Profile overview for doctor_eat_less.
Submission statistics

This user has mostly submitted to the following subverses (showing top 5):

3 submissions to pics

1 submissions to fatpeoplehate

1 submissions to Linux

This user has so far shared a total of 3 links, started a total of 2 discussions and submitted a total of 174 comments.

Voting habits

Submissions: This user has upvoted 89 and downvoted 42 submissions.

Comments: This user has upvoted 67 and downvoted 7 comments.

Submission ratings

5 highest rated submissions:

I am medical director of an obesity rehabilitation center and have seen more than you can possibly imagine, AMA, submitted: 7/20/2016 4:13:50 PM, 381 points (+383|-2)

My home state, Oklahoma, USA, submitted: 9/14/2016 9:44:41 PM, 72 points (+72|-0)

Galway, Ireland, submitted: 9/14/2016 11:08:37 AM, 45 points (+45|-0)

Macbook brightness controls not working after change to proprietary Nvidia driver, submitted: 10/6/2016 6:29:06 PM, 14 points (+16|-2)

Whitaker Point in the Ozarks [Arkansas, USA], submitted: 9/16/2016 1:46:42 AM, 5 points (+5|-0)

5 lowest rated submissions:

Whitaker Point in the Ozarks [Arkansas, USA], submitted: 9/16/2016 1:46:42 AM, 5 points (+5|-0)

Macbook brightness controls not working after change to proprietary Nvidia driver, submitted: 10/6/2016 6:29:06 PM, 14 points (+16|-2)

Galway, Ireland, submitted: 9/14/2016 11:08:37 AM, 45 points (+45|-0)

My home state, Oklahoma, USA, submitted: 9/14/2016 9:44:41 PM, 72 points (+72|-0)

I am medical director of an obesity rehabilitation center and have seen more than you can possibly imagine, AMA, submitted: 7/20/2016 4:13:50 PM, 381 points (+383|-2)

Comment ratings

3 highest rated comments:

I am medical director of an obesity rehabilitation center and have seen more than you can possibly imagine, AMA submitted by doctor_eat_less to fatpeoplehate

doctor_eat_less 0 points 90 points (+90|-0) ago

As you might guess, denial is extremely common. I read a study recently that indicated that the average American has no idea how many calories they eat per day, guesstimates it to be 2000-2500, but it is actually around 3800 calories. This is the AVERAGE citizen. This is why we as a population are getting fatter and fatter.

For one of my patients, 3000-4000 calories is a joke. If they actually ate 3000 calories they would be losing weight. A 70" man who weighs north of 500 pounds is going to have a sedentary TDEE of 4500 calories or more. Most of these patients are gaining weight at an alarming rate, which means they're exceeding those TDEEs. Most of them are blowing them out of the water at 7500-10000 kcals a day.

In my experience, men tend to be more realistic about how much they eat. Women seem to think they eat very little, and it's because men tend to eat multiple big meals, while women will often not eat all day and then scorch down 4000 calories in one go. Almost all of them drink 500-700 calories in soda or sugary coffee a day, regardless.

Commonalities other than obesity? Trauma. It's the sole reason I know that obesity is more than meets the eye. I hate to give any credit to the touchy-feelies over in psych, but it's just too common to ignore. I never thought I would say this as a younger man, but it's bad science to ignore the role trauma plays in obesity, especially childhood trauma.

Addiction is a funny word. Even the DMS-V is tinkering around with redefining it. There were "addictions," then there were "substance abuse disorders," and now there are "substance use disorders." I'm not a psychiatrist, far from it, but I do believe when an otherwise competent, intelligent person with full knowledge and forethought acts in a manner that is contrary to their best interests, it has to fall somewhere on that spectrum. The need for instant gratification at the cost of longterm health is mental illness, is it not?

I am medical director of an obesity rehabilitation center and have seen more than you can possibly imagine, AMA submitted by doctor_eat_less to fatpeoplehate

doctor_eat_less 0 points 85 points (+85|-0) ago

My favorite success story is a young man, 26 years old, 750lbs on admission. He lost 75lbs in the first six days. He came to visit us as a 6'2", 185lb greek god. I kid you not. He had skin surgery (and very elastic skin to begin with), and was movie-star handsome. I admit I cried that day. Good on him. Last update I had from him he was running triathlons and lifting weights several times a week.

I am medical director of an obesity rehabilitation center and have seen more than you can possibly imagine, AMA submitted by doctor_eat_less to fatpeoplehate

doctor_eat_less 0 points 82 points (+82|-0) ago

By the time I've seen them they've gone through several medical examinations and have been in the hands of nurses and nurse techs who take care of those sorts of things. What happens VERY often though are yeast infections between the "rolls" of adipose that rarely (if ever) see sunlight or fresh air. Those areas tend to sweat more often than the rest of the body, and so become infected very quickly. The yeast infections produce a thick, pasty, white exudate similar to pus. If untreated, the infection can become necrotic, and that is often when maggots can set in. In home-bound patients, maggots are often the cause of unsanitary conditions and, for the patients we treat, I would say that is the vast majority. Maggots are just the beginning, though. Ever seen someone who is infested with cockroaches? Not their home, but the actual person. It happens, and it's the most vile, terrifying thing I've ever seen.

3 lowest rated comments:

I have no clear idea how intelligent someone with IQ 100 is. submitted by svipbo to Showerthoughts

doctor_eat_less 1 points -1 points (+0|-1) ago

I highly recommend taking a statistics class. Average is average. It's not an absolute measurement, it's a moving point based on plotting all scores. The only reason we can pinpoint a score as "high" or "low" is because there are other scores to compare against. IQ is a form of normative testing, so 100 is considered the normative average, meaning 68% of the tested population fell within one standard deviation of the normative average (according to the 68-95-99.7 rule).

What has made you quit doing something you love? submitted by AnalQueen to AskVoat

doctor_eat_less 1 points 0 points (+1|-1) ago

Pro-tip: most women don't want to be needed. They want to feel as though they're needed, without actually being needed.

I am medical director of an obesity rehabilitation center and have seen more than you can possibly imagine, AMA submitted by doctor_eat_less to fatpeoplehate

doctor_eat_less 0 points 0 points (+0|-0) ago

It was amazing, and it's one of the things you do this kind of work for.