{"id":87873,"date":"2023-11-19T21:24:27","date_gmt":"2023-11-19T21:24:27","guid":{"rendered":"https:\/\/celebritytidings.com\/?p=87873"},"modified":"2023-11-19T21:24:27","modified_gmt":"2023-11-19T21:24:27","slug":"it-saddens-me-but-doctors-do-need-obese-dummies-to-train-on","status":"publish","type":"post","link":"https:\/\/celebritytidings.com\/lifestyle\/it-saddens-me-but-doctors-do-need-obese-dummies-to-train-on\/","title":{"rendered":"It saddens me, but doctors do need obese dummies to train on"},"content":{"rendered":"<h1>DR MAX PEMBERTON:\u00a0It saddens me, but doctors do need obese dummies to train on<\/h1>\n<ul>\n<li><strong>Trainee medics at Aston University now practise on \u2018realistic\u2019 obese manikins\u00a0<\/strong><\/li>\n<li><strong>READ MORE:\u00a0\u00a0It&#8217;s not cheating to use weight loss jabs &#8211; they literally save lives<\/strong><\/li>\n<\/ul>\n<p>Long before trainee doctors are let loose on patients, they practise key clinical skills on dummies.\u00a0<\/p>\n<p>Of course, this isn\u2019t the same as a real-life patient, but that\u2019s rather the point \u2014 you can make mistakes safe in the knowledge that the lump of latex and plastic isn\u2019t going to complain, no matter how many times you make a mess of things.<\/p>\n<p>You can practise your technique, get used to the pitfalls and get the mistakes over and done with. However, the dummies we train on aren\u2019t realistic, because they always seem to be lean. There aren\u2019t any fat or overweight manikins. That is, until now.<\/p>\n<p>Trainee medics at Aston University in Birmingham are being given \u2018realistic\u2019 obese manikins to practise on in order to prepare them for the types of patients they\u2019ll actually see.<\/p>\n<p>Well, it saddens me to say this, but I do think it\u2019s a good idea. Nearly two-thirds of all adults in England are now overweight, and the fact is that doctors and nurses are often woefully unprepared for the reality of doing clinical procedures on the obese.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/11\/19\/19\/77993611-12768055-image-a-1_1700421548609.jpg\" height=\"357\" width=\"634\"><\/p>\n<p>Trainee medics at Aston University in Birmingham are being given \u2018realistic\u2019 obese manikins to practise on in order to prepare them for the types of patients they\u2019ll actually see<\/p>\n<p>Some of the \u2018anatomical landmarks\u2019 \u2014 places on the outside of the body that help orientate a doctor and let them find underlying organs and veins, for example \u2014 are often different on a fatter person.<\/p>\n<p>The nipple, for example, is used to locate certain spaces between the ribs or where the heart is.<\/p>\n<p>Yet on an overweight patient this might be located too far down \u2014 if the breast droops when the patient is sitting up \u2014 or too far to one side, if the breast slips to the side when they are lying down.<\/p>\n<p>There are other considerations, too. When I once did chest compressions on an overweight patient who had collapsed, I remember being struck by how hard it was to ensure each one penetrated deep enough.<\/p>\n<p>The fat acts as a cushion, meaning it\u2019s impossible to gauge the impact of each push. If you don\u2019t go down deep enough, the heart isn\u2019t squeezed properly and the blood isn\u2019t pumped around the body. This can be a matter of life or death.<\/p>\n<p>But the trickiest day-to-day problem is undoubtedly taking blood. Just this week I was asked to help find a vein on a very overweight patient after two nurses had failed to do so.<\/p>\n<p>It\u2019s challenging. You have to feel for the \u2018bounce\u2019 of a vein underneath the skin, but you can\u2019t do this if there\u2019s too much fat over the vein. It\u2019s a notoriously tricky skill to master unless you practise a lot.<\/p>\n<p>Having worked in eating disorder services where there were plenty of obese patients, I am used to doing this.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/11\/19\/19\/77993609-12768055-image-a-2_1700421569090.jpg\" height=\"423\" width=\"634\"><\/p>\n<p>Nearly two-thirds of all adults in England are now overweight, and the fact is that doctors and nurses are often woefully unprepared for the reality of doing clinical procedures on the obese<\/p>\n<p>But imagine if it\u2019s late at night and someone is rapidly deteriorating and needs their bloods checked.<\/p>\n<p>Or you have to find a vein to insert a drip and you have only practised on a lean, muscular arm with bulging veins?<\/p>\n<p>Intubating someone \u2014 placing a tube down their throat to help them breathe in surgery \u2014 is also very different if the patient is obese.<\/p>\n<p>Firstly, fat around the face, neck and chest make it harder to position the head correctly. Fat also pushes into the airway, making it harder to keep it open, while fat around the neck and chest increase pressure on the chest, meaning it\u2019s harder to ventilate the lungs fully.<\/p>\n<p>Of course, woke warriors regard the move to \u2018obese\u2019 manikins as an act of inclusion. But for me, this isn\u2019t about being \u2018inclusive\u2019. It\u2019s about accepting the fact that a good proportion of patients are grossly overweight and we need to make sure the medic is experienced in navigating the problems this presents.<\/p>\n<p>I should say that, while I fully support ensuring the obese get the kind of care they need, I don\u2019t embrace the \u2018fat can be healthy\u2019 lobby.<\/p>\n<p>It\u2019s not fat-phobic to remind people that being overweight comes with a whole host of health complications, and it\u2019s important to encourage people to get fitter.<\/p>\n<p>It\u2019s important to remind the overweight of the negative impact it has on their health and lifespan. We shouldn\u2019t let it become normalised.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/11\/19\/19\/77993607-12768055-image-a-3_1700421582259.jpg\" height=\"951\" width=\"634\"><\/p>\n<p>Dr Max Pemberton believes it&#8217;s a good idea to provide medical students with larger manikins to practise on given that even supposedly simple procedures, such as taking blood, become much more challenging when a patient is overweight\u00a0<\/p>\n<p>The trend for adapting everything from operating tables to ambulances in order to care for the overweight stems from America, where the obese use identity politics to justify their shape and deflect criticism.<\/p>\n<p>Obese people there have adopted the language of persecuted or marginalised minorities such as gay or black people. They are now \u2018proud\u2019 of their fatness and \u2018celebrate\u2019 it. This ludicrous cult of the obese has spread to the UK and infected us now.<\/p>\n<p>Yes, we should have these manikins to practise on, because they reflect the kind of patients we are going to see in clinical practice. But that doesn\u2019t mean we shouldn\u2019t pause and reflect on why this is now necessary in society, and what it means for the long-term survival of our health system.<\/p>\n<p>Amanda Pritchard, head of NHS England, says she hopes it will eliminate cervical cancer by 2040. To do this, we need women to go for regular screening.\u00a0<\/p>\n<p>A report\u00a0from Cancer Research UK has suggested this could be thwarted because of a poor take-up of smear tests among those aged between 25 and 29.<\/p>\n<p><span>ROSIE&#8217;S CRISIS OF IDENTITY\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/11\/19\/19\/77993619-12768055-image-m-5_1700421598752.jpg\" height=\"844\" width=\"634\"><\/p>\n<p>Rosie Huntington-Whiteley has spoken about how difficult she has found it to adapt to motherhood\u00a0<\/p>\n<p>I\u2019m sure new mums will take some comfort from the fact that, despite being wealthy and famous, model Rosie Huntington-Whiteley found it hard to adapt to motherhood.<\/p>\n<p>\u2018For a period after I had my first son, there was a real shift in identity and a sort of mourning of the loss of your old life,\u2019 she says. \u2018The rug was pulled out from underneath me.\u2019<\/p>\n<p>Many women say the same thing. Regardless of how much money you have, being a new mum can be tough.\u00a0<\/p>\n<p>One midwife friend described having a baby as \u2018like a bomb going off in your social life\u2019. The world tilts on its axis. Your focus is now on this screaming, crying, pooing bundle. You rarely get a moment to yourself and, when you do, you spend it worrying that you\u2019re failing at being a mother.\u00a0<\/p>\n<p>Of course, having a baby can be wonderful. But many struggle to remember who they were before they gave birth. It\u2019s not helped by the unrealistic portrayal of new motherhood we see on social media.\u00a0<\/p>\n<p>New mums, remember: you\u2019re doing a great job and, if you can, do find a bit of time for yourself.<\/p>\n<p>Working from home can raise the risk of depression, heart disease and dementia, a study has found.\u00a0<\/p>\n<p>Since the pandemic, many have been WFH for some of the week. It can be nice to check your emails in your PJs, but it seems it\u2019s not good for health in the long term.\u00a0<\/p>\n<p>I suspect this is due to two things. First, we are gregarious, and WFH means we interact with people far less than we do in an office. Those water-cooler moments are good for our mental health and stimulate our brain, helping stave off dementia.<\/p>\n<p>Those who are isolated, say, due to hearing loss, are at greater risk of dementia, so the opposite must be true \u2014 those who are socially connected will be at reduced risk.\u00a0<\/p>\n<p>But also, when we go into the office we are more active. It\u2019s not just that it\u2019s easier to pop to the gym \u2014 we also walk more. On days I don\u2019t go into work, my steps drop from 12,000 a day to 3,000. That soon adds up.<\/p>\n<p><span>DR MAX PRESCRIBES&#8230;<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/i.dailymail.co.uk\/1s\/2023\/11\/19\/19\/77993613-12768055-image-a-7_1700422707739.jpg\" height=\"172\" width=\"306\"><\/p>\n<p>Replace an egg in the morning with a handful of nuts\u00a0<\/p>\n<p><span>A handful of nuts\u00a0<\/span><\/p>\n<p>Replacing an egg in the morning with a handful of nuts has been shown to lower the risk of developing, or dying from, cardiovascular disease by 17 per cent. It\u2019s an easy swap to make, and nuts are packed with important nutrients that benefit our health.\u00a0\u00a0<\/p>\n<ul>\n<li>Twitter: @MaxPemberton\u00a0<\/li>\n<\/ul>\n<p>Source: <a href=\"https:\/\/www.dailymail.co.uk\/femail\/article-12768055\/DR-MAX-PEMBERTON-saddens-doctors-need-obese-dummies-train-on.html\" target=\"_blank\" rel=\"noopener\">Read Full Article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>DR MAX PEMBERTON:\u00a0It saddens me, but doctors do need obese dummies to train on Trainee medics at Aston University now practise on \u2018realistic\u2019 obese manikins\u00a0 READ MORE:\u00a0\u00a0It&#8217;s not cheating to use weight loss jabs &#8211; they literally save lives Long before trainee doctors are let loose on patients, they practise key clinical skills on dummies.\u00a0 Of course, this isn\u2019t the<\/p>\n","protected":false},"author":2,"featured_media":87872,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>It saddens me, but doctors do need obese dummies to train on - Celebrity Tidings<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/celebritytidings.com\/lifestyle\/it-saddens-me-but-doctors-do-need-obese-dummies-to-train-on\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"It saddens me, but doctors do need obese dummies to train on - Celebrity Tidings\" \/>\n<meta property=\"og:description\" content=\"DR MAX PEMBERTON:\u00a0It saddens me, but doctors do need obese dummies to train on Trainee medics at Aston University now practise on \u2018realistic\u2019 obese manikins\u00a0 READ MORE:\u00a0\u00a0It&#8217;s not cheating to use weight loss jabs &#8211; 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