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“Orcas in the ER”

Here's the enormity of it, folks. An ER doc writes in to Art De Vany relating a 6-hour shift where only 2 of 18 patients weighed less than 300 pounds.

…They are on Avandia (increases insulin sensitivity in muscle and fat-cells that are desperately trying to protect themselves from excess glucose), Glyburide (increases glucose uptake in cells that are trying to avoid the sugar onslaught). They are on Zoloft (serotonin uptake inhibitor to increase serotonin because their receptors are worn out from the spikes and crashes Dr. Devany describes above). They are on Lipitor and Niacin (trying to control the disruption in hormone synthesis when excess sugar in the face of high insulin results in shunting to the liver and conversion to triglycerides and LDL). They are on asthma inhalers (albuterol), antihistamines (zyrtec), and leukotriene inhibitors (singulair) to deal with chronic systemic inflammation. They are on long-acting non steroidals from their obesity and inflammation driven arthritis. They are on Prilosec for reflux and gastritis due to chronic overeating and loss of Grehlin sensitivity, not to mention the irritation of their arthritis meds. They are on ACE inhibitors to deal with increased vascular tone and BP from chronic vascular inflammation […] Many doctors don’t understand the underlying biochemistry, many do but realize their patients do not possess the intellect or will to turn it all around. EFers should be very proud that they have the knowledge and will to never get sucked down this vortex.

Not to touch off any sort of political debate, but some of you want nationalized health care?

Richard Nikoley

I'm Richard Nikoley. Free The Animal began in 2003 and as of 2021, contains 5,000 posts. I blog what I wish...from health, diet, and food to travel and lifestyle; to politics, social antagonism, expat-living location and time independent—while you sleep—income. I celebrate the audacity and hubris to live by your own exclusive authority and take your own chances. Read More

4 Comments

  1. Adam on October 4, 2008 at 10:27

    This could be the clearest, most defined description of our nation's help problems…all of them.

  2. Adam on October 4, 2008 at 10:27

    Health problems

  3. Amanda on April 14, 2010 at 12:09

    I’ve seen anti-healthcare sentiment very often on paleo-type blogs, and while I full-heartedly believe that everyone is entitled to their own opinion I can’t help but ask, “why?” Why deny people coverage for injuries, infections, or birth defects? Many of us are trying, often desperately, to get coverage when something minor happens… many of the uninsured are thinking, reasoning, individuals who haven’t had the luck to land a job with benefits. What if, with universal healthcare, doctors could start treating with diet? What if with universal healthcare, combined with digitalization of records, allowed doctors to better communicate… and what if that helped them see how diet influences weight and weight related disease? What if that meant that a young mother didn’t have to afraid of the ruinous financial consequences of falling off a curb and protecting the baby rather than her knee? (I protected her anyway, but still…) I was lucky then, I was still a student and had a minimal amount of coverage. What if it happened today? What if my three year old fell on the stairs and in protecting her I broke my arm? I can’t afford to have it set. Period. Would you doom me to a life of pain and reduced usefullness because I, my family, and friends can’t afford to get it fixed? Sometimes life doesn’t go the way you planned, you don’t make more than $8.50 an hour, and you can’t get more than two days a week worth of work despite having a masters degree, it doesn’t mean you should have to suffer for the rest of your life, does it?

    Universal healthcare is more than just a free ride to people who are addicted to the very diet they are often told is good for them… it’s peace of mind for some and the responsibility that we have each to the other to care for one another. Perhaps a better target might be our educational system? Better educated citizens = healthier citizens = less healthcare costs = more to spend on education = … Perhaps the vehemence aimed at universal healthcare might better be redirected to educating people about the dangers of the modern diet, towards continued research into what we really should be eating, and toward fighting the money making machines that tell us to eat frankenfoods without nutritional value.

  4. Richard Nikoley on April 15, 2010 at 10:01

    I don’t know what to tell you, Amanda.

    It doesn’t matter what life deals with you. You have no _right_ to coerce others to provide you with their time and the values they produce.

    That will never, ever change.

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