Inflammatory comments and being reported to your employer

August 5, 2006

Comments made on this blog are passionate and often inflammatory. Big Fat Blog went so far as to complain about a commenter to his employer.

Apparently, BFB was referring to this post where the comments were “lined with fat hatred”:

While he might be stating a fact, I think a lot can be read into the tone of the post. After all, if he wanted to just say that the table could support a fat person he could just say so; instead he chose to compare this to the tools used at a zoo. Ridiculous.

There’s also a second post Kate_P pointed out that includes more fat-bashing comments from alleged physicians and non-physicians.

Kate_P argued that it was good to see these comments out there to get a bead on what some physicians are thinking, and start asking what we can do to change the way physicians are taught to work with fat people. If a physician is respectful to your face and then posts about you (indirectly) on a blog somewhere, that’s rather unprofessional, no?

Update -
Apparently, some people on BFB think this may have gone too far:

If what he said was soo upsetting, why not contact him directly and tell him why his comment was offensive?!? Why not contact the owner of the blog and complain about the posters? WTF!Does his workplace have to do with anything? Nothing! Seems to me he was a scapegoat for the other awful things the annon posters wrote. But what jmar did is far more offensive to me than what any of those people on that board said.

* * * * *

Since when did Fat Activism turn into harassing medical professionals at work for doing nothing more than having a supposed opinion that a person doesn’t like? Especially with the second comment in question, which is hardly grossly offensive. If you’re looking for revenge on the true jackasses posting in that community, don’t look for the ONE person you can identify and try to crucify them with their employer. There is no good — NONE — that can come out of that kind of overreaction.



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{ 135 comments }

1 M August 6, 2006 at 4:04 pm

Reporting Dr. Coupal to his employer wasn’t right. I don’t see anything wrong with him, or other doctors, posting what they really think on blogs.

In fact, as a patient, I find it rather useful. I’d rather know what doctors really think about persons with certain conditions. It’s been an eye-opener. Although, some of the comments I’ve seen from doctors aren’t a total surprise; I’ve had a sense from some of my own visits to doctors that some of them hold prejudicial views.

As for the vitriolic nature of comments on this blog – I’m never quite certain if these are truthful or hyperbole. However, it’s comments on other doctor blogs, where the discourse is far more civil, that concern me. When I have read things where a patient is being judged due to the type of person/type of condition they have – i.e., not having insurance, being deaf, having a history of depression, having Down’s syndrome, being a single mother, being poor, being working class – it gives one pause.

I know now that if possible, I’ll hide my history of depression, I’ll dress in elegant clothes, make certain the doctor knows I have insurance, that I am college-educated, that although I am single I have no children, and conceal that my maternal great-grandmother weighed 250 lbs (true).

2 Anonymous August 6, 2006 at 4:11 pm

So according to this, one can assume that it is the FAT people who have the most medical problems by far, right?

The most HTN, heart disease, strokes fatty livers, etc, etc…I imagine the list goes on to cover almost all health issues ever known to the world.

Because, see, all the healthy, SKINNY normal weight people don’t have health issues. They get up and eat their “Weaties”, stop at the gym at 5:00Am to do their workout, before showering and heading to work in their office as a physician or whatever. Then they get to see all the fat cows of the world all day and give them useless information, while biting their tongue from not telling them what they really think of them.

Do I have this right?

Fat people=many medical conditions (many reasons to see MDs)

Skinny people= healthy people (no reason to see MDs)

So, when you talk about all the cows shoving their faces full of food and calling them all these disgusting names, that even street thugs don’t often use, you are really biting the hand that feeds you?

The facts are there. Based on exactly what you guys have all said. So now, it is time for you, to shut your pieholes up, and move on to something of much more importance.

3 Chris, RN August 6, 2006 at 4:36 pm

I too am disturbed by a fat lobby that hopes to normalize this type of behavior. If your BMI is 40 or >, you’re a wildebeast in my opinion. Your body was not meant to carry an extra 100-150#. Amazing this fact never seems to enter your consciousness. (G-d help the doctor who tactfully tells you to lose weight.) Just imagine carrying around an extra person everyday, and you wonder why your back hurts?? You wonder why you have “the sugar disease.” You wonder why your hips, legs and feet hurt? Get off your butt and quit asking doctors for “disabled” license plates so you can park in front of the door instead of walking 10′.

When I first entered nursing, I worked in OBGyn. We had to call in 1-2 extra staff for c-sections to hold the pannus back to get the baby out. Not only do fat people require bigger gowns, bigger beds, bigger wheelchairs, bigger doors, more staff, they were always the first one on the call lite to have the nurse do the simplest tasks that should be performed by the patient after surgery.

Most doctors want you to lead long, happy, healthy lives. Obesity stands between you and your “real” life, the life you were meant to live. Quit hurting yourself.

4 Anonymous August 6, 2006 at 4:49 pm

The issue is not a “fat lobby”, it’s whether a physician should treat his patients with respect. Physicians continually whine about how bad they have it and how people don’t respect them. Why should they receive a level of respect they do not grant others?

If one can’t tell which of the following statements in this thread is a professional one, then one has no business being a physician:

From Anon 1:37:

“So America, get off the couch, but don’t move to the kitchen. Eat modest portions of food prepared from real ingredients (no boxed, packaged, or otherwise industrially ready to eat manufactured foods), stand when you could sit, walk when you could drive, run when you could walk.”

and,

Anon 2:56,

“How does this grab you, you fat Jabba the Hutt reject? You have nothing better to do all day than cram your piehole full of the most carbohydrate, sugar and fat laden of meals and then have the nerve to cry about a lack of acceptance? Perhaps you should spend a bit more time greasing those doors such that the city doesn’t have to bring in the wrecking ball to knock the walls down when you get stuck again.”

5 Anonymous August 6, 2006 at 5:11 pm

And which of the two statements is most likely to hit home to one of these wilderbeasts in human clothing?

Professionalism is not the equivalent of being tactful and using PC terminology. It has obviously not worked given the increasing rates of multimorphic activity in the American populace as humans morph into tubs of lard. Instead, by using PC terminology, we have somehow turned what used to be considered gluttony into a namby-pamby mushy victicrat set of actions. It is about time someone took the kid gloves off. If you wish to blimp – that is your perrogative. It is when your actions affect the rest of us with your incessant whining for “acceptance” or “tolerance,” overflow into our airplane seats, support junk lawsuits against food manufacturers, support taxes on the rest of us because of your lack of impulse control and somehow make it onto the rolls of our healthcase insurance pools and drive up the cost of healthcare for everybody does your self-destructive behavior, like your engorged panniculus, become an issue for the rest of us.

It is time for you folks to take some responsibility for your own actions. The kid gloves approach has certainly done nothing to foster this and, one might argue, has led to the mitigation of the same.

6 Anonymous August 6, 2006 at 5:25 pm

And all that out of the mouth of a physician that practices defensive medicine. Driving up cost of healthcare and leaving thousands of people with no healthcare whatsoever.

7 Anonymous August 6, 2006 at 5:28 pm

I never in my life would have thought it possible for me to believe that physicians were of the same class as street trash. But you are, you truly are!

this website right here is doing its fair share of corrupting peoples opinion of the medical profession.We are seeing you guys for what you really are. Its not a pretty sight!

8 Laura August 6, 2006 at 6:00 pm

Do doctors speak about smokers and alcoholics in these vitriolic terms? Those behaviors are at least, if not more, voluntary than obesity. What words, applied by medical professionals to smokers and drinkers, are equivalent to “wildebeest” or are fat people singled out because they are more unpleasant to look at?

9 Anonymous August 6, 2006 at 6:19 pm

Well some of these are obviously trolls who believe obesity is the result of insufficient abuse. The Wildebeest poster probably views himself as a sort of unsung Albert Schweitzer.

I think the next phase of their plan involves pistol whipping fat people as soon as they set foot out of their house.

10 Thin person August 6, 2006 at 6:36 pm

I don’t know that it isn’t right to report a professional for shocking comments made in public about matters directly related to his professional life.

In a public forum anything you say under your own name is fair game. If someone wants to bring that to the attention of your employer because they think its relevent to what your employer will think of you, maybe you shouldn’t say things that reflect poorly on you in public.

And even in a private forum, there are some behaviours that just can’t be excused in some people.

A cop, or realtor who talks smack about black people, and indicates he treats them differently because they are black while he is at work could find himself out of a job.

I don’t think there is any reasonable expectation of privacy about remarks made anywhere in public under your own name.

In this case the complaint to the employer was based on a doctors remarks about his WORK and about his PATIENTS. It wasn’t about how he hates country music, or even how he hated his country.

I’m sorry, but if I could find out the identity of the super-unhinged (alleged) doctor who posts here, I would report him to anyone that could get him fired.

I actually think as a fellow professional, it’s Kevin MD’s duty to do something about an unhinged doctor who actually practices on patients. It’s not my blog. If it were, I’d make sure that warning signs of substance abuse or mental illness in a doctor were heeded, and that patients were protected from him.

That’s quite a bit different than a doc who offhandedly notes tables are large enough to serve double-duty for fat patients or zoo animals.

However, fat people don’t want to be treated like animals. Because, you know, they are actually human beings. Someone might get the idea that a comparison was being made and resent it.

People do hold doctors to a higher standard of though, word and deed.
I seem to recall a quote being bandied about here about how doctors should be treated with a near-relious awe. Put shoes on your feet of clay if you think that’s how you should be viewed.

Once word of advice – employers sometimes look on the internet themselves. They have a right to take you to task if they don’t like what they find.

11 Anonymous August 6, 2006 at 7:38 pm

Not only are the fat beasts such corpulent monstosities that strain the healthcare system, but then we have to deal with their ingrateful comments. Any healthcare worker that has to deal with one of you fat piles deserves a king’s ransom in payment. There is nothing worse than a fat tittering 4Fer when it comes to about every single characteristic that can be defined from a human perspective. You beasts shouls praise the day that there exists enough compassion in the healthcare field such that there are people willing to put up with your massive panniculi and your non-stop whining and crying.

12 Anonymous August 6, 2006 at 7:45 pm

“That’s quite a bit different than a doc who offhandedly notes tables are large enough to serve double-duty for fat patients or zoo animals.”

Perhaps because equipment designed for use by normal sized humans would be unable to withstand the stress placed upon it by the corpulent whalebeast? Trying to squeeze a wilderbeast onto human sized apparati is a lawsuit in the making. When compared to the miniscule size of some of the ruminants found in a typical zoo, one would have to have some serious faith in the vet med equipment in hopes that it also would be of sufficient size and strength to accomodate one of the beasts.

“However, fat people don’t want to be treated like animals. Because, you know, they are actually human beings. Someone might get the idea that a comparison was being made and resent it.”

Human beings are not animals? Really. If the beasts wish to stop the comparision to large animals then the first step is to stop resembling them. The beasts can resent away. Good luck finding another doctor who is willing to tolerate the whining behavior of the fat pile and who has a facility with equipment that could easily replace pieces found on a typical construction site.

13 Anonymous August 6, 2006 at 7:57 pm

I smell a troll.

The really sad thing is that while physicians will, as the Pou threads show, jump to the defense of any perceived attack on their own regardless of how little they know about the facts, they are loathe to condemn even trolls like this masquerading as a physician.

Protecting each other has trumped their duty to the public.

14 Anonymous August 6, 2006 at 8:10 pm

You haven’t been reading this blog long. Everyone condemns this troll. Now we all just ignore him/her.

There was a doctor in our area who really tried to help these people. he did bariatric surgery on the most risky cases and on those without grade A insurance. He had a higher complication rate than the norm. The fat apologists slapped him with lawsuits and reported him to the medical board. Now he is broke, can’t practice medicine, and can no longer try to help these people. that is what you get for trying to help.

A poster way above keeps whining “What are the doctors going to do about it?. How are you going to help us?” I am sorry, I can’t. Personal responsibility.

15 Anonymous August 6, 2006 at 9:25 pm

Obviously everyone DOES not just ignore him. I can’t understand why Kevin allows this guy to continue this behavior, on a board that he has spent a couple of years and hundereds of hours working on.

16 Anonymous August 6, 2006 at 10:58 pm

“Obviously everyone DOES not just ignore him. I can’t understand why Kevin allows this guy to continue this behavior, on a board that he has spent a couple of years and hundereds of hours working on.”

This matter has been discussed before and addressed by Kevin. He has taken a restrained position on policing opinions written here, and has explained why. Personally I think that is refreshing and is one of the particular strengths of his blog. I really hope that is one thing that never changes about this page.

For those who want censorship, other blogs will satisfy. Why not go to BFB for starters? If you don’t want to read what is written here, surf elsewhere.
This is a blog, not your desktop wallpaper.

17 Anonymous August 6, 2006 at 11:09 pm

I personally don’t want to critisize. Just pointing out that he is allowing this guy to run wild causing damage to the reputation of his blog. It seems very strange that you enjoy hearing a physician repeat over and over that he hates patients. That leads people to think you might be as sick as he is or that maybe you are him.

The thing is, Kevin post alot of useful information and imporatnt information, but obviously this board is being overtaken by the less than professional peers of the medical field. Now there are even others who claim this board as being their’s to the point that they feel comfortable telling people “If you don’t like the incredible smut here then move on”

18 Anonymous August 6, 2006 at 11:12 pm

The idea of a medical blog hosted by a non anonymous physician, allowing what you refer to as it’s “strength”, being a lunatic deranged psycho doctor is a sad commentary.

19 Anonymous August 6, 2006 at 11:33 pm

What is sick is the whining and enabling and the confusing of a professional activity with posting on a blog. In the end, it is you beasts that have to live with yourselves. Some of us will rest with the comfort that you creatures only exist in order for procedures to be conducted upon.

20 Anonymous August 7, 2006 at 12:10 am

“Some of us will rest with the comfort that you creatures only exist in order for procedures to be conducted upon.”

OMG looks like Greg Critser’s off his meds again.

21 Anonymous August 7, 2006 at 6:49 am

>>”It seems very strange that you enjoy hearing a physician repeat over and over that he hates patients.”

Who said anything about enjoyment. I simply prefer this to the kind of censorship where politically-correct thought police blot out anything that doesn’t pass their petty sensibilities. I have no idea whether the poster is as angry and irrational as you say, and I really don’t care. I find it just as disturbing that others want it squelched. I suppose it shouldn’t be beyond your imagining that some physicians reach the point of burnout and frustration with clinical practice that they do hate their patients. Better you learn that than foster the silly notion that all doctors are endlessly and tirelessly tolerant and accepting of patients, no matter how they behave. Learn and adapt.

>>”Now there are even others who claim this board as being their’s to the point that they feel comfortable telling people “If you don’t like the incredible smut here then move on”

Please. Why should we give you any more consideration? And “smut”, that is utterly laughable.
Maybe it’s time you took a break to iron your doilies.

22 Anonymous August 7, 2006 at 7:24 am

God, your as insane as what he is.

23 Anonymous August 7, 2006 at 7:35 am

You just have to freaking make time for it.

Well tell you what, doctor. I’ll take three hours out of my day to walk five miles. That’s about how long it would take me. What should I give up?

Three hours of work? Hmm, my boss might not appreciate that, and my clients surely won’t. I work a constrained schedule as it is, in order to spend time with my family.

So giving up three hours daily with my children is right out. I suppose that some might think that they’re all old enough to raise themselves now, and if they have problems they can talk to their friends, and they can look up the answers to their homework on the internet. But I don’t.

Maybe it should be the three hours I spend sitting at home watching television every night. Oh, wait, I don’t own a television. If I spend three hours sitting in an evening, it’s to do work I brought home and it’s broken up with housework. That time’s not open for other things.

Maybe it’s the time I spend making meals (vegetarian meals, that is, with real food, not stuff from boxes)? Hmm, if I don’t do it, then my kids will be eating stuff from boxes and so will I. So that’s right out.

Maybe I should walk to and from work. I mean, clients won’t have a problem when I’m either drenched with sweat on a morning when it’s 80 degrees before the sun is even out, or frostbitten in the winter. And of course, I can live without the sleep, (no studies showing that inadequate sleep hampers weight loss, none at all) since I’d have to start walking around 5 a.m. to get into the office on time. and wouldn’t get home until 8 or maybe 9 every night. Maybe I could carry a gun for safety – no public health implications there.

Maybe I should ditch my professional office job for 8 hours on my feet in retail or something. Oh wait, I did that in college, and I weighed more than than I do now at age 40, having had four children.

Make the time? Do you actually talk to your patients? Do you actually know how people live? Do you have idea what kinds of demands are on the average person’s time, how busy our lives are?

Freakin’ make the time? As the psychotic actor said to the pseudojournalist, you’re glib.

And you’re still not offering solutions, just mouth service.

24 fat nurse August 7, 2006 at 8:01 am

“And you’re still not offering solutions, just mouth service.”

What do you want from your doctor? To watch your kids and cook their meals?

Do you imply that doctor’s don’t have real lives, real jobs, real spouses, real kids, real bosses, real friends and actually don’t have to eat, cook, sleep, shower, shave.

25 Anonymous August 7, 2006 at 8:40 am

The 8:35am anon has found every excuse in the book. Who said it’s supposed to be easy? But this fixation you have on walking 5 miles/3 hours a day as being the only way to lose weight is insane. Improvise. If there is a will, there is a way. You have decided that unless you have 3 hours a day to devote to it, you will do nothing at all. Try doing some calisthenics exercises for 15 minutes every day. You know, ab crunches, squats, leg lifts, bends and thrusts, and the like. You don’t need to leave your house/apartment to do these.

26 Anonymous August 7, 2006 at 9:01 am

And when did vegetarian become synonymous with healthy? I am seeing way to many 300-pound vegetarians. Two pounds of pasta on a lunch plate may be vegetarian but it ain’t healthy. Half of an apple pie for dessert may be vegetarian but not healthy. A green salad buried under a bucket of blue cheese salad dressing is vegetarian but not healthy. The poison is in the dose. Eat smaller meals.

27 Anonymous August 7, 2006 at 9:17 am

Haven’t got three hours to walk five miles per day? How about this: Stop stuffing your face. That takes NO time at all. Then you can devote yourself to making wholesome organic veggie meals for your kids from scratch.

28 Diora August 7, 2006 at 9:33 am

I simply prefer this to the kind of censorship where politically-correct thought police blot out anything that doesn’t pass their petty sensibilities.
ITA. I found other blogs boring, and some of them – like webMD blogs for example plain condescending towards patients – like they specifically write what they want us to read.

Anybody who has ever read unmoderated newsgroups on usenet knows how to ignore trolls. I don’t know or care if this guy is somebody venting his frustration who is actually a pussycat in real life, somebody crazy or on drugs or just someone who gets his kicks from people being angry at him i.e. a troll. But nobody forces anybody to read posts they don’t like.
(And this is from someone who was called a concubine by this guy – not that I care).

Well tell you what, doctor. I’ll take three hours out of my day to walk five miles
I am not a doctor, but I did loose weight, and I didn’t took 3 hours out of my day to walk while doing it. I granted I’ve never been obese (although if I hadn’t stop gaining weight and lost it as soon as I did, I could very well became obese in time), but loosing any weight is difficult if you have a sedentary job no matter how many pounds you need to loose. It requires commitment and some willpower – like not touching any of the cake that they have at work during some “special occasions” that come way too often.

I don’t know where you got the idea that you cannot loose weight without walking 3 hours a day. Yes, this is what some people recommend, but plenty of people lost weight with less. I lost weight, and I exercised for an hour 3-4 times a week, longer on weekends. And there are plenty of high intensity exercize where you loose a lot of calories without huge impact on your knees – like swimming laps for example. There are also some machines in health clubs that reduce impact on your knees while still allowing you to loose a lot of calories e.g. those that simulate skiing movement. So you will not loose weight quickly – I was loosing only about 1 pound a week, but it still better than nothing; certainly way better than gaining.

As far as vegetarian meals are concerned – muffin is vegetarian, but it is high in colories. Sugar-loaded cereals are vegetarian too, but they certainly not what you want to eat to loose weight. Why not just cut out sugar or just significantly reduce the amount? Potatoes by the way is also vegetarian, but they are not something you want to eat a lot of if you want to loose weight. Bottom line is – if you consume less calories than you spend, you’ll loose weight. If you exercise less, you need to eat less. You can avoid being hungry by reducing stuff that raises your blood sugar, like potatoes and processed grain, and eat whole grains instead.

And who says your time with children has to be spent sitting down? Why not hike together or skate together in winter or play ball? You want your children to be fit and healthy, don’t you? And if you spend time with your wife/husband, why not take up dancing? There are plenty of physical activities that could be fun. As a child I really liked walking with my mom – we could talk about things and she taught me stuff while walking. Exercise doesn’t need to be a chore.

Obviously, loosing weight is more difficult than gaining it in the first place.

One other thing – I don’t know how old you are, but the older you get the more difficult it’ll become. Even those of us who had no trouble staying thin when we were young, often have trouble controlling our weight when we get into middle age – like my mom, for example. So if you don’t loose it now or if you allow your children to gain weight, it’ll be so much more difficult to loose it later on.

29 triathlete md August 7, 2006 at 10:07 am

Agree with Diora. I like the articles Kevin links to but, I read this blog for the entertainig comments. It is not for professional advice and consultation.

I can’t help but notice that the nurses and secretaries around that are always talking about this diet and that diet or the ones that are eating ALL DAY LONG.

30 Anonymous August 7, 2006 at 10:08 am

“And you’re still not offering solutions, just mouth service.”

With your lifestyle and activities, my recommendation is for you to consume only 1200 calories a day and you will lose one pound a week.

-amd

31 Moderation will do it August 7, 2006 at 10:51 am

A 1200 a day calorie diet can be pretty satisfying. If you average height and frame, are active like you say, and the weight still doesn’t start to come off little by little, something is the matter with your metabolism.

If it takes 3 hours to walk five miles, you need to just go as far as a half-hour will take you. Or get some music you like and just dance around like a fool till you break a sweat. When you have a bit more stamina, add some resistance trainging with rubber bands or weights.

When you’ve lost a bit, if you can get a trainer who will work you hard, that can be really great for learning the ropes of serious core training or weight lifting.

Then you can do it on your own for the rest of your life. Unless you have something wrong with your metabolism. Rude comments by people who ought to know better notwithstanding, there are conditions that interfere with weight loss, even when a reasonable diet and excercise program are implemented.

But be honest with yourself. Cut the calories – if vegetarian, you might be eating too much heavy fat high calorie cheese or oils, nuts or dried fruit.

You mnight need to splash out and make/buy meals that the rest of the family doesn’t eat. I find it takes very little effort or extra time.

For a vegetarian who isn’t gluten-intolerant, a big 140 calorie bowl of stone-ground oatmeal or oatbran can be prepared with water in 3 minutes flat in the microwave. Add a bit of salt and some berries and enjoy. You will be full for hours, and the carbs release slowly, so you don’t get a big sugar spike. The soluble fiber helps sop up cholesterol if you eat the oat bran every day. And it’s delicious.

Try some lowfat or zero fat greek yogurt. It’s very filling and tastes better than regular yogurt.
One nonfat single serving tub is 80 calories – 2% is 130 cals.

Stop eating sucrose sugar and honey and high-fructose corn sweetener. If you ever drink soda, just cut it out completely and drink fizzy water instead.

Well, this isn’t aconsult room, apparently. But it’s NOT THAT HARD to eat lighter and get more activity.

If the weight still won’t budge, you may have an underlying problem.

But it will budge, most likely. Bit by bit by bit. In a year, you will be way thinner.

32 Anonymous August 7, 2006 at 11:37 am

“And you’re still not offering solutions, just mouth service”

There was a local surgeon who did bariatric surgery to try to help these people. He took medi-cal insurance and others less than grade A insurance and took the high risk cases. He had a complication rate higher than normal, collected some lawsuits, and was sanctioned by the medical board. Now he is broke, can’t practice, and can no longer try to help.

33 Anonymous August 7, 2006 at 12:21 pm

“Anybody who has ever read unmoderated newsgroups on usenet knows how to ignore trolls. I don’t know or care if this guy is somebody venting his frustration who is actually a pussycat in real life, somebody crazy or on drugs or just someone who gets his kicks from people being angry at him i.e. a troll. But nobody forces anybody to read posts they don’t like.”

The level of utter delusion that you beasts have sunk to is just amazing. You have been so coddled throughout your beastly meaningless lives that you are unable to accept unabashed criticism for what it is. Instead you attempt to find excuses and play pretend rather than face the unabashed truth. First of all, having the wilderbeast angered at me and my commentary is of little consequence. The moment that the purulent sacks of rotting adipose tissue stepped over the line with their demands for fat acceptance (the only place acceptaning fat is the rendering plant), lawsuits against food manufacturers and vendors, fat taxes and finally this latest act of fatnaticism. Who in the hell do you fatties think you are, causing problems for a physician? All of this fat coddling has gone to your heads, along the same vein as the crate of Hostess Pies going into your massive pieholes. Enough is enough. Dr. Bennett was absolutely correct in the manner that you beasts need to dealt with.

34 Anonymous August 7, 2006 at 12:26 pm

…and the weight still doesn’t start to come off little by little, something is the matter with your metabolism.

so, people who have poor metablolisms (read: cannot help the fact that they are unable to lose weight) are still fair game for fat-bashing and fat hatred? why is it ok for you “professionals” to call them “beasts”, “lardasses”, and “dirty animals”? i can only imagine what you’d call an overweight black woman as she leaves your office. something tells me you don’t hold back with the racial and sexist remarks along with your fatphobic namecalling.

35 Anonymous August 7, 2006 at 6:38 pm

Why is it such a big deal when someone you don’t care about makes a snide comment about you. Is this the first time in this person’s life that they have been fairly or unfairly criticized? Am I the only one not living in kindergarten? Grow a spine.
b

36 Anonymous August 7, 2006 at 6:40 pm

Let us look at an extreme from the anals of human history. Internment camps. From the caloric intake perspective, each an every such camp (from the Civil War military prison camps for Confederate soldiers to Jasenovac to Japanese POW camps for Allied soldiers) can be viewed as a situation in which caloric intake is grossly inhibited and heavy labor is instituted. Can anyone, and I mean anyone, show me a single picture of a victim from one of these camps in which said victim is STILL a fat, lumbering landwhalebeast? No. There are no such pictures. The total sample size from these horrid camps is in the millions with all ethnicities, both genders and all races. You can not even start with the arguement that the population only contains people that were “selected” for those that had no metabolic disorders. In this sample population, regardless of “genetic predisoposition” every single victim was skin and bones. Given this, we still have beasts in our modern day society claim that they can’t loose weight?!? Give me a freaking break. What you beasts need is to have your caloric intake drastically cut by shutting your pieholes and get some hard work in the form of cardiovascular exercise. People in other countries are starving to death (no metabolic disorders in sub-Saharan Africa, eh) while you beasts eat enough food to solve world hunger four times over. On top of this you zoo animals have the nerve to threaten physicians? What nerve. What audacity.

Our common ancestors are rolling in their graves thinking that they hunted and were hunted just so that their genetic spawn cut become lumbering mounds of self-important flab.

37 Artemis August 7, 2006 at 9:50 pm

No way the posters here are really medical professionals. They’re obviously very young narcissistic bodybuilding dickheads who have no life outside the gym. That’s a good thing too, because then they’re soo pumped up on steriods they’re impotent! So YAY to THAT!! There’s enough sexist, misogynist, racist, homophobic, agist, sizist assholes around, they don’t need to breed and make more! So please, do be the thinnest one in the cemetary! I’ll be the first to applaud you!!

38 Anonymous August 7, 2006 at 10:35 pm

I think they might also be spolied brats who after growing up in luxury, connected to moms breast for about 15 years, was then sent off to college and med-school, who absolutely cannot function in the grown up world.

They are recent graduates or recently working their first real jobs and have suffered no real life tradgedies or experiences yet to make them lose their extreme arrogance and have any real compassion for people. I have grown kids who all have professions. if ever they talked to anyone the way these guys do I would still slap their mouths for them.

Its obvious these clowns are substance abusers. They sound like coke heads.

They remind me of the street thugs that hang out at “Bert’s Bar” while the real professionals hang out at the “Country Club.” This is the web log of “Kevin And His Addicted Peers”.

39 Anonymous August 8, 2006 at 1:13 am

“the anals of human history”

40 Anonymous August 8, 2006 at 1:19 am

There is an obesity epidemic. Not just in the streets of America where semi-tame wildebeest wander the street looking for the next lard laden confection to stuff into their gaping craws, but also on this blog. It would appear as if the beasts and the beast apologists have come out in force as if driven by a primal urge to migrate to fresher pastures. In addition to the whining regarding “fat acceptance,” “beast loving,” etc. we now see either an intellect level on the part of the bests/beast advocates that is inversely correlated to the size of the beasts or proclaimed psychic powers on par with the ever-expanding panniculi of the beasts (actual psychic powers correlate inversely with beast size).

“No way the posters here are really medical professionals.”

And your logical basis for this comment is what? Healthcare providers are the most patient and understanding of all people, but there comes a time when finite compassion and finite patience run dry. It is the enablers in the community that have aided in creating this beast problem. Excusing the voracious appetites of the bipedal hippopotami secondary to metabolic disorder diagnoses has created the incentive for feed bag and feed trough use resulting in caloric intake that would shame any prize winning Heifer at a local county fare. If the beasts wish to turn themselves into animals only fit for veterinary use than that is their prerogative. When their beastly behavior negatively impacts others secondary to their insistance for “fat acceptance” and over-utilization of healthcare services are the problems present today created.

“They’re obviously very young narcissistic bodybuilding dickheads who have no life outside the gym. That’s a good thing too, because then they’re soo pumped up on steriods they’re impotent! So YAY to THAT!!”

Yeah that is what it is. The sad part of this quoted commentary is that, if made by a beast, it most-likely represents the greatest amount of caloric expenditure not associated with a concomitant engorging on high calorie beast fare that the poster experienced during the day. The poster would do well, if remaining grounded in reality is a goal, to save the lucid dreaming for the fields of Twinkies and Hostess Fruit Pies.

“There’s enough sexist, misogynist, racist, homophobic, agist, sizist assholes around, they don’t need to breed and make more!”

It is within the evaluation of this comment that we find the exhibition of the most disturbing of trends – that being the creation of a new victim class that the ATLA is drooling over in the same manner as a beast would drool over a powdered donut pancake surprise. It would appear as those that do not accept the gluttonous appetites of the self-indulgent are now considered “bigists.” The leaders of the Civil Rights movement and the Womens’ Suffrage movement must be rolling over in their graves to see their goals and ideals debased to creating a new victim class – the class of beasts. This ladies and gentlemen, is how a new class of plaintiffs is born. One first excuses the behavior of the members of the class by empowering them while concomitantly excusing any and all modes of personal responsibility. Once the new victims have been created, one then looks for a set of deep pockets to go after – Food manufacturers, food distributors, restaurants and physicians. Mark my word, the day a physician is unable to accommodate one of these beasts when it comes to having construction equipment on hand or veterinary medicine equipment on hand is the day that the empowered beast will be calling a lawyer and suing.

“So please, do be the thinnest one in the cemetary! I’ll be the first to applaud you!!”

More then likely, it will be the embalmer cursing the day his father ever laid eyes on his mother when it comes to embalming your corpse if you are one of these beasts. One only hopes that you will not clog the local emergency department with your beastly plethora of ailments, assuming that you are a beast, forcing the ED Doc to work for free. At least have the common courtesy to have some insurance so that the treatment of your self-indulgent and self-generated maladies at least provides your provider(s) some remuneration for having to tolerate you. As far as the child abuser goes, perhaps it is your mouth that you should be using your handto insert a muzzle over to help constrain your caloric intake. Your post is indicative of what we would expect from a real 4Fer – a plaintiff attorney’s wet dream.

41 Anonymous August 8, 2006 at 7:27 am

“Healthcare providers are the most patient and understanding of all people,”

That made me laugh out loud. Maybe he was only talking about nurses.

42 Fat Doctor August 8, 2006 at 8:31 am

Just FYI, I posted about this whole mess on my blog. http://fatdoctor.blogspot.com/2006/08/zoo.html

43 Anonymous August 8, 2006 at 10:51 am

I think what may be in order is an inspirational story for the beasts. Go to foxsports.com and read the story about Kris Jenkins. After incurring an ACL tear and what most likely appears to have been a cuff tear, he allowed his weight to balloon to 405. After changing his lifestyle, he is back to a svelte 365.

The key here is taking responsibility for your lifestyle choices and making the appropriate changes to keep your weight down (for your own sake and the sake of your family).

44 Anonymous August 8, 2006 at 11:20 am

“Inspirational story for the beasts.”

Tell me why that remark is necessary?
Please explain why you think you are so good that you have a right to refer to human beings as beasts? You know nothing about these people except, their size that you have imagined in your mind.

You have offended people of every profession in the world. I guess that then means you are better than all these people because…you know..you’re so skinny your ribs are showing.

In reality I think you are probably way overweight and so full of self-hate that this somehow makes you feel better. Sad really.

45 Anonymous August 8, 2006 at 1:23 pm

Anon 12:20

Well? Which one is it? Am I an emaciated corpse or am I am giant tub of lard who is such a beast that I am unable to reach around to wipe in a hygenic manner? The term “beast” is applicable. My commentary was directed at the beasts (they know who they are). As far as being offensive – it is the choice of the beasts to be offended. Perhaps they will be so offended that instead of accepting and justifying their beastly behavior, they will engage in activities that result in a net reduction of the number of satellites that they have entrapped secondary to their gravitational pull.

46 Anonymous August 8, 2006 at 1:27 pm

Do you imply that doctor’s don’t have real lives, real jobs, real spouses, real kids, real bosses, real friends and actually don’t have to eat, cook, sleep, shower, shave.

No, of course not. And some doctors are fat.

It takes different people different amounts of exercise time and different amounts of calorie restriction in order to stay thin. We do not all have the same metabolism, we do not all have the same builds, we do not all have the same natural, ideal weights. People who live exactly the same lifestyles and eat exactly the same food are going to have different weights, just like kids who grow up with exactly the same lifestyles have different heights. For one person, walking a half hour a day and eating 2000 calories will fit them nicely into the “ideal weight” category. But for lots of other people, it won’t. That’s where the comments about “we don’t necessarily have time to spend an extra two hours a day losing weight” come from. For some people – yes, it takes that much time.

47 Diora August 8, 2006 at 3:27 pm

Anon at 2:27.
Whil I don’t agree with anon’s poster name-calling, his point about your making excuses is valid. Who says you have to eat 2000 calories a day to survive? You should adjust your caloric requirement based on how much you need for your level of physical activity. If you gain weight on 2000 calories a day, you don’t need 2000 calories a day to satisfy your caloric requirements. If you are a competitive athlete, you may need more than 2000 calories a day. How many calories you need depends on your level of activity, your age, your desired weight, your metabolism. But how much you need to survive also depends on the exactly same factors (if I am wrong I am sure doctors will correct me, since I am not one). If you don’t spend 2000 calories, you do not need 2000 calories.

For example, I am short (5′2″), in my 40s and I have a sedentary job. I can exercise about 3-4 times a week for an hour, sometimes more, sometimes less, depending on my work schedules. For me, to maintain my current weight (123 pounds), I can only eat about 1400 calories a day (or something like it). If I exercise a lot – like walk from morning till evening on vacation, I may eat a little more. If I am really busy at work and don’t have time to exercise much (although I still try something, like dancing in front of the TV, using stairs, walking during lunch, and parking in the farthest corner). If I were to eat 2000 calories a day, I’d gain weight very fast. So I eat around 1400 calories – and no, I am not hungry. If I notice I am gaining weight, I eat less. I like black chocolate with nuts, but it has lots of calories. So I eat a tiny bit of it as part of my 1400 calories, not in addition to it. I might allow myself something on a special occasion – but a) it should be a rare special occasion and b) I make sure to spend whatever extra calories I happened to eat by either exercising more or cutting something else in the days that follow. Because not gaining weight again or loosing 1 or 2 pounds you happened to gain on a “special occasion” is easier than waiting until pounds add up to more.

I think many people who try to loose weight often go on those crash diet or skip meals trying to loose weight fast. They loose weight, but they get so hungry and sick of their diet, that they break it and have “this slice of cheesecake just this once, and after all, it is my friends wedding” or something else. Then they gain weight – oops, diets don’t work. Well, they don’t work if you are looking for something quick and cannot stick with it. If you make a lifetime commitment and choose something you can live with (even if you loose only 1 pound a week), they do.

Here is another inspirational story for you. Irina Slutskaya suffers from a serious desease (vasculitis) for which she takes drugs that cause weight gain. So she has a valid reason to gain weight, right? But not only she manages to maintain her weight, she also got a bronze medal on last olympics. OK, you are not a competitive athlete, but you are not taking medicines that cause weight gain either. And surely loosing weight cannot be more difficult than going to the olympics while suffering from debilitating illness.

48 Anonymous August 8, 2006 at 4:53 pm

What I want to know, is if you are commenting or blogging during work hrs, meaning this is not your free time, but you are on the clock of such and such med clinic, are you not then a representative of them and therfore you are not really just some anon abusive person giving a personal opinion? If your being paid while leaving comments on a blog you really should watch what you say.

How in the world anyone can say “Its ok, this is just my opinion” when they happen to be on someone elses time is absurd.

49 Anonymous August 8, 2006 at 8:14 pm

Anon 5:53:

If you aren’t using your company electronic letterhead or identity, then no. You might be using company time, and that might not be allowed (separate issue) but that doesn’t make whatever is said company policy or your opinion company opinion.

Not that the chubby tattletales won’t try to make the argument that you are.

50 Anonymous August 8, 2006 at 8:30 pm

Can anyone figure out why you rarely see fatties exercising. Three possible explanations:
1) fatties are lazy
2) fatties have created such disability for themselves that exercise has become impossible
2) exercise turns fatties into healthy people, thus the fatty in transition is a short lived entity hard to find because they either choose to succeed and become normal, or they choose to fail and eat their way back to their old sick self

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