Results 1 to 40 of 93

Thread: 600+ Pound Client

Hybrid View

Previous Post Previous Post   Next Post Next Post
  1. #1
    austinite's Avatar
    austinite is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~
    Join Date
    Mar 2012
    Location
    Cialis, Texas
    Posts
    31,155
    Quote Originally Posted by AD View Post
    I agree. Such cases need to be treated with some urgency. Almost definitely they will have a number of medical problems. Diabetes, blood pressure, cholesterol, ischemic heart, hypothyroid, fatty liver... i would take just enough time to medically stabilise all these problem and put him under the knife. Gastric banding or gastric bypass can only get him from 60%+bf to maybe 30%. We can then take our time to decide what is the best way to get him from 30% to 18%.
    Correct. The problem with the diet approach, is it would take years, in some cases a decade or more. That's too much time on thin ice. This guy is in severe danger and needs help yesterday, not tomorrow.
    ~ PLEASE DO NOT ASK FOR SOURCE CHECKS ~

    "It's human nature in a 'more is better' society full of a younger generation that expects instant gratification, then complain when they don't get it. The problem will get far worse before it gets better". ~ kelkel

  2. #2
    Quote Originally Posted by austinite View Post
    Correct. The problem with the diet approach, is it would take years, in some cases a decade or more. That's too much time on thin ice. This guy is in severe danger and needs help yesterday, not tomorrow.
    It would not take years at ALL...In fact, it will drop DRAMATICALLY if you can motivate client enough to do it...

    They will drop HARD AND FAST..Then it will crash..That's when the ol' motivation come back in.....

    Have I seen 700 lbs client? No, I haven't BUT I have seen 500 + MANY MANY TIME and they are basically in SAME situation...

    I don't care if someone is 900 lbs they can be 98 lbs....Just google concentration camps..
    Last edited by calstate23; 06-18-2013 at 05:46 AM.

  3. #3
    austinite's Avatar
    austinite is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~
    Join Date
    Mar 2012
    Location
    Cialis, Texas
    Posts
    31,155
    Quote Originally Posted by calstate23 View Post
    It would not take years at ALL...In fact, it will drop DRAMATICALLY if you can motivate client enough to do it...

    They will drop HARD AND FAST..Then it will crash..That's when the ol' motivation come back in.....

    Have I seen 700 lbs client? No, I haven't BUT I have seen 500 + MANY MANY TIME and they are basically in SAME situation...

    I don't care if someone is 900 lbs they can be 98 lbs....Just google concentration camps..
    Alright, well, I'm all for motivation. I think you and I define 'motivation' differently. To me, it's far from magic, which is what I'm hearing. And I can completely understand your position and the need to maintain that level as a personal trainer.

    If fat loss did not take years for such a severe case, it would be dangerously unhealthy. We can all agree that too much weight loss, too fast is unhealthy and potentially dangerous. On the other hand, taking years to do it is also a huge risk, as the client remains in a severe position for prolonged periods. With that logic, the only other options remaining are surgery or death. Personally, I'd go with surgery.

    I'm sure you're a pro at what you do and I've seen your posts, you most certainly know and understand your business. This is beyond what you or I have ever dealt with. So we could both be wrong, and everything we say is opinions only, not facts, because neither of us have the experience. A 500 lb man is not the same as a 700 lb man. Same goes for a 900 lb man, all different challenges, mainly; mobility challenges but also internal conditions and severity. Has it been done? Possibly. Has to be extremely rare and unusual cases. Even then, I don't think they would ever reach a healthy position. This is a very rare case and needs to be treated as such.

    There's nothing wrong with getting help at that stage. As you stated, this client is most likely under some sort of medical/nutritional care. That's not working. Or he would not be making an attempt to go to the gym. Surgery to me in general, is about as weak minded as Synthol users who want to grow. However, whether we like it or not... there are those rare cases where surgery is not 'giving up', it's in fact, in the clients best interest. It betters his chances of survival, if you will.

    That said, I respect your opinion and more than anything, appreciate your enthusiasm, because I know that your clients will certainly benefit from your guidance. No doubt in my mind. I'll leave this thread alone for now
    Last edited by austinite; 06-18-2013 at 06:32 AM.
    ~ PLEASE DO NOT ASK FOR SOURCE CHECKS ~

    "It's human nature in a 'more is better' society full of a younger generation that expects instant gratification, then complain when they don't get it. The problem will get far worse before it gets better". ~ kelkel

  4. #4
    Quote Originally Posted by austinite View Post
    Alright, well, I'm all for motivation. I think you and I define 'motivation' differently. To me, it's far from magic, which is what I'm hearing. And I can completely understand your position and the need to maintain that level as a personal trainer.

    If fat loss did not take years for such a severe case, it would be dangerously unhealthy. We can all agree that too much weight loss, too fast is unhealthy and potentially dangerous. On the other hand, taking years to do it is also a huge risk, as the client remains in a severe position for prolonged periods. With that logic, the only other options remaining are surgery or death. Personally, I'd go with surgery.

    I'm sure you're a pro at what you do and I've seen your posts, you most certainly know and understand your business. This is beyond what you or I have ever dealt with. So we could both be wrong, and everything we say is opinions only, not facts, because neither of us have the experience. A 500 lb man is not the same as a 700 lb man. Same goes for a 900 lb man, all different challenges, mainly; mobility challenges but also internal conditions and severity. Has it been done? Possibly. Has to be extremely rare and unusual cases. Even then, I don't think they would ever reach a healthy position. This is a very rare case and needs to be treated as such.

    There's nothing wrong with getting help at that stage. As you stated, this client is most likely under some sort of medical/nutritional care. That's not working. Or he would not be making an attempt to go to the gym. Surgery to me in general, is about as weak minded as Synthol users who want to grow. However, whether we like it or not... there are those rare cases where surgery is not 'giving up', it's in fact, in the clients best interest. It betters his chances of survival, if you will.

    That said, I respect your opinion and more than anything, appreciate your enthusiasm, because I know that your clients will certainly benefit from your guidance. No doubt in my mind. I'll leave this thread alone for now
    Well, firstly, as I said before, I would NEVER accept such an out of shape client WITHOUT paper work! And ACTUALLY, it's NOT UNHEALTHY BECAUSE YOU KNOW WHY?

    Most 250 lb + clients have DIABETES and/or PRE-DIABETES....I wonder what is WORSE? HIGH BLOOD PRESSURE and DIABETES?

    Surgery, LAST OPTION FOR EVERYTHING! Whether it be injury or overweight...

    If you read my posts before Im ONLY about ONE THING. Positive vs Negative....Surgery vs DIET....

    As I said BEFORE, I don't give a **** if someone weigh 200 or 800 lbs....You can go from from 500 lbs to 90 lbs..

    Yes, OBVIOUSLY that is NOT but it's just PROOF ANYONE can do what they want....

    Again, Please show me someone fat in a Concentration Camp...Please show me a fat person and prove me wrong!!!

  5. #5
    austinite's Avatar
    austinite is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~
    Join Date
    Mar 2012
    Location
    Cialis, Texas
    Posts
    31,155
    Quote Originally Posted by calstate23 View Post
    Well, firstly, as I said before, I would NEVER accept such an out of shape client WITHOUT paper work! And ACTUALLY, it's NOT UNHEALTHY BECAUSE YOU KNOW WHY?

    Most 250 lb + clients have DIABETES and/or PRE-DIABETES....I wonder what is WORSE? HIGH BLOOD PRESSURE and DIABETES?

    Surgery, LAST OPTION FOR EVERYTHING! Whether it be injury or overweight...

    If you read my posts before Im ONLY about ONE THING. Positive vs Negative....Surgery vs DIET....

    As I said BEFORE, I don't give a **** if someone weigh 200 or 800 lbs....You can go from from 500 lbs to 90 lbs..

    Yes, OBVIOUSLY that is NOT but it's just PROOF ANYONE can do what they want....

    Again, Please show me someone fat in a Concentration Camp...Please show me a fat person and prove me wrong!!!
    Why do you feel the need to use 'shouting' type text with all the selective caps? I tried to leave you with a pat on the back, I guess that didn't work . It was only an attempt to maintain sanity in the thread without yelling and cussing. anyway...

    Cal, you're admittedly not experienced in this scenario. I'm not sure where all this confidence is coming from (although I certainly appreciate it). I don't have to prove anything to you. My option was surgery, I can certainly prove that to be successful. Either way, you're wrong on many points and you're actually putting the client at more risk. Stop thinking of him as a 350 lb man. If you have to require a client to sign a release form... then you're out of your league, even if it's for your own protection. It's no longer your job. Let the medical world handle it from here. You're not qualified to handle such a case. You're not qualified to dissect his blood work, diagnose and treat him. Your knowledge of diabetes and blood pressure is great, but it's not a replacement for a qualified physician. People ask me all the time about different treatments. I give them advice but would never attempt to fix their problems myself, I refer them to the right person. If someone 280 lbs wants to lose weight, I'd refer them to you. A 700 lb man? Not a chance in hell. The last thing he needs is a personal trainer. Once he is safer, after surgery... have at it.

    Anyway, once again, I respect your ideas and theories, I just disagree.
    ~ PLEASE DO NOT ASK FOR SOURCE CHECKS ~

    "It's human nature in a 'more is better' society full of a younger generation that expects instant gratification, then complain when they don't get it. The problem will get far worse before it gets better". ~ kelkel

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •