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Ms. Toad

(35,540 posts)
33. 30% is not "pretty high odds" so it was not accurate as a whole.
Thu Mar 18, 2021, 06:41 PM
Mar 2021

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 in—frank and heartbreaking tales, too often told by loved ones who survived the fat people they’d lost to misdiagnosis. Cancer, multiple sclerosis, thyroid conditions. And every time, the doctor’s 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 don’t have a sudden weight pressing on my lungs. I’m really scared. I’m not able to breathe.’”

“That’s 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


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'

These are examples of the phenomenon that form the basis of the subthread I started.
My friend's brother-in-law - a daily runner aged 50 just died of Covid womanofthehills Mar 2021 #1
It's really unpredictable - Ms. Toad Mar 2021 #9
diabetes for sure is a serious comorbidity nt Celerity Mar 2021 #14
But I come from a very long line of diabetes - Ms. Toad Mar 2021 #18
You are working in a reverse fashion from what I was, I meant that the odds are pretty high Celerity Mar 2021 #20
I am intentionally working in the reverse fashion. Ms. Toad Mar 2021 #22
that has no logical bearing on my scientific point I made, and it is not prejudice Celerity Mar 2021 #26
Only about 30% of obese people have type 2 diabetes Ms. Toad Mar 2021 #27
Now you literally misquoted me Celerity Mar 2021 #28
No. I literally (as in copy/paste) quoted you. Ms. Toad Mar 2021 #29
you are playing cleverclogs games with my statement Celerity Mar 2021 #30
I'm not playing games at all. Ms. Toad Mar 2021 #31
you left out parts, and then made incorrect claims based off that Celerity Mar 2021 #32
30% is not "pretty high odds" so it was not accurate as a whole. Ms. Toad Mar 2021 #33
You keep leaving out the 2nd part. Celerity Mar 2021 #34
Just what we need... SergeStorms Mar 2021 #2
How slow is slow walking vs. fast walking? Ocelot II Mar 2021 #3
Misleading! There is no indication at the linked site that this study ascertained spooky3 Mar 2021 #4
Thank you! nocoincidences Mar 2021 #5
LOL! :-) spooky3 Mar 2021 #7
Exactly. Mr.Bill Mar 2021 #37
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
Exactly. n/t pnwmom Mar 2021 #38
I go for a 35-40 minute walk just about every day Elwood P Dowd Mar 2021 #8
"Brisk" was defined as over 4mph, slow under 3 muriel_volestrangler Mar 2021 #13
In shape people Johnny2X2X Mar 2021 #15
Agree! Karma13612 Mar 2021 #16
Public transportation Johnny2X2X Mar 2021 #17
+1000 no question about it! ..nt Karma13612 Mar 2021 #23
+1000 llmart Mar 2021 #24
Good for you Johnny2X2X Mar 2021 #25
+100000 Celerity Mar 2021 #36
Great post. Celerity Mar 2021 #35
Thanks, another point people miss Johnny2X2X Mar 2021 #42
I "banked" my bone strength doing Jazzercise 3x per week for about 10 years. It has paid well. CTyankee Mar 2021 #19
Sounds like correlation rather than causation. MineralMan Mar 2021 #21
Slow walkers... seriously?!! ananda Mar 2021 #43
This makes me want to scream. milestogo Mar 2021 #44
Latest Discussions»General Discussion»Pick up the pace! Slow wa...»Reply #33