I was randomly researching internet looking for info on obesity and I found this article, followed by comments by assholes professing to be doctors.
Here's the article:
How obesity is affecting imaging studies
Another way how being obese can hurt you:
“In the past 10 years or so, medicine has become so dependent on imaging,” Uppot said. “Instead of doing very meticulous clinical examinations, a lot of doctors now rely on CT scans, ultrasounds, etcetera, to tell them what’s happening inside the body. What happens when you’re too big to fit on a table? Or you can fit on a table but the image is poor quality?”
And here are the comments:
Anonymous July 25, 2006 at 11:36 am
You must remember though, it is da trying task to do an ordinary physical exam also of these obesitati. Like the X-rays, your hand must push through the monstrous layers of blubber insulating these patient’s intestines from exposure to the cold and the doctor’s probing fingers alike. Try to get a hold of a uterus on a 150- 200 kg (that’
s 300-400 lb) patient, it’s difficult enough during laparotomy not to mention trying to get a hold of what’s inside the uterus.
- And the fatter the patient is, the more likely she is to ask for pictures during ultrasond scan, “could you tell me if it’s a boy or a girl, doctor?”, – when you are trying your best to get the ultrasound waves to penetrate 20 cms of blubber in order to see if there might be a baby in there after all.
4 Anonymous July 25, 2006 at 6:19 pm
Do you guys remember when in residency when you had to put a femoral line in…inevitably it is always on some fat American SOB that has a huge pannus…I would have to get the intern just to lift the panus, sometimes I needed two people, then I would stick the line in fungus-infected skin…I used to feel bad about it but now I know this is how litigious animals should be treated…
5 Anonymous July 25, 2006 at 7:10 pm
I remember when I was an intern and was told by a nurse that she couldn’t put a urethral catheter in an overweight patient. Well, I came up to evaluate the patient, thinking “new nurse, no experience, here I go again…” and found out that this patient was not just overweight, but was massively obese and the nurse was just being nice. I could not even find the penis to put the catheter in. So, I evaluated the patient and realized that he is in urinary retention and really needs this catheter. I paged the resident, who started chewing me out for making such a silly request as to need help to put in a simple Foley catheter and what kind of stupid intern was I, anyway? So grumbling, he walked into the room and his eyes bulged out upon seeing the patient. With both of us pulling and tugging this way and that, we still could not put in the catheter. The resident, red faced, and huffing and puffing at this time, paged the chief resident and requested assistance. The chief resident starting screaming into the phone, yelling at the resident for contacting him for such a stupid request. The poor resident finally convinced the chief resident to come in to evaluate the patient. The chief resident came in and was shocked at the enormity of the patient. With all three of us, tugging/pushing/pulling, we still could not get the catheter in. Finally, the chief resident called the attending who proceeded to chew out the chief resident for such a call. He was finally coaxed to come in (some first born was made in exchange, I think), and once again, a great effort was made to locate the penis to try to place the catheter. During this time, I was trying to explain to the patient what we were doing. The patient finally said with a hint of impatience to the attending – “Hey, doc, did you find it (penis) yet?” To which the exasperated attending replied – “How do you know that you have one?”
John J. Coupal July 25, 2006 at 10:13 pm
Speaking of myocardial perfusion imaging.
When I started in nuclear pharmacy, I remember scanner and gamma camera imaging tables boasting a 300-lb patient weight limit.
Now, they’re designed to support 400+. So they can also be used at the zoo!
These posts are 5 years old, but I'm sure the patients who saw these "healers" felt their contempt deeply.
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