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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Prevent From Eating Disorder?

My granddaughter recently lost quite a bit of weight and appears to have an eating disorder. She is being treated in Palo Alto CA. I am a physicist and am wondering about other possibilities. In particular, Emily became quite good at soccer, and was the striker last spring and her team ended up #1 the local category. That was just last spring. Then by the end of June, she had lost enough weight that it was quite noticeable, and was weak. There is a family situation. Her mother, divorced from our son, may have been encouraging Emily to diet to become a Japanese model (mother is Japanese father is caucasian). Emily s living arrangements amaze my wife and I about the amount of stress involved, andhow she can handle them with such grace and patience. Her father and stepmother became concerned about Emily s drop in appetite and drop in weight attended by apparent weakening. I saw Emily in early July and she definitely was low energy. Her father sought help for eating disorders, which was progressing, and she was scheduled for a counseling session on August 11. Emily was admitted to a children s hospital in Palo Alto last night. Sometime during the night, she was awakened by the staff and given a Boost because her heart rate had dropped below 40. I wondered about the relationship to her athleticism, and browsing today brought the info that bradycardia can be not a dysfunction in a person with Emily s profile. I m not trying to undercut anyone, just trying to do my due diligence. Is that enough info for you to reply?
Mon, 1 Jun 2015
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Bradycardia is quite common along with hypotension and hypothermia in those with anorexia nervosa. I have worked with patients who had BMIs of eight and heart rates of 30bpm. These readings improved with warmth, food and encouragement. Their blood investigations are likely to be deranged as well therefore I can understand your alarm. May I reassure you that Emily's body is simply switched to BMR (Basal metabolic rate) in order to reserve as much energy to keep her brain and heart alive. Once she sticks with the programme and avails of therapy, things will improve. Patience is key. A book you may be interested in is the Carer's Skill Workbook by Janet Treasure.
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How To Prevent From Eating Disorder?

Bradycardia is quite common along with hypotension and hypothermia in those with anorexia nervosa. I have worked with patients who had BMIs of eight and heart rates of 30bpm. These readings improved with warmth, food and encouragement. Their blood investigations are likely to be deranged as well therefore I can understand your alarm. May I reassure you that Emily s body is simply switched to BMR (Basal metabolic rate) in order to reserve as much energy to keep her brain and heart alive. Once she sticks with the programme and avails of therapy, things will improve. Patience is key. A book you may be interested in is the Carer s Skill Workbook by Janet Treasure.