Geek, Business Development Manager, Domestic Abuse Support Worker, fangirl, theatre/travel addict, occasional hiker, country music lover, acrylic nail devotee.
@gwrhelp we're on the delayed Falmouth to Truro service, now moving, looks like we will miss the connection with the Penzance train by 2 mins, is it possible to hold it to stop us being delayed even further?
We’re being told hospitals are “flooded” with GLP-1 complications and that we’re at the “tip of the iceberg.” I’ve been a bariatric surgeon long enough to remember these drugs when they were still in trials. I’ve prescribed them. I’ve monitored patients on them. And when the ER had a question about one of my patients on a GLP-1, they called me. I am not seeing a flood. What I see — every single shift — are the consequences of untreated obesity: heart failure, uncontrolled diabetes, infections, sleep apnea crises, fatty liver disease progressing quietly toward cirrhosis. That is the deluge.
Yes, GLP-1 medications have side effects. We know what they are. We counsel patients about them. We stop the drug if needed. That’s called medicine. But the claim that a hidden catastrophe is overwhelming hospitals is not something you prove with adjectives. You prove it with data. And if such a signal were real, it would not remain invisible for long in a healthcare system that tracks admissions, billing codes, adverse events, and outcomes with relentless precision.
Obesity is a chronic, relapsing disease with serious downstream consequences. Treating it is not cosmetic vanity, and it is not “forcibly stopping people from eating.” It is modifying disordered physiology — something we do every day with insulin, thyroid hormone, antihypertensives, and chemotherapy. The relevant comparison is not drug risk versus zero. It is drug risk versus the very real morbidity of leaving obesity untreated.
If someone believes there is an iceberg, show the sonar. Until then, what I see in the emergency room is not a wave of GLP-1 disasters. I see the far more predictable damage of a disease we’ve under-treated for decades.
@Keir_Starmer This has actually made my bus fares more expensive because Arriva have got rid of return tickets or through tickets that required a change of bus and now charge every journey separately. My ticket which was £8 is now £12!
@flawlesspolin I imagine they had agreed she wouldn't answer any questions on that subject but then she started answering so the woman let it go ahead.