tag:blogger.com,1999:blog-5883634615775822475.post6478668283054494606..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: Reasons to keep beer in the break roomGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger76125tag:blogger.com,1999:blog-5883634615775822475.post-22783563491815757912012-10-22T06:03:51.081-04:002012-10-22T06:03:51.081-04:00Isn’t it wonderful how some comment threads develo...Isn’t it wonderful how some comment threads develop lives of their own? I have to say I’m with Nurse Nasty and the traumatised Anon with the holey panties (or pants as we Brits would have it). WRT doggie bags, it’s not just lack of storage in the UK - we just don’t get served helpings that large! Quite a few are developing the pizza and KFC habit, though, and obesity is getting to be a problem. Also, more and more people have desk jobs but carry on eating as though they didn’t, unfortunately.<br /><br />As for the toys on the desk problem, may I suggest the addition of a rectal thermometer? :-)J Bonington Jagworthhttps://www.blogger.com/profile/16276478597326413459noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-23540135960928663102012-10-19T11:24:29.329-04:002012-10-19T11:24:29.329-04:00heck, next time, dangle one of those high-dollar b...heck, next time, dangle one of those high-dollar bank-type suckers out the window and say "come and get it"...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-53130813959084589862012-10-14T18:20:46.532-04:002012-10-14T18:20:46.532-04:00Well Moose, now what have you got say?Well Moose, now what have you got say?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-27210605972179675122012-10-13T16:21:28.887-04:002012-10-13T16:21:28.887-04:00Oy vey, indeed. I am still scarred for life from t...Oy vey, indeed. I am still scarred for life from the public exhibition of my holey diddies in the doctor's office, clean but frayed and stained underwear just 'out there' in the presence of other people outside my own immediate family, not unlike the matter of lipoidal abundance sported by those for whom the equation of active energy vs. stored energy is at an imbalance.<br /><br />At a recent oncology meeting discussing the merits of Rituxan + or - fludarabine and carboplatin after the house salad just after the presentation of prime rib and much before the house special turtle pie, nurses across the table were discussing recent trips abroad, most notably to England. There would be no such thing as bringing home a 'doggie bag'...we concluded because people don't have places to store such an abundance in their homes (refrigerators are teeny-tiny), and there be no reason to do so when there is a corner store within walking or bicycling distance with the food variety necessary for sustenance. It's all part of their national policy of how things work there for the citizens. It's that way in Japan, as well.<br /><br />Here, our government subsidizes abundance in sugar beet industry, corn, grain-fed beef, etc. Simple carbohydrates and fatty substances are available cheaply if only dressed up with fake flavors to increase marketability. Ease in public transportation is available in largest of cities. Fast food of questionable nutritional quality is everywhere. Two breadwinners in each family allows for the luxuries of citizenship when expensive toys are the signature evidence of a life well-lived. <br /><br />If a person is laid up from illness, we return them to the front lines as quickly as possible. <br /><br />Our society rewards the easily prolific. NOT abdicating individual responsibility, but some people ALSO do have the genetics to be able to eat at the all-u-want buffet, then walk the dog three hours later, whereas some others can't move after such a gastronomical experience. Others do not have have the inflammatory conditions that slow one's ability to move no matter how much one has consumed. <br /><br />Think back to the time when travel ad photo displayed a traditional Japanese family that could not sit on their knees at the low table? How many of us have RA and cannot think of it?<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-1617922573281129372012-10-12T23:43:56.659-04:002012-10-12T23:43:56.659-04:00To the above poster, and this is it then I'm d...To the above poster, and this is it then I'm done (how relieved you all must be).<br /><br />I was not taking up for the pharmacist who made a remark at the teenage girl, I did not address that in any way. I was responding to the people who said it wasn't their fault they were morbidly obese.<br /><br />Personally, I would not make such a remark to anyone whether I was at work or on my own time. No, I am not a martyr, I don't sacrifice myself for others.. well, not often anyway. But I do care about my patients and yes I do want the best for them and their health. If you are paying a provider to do otherwise I would recommend you find another doctor. But I'll tell you this, it's a lot easier to show compassion towards a compliant patient. Some of us can show it to non-compliant ones but I guess everyone can't and I'm sorry if some of you have been treated poorly and spoken to in condescending ways by physicians or staff.<br /><br />I don't even tell patients to lose weight, I'm not the doctor, I don't advise patients to do anything. But if they ask me I will certainly provide them with all the help I can. <br /><br />I am often subjected to a lot of complaining about "poor me" "it's not MY fault" and yes that gets to me when I know they would have fewer medical problems if they would help themselves and try to be healthier. And it really gets to me when I think about all the patients that do try to be healthy but end up with diseases anyway, they'd love to have the genetically superior bodies some people destroy. nurse nastynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-84300076710272598452012-10-12T09:58:36.359-04:002012-10-12T09:58:36.359-04:00Nurse Nasty, just as you may want some fat people ...Nurse Nasty, just as you may want some fat people to admit they simply lack willpower, some of us (including those who are not fat) would like some medical professionals to admit that some nurses, PAs, doctors are pretentious, judgmental jerks. Not everyone in medicine is a martyr, working exclusively for the benefit of their patients. Some are in it for other reasons and do not give a damn about their patients, or only care about the patient so long as the patient's interest is aligned with his/her own. Some discrminiate on weight, race, religion, and other factors. A medical professional can tell a patient to lose weight because it is in the patient's best interest to do so, and still be mean, nasty and/or dismissive of the patient. The two concepts are not mutually exclusive.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-46364808163826015542012-10-12T09:10:28.114-04:002012-10-12T09:10:28.114-04:00Damn it Mary...see what not allowing the children ...Damn it Mary...see what not allowing the children to play with the stuff on the counter has done?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-68514572883669884722012-10-12T07:50:00.490-04:002012-10-12T07:50:00.490-04:00OMFG you people are pulling at straws with this. Y...OMFG you people are pulling at straws with this. Yes, food can be addictive if you have an addictive personality or whatever mental problems you might have that cause you to rely on a certain item. I suppose if a person was in the right mindset they could become addicted to just about anything.<br /><br />Sure, sugar can be addictive like caffeine but no one said you had to eat sugar. I believe this started on the general topic of food. Let's see you get addicted to raw fruits and vegetables... fruit even contains natural sugars and maybe that could be like your methadone to wean you off of processed sugar :)<br /><br />But really, food is addictive to us all. Food sustains life and as long as we'd all like to remain alive I suppose we're all technically addicted to food then aren't we? Just as much as we're addicted to oxygen and water. So why aren't we all obese then?<br /><br />This would be a fun experiment, give 50,000 healthy people a 6 month supply of heroin and another 50,000 healthy people a 6 month supply of french fries and cake. In the end which group do you think would be more addicted?<br /><br />Take away your comfort food and tell me what kind of withdrawl symptoms you experience. Vomiting? Rage? Pain? Mental breakdowns? <br /><br />No, probably mild to moderate anxiety at most. Quit trying to make this something it's not and be reasonable. The fact that people go to extremes to think of excuses for themselves is frightening. Step out of yourself for a second and look at the way you're acting, trying to justify your weight in any way you can. If people can overcome addictions to crack cocaine then you can put down the damn fork! <br /><br />I'm really not trying to insult anyone I'd just like people to admit the truth which is that you have no willpower, you enjoy overeating, you like to eat the wrong kinds of food (hey, so do I but I know to keep it in moderation), and you are unable to motivate yourself to get regular exercise. <br /><br />This reminds me of the man who sued McDonald's because he gained weight working there and they provided him free meals during his shifts. Take some freaking responsibility for your own actions. <br /><br />I can't speak for everyone, but I do not treat heavy patients with less respect than anyone else. If I had to pick 10 of my favorite regular patients only 2 of them are not obese. I don't have a problem with anyone simply because of their weight. I have a problem with people being in denial about the root of their problem because I know that as long as someone does that they have no chance of changing and no chance of stopping the self inflicted destruction of their bodies. Did it ever occur to you that your healthcare providers might want what's best for your health? nurse nastynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-35430847065417845132012-10-12T03:30:13.293-04:002012-10-12T03:30:13.293-04:00Oy vey!Oy vey!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-89481243980939419892012-10-11T22:59:25.926-04:002012-10-11T22:59:25.926-04:00I am over 50 years old. I am usually classed as be...I am over 50 years old. I am usually classed as being underweight by the age-height-weight charts. <br /><br />I have never been able to swallow any but the most teeniest tiniest of pills, about 1.5 mm, or smaller, on their longest dimension, using applesauce. <br /><br />If I swallowed an m&m whole, I would choke. Food must be thoroughly chewed, before it can be swallowed. If I ate a piece of pizza, the melted cheese would make me vomit, so I never eat pizza.<br /><br />Some, but not all, capsules can be opened, and their contents taken using applesauce; <i>IF</i> they do <b>not</b> taste too horrible.<br /><br />Some, but not all, tablets can be crushed, and taken using applesauce; <i>IF</i> they do <b>not</b> taste too horrible.<br /><br />If I <i>could</i> swallow pills, I would; because while taking meds in liquid form is the easiest method, using applesauce is a time-consuming hassle. It is not that I do not <i>want</i> to swallow pills, rather that I am <b>unable</b> to swallow pills. It is physical reality <b>not</b> a <i>choice</i> that I made.<br /><br />To take meds using applesauce; I first place a thin, but not too thin, layer of applesauce on a spoon using a second spoon. Second, I place a <i>very small</i> portion of the powdered med in the center of the spoon. Third, I <i>completely</i> cover the med with another thin, but not too thin, layer of applesauce. Fourth, I put the spoon in my mouth, and carefully take the applesauce off without disturbing the meds within it. Once I get the applesauce positioned just right, I swallow it. Then I take a swallow of water and a nibble of candied ginger. I repeat these steps until the dose is completely consumed, which can take from 20 to 45 minutes, depending on dose size.<br /><br />To the others above who cannot swallow pills: It is a relief to finally learn that I am not the only one like this.RSDSnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-77823825706605126752012-10-11T18:47:10.299-04:002012-10-11T18:47:10.299-04:00For the nay sayer that thinks a person cannot poss...For the nay sayer that thinks a person cannot possibly be addicted to food, it has been proven by research that sugar IS ADDICTIVE for people that are sensitive to it. Choice my ass.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-63541779003342511982012-10-11T14:55:38.823-04:002012-10-11T14:55:38.823-04:00You make a disparaging comment to an obese teenage...You make a disparaging comment to an obese teenage girl and you assume you didn't hurt her feelings because she rolled her eyes at you and laughed? When she's in therapy as a 30 year old, trying to figure out why her self-esteem is shot and she's not in a good place in her life, there's a chance she might tell her therapist about the day when even the "friendly" neighborhood pharmacist openly mocked her about her weight, enjoying a good laugh at her expense. And the fact that her mom laughed does not in any way mean what you said is ok.<br />Professing that you have a weird sense of humor also does not get you off the hook. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-40110456550710834062012-10-11T13:16:05.108-04:002012-10-11T13:16:05.108-04:00It matters. A LOT. Especially when people in the...It matters. A LOT. Especially when people in the medical profession so clearly harbor contempt for overweight/obese people, and stereotype them and pass judgment. My mother was borderline obese but a great woman generally and a compliant, pleasant patient specifically, -- one who only saw the doctor when she was really sick. Despite this she was always treated a lot differently than I or any of our other "normal weight" family members whenever she had a doctor appointment. Symptoms that she complained of were always dismissed as part of her weight problem, even when she begged the doctors to trust her that something was very wrong. You could read it in their faces -- yeah yeah yeah, lady, try losing a little weight and then tell me if you still have shortness of breath... <br /> Her PCP sent her home one day with a "I just don't know why you have trouble breathing - it must be your weight" comment. Barely even put the stethoscope to her chest before booting her out the door. Four hours later, ER docs were draining a liter of fluid out of her chest. She had cancer.<br />So its does matter and sorry if people on this site are feeling a little defensive, but I think they are perfectly reasonable in feeling that way because they get sh@t on constantly by others who clearly DO have a problem with fat people. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-46470560551756881982012-10-11T05:51:33.252-04:002012-10-11T05:51:33.252-04:00'Choice' is an odd word. When we're ta...'Choice' is an odd word. When we're talking life-threatening obesity, it's often an eating disorder, like anorexia or bulimia. Yes, these people are over-eating, but this can be a compulsion, rather than a choice. Anyone who's lived with a compulsive disorder - or any mental illness - understands the difference.<br /><br /><br /> <br /><br /> <br />Malnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-50293653698097879182012-10-11T00:21:29.816-04:002012-10-11T00:21:29.816-04:00What about me? I still am scarred for life by havi...What about me? I still am scarred for life by having my mother mend my panties at the doctor's office. Well, I guess I shouldn't have complained. No one mends my underwear except me, anymore. And, as my husband says, why try to fix it in the time I spend, I could have made enough money to buy 10 more pairs. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-82921059061301110002012-10-10T23:34:19.580-04:002012-10-10T23:34:19.580-04:00Off topic, but @Moose and other fellow fat "f...Off topic, but @Moose and other fellow fat "for medical reasons!!!!!!!!" people :<br /><br />You define yourself entirely by your obesity and health issues. We got over your appearance a long time ago. You should too, maybe. <br /><br />But then again, if you got over it or lost the weight it would give you no reason to steer every discussion towards it, and you.<br /><br />This happened to me right after I got sick and the weight came on. After realizing how truly obnoxious I was, I got over it. I can have normal conversations again and people don't avoid me anymore.<br /><br />The CDC estimates that about 10 % of obese people are fat for medical reasons. The rest are just because of choice.<br /><br />This applies to me. But here's the deal. NO ONE CARES.<br /><br />My life got a lot easier once I realized it.<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-41254818986379143962012-10-10T22:49:21.080-04:002012-10-10T22:49:21.080-04:00@ Anon 10:10PM
15-30 pounds is not obese, it is o...@ Anon 10:10PM<br /><br />15-30 pounds is not obese, it is overweight. <br /><br />You are obviously an example of the type of person I mentioned in the very beginning of my little rant, a person who is moderately overweight due to circumstances that are not easily overcome. This weight range, while not ideal, is not greatly detrimental to your health thereby making it not that big of a deal and not what I was talking about. <br /><br />My point was that one does not become morbidly obese without some effort on their part. By effort I mean inhaling mass amounts of high calorie foodstuffs on a frequent basis combined with several hours per day spent seated on one's lazy ass. <br /><br />I am quite aware that most people with a mobility limitation are not going to be within the CDC target weight ranges and I don't think I implied that they are expected to be. <br /><br />In fact, a person with a physical handicap who is only 15-30 lbs overweight is living proof of the point I'm trying to make here. Even someone who is NOT able-bodied does not have to be obese just living a normal life to the best of their capabilities. <br />nurse nastynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-51242478558696430022012-10-10T22:10:25.603-04:002012-10-10T22:10:25.603-04:00OK nurse nasty, please educate us non-fibromyalgia...OK nurse nasty, please educate us non-fibromyalgia autoimmune disease patients on heavy doses of steroids how we are supposed to keep a trim figure. Especially those of us who need to use a cane to get around sometimes because of joint erosions. Most of us, by the way, are not 50+ lbs overweight. We're more in the 15 -30 lb overweight range. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-91031066478721226162012-10-10T21:29:32.444-04:002012-10-10T21:29:32.444-04:00If the reasons for being fat are none of anyone...If the reasons for being fat are none of anyone's business, then why do you keep hijacking the thread and making it all about you?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-42411987864448751892012-10-10T20:57:08.199-04:002012-10-10T20:57:08.199-04:00Obesity isn't a choice? Bullshit.
When I see ...Obesity isn't a choice? Bullshit.<br /><br />When I see someone who is 10-15lbs overweight I can understand that they might work long hours and have a demanding home life so maybe they really don't have time to exercise and they might opt for an easy McDinner more often than they should.<br /><br />When I see someone who is truly obese I know that they have put effort into achieving their weight. With the exception of someone who has an untreated metabolic disorder or something of the like, if you weigh 50+ pounds more than you should it IS your fault. The amount of food you have to consume and the amount of time you have to spend being physically inactive is most definitely a choice.<br /><br />I'm sure obesity was not a goal for most people but there must have been some point when you realized you needed to lose weight but actively decided that you would rather remain obese than work towards a healthy weight.<br /><br />And no, I don't view alcoholism as a disease or drug addiction for that matter. I have consumed alcohol, and drugs in the past, I have even consumed them during periods of depression but I never became addicted to them because my common sense always over ruled my impulses. But that's irrelevant anyway because at least alcohol and drugs have scientifically confirmed addictive properties which food does not. <br /><br />I don't ridicule obese people to their face or behind their back because that's just rude. But to hear this nonsense about obesity not being your fault just pisses me off. You know that your weight is bad for your health, you likely cost yourself more money between the grocery store and your healthcare costs, you're defensive about it so it must make you unhappy on some level.. yet you refuse to take action to change any of that. Fair enough, that's your decision, but don't try to justify it by saying you have a food addiction that's beyond your control. I'll bet you have fibromyalgia too. nurse nastynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-12786566144546735882012-10-10T20:24:18.899-04:002012-10-10T20:24:18.899-04:00Do you folks (on both sides) know that October is ...Do you folks (on both sides) know that October is Bullying Awareness Month?Ivan Ilyichhttps://www.blogger.com/profile/03188429891387548730noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-23604561029793717042012-10-10T13:13:51.447-04:002012-10-10T13:13:51.447-04:00Yeah, I'm obese. I totally woke up one day and...Yeah, I'm obese. I totally woke up one day and decided that I *wanted* to be so fat that I'm at risk for diabetes and CV disease and joints. How much fun is that!? Do you view alcoholism as a disease? Well, guess what? So is food addiction! So don't tell me that I chose to be obese. Or else I will choose to hurt you.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-76151688695416546092012-10-10T13:13:11.914-04:002012-10-10T13:13:11.914-04:00I'm surprised the patient didn't demand sn...I'm surprised the patient didn't demand snacks and juice boxes for her kids plus a tv tuned to Nick Jr. Btw Mary is a saint and a keeper.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-29162507463068491252012-10-10T12:55:22.911-04:002012-10-10T12:55:22.911-04:00Moose - I hope that you wash that spoon after usin...Moose - I hope that you wash that spoon after using it in places that one forgot existed before putting it back on your face (or do you, in fact, have a spare spoon for such emergencies? hehe, something like a BIG spoon - you know, the kind that usually hangs on the wall along with the BIG fork)Charlesnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-9010101780491897502012-10-10T12:25:59.307-04:002012-10-10T12:25:59.307-04:00Being morbidly obese is usually a "choice&quo...Being morbidly obese is usually a "choice" the way being gay is a "choice." <br /><br />Yeah, who wouldn't want to weigh as much as a small nation? It's just so much fun.<br /><br />I could list all of the reasons I'm so fat, and why the only ways I've lost weight in the past 15 yrs have been extreme risks to my health [as in "nearly died"], but listing them all would be, let's see, NONE OF YOUR FREAKIN BUSINESS.<br /><br />I'm one of those people who has been bullied since I was 10 lbs "overweight" as a kid. I am much tougher now. I may be fat, but I'm neither stupid nor lazy, and I'll kick the ass of any jerk who tries to bully me now.<br /><br />Moosehttps://www.blogger.com/profile/10397412122635951126noreply@blogger.com