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Book Cover
E-book
Author Gaudiani, Jennifer L., author

Title Sick enough : a guide to the medical complications of eating disorders / Jennifer L. Gaudiani
Edition 1st
Published London : Routledge, 2018
©2018

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Description 1 online resource : illustrations (black and white)
Contents Cover; Half Title; Book Title; Copyright; Dedication; Contents; List of Abbreviations; Introduction; My Background; Why Medical Complications Matter in Eating Disorders; Who Might Benefit from This Book?; How the Book Will Unfold; Notes; Part I; Not Enough Calories; Notes; 1 30,000-Foot View: What Happens When You Starve Yourself?; Background; The Cave Person Brain and Metabolism; Starvation and Hormones; Starvation and the Brain; What Happens When Our Nutritional Gas Tank Becomes Empty?; Nutritional Rehabilitation; Box: The "Perfect Child"; 2 Going into Hibernation; Case: Maddy; Background
Getting Started with a PatientConserving Heat; Orthostatic Vital Signs; Starving Heart vs. Athlete's Heart; Starved Thinking; Gastroparesis; Gastroparesis Treatment; Constipation; Treatment of Constipation; Normal Blood Tests; Case Resolution: Maddy; Box: The House on Fire, a.k.a. Combatting "I'm Fine"; Notes; 3 Hormones and Bones; Case 1: Josh; Case 2: Aniya; Case 3: Aidan; Background; The Science of Bone Density Loss and Hypothalamic Hypogonadism; Diagnosis of Bone Density Loss; Treatment; Exercise and Bone Density Loss; Males; Linear Growth (a.k.a. The Height Question); Menstrual Periods
The PillCase Resolution: Josh; Case Resolution: Aniya; Case Resolution: Aidan; Box: Exercise during Recovery; Notes; 4 The Empty Tank; Case: Maria; Background; Sudden Cardiac Death and Hypoglycemia; Bone Marrow Failure of Starvation; Liver Abnormalities; Skin, Hair, and Nails; Case Resolution: Maria; Box: The Subterranean Aquifer, Checklists, and Reframing Expectations; Notes; 5 Extreme Presentations; Case: Jessica; Background; Dysphagia; Autophonia and Lagophthalmos; Pancreatitis; Superior Mesenteric Artery (SMA) Syndrome; Treatment of SMA Syndrome; Acute Gastric Dilatation
Abnormal Vaginal BleedingPhysical Weakness and Fall Risk; Case Resolution: Jessica; Box: The Parables of the Fortress and the Nuclear Wasteland and the Perfectionist and the Appreciative Achiever; Notes; 6 Starting to Eat Again; Case: Taylor; Background; The Hypermetabolism of Nutritional Rehabilitation; The Refeeding Syndrome: Phosphorus and Edema; The Underfeeding Syndrome; Starting to Renourish; Food Options to Manage Gastroparesis; Nasogastric Tubes and Starting Care in a Hospital Setting; Surgical Feeding Tubes; Total Parenteral Nutrition; Micronutrients: Thiamine and Zinc
Target Weight RangeCase Resolution: Taylor; Box: The Balloon Metaphor and "Fear Foods"; Notes; Part II; Purging; Notes; 7 30,000-Foot View: What is Purging? Why Does it Cause Medical Issues?; Background; Why Binge and Purge?; Vomiting; Laxative Abuse; Diuretic Abuse; Temperamental Factors; Only Sick if the Potassium is Low; Box: The Two-SidedCoin; Notes; 8 How Does Purging Physically Affect the Body?; Case: Claire; Background; Dental Damage; Barrett's Esophagus and GERD; Rinsing; Rumination; Upper GI Tract Bleeding; Parotid Glands and Face Swelling; Effects of Laxative Abuse
Summary Patients with eating disorders frequently feel that they aren't "sick enough" to merit treatment, despite medical problems that are both measurable and unmeasurable. They may struggle to accept rest, nutrition, and a team to help them move towards recovery. Sick Enough offers patients, their families, and clinicians a comprehensive, accessible review of the medical issues that arise from eating disorders by bringing relatable case presentations and a scientifically sound, engaging style to the topic. Using metaphor and patient-centered language, Dr. Gaudiani aims to improve medical diagnosis and treatment, motivate recovery, and validate the lived experiences of individuals of all body shapes and sizes, while firmly rejecting dieting culture
Bibliography Includes bibliographical references and index
Notes <P><STRONG>Acknowledgements Introduction</STRONG> <STRONG>Part One: Not Enough Calories </STRONG>Chapter 1: 30,000 Foot View: What Happens When You Starve Yourself? Chapter 2: Going Into Hibernation Chapter 3: Hormones and Bones Chapter 4: The Empty Tank Chapter 5: Extreme Presentations Chapter 6: Starting to Eat Again <B>Part Two: Purging </B>Chapter 7: 30,000-Foot View: What is Purging? Why Does it Cause Medical Issues? Chapter 8: How Does Purging Physically Affect the Body? Chapter 9: Electrolytes and Stopping Purging <B>Part Three: Patients in Larger Bodies </B>Chapter 10: Binge Eating Disorder (BED) and Weight Stigma <B>Part Four: The Unmeasurables (a.k.a. The Very Real Medical Problems that Modern Medicine Can't Measure) </B>Chapter 11: Irritable Bowel Syndrome (IBS) and Associated Conditions Chapter 12: Postural Orthostatic Tachycardia Syndrome (POTS) and Associated Conditions <B>Part Five: Specific Populations </B>Chapter 13: Type 1 Diabetes Mellitus and Concurrent Eating Disorders (ED-DMT1) Chapter 14: Avoidant Restrictive Food Intake Disorder (ARFID) Chapter 15: Orthorexia and Food Intolerances Chapter 16: Elite Athletes Chapter 17: Male Patients Chapter 18: Gender and Sexual Minorities Chapter 19: Women's Sexual and Reproductive Health Chapter 20: Older Patients Chapter 21: Substance Use Disorder Chapter 22: Caring for the Patient Who Declines Treatment: The Spectrum from Mandated Treatment to Hospice Care <B>Conclusion: How We Can Each Make a Positive Contribution Index</P></B>
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Subject Eating disorders -- Complications
PSYCHOLOGY -- Mental Health.
AFRID.
Anorexia.
Binge eating disorder.
Bulimia.
Weight stigma.
Form Electronic book
ISBN 9781351184717
1351184717
9781351184724
1351184725
9781351184700
1351184709
9781351184731
1351184733