Friday, December 7, 2007

Yet another diagnosis change

So recently I met with the eating disorder specialist who was hell bent on diagnosing my eating disorder as "Anorexia Purging" I argued in great depth with this diagnosis and reasoning. It seems that every time I have an appointment with a different medical professional I acquire either a changed or new diagnosis.

Right now I'm writting in a bit of frustration (if you haven't sensed that already thought I'd throw it out there) At my last "visit" it was mentioned about the possibility of NG Tube feeding (or threatened depends on how you look at it)

Here's what I believe (bear with me on this, again, I may not be logical in a state of frustration, just throwing out some thoughts)

There are many complications from obesity. Such as hypertension, congestive heart failure, respiratory distress, diabetes, high cholesterol, sleep apnea and others. All of these are a result of a person’s increased body weight. Why should we not lock these people up and force them to loose weight as we lock up anorexic patients and force them to gain weight?

If you've been reading, I've been 275 lbs, so I've been a big woman, something happened in my life (and I don't wish to go into it right now) that triggered my eating disorder. I do know that I visited the Doctors far more when I was "obese" than now when I am considered of close to normal weight. I had brain surgery to relieve intracranial pressure while obese, I had bladder surgery to fix incontenince while I was obese, not to mention the countless office visits, tests, MRI's and CT's associated with these operations.

We believe that an “anorexic” patient has an eating disorder, which in turn is termed a “mental illness” Obesity also can be termed an “eating disorder” but appears to be the opposite of anorexia. The person may or may not be compulsive overeaters instead of a compulsive undereater like an anorexic patient.

So anorexia can be treated under the Mental Health Act, a person can be made “against their will” to get help and fed against their will when they are perceived to be “in extreme medical danger” So is it not perceived as medical danger if an obese patient presents with CHF or severe respiratory distress? But we don’t apply the Mental Health Act and force them to loose body weight in order to “better their condition” do we?

Maybe many people don’t realize that obesity costs this country millions of dollars each year in healthcare costs to treat “symptoms” as they arise. Instead we're worried about re-feeding anorexia patients while obese patients are being allowed to committ the same slow death just in an opposite manner.

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