Say it Ain’t so!

500 lb man:  “Doctor, I just want to let you know, I have sleep apnea!!!”

Me:  “I  see ”

(My inner sarcastic voice): ” NO WAY! You must be [...]

An Unrecommended Cure for Insomnia

People will try almost anything to get sleep. ETOH, Rx Meds, Marijuana, counting sheep, you name it. The other day a guy figured out a guaranteed way to get some zzz’s.

He was morbidly obese and had Pickwickian Syndrome. He lived in a nursing home/rehab place since he was pretty debilitated and was not [...]

How Not to Start Exercising

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 [...]

Behavioural Modification Needed

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, [...]

Gotcha!!

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 [...]

“The Fat Farfal Family”

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 [...]

Sphincter-Clenching Case

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 [...]

Alcohol or Drug Addiction?

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