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Thyroid problems are not just treated. It can be a long process getting the right balance for each patient.
That is proper treatment - getting the doasges right. I am aware - more so than you if you don't understand that treatment includes titrating dosages.
my 30 yrs of healthcare.
That's the second time you've said that, and it's meaningless as it stands. I've got four years experience in the financial services industry; it doesn't make me a mortgage advisor, I fixed their computers.
"30 years in healthcare" could be the receptionist on the front desk or, as I wittily alluded to earler, the toilet attendent. "30 years as a neurologist" or "30 years as a trauma surgeon," however, are wholly different claims.
So, simple question TJ - are you a doctor?
30 years in healthcare, or 1 year repeated 30 times?
There are facilities for bariatric mri in Woodend Hospital, Aberdeen. Any more than about 30" elbow to elbow and a normal scanner is too small (iirc)
The bariatric rooms in my hospital have hoists rated to 450kg!!
I've seen a fair few morbidly obese people with well treated hypothyroidism. Type 2 diabetics on insulin or a fair few of the pills often gain weight. As do most people who are on high dose long term steroids.
I think it impossible to know with any certainty how fat someone would be if a potentially contributory condition had never arisen.
TJ, you are sounding rather arrogant, especially as you are basing the argument of your personal limited experience. Have a look at the links and information and the books. The information and some of the papers are from many leading experts Some even older than so so with a lot more experience and they have specialised. Hopefully you will learn something and the next time you feel the need to prejudge or patronise a patient you might take a moment first
Also 30 years, yes we get that, give yourself a pat on the back.
How dare you come on here posting common sense like that. Shocking.
There must be a number of obese people who have medical issues that make them overweight.
However, the vast majority of people who are obese are in that state because they are either lazy, greedy, or both.
I'm greedy and a bit lazy. I've always got that nagging hungry feeling. My parents would never let me leave the table until I'd cleared my plate. My mother's family are all on the chubby side so I could be genetically predisposed to weight gain.
So how am I not waiting for gastric band surgery? Cos when my trousers get a bit tight then I have to resign myself to eating a bit less for a while. I find it quite hard, but then again I wouldn't want to use Red Rum's MRI machine either.
For the vast majority of fatties, the answer is easy. Get off your ar$e, eat a bit less and stop expecting society to make allowances for your idleness.
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Interesting that she couldn't be scanned...
I've dealt with [b]loads[/b] of people (ok, about 4 per year) who are unable to fit in the CT/MRI scanner. Our trust has agreements with Marwell Zoo and we use their scanner!
You have to word it very carefully when a patient asks "so I can't be scanned?!", and you reply, "well, yes. In a scanner built for a hippo....."
Also - I'd debate that the prevalence of hypothyroidism is 30-50% of the population... Will look it up via trusted sources (note - NOT wikipedia!)
DrP
Our trust has agreements with Marwell Zoo and we use their scanner!
Out of curiosity, do any of these people make a concerted effort to lose weight once they have faced the reality they can only fit in a zoo's MRI machine?
I would imagine it is quite the wake up call.
Obesity should be seen as a social rather than medical issue- (no fatties in Belsen etc.) However Obesity and the cost of it will floor the NHS. Obesity relatedillnesses like Type 2 diabetes are growing exponentially in the UK, and also increases arthritis/heart disease /hypertension to name but a few increasing the burden of the chronically ill.
Obesity is probably the single most important challenge facing healthcare agencies in the modern world. Cut obesity rates considerably and you will cut long term healthcare costs. However getting these "fatties" to change their lifestyle if nigh on possible as they have so many inbuilt barriers to change and external loci of control.
What's the answer - god knows, but I do believe that Bariatric surgery is probably the way forward, because let's face it , highly motivated people who enjoy exercise don't tend to get fat, and it's really hard to change a layabout.
roper - MemberHow common is hypothyroidism?
"Dr Thierry Hertoghe, President of the International Hormone Society estimates that, in his opinion, thyroid deficiency is 20% to 50% (20 - 50 people in every 100) of a standard population."
All info found here
http://www.thyroiduk.org.uk/tuk/index.htmlBut you might want to read a few books by Barry Durrant-Peatfield to get a broarder understanding of the conditions.
they are very rare and I have never seen any on my 30 yrs of healthcare.
Personally I know 5 people who have had weight problems due to issues with their Thyroid or Endocrine system
Do you want to link to some actual stats to back yourself up? The link you've provided just goes to the home page and I can't be bothered searching to find out if [i]thyroid deficiency is 20% to 50% (20 - 50 people in every 100) of a standard population[/i] is the crap that it sounds like.
If it is true, then by extension almost half of the people I know would have thyroid problems..........nobody in my family does, none of my closest friends............or maybe there are whole communities with thyroid problems, or perhaps it's just crap.
http://thyroid-disease.org.uk/index.php?option=com_content&task=view&id=63&Itemid=85
Dr Barry Durrant-Peatfield, author of ‘The Great Thyroid Scandal and How To Survive It’ is committed to helping people understand their metabolic illnesses and to teaching them how they may regain their health.[b]Having relinquished his registration with the GMC, Dr Durrant-Peatfield is now a practising complementary therapist in the field of nutrition.[/b] He will provide full advice in the treatment of metabolic illness and the role of food and chemical intolerances.
He is convinced that with the use of natural medicine and nutrition that full metabolic health is within the grasp of us all.
HAHAHHAHAHAHAHA!! Did someone just whisper 'snake oil salesman'?
Bariatrics- a branch of medicine named after the famous fatty, Barry white.
Patients requiring bariatric assistance can often be found singing" you're the first, the last my everything and never, never gonna give you up" to a burger.
charlie- chill out dude, just because you're a feeder or chubby chaser, doesn't mean the rest of us have to think that making the lifestyle choice to eat yourself to death is a socially acceptable thing to do.
there you go, make assumptions about people and have a pop at them for it. Well done, much easier than actually dealing with any of the points raised isn't. Did you just go straight to ad hominem or did you try think about it it for a bit then find it made your head hurt? You're an idiot, not only because you can't process and synthesize information, but because you seem to be unaware of that failing. Yeah these fat folks are fat and refuse to take any responsibility for it but even you recognise that they are able to do something about it. You however, are stupid, and even when you become enlightened enough to realise what an idiot you are, you will only be hit by the overwhelming realisation that you are not able to do anything about it.
Just in case all those words confused you a bit, here is a simplified version
you stoopid
Cheers
would add a smiley but the conflicting signals would probably confuse you.
IdleJon
I can't be bothered......
That pretty much sums up what you wrote and your ability to debate the issue and I'll offer it the same respect.
erm....charlie if you read a later post you'll realise that I did deal with it as someone who was obese and did do something about it. I also have personal experience of thyroid issues so how about you breathe and relax a little bit as you may do yourself an injury with all that self righteous bile and shite you are spouting.
you sir, are a big hairy knob face and I will have my second deliver my challenge to you.
A duel sir, is the only way to satisfy honour.
Single speeds at dawn!
Just give us a link, my friend!
Don't just give a home page if you are talking bull. We want specifics.
If it is true, then by extension almost half of the people I know would have thyroid problems..........nobody in my family does, none of my closest friends............or maybe there are whole communities with thyroid problems, or perhaps it's just crap.
how many of this group are gay? How many have Chlamydia? How many are Elvis impersonators?
roper - Member
IdleJonI can't be bothered......
That pretty much sums up what you wrote and your ability to debate the issue and I'll offer it the same respect.
Seems like you were making things up then, roper?
•Hypothyroidism may affect between 4% and 9% of the general population, and between 9% and 16% of people over age 60.
from http://www.ehealthmd.com/library/hypothyroidism/hyo_whatis.html
Of course that may be no more accurate than whatever you were linking to but if you want to get involved in a debate maybe you should insert your brain? And then use it?
In my experience the reason most NHS trusts don't have MRI scanners for [i]cough![/i] those of larger persuasions is because the scanners tend to be utter rubbish and cost prohibitive!
TJ + 1
also DrNR +1
P.S. Had my 30th year med school reunion last week. What a bunch of old farts...
...no bariatrics though!!
erm....charlie if you read a later post you'll realise that I did deal with it as someone who was obese and did do something about it. I also have personal experience of thyroid issues
Hah! Excellent! "I used to be fat and lost weight and i know someone else who was thin and is now fat" Yes, that's dealing with the issues that were raised. I love that your response managed to demonstrate your inability to assimilate let alone synthesize information! Well done!
And well done with the singlespeed challenge too! In a debate requiring intellectual engagement, you try to settle it with a physical challenge! You're great!
CharlieMungus - MemberIf it is true, then by extension almost half of the people I know would have thyroid problems..........nobody in my family does, none of my closest friends............or maybe there are whole communities with thyroid problems, or perhaps it's just crap.
how many of this group are gay? How many have Chlamydia? How many are Elvis impersonators?
Which of those has any relevance to the posting of invented statistics?
(Did you know that 78% of the general population are Elvis impersonators? http://www.elvisontour.co.uk/ )
If roper can back his stats up, then I'll gracefully admit to my family and friends being weirdos in NOT having hypothyroidism.
Which of those has any relevance to the posting of invented statistics?
Only that if your faith in cited statistics requires that they are replicated in your social group hence
then by extension almost half of the people I know would have thyroid problems..........nobody in my family does, none of my closest friends
then you'd expect some to be gay, have chlamydia and Elvis was thrown in for fun.
charlie, if you want an intellectual debate I'm more than happy to oblige.
I'm very disappointed that you have backed away from a duel however, perhaps you lack the courage of your convictions?
How about a new duel?
may I suggest wordsearch (ages 6-9) at dawn!!
I might just be able to cope with that if i go slowly and you explain the big words of more than two syllables to me.
nobber 😆
So wait....Elvis was gay?
.....probably wouldn't have fitted in a MRI scan either towards the end.
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charlie, if you want an intellectual debate I'm more than happy to oblige.
Go ahead then, lots posted earlier for you to wok on
I'm very disappointed that you have backed away from a duel however, perhaps you lack the courage of your convictions?
Which convictions would they be? and how would they be proved or disproved by a bicycle race?
wok on
ace fattist parapraxis 😀
still not addressing the issues?
hmmmmm, what?
lol!
sorry charlie, would love to carry on the banter, unfortunately have nasty serious life s**t to deal with 😥
I'll find you on another thread and we can have a proper intellectual bun fight when my mind (what little there is 😉 ) can deal with it.
big snogs
😀
CharlieMungus - MemberWhich of those has any relevance to the posting of invented statistics?
Only that if your faith in cited statistics requires that they are replicated in your social group hence
then by extension almost half of the people I know would have thyroid problems..........nobody in my family does, none of my closest friends
then you'd expect some to be gay, have chlamydia and Elvis was thrown in for fun.
And a quick mental survey shows that they are probably representative for those things - at leasy the ones I'm polite enough to know about.
But not for up to 50% hypothyroidism. Obviously we are special....or as I've said, the stats given are crap.
In Utrecht (Nederlands) they send you to the Vet School if you don't fit in the normal MRI.
It would be interesting to see if waiting in line behind a horse has any effect on your desire and ability to lose weight?
Mind you at 215kg her backside is probably as big as the average nag.
There aren't that many large animal MRI around as well.
FACT: some really fat people WORKING everyday.
FACT: some skinny people sitting DOING **** ALL everyday.
FACTs are ace!
FACT HUNT
yes indeed lol!
What a great thread. The woman voluntarily phoned round the zoos and still avoided the fact that she eats too much. Then people defended her. That's pretty ridiculous even by STW standards.
It's not her glands or big bones or slow metobolism, you only get that big by being lazy and eating far too much. It's the same as drinking too much engine oil or injecting too much bleach into yourself. You know it's wrong, nobody would defend the latter two examples there, stop being an arse about it.
tazzy you've had me splitting my sides on this one once again. chapeau
you only get that big by being lazy and eating far too much
and you only get depressed by not cheering up enough, and you only become aggressively violent by not controlling your temper, and you only end up stupid by not studying hard enough.
[i]and you only get depressed by not cheering up enough, and you only become aggressively violent by not controlling your temper, and you only end up stupid by not studying hard enough. [/i]
All these things happen by not doing anything about it. HTH.
How do you end up being CharlieMungus then?
TSY-It's a little light relief to the serious shite in the world. I'm glad to be of service 😉
Oh yes, now i see how simple it is.
oh hold on, what if not seeking help or doing anything about it is part of the problem?