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Link Posted: 7/4/2003 10:39:06 AM EDT
[#1]
Quoted:
She should have gained that much in one week with the rule of thumb that 500,000 more calories per day equals about one pound gained per week.  Instead, it took her eight weeks.  Earlier this year, I cut just over two million calories per day from my diet and lost only six pounds over eight weeks.  Obviously to have that small of a loss, my metabolism slowed way down.  I upped my calories by nearly a million more per day, and I lost weight at a faster rate!  Yes, I ate more but also lost more.  I've also seen friends stop eating completely for a week at a time and lose less weight than they did when they ate 800,000 calories per day.  How's that possible?  When you see things like these, you realize it's not so simple.z
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I am not certain what you were measuring. Definitely not calories.

About 3,500 calories adds up to about 1 pound. This applies whether they are food calories coming in, or calories (burned by exercise) going out.

If you eat 3,500 calories more than your body needs, you will put on about 1 pound. If you use up 3,500 calories more than you eat, you will lose about 1 pound in weight.

Quoted: 1000 calories = 1 Calorie = 1 kilocalorie (Kcal)
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Yes. A Calorie with a capital C is the amount of energy required to raise the temperature of 1 kilogram of water 1 degree celsius, which is equal to 4000 joules. Calorie with a capital C also goes by the name large calorie and kilocalorie. This is the calorie you see on your cereal box in the am. Calorie with a lowercase c is the amount of energy required to raise the temperative of 1 gram of water 1 degree celsius or 4 joules. It is also called a small calorie or gram calorie. 1000 small calories equals 1 large calorie.

TT [wave]
Link Posted: 7/4/2003 10:49:49 AM EDT
[#2]
5' 350lbs. You people are lucky I am not a hostile person and don't "put your lights out".
Link Posted: 7/4/2003 10:54:57 AM EDT
[#3]
Link Posted: 7/4/2003 10:57:16 AM EDT
[#4]
There's one issue I havent seen yet raised here..overweight people,no matter how loveable, how much we accept them, are a very real drain on the health care system.and also our pocket books in the form of higher health care costs, taxes, insurance, business liability, and social policy...to sum it up they are dragging us all down or to put it another way the fewer healthy ones are once again carrying the majority on our backs...

just to say I have dated "larger women" a lot in my life and hold no prejudice against them and I myself have gained a few pounds in my later years up from 165 at 30 to 180 at 38. resulting in a spare tire effect..I work in a very physical job (construction) and eat 5 servings of fruit and vegatables everyday, limit my complex carbs and fat and try to be healthy in my lifestyle..but some times fat happens...all that means is I have to suck it up and work harder at staying fit (reasonably).
It's my obligation and my resposibility.

and if more people would own up to their own personal responsibility this country would benifit exponentially in every way,economicly,freedom, health, prosperity,safety, everything!!

instead we are trying to litigate responsibility on the backs of someone else...it might work for now....but watch out someday we will all pay, fat,thin,young and old.
Link Posted: 7/4/2003 11:04:11 AM EDT
[#5]
Link Posted: 7/4/2003 11:15:19 AM EDT
[#6]
Quoted:
 If doctors used generic drugs where possible rather than taking kickbacks from the pharmaceutical companies, health care would be less expensive.  Shall I go on?
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Where do you guys get this shit?
Hell, if I could get kickbacks from the pharmaceuticals I would have retired already. It is against the law for me to get ANY kickbacks for anything--not drugs, not labwork or radiologic studies, not for referrals to specialists, etc. I can't do it, period. I would lose my license, be fined, maybe spend a little time with Bubba(Now wouldn't he like that!). Even if legal it is unethical and I wouldn't do it anyway.
Ya know, Some days I give out more in free meds than what I bill patients.

Not trying to hijack the thread but I get tired of reading this tripe. Now, I've gotta get back to work. Someone else wanting Vicodin...

...anyone else?[:D]
Link Posted: 7/4/2003 11:22:35 AM EDT
[#7]
Link Posted: 7/4/2003 11:32:59 AM EDT
[#8]
Quoted:
5' 350lbs. You people are lucky I am not a hostile person and don't "put your lights out".
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At 5' 350 lbs you don't "put lights out", you eclipse them! [:D]
Link Posted: 7/4/2003 11:38:29 AM EDT
[#9]
I thought you were going to go out and get some excercise[:D]


Quoted:
Sorry... I always figured those free concert and game tickets, free "educational seminars" at Hilton Head, dinners, etc. were basically kickbacks.  I know when someone takes me out to dinner, and they have business before the State of New York, they are considered to be lobbying and there is a tremendous amount of paperwork and reporting that ensues.  I've been to plenty of events with a great number of doctors who admitted they were there on a pharmaceutical rep's dime.

Now is this illegal or unethical?  I don't know, its not my career field.  But I'm betting all these perks managed to buy some consideration in the course of treatment.
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Haven't seen much of what you are talking about although I will admit, now that I think about it, to going trap shooting once an the pharm companies dime. That is now illegal--but only for the medical profession.
I do get some free food ever now and then for myself and my staff(good for my staff's morale if that means anything to you) and in return I let them talk to me about their meds. Sometimes I actually learn something form them I didn't know. Most importantly, in return, I get free med samples that I give to underprivileged or otherwise needy patients. It works out well, IMO, and though I will not say that I have never tried one of their meds out to see how well it worked based on their sales pitch, I will say that I don't prescribe based on it. I prescribe what is in the patients best interest, taking a number of factors into consideration. I know of very few physicians who would do otherwise.

I always hear about all of these freebies doctors get but ya know, I sure haven't seen it, nor do I know anyone who does. We do get occasion dinners to go to seminars and talks about med problems and new meds but this is not what gets us there. I can afford my own dinner just fine. Wouldn't go there just for the food, IOW.

Thanks for the opportunity to set the record straight, Hiram Ranger. Go walk your doggy, bud.
Link Posted: 7/4/2003 11:57:21 AM EDT
[#10]
Quoted:
Sage, I think 1,000 calories a day is about half of what an adult needs.
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I screwed up my quoting. Will edit.
Link Posted: 7/4/2003 12:25:21 PM EDT
[#11]
Quoted:
This chick at work today told me that her doctor said that it wasn't her fault she was fat.  The doc had told her it was because of her birth-control pills[rolleyes].
It took every ounce of control for me to say "Bitch, why you takin' birth-control pills?  Your fat ugly ass is all you need for that."  But no, I was the gentleman and smiled sympathetically and said :  "Well, at least you don't have zits."
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[ROFL2]
Link Posted: 7/4/2003 12:42:22 PM EDT
[#12]
Quoted:
There's one issue I havent seen yet raised here..overweight people,no matter how loveable, how much we accept them, are a very real drain on the health care system.and also our pocket books in the form of higher health care costs, taxes, insurance, business liability, and social policy..........but some times fat happens...all that means is I have to suck it up and work harder at staying fit (reasonably).
It's my obligation and my resposibility.........and if more people would own up to their own personal responsibility this country would benifit exponentially in every way,economicly,freedom, health, prosperity,safety, everything!!!
View Quote


Great points!
Link Posted: 7/4/2003 12:56:48 PM EDT
[#13]
Quoted:
Sorry... I always figured those free concert and game tickets, free "educational seminars" at Hilton Head, dinners, etc. were basically kickbacks.  I know when someone takes me out to dinner, and they have business before the State of New York, they are considered to be lobbying and there is a tremendous amount of paperwork and reporting that ensues.  I've been to plenty of events with a great number of doctors who admitted they were there on a pharmaceutical rep's dime.

Now is this illegal or unethical?  I don't know, its not my career field.  But I'm betting all these perks managed to buy some consideration in the course of treatment.
View Quote



Most physicians benefit from pharmaceutical companies in several ways. Pharmaceutical companies sponsor many of the continuing medical education seminars and conferences. While there is a registration fee, the pharmaceutical company will pay for speakers or cover other costs of conferences. My best friend is a cardiac surgeon and typically attends 2 - 3 conferences a year sponsored by pharmaceutical companies. Conferences are typically set up so the attendees may attend a seminar in the am (7 - 9 ish) then they break for the day so they attendees can use their time wisely and enjoy the local attractions in whatever resort the conference may be at. They usually reconvene in the late afternoon or early evening for another seminar.

Pharmaceutical companies don't give direct "kickbacks" in the form of payment. They do however make it easy for physicians to script their meds, by the reps supplying samples to the physician to give out as he/she sees fit.

Lunches/dinners w pharmaceutical company reps are pretty standard "perks" for physicians.

A friend of mine who is a psychiatrist in private practice travels the US for a specific pharmaceutical company speaking on one of their antidepressants. He receives an honorarium for doing so and travel expenses.

I've received very few pharmaceutical company perks simply because of my specialty.

I have yet to meet a physician who has not freely handed out samples; who has not written a double dose prescription (with well documented instructions to split the pills to the proper dosage) for elderly patients whose insurance does not cover medication; and who has ever been influenced to follow a certain treatment path by a pharmaceutical rep.

TT [wave]
Link Posted: 7/4/2003 12:59:30 PM EDT
[#14]
Do pharmaceutical companies know how much of thier products are subscribed by each physician?
Link Posted: 7/4/2003 12:59:53 PM EDT
[#15]
Link Posted: 7/4/2003 1:19:20 PM EDT
[#16]
Quoted:
Do pharmaceutical companies know how much of thier products are subscribed by each physician?
View Quote


yes.
Link Posted: 7/4/2003 1:24:54 PM EDT
[#17]
Quoted:
OK Doc, just got back... 90 plus degreesm humid and a mail and a half into our walk the pug craps out on me...  So I got to carry him back home...  Nice 22 pound hot furry smelly panting free weight...  And I stink now as well.
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Hahah. LMAO. That's a great mental image, Hiram Ranger. If you were around here you could take a dip in my lake, given to me by the Pfizer(kidding--I don't need to get sued!). Invites open if you ever get up my way. You'd love where I live.

As for the "perks" I guess I don't indulge much so maybe they are a little more than I am aware of. I really don't know many docs who are involved in any of it, FWIW. I have very little free time and spend it with my wife, gardening, or out in the forest with my mutt. And on arfcom--almost forgot[:D]


Link Posted: 7/4/2003 1:43:22 PM EDT
[#18]

Posted by Az_Redneck
What she sticks in her mouth is none of your business. It doesn't cost you anything. It doesn't affect your paycheck or your family, does it? If you don't like the way she looks, DON'T LOOK!
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It is my business when her fat ass gets health problems becauae of that lard going down her throat.  It is called medicare.  The govt bastards take money out of my paycheck to take care of her and people like her.  Fuck off.

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