CO-MORB LIST

NOT ENOUGH CO-MORBs?????? Original Post by Lady D * at 10:05 AM PST on 09/15/2005 Summerville, SC - RNY (10/28/2005) I'M A BIT HEAVIER THAN MOST ON THIS BOARD, BUT YOU NEED TO REALLY GET CREATIVE WITH THE CO-MORBS IF YOU ARE A TRUE "LIGHTWEIGHT". MY DR HAD TONS OF WEIGHT-RELATED ISSUES ... HERE'S WHAT I CAN REMEMBER ... NORMALLY YOU NEED A BMI OF 40 & BE 100 #s OVERWEIGHT, BUTTTTT ... DO YOU HAVE - DIEBETES - HIGH BLOOD PRESSURE - HIGH CHOLESTEROL - ACID REFLUX, HIATAL HERNIA, REGURD DISEASE, SEVERE HEARTBURN - FLUID RETENTION OR SWOLLEN JOINTS - ARTHRITIS, DEGENERAGIVE BONE DISEASE (ESPECIALLY IN THE LOWER BACK) - LARGE BREASTS = RUTS IN YOUR SHOULDERS (NERVE DAMAGE FROM THESE PRESSURE POINTS FROM THE BRA STRAPS) ... SHOULDER, NECK OR UPPER BACK PAIN ... HEADACHES OR SEVERE TENSION AT YOU NECK/SKULL - RASHES UNDER YOUR BREASTS OR STOMACH OR BETWEEN YOUR THIGHS, ETC. - CARPAL TUNNEL SYNDROME (SECONDARY CO-MORB) - HEAVY MENSTRUAL FLOW (SECONDARY CO-MORB) POOR BLADDER CONTROL ... DO YOU "SQUIRT" WHEN YOU LAUGH, COUGH, GET UP OUT OF A CHAIR, ETC - SLEEP APNEA ... SNORING, COUGHING, CHOKING, APNEA (STOPPING YOUR BREATHING) - SEVERE PAIN/DAMAGE IN ANKLES, KNEES & HIPS - EXHAUSTION ... TAKE NAPS DURING THE DAY OR NEED TO RECOUPERATE AFTER ANY PHYSICAL EFFORT ... NEED TO REST DURING LONG PERIODS WALKING LIKE WHEN SHOPPING LIFESTYLE LIMITATIONS ... - LITERAL HUFFING & PUFFING PERFORMING "NORMAL" DAILY ACTIVITIES - LIMITED OR UNABLE TO PERFORM NORMAL FAMILY ACTIVITIES - " " " " PERFORM SEXUALLY - " " " " PERFORM EMPLOYMENT DUTIES - NEEDING HELP BATHING, TYING YOUR SHOES, DRESSING, TAKING CARE OF YOURSELF ... WHAT HAVE I MISSED LADIES GOD BLESS DAWN & NICK RE: NOT ENOUGH CO-MORBs?????? Response from Karen P at 6:45 PM PST on 09/15/2005 Erie, PA - Amjad Ali, M.D. Hi Dawn, That was a great list. The only other one I can think of is hyperlipidemia (I think that's it) high lipids. You always have great posts. Karen RE: NOT ENOUGH CO-MORBs?????? Response from Andrea B at 12:57 PM PST on 09/17/2005 Slayton, MN - RNY (05/04/2005) Here are a few more that I have thought of: Depression Pain in feet (Arthritis) gall bladder issues Asthma going 2 months or more between periods Fatty/Large/Diseased Liver & ... COPD & DEGENERATIVE BONE DISEASE, ESPECIALLY IN THE LOWER SPINE ARE ALSO CO-MORBs ... DON'T REMEMBER IF I PUT THIS ON THE LIST, BUT IF YOU HAVE A WEAK BLADDER IN WHICH YOU URINATE WHEN YOU LAUGH, SNEEZE OR STRAIN YOUR STOMACH MUSCLES ... THAT'S A CO-MORB. ~~~~~~~~~~~~ LIGHTWEIGHTS" (BMI ABOVE 35 & NO MORE THAN 120#s OVERWEIGHT) ... USUALLY AVERAGE BETWEEN 80 & 100 #s OVERWEIGHT. THE BASE CRITERIA FOR WLS IS A BMI OF 40 OR MORE & AT LEAST 100 #s OVERWEIGHT. BECAUSE THEY HAVE A HARD TIME QUALIFYING SINCE THEIR NUMBERS ARE SO LOW, I PUT TOGETHER A LIST OF WHATEVER I COULD FIND ON CO-MORBS. IF YOU HAVE ANYOF THE ABOVE, YOU PRIMARY CARE MANAGER (PRIMARY/FAMILY DR) SHOULD WRITE A LETTER OF NECESSITY BASED ON THE FACT THAT YOUR CO-MORBs HAVE BEEN GETTING WORSE & THAT BY HAVING WLS, YOUR CO-MORBS SHOULD IMPROVE OR BE COMPLETELY HEALED. ALSO, LIFESTYLE LIMITATIONS CAN BE USED ... SUCH AS ... ... CONSTANT PAIN IN NECK SHOULDERS & UPPER BACK BECAUSE OF BRA PRESSURE & WEIGHT OF BREASTS ... WALKING LIMITED BECAUSE OF JOINT PAIN ... LOWER BACK PAIN CAUSING MOVEMENT & WALKING LIMITATIONS ... SEXUAL LIMITS BECAUSE OF OBESITY ... NOT BEING ABLE TO TIE YOUR SHOES (CAN'T BEND OVER FAR ENOUGH), OR DRESS YOURSEF COMPLETELY WITHOUT HELP ... or CAN'T CARE FOR YOUR FEET, TOES & TOENAILS ... NOT BEING ABLE TO CLEANSE YOURSELF PROPERLY AFTER USING THE RESTROOM (MANY OBESE HAVE THIS PROBLEM) ... NOT BEING ABLE TO CARE FOR YOUR CHILDREN PROPERLY (CAN'T CARRY OR PICK UP A SMALL CHILD, FOR INSTANCE.