Official Physical Health Speculation & Cancer Discussion - hulthy just big

I think she'd say something about it if there was something seriously wrong that can't just be blamed on her complete lack of self control. If all the diagnosis was a no-brainer "your skeleton is screaming out for relief from all the weight it has to support, lose weight and the pain will stop", we won't hear about it.
Think she'd even say any thing now? Given she claims she's fine and haydurs are wrong? I mean if we're remotely right, will she admit it? hm..
 
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Even if her HbA1c is normal as she claims, it's not the only blood test used to determine diabetes and pre-diabetes. I bet if she had a fasting glucose & fasting insulin, and an oral glucose tolerance test, we would see interesting results. At least one test result is bound to be fucked up.
IIRC she has once in her life taken her blood sugar in the morning, it was borderline normal and thus she claims she is not diabetic (about 150 pounds ago?). Having her fast long enough for a OGTT would be almost impossible. Or even being able to stab her fat arms for multiple blood samples. And it includes drinking a juice that is definitely not diet, she only drinks diet sodas guiiiiiiize. She needs the nurtitional info on the juice first, gotta count those weight watcher points.
 

Sorry to interrupt the dietitian stuff but I was watching this little docu-vid about fat.

There’s this one part where they’re talking about when adipose tissue actually becomes a problem for people’s bodies. It’s at about 16 minutes in. He was saying the super morbidly obese types that have to be cut out of their homes because they’re so fat generally do not have diabetes because they have the capacity to hold all this extra fat almost without consequence? I don’t know, kinda call bullshit on the British guy.
 
Something I've been wondering today after seeing the video compilations from the last 2 weeks of AOnly getting 4 hours or less of sleep at a time, and that FitBit sleep diagram we saw a while ago that showed AL waking up like 27 times in a 5 hour period, is how the fuck can Becky and the gays see AL sleeping, not breathing, gasping for air, and waking up gasping without being the least bit worried about her fucking dying? Like how is it possible to witness this:
and think, 'Oh, that's just how big people snore,' it literally looks like they are dying in front of you and need CPR. Like, usually it's the person's loved ones begging them to take care of it. Do they just not give a fuck, or does SassyLynn tell them they're a bunch of dumb hicks?
 
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If Becky falls asleep before AL, and they run tha industrial sized fan to help AL feel like she is getting air, and that an drowneds our the death gasps, it may now wake her, especially if her gasps are a sort of soothing form of white noise for her snoozefests now.

I can imagine Becky telling her- “hey babe, did you know you stop breathing all through the night? You may want to get that checked out.” After that what can she do? AL in return would label her a “haydur” and tell her that she will ignore her haydur opinion from now on. Obvs she just hates her because she is fat like all the rest of ‘em

Think she'd even say any thing now? Given she claims she's fine and haydurs are wrong? I mean if we're remotely right, will she admit it? hm..

Probably not. Narcissists don’t really like to admit when they are wrong. It’s not really their thing.
 
Serious q for US farners:

Would a good, reputable doctor even take her on? We know she pays in cash, likely has an abysmal credit score - or, at best, a null one. Which at her age is little better than having a lousy one - may not have ID, patchy medical history, no insurance etc etc. And one look at her brings at least a dozen serious problems to mind instantly, none of which are cheap or quick to fix.

Add in Monticello itself where poverty is high, and the instant risk assessment would be a big fat no. I know she'd be the most improbable drug connection, but that's what big piles of cash and low radar usually signify in those areas, so even if she put down a fat wad of notes beforehand that of itself is no security. And big piles of cash don't help in terms of continuing care because they risk it running out.

I just can't see any good, established doctor taking her. Even if they accept the dosh comes from YT and ignore the other credit flags, no lender is going to consider YT a secure income (and I'm assuming most reputable doctors have office managers or accountants making these decisions - I've worked with US credit and she's just a gigantic nope, no way, not even CoD.)

Thunks? Surely she can't be stiffing a low-income clinic, which would ordinarily be the obvious answer, because she earns way too much. It's just such a strange, counterintuitive situation.
 
Serious q for US farners:

Would a good, reputable doctor even take her on? We know she pays in cash, likely has an abysmal credit score - or, at best, a null one. Which at her age is little better than having a lousy one - may not have ID, patchy medical history, no insurance etc etc. And one look at her brings at least a dozen serious problems to mind instantly, none of which are cheap or quick to fix.

Add in Monticello itself where poverty is high, and the instant risk assessment would be a big fat no. I know she'd be the most improbable drug connection, but that's what big piles of cash and low radar usually signify in those areas, so even if she put down a fat wad of notes beforehand that of itself is no security. And big piles of cash don't help in terms of continuing care because they risk it running out.

I just can't see any good, established doctor taking her. Even if they accept the dosh comes from YT and ignore the other credit flags, no lender is going to consider YT a secure income (and I'm assuming most reputable doctors have office managers or accountants making these decisions - I've worked with US credit and she's just a gigantic nope, no way, not even CoD.)

Thunks? Surely she can't be stiffing a low-income clinic, which would ordinarily be the obvious answer, because she earns way too much. It's just such a strange, counterintuitive situation.

It really depends on the doctor. A doctor who cares will definitely for a while take her on. But one who just is in this for the daily grind? I doubt it. But the lack of Insurance will be addressed the moment she steps into an office because she needs medication to live, amoungst other things. Surgery etc etc.

She could get insurance, but she'd need to disclose her income to do so, and would get hammered by back taxes. Either way? She's going to be poor. She'll either live and be poor because she's paying off debt through the nose and back taxes..or she just will end up in such poor health her YT days are done.

She actually could volunteer for things like having the surgery done at medical school, etc etc. Basically done so others can learn, you can save a fuckton of money doing it that way. I don't know exactly how it works, but people do it. It's an option and frankly, Al might not be able to afford it any other way.
 
Serious q for US farners:

Would a good, reputable doctor even take her on? We know she pays in cash, likely has an abysmal credit score - or, at best, a null one. Which at her age is little better than having a lousy one - may not have ID, patchy medical history, no insurance etc etc. And one look at her brings at least a dozen serious problems to mind instantly, none of which are cheap or quick to fix.

Add in Monticello itself where poverty is high, and the instant risk assessment would be a big fat no. I know she'd be the most improbable drug connection, but that's what big piles of cash and low radar usually signify in those areas, so even if she put down a fat wad of notes beforehand that of itself is no security. And big piles of cash don't help in terms of continuing care because they risk it running out.

I just can't see any good, established doctor taking her. Even if they accept the dosh comes from YT and ignore the other credit flags, no lender is going to consider YT a secure income (and I'm assuming most reputable doctors have office managers or accountants making these decisions - I've worked with US credit and she's just a gigantic nope, no way, not even CoD.)

Thunks? Surely she can't be stiffing a low-income clinic, which would ordinarily be the obvious answer, because she earns way too much. It's just such a strange, counterintuitive situation.
Best thing for her is the ER tbh, she can get the testing needed right off.
 
Thanks @xenomorph <3 @Guardsman42 - it's damn near impossible for a Brit to wrap their head around the intricacies of US medical finance.

Can't wait for the leg saga ; in 3...2... "OWURGH MA LAYURGS!" Come to think of it, they were in Kentucky too - he'd be able to guide our goorl on the technicalities of "Living In Yo Bed," with the ever-helpful supplementary program "How to Not Fall Through the Floor of The Trailer." They can sit and ooze at each other. It'll be lovely.
 
Thanks @xenomorph <3 @Guardsman42 - it's damn near impossible for a Brit to wrap their head around the intricacies of US medical finance.

Can't wait for the leg saga ; in 3...2... "OWURGH MA LAYURGS!" Come to think of it, they were in Kentucky too - he'd be able to guide our goorl on the technicalities of "Living In Yo Bed," with the ever-helpful supplementary program "How to Not Fall Through the Floor of The Trailer." They can sit and ooze at each other. It'll be lovely.

<3
yeah her legs are a huge no no for her, she knows it's a horror show and who knows what it looks like when those tight pants come off or pried off.
And she will have to show her legs to the medical staff.
To her, this is a nightmare to have a bunch of people looking at her shame and God help her if she is at a teaching hospital, the students will be looking at her since they don't see these types of cases everyday.
 
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<3
yeah her legs are a huge no no for her, she knows it's a horror show and who knows what it looks like when those tight pants come off or pried off.
And she will have to show her legs to the medical staff.
To her, this is a nightmare to have a bunch of people looking at her shame and God help her if she is at a teaching hospital, the students will be looking at her since they don't see these types of cases everyday.

It’s not uncommon to find maggots in the folds of deathfat’s legs. I remember one mshpl had one.
 
https://www.o-wm.com/content/lymphedema-morbidly-obese-patient-unique-challenges-a-unique-population

I was curious about morbidly obese leg conditions and found this really informative article with not only info on lymphedema and Lipedema, but a lot of little knowledge nuggets regarding success after weightloss surgery for these patients. Also, that in 1999 a scooter wide enough and strong enough for them cost over $10,000. Also it said not moving is really bad for lymphedema and lipedima (which I think AL has) If you are bored like me, check it out.

“What is most interesting is that adherence to follow-up in a series of cognitive behavioral therapy programs designed to treat obesity was found to be inversely proportional to the severity of the obesity”

AL is doomed.
 
Oh Al is entirely doomed, I agree with this.

It's just a matter right now if she goes soon, or slowly over a decade. She is at the stage the people on documentaries are at who die in a year or two..20-30 years before them.

She won't survive to reach 40-50 because she's already there. Her body isn't even taking in the oxygen it needs, she's so fucked.
 
She actually could volunteer for things like having the surgery done at medical school, etc etc. Basically done so others can learn, you can save a fuckton of money doing it that way. I don't know exactly how it works, but people do it. It's an option and frankly, Al might not be able to afford it any other way.

Medical school is called a teaching hospital, and they are not cheaper than any other kind. Some of the most well-known teaching hospitals are UCSF, Johns Hopkins, Mass Gen, Brigham and Childrens. They are just research hospitals that take 3rd year students/residents (in July) and there are no discounts. In fact, in some cases they may be more expensive.

There is a joke in medical circles not to get sick in July.

But going from a primary care to surgery is a big jump. Amber is 300 pounds too fat for surgery. Mshpl makes it seem like 5-600 pounders routinely get surgery, but most doctors won’t go much over 300 lbs because it’s too dangerous. Bariatric surgery isn’t covered by insurance anyway, so she’d have to pay if she could find doctors willing to operate.

As for a PCP, a doctor doesn’t have to take any patient he doesn’t want to. Many won’t take cash patients but many do. It’s entirely up to the doc.
 
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