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Re: Is BMI the best measure of obesity?
(Source: BMJ Comments)
Source: BMJ Comments - April 1, 2018 Category: General Medicine Source Type: forums

Difficult Lumbar TFESIs
Even with more than a few years of experience under my belt, with more and more elderly and obese patients I’m finding that even with basic lumbar TFESI the frequency with which I cannot accomplish “plan A”, such as a L5-S1 TFESI using my go to subpedicular approach has risen. More tilt, more oblique, still giant facet in the trajectory view. A few attempts to corkscrew around the big joints unsuccessful. Move on to retrodiscal/Kambin triangle. Not infrequently with a badly collapsed disc... Difficult Lumbar TFESIs (Source: Student Doctor Network)
Source: Student Doctor Network - April 1, 2018 Category: Universities & Medical Training Authors: NJPAIN Source Type: forums

Re: Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study)
(Source: BMJ Comments)
Source: BMJ Comments - March 9, 2018 Category: General Medicine Source Type: forums

Spinal anesthesia for Total Knee arthroplasty
I am practicing in the Midwest. I seem to struggle with trying place a spinal in the large obese patients ( 130 kg ) anyone have any tips or advance. I seem to always hit bone. I tried to feel for spinous process but it difficult on these large patients. (Source: Student Doctor Network)
Source: Student Doctor Network - March 9, 2018 Category: Universities & Medical Training Authors: Doughy315 Source Type: forums

Re: Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study)
(Source: BMJ Comments)
Source: BMJ Comments - March 8, 2018 Category: General Medicine Source Type: forums

Re: The failure of anti-obesity programmes in schools
(Source: BMJ Comments)
Source: BMJ Comments - February 28, 2018 Category: General Medicine Source Type: forums

Re: Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study)
(Source: BMJ Comments)
Source: BMJ Comments - February 28, 2018 Category: General Medicine Source Type: forums

What's the patient population like in Vascular Surgery?
Just wondering what the patient population is like in regards to the etiology of their disease. Are they mostly caused by lifestyle decisions? i.e. smoking, obesity, etc? What percentage of patients have vascular problems without any poor lifestyle habits? How does this patient population compare with interventional cardiology in this regard? Also, how many vascular surgery patients are "emergent" compared to other surgical specialties? (Source: Student Doctor Network)
Source: Student Doctor Network - February 23, 2018 Category: Universities & Medical Training Authors: LebronManning Source Type: forums

safa
When the thyroid isn't working appropriately it presents itself through different physical signs and symptoms. A few symptoms of a low performing thyroid incorporate anxiety, hair loss, depression, constant fatigue, insomnia, drowsiness, and obesity. Experts say that hair loss in women is a major symptom of thyroid problem in a woman. Another reason for baldness in females includes how one manages stress and severe depression. (Source: Student Doctor Network)
Source: Student Doctor Network - February 23, 2018 Category: Universities & Medical Training Authors: kenataxi Source Type: forums

Re: Effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6 and 7 year olds: cluster randomised controlled trial (WAVES study)
(Source: BMJ Comments)
Source: BMJ Comments - February 21, 2018 Category: General Medicine Source Type: forums

Re: The failure of anti-obesity programmes in schools
(Source: BMJ Comments)
Source: BMJ Comments - February 15, 2018 Category: General Medicine Source Type: forums

Limiting diuresis
Just wondering yalls thoughts / practice. I've had a few anasarcic obese chf exacerbations that appear to comfortably diurese 10-15 L/d (stable lytes, bicarb, renal fxn, vitals). My staff in these instances has had us back off of diuresis. Obviously the data points we follow to evaluate efficacy of and complications from diuresis aren't perfect indicators of fluid / lytes / etc shifts, but I haven't seen instances of harm coming from vigorous diuresis in absence of changes in those... Limiting diuresis (Source: Student Doctor Network)
Source: Student Doctor Network - February 12, 2018 Category: Universities & Medical Training Authors: WheezyBaby Source Type: forums