Force Feeding of Anorexics

I regret to inform the audience that my post will be rushed in the interests of time. The bus I took back from my trip out of state was involved in an accident which dug into my schedule for several hours more than I expected. I will keep this short and sweet. My opponent's main response in his last post was essentially that I can't prove my claims. My main points of contention is that my opponent's proposed mechanism of treatment will cause more harm to the patient than mine. The main point we must drive home before we continue is that the patient is about to die. This is not an issue of headache and an upset stomach from missing a few meals. Even sailors marooned on an island for a week have a more excellent chance of survival compared to the patient my opponent is using. In order for the patient to have a 50% chance of death without immediate medical intervention, the patient WILL have the characteristics I state out of pure logic. I will still provide sources, however. First, my opponent claims that I have no source justifying my notion that the patient has gastric complications forbidding NG tube refeeding. In the very source that my opponent decided to ignore, it showed that 80% of anorexics experienced prolonged gastric clearance times, which severely hinders the rate of survival. This is the data supplied, but it is up to a medical professional to explain to laypersons. Gastric clearance time increase equates to less nutrition absorbed by the body within the hospitalized time. For every meal, the patient gets less nutrition through NG feeding than by TPN. The source also states that postprandial gastric fullness leading to vomiting is a common occurrence, due to the fact that the stomach is not used to the presence of food and responds by ejecting it. This is also not seen in TPN. In some severe cases of prolonged anorexia, gastric rupture due to this distension is also possible. Severe constipation and intestinal compaction also result from NG feeding of anorexics in the mentioned state of severe malnutrition. Now, for some new sources. http://www.ncbi.nlm.nih.gov... This source provides additional information regarding my position on GI effects of severe anorexia, as well as leading into the second issue. http://www.ncbi.nlm.nih.gov... http://www.diagnose-me.com... http://www.ehow.com... These sources show the correlation between atrophic gastritis and severe malnutrition, in which the stomach eats away its own lining after prolonged starvation, making it more difficult for the body to produce hydrochloric acid needed to break down food. Another reason why TPN is superior to NG refeeding. Furthermore, dozens of articles will associate severe, prolonged malnutrition due to anorexia with electrolyte and mineral imbalance, both of which is very easily remedied by TPN and rather difficult to remedy by NG feeding. Those same articles will mention muscle wasting, which is true to the diaphragm as the diaphragm is itself, a muscle that will deteriorate with starvation. My opponent makes some straw man arguments I will address: My opponent is the one who does not understand medical ethics. The #1 rule of Hippocrates is to DO NO HARM. While my opponent's intentions are good, they will not provide the best care for the patients. I am not saying that we should not treat, I am saying that we should treat in the best way possible. I have nearly four years of medical education under my belt and understand the difference between casual wikipedia browsing and using academic knowledge in the clinical setting. My opponent did not attack my reasoning, he committed a logical fallacy and attacked a straw man. He has contributed nothing to the discussion and has only asked for more information without reviewing my sources. I have provided a vast amount of information showing that TPN is the superior treatment form over NG feeding while my opponent has not supported his treatment method at all. I hope he shall do so next round. Thank you.