Here is a show that incentivizes and monetizes maximum weight loss in minimum time, that makes millions shaming fat folks and potentially causing them significant hormonal, renal and endocrine problems for 'entertainment' and this woman's cheekbones are the problem?!?

This is a show whose ENTIRE PREMISE is to monetize and incentivize maximum weight loss in minimum time regardless of the physiological shitstorm it will inevitably cause the contestants.

In my mind, I see her turn on her fabulous heel and flick that fabulous cape right into the face of anyone who dares suggest that she looks less than magnificently transformer-robot-who-lunches. Always, but especially here. I love this.

Nobody needs their stomach pumped; gastric lavage has not been considered appropriate emergency medical management of ETOH intoxication since at least the 1990s, as far as N. American practice standards are concerned. That's strictly a TV thing, but a temporary IV butterfly (which parents can be trained to IV push…

Hah! ER trauma nurses, as a group, are generally pretty shameless but we can always be relied upon to stow a couple of litres of NS and IV lines in a suitcase for weekend ski trip recovery purposes!

Hey now, i'm a legit RN and i have used a tongue depresser and chest tube tape to wrangle a hanger for an IV bolus, while at at a classy, level-1 trauma centre. Sometimes you gotta hang a line and there's no IV pole to be found, or some numbnuts broke it :-)

I have worked the Canadian medical system in two provinces, two level-1 trauma centres and Canadian Blood Services sites. When i donate platelets, the staff leave me alone for at least an hour, longer than the duration of a 1L NS bolus, with a 16 gauge yep you betcha METAL CANNULA!!!!!!! in my AC and it looks pretty…

Looking at the pic, this looks like an ideal way of administering a quick bolus, at least for safety/infection control. Flush the tubing all the way to the cannula, pop it in and presto, no blood exposure by having to switch over to a saline lock. And pop the retractable needle at the end and eliminate the possibility…

That's a lot of panic for a a practice that's fairly standard in short term controlled settings for IV bolusing or plasmaphoresis. And by standard I mean RN best practice, at least as far as the CNO is concerned. Not a big deal. Take a breath.

Yes, uninterrupted sitting, processed food and no exercise is a stress on the body, and is compromising health on a vast scale. But come one now, losing 60% of one's body mass in 20 weeks is nothing less than an acute endocrine, renal, and cardiovascular SHITSTORM and it is not even remotely what our bodies 'evolved'…

My subway disdain is reserved for those who try to shove on before the car is disembarked, they reap all the scorn and side-eye i can muster!

That's me! I always choose to sit next to a fat person on my commute. Larger folks are always more aware of their body habitus than the straight-armed-newspaper-readers, crotch-airers, purse-on-the-seat-next-to-me-ers and hands-in-their-jacket-pockets-elbowers. I don't need the space, and nobody else can make him/her…

You demonstrate exceptional stamina and obvious commitment to this troll debate. You are truly playing the long game; your skilled use of tortuous logic, semantic derailing, halo effect claims of expertise, claiming well defined words as vague, citing irrelevent facts and intimidation deserve a tip of the hat. My only…

totally, an IUD has been my method of BC for 6 years and counting, except i don't have to count, or remember it, or worry-yay!

You're right, those big scary sounding risks relate more to BCP. I think the risks of one time dosing is more one of ineffectiveness of the drug due to the higher hormone evels causing vomiting so frequently. So it won't kill you, but you'll puke it up so it wont work either.

PlanB is known to be ineffective at higher weights, because the side effects (ranging from nausea/vomiting which mean you can't keep it down, rendering it useless to increased clot risk) BECAUSE they tested it on women of all sizes. The manufacturer cannot safely increase the estrogen levels required for the same…

RN here, we have to learn pharmacology and pathophys too ;-) In a nutshell, at higher doses, estrogen almost as likely to cause a DVT, MI, or stroke as to disrupt implantation. Makes it a difficult sell, although pharma tried it with HRT. Ugh.

Please understand, progestin and estrogen are potentially very dangerous hormones. Manufacturers have to balance efficacy of product against risk. At higher doses, the side effects of estrogen in particular can be life threatening: MI, DVT, PE, and stroke among them. To minimize this, estrogen doses are minimized.…

Yeah, you missed the most important part. Addicts have children because they are humans, and like other humans they want to have something to love and be loved, the white picket fence, something to improve their life, all those reasons anyone has a child. The idea of a child is also an incredibly powerful motivator to…

I guess I just can't bring myself to call people 'fucking disgusting' when I could give them the benefit of the doubt and treat them as human beings who failed. Its an awful situation, and like most awful situations, it is never improved by scorn and judgment, not for the children or for the failed adults.