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Trucker Luan Agostinho de Souza Quirino, 32, has not left his house for a year. He weighs 260 kg and needs to carry an iron chair with him to rest every few steps. Information is from G1.
According to Luan, who lives with his wife and children in São Vicente, on the São Paulo coast, he began to suddenly gain weight after the loss of his father in 2018. “I always weighed more, but I managed to live with it,” he said. to G1.
Due to her weight, she had to stop working. In addition to no longer fitting in the cab of the truck, Luan suffers from constant pain in her spine and knees. He was also diagnosed with diabetes, high blood pressure, and acute sleep apnea.
“I can no longer sleep lying down because I am short of breath. I’ve been sitting for about a year, ”he explained to G1.
Luan lives in a double bed and finds it difficult to perform the simplest daily tasks. “I can’t do anything on my own, all with help. From the most basic need, everything has to be done together ”, he reported.
According to Luan, he is accompanied by an endocrinologist and a nutritionist at the Medical Specialties Outpatient (AME) of São Vicente. However, experts say that only surgery could make you lose weight, since you can not exercise, for example.
Bariatric surgery
In the interview with G1, he said that he has been waiting in line at the Unified Health System (SUS) to be operated on in the public system since 2017, when he still weighed 178 kg and was treated by the Cubatão Hospital.
Recently, the family opened an online collection to try to carry out the procedure through the private network, which costs R $ 30 thousand.
In a note to G1, the São Paulo Department of Health indicated that the truck driver has been accompanied by the AME São Vicente multidisciplinary medical team since December 2019, when he made his first consultation at the unit. The request for bariatric surgery is being attended by the Regional Department of Health.
“Bariatric surgery is done only on medical advice. The patient must go to the primary care service, such as the UBS, which will carry out the initial assessment and the necessary referral.
Generally, the obese patient has restrictions and diseases that make surgery difficult, such as diabetes and hypertension. Therefore, not all people with a medical indication for bariatric surgery can perform the procedure immediately, due to general unfavorable clinical condition problems.
In addition, there is a period in which the patient’s condition is analyzed to see if the procedure itself is the most suitable for the patient. Bariatric surgery is the last resort used in treatment, which includes outpatient and multiprofessional support (cardiologists, nutritionists, endocrinologists, physiotherapists, psychologists, among others).
Considering the flows and multidisciplinary follow-ups, the demand is decentralized in the primary care network or services of origin of the care, which are in charge of programming preparatory and multiprofessional medical care in the reference health units for each case, thus such as patient monitoring. until the procedure is performed “.
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