OK, I seriously applaud your effort and your enthusiasm HOWEVER, it was really not a good idea when you said to yourself “Gee, I am 55 years old, 40 lbs overweight, my blood pressure is out of control, and I haven’t been to the gym in 10 years. I am going to go […]

You know, when we as health care practitioners propose an invasive procedure for the morbidly obese such as a gastric bypass or even a lap band, we need to make sure that along with the actual surgery, the patient gets some education/therapy for their eating addiction. If they don’t seem to get it, they […]

I love it when I catch someone in a bold faced lie while they are trying to manipulate the the system (and us in the ER) in an attempt to score drugs. Do they really think that we are not going to check up on their stories (especially ones that are easily […]

This was a semi-playful saying my Dad used to say to me when I was a little kid. I would say something like “Daddy, look a those people! They are all so big!” (I was about 6 at the time) when I noticed an obese family lumbering along at an amusement park. Well, I can […]

The other day I had a case that raised my BP. Ultimately, it worked out well but not before I felt the need to do some deep breathing exercises. So, this obese 55 year old guy drives himself in during a busy-ish period for chest pain at rest an hour ago. Even before he got […]

Sometimes I feel like I am spending my energies in a fruitless game - like putting out a small fire while a forest conflagration burns nearby. The other day I went to see a 52 year old woman with an eye problem - I think she had a vitreous detachment and sent her […]

If you REALLY have no pulse, then you are dead. End of story. Just because you can’t FEEL your radial pulse (which was her chief complaint), are not passing out or at least severely lightheaded, then it is not really a problem. Except of course that you are very obese and perhaps that is […]