I’m a resident doctor who has done a few surgical rotations so I can provide some insight into operating on obese patients! Very long comment alert, sorry in advance.

First, some disclaimers. Please note that 1) I’m not a surgeon, just work with them and have assisted on surgeries many times, and 2) I live in Australia so our population isn’t quite as obese as the US. That said, I did work rurally where the average patient tends to be larger than in metropolitan areas (due to a combination of driving everywhere, lower education level, lower income, reduced access to healthy foods, etc.)

You guys asked if all the fat makes it difficult to see - yes, absolutely! Excess adipose tissue makes it difficult to find anatomical landmarks, and it definitely can prolong the surgery or require a different surgical approach. I suspect this is why Amberlynn Reid needed to have an open hysterectomy (i.e they had to literally open up her abdomen and cut through all the layers of fat) rather than laparoscopic surgery where we just make little holes in the abdominal wall and poke the tools and camera through. She’s so obese that it would have been nearly impossible to find her uterus in the sea of fat with just a tiny camera. Even then, I bet whoever was assisting and holding the retractors was putting in some WORK keeping the fat out of the surgical field.

You also asked if surgical training has changed due to increasing obesity rates. Not really as far as I’m aware, but it’s important to note that surgical trainees tend to learn by watching and doing surgeries, so they’re probably naturally being exposed to more surgeries on obese patients by virtue of the changing population demographics.

Once fully qualified, some surgeons will have BMI limits for their elective procedures (remember Alexandra Rodriguez complaining about her OBGYN’s BMI cap?) because they do not feel comfortable with, or do not want to take on, the added complexity and risk of operating on these patients. I think this is completely fine in private practice. With that said, of course I absolutely believe that patients should have access to lifesaving treatment, within reason, regardless of their size.

However, the main reason people with obesity are likely to be refused a surgery is actually due to anesthetic risk. All that excess fat poses a massive risk to the airway during surgery and can result in asphyxiation, even while intubated. This is worsened by the fact that some abdominal surgeries require tilting the bed with the patient’s head down towards the floor (called Trendelenberg position) to help move some of the fat out of the surgical field. The consequence of this is all that fat moves upwards towards the head, neck, and airway.

TLDR; yes, obesity absolutely makes surgery more challenging from both a surgical and anesthetic perspective.

Pretty crying without any tears during golden hour about not finding a designer-looking dress for a red carpet event has to be the most privileged first world problem of our time.

5:36 Melina: “I am not laughing at her—“
Angelyca: “I am.” 😂😂😂
I am laughing at the concept of crying to people online about something so tone deaf.

“I can’t find a dress that looks like THIS that doesn’t cost tens of thousands of dollars!!!!”

posts runway couture that costs tens of thousands of dollars

4:50 a true baddie won't post herself crying on the internet. the baddie makes the clothes, the clothes don't make the baddie.

Whenever they say things along the lines of “there’s more to life than being thin, so eat some cake!” I want to tell them that there’s more to life than cake 🎂

ALSO! These people love to say how the government wants to keep us skinny and frail so that we cannot fight fascism and patriarchy, while they ignore the importance and impact nutricion has on cognitive function...

So annoyed that the crying Carla ended up getting a dress by a fashion designer. Getting rewarded for throwing a tantrum online is diabolical.

Also sorry, but the only people who say "health is overrated" or "it's okay to be unhealthy" are the ones who have never experienced any serious illness ever. I bet they'll do a 180 after their first real health scare.

so there WERE dresses that fit her? and she just doesn’t like them?? that’s even MORE your fault lmfao

Door dashing junk food from 7/11 is the biggest of big back activity

The 1st chick crying about not liking the formal wear she can find in her size off the rack is delusional. My sister did pageants for 10 years with a slim figure and still had to pre-order her dresses. Size 6 store didn't have a sample of some dresses for her to try on. Formal wear is not something you can do last minute at any size, especially if you want to be picky.

The guy that was showing the visceral fat in the cadaver was my anatomy teacher in massage therapy school like 14 years ago haha! He was such a great teacher

That one girl who said “Are you gonna waste your whole life wishing you were thin?” has noticeably gained weight over the years. I’ll bet a million dollars she absolutely does wish she were thin even if she won’t say it.

Oh my god angelica has almost lost my entire body weight that's insane 😭 big props

every time i see this first video i think “kim, there’s people that are dying”

THANK YOU FOR HAVING ME AGAIN

4:12 - when people call themselves "so real" that usually means they are anything but... also, I knew she was fishing for a free designer dress. Pathetic.

I felt bad for the first girl until she said she didn't want to look like a "50 year old grandma". I'm 52 and have no problem finding clothes that fit.

Im an avid thrifter and when i was morbidly obese i would buy special occasion dresses if i found them and they fit, so i was always ready for any event. Now ive been in the process of getting pieces i really love altered😊 😊