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Obese man wins $350,000 payout from GP
#1
A morbidly obese man dying of liver cancer has been awarded more than $350,000 from his doctor because the GP failed to refer him to a weight-loss clinic or send him for lap-band surgery.

Medical experts say the case of Luis Almario is a legal landmark in NSW and will force suburban doctors to ensure overweight patients shed kilos or risk being sued.

Read more: http://www.smh.com.au/nsw/obese-man-wins...z2KCKqOSMo
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#2
Ha!

I have an acquaintance who is complaining that her Lab Band is not working because she is actually putting on weight... She is going to ask the doctor to adjust it properly.

...of course it has absolutely nothing to do the fact that she can eat chocolate in small pieces and drink chocolate milk and wine....

I had lap banding suggested but the way I figure it a lapband or weight loss clinic is no good without personal discipline - and that is where I fall down.
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#3
Quite right, Moriarty - personal discipline is everything. Also, lapband surgery is not considered all that effective for morbidly obese people - the gold standard of surgical intervention for weight loss on morbidly obese people is the Gastric Bypass - neither are recommended unless all other efforts (diet, exercise, etc) are exhausted. LapBanding will not take off nearly enough weight from morbidly obese people in the short term, and should be used with BMIs of 50 or less. After that, more drastic reductions are called for. Of course, those are the standards over here - in Oz it may well be something else.

There is a great deal of research being done at the moment into the methods of "resetting" the hunger hormone, and it may be that sooner rather than later, surgery will no longer be required in most cases, just a series of shots or a specialised diet that does the reset. Currently, the only method that effectively does that is gastric bypass, by actually moving the digestive system past the region where the hormone resides. There is no weight regain after that, although there is a strictish diet and vitamins for the rest of the patient's life. There is weight regain once a gastric band is removed, because the hunger hormone is not reset.
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#4
Kind of like suing McDonalds for ruining your health because you go there and eat 5 Big Macs & 5 super-size fries each day.

We're sue-happy these days. If we could, we'd sue God because He's the one who sent a rainstorm and we got sick from not having the common sense to come in out of the rain.

Sometimes people are just.... nutso-whacko loons. LocoAnnoyed-and-disappointed
And the courts that award them damages for being loons are insane. Oh-jeez
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.



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#5
Would you like the 64oz milkshake with that?

Smile
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#6
(02-07-2013, 01:41 PM)Shastzi Wrote: Would you like the 64oz milkshake with that?

Why yes, I would! Thank you. Licklips
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.



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#7
Supes, I couldn't agree with you more - this litigious streak is just amazing (and disgusting) - one of the reasons the cost of medical care has gone up so much in the US is the high levels of anti-malpractice insurance.

If you are a fool, don't sue the guy who profits from you being a fool - stop being a fool.
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#8
(02-07-2013, 06:07 PM)wilorg Wrote: Supes, I couldn't agree with you more - this litigious streak is just amazing (and disgusting) - one of the reasons the cost of medical care has gone up so much in the US is the high levels of anti-malpractice insurance.

If you are a fool, don't sue the guy who profits from you being a fool - stop being a fool.

Actually the cost of malpractice insurance in the US is totally unrelated and not a factor in cost of health care according to David Belk, MD.

The real reason?
The healh insurance industry in the US is just a bunch of low down crooks!!

I was amazed and disgusted.
Check in out here:
http://truecostofhealthcare.org/
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#9
Very interesting S, and most informative, but I am not sure that it is altogether true, although hardly false. The problem is that it doesn't explain the cost of healthcare in other countries very well. Many of the costs are comparable, and it is not because the other countries look to the US as a model for pricing - that is something we really don't do. What I can tell you is that we are very much aware of the costs of various things, but some things are expensive no matter what you like, simply because the manufacturer has set a price and we have to pay it - there is a good reason why we charge around SFR700 for an MRI - the equipment costs a nice bit over a million dollars, the room it goes into has to be specially rebuilt to house the unit and contain the electromagnetic field, the technicians get paid per hour, not patient, and are on a regular salary, as are the diagnostic radiologists who interpret the results, etc, etc, etc - as you can see, that adds up real fast, and just about when you have paid off the original machine, it is close to scrap and it is time to buy a new one.

Because of this, when the technology was introduced, the governmental department that oversees health had to be approached for approval of a payment model and the latitude we could charge in this, and once that price was set, we were stuck with it, more or less. Now, with the exception of going to government to get approval as to how much we should charge, the experience in the US isn't that much different, and when I was last in the States on a conference (admittedly a few years back) I found that the charges were broadly comparable to ours. So were several standard surgical charges.

I don't think the manufacturers should charge so much for their equipment, but they do, as do the drug companies. And I don't think it is fair that we pay a higher price in Switzerland for the same drugs than across the border in Germany, but that is the choice of the manufacturer, who believes that the Swiss can be gouged without complaint. But I do know that over here, we have very few rich doctors - it is a decent living, but you rarely get rich off of it. The fact that setting up a practice can easily cost a million pretty much prevents getting filthy rich off of it.

As for the insurance companies, well, we can go on all night trading horror stories about the abuse of insurance companies. I am certain that there is definite abuse going on there.
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