Tiffany Thinks #7

[H&N]

fluffy fox
6 uur geleden
I've been thinking a lot about your weight issue. I spent a lot of time in eating disorder programmes when I was younger (I know it's a completely different issue but we were put on weight gain meal plans). You said that you need to gain around 5 kilos which is roughly 11 pounds. To do this in 5 weeks, you would need to gain approx 2 pounds a week. To gain a pound, you need to consume 3500 excess calories on top of what

So the fox suffered from an eating disorder....

 

[Sheba]

I hope Tiffany is a good side sleeper. She should invest in lots of cozy pillows for bolstering so that her new "Barbie butt" heals nicely.

It'll be a sucky 6-9 months, but if they get it all, she could live many years!

 

[Doc22]

I personally think it is a medical problem. She talks a little bit about having surgery in her stomach area in her older videos. She also had videos where she says she needs regular Vitamin B12 and iron infusions. (She has deleted them). I have an auntie who has Ulcerative Colitis and Crohn’s disease, and she has had surgeries over the years and needed infusions as well. She has always been painfully thin. People used to think she had anorexia/eating disorder, but she doesn’t. She just can’t eat much. A couple of years ago she had to rest her intestines by not eating and using a feeding tube, prior to a surgery. In one of her older videos, Tiffany mentioned she was doing intermittent fasting to help rest her intestines. I can’t remember which video, but it was definitely before the cancer diagnosis. Tiffany has definitely gotten thinner since the cancer, especially in her face. That’s where I notice it the most.

It takes years to grow colon cancer. Probably she might have been bleeding for years because of cancer. That is why she needed

 

[Doc22]

When you say vagina, do you mean the internal part? The labia minora and majora remain intact right? If there is muscle used by the plastic surgeon to create the vaginal wall, does this mean penetration is still possible? Sorry to sound very blunt

Yes,

When you say vagina, do you mean the internal part? The labia minora and majora remain intact right? If there is muscle used by the plastic surgeon to create the vaginal wall, does this mean penetration is still possible? Sorry to sound very blunt

I don’t know how much affected her vagina vulva by cancer. I think it depends on it. I guess her vulva should remain intact. They would remove posterior vaginal wall for sure because it is adjacent to rectum. Maybe they would remove whole vagina since she was talking about bladder. I don’t know the technical details but I think they would use replace vaginal wall from muscles from thighs and from abdomen. If removed whole vagina would reconstruct pelvic wall everything. It would be really difficult for her.

 

[Millieminion]

Absolute madness
View attachment 1709734

Block delete tick tick tick from us

 

[Snow Fu]

No he doesn’t and he’s no Doctor

L

He is so. He’s a tall hot Doctor sitting in scrubs right now. Don’t ruin my vision please

LOLOL

 

[jackolantern]

Don't be rude. Go and check on Insta.

She had HIPEC not PE. You are continuously posting absolute tosh.

 

[Idrisrex]

I hope that the multi-disciplinary approach to Tiffany's surgery will include some counselling. And I hope that she takes it.

She is already on a waiting list for psychological intervention.

I like your Gonk

 

[Doc22]

I believe he was trying to get her to get the surgery he didn’t say only for her mental health I’m sure of that..he’s probably said if only for her mental health alone it’d be better than the w&w..and remember how she protested how sound her mental health was..she’s picked the w&w not the surgeon..she didn’t want the surgery and she still doesn’t as was seen when she asked Matt and her sis in the car, if these new biopsies produced no cancer would that mean no surgery..she’s still grasping at straws..

Yeah, How can she think like that after one hour talking and explaining that there is cancer. Also she has another positive markers that give her poor prognosis.

 

[Doc22]

Also true but here is a publication that discusses a low bmi and complications after the operation.

Preoperative Body Mass Index, 30-Day Postoperative Morbidity, Length of Stay and Quality of Life in Patients Undergoing Pelvic Exenteration Surgery for Recurrent and Locally-Advanced Rectal Cancer

Malnutrition is associated with an increased risk of developing complications following gastrointestinal surgery, especially following radical surgeries such as pelvic exenteration. This study aims to determine if preoperative body mass index (BMI) is ...

www.ncbi.nlm.nih.gov

She is not malnourished. If someone is really malnourished you can see their bones, with big abdomen, without muscles. Her body composition is smal tiny from the nature. We can see she eats normal meal. Of course it would be better for her if she gain some weight.

 

[Ionia]

Tiffany just posted.

 

[PW212]

She clearly doesn’t. She eats a few mouthfuls of something (nibbles at that) and is not eating regular meals or following her dieticians advice at taking the food supplements to help gain weight. There is no way you can look at her and say her tiny frame is not a cause of concern. Also as a doctor you should also be able to recognise that on top of her cancer diagnosis she also presents control issues around food and issues with body image. so glad you are not my doctor.

She isn't malnourished. Not sure anyone said that. You see food in her vids but not her eating it besides one bite. Its likely painful for her. She is down 5kg from what Matt though and her god surgeon wants her to gain some weight for optimal cell recovery post surgery. He is trying to get her in the best state possible before a very major surgery. As he should. Not sure he will operate if her pre op state is not at a certain level. We really know nothing about her baseline condition do we? But god surgeon does.

 

[AnonyGoss]

As an Oncology nurse I frequently have to do new patient teaching on chemotherapy and surgery. I can tell you that Tiffany and her family’s reactions after meeting with the surgeon are quite common. The amount of information patients receive is overwhelming and most shut down after about ten minutes with a blank look on their faces. Additionally, the diagnosis of cancer/surgery sends most patients into the Kubler Ross stages of grief, the most common of which is denial. I have had patients cry, laugh, get angry or just go completely blank during the teaching. Patients and caregivers have to be given time and continuing education in order to process their diagnosis and treatment course. For those outside of the cancer arena their behaviour may appear bizarre. But for those of us who deal with this everyday their response is completely normal.

I agree with you. While I don't know much about cancer patients in particular, I work in a GP, as a receptionist. I can relate to patients not taking in all the information.
Sometimes patients call up after their appointments asking me "what did the doctor say about X? Or sometimes patients only listen to what they want to hear.
Also, someone mentioned in an early thread that is was weird she wanted to be dealt with a particular surgeon who was on holiday. Again, this is common for patients to only want a particular Dr. etc to deal with their case. And actually, sometimes it can give them better treatment when a patient has the same medical person or people dealing with them. Plus a lot of people are anxious about their health and want someone who they have built trust with.

 

[Idrisrex]

She should eat things that combine lots of calories and a high nutritional value, for example meat (not necessarily lean cuts) and full fat milk products. She’d have to eat tons of veggies in order to get any nutritional value from them, and she can’t do that.

And taking a good brand multivitamin and minerals supplement. But that is something that she already must have done.

 

[Saydee]

I hope that the multi-disciplinary approach to Tiffany's surgery will include some counselling. And I hope that she takes it.

Perhaps one of her loving tt family members can send her this.

https://www.royalmarsden.nhs.uk/your-care/adult-support-services/adult-psychological-support-service

 

[PW212]

What?!!!!!

I’ve actually worked with teens admitted in hospital on the eating disorder unit. Yeah, they do this and THAT IS WHY THEY ARE ADMITTED FOR OBSERVATION AND TREATMENT. Who would actually generalize that this is normal! Sounds like trolling imo.

 

[BettyCrockerr]

Yeah, for young women they should reconstruct vagina. She will have really difficult time.

In your opinion.

 

[Wildflowerss]

unfortunately since it was never mentioned before and it the area of the growth of the tumor I think it reasonable to conclude it is a result of the W and W protocol. It is a sad result.

agreed she states at the 8:00 mark the tumor has grown but it's also in the top of the colon area where there is a thickening they saw on the scans. It sounds as if the tumor growing is separate from an area higher up that shows thickening. Watch it and tell me what you think.

 

[Saydee]

I'm still seeing comments about surgery not being an option if Tiffany doesn't gain weight.

Look up prehabilitation. ' Prehabilitation prior to major surgery has increased in popularity over recent years and aims to improve pre-operative conditioning of patients to improve post-operative outcomes'.

Its there in black and white https://www.nhsfife.org/services/all-services/cancer-services/prehabilitation/

 

[LeonorG]

I didn't criticize UK health system and the whole hospital where she is treated. It is the opposite. In my opinion UK has one of the best health care in the world and every one can be treated free. Where I live the health care is hundred times worse than yours. I just only reacted to the post that doesn't want be the surgeon's sister. I don't think someone from here wants to be his sister.

I would love to be the surgeon's sister! Or daughter considering our large age difference. Imagine the privilage! It's always a massive plus to have doctors or nurses in the family but imagine having a world-renowned colorectal specialist.