Real Surgeon Reacts — TLC Extreme Body Types

Welcome back to our TLC Reacts videos. Today we have extremes of body types. Let’s check this out!

Don’t have time to read this post? Watch the video here instead!

[Video begins with a woman named Rubi describing her situation.]

Rubi:

I’m 39 years old, and I have eight kids. Since the birth of my fourth child, my hips have tripled in size. 

Doctor Rich:

So that’s pretty drastic! During pregnancy, the effects of the hormones on the ligaments and joints actually allow for the bony pelvis to widen a little bit and accommodate a delivery — and then that all just kind of comes back together (within a month of delivery). This isn’t that. This has nothing to do with the actual pelvic bones — it’s an isolated, consolidated fat collection at the level of the hip. It almost looks like a condition called a lipoma — which is a fatty tumor — but you wouldn’t have that just randomly on both sides of the pelvis. 

Rubi:

I’m skinny up top, but then where my hips are, it’s wide. My hips feel like jello. They’re very wiggly. When I squeeze them, they move all over the place. It’s a really weird feeling. Before my first three pregnancies, my body was normal. After my fourth pregnancy, I wouldn’t lose weight from my thigh area. 

Doctor Rich:

So in her particular case (as is common), she gained weight after pregnancy. But it looks like she’s gotten in the proximity of her pre-pregnancy weight everywhere else in her body — except for these two fat pedicles in her hips on either side of her body. I’d be interested to see what Dr. Yun, a plastic surgery YouTuber, has to say about this condition. In my mind, it seems like this is a plastic surgery case where you’d actually have to go in and remove that fat pad from either side. 

[Second clip begins with a photo montage of a man with casts on various parts of his body.]

Kevin:

My name’s Kevin. I’m 27 years old, and I live in a suburb of Chicago. I don’t have any broken bones, but I’m addicted to putting orthopedic casts on my body. 

Doctor Rich:

Come on, man… 

Kevin:

“Casting” is putting a cast on myself. I’m perfectly fine, perfectly healthy. I like the feeling of the cast around me. 

Doctor Rich:

Is he a… some kind of a person in medicine?

Kevin:

I’ve done two full arm casts, two full leg casts… I’ve done two full leg casts, and an arm cast. I’ve put on so many different casts. It’s ridiculous. 

Doctor Rich [in disbelief over the full-body cast photo]:

A body cast?! Over his whole body except for his junk!

Kevin:

What I love about casting is that it just feels so amazing — so snug and so comfortable. It gives me this high that I just can’t really get any other way.

Doctor Rich:

Have you heard of Lululemon™? I mean, you can kind of get that snug sensation without wasting… There’s a term for this — transabled — when your body is fully capable of doing anything, but you pretend that you’re disabled in some way. I don’t know… I think this guy needs a better hobby! 

[Next clip begins. A shirtless man with morbid obesity is in a hospital bed with monitors on his chest. His weight is listed as 735 lbs.]

Steven:

I’ve tried to stay on my best behavior for the past month. It’s ridiculous what I have to do to get people to respond around here. 

[In a cutaway scene, on the hospital room phone]

I need somebody in my room immediately! 

[Screaming at the nurse] I have been waiting. I want this light OFF! 

Dr. Now [to Steven]:

So you seem like you have an issue getting along with hospital staff — and I’m not liking what I’m hearing. 

Steven:

At times, you know, sometimes I get frustrated. I tell them, “If I act like a kid, I want you to treat me like a kid.” 

Dr. Now:

How old are you? 

Steven:

I’m 33 years old. 

Dr. Now:

So it’s time for you to grow up. It seems like the nurses are getting agitated with your behavior. I don’t know what the particulars are, but you need to work on that too. 

Steven:

Everybody has feelings. 

Dr. Now:

Yeah, that’s true. I’m glad you realize that. Let me put it in plain terms. You came from up North — but this is Texas. 

Steven:

Yes, but…

Dr. Now:

You’re going to have to shape up in Texas. 

Doctor Rich [laughing]:

Yeehaw!

So this (obviously) is an unhealthy weight. When we look at weight classifications, 125 is normal. A 25 to 30 body mass index (BMI) is considered overweight. Over 30, and you then fall into the obese category. And then over 40, I believe, is morbidly obese. And so I’d be shocked if his BMI wasn’t north of 70 — and that amount of weight creates a tremendous amount of strain on your heart and virtually all organ systems. 

(Actually, Brendan Fraser did a great portrayal of a morbidly obese individual in the movie The Whale!)

It appears there’s also some kind of a psychological disorder going on where he wants to act like a child. But just as a public service announcement — you DO have to treat your healthcare providers with respect (particularly the nurses that are really sustaining you)! You’re going to see a doctor maybe once a day, but the healthcare providers that are there really to help sustain and support your existence (your life!) are not there to wipe your a$$ (although sometimes they’re literally there to wipe your a$$!)!

But they’re not to be bullied, and as the doctor here at the end says, “We’re not doing that in Texas!”

These guys have a lot of work to do and a lot of calories to burn to get back to the ideal body size. You can burn a few calories too by reaching down there and hitting the subscribe button.