifestyle Modifications: Before considering surgical options, healthcare providers often recommend lifestyle changes, including dietary adjustments and increased physical activity.

Medical Interventions: Medications may be prescribed to aid weight loss by reducing appetite or blocking fat absorption.

Bariatric Surgery: Surgical interventions are suitable for individuals with severe obesity. Common types of bariatric surgery include gastric bypass, sleeve gastrectomy, adjustable gastric banding, and biliopancreatic diversion.

Bariatric Procedures: Each bariatric procedure has unique mechanisms and outcomes:

Gastric Bypass: Involves creating a smaller stomach pouch and rerouting the digestive tract to reduce food intake and nutrient absorption.

Sleeve Gastrectomy: Removes a large portion of the stomach, reducing its size and limiting food intake while affecting hunger-regulating hormones.

Adjustable Gastric Banding: Involves placing an adjustable band around the upper part of the stomach to create a smaller pouch, restricting food intake.

Biliopancreatic Diversion: Combines stomach reduction with rerouting of the small intestine, reducing both food intake and nutrient absorption.

Recovery Process: Recovery from bariatric surgery involves several phases:

Immediate Post-Surgery: Patients stay in the hospital for a few days for monitoring. A liquid diet is initiated, gradually transitioning to soft and then solid foods.

Adapting to New Eating Habits: Portion control and nutrient-rich foods become crucial. Regular follow-ups with healthcare professionals are essential.

Physical Activity: Gradually increasing physical activity is recommended to aid in weight loss and overall health.

Psychological Support: Adjusting to the physical changes and addressing emotional aspects through counseling or support groups is beneficial.

Long-Term Monitoring: Regular medical check-ups and blood tests are essential to ensure the body's nutritional needs are met.

Navigating bariatric treatment requires a comprehensive understanding of the available options and considerations. This guide serves as a starting point for individuals seeking information on the journey towards effective weight management and improved well-being. Always consult with medical professionals to determine the best approach for your specific needs.

REFERENCE:

TX Hospitals Group is one of the country’s largest and fastest-growing chains of multi-super specialty hospitals.

CONTACT : 9089489089

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[getinfobl]

Medicacityclinic - Mega+

Turkey has become a popular destination for medical tourism, with many individuals traveling to the country for cosmetic procedures. The medical tourism industry in Turkey has been growing rapidly, with a well-developed and renowned healthcare system. One of the most popular surgical weight loss options for medical tourists is the gastric sleeve procedure, which is offered at a lower cost compared to other countries. Turkey offers a range of gastric surgery options, including gastric sleeve surgery turkey, sleeve gastrectomy, and adjustable gastric banding . Many medical tourism companies in Turkey offer comprehensive packages that include the surgical procedure, travel arrangements, and accommodation details. With up to 90% lower costs for surgeries in Turkey, it's no surprise that many people are choosing to travel to the country for their private hospital care. Medicacity Clinic is one of the best hair transplant clinics in Istanbul, providing affordable hair transplant services with experienced doctors. Liposuction turkey is another cosmetic procedure that medical tourists often seek in Turkey. Medicacity Clinic is a modern medical center in Turkey that specializes in bariatric and plastic surgery, including liposuction. The clinic offers comprehensive packages that include the surgical procedure, travel arrangements, and accommodation details. Patients can get rid of stubborn, hard-to-remove fat with liposuction in Turkey and save thousands compared to prices back home . Our clinic provides hair transplantation, plastic surgery, and weight loss surgeries in Hair transplant Istanbul, Turkey, carried out by contracted surgeons at a lower cost compared to other countries. With the high-quality services and lower costs, Turkey has become a popular destination for medical tourists seeking cosmetic procedures.

[dreamgirlfeeder]

bariatric nurse & her patient..

Watch the bariatric nurse fuck & feed him on Fansly 🥵💦

[scientia-rex]

this may be a really dumb question… but what about some of the people who are (exploited on) shows like My 600 lbs Life? is there a point in time where weight loss is really your only option?

again, apologies for my ignorance.

The issue with weight is the same as anything else—if you hit a point where it’s interfering with your ability to live your life in a way that is fulfilling to you, it’s time to think about seeing a specialist. Bariatric surgery is risky, but there are people for whom it’s a reasonable choice. GLP-1 agonists are new and untested, but they’re a reasonable option for some people. But it always has to be a personal choice, based on what that person finds meaningful in their life. I have patients who will put themselves through many shoulder surgeries in order to continue playing their competitive sport of choice. I would never do that, because I don’t need my shoulder to work all that well in order to do medicine and bullshit online, my two great joys in life. Or to eat, or read, or pet my dogs, or decorate for holidays. But to that athlete, the idea of not being able to use their shoulder is excruciating—worse than the pain of the surgeries and the effort of recovery. For me, if you told me I needed surgery or a dangerous medication to be able to continue to write? I’d do it. Not even a hint of a question for me.

That math, the risk-cost-reward math, varies for every option, for every person, for every time point. It cannot be a blanket recommendation. I cannot say “every 600-lb person should have bariatric surgery.” It’s their body. It’s their life. THEY get to make the decision of whether the known costs and possible risks of bariatric surgery are worth it to them. No one else can or should make that decision.

Autonomy means the autonomy to exist in ways others might find irritating or inconvenient. It has to. So we need to fight for the rights of every single human to exist as they see fit, until or unless they are causing real damage to others.

[fatliberation]

I totally understand and can empathize with fat activists when it comes to medical fatphobia. But I do think its important to provide nuance to this topic.

A lot of doctors mention weight loss, particularly for elective surgeries, because it makes the recovery process easier (Particularly with keeping sutures in place) and anesthetic safer.

I feel like its still important to mention those things when advocating for fat folks. Safety is important.

What you're talking about is actually a different topic altogether - the previous ask was not about preparing for surgery, it was about dieting being the only treatment option for anon's chronic pain, which was exacerbating their ed symptoms. Diets have been proven over and over again to be unsustainable (and are the leading predictor of eating disorders). So yeah, I felt that it was an inappropriate prescription informed more by bias than actual data.

(And side note: This study on chronic pain and obesity concluded that weight change was not associated with changes of pain intensity.)

If you want to discuss the risk factor for surgery, sure, I think that's an important thing to know - however, most fat people already know this and are informed by their doctors and surgeons of what the risks are beforehand, so I'm not really concerned about people being uninformed about it.

I'm a fat liberation activist, and what I'm concerned about is bias. I'm concerned that there are so many BMI cutoffs in essential surgeries for fat patients, when weight loss is hardly feasible, that creates a barrier to care that disproportionately affects marginalized people with intersecting identities.

It's also important to know that we have very little data around the outcomes of surgery for fat folks that isn't bariatric weight loss surgery.

A new systematic review by researchers in Sydney, Australia, published in the journal Clinical Obesity, suggests that weight loss diets before elective surgery are ineffective in reducing postoperative complications.

CADTH Health Technology Review Body Mass Index as a Measure of Obesity and Cut-Off for Surgical Eligibility made a similar conclusion:

Most studies either found discrepancies between BMI and other measurements or concluded that there was insufficient evidence to support BMI cut-offs for surgical eligibility. The sources explicitly reporting ethical issues related to the use of BMI as a measure of obesity or cut-off for surgical eligibility described concerns around stigma, bias (particularly for racialized peoples), and the potential to create or exacerbate disparities in health care access.

Nicholas Giori MD, PhD Professor of Orthopedic Surgery at Stanford University, a respected leader in TKA and THA shared his thoughts in Elective Surgery in Adult Patients with Excess Weight: Can Preoperative Dietary Interventions Improve Surgical Outcomes? A Systematic Review:

“Obesity is not reversible for most patients. Outpatient weight reduction programs average only 8% body weight loss [1, 10, 29]. Eight percent of patients denied surgery for high BMI eventually reach the BMI cutoff and have total joint arthroplasty [28]. Without a reliable pathway for weight loss, we shouldn’t categorically withhold an operation that improves pain and function for patients in all BMI classes [3, 14, 16] to avoid a risk that is comparable to other risks we routinely accept.

It is not clear that weight reduction prior to surgery reduces risk. Most studies on this topic involve dramatic weight loss from bariatric surgery and have had mixed results [13, 19, 21, 22, 24, 27]. Moderate non-surgical weight loss has thus-far not been shown to affect risk [12]. Though hard BMI cutoffs are well-intended, currently-used BMI cutoffs nearly have the effect of arbitrarily rationing care without medical justification. This is because BMI does not strongly predict complications. It is troubling that the effects are actually not arbitrary, but disproportionately affect minorities, women and patients in low socioeconomic classes. I believe that the decision to proceed with surgery should be based on traditional shared-decision making between the patient and surgeon. Different patients and different surgeons have different tolerances to risk and reward. Giving patients and surgeons freedom to determine the balance that is right for them is, in my opinion, the right way to proceed.”

I agree with Dr. Giori on this. And I absolutely do not judge anyone who chooses to lose weight prior to a surgery. It's upsetting that it is the only option right now for things like safe anesthesia. Unfortunately, patients with a history of disordered eating (which is a significant percentage of fat people!) are left out of the conversation. There is certainly risk involved in either option and it sucks. I am always open to nuanced discussion, and the one thing I remain firm in is that weight loss is not the answer long-term. We should be looking for other solutions in treating fat patients and studying how to make surgery safer. A lot of this could be solved with more comprehensive training and new medical developments instead of continuously trying to make fat people less fat.

[thatguywhofedme]

That answer to how you’d help your feedee use the restroom in their bariatric bed is so casual, like it’s common sense is just perfection. On that note, what other bariatric equipment would be needed to keep an immobile feedee well cared for and satisfied?

Thank you so much !! I'm glad you found it perfect 😍

With what I know when it comes to extreme obesity and bariatric care, that was the most logical answer I could think of and exactly what I will do the day I find a feedee who wants to get fat enough to be under my care 24/7 no matter how much they gain

And when it comes to other bariatric equipment, I would say a heart beat monitor and a respirator connected to an oxygen tank will always be important for someone who's immobile, heavy duty straps for bariatric patients which are rated for over a ton instead of the ones that generally comes with the crane which has a lower weight capacity to ensure that everything is solid and stable, everyone is comfortable and ready to do whatever needs to be done underneath your immobile feedee

The bed will have heavy duty wheels capable of supporting over a ton, in case we need to move the bed from one room to the other, a built in scale for the bed capable of telling you at all time the weight being supported on it and to finish it off, a container built into the wall connected to a tube that will detect your feedees mouth around it with pressure sensors so we don't have to use a button and let it flow in their mouth as well as an heavy duty pump capable of feeding your feedee all the lard shake they will need at all time for long periods of time between refilling the container

If I'm missing anything, I'm sure people will comment on the post to add more ideas/necessities when it comes to immobility and if you're also interested in the medical aspect of immobility or extreme obesity and how it can affect someone's body, I'm sure #thedeathfeedistshandbook (big fan of your blog by the way ❤️) will be more than happy to answer all the questions you might have on the subject 😊