Roch
Shrinking away nicely :)
As most of us know that in the pct criteria for funding for wls it usually has 2 diff criteria.
1) Bmi ... with co morbidities
2_ Bmi.....with no co morbidities.
What actually are obseity related co morbidity, i decided to look up and this is the best i found although still confusing lol as i dont understand it all lol.
Obesity, especially visceral adiposity, is associated with morbidity and mortality through endocrine and mechanical processes. Clinical manifestations due to effects of obesity on the cardiovascular, respiratory, gastrointestinal, musculoskeletal, immune, and integumentary systems have been described. Further studies are needed to understand the pathologic processes underlying these clinical manifestations to improve disease prevention.
I have seen diff lists on diff sites with lots of things that peeps say are listed as co morbidities but tbh i dont think they are very accurate. Have been looking most of this morning and these are the main ones i have come up with they come in 5 diff categories.
Airway:
Asthma
Obesity hyper ventilation syndrome
Obstructive sleep apnoea
Pulmonary hypertension.
Cardiovascular:
Hypertension
Ischaemic heart disease
Cor pulmonale
Gastrointestinal and metabolic:
Metabolic syndrome
type 2 diabetes
Hyperlipidaemia
acid reflux
fatty liver
steato hepatitis
Musculo skeletal:
osteoarthritis knee and hips
compression fractures
increased risk of injury
Other:
Urinary incontinence
skin infections
lymphodema
poor self hygiene due to obesity
Was just thinking which if any of the list i do have and i was surprised to find out i do have a few of the above.
Asthma
Acid reflux due to a enlarged hiatus hernia due to obesity
Osteoarthritis in both knees
Skin infections due to my obesity
Poss diagnosis of Apnoea
When i was at my doc the other day i asked him to read out the letter he wrote to refer me for wls and in that letter he said i have co morbidities which tbh shocked me as i did not think i did but forgot to ask him which ones i did have.
Today i got a letter which my consultant had sent to my doc a few days ago and i was shocked to find out that my doc has diagnosed me with "osteoarthritis in both my knees" i thought my knees were just collapsing due to the weight and the pain was something i have just had to get used to.
He also says i have chronic back pain and very bad sciatica and recurrent migraines which i know bout lol and have suffered from depression in the past.
So i presume that i do have co morbidities which i suppose in the long run will help me with my funding application and also the possibility of apnoea which i am seeing the private consultant tonight for and hoping to have the sleep study in the next few days.
I think most pct`s only mention in their criteria things like diabetes and apnoea and hypertension but if they are following the nice guidelines then am wondering how many of the above in my list i found could be counted as co morbidities and help others who are fighting their oct`s for funding.
The list i found is one of many on the net but have all been categorised in the same sections but not all have been broken down into diff separate probs.
What have you been told are the main co morbidities, am wondering if they vary from pct to pct from what i have seen on the net, would not surprise me if they were very different lol
1) Bmi ... with co morbidities
2_ Bmi.....with no co morbidities.
What actually are obseity related co morbidity, i decided to look up and this is the best i found although still confusing lol as i dont understand it all lol.
Obesity, especially visceral adiposity, is associated with morbidity and mortality through endocrine and mechanical processes. Clinical manifestations due to effects of obesity on the cardiovascular, respiratory, gastrointestinal, musculoskeletal, immune, and integumentary systems have been described. Further studies are needed to understand the pathologic processes underlying these clinical manifestations to improve disease prevention.
I have seen diff lists on diff sites with lots of things that peeps say are listed as co morbidities but tbh i dont think they are very accurate. Have been looking most of this morning and these are the main ones i have come up with they come in 5 diff categories.
Airway:
Asthma
Obesity hyper ventilation syndrome
Obstructive sleep apnoea
Pulmonary hypertension.
Cardiovascular:
Hypertension
Ischaemic heart disease
Cor pulmonale
Gastrointestinal and metabolic:
Metabolic syndrome
type 2 diabetes
Hyperlipidaemia
acid reflux
fatty liver
steato hepatitis
Musculo skeletal:
osteoarthritis knee and hips
compression fractures
increased risk of injury
Other:
Urinary incontinence
skin infections
lymphodema
poor self hygiene due to obesity
Was just thinking which if any of the list i do have and i was surprised to find out i do have a few of the above.
Asthma
Acid reflux due to a enlarged hiatus hernia due to obesity
Osteoarthritis in both knees
Skin infections due to my obesity
Poss diagnosis of Apnoea
When i was at my doc the other day i asked him to read out the letter he wrote to refer me for wls and in that letter he said i have co morbidities which tbh shocked me as i did not think i did but forgot to ask him which ones i did have.
Today i got a letter which my consultant had sent to my doc a few days ago and i was shocked to find out that my doc has diagnosed me with "osteoarthritis in both my knees" i thought my knees were just collapsing due to the weight and the pain was something i have just had to get used to.
He also says i have chronic back pain and very bad sciatica and recurrent migraines which i know bout lol and have suffered from depression in the past.
So i presume that i do have co morbidities which i suppose in the long run will help me with my funding application and also the possibility of apnoea which i am seeing the private consultant tonight for and hoping to have the sleep study in the next few days.
I think most pct`s only mention in their criteria things like diabetes and apnoea and hypertension but if they are following the nice guidelines then am wondering how many of the above in my list i found could be counted as co morbidities and help others who are fighting their oct`s for funding.
The list i found is one of many on the net but have all been categorised in the same sections but not all have been broken down into diff separate probs.
What have you been told are the main co morbidities, am wondering if they vary from pct to pct from what i have seen on the net, would not surprise me if they were very different lol