Sick Enough : A Guide to the Medical Complications of Eating Disorders book cover
1st Edition

Sick Enough
A Guide to the Medical Complications of Eating Disorders

ISBN 9780815382454
Published September 26, 2018 by Routledge
276 Pages 1 B/W Illustrations

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Book Description

Patients with eating disorders frequently feel that they aren’t "sick enough" to merit treatment, despite medical problems that are both measurable and unmeasurable. They may struggle to accept rest, nutrition, and a team to help them move towards recovery. Sick Enough offers patients, their families, and clinicians a comprehensive, accessible review of the medical issues that arise from eating disorders by bringing relatable case presentations and a scientifically sound, engaging style to the topic. Using metaphor and patient-centered language, Dr. Gaudiani aims to improve medical diagnosis and treatment, motivate recovery, and validate the lived experiences of individuals of all body shapes and sizes, while firmly rejecting dieting culture. 

Table of Contents

Acknowledgements  Introduction  Part One: Not Enough Calories  Chapter 1: 30,000 Foot View: What Happens When You Starve Yourself?  Chapter 2: Going Into Hibernation  Chapter 3: Hormones and Bones  Chapter 4: The Empty Tank  Chapter 5: Extreme Presentations  Chapter 6: Starting to Eat Again  Part Two: Purging  Chapter 7: 30,000-Foot View: What is Purging? Why Does it Cause Medical Issues?  Chapter 8: How Does Purging Physically Affect the Body?  Chapter 9: Electrolytes and Stopping Purging  Part Three: Patients in Larger Bodies  Chapter 10: Binge Eating Disorder (BED) and Weight Stigma  Part Four: The Unmeasurables (a.k.a. The Very Real Medical Problems that Modern Medicine Can’t Measure)  Chapter 11: Irritable Bowel Syndrome (IBS) and Associated Conditions  Chapter 12: Postural Orthostatic Tachycardia Syndrome (POTS) and Associated Conditions  Part Five: Specific Populations  Chapter 13: Type 1 Diabetes Mellitus and Concurrent Eating Disorders (ED-DMT1)  Chapter 14: Avoidant Restrictive Food Intake Disorder (ARFID)  Chapter 15: Orthorexia and Food Intolerances  Chapter 16: Elite Athletes  Chapter 17: Male Patients  Chapter 18: Gender and Sexual Minorities  Chapter 19: Women’s Sexual and Reproductive Health  Chapter 20: Older Patients  Chapter 21: Substance Use Disorder  Chapter 22: Caring for the Patient Who Declines Treatment: The Spectrum from Mandated Treatment to Hospice Care  Conclusion: How We Can Each Make a Positive Contribution  Index

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Jennifer L. Gaudiani, MD, CEDS, FAED is a Board-Certified internal medicine physician, known nationally and internationally for her work on the medical complications of eating disorders. Her outpatient medical practice, the Gaudiani Clinic, cares for individuals of all genders, shapes, and sizes, from around the United States.