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Kuwait tops USA in percent overweight

I was surprised to find that Kuwait has just edged out the USA in the percent of its population that is reported as “overweight:” 74.2%.  Forbes has an interesting visual flag display of the world’s fattest nations.

So what happened to Kuwait?  One fairly unhelpful press release suggested that the increase in overweight and obesity was due to changes in diet and exercise habits.  Thanks for that insight.

A recent study concluded that the risk of being overweight in Kuwait was positively influenced by income levels and yet the risk of obesity was inversely related to income levels.  So, if you’re wealthy you’re more likely to be chubby, but if you’re poor, you’re at risk for obesity?  Not sure I understand why that’s so.  Maybe everyone has plenty to eat, but only the wealthy can afford gym membership?

Another study correlated increased weight with frequency of dental visits.  Does that mean that the more dental work you need the more likely you are to be overweight/obese?  I guess Kuwaitis don’t brush their teeth.

What really happened to Kuwait?  This happened.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.


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2 Responses to “Kuwait tops USA in percent overweight”

  1. Anonymous says:

    LOL, I clicked on the “this happened” link. I know they made me fat too. This is a great blog thanks.

  2. Anonymous says:

    hi

    i would like to thank you for your lovely info about the forbes we had in kuwait , but to be honestly i found it here more at the US specaily with the fast food ‘junk food’ as american’s call it , and what was you references based on that percentage of 74.2% that means all the kuwaities are fatty poeple regarding to your number show’s above, and about brushing our teeth , we do brush our teeth and to correct your info we have less dentist clinic’s than you have in one of the states over here. thanks again and have agood day

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Richmond, VA – In an effort to simplify inpatient medical billing, one area hospitalist group has determined that “altered mental status” (ICD-9 780.97) is the most efficient code for use in any patient work up.

“When you enter a hospital, you’re bound to have some kind of mental status change,” said Dr. Fishbinder, co-partner of Area Hospitalists, PLLC. “Whether it’s confusion about where your room is located in relationship to the visitor’s parking structure, frustration with being woken up every hour or two to check your vital signs, or just plain old fatigue from being sick, you are not thinking as clearly as before you were admitted. And that’s all the justification we need to order anything from drug and toxin screens, to blood cultures, brain MRIs, tagged red blood cell nuclear scans, or cardiac Holter monitoring. There really is no limit to what we can pursue with our tests.”

Common causes of mental status changes in the elderly include medicine-induced cognitive side effects, disorientation due to disruption in daily routines, age-related memory impairment, and urinary tract infections.

“The urinalysis is not a very exciting medical test,” stated Dr. Fishbinder. “It doesn’t matter that it’s cheap, fast, and most likely to provide an explanation for strange behavior in hospitalized patients. It’s really not as elegant as the testing involved in a chronic anemia or metabolic encephalopathy work up. I keep it in my back pocket in case all other tests are negative, including brain MRIs and PET scans.”

Nursing staff at Richmond Medical Hospital report that efforts to inform hospitalists about foul smelling urine have generally fallen on deaf ears. “I have tried to tell the hospitalists about cloudy or bloody urine that I see in patients who are undergoing extensive work ups for mental status changes,” reports nurse Sandy Anderson. “But they insist that ‘all urine smells bad’ and it’s really more of a red herring.”

Another nurse reports that delay in diagnosing urinary tract infections (while patients are scheduled for brain MRIs, nuclear scans, and biopsies) can lead to worsening symptoms which accelerate and expand testing. “Some of my patients are transferred to the ICU during the altered mental status work up,” states nurse Anita Misra. “The doctors seem to be very excited about the additional technology available to them in the intensive care setting. Between the central line placement, arterial blood gasses, and vast array of IV fluid and medication options, urosepsis is really an excellent entré into a whole new level of care.”

“As far as medicine-induced mental status changes are concerned,” added Dr. Fishbinder, “We’ve never seen a single case in the past 10 years. Today’s patients are incredibly resilient and can tolerate mixes of opioids, anti-depressants, anti-histamines, and benzodiazepines without any difficulty. We know this because most patients have been prescribed these cocktails and have been taking them for years.”

Patient family members have expressed gratitude for Dr. Fishbinder’s diagnostic process, and report that they are very pleased that he is doing everything in his power to “get to the bottom” of why their loved one isn’t as sharp as they used to be.

“I thought my mom was acting strange ever since she started taking stronger pain medicine for her arthritis,” says Nelly Hurtong, the daughter of one of Dr. Fishbinder’s inpatients. “But now I see that there are deeper reasons for her ‘altered mental status’ thanks to the brain MRI that showed some mild generalized atrophy.”

Hospital administrators praise Dr. Fishbinder as one of their top physicians. “He will do whatever it takes to figure out the true cause of patients’ cognitive impairments.” Says CEO, Daniel Griffiths. “And not only is that good medicine, it is great for our Press Ganey scores and our bottom line.”

As for the nursing staff, Griffiths offered a less glowing review. “It’s unfortunate that our nurses seem preoccupied with urine testing and medication reconciliation. I think it might be time for us to mandate further training to help them appreciate more of the medical nuances inherent in quality patient care.”

Dr. Fishbinder is in the process of creating a half-day seminar on ‘altered mental status in the inpatient setting,’ offering CME credits to physicians who enroll. Richmond Medical Hospital intends to sponsor Dr. Fishbinder’s course, and franchise it to other hospitals in the state, and ultimately nationally.

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