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Case: Oligoprogressive pCa with local recurrence
Early 70s and debilitatated due to morbid obesity with DM, chronic orthopedic issues and immobilization. Biochemical failure almost 4 years out from XRT alone for unfavorable intermediate risk disease (XRT alone provided due to above medical confounders and patient choice). PSA kinetics concerning (PSA ~13 with doubling time of 3+ mos). PSMA PET shows isolated sacral met and posterior prostate recurrence (away from urethra but abutting rectum). Will counsel regarding importance of ADT with... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2024 Category: Universities & Medical Training Authors: communitydoc13 Tags: Radiation Oncology Source Type: forums

Best ways to get referrals from y'all?
I'm a psychiatrist and potentially starting a private practice from 0. Would take major insurances, some Medicaid, no Medicare. Open to seeing pretty much anything other than ASPD/long criminal histories, but would like to keep substance use disorders to a minimum. Happy to see eating disorders, functional problems, ADHD, autism evals, in addition to the basic depression and anxiety. Do I just send letters to your offices? Should I stop by and talk to your receptionist and give out... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2024 Category: Universities & Medical Training Authors: lobstar Tags: Family Medicine Source Type: forums

Worried About Being Overweight and Second Look
Hey all. I know this is definitely an odd thing to post; however, it is something that worries me. I was accepted to my dream medical school recently, and I was so excited for second look. However, I noticed that among the accepted students, I was the only overweight one as everyone else was fit and skinny. I am not morbidly obese, but it is obvious I am overweight. I do think I can get to a healthy weight by the school's orientation week (as I already lost a good amount of weight so far)... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 4, 2024 Category: Universities & Medical Training Authors: WorriedFrenchFry Tags: Pre-Medical (MD) Source Type: forums

Personalized tailored antiobesity medicines could be successful antiobesity agents to solve obesity menace of the era.
(Source: BMJ Comments)
Source: BMJ Comments - March 28, 2024 Category: General Medicine Source Type: forums

GLP-1 Meds for Pain, Addiction, Obesity, Neurogenic Inflammation...
Top U.S. addiction researcher calls GLP-1 data for addiction 'very, very exciting' An addiction expert says drugs like Wegovy are showing exciting results for addiction, but adds that “the pharmaceutical industry has never spontaneously embraced us and said, ‘We want to help develop treatments.’" www.statnews.com (Source: Student Doctor Network)
Source: Student Doctor Network - March 22, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Obesogens: The Hidden Contributors to the Obesity Epidemic
(Source: BMJ Comments)
Source: BMJ Comments - March 18, 2024 Category: General Medicine Source Type: forums

"Abandonment" to help with adjacent emergency
Colleague came to me with this and I don't think it's quite cut and dry. Wanted to get the sense of the general sentiment of the populace. Anesthesiologist is staffing 3 offsite locations - 2 GI suites (ERCP room, colonoscopy room) & 1 IR room. 3 CRNAs. IR patient intubated and stable. ERCP intubated and stable. Colonoscopy for morbidly obese patient underway and going fine. As far as logistics, these NORA locations are about a 3-5 minute walk from the main ORs/central scheduling area... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 16, 2024 Category: Universities & Medical Training Authors: ISoNitrous Tags: Anesthesiology Source Type: forums

Re: Chile passed tough measures to combat an obesity epidemic, so why does it still have an obesity problem?
(Source: BMJ Comments)
Source: BMJ Comments - March 14, 2024 Category: General Medicine Source Type: forums

Trace the Root Causes and tackle them..Re: Let ’s talk differently about obesity
(Source: BMJ Comments)
Source: BMJ Comments - March 6, 2024 Category: General Medicine Source Type: forums

From talk to action: the merits of an integrated approach to obesity treatment & amp; prevention
(Source: BMJ Comments)
Source: BMJ Comments - March 5, 2024 Category: General Medicine Source Type: forums

Using Differential Insurance Premiums to Fight Smoking and Obesity
(Source: BMJ Comments)
Source: BMJ Comments - March 2, 2024 Category: General Medicine Source Type: forums

The magnitude of the obesity epidemic should not be underestimated but tangible improvements in positive health are possible.
(Source: BMJ Comments)
Source: BMJ Comments - January 30, 2024 Category: General Medicine Source Type: forums

Low Rate of Aspiration With GLP-1s During Upper GI Endoscopy
A large retrospective review provided the first cumulative incidence rate of pulmonary aspiration in those undergoing upper endoscopy while receiving popular diabetes and obesity treatments. www.medscape.com No data to support stopping GLP-1 agonists prior to elective endoscopy As patient safety will always be paramount, and in the absence of actionable data, we encourage our members to exercise best practices when performing endoscopy on patients on GLP-1 receptor...
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: TheLoneWolf Tags: Anesthesiology Source Type: forums

How to discharge Severely, morbidly Obese (BMI > 50) patients?
For the hospitalists in the group: How do you discharge your grotesquely morbid obese patients? How do you get them out of the hospital, if they're too fat to get out of bed, but otherwise medically complete/ok? If they can't bear any weight on their legs? Can't go to a SNF (because they can't participate in PT). Can't go home (its not a 'safe discharge', despite the fact that many came from their God-awful mess of a home). Can't do LTAC. I have one BMI > 70, total jerk of a... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2023 Category: Universities & Medical Training Authors: DrMetal Tags: Internal Medicine and IM Subspecialties Source Type: forums

Controlling obesity requires more than taxes on junk food
(Source: BMJ Comments)
Source: BMJ Comments - November 25, 2023 Category: General Medicine Source Type: forums