Malignant obesity hypoventilation syndrome.
from A case report of malignant obesity hypoventilation syndrome: A weighty problem in our ICUs
CASE PRESENTATION: 35 year old African American gentleman with a body
mass index (BMI) of 115 kg/m2 presented to the hospital with
respiratory distress. On admission he was noted to have multi-organ
dysfunction including respiratory failure, renal failure, cardiac and
liver abnormalities. His hospital course was remarkable for recurrent
cardiac arrest following extubation, complicated tracheostomy, and
progressive organ failure despite medical therapy. After a 30 day
hospitalization, patient and family decided on terminal extubation
owing to worsening medical condition and lack of therapeutic and
disposition options. DISCUSSION: The super obese present a number of
challenges when admitted to the ICU. Patients with respiratory
distress are frequently misdiagnosed and treated for asthma and COPD
when obesity hypoventilation syndrome (OHS) is more consistent with
the clinical picture. OHS in the superobese is often accompanied by
multi-system organ dysfunction, a condition with high morbidity and
mortality, with limited treatment options.
From the article; this man was 182 cm, 383 kg (844 lbs). The weight of the body crushes the lungs and makes it more and more difficult to breathe. It is much the same situation as marine mammals which are on land and do not have the water to support them.
In zero-G this mega-rich person would not have to move the weight of his body while breathing. He would probably feel great.
While writing this I was thinking of Iz who died of complications of obesity. I bet the water made it easier for him. Too bad he did not have a space station.