tag:blogger.com,1999:blog-24021163.post901797746136762928..comments2024-02-18T01:56:38.508-06:00Comments on M.D.O.D.: The Naked, the Fat and the Dead911DOChttp://www.blogger.com/profile/06466669111561150174noreply@blogger.comBlogger98125tag:blogger.com,1999:blog-24021163.post-24690060216316516182010-04-23T10:45:38.546-05:002010-04-23T10:45:38.546-05:00to the last two posters, exactly how fat are you g...to the last two posters, exactly how fat are you guys because i can't imagine a thin person being that full of full on hate and murderous intent. seek help. now. and get the fuck over yourselves.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-84730621911995307712010-04-23T03:22:40.443-05:002010-04-23T03:22:40.443-05:00This is disgusting. The person who wrote it and mo...This is disgusting. The person who wrote it and most of the commenters are all horrible, wastes of everything you are. I honestly hope you all are hurt.<br /><br />Like the person above me, I know this is dead (like I hope you all are) and I know no one will see this but HOW DARE YOU FUCKING CALL YOURSELVES DOCTORS AND NURSES YOU PUTRID MONSTERS IN HUMAN SKIN! HOW DARE YOU! You are worst kind of thing on this Earth. You are hateful, sad, and a horrible person. I'm a fat woman and guess what, I don't crave attention especially from, well, there's no word to describe how disgusting you are. You are far more disgusting than the fat people you put down. <br /><br />Unlike the person above me, I hope I DO meet you one day so that I can, soon after, go to prison for things I would do to you.<br /><br />-Lexie DiAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-37475913224970873242010-04-21T06:38:13.263-05:002010-04-21T06:38:13.263-05:00"Listen, I have nothing against fat people. F...<i>"Listen, I have nothing against fat people. First of all, fat chicks love to have sex, and are good at it, because they are so grateful for the attention. Second, fat people get sick and die more often, which is great for business. Third, and most important, fat people are great to make fun of."</i><br /><br />I know this is a dead thread. I am way too late to this wretched excuse for a party. But I shall say this anyway since, to have this comment removed, one of those responsible for the blog will have to read it first. <br /><br />You, whoever wrote this post, are a waste of space and oxygen; bigoted, cruel, ignorant, misogynistic, soulless and inhumane. I'm delighted I'm not an American citizen and that I shall never make your acquaintance, even on a mortuary slab. And you had best believe that this fat woman I wouldn't sit on your face for any reason other than to silence you poisonous mouth. Even if I shat in it, that would taste sweeter than what just came out of it. Merry Christmas to you too.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-88375081104402136132008-12-08T21:10:00.000-06:002008-12-08T21:10:00.000-06:00I know this post is dead but I want to address a c...I know this post is dead but I want to address a comment here <BR/><BR/>"By the way, that bypass patient pays your bills." <BR/><BR/>Firstly, as has been said before: nearly all of america's health problems are the result of individual choices. I work in hospitalist medicine and 98% of my cases are a result of diet and lifestyle. Rarely do I see a purely hereditary or genetic disease. Instead I see fat diabetic smokers who refuse to change and then are on disability and expect ME to pay to come take care of THEIR problems without lifting a finger to help themselves because I've got the bill covered. Screw this.<BR/><BR/>Second. THERE IS NO WAY AN 800 LB PATIENT HAS MADE ENOUGH OF A CONTRIBUTION TO SOCIETY TO PAY FOR ANY OF HIS BILLS!!! I, and hopefully the ignorant fool who made this comment, and those who share his sentiments, are paying for HIS bills. I can forgive the ignoramus who is working and contributing, but not the lazy moron who wants a free ride.PRPAhttps://www.blogger.com/profile/08649931146255133252noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-83170918866430984872008-08-15T03:35:00.000-05:002008-08-15T03:35:00.000-05:00yeah,right being obese may cause death really.. an...yeah,right being obese may cause death really.. and it has a feeling of negativity because you feel heavy and even lazy to do thing.. so trim down...Black_Widow24https://www.blogger.com/profile/18162532868967527157noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-4293294548877318212008-08-15T03:33:00.000-05:002008-08-15T03:33:00.000-05:00This comment has been removed by the author.Black_Widow24https://www.blogger.com/profile/18162532868967527157noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-67075930478599653932008-08-09T06:59:00.000-05:002008-08-09T06:59:00.000-05:00For anyone hating on the poster here, you're entir...For anyone hating on the poster here, you're entirely missing the point. He's not hating on the morbidly obese because they're obese, he's hating on them because they're selfish: They end up making a tragic event for their family even more tragic by making their ceremonial disposal an even more unpleasant event. It's one thing mourning your loved one as they're being cremated, but knowing that you have to have your loved one chopped into pieces like a piece of meat prior to being cremated, and then watch them being cremated one piece at a time must be a horrible, horrible experience, and one that I would feel incredibly selfish to have to put my family through.Richardhttps://www.blogger.com/profile/10175354716458256254noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-28191360464768521582008-08-08T15:55:00.000-05:002008-08-08T15:55:00.000-05:00Bilt4hugin: Gastric bypass, if I recall correctly,...Bilt4hugin: Gastric bypass, if I recall correctly, requires a certain weight point to be reached to make the operation safer, or at least doable. Reaching this weight point would require a new diet, which was probably mentally/effortly out of reach of the fattie in question, the reason he had to have the surgery. It's like a catch-22.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-81565451691797076872008-06-20T22:29:00.000-05:002008-06-20T22:29:00.000-05:00I am really late to this post... but damn I'm in l...I am really late to this post... but damn I'm in love with you guys even more after reading this. And for the record I think this post was hilarious and sad not for the guy that died but for the stress the poor family was going through. Oh and I'm a FATTY!!! Who's fault is it? My own. Why? Because damn if I don't love that Cuban Food. <BR/><BR/>However, after being told I was diabetic after living a what seemed like a lifetime of my father's limbs get chopped off, watched him go through hyperbaric chamber treatments to cure wounds which in turn caused deafness along with the the retinal degradation that was causing blindness, I decided I better get my shit together! I have lost about 50lbs so far by moving more. So no I don't feel sorry for the other FATTY'S out there, the reality is we are greedy shits who put too much food on our plates and then lay on the couch and watch to much TV.<BR/><BR/>Etotheipi, the only thing I can think that you said wrong is this...<BR/><BR/>I'm not good at sex because I need the attention, I'm damn good at sex cause with all those damn blond haired skinny bitches in the world I have to keep you motivated and coming back. HAHAHAHA Besides damnit, when you drop us for the skinny bitch we atleast have had really great sex to get us through our dry spell. Damnit,,, my husband's right I should have been born a man...30&Pre-Medhttps://www.blogger.com/profile/06218435167075217426noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-43086127237944189022008-04-08T22:20:00.000-05:002008-04-08T22:20:00.000-05:00dear bilt4cmft,first, if the junta is coming pleas...dear bilt4cmft,<BR/><BR/>first, if the junta is coming please do give a shout. <BR/><BR/>second, if there is are different realities for different people then there is no reality and none of us have any basis at all on which to make judgements. so, if there are separate realities for different people who the fuck cares?<BR/><BR/>if, however, there is such a thing as 'reality' then there is no one, and i mean no one, in a better position to judge folks in regards to their medical problems and how their choices impact them than physicians.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-68257100032978752212008-04-06T17:23:00.000-05:002008-04-06T17:23:00.000-05:00Oldfart said->>What other profession/job does it's...Oldfart said-<BR/><BR/>>>What other profession/job does it's best everyday to take care of everything that comes thru the door knowing that if there's even an unanticipated less than satisfactory outcome thru no fault of ours, you can get sued and hassled for years because of a patients poor life choices?!!<<<BR/><BR/>Cop. Firefighter. Military. Airline Pilot. Although with some of these professions, if they screw up they only risk getting THEMSELVES killed (Arguably a lot less pleasant than a law suit). However, I think we can off-set that with the fact that they sometimes only get SECONDS, if that, to make the right decision. <BR/><BR/>>>And I/we can't complain about you to anybody or sue you because you bled on us, vomited on us, screwed up our backs moving your fat ass!! This blog is the only place (except behind closed doors in a hermetically sealed room)were we can even talk about the rigors, stressors and crazy shit we deal with DAILY!<<<BR/><BR/>Nothing wrong with complaining. If it wasn't part of human psych I, personally, think we would have wiped ourselves out a long time ago. There is, however, a difference between complaining and malicious hatred. One can generally get a clue about when they've crossed over the line by the way others respond to them. Take a little time. Scroll through the thread. Seeing a pattern here? <BR/><BR/>As for this being the 'only' place where you can discuss this, I kind of doubt that and for some of you, I seriously hope it's not true. Very few organisms have the ability to survive in a vacuum. Those that can't and, for whatever reason, find themselves in a bottle usually end up taring themselves apart. <BR/><BR/>>>So, HTFU and don't come back if you can't stand REALITY. If, however, you wish to continue to read us, then please check the worthless release box at the bottom of the blog which acknowledges the fact that you may actually learn something about real life and hold us blameless for your life from<BR/>here on to Eternity.. <<<BR/><BR/>I, for one, can stand reality just fine. I live here after all. The difference is I can appreciate OTHER PEOPLES reality as well as my own. Let me ask you this; How well do you, actually, get to KNOW any of these people? Do you get to KNOW that the person with the needle in their arm only started doing it because that's what everyone in their family does? Do you get to KNOW that the one sticking a lit cigarette into his/her tracheotomy hole has tried to quite every year since they started? Or KNOW that the the one who weighs 700 pounds has lost and re-gained their way up to that weight throughout the course of their lives? How about how well YOU deal with 'reality'? Think you could deal with having to decide which of your children you can take with you because the Junta is coming and you can't carry them all? Think you could deal with informing on a childhood friend because you know that what he posted on the internet will buy him, and anyone he associates with, a bullet in the back of the head? This is Reality too. Fortunately for us It's unlikely that you or I will ever have to deal with it. However, I can acknowledge that some people will and DO and I'm not in healthCARE. But you are.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-54809296154229878822008-03-30T16:47:00.000-05:002008-03-30T16:47:00.000-05:00This is a little bit for both sides of this post.....This is a little bit for both sides of this post..<BR/>For US and our faithfull: I can see how E's intial post could be seen by the virginal readers as vile, hateful, mean spirited, etc in a global sort of way..But..<BR/><BR/>For them: Fuck off!!! You have no idea of what our jobs are like. What other profession/job does it's best everyday to take care of everything that comes thru the door knowing that if there's even an unanticipated less than satisfactory outcome thru no fault of ours, you can get sued and hassled for years because of a patients poor life choices?!! I didn't force the Big Mac down your throat for years, make you smoke, stick the needle in your arm, stick my finger down your throat for years to produce the piss poor protoplasm you've become and I sure as Hell can't fix you on Saturday at 3AM!!!<BR/>And I/we can't complain about you to anybody or sue you because you bled on us, vomited on us, screwed up our backs moving your fat ass!!<BR/>This blog is the only place (except behind closed doors in a hermetically sealed room)were we can even talk about the rigors, stressors and crazy shit we deal with DAILY! Now don't misconstrue this as we don't occasionally see nice people or save a life here and there and someone says thanks, because occasionally that happens. However, the more likely scenario is that you have no idea that what I just did in 3 minutes saved your POS life and you won't remember my name, will bitch when you get the bill(if you gave us a real address!) and you'll never say "thank you" And I'll have a 1 in 3 chance that you will actually pay me for doing it! <BR/>So, HTFU and don't come back if you can't stand REALITY. If, however, you wish to continue to read us, then please check the worthless release box at the bottom of the blog which acknowledges the fact that you may actually learn something about real life and hold us blameless for your life from here on to Eternity..<BR/><BR/>PissAnts..Get me some Freakin' Raid..Oldfarthttps://www.blogger.com/profile/14333534023484494721noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-46074134150522382682008-03-29T22:11:00.000-05:002008-03-29T22:11:00.000-05:00dear anonymous, where to start, where to start...f...dear anonymous, <BR/>where to start, where to start...<BR/><BR/>first, for someone accusing us of 'hate' i see that your post is full of, well, seething, malicious hate. <BR/><BR/>second, no one is 'pointing fingers at anyone behind their backs' because to do that, well, we would have to be identifying someone wouldn't we?<BR/><BR/>third, 'guise of caring providers'? what guise? read the header to the blog. we are burned out and bitter and tired of taking care of people who chose not to take care of themselves. be fully aware though, dear friend, that you are sadly mistaken if you think that there is any link between appearing to be 'caring' and being an excellent doctor. <BR/><BR/>all of us here practice. none of us here say aloud the bubbles above our heads when we encounter the 400 pound woman with sore knees who has refused all advice at weight loss, gastric bypass surgery, lifestyle change and wants us to 'tell her what's wrong'. <BR/><BR/>you are an incredibly ignorant person if you believe that our health care system is anything OTHER than THE best in the world. i mean completely fucking ignorant. show me the stats that put the quality of US healthcare anywhere but in the top three and i'll show you lies produced on specious reasoning and the mantra of 'accessibility'. <BR/><BR/>you and people like you are THE REASON that people like me and my colleagues are leaving practice. good luck with the 'caring' doctors that come to replace us, they are going to have to be tremendously caring to deal with an angry fool like yourself. <BR/><BR/>next, 'bigoted hate', look in the mirror you prize fool. read your post you ignoramus. you see, while you call us names in an ad hominem attack i point out that you are, in fact, an ignoramus for your absolutely fantastical external locus of control, woe is me diatribe. you cite no facts, you only yell.<BR/><BR/>next, if you think that political correctness is anything other than the vilest poison and lie ever to see the light of day in this country then you are a bigger ignoramus than i can imagine.<BR/><BR/>next, i don't thing i am off base here, but i think you have a chip on your shoulder the size of the fucking moon about your weight. guess what, no one can change it but you and no 'caring doctor' who tells you anything but this is going to add one day to your self absorbed and pitiful existence.<BR/><BR/>next, YES!, you freaking communist, neo nazis and moon-worshipers and gay lesbian dwarfs and stupid self pitying folks like yourself SHOULD have a forum to vent their frustrations. it's called the FUCKING FIRST AMMENDMENT you glorious excuse for a human. <BR/><BR/>you see, if you force the opinions underground then there's no dialogue, only bloodshed and oppresion. that's the genuis of America and the western world... debate in the public square. idiots sound like idiots and are quickly disregarded and shamed. it's working really well here for you after all so i'm only upset that you didn't have the courage to identify yourself, you troll. <BR/><BR/>next, you are reading the post of a FUCKING PATHOLOGIST YOU DUMBSHIT. he does not take care of live patients. he deals with autopsies and tissue diagnoses. he HAD TO FIND A WAY TO DISPOSE OF THE BODY. did you not know that a person this large would have to be cut into bits to bury them? neither did i but, perhaps, he has done a whole bunch of people a favor by pointing out this grim reality to them rather than soft-pedalling their life threatening conditions.<BR/><BR/>next, because of governmental intevention, which, i just bet, you think is the answer to our terrible system, we are paid by only about a third of our patients. also, since health care is now seen as a 'right' by people like you, no one budgets for it, no one plans for it, and ALL of this is dumped in the nurses and doctors laps. <BR/><BR/>next, medicine is no longer a business you economics whiz, because, in the ER we take care of EVERY SINGLE PERSON WHO SHOWS UP REGARDLESS OF THEIR ABILITY TO PAY AND REGARDLESS OF THEIR STATE OF DRUNKENNESS, FATNESS, REGARDLESS OF WHETHER THEY ARE CRIMINALS OR ILLEGAL ALIENS OR MURDERERS AND WE DO IT ALL DAY LONG EVERY DAY 24/7 AND WE ARE FUCKING GOOD AT IT. <BR/><BR/>go have your roll over car crash or myocardia infarction in mexico or bangladesh or peru or russia and see if you get one tenth the quality care you would get ANYWHERE IN THE UNITED STATES up to and including a helicopter flight to a trauma or specialty center with the best specialists and nurses in the world all focusing on you and not caring whether you have the ability to pay or not and not caring if you weigh 500 pounds or 75. <BR/><BR/>next, you are not paying me anything 'anonymous', you are not 'entrusting' me with anything, i do not work for you. i don't know where you get off speaking like you are entitled to respect just for being able to get angry and throw words around on a blog you arrogant coward. <BR/><BR/>'policies that they have paid for'. what fucking policies are those? EMTALA, the law that mandates we treat everyone with an 'emergency' without regard to their ability to pay and does not define 'emergency' IS NOT FUNDED you incredible excuse for a homo sapiens. <BR/><BR/>finally, and with all respect, go chill out, have another donut, and go make someone else's day miserable. go get your own blog and make an idiot of yourself there. fucking, godammed troll asswipe douchebag. <BR/><BR/>oh by the way, are you deborah peel?911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-54898118230574282732008-03-29T21:07:00.000-05:002008-03-29T21:07:00.000-05:00Absolutely disgusting. Oh, sorry, I'm not talking ...Absolutely disgusting. Oh, sorry, I'm not talking about people with weight problems... Be it within their control or not. I'm talking about the malicious delight these health care 'professionals' take in ridiculing people based on their weight. And I do mean malicious. What is WRONG with you people? Maybe some folks need help with losing weight - how nice for you lot to be around sniggering behind their backs and pointing the horrible finger of derision at them by posting their personal difficulties online.<BR/><BR/>At least you've shucked the guise of caring providers. There's no veil of 'concern' over your viscious tirades. You clearly find fat people revolting and frolick in your anonymous forum, reviling them. <BR/><BR/>Tell you what, ladies & gents, health care workers and poseurs alike - I'd rather be 500lbs that have the black, stinking, cruel hearts & souls you have. IMHO, the epidemic of ignorant, callous trash populating our already despicable health care system (worst in the free world) is the problem - not the overweight.<BR/><BR/>Bigoted hate is by far the more disgusting problem, here and many posters to this thread show that it's alive and well in this supposedly Politically Correct era -- An era where racial or sexual orientation epithets have simply moved on to 'disgustingly obese' and so forth. Being 'once overweight myself' doesn't excuse you from being a human being, either. Simply because you have triumphed (for now) where others have failed doesn't mean you deserve any more consideration by health care workers than anyone else. In fact, the very HINT that most or all 'fatties' are willingly flaunting their conditions and simply 'refusing to lose the weight' is further proof that many of you claiming to once have been fat are simply lying to justify your cruelty and unwarranted hate.<BR/><BR/>Corey - I guess Neo-Nazis should have a forum to 'vent' their 'frustrations' at what they perceive to be the invasion of blacks and Jews of the world? Or haters of Gays and drug users so they can lament the spread of AIDS? At least nobody is relying on Neo Nazis and Gay-bashers to CARE FOR THEM under policies they have PAID FOR.<BR/><BR/>That's the difference, pal. We're talking about licensed, oath-taking professionals, here. If they can't deal with patients who have weight problems without puking up the kind of disgusting bile on display here, then they're in the WRONG BUSINESS. There's no place in the world for this garbage - especially from the people we're supposedly paying and entrusting to take care of us. <BR/><BR/>Funny? Venting? 'Black' humor? Shame on the lot of you angry, bullying, broken, pathetic people.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-20726241660391087762008-01-25T17:33:00.000-06:002008-01-25T17:33:00.000-06:00I am SO late coming to this thread, but I found yo...I am SO late coming to this thread, but I found you through another blog and I think I'm in love.<BR/><BR/>So, since the horse is now splatterting appetizingly, I'll beat it a bit more:<BR/><BR/>-Am I the only one who thinks the word "disorder" being applied to lifestyle issues is one of the worst steps we could've taken?<BR/><BR/>-Obesity is a disease to the insurance companies, yes. I think they hate that. I could be wrong. I suppose we needed a code? We have a perfectly good word in english: CONDITION. STATUS. STATE. Disease just doesn't work really, does it?<BR/><BR/>-And I agree that diets don't work. BECAUSE PEOPLE DON'T WORK THEM.<BR/><BR/>Thanks for the good time! I'll be following like a fan.<BR/><BR/>SaengerinAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-89739817288836135882008-01-14T17:11:00.000-06:002008-01-14T17:11:00.000-06:00ETOTHEIPI said- 'One of my local pathology colleag...ETOTHEIPI said- <BR/>'One of my local pathology colleagues had a gastric bypass patient die today – he was 45 years old and 780 pounds. I think his BMI was, like, a trillion.'<BR/><BR/>Hmmmm, the tone from most of the agreeing posts I've seen on this thread seem to indicate that the 'ginormous whale-carcass' failed to exercise personal responsibility and refused to do something about his weight. Yet, not ONCE in any of the subsequent posts, does any one mention the fact that the man seems to have died on the operating table trying to DO JUST THAT. The man's DEAD and he can't even catch a break. Nice. Or, maybe my persistent whining is causing me to confusing Gastric bypass with some other cosmetic procedure. No- It must be the timing thing. 'Fatty waited too long and deserved what he got'. . . No, that's not it either. How about- 'Fatty should never have let himself get that big in the first place'. . . . Yeah, that's it. The All Knowing have spoken. Bow down and surrender your fat.<BR/><BR/>As far as having a little empathy goes ( I believe most Non-sociopaths find this desirable), I'm not a Dr. I'm about as far into the periphery of the Med industry as one can get, actually, but I have had friends in the ER and heard stories of having to go down into the Blood & Mud on a daily basis. I can understand how one might need a thick suit of emotional armor to deal with all of that. However, I also know people in law enforcement and the military who's situational circumstances you may or may not find similar. Here's the thing; There are things that they WILL NOT discuss with anyone who is NOT from those communities. Why? The common answer; Civies wouldn't get it.<BR/><BR/>You've chosen to open this particular area of mud, blood, and guts to the public. I hope your not surprised that us 'Civies' don't A) Like it or B) get it. Frankly, we're not required to do either and, bonus, since it is public, we are at liberty to respond. Does it surprise you that we would? Because we're fat (fatty should just STFU and take it!)? Or compassionate enough to want to, at least, TRY to understand (Fatty lovers should stop trying to defend them and just STFU!) One thing you might want to consider in the high stress field of Emergency Med. No matter how good you might THINK you are. No matter how much you might THINK you need the callus attitude, or how much you THINK it doesn't effect you, guess what? It. DOES. I'm sure you've heard of it. It's called Burn-out and even the most confident and ego-sure Dr., RMD, or RN's who use these coping strategies can suffer from it eventually. The tragedy comes from not recognizing it's almost inevitable effects soon enough to walk away before somebody or SEVERAL somebody's die.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-9128249603397853232008-01-11T08:56:00.000-06:002008-01-11T08:56:00.000-06:00Thanks, anonymous, for taking a single word of two...Thanks, anonymous, for taking a single word of two quite long posts totally out of context. <BR/>If anybody here really thinks that it is a realistic option for a person (fat or thin) with an eating disorder of which nature ever to just start listening to hunger and satiety cues and act on them you have no clue whatsoever of the nature of eating disorders. <BR/>In addition, intentional weight loss does not mean that you are eating according to hunger and satiety cues, not even if you are fat to begin with. Similarly, holding a high weight stable does not automatically mean you are overeating. It's different if you are constantly gaining weight, but overeating is only one possible reason for weight gain. Considering that there have been cases of people that went undiagnosed with a serious illness because their doctors wrote of their weight gain to simply overeating I would be very careful with things like that.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-76807208800900866952008-01-10T12:50:00.000-06:002008-01-10T12:50:00.000-06:00Newsflash! It's not EASY.Newsflash! It's not EASY.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-88881360870010108382008-01-10T10:00:00.000-06:002008-01-10T10:00:00.000-06:00Shari Ann - so you have lost weight. Big deal. So ...Shari Ann - so you have lost weight. Big deal. So have I - as I said above I have lost up to 100 pounds several times in my life. The problem is not losing the weight but keeping it down - for more than, say, one to five years. Since dieting and weight cycling is psychologically and physiologically stressful I would rather not attempt to lose weight anymore until there is a method that has been proven to be safe and to work in the long term for the majority of people. <BR/><BR/>It's great that you are able to eat when you are hungry and stop when you are full, but for someone like me who has struggled with an eating disorder since she was 11 years old this is not an easy option. I am not saying that every or even the majority of fat people have an eating disorder (in fact, many of my fellow fat people would strongly object if I did). All I am saying is that what worked for you is not an option for everyone, and the reasons differ from person to person.<BR/><BR/>As for your comment on throwing away the remote: I know I MUST be lying about this, but I don't even own a TV. I also don't own a car, which means I am usually biking or walking wherever I need to go. Does every fat person do this? No. But not every fat person sits in front of the TV the whole day either.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-31644212097437328252008-01-10T09:09:00.000-06:002008-01-10T09:09:00.000-06:00The MINUTE someone calls a fat person fat, the fat...The MINUTE someone calls a fat person fat, the fat person replies "Don't you think I KNOW I'm fat!? - heaving sob!!!!". Yet doctors are supposed to delicately approach the subject with their patients like maybe the poor fat person has been in an isolation chamber for the last twenty years and just hasn't caught on that MAYBE some things would improve with weight loss. Stop expecting people to kiss your ass. Realize that society hates a weak fuck.<BR/><BR/>Here is how I lost weight:<BR/>I eat when I'm hungry and stop before I'm full. I eat vegetables, fruits, lean protein, whole grains, low fat dairy and heart healthy fats. I occasionally treat myself. I practice portion control. I increased my activity (I started with throwing away my remote). I kept picturing myself waking up in a nursing home without my feet. I am tenacious. I realized I really really wanted to get laid, which had more to do with actually wanting to go out among other humans than being able to find some douchebag willing to fuck me.<BR/><BR/>~Shari Ann<BR/><BR/>P.S. That is all.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-59736725197180181232008-01-10T08:49:00.000-06:002008-01-10T08:49:00.000-06:00Someone was asking for support from peer reviewed ...Someone was asking for support from peer reviewed articles for the assertion that intentional weight loss attempts don't work in the long term for the majority of people. <BR/><BR/>Some time back I wrote the following concerning this topic:<BR/><BR/>[...]There seem to be physiological mechanisms that lead to a lowered metabolism during dieting. After a return to normal food intake the low metabolic rate is kept up for a while, which leads to a faster weight regain. In fact, some studies suggest that more than 95% of all weight loss attempts are followed by a complete weight regain in a five-year follow-up period (Garner & Wooley, 1991). This is true for all dietary and behavioral modifications used to lose weight, no matter if it is a medically supervised weight loss program or a fad diet. Often the weight before the diet is even exceeded (Garner & Wooley, 1991). A study by McGuire, Wing, and Hill (1999) seemed to paint a somewhat brighter picture by suggesting that 25% of people who have lost weight one or several times in their live (either intentionally or unintentionally) maintain a weight at least 10% lower than their maximum weight for five years or more, however it should be noted that the study relied on self-report and that it did not assess how many weight loss attempts preceded the final maintenance. Since some people tend to regain more weight after each successive weight loss attempt it is possible that even supposedly successful participants had a higher weight than before their first diet (in fact dieting in normal weight teenagers does predict later overweight; e.g., Field, Austin, Taylor, et al., 2003). It has also been found that weight loss becomes harder depending previous cycles of weight loss and weight gain (Hart & Warriner, 2005)[...]<BR/><BR/>References:<BR/>Field, A. E, Austin, S. B, Taylor, C. B., Malspeis, S., Rosner, B., Helaine, R. R., et al. (2003). Relation between dieting and weight gain among preadolescents and adolescents. Pediatrics, 112, 900-906.<BR/><BR/>Garner, D. M., & Wooley, S. C. (1991). Confronting the failure of behavioral and dietary treatments for obesity. Clinical Psychology Review, 11, 729-780.<BR/><BR/>Hart, K. E., & Warriner, E. M. (2005). Weight loss and biomedical health improvement on a very low calorie diet: The moderating role of history of weight cycling. Behavioral Medicine, 30, 161-170.<BR/><BR/>McGuire, M. T., Wing, R. R., & Hill, J. O. (1999). The prevalence of weight loss maintenance among American adults. International Journal of Obesity, 23, 1314-1319.<BR/><BR/>Polivy, J., & Herman, C. P. (1985). Dieting and binging: A causal analysis. American Psychologist, 40, 193-201.<BR/><BR/>I am not a medical professional, but I have worked in the medical field as a full time volunteer for a year before I started my college education some years back. In my experience patients of all sizes do sometimes behave like super demanding assholes. In fact, might even do it more often than people in an average every-day situation since they are often in pain, scared, and stressed. A medical professional has to be able to deal with this at least most of the time (after all nobody is perfect) without blaming the patient - otherwise he or she is not doing his or her job properly. <BR/><BR/>As a fat woman I can tell you that the bias medical professionals have when it comes to weight does show - even if they don't intend to let it show. I wouldn't even mind if a doctor would ask me to consider weight loss if he or she had previously asked me about my weight related history (which includes a chronic eating disorder as well as several short-term successful weight-loss attempts on which I have lost up to 35% of my body weight in a very short time – which lead to symptoms such as amenorrhea). However, no medical professional has yet done so. Also, I have had health problems blamed on weight that might in many people be weight related - however, my specific situation made it unlikely that this was the case for me. For example, I developed hypertension AFTER I had lost 40 pounds and my blood pressure normalized later on with increased exercise and stress reduction although I regained some of the weight.<BR/><BR/>In the light that social rejection has been shown to be a powerful determinant of not only mental but physical health the negative attitude that many health professionals openly show towards fat people indicates either that they don't really care that much about their patients health or that they are completely oblivious concerning the health consequences of their behavior for their patients. I am willing to assume the second possibility - I still believe that the majority of doctors and nurses truly want to help people become healthier – but if the second explanation is the correct one this is still sad enough. <BR/><BR/>I am doing my best to improve my eating behavior without focusing on weight and to exercise regularly without becoming obsessive, just as many other fat people do. It is called Health at Every Size, and it does indeed lead to improved health (though usually not to weight loss). There has been at least one study indicating the effectiveness of this approach: <BR/><BR/>Bacon, L., Stern, J. S., van Loan, M. D., Keim, N. L. (2005). Size acceptance and intuitive eating improve health for obese, female chronic dieters. Journal of the American Dietetic Association, 105, 929-936.<BR/><BR/>For the (hopefully) open-minded and professionally behaving health care providers posting here (despite the rather nasty and prejudiced things that they have written) this should be an approach worthwhile to check out - at least for the patients that don't "comply" for whatever reason with weight loss advice.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-25384259823604028682008-01-09T18:13:00.000-06:002008-01-09T18:13:00.000-06:00Etotheipi,Ok, you redeemed yourself a bit by quoti...Etotheipi,<BR/><BR/>Ok, you redeemed yourself a bit by quoting Eric Cartman...that show is one of the funniest I watch with any regularity. Perhaps if I look at some of the stuff on this blog with the same perspective, it wouldn't seem so harsh.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-24929950721258569142008-01-09T16:19:00.000-06:002008-01-09T16:19:00.000-06:00FWIW, I thought that this post was hilarious, EVER...FWIW, I thought that this post was hilarious, EVERYONE is far too sensitive, and we should all just chill out.<BR/><BR/>Incidentally, I used to be overweight, and I suffered from chronic pain and general malaise. I self-diagnosed with all kinds of things like fibromyalgia and chronic fatigue. I, finally (and luckily) found a doctor who gave it to me straight - I was 50 lbs overweight.<BR/><BR/>She gave me some simple diet tips but told me it was on me to change my lifestyle. I made the changes, I lost the weight, and, just like my doctor said, all my symptoms went away.<BR/><BR/>It was hard. I was hungry. Exercising hurt. But I did it anyway. And now I'm better.<BR/><BR/>When I thanked my doctor for her straightforwardness, she thanked me back for actually taking control of my life. Apparently, not that many people do. <BR/><BR/>So I realize that it must be enormously frustrating to know how many people's "chronic" conditions are caused by obesity. It must further be frustrating that, a) they can't tell their fat patients the truth without being subject to complaints, and b) the vast majority of their fat patients will never take any responsibility in their own health care because they have chalked their choice to be fat (and, barring real medical problems, it is a choice) up to the fickle finger of fate.<BR/><BR/>Even if you're fat, and even if you believe that you can't do anything about it, you can certainly see that this is a very frustrating position for the doctors to be in. They've taken an oath to help their patients, there's a cut-and-dry cure to the patient's problems (loose weight), they're giving their patients sound medical advice (loose weight), and the patients refuse to HTFU and let themselves be hungry for a while. As a result, the docs watch their patients get sicker and sicker and finally die - all from a curable condition that was diagnosed easily and correctly from the beginning.<BR/><BR/>I'd have a dark sense of humor too.<BR/><BR/>So, the doctors need a space to vent. This is their space. Try to respect it. Before you chastise them for being callous, think about how it would feel to watch people with treatable conditions die because they lacked the fortitude to change their lifestyle. Be honest with yourself - might you use humor to deal with that?<BR/><BR/>Fat people also need a space to vent - but this isn't it. Set up your own blog, call it "BBQOD", put up snarky posts about how western medicine just doesn't understand your condition, make fun of callous doctors. Then try not to be too hard on the folks that troll your comments telling you that they understand your life better than you do.Coreyhttps://www.blogger.com/profile/06619689916989132615noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-21212007157798508422008-01-09T08:54:00.000-06:002008-01-09T08:54:00.000-06:00"wha'eva. I do what I want."-E. Cartman (circa 200..."wha'eva. I do what I want."<BR/>-E. Cartman (circa 2006)<BR/><BR/>Kathryn-<BR/>It's sad that you can laugh at children sexually and menatally destroyed by trusted clergy but when you hear an insensitive fat joke you can't take it. Pathetic. When a joke hits a little close to home, all of a sudden I'm an asshole. Maybe I'm not funny to you. Fine. I think I'm a riot. <BR/><BR/>BTW, I'm kidding. Kid sex jokes are awesome.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-80814164376641826192008-01-08T23:20:00.000-06:002008-01-08T23:20:00.000-06:00"As for the former fat chick with the wasting dise..."As for the former fat chick with the wasting disease, are you really equating sound advice about weight management with encouraging someone to get sick to lose pounds? Are you high? Is that why you have the munchies all the time?"<BR/><BR/>What a diagnostician! The reason I'm still losing 20 pounds/month must be because... I have the munchies! I really hope you're better at this when you have cell samples to go off of, dude. :)<BR/><BR/>But in all seriousness, when did this become "weight management advice"? You're writing a nasty rant about fat people because you're frustrated with the aftermath of a fat person's death. I can understand your frustration. It's a ridiculous situation. But I, unlike the 'fat chicks' you've been dissing in this thread, can't believe that this venom doesn't show in your practice. I can't believe that you don't let it slip with your "normal" weight patients. I won't say you're lying to yourself, but please, step away from that Monster Prickburger.<BR/><BR/>And I know that when I call people on these irrational attitudes towards weight loss, they talk about *doctors.* "Oh, even my doctor made fun of my weight, so I must be really fat." (No, lady, you're 5'8" and 165 pounds, that's barely overweight even by the somewhat dubious BMI.)<BR/><BR/>If you think you're not one of the doctors contributing to this, if you think you hide your hatred for and fear of overweight from all your patients, I'm glad (it's better than KNOWINGLY inspiring eating disorders) - but you're probably wrong. Let's face it - you weren't talking about a 780-lb dead guy when you waxed poetic about how fat chicks love to have sex.Anonymousnoreply@blogger.com