1- Jon Brower Minnoch from USA : His weight loss of approximately 419 kg (924 lb; 66 st 0 lb) is the largest ever documented. 2- Khalid bin Mohsen Shaari from KSA : Lost 150 kg (331 lb; 23 st 9 lb) as of November 11, 2013 after King Abdullah of Saudi Arabia ordered him hospitalized in August 2013 3- Manuel Uribe from Mexico : After worldwide media attention in January 2006, with help from doctors and nutritionists he lost over 225 kg (496 lb; 35 st 6 lb) over a two-year period. As of February 2012, he weighs 200 kg (440 lb). 4- Carol Yager from USA : Peak weight of 727 kg (1,603 lb; 114 st 7 lb) not confirmed. Documented weight loss of 236 kg (520 lb; 37 st 2 lb) in three months by natural means: a 5,000 kJ (1,200 kcal) per day diet. Weight at death was 545 kg (1,202 lb; 85 st 12 lb) 5 - Walter Hudson from USA : Had the largest waist ever in circumference at 9 ft 11 in (3.02 m)
They don't eat for 6 months and grow to 400kg. Heck, not even one year of work would do that. People pamper them and they indulge themselves. I can't say I'd feel sorry that we can't do CTA or V/Q to r/o PE and let them die. They got what's coming for them.
Yes, you must have a very professional judgement. A true doctor. Be proud of yourself. These people clearly are suffering from a disease, whether it be a physical or a mental condition. It is our job, as doctors and future doctors to be able to treat these people as patients and as personalities. If you can't feel compassion towards a sick person, what the f**k did you forget in medicine?
lol. Thx. Once you get in, you'll know. Being compassionate and being indifferent are different things. I will spend 100% of my time to help those in need but those who have no remorse and have no wills to change themselves, who come again and again and again and again for the same problems - you will be indifferent - treating them has just become a job w/t feelings. And for you to say you'd feel sorry for them? I seriously doubt it. Get there first then talk.
Did I feel sorry for the crackheads, yes - initially. Do I treat them differently from other pts - no, i do not. Do I spend time educating and counseling them - yes, initially. Did they come again and again and again wasting national resources and time of medical professionals - can't say they do, but time may be better spent on those who really want to survive and contribute to society - like your parents, your uncles and aunts. If he came into hospital before your dying parents, we would still have to save him before saving your parents who, say, unfortunately pass on. I bet people would feel sorry for your parents but if things were reversed, you think you will feel sorry for him? Get real, son.
It's not your job to decide who gets to live and who gets to die, or who deserves to get help and who doesn't. You don't have the moral high ground, and our only job is to communicate to our patients the risks of their behaviour. They get to decide what to do with their body. How can you even think that a life of a person is more or less valuable than the life of another? Who gave you the right to decide that? What do you propose? Would it be great to shoot these people, because they're sickening you, or maybe let's build a prison for them, so that others could enjoy the benefits of healthcare, while them, they would die slowly and painfully, because they deserve to die. Don't they?
And yes I would still feel sorry for them, because these persons can't even piss as we do. They can't bathe as we do. They can't even wear clothes, because it poses certain risks. They can't walk, they can't move, they can't breathe normally, they have to try very hard to even raise their hand. The fact that some of them do not understand what's wrong with them generally means a mental problem. A doctor doesn't choose his patient.
Yes it is a disease ,no doubt.It gets many things with it and then ultimately leads to severe morbidity and premature mortality.Catch them early ,get their professional counselling done ,screen them for morbidities and all other associations and save them.It is our moral and professional responsibility.
I agree. That's why I said it does not take simply 1-2 yrs to get where they are. There are enablers and much of self-indulgence. That's why if they are frequent flyers regardless of etiology, I feel less for them. I do not discriminate and treat PATIENTS all the same. I get them well and leave them be if they don't choose to change. But to say I have any more empathy for them after 10th admission for same issue, unlikely.
No one's deciding who to treat or not. I like your optimism and enthusiasm. Unfotutanetely, once you see enough, you will be INDIFFERENT. I never said who we choose to treat - understand what ppl say, son. I just say - I don't feel sry for what happens to them because they have been taught, educated, counseled, treated and helped. They do not change. - INDIFFERENT. when you are 30yrs old and treated enough pts, you'll understand.
If that's precisely the point you were trying to make then I'm sorry for misunderstanding your idea. I understand very well the indifference towards a patient and nobody can or should push out empathy just for the sake of it. All that I'm saying is that as long as I'm treating someone I should not bring my morality into the equation. It's not my business. So indifference is kind of needed anyway in this profession.
That's precisely my point. After a while, you will see what I mean when you encounter pts who set themselves up for the problems that you are treating again and again and again and again. But don't lose your heart, your compassion and your enthusiasm, use them when needed and appropriately. You will be fine.
