Re: Scarlett McNally: Obesity is a community issue, not just an individual one
(Source: BMJ Comments)
Source: BMJ Comments - April 1, 2023 Category: General Medicine Source Type: forums
Obesity Medicine As A Way Out
Anyone around these parts consider obesity medicine certification as a way out of the pit? (Source: Student Doctor Network)
Source: Student Doctor Network - January 7, 2023 Category: Universities & Medical Training Authors: Backpack234 Tags: Emergency Medicine Source Type: forums
Obesity is associated with central µ-opioid receptor (MOR) downregulation
Mesolimbic opioid-dopamine interaction is disrupted in obesity but recovered by weight loss following bariatric surgery - Translational Psychiatry
Obesity is a growing burden to health and the economy worldwide. Obesity is associated with central µ-opioid receptor (MOR) downregulation and disruption of the interaction between MOR and dopamine D2 receptor (D2R) system in the ventral striatum. Weight loss recovers MOR function, but it...
www.nature.com
Explains so much...
Now just need to think of the most polite way I can explain to patients that ...
Source: Student Doctor Network - November 20, 2022 Category: Universities & Medical Training Authors: sdnuser001 Tags: Pain Medicine Source Type: forums
DO Schools To Avoid/Go For?
Not applying this year but I only have had 1 MD interview from VCU (which has specific release dates for acceptances), on 6 holds (Drexel, George Washington, Penn State, West Virginia, UCSD (in-state for me), SUNY Upstate) and 5 MD rejections (4 out of state schools and Georgetown). The physician I'm shadowing is an MD but recommended DO Schools to apply to in case I don't get in this year (she's a family medicine doctor who also focuses on obesity medicine and prefers improving lifestyles...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 16, 2022 Category: Universities & Medical Training Authors: Kameha01 Tags: Pre-Medical (DO) Source Type: forums
Re: Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials
(Source: BMJ Comments)
Source: BMJ Comments - November 14, 2022 Category: General Medicine Source Type: forums
Bariatric surgery
Can a person who is not obese pay cash and get weight loss surgery? Or would the surgeon refuse it unless they are BMI 40 or some cutoff like that? (Source: Student Doctor Network)
Source: Student Doctor Network - October 31, 2022 Category: Universities & Medical Training Authors: forchinet121 Tags: Surgery and Surgical Subspecialties Source Type: forums
sarcoma case drain site
I have a case of a pT1(4cm)N0MO Grade 2 sarcoma s/p resection by a good surg onc. Margins 4mm in two areas (deep and anterior), 1 mm "superficial" margin that surg onc feels is artifactually close (he took some skin). This was a superficial sarcoma in an obese leg. Just barely touched deep fascia but did not invade into muscle though surg onc took some muscle. Tumor involved saphenous vein and it had to be ligated.
Patient already has some minor distal edema.
I took a cartoon of a...
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Source: Student Doctor Network - October 27, 2022 Category: Universities & Medical Training Authors: BobbyHeenan Tags: Radiation Oncology Source Type: forums
Which played a major role in the offspring overweight, excessive ultra-produced food consumption or unbalanced eating habit?
(Source: BMJ Comments)
Source: BMJ Comments - October 15, 2022 Category: General Medicine Source Type: forums
Outpatient tonsils question
The 2019 AAO-HNFS guidelines for tonsillectomy state that pediatric patients with severe OSA should be admitted for post-op monitoring and more specifically that obese patients with BMI >95% should undergo sleep studies to check for severe OSA. However, per their own admission, compliance with these guidelines is quite low, roughly in the 40% range. There are a number of reasons for non-compliance including lack of sleep study availability, cost, disagreement with the validity of the...
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Source: Student Doctor Network - October 7, 2022 Category: Universities & Medical Training Authors: notryptase Tags: Anesthesiology Source Type: forums
Endocrine superspecialty
just wondering, anyone have any idea about life / job market / salary as an endocrine superspecialty such as endocrine oncology, obesity, or nutritionist? would there be any improvement on those aspects after finishing the training? (Source: Student Doctor Network)
Source: Student Doctor Network - August 20, 2022 Category: Universities & Medical Training Authors: bochaw Tags: Other Subspecialties Source Type: forums
Think Beyond Politics Re: The UK ’s U-turn on obesity is a failure of leadership
(Source: BMJ Comments)
Source: BMJ Comments - May 24, 2022 Category: General Medicine Source Type: forums
is PMRT needed for this patient?
54 years old patient, PS0, no medical comorbidities (obese), no family history of breast cancer
underwent a MRM + LND for left Breast invasive Carcinoma
Pathology showed:
- T4cm, 0Ln/18 dissected pT2N0, free margins
- G3, LVI ++,
- ER 50%, PR 10%, Her2 neg
- Ki 30% (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2022 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
Psychiatrist treating obesity?
Given that some of the antiobesity medications (Contrave, stimulants, even phentermine-topiramate) as well as nonpharmacological options such as therapy (lifestyle modification, behavioral activation, motivational interviewing) are within the scope of practice for psychiatry, I was wondering how common it is for psychiatrists to be treating obesity outside of antipsychotic-induced weight gain?
There are many more medications that we may not use (orlistat, GLP-1 agonists although this is...
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Source: Student Doctor Network - April 21, 2022 Category: Universities & Medical Training Authors: clozareal Tags: Psychiatry Source Type: forums
How will you escape the pit (the ER)?
A few years into practice and already starting to wonder if EM is sustainable. I’ve considered plenty of other options. The ones I keep coming back to are wound care, obesity medicine, and maybe something like the VA or teaching if a med school will hire me. In the current world though, I’m not sure what the best exit strategy is.
For those of you who plan to leave the pit, how are you getting out? (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2022 Category: Universities & Medical Training Authors: Backpack234 Tags: Emergency Medicine Source Type: forums
Depressed elderly w/ poor appetite and sleep, but obese - mirtazapine when?
As stated
Patient and family are concerned with sleep and poor appetite but patient is technically either obese or overweight ... what would be your go to?
edit: here, let me make the question more clear
In a patient who is objectively overweight but who has clear concerns for decreased appetite and food intake, what's your approach in regards to the appetite? (Source: Student Doctor Network)
Source: Student Doctor Network - March 24, 2022 Category: Universities & Medical Training Authors: caxoo Tags: Psychiatry Source Type: forums
