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In reply to the discussion: Pick up the pace! Slow walkers four times more likely to die from COVID-19, study finds [View all]Ms. Toad
(35,540 posts)33. 30% is not "pretty high odds" so it was not accurate as a whole.
Which is precisely my point. The assumption that obesity means the presence of certain disdases - or that obesity means that no other medical cause exists for symptoms both lead to inadequate medical care.
(no excerpt)
Risk of misdiagnosis, health-related quality of life, and BMI in patients who are overweight with doctor-diagnosed asthma
I read their stories as they came infrank and heartbreaking tales, too often told by loved ones who survived the fat people theyd lost to misdiagnosis. Cancer, multiple sclerosis, thyroid conditions. And every time, the doctors recommendation was the same: Just lose weight.
https://medium.com/s/story/the-bias-epidemic-8f27e79bd21c
That happened to a patient who eventually went to see Dr. Scott Kahan, an obesity specialist at Georgetown University. The patient, a 46-year-old woman, suddenly found it almost impossible to walk from her bedroom to her kitchen. Those few steps left her gasping for breath. Frightened, she went to a local urgent care center, where the doctor said she had a lot of weight pressing on her lungs. The only thing wrong with her, the doctor said, was that she was fat.
I started to cry, said the woman, who asked not to be named to protect her privacy. I said: I dont have a sudden weight pressing on my lungs. Im really scared. Im not able to breathe.
Thats the problem with obesity, she said the doctor told her. Have you ever considered going on a diet?
It turned out that the woman had several small blood clots in her lungs, a life-threatening condition, Dr. Kahan said.
https://www.nytimes.com/2016/09/26/health/obese-patients-health-care.html
I started to cry, said the woman, who asked not to be named to protect her privacy. I said: I dont have a sudden weight pressing on my lungs. Im really scared. Im not able to breathe.
Thats the problem with obesity, she said the doctor told her. Have you ever considered going on a diet?
It turned out that the woman had several small blood clots in her lungs, a life-threatening condition, Dr. Kahan said.
When she was 17, Hiles developed bronchitis and walking pneumonia, which turned into daily coughing attacks. "Doctors said, 'If you lost weight, you wouldn't have this many coughing fits,'" she recalled.
"I was very active, but I wasn't losing weight and my breathing was just getting worse," she explained, noting she danced and was naturally active on campus. "Any time I went to see the doctor to figure out why I couldn't shake this cold or that cold, I was given an antibiotic and told to lose weight."
Her coughing fits became so severe she was unable to control her bladder and had to resort to wearing adult diapers. In addition, the coughing often resulted in vomiting. And still, doctors responded with, "We don't know what to tell you it's clearly just weight-related."
. . .
Hiles was 23 when her new primary care physician suggested she see another kind of doctor. . . But before she could see the pulmonologist, Hiles had another bloody coughing fit, which landed her in the ER and ultimately led doctors to find a tumor in her bronchial tube. Hiles was forced to have surgery to remove her entire left lung, which was black and rotting with dead tissue.
Fat people aren't shocked a doctor diagnosed a woman with cancer as 'just fat'
"I was very active, but I wasn't losing weight and my breathing was just getting worse," she explained, noting she danced and was naturally active on campus. "Any time I went to see the doctor to figure out why I couldn't shake this cold or that cold, I was given an antibiotic and told to lose weight."
Her coughing fits became so severe she was unable to control her bladder and had to resort to wearing adult diapers. In addition, the coughing often resulted in vomiting. And still, doctors responded with, "We don't know what to tell you it's clearly just weight-related."
. . .
Hiles was 23 when her new primary care physician suggested she see another kind of doctor. . . But before she could see the pulmonologist, Hiles had another bloody coughing fit, which landed her in the ER and ultimately led doctors to find a tumor in her bronchial tube. Hiles was forced to have surgery to remove her entire left lung, which was black and rotting with dead tissue.
These are examples of the phenomenon that form the basis of the subthread I started.
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Pick up the pace! Slow walkers four times more likely to die from COVID-19, study finds [View all]
Klaralven
Mar 2021
OP
You are working in a reverse fashion from what I was, I meant that the odds are pretty high
Celerity
Mar 2021
#20
that has no logical bearing on my scientific point I made, and it is not prejudice
Celerity
Mar 2021
#26
Misleading! There is no indication at the linked site that this study ascertained
spooky3
Mar 2021
#4
Full of confounding. Slow walkers also include those with osteoarthritis that also affects the young
hlthe2b
Mar 2021
#6
The study has references about walking pace being a good proxy for fitness
muriel_volestrangler
Mar 2021
#10
It is a confounded measure. BMI is an imperfect proxy for obesity (the extremely muscular
hlthe2b
Mar 2021
#11
No, that's really a ridiculous comparison - "along the lines of 'gambling causes cancer'"
muriel_volestrangler
Mar 2021
#12
It is the classic example used to teach those who do not understand the concept of confounding
hlthe2b
Mar 2021
#39
You are ignoring that brisk walking is an indicator of basic fitness
muriel_volestrangler
Mar 2021
#40
It is a confounded proxy, inadequate without including additional variables to adjust for their .
hlthe2b
Mar 2021
#41