Dear ER Docs, There‘s High Rates of Eating Disorders On Your Service (Medical Series)

Dr Phillip Mehler, MD, CEDS

Don’t be afraid of IBS these are very real concerns 

Trabecular bone score and DEXA together inform treatment 

Eating disorders as Metabo-psychiatric illness (along with Dr. Bulik) 

If you’re in ER Medicine, you’re seeing a good number of folx with EDs. 

Patterns of the microbiome that predict weight gain. 

Why patients can’t hear and feel like they are talking in a tunnel, and what’s going on in the olfactory area 

“Atypical” AN = bradycardia very marked, refeeding hypophosphatemia is very real, a bone disease with rapid weight loss even though BMI is in a normal range.  Amenorrhea is common. 

We can no longer applaud drastic forms of weight loss. 

The focus at ACUTE includes IBS and cancer cachexia. 

Angel Med Flight is a covered service for ACUTE

Cross-reference Dr. Voss’s episode on differentials.

Bio:  

Dr. Philip Mehler founded the ACUTE Center for Eating Disorders & Severe Malnutrition at Denver Health and continues to serve as its Chief Executive Officer. He began his career at Denver Health more than 30 years ago and was formerly its Chief of Internal Medicine. He was Denver Health’s Chief Medical Officer (CMO) for 10 years until he was promoted to its Medical Director, a position he held until his retirement in 2014. He is also the Glassman Professor of Medicine at the University of Colorado School of Medicine and has conducted research into the optimal medical treatment of the most severe cases of Anorexia Nervosa and Bulimia. Dr. Mehler has authored more than 500 scientific publications, including three textbooks published by Johns Hopkins University Press and with a fourth edition slated for release later this year. Dr. Mehler was the recipient of the Academy of Eating Disorders 2012 Outstanding Clinician Award, has been recognized among the “Best Doctors in America” for the past 22 years in a row, and was voted the “Top Internal Medicine physician in Denver” multiple times by 5280 Magazine. Dr. Mehler is a member and fellow of the Eating Disorders Research Society and the Academy of Eating Disorders, as well as a member of the editorial board of the International Journal of Eating Disorders and serves as the Senior Editor of The Journal of Eating Disorders. He has lectured extensively on a national and international level as the leading medical expert on the topic of the medical complications of eating disorders. 

 

Tour of ACUTE 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

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