Shhisaidshh
kiwifarms.net
- Joined
- Feb 15, 2021
Every surgical program is different. There are programs both in the US and Canada that prohibit MJ usage as well as allow it. It’s actually more likely to be approved within Canada due to the status of the legality of MJ. In the US, it’s usually up to the insurance company as to whether they require a clean UDS.It won't be fine in a weightloss surgery program even if it is legal in Canada. The issue isn't whether she vaped it or ingests it...the issue is that she uses it. That's not okay in a WLS program. There are all kinds of reasons surgeons come up with for why certain things or behaviours are exclusions to surgery, from physical issues that might result (e.g pouch damage) to pyschological reasons (e.g transfer addiction which is a huge issue after WLS). I wasn't being morally judgemental when I said it was an issue for her, I was just being pragmatic by stating it's an exclusion...and one she'll be tested for should she even make it to a point beyond the initial screening of referrals.
Surgeons don't plan open surgeries for weightloss anymore, unless they are revisional or cancer surgeries...even then they'll try the laprascopic route before converting. If she were to have surgery it will be laprascopic unless the surgeon runs into other issues (e.g. adhesions from prior abdominal surgeries) that require conversion to open surgery. If they consider her abdomen too big for the equipment they have, they'll just make weightloss a precondition. Sure her male pattern visceral fat is a very real consideration for surgeons, which is why they won't even attempt her surgery until she gets herself into a state where they can operate laprascopically. These days surgeons have the option to use an Obera Balloon if a patient needs desperate intervention but is too unhealthy still for WLS. They generally don't publicise it because it's very expensive and a short term fix only, but it is an option that can be safely utilised on patients whose visceral fat prevents laprascopic techniques being used, or those whose current state of health makes general anesthesia too risky.
Uh, no. She has borderline personality disorder.I think Chantal has early onset Dementia. A recent preclinical study in mice indicated that liver inflammation caused by NAFLD may lead to an activation of microglial cells in the brain and may induce neuronal apoptosis, which results in signs of Alzheimer's disease .
Also the non-compliance with her CPAP machine.
Lack of oxygen during sleep interferes with memory formation, blood pressure regulation, and weight control. Untreated apnea is associated with increased risk for dementia, stroke or heart attack.
The lack of restraint with the picking, belching, sniffing, farting ,touching her fat deposits cross a line of behavior of socialization often displayed in Dementia patients. She exhibits all of the signs and symptoms of Frontotemporal Dementia. She is in serious trouble.
Frontotemporal Dementia
Neuropsychiatric Symptoms in FTD
Neuropsychiatric symptoms are common in dementias overall, but they are a true hallmark of bvFTD since they are inaugural and predominant throughout most of the disease, until the final loss of independence in activities of daily living. Since they usually precede the cognitive symptoms, failure to recognize the early stage of illness is the most troublesome aspect reported by carers [8]. Psychiatrists are often consulted first, and a third to a half of the patients receive a psychiatric diagnosis (e.g., depression, bipolar disorder, schizophreniform psychosis, depression with obsessive-compulsive feature, or alcohol dependence with hypomanic features), although “atypical” features are usually documented [9–11]. There is indeed a syndromic overlap between FTD and psychiatric disorders that may appear in late adulthood [12]. When dementia has become conspicuous and a neurodegenerative process is no longer in doubt, personality and behavioral changes can differentiate FTD from AD, even when described by a relative, years after the patient’s death [13]. A
Behavioral/cognitive symptoms of bvFTD [16]
Early behavioral disinhibition One of these symptoms must be present: Socially inappropriate behavior Loss of manners or decorum Impulsive rash or careless actions Early apathy or inertia One of these symptoms must be present: Apathy Dementia Early loss of sympathy or empathy One of these symptoms must be present: Diminished response to other people’s need and feelings Diminished social interest, interrelatedness, or personal warmth Early perseverative, stereotyped, or compulsive/ritualistic behavior One of these symptoms must be present: Simple repetitive movements Complex compulsive or ritualistic behaviors Stereotypy of speech Hyperorality and dietary changes One of these symptoms must be present: Altered food preferences Binge eating, increased consumption of alcohol or cigarettes Oral exploration or consumption of inedible objects Neuropsychological profile: executive/generation deficits with relative sparing of memory and visuospatial functions All of these symptoms must be present: Deficit in executive tasks Relative sparing of episodic memory Relative sparing of visuospatial skills