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Should Doctors Institute Weight Limits for Patients?

Dr. Helen Carter is no longer accepting patients who weigh over 200 pounds or have a Body Mass Index (BMI) over 30. What do you think about her new rule?

 

Should doctors be able to institute weight limits for patients as a way of avoiding injuries, or is this discrimination against people who may need help?

The question stems from Dr. Helen Carter, a Worcester-based doctor is no longer accepting new patients who are obese, according to WBUR—specifically, patients who weigh over 200 pounds or have a Body Mass Index (BMI) over 30.

Carter told WBUR that her new policy is "self-preservation," instituted because another doctor in her practice had been seriously injured pulling out the exam table foot rest for a patient who weighed 280 pounds.

The policy isn't discriminatory, Carter told WBUR, because patients have access to other doctors in the area, including some facilities that cater to patients who need to tackle weight loss. She is also not dismissing any current patients who don't meet her standards, saying that the policy "give them a goal ... the problem with obesity is it has become socially acceptable." 

Read the full report at WBUR and tell us: Do you think it's fair for Carter to institute such a policy at her private practice for safety reasons? Or does it discriminate against people who need help from a doctor? Tell us your reaction in the comments below.

Related Topics: Doctors, Health, Obesity, and bmi

billvill

11:29 am on Friday, September 7, 2012

I think Dr. Carter may have some explaining to do to the MA Attorney General's office.

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Dayna

1:01 pm on Friday, September 7, 2012

@billvill - why? This is a private practice....she can treat who she wants and doesn't have to treat who she doesn't want to. Where did you ever get the impression that what she was doing is illegal? By the way, I don't necessarily agree with Dr. Carter...but what does the DA have to do with her decision? Please explain.

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david mokal

1:48 pm on Friday, September 7, 2012

TIME for Litagation. To get her Licence she had to take an oath. That oath is sacred. She is not fit to be a doctor and should loose her licence imediatley for a statement like that. The doctor must be on too much of her own medication.

Rob

11:53 am on Friday, September 7, 2012

Since many doctors get paid per patient for HMO's, and not per visit, and obese people will have more health problems, I would guess the real reason is to cut costs. But now that we're banning soda, the obesity problem should disappear and this will be moot point.

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Terraformer

2:24 pm on Friday, September 7, 2012

And this is likely the real reason why the policy was instituted. Normally I agree that private individuals can make private decisions about their private lives including who to work for or to take on as a client/patient but, thanks to the politicians ensuring we have more bread and circus, the medical system is structured such that freedom is simply not compatible with it any longer.

Bob

12:05 pm on Friday, September 7, 2012

Rob, that is correct. Many are moving to the Obamacare "managed care" model. Each provider will be given a stipend (say $15,000) for each patient they service. The provider will take out of that pool for each visit. If they need to see a specialist, the provider will appoint cost effective options for the patient to see. If the patient doesn't like the options, they can see another specialist while paying the difference out of pocket. Physicians will not want to treat the more at risk patients because they will require more care and deplete the cash pool.
This is why the small community hospital is dying. It is all about covered bodies. It use to be that hospitals wanted the specialists. They didn't care about the PCP's because it is the specialists that ordered the high cost procedures etc. Now, the PCP's are king because they will control the patients HC checkbook.

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Bobby James

1:27 pm on Friday, September 7, 2012

This has nothing to do with "Obamacare" - the health insurance companies have operated in this manner for far longer than 3 years... smh.

Melissa Gleaton

12:05 pm on Friday, September 7, 2012

"another doctor in her practice had been seriously injured pulling out the exam table foot rest for a patient who weighed 280 pounds." - maybe her practice needs to invest in better equipment! The footrest is a drawer, which should have nothing to do with what's put on top of it.

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Shaun

1:29 pm on Friday, September 7, 2012

Let's see a photo of the doctor who got injured, I am guessing he or she is probably on the heavy side as well or conversely anorexically skinny and without enough muscle mass to engage in a simple task without injuring themselves. I have family who work in hospitals and the equipment is well known to be decades old and not up to the task. Most of the time they don't even have the equipment, lifts to do a proper job with "regular" people. As usual, it is always the consumer who gets blamed.

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david mokal

2:02 pm on Friday, September 7, 2012

ATTA Girl Meliisa you got IT right I agree totally. LOL Geesh melissa I can see it now she is on duty at the hospital and the ambulance wheels you in one door and she grabs the gurney and sends you flying down the street cause ya too fat. Good Greif lol

Bob

12:09 pm on Friday, September 7, 2012

BTW - IMHO, there will be no visit by the DA. This is a perfectly legal choice of private business. Same as many providers turning away Medicare patients because of the lower reimbursement rates.

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david mokal

1:57 pm on Friday, September 7, 2012

Priavate bussiness does not matter she holds a Massachusetts Licence she has to abide by the rules. Look it Up! Why isnt the doctor who got hurt complaining. Ill tell you why I thing her story is Bullcrap. My daughter are Nurses and they have to lift patients all the time who are overweight. Will this trickle down to Hospitals now? You bet. Its like saying you go in with cancer and she says SORRY your too fat! So now your a dead man walking. What have we become?

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Bob

3:39 pm on Friday, September 7, 2012

David, I don't have to "look it up", I work in that environment. There is nothing illegal about a physician rejecting patients based on almost any criteria. The "oath" says nothing about accepting all, sorry. If the state tried to take her license, she would sue and win. Which is why the DA won't go near this with a 100 foot pole!

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Jason

8:08 pm on Friday, September 7, 2012

Bob, I with ya on this one. It's a business decision. Simple. Nothing mandating anyone to do anything they do not want to in a private business/practice.

It ain't simple, but it holds water in my opinion.

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david mokal

9:44 pm on Friday, September 7, 2012

Bob I have had Medicare for the last 15 years with a blue cross blue shield supplement and never ever had a problem with any service from and specialists. Have been to many hospitals in Massachusetts no problems no one ever refused me. You may be confused with Medicaid Or Mass Health.

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Bob

9:02 am on Monday, September 10, 2012

David, No. Medicare, Medicaid and MassHealth. All are being refused more and more. The reimbursement rates have gone way down. @$300 billion of the $700 billion Obama took out of Medicare was in reimbursement to hospitals and providers. That is why you are seeing community hospitals losing money and in trouble. They need to merge and become part of larger networks. Look at Saints and LGH and my bet is they are not done. The new LGH will need to become part of a bigger organization IMHO.

BAV

2:09 pm on Friday, September 7, 2012

It probably depends on the contracts she signed with insurers and whether she accepts medicaid. Either one of those could prevent her from limiting patients.

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david mokal

2:09 pm on Friday, September 7, 2012

Has anyone looked up who this Dr Carter is? We had to take a urine test at the trash company all 50 employees to keep our licences. She was a phony hired by the company. We seen her on TV handcuffed and taken away. I really dont think a Real Doctor would make a statement like this...Its too unbeilivable.

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AHM

2:56 pm on Friday, September 7, 2012

Looks like some nurses and doctors I have met be able to see a doctor either. World gets dumber every day.

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Steevo

4:07 pm on Friday, September 7, 2012

I agree with Dayna. It is a private practice and she should be able to treat who she wants. It seems a way out of date concept but to me doesn't lessen its right in a supposed free society. I also agree with David Morkal on one of his points if true. If the state license prohibits such discrimination then she should forsake that license or it should be officially revoked.

She will stand or fall on her business model. By denying a certain segment of the citizenry she no longer has that clientele. Others who may find her practice deplorable will also chose not to see her.

I believe any form of discrimination in private business should not be interfered with by the government. If the owner wants to take the risk of alienating potential customers that should be his/her right. If you don't wanna serve Christians, put up a sign and see how your business survives. If you don't wanna serve people with mustaches so be it, etc. It's not likely you would find many so offensive, and stupid, but it should not be up to the government to say though shalt not.

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robert wilson

4:20 pm on Friday, September 7, 2012

Is it mentioned in the Hippocratic oath that Drs. will do no harm to another person except fat people, denying them help because of weight doesn't seem right. Next it will be people with bad coughs then skin rashes.

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Reverend E. Raleigh Pimperton III

6:05 pm on Friday, September 7, 2012

Perhaps a discrete decal on the office door, 'NFC.' It is seen on the bumpers of pickups throughout the South and stands for No Fat Chicks. This rule is widely ignored by many other pickup owners.

Reverend E. Raleigh Pimperton III

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Jason

8:09 pm on Friday, September 7, 2012

Rev, it ain't jus' seen down south...ya hear?

david mokal

9:47 pm on Friday, September 7, 2012

The next thing they will be telling women they can't get a mamogram cuase they are too top heavy..

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Natalie Egan

7:13 am on Saturday, September 8, 2012

The fact that she is using BMI and a blanket weight cut off is a red flag. BMI takes into account weight and height, but not body composition. Depending on the sport, many athletes have BMI's over 30 and have very little body fat. The second concern is a blanket weight cut off. There are many people who weigh less than 200 pounds but are extremely unhealthy. Bottom line, her reasoning makes no sense.

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Tom O'Brien

8:15 am on Saturday, September 8, 2012

These comments are funny. People think this is perfectly legal because she's making a private business decision. Why is it then illegal to allow smoking in your private business? Why is it illegal to refuse to serve someone based on their skin color or other criteria in your private restaurant? The doctor's comment that she is not discriminating because there are other doctors is laughable. Many country clubs refused to admit blacks or women, and that wasn't considered okay, even though there were other country clubs they could join. I think it sounds like the beginning of the death panels that everyone thought was such a ludicrous notion.

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Warren Dew

2:15 am on Monday, September 10, 2012

It has never been illegal to prohibit smoking in your private business.

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Bob

9:08 am on Monday, September 10, 2012

Tom, I find you post laughable. Private ANYTHING can discriminate based on anything they wish. Augusta just finally let in women as members and that "old" rule was upheld in court. Private clubs can and do allow smoking. What scares me is this idea that she doesn't have this right!

Tom O'Brien

8:19 am on Saturday, September 8, 2012

I actually believe that a private business should be able to make decisions that are right for their business. However, as stated above, businesses are not allowed to make those private decisions in most instances in today's world. There are law suits all the time because a private business made such decisions. Also, she is going by an arbitrary BMI. It was reported last year that Tom Brady, according to the government criteria, is officially considered obese.

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Concerned Citizen

10:41 pm on Saturday, September 8, 2012

I do not like it but I think it legal but it is. There is no law addressing discrimination against people who are overweight. Its open season on them as it is for those who smoke.

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Bill. S

10:10 pm on Sunday, September 9, 2012

tom brady is obese..... well from the neck up

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Concerned Citizen

10:07 pm on Tuesday, September 25, 2012

Actually in Wakefield private businesses such as stores are not allowed to have people smoke. The Board of Health cites owners who smoke in their stores. The store I am speaking of was a hobby store.

Josh Chace

9:44 am on Saturday, September 8, 2012

A private practice Doctor can chose who they want to see as a new patient, and which patients they decide are no longer suitable to see and refer them elsewhere. I see nothing wrong with a Doctor choosing not to help, or discontinuing help for someone who is clearly not serious about following their orders.

The oath a doctor takes says nothing that they are REQUIRED to service all patients regardless of their station in life and health. It simply says that the patients they do take on must be treated ethically and with respect as if they were treating their parents. In fact it supports this Doctor's decision in that the oath says that they will not serve someone where negative effects may occur.

Good for the Doctor for sending the message. If you're not serious about listening to my advice, then I won't be wasting my time.

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david mokal

11:53 am on Saturday, September 8, 2012

It's descrimination. people have medical isseues as well that the weight is almost imposible to stop. Lupus,Thyroid, Different prescription medicines will. Oh and depression. I think its a bad choice on her part to even announce this on a radio station. I see what she is doing and That is Starting a trend so others will follow. maybe this is a good reason to have socialized medicine. She sure got me thinkin.

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Josh Chace

2:20 pm on Saturday, September 8, 2012

It's not descrimination. It's the Doctor's own private business. They can choose who they decide to conduct business with. It's no different than them denying customers with certain insurance types, which hospitals and private practices do all the time. The excuse of Lupus, Thyroid, etc is ALWAYS used in arguments like this, when in reality those patients make up about 2% of the obese individuals in the USA today.

I would actually prefer to go to a Doctor like this because it shows they're serious about their craft and the treatment they give to patients.

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Tom B

5:07 pm on Saturday, September 8, 2012

Most of the arguments here have missed the reason for her not taking these patients has nothing to do with their health or their unwillingness to control their weight. It has to do with her own safety or concern for injuring herself when treating them. Also since when is it considered that all people over 200 pounds would be classified as obese. Certainly some people are, but many are far from obese at that weight. Drawing a hard line at 200 pounds is also problematic as well. If you weight 200 your are ok but if you weigh 201 you suddenly become obese?

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quasimodo

6:52 pm on Saturday, September 8, 2012

"It has to do with her own safety or concern for injuring herself when treating them."

What a bunch of bull feathers! And you fell for it...too funny.

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david mokal

6:52 pm on Saturday, September 8, 2012

Tom Im a Boileremaker, heavey stell plate fabricator we had men 6'2 well over 280 and no flab at all just pure muscle. Im not going to debate you but Its not right but im sure she has destroyed herself cause after statements like this she wont be getting new patients so no need to worry a biased Doctoer is dangerouse to have around.

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Bob

9:12 am on Monday, September 10, 2012

David, and that is your right! You can see any doctor that is accepting new patients. If you or anyone else doesn't like her policy, don't go see her! But leave her rights alone!

quasimodo

6:50 pm on Saturday, September 8, 2012

I'm way below 200 lbs, but I would never patronize such an uncaring doctor. Obesity is a physiological, mental, as well as social problem, and treating it is not as easy as it seems (and in some cases, practically impossible). I doubt very much that Dr. Carter is qualified in any of these areas.

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david mokal

7:04 pm on Saturday, September 8, 2012

You correct quasi when I was a child in the 50's Polio was rampant and mant cases in Malden. If a child was thin or "Skinny" back then the were considered a risk. MoMs would force feed kids to fatten all of us up. Thin kids were actually avoided and they sacred people. Im not kidding. So brainwashing came into effect and your teacher would be showing you the right type of breakfast to have. Bacon,Eggs,Toast white bread, Brown sugar on your oatmeal. Then the commercials Wonder Bread builds bodies 12 ways whit bread of course. In todays standard it would be a NO WAY! So its not all our fault those who are overweight. Thats why Diabetes rampant in the elderly..Heart disease..Cancer. Its not our fault we were brainwashed.

Josh Chace

6:56 pm on Saturday, September 8, 2012

the 200lb for her is not a "hard limit", she's relating that weight to someone who is considered "obese" by standards of the Body Mass Index. I'm certain a 6'4" individual in perfect health who excedes 200lbs would be of no issue for her. Her concern, that she stated on the show, is that someone overweight and not in control of their own body may cause harm to her if she is forced to help move their body parts for them because they are unable to do so on their own.

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Tom B

7:51 pm on Saturday, September 8, 2012

I think I was misunderstood here. I was not defending her. I was trying to point out that she is not concerned for the over 200 pound persons health. Her position is a purely self centered one and I do not agree with it. I also do not think that the 200 pound limit has anything to do with obesity it is just a weight limit that she has set for herself.

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Bill. S

10:17 pm on Sunday, September 9, 2012

I knew what you meant Tom. Some people just can not comprehend what they read

Percy

8:55 pm on Saturday, September 8, 2012

BOttom line, decisions like this hasten the day towards single-payer insurance. Because when doctors filter out those potentially in need of more care, then those patients will have fewer and fewer PCPs to choose from - and if they cannot find a PCP on their insurance, then the insurance becomes useless and the costs of treating these people ultimately gets socialized. It becomes a game of musical chairs. It's a piss-poor method of risk management on a larger scale. The doctor here becomes joins the early part of the chain of free-riders, but doesn't appear to realize it.

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Dave Gray

10:25 pm on Saturday, September 8, 2012

I have a daughter who is an ER nurse. Obese individuals are a big (no pun intended) problem for them and I'm sure you can all understand how moving an obese person could easily cause an injury. On the other hand they are entitled to medical treatment too. The doctor's suggestion that they be treated by an obesity specialist makes some sense, but what about if that person needed a cardiologist or oncologist? How many of those are also obesity specialists? My personal opinion is that most clinically obese people have no one but themselves to blame and don't do enough to control their weight, but there are also those who through some underlying condition have no control over their weight. I don't have any answers, but that's easy for me to say, since I'm 6 feet tall and weigh 185 pounds.

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Diana

10:28 pm on Saturday, September 8, 2012

In related news, today Dr. Carter announced that she would no longer treat old people, declaring that "There's all kindsa stuff wrong with them, they just up and die all the time and totally mess with my stats. Also they smell funny. What am I, a freakin' DOCTOR or sumthin'?"

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inthegloaming

10:34 pm on Saturday, September 8, 2012

I'm under her limit, but I would refuse to patronize such a doctor. Her reason is bull: it's pure discrimination. Fat does not cause or effect a whole host of reasons people get sick, with the same illnesses thin/average weight people get. At any rate, good to know what kind of person to avoid in a doctor's coat.

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Dave Gray

11:35 pm on Saturday, September 8, 2012

Concerned Citizen, imagine being a 110 nurse trying to lift a 300 pound patient. You don't see where that's a potential problem? Next time you need an ER nurse, why don't you repeat to them the sentiments you just expressed?

Colleen, am I insensitive or are you overly sensitive? I made it clear I had no idea of the difficulty involved. I thought my comments were pretty supportive of the unique need, and if I'm in error about about most (that's more than half) clinically obese people suffer a self-inflicted condition, why don't you cite some facts that show that, instead of having a hissy fit?

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Diana

12:07 am on Sunday, September 9, 2012

You know, I generally agree that obesity is primarily a self-inflicted condition, and frankly have limited patience with fat people, who are of course taking up more than their fair share of space in my world (for the record, I also dislike SUV drivers and golf-umbrella users for the same reason). But hey, I'm not a doctor. I was under the impression that some amount of empathy and desire to improve the human condition was a requirement for the job.

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quasimodo

8:38 am on Sunday, September 9, 2012

@ Diana

Unfortunately, I have been around enough doctors in my life to have realized that "empathy and desire to improve the human condition" was NOT necessarily "a requirement for the job."

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david mokal

4:25 pm on Sunday, September 9, 2012

Dave My 2 daughters have been nurses for 20 years and they have lifted 300 pound patients all the time. Thes peple come in from nursing holme not able to exercise or take care of themselves. They cant loose weight no matter how they try.By the way they are ER Nurses They do it if they cant they get more help.

Mike G.

12:22 am on Sunday, September 9, 2012

I can kind of see her point. It's her practice, she can run it how she wants - and to that end, she should deal with the PR from it, positive and negative, and not be surprised at any vitriol she might encounter.

Honestly though, who gives a flying F if you are not one of her existing patients? If you don't like her policy, or don't fit her criteria.... don't go to her.

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Mike G.

12:24 am on Sunday, September 9, 2012

The beauty of this country is that it goes both ways. She's free to practice medicine how she sees fit (within the bounds of the law, and the Hippocratic Oath) and we have the choice to go see her, or see some other similar doctor without such a limitation.

People can't be crying discrimination every time they see a policy they don't agree with. Sheesh.

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Mike G.

12:28 am on Sunday, September 9, 2012

Curves didn't let me in the front door -- I know the policy is that it's a gym for women only, but whoaaaa discrimination!!!!!

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Richard Jertz

10:32 am on Sunday, September 9, 2012

Maybe now can get sidewalks on Deming Way.

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Paul

1:21 pm on Sunday, September 9, 2012

The Doctor has a PRIVATE practice and SHE can make the rules!
Maybe she should go a little higher than 200 pounds but if the "probationary patient" isn't below that weight in say 6 months, they have to find another doctor. The COMPLAINERS on here are probably all fat "victimology" type who scream "discrimination" at every turn. Obesity IS a major problem for our health and the health care system. Put down the BAD HABITS people.... miss a junk meal once in a while... shut the hell up about "discrimination"... NO ONE CARES! The doc has a good idea. Maybe stores should REFUSE to sell to fat people food that will only put more weight on them!!! How's that for an Obamacare idea. Ya, a 14 member non medical professional planner panel could decide who gets to buy WHAT food!!! Don't laugh... that will be next under a Liar-wartha/Obama second term

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Maya

3:44 pm on Monday, September 10, 2012

I'm not fat, quite the opposite really. I eat right, work out 6 days a week, don't smoke, drink, or do drugs. I even wear my seatbelt. So for you to say anyone who complains is fat just shows how small minded you are. I hope that someday one of your loved ones isn't turned down the help they need because of their weight, height, gender, hair color, etc.

Paul

3:48 pm on Sunday, September 9, 2012

Christine: the laws protect everyone from real discrimination when renting or buying real estate primarily because up to 30-40 years ago deeds were racially discriminatory. Discrimination is an "economic" evil. Being fat, lazy and stupid is an individual choice and lifestyle. We dont owe good health to those who dont choose it for themselves. My famiily and I dont need your hope because we are self reliant, maintain good health and understand moderation. Doctors who have a private practice CAN set up their own rules. Doctors are now refusing Medicare patients because of Obamacare. What is coming is a two level health care world! You may get your shiny Obsmacare card but there wont be any providers even IF the ". Panel of 14 appointees" grants care. Plus, dont forget the new 3.8% tax on the sale of your house and investments! Romney will keep pre existing language and extended family coverage. Nothing changes for those now on Medicare and those who are now 55. You ignorant whiny victim types will be better off even though you dont deserve it

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BAV

7:38 am on Monday, September 10, 2012

Take a look at the health care law. I think you'll be surprised that the 3.8% tax doesn't kick in until your income exceeds 200k (single) / 250k (married). Also, doesn't apply to the first 250k (single) 500k(joint) profit from selling a house. This is just a scare tactic from your savior. (Who was for Obama care before he was against it and now is sort of for it and sort of against it, depending on the day and the audience...)

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david mokal

4:12 pm on Sunday, September 9, 2012

John I dont believe it either.

david mokal

4:19 pm on Sunday, September 9, 2012

If this Doc excepts Medicare or any insureance you can bet there will some questions asked. But like all Dr.,s If she does Hospital Duties as a Doctor will she toss a patient away if they wheel in a 300 pound truck driver who was just in an accident refusing to help him? Im sure other doctors and the hospital will shun her anyway for her statement .Shes just a trend setter.I never heard of anyone getting hurt in the doctors office anyway. This is all bullcrap. Im done here no more to say.,.

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Paul

5:24 pm on Sunday, September 9, 2012

You are making undue and unfounded assumptions . The doctor may have a VIP type practice which means she can select who she wants as a patient. Other doctors are not goibg to shun her. They will seek her advice!! You liberals are living on a diffent planet and choose to deal in nonfactual touxhy feely foolishness

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david mokal

6:18 pm on Sunday, September 9, 2012

Not Really..Im not going to debate you over this foolish site but she is only one just ONE out of a Gazilllion Doctors who made this foolish statement. I really dont care anyway what she does. She is just SHOWBOATING..The doc will someday have to answer to a greater power like we all have too. Not the kind of Doc I want to see. So Im done with this not healthy to get too deep into discussions like this. WOOOOW Im not a liberal by anymeans. The Doc is the Liberal. Making chioces for you. WHO CARES I DONT. Do you really?

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Mike G.

7:50 pm on Sunday, September 9, 2012

David, with all due respect, it doesn't sound very conservative/Republican/Tea-Party/whatever to tell someone how to run their business.

Healthcare is a business... has been for decades now. Yes, there are certain rules a doctor must follow - oaths, etc, but doctors are always within their rights to decide whether to accept new patients or not. That's a business decision, wholly separate from providing health services.

Reverend E. Raleigh Pimperton III

5:38 pm on Sunday, September 9, 2012

How about a really narrow doorway to the doctor's office? Would the outrage persist?

Reverend E. Raleigh Pimperton III

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david mokal

6:20 pm on Sunday, September 9, 2012

Thats a great Idea REV just enough so the skinny minnies can get in and the thunder thighs and flabby butts will have to move it on out. EXCELLENT !

Paul

5:46 pm on Sunday, September 9, 2012

E. Raleigh , YOU are hilarious!

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sam

6:24 pm on Sunday, September 9, 2012

If the doctors feels obese people are a threat to her safety, then the doctor has the right to protect herself.

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david mokal

11:35 am on Monday, September 10, 2012

Right Sam maybe if the Doc sees a Fat person waiting in the lobby she should just put a round in them and put them out of their misery.

Reverend E. Raleigh Pimperton III

6:42 pm on Sunday, September 9, 2012

What did the fat lady say to the fat man?

"Thanks for the tip."

Reverend E. Raleigh Pimperton III

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Paul

7:47 pm on Sunday, September 9, 2012

David M, truly I do not give a whit

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Mike G.

8:34 pm on Sunday, September 9, 2012

Give me my dignity! I just came here to see "Honk If You're Horny" in peace!

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Maya

8:18 am on Monday, September 10, 2012

Personally I refuse to see a doctor who is ignorant and stupid. So I hope ALL her patients leave her and she has to beg the obese ones to come back so she can put food on her table.

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Josh Chace

10:57 am on Monday, September 10, 2012

Maya, what part of her decision is "ignorant and stupid" to you, after reading the entire article and story included?

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david mokal

11:47 am on Monday, September 10, 2012

I did She is ignorant and stupid Its in the story read the fine print. I have great doctors and they dont fel this way at all and have too much class to make a stupid statement that she did. She has Bigot written all over her. I would not want to even know her nevermind having her for a Doc. Yes I read the whole artical top to bottom and thats what I got out of it. She needs a shrink or she should stop dipping intothe meds.

Richard Jertz

11:20 am on Monday, September 10, 2012

Maybe the doctors can pitch in and get moving sidewalks on Deming Way.

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Maya

3:01 pm on Monday, September 10, 2012

Everything about her decision is ignorant! Do you think obese people choose to be obese? They need help! Don't you think they are ashamed enough? Now they have a medical professional telling them they worthless. The doctor’s office is supposed to be a place where you feel safe to discuss your health issues and questions without fear of being judged. Now you have to worry that your doctor will dump you if they don't like the state of your health. Whether or not it is legal for her to make this decision I feel like it is irresponsible! Next, any patient with a chronic illness will be denied treatment from private physicians. This sets a bad precedent and I'm afraid of what the future holds with regards to our healthcare.

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Dave Miskinis

6:00 pm on Monday, September 10, 2012

Maya, yes, most of them do choose to be obese. WAKE UP!!!!

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Maya

8:18 am on Tuesday, September 11, 2012

You need to wake up Dave if you think that people want to be ridiculed, looked down upon, judged, told they are lazy, etc. But again, you are another one who will never get it. Someday though someone is going to say something nasty about someone you love and maybe you'll know how it feels.

Josh Chace

4:22 pm on Monday, September 10, 2012

Do they choose to be obese? Maybe not directly. But they sure aren't CHOOSING to fix their problem themselves are they? This is the point the Doctor is trying to make. The Doctor only can TELL you what to do, if you choose not to listen or heed the advice, than they are powerless and if they are powerless why should they waste their time "treating" someone who doesn't want help apparently.

People who are obese know they are obese. They know what it will take to no longer be obese. Doctor's don't hold some secret recipe for a healthy life. Eat right. In moderation. Exercise daily. If you don't have the willpower to do that, than the Doctor will be ZERO help to you. It's up to YOU. Not THEM.

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Maya

4:42 pm on Monday, September 10, 2012

Josh you obviously don't know anyone who has ever struggled with anything. Its not easy and someday you may find out just how hard life can be.

But that argument aside, I don't believe for a second that this doctor gives a rats ass about whether or not her patients heed her advise, live a healthy life, or live or die for that matter. This whole policy she has put into place is completely self serving and I really do hope it blows up in her face.

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quasimodo

5:55 pm on Monday, September 10, 2012

If an obese patient were to see this Dr Carter for a weight problem and refused to follow the doctor's prescriptions and advice, after a while, I would appreciate the doctor giving up on that patient and refusing further involvement.

If an obese patient came to see Dr. Carter for any other type of ailment, her refusal to treat the patient is arbitrary and deplorable, even more so if the ailment has nothing to do with the patient's overweight.

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Josh Chace

6:40 pm on Monday, September 10, 2012

Nobody said it was easy. If anything was easy it wouldn't be called WORK. You have to WORK at living a healthy lifestyle.

@Colleen If it's such an easy idea, than why are so many Americans (yourself included as you posted earlier) obese? For you, I understand you "ate" your feelings because of a tough home life. Ok, I get that. But you know what? You're probably not living at home anymore and from what I read, you're a succesful member of society. Ok, so make the effort to fix your problem and REALLY dedicate yourself to it. Working out "3 days a week and doing strength training" is not the really how you lose weight, but at least you are trying.

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Over60andlovingit

7:20 pm on Monday, September 10, 2012

Health care copays and insurance premiums should be based on factors that involve personal choice, i.e. BMI, smoking, alcohol and substance abuse habits, risk taking behaviors. Already life insurance rates take all of these factors into account in setting premiums. Why not medical insurance? Why should people who are conscientious about developing healthy lifestyle habits be penalized by effectively subsidizing the rates of those who choose poor lifestyle options?

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Maya

7:34 pm on Monday, September 10, 2012

Ok I was going to walk away from this conversation because I think there are some people who just don't get it and never will. And that's fine, you are entitled to your opinion however misinformed I think it is. But I just can't keep my mouth shut (fingers still?) You don't know Colleen or the struggles she faces every day. How do you know if she has the time or money to do more than she is. Working out 3 days a week is awesome and it most certainly is a great way to lose the weight. Staying fit just comes easier to some people. Its all about physical makeup. You may be right that some people are just plain lazy, but I'd argue that the vast majority of overweight people have spent most of their lives trying to lose the weight in one way or another.

But besides the argument about overweight people not willing to get healthy, according to Dr Carter, that's not why she is refusing to treat them. She doesn't want to hurt her back. I think the issue is more likely what Rob said at the beginning of these comments. Its all about the money...

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david mokal

7:48 pm on Monday, September 10, 2012

I know people who were in High School with me and they were allways thin and now in their 60's the motabalism change and got heavey. Can happen to anyone.

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Josh Chace

8:16 pm on Monday, September 10, 2012

You don't have to have gone through something to be an expert on the subject. Are all criminal defense attorney's former criminals? Are heart-surgeons transplant patients?

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Josh Chace

8:39 pm on Monday, September 10, 2012

Formal training isn't experience. Those are two very different things. I'm very sorry your attitude towards someone lending advice or suggesting a different lifestyle is so sarcastic, pessimistic and downright abrasive. I can only assume that translates into many other parts in your life which explains a lot of what you're going through and for that I apologize.

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quasimodo

9:42 pm on Monday, September 10, 2012

@ Josh

You are one of those people full of advice for others although they know nothing, except their very limited life experience, which they extrapolate to the rest of the human race. In the case of many obese people, obesity is a sickness as any other sickness, and diet and exercise are only PART, sometime a small part of the solution. A very close friend of mine who, with age, had become rather obese, tried for several years the up and down of diets, exercises, etc. Talking about determination: in desperation she ended up undergoing bariatric surgery. Her weight is now perfect, but she still has to follow a strict diet and exercise regularly. So, why don’t you study the subject, even superficially, before dispensing your worthless advice?

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Josh Chace

10:21 pm on Monday, September 10, 2012

@Quasi, obesity isn't a "sickness". It's the result of a lifestyle decision (with a very small exception for a side product of medications, but even that obesity can be managed. You can't "catch" obesity like you can any other sickness.

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BAV

7:04 am on Tuesday, September 11, 2012

You can't "catch" brain cancer, multiple sclerosis, or any of a million other illnesses. I think you are confusing disease with "infectious" disease.

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RunningGreen

8:29 am on Tuesday, September 11, 2012

Lifestyle may play a role, but there are other factors that are currently being debated. Genetics is one area that researchers are currently looking at, if I'm not mistaken. Most illnesses are a result of the body malfunctioning in some way (cancer with cell reproduction, anemia with blood cell shape, etc.). We still do not understand the exact causes of obesity. Lifestyle is definitely a contributing factor, but I wouldn't go as far to say that lifestyle is the only factor, at least right now.

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quasimodo

9:03 am on Tuesday, September 11, 2012

@ Josh,

Not only you don't know what you are talking about, but you don't know how to read English, the language I used in my previous comment to you. Tell me how my friend's life style contributed to her obesity? Or better yet, tell me how do you catch a cancer, or Alzheimer's disease, or many other noninfectious diseases?

Cathy Culver

10:33 am on Tuesday, September 11, 2012

I have to defend Josh here... I am his fiance. And He knows full well what goes into all of this. I am overweight. And I agree with him. It is up to ME to fix it. There are enough tools out there Weight Watchers, Jenny Craig, BodyBuilding.com, The list goes on and on. But it is up to ME to fix this. So before you go telling him he has no clue, he does have a clue. He is supportive of me and who I am and where I want to be. He has watched my struggles. But you know why I struggle, because every time, I gave up. Yes I, Me, not my doctors, not my WW leaders... I gave up!

You CAN'T go to a doctor and take a pill and fix it. But on the other side, why would you WANT to go to her if you are overweight? She is putting it out there, she is NOT supportive. Flat out. So find another doctor, we live no more than 20 min from a world wide hub of the best doctors out there, Pick one!!! The hippocratic oath says "to do no harm." She is doing no harm by standing up for her belief and for her self... Myself, I would find another doctor who specialized in what I needed. She invested in a Private Practice, she deserves to make those decisions for her own health and safety.

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david mokal

11:14 am on Tuesday, September 11, 2012

I would call her way of thinking is like the Nazi's. Wanting to create the perfect human race. If my own Doctor who to me is thee most best said anything like this I would be off to find another Doc. To have made a statement like she did I would not concider her to be a professional. To get on a radio station and put this out there she is granstanding and trying to set another yuppy trend for other doctors to follow.

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Meggle

11:45 am on Tuesday, September 11, 2012

Colleen, while its admirable that you want to defend Josh, I think that both of you are showing a pretty limited understanding of obesity in the US, the same attitude that has trickled into the medical field and kept doctors from diagnosing me with the medical condition I have for eight years. I spent the second half of highschool and all of college miserable and sick, dieting using the conventional wisdom of weight watchers and the like only to become sicker and sicker until a doctor finally took the time to look at my weight as a symptom instead of a cause. Shockingly, treating myself has caused me to lose well over 20lbs in a few months without needing to essentially starve myself on ww-style conventional wisdom. I have more energy and I'm more fit because I stopped following the bull high-carb low-fat diet that every doctor before her told me would help me "lose weight" to feel better. This misguided tactic that a lot of doctors push for is unsustainable as a lifestyle choice, then they blame their patients for failing. You say it's your choice, yes, but it's impossible to deal with it EVERYONE is giving you bad advice. And they are. Read the Primal Blueprint or any number of books on whole-foods, grain free diets and then take another look around.

P

11:20 am on Tuesday, September 11, 2012

Whether you agree or not this is blatant discrimination. I want to see how you all react next when she announces she will no longer accept a white, black, chinese, or latino patient. I think the problem is that some of you need to go get a job and stop spending your day blogging. Go Romney!

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Cathy Culver

11:42 am on Tuesday, September 11, 2012

People don't chose to be Black, white, Latino or any other race. There is nothing they can do about it. It is how they are born. 99% of people are not BORN obeese. Yes there is a small margin of people who have conditions that this is a result of. Those people aside, conscious decision or not, you choose to live how you are. You choose to eat a cookie instead of a carrot. You CHOOSE to watch tv rather than go for a walk. I was not born at 205 lbs. I got here by bad food choices and not enough excersize.. I OWN that. I was BORN the color I am... I can't change that. Big difference

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Bob

12:34 pm on Tuesday, September 11, 2012

P, and IF she did in her PRIVATE practice, refuse to accept black or Chinese, she could! It is her business to do and choose who she treats. It is your and my choice to call her deranged and go to a different doctor. Same right! The real issue is people who think she doesn't have this right.

RunningGreen

12:10 pm on Tuesday, September 11, 2012

First of all, we should all calm down a bit. Secondly, lifestyle probably does contribute to a lot of obesity cases. However, I still disagree that it causes all cases. There are too many variables to narrow it down to a single cause. Why can some people eat a ton without gaining weight while others eat less but still gain weight? It is not known at this time, so it is still under scientific review.

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Jennifer Nagle

12:50 pm on Tuesday, September 11, 2012

Didn't even read ANY of the comments after this one from:
"Paul
3:48 pm on Sunday, September 9, 2012
Christine: the laws protect everyone from real discrimination when renting or buying real estate primarily because up to 30-40 years ago deeds were racially discriminatory. Discrimination is an "economic" evil. Being fat, lazy and stupid is an individual choice and lifestyle. We dont owe good health to those who dont choose it for themselves."

Paul, I am far below the weight limit that you seem to refer to. That said, what about the children that I know that have had / still have cancer. One of the side-affects of treatments (steriods) is incredible weight gain. This is not only with children with cancer, but many different diseases that steriods and other drugs, which cause nearly unimaginable weight gain. To write what you wrote, I have to call you out on it.... don't care how healthy you are / keep yourself... you make a statement like that in front of me with one of the children that I care for, YOU can choose to see Dr. Carter remove the boot from your.....
You should be ashamed of yourself.

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Josh Chace

1:09 pm on Tuesday, September 11, 2012

Those people are all well and good to make an argument with Jennifer, but in reality those only represent 1% of the "obese" individuals in the United States. It's not like half of them are suffering from cancer-related obesity, or half of them are on steroids. There are 150 MILLION individuals who are obese in the USA. Stop trying to avoid the argument that obesity is the result of poor lifestyle choices for the majority of individuals and the only solution is for them to adjust that poor lifestyle.

Paul

1:29 pm on Tuesday, September 11, 2012

Jennifer , you conflate two very different subjects to draw an example whiich is a non sequitur! An obese patient waddling in is VERY different from a patient who has baloobed up due to meds. Get a grip and stop purting kids fighting cancer in the same category as a people who use food to their own detriment. The cancer victim deserves care but fat people need to learn to take care of themselves. The former is deserving and tge later deserves what they made of their own body

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Maya

1:42 pm on Tuesday, September 11, 2012

So according to you fat people don't deserve care? If thats how you really feel then I really hope that someday YOU get what you deserve.

And again, Dr Carter is going to refuse a cancer patient who exceeds 200lbs.

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Josh Chace

2:25 pm on Tuesday, September 11, 2012

Well, yes. Dr. Carter IS going to refuse a cancer patient who exceeds 200lbs because she is not an oncologist.

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Maya

2:49 pm on Tuesday, September 11, 2012

Josh I refuse to address you anymore because you continuously miss the point. If you want to live in a world where people are disgarded because they are perceived to be "not worth it" than best of luck to you...and your fiancee

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TMHSGrad

2:57 pm on Tuesday, September 11, 2012

Maya, this is how it will be under Obamacare, as it is in Canada, and as it is in England. Get used to it.

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Maya

3:05 pm on Tuesday, September 11, 2012

I don't know what the discrimination laws are in Canada or England but I'm not a fan of government run healthcare.

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Josh Chace

3:27 pm on Tuesday, September 11, 2012

I'm not missing the point, you just don't like the answers you're getting. You're trying to build a case that the Doctor is discriminating without reason, when in reality she has a perfectly valid reason. She isn't the doctor to help them with their obesity or medical issues. Case closed.

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Maya

3:52 pm on Tuesday, September 11, 2012

The reason she gave was she is afraid of hurting her back not that she can't help them. I don't buy it for a minute, its about money. Regardless, maybe it isn't illegal, but it morally wrong. I think professionals like doctors should be held to a higher standard. Maybe I'm just foolish to believe that. The world is full of scumbags and she is a big one.

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Meggle

4:00 pm on Tuesday, September 11, 2012

Josh, firstly she is a GP and doesn't treat anything as a specialist. I am sure she still sees depressed people and people with thyroid disorders as their GP. Secondly, you've offered pretty much no REAL advice and clearly whatever advice you have hasn't been very helpful to your lady friend... Maybe instead of just saying "eat right" you should learn what that actually means. It would probably help her more than "being supportive".

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Josh Chace

4:18 pm on Tuesday, September 11, 2012

I haven't offered any advice because this isn't a forum on weight loss and being physically fit. If you'd prefer to sit down and have a discussion on the best choices for nutrition, exercise, and healthy living I am sure the Patch would love to have you start a Blog on your input, of which I will gladly contribute to. This however, is not the place which is why my statements were made general in nature, to support my claim that I think this Doctor is fully justified in doing what she is doing. In fact more industries should follow her guideline and the country would be headed in a better direction.

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Meggle

6:45 pm on Tuesday, September 11, 2012

Josh, unless your advice is actually sound, you don't have much of a leg to stand on... from the sounds of it your fiance seems to believe the same things that caused the obesity crisis will fix it (Weight Watchers... really? lol) so if you are using that for your reasoning -- and if this doctor is giving the same advice -- you're both hypocrites who have failed the people who need them.

Maya

1:36 pm on Tuesday, September 11, 2012

This doctor isn't differentiating between those who are overweight because of lifestyle and those overweight because of disease, medication, etc. And for those who say "just go to another doctor" I completely agree! But what happens when that doctor decides to do the same thing, and the next and the next.

And it is NOT her right to say she will not treat a black person, in the same way it is NOT any other business owners right to say they will not do business with a specific race. Obese people may not be protected under any discrimination laws but race most certainly is.

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TMHSGrad

1:55 pm on Tuesday, September 11, 2012

A doctor in a private practice may refuse or agree to service any patient they want.

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Maya

2:08 pm on Tuesday, September 11, 2012

Not true, look it up. A doctor or any other business can refuse service for legitimate business reasons. What is the business reason for refusing to serve a specific race?

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TMHSGrad

2:58 pm on Tuesday, September 11, 2012

How about "Sorry, we are not accepting any new patients." They do not have to give a reason.

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Maya

3:03 pm on Tuesday, September 11, 2012

True, unless you are accepting new patients, but not a certain race of patients. Then what? Do you ask them to fill out a questionnaire before refusing them? And I'm sure that is done in some places but that doesn't make it legal.

Meggle

2:32 pm on Tuesday, September 11, 2012

If anyone wants to actually educate themselves about obesity and it's causes I suggest you look up the video Sugar: The toxic truth, as well as visiting any number of sites related to Primal/Paleo style eating. Just telling people to "eat right" is useless when what we are taught is healthy is main cause of obesity. The frank fact is that the people who follow weight watchers, Jenny Craig, and most other high-carb low-fat diets will FAIL. Almost all of them will fail, completely. By some estimates only 2/1,000 people will have success. And of course they fail -- Recidivism is how these programs make their money off of you. The diets they suggest are almost 60% carbohydrates. That is a recipe for failure and hunger. So if you're obese, yes! You need to want to change, but you should be angry at everyone who has set you up --and continues to set you up-- for failure.

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Gene Pinkham

2:46 pm on Tuesday, September 11, 2012

Who remembers the sign at MGH about KOOL cigarettes?

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Paul

5:23 pm on Tuesday, September 11, 2012

Maya you dont have a clue. "right" blah blah blah... And, of course, take the easy liberal road and whine about race.
The doctor is fully within her rights, hypocratic oath , good business practices and the law to develop her business under her own patameters. Doctors do NOT have to make Section 8 house calls, do NOT have to make up food stamp diet plans, and do NOT have to treat the sick because she can choose a Wellness practice.

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Diana

7:07 pm on Tuesday, September 11, 2012

It's "hippocratic", the root of it being Hippocrates, and not hypocrisy. Perhaps that's where people are getting confused.

Paul

5:33 pm on Tuesday, September 11, 2012

Maya.... Stop with the typical liberal acusatory carping. Everyone who needs care should get it by their own means or the safety net. The point IS those who cant qualify under the standards of a doctor can go elsewhere.... Well at least it was that way before Obamacare which will decimate the health care system. You will have a shiny Obamacare card with RIGHTS to every treatment in existence. BUT there will be no providers to give you an aspirin!

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Christine

5:52 pm on Tuesday, September 11, 2012

Wow ... When Obama wins Paul where will you move to? You argument about cancer-deserving-care patients is as flawed as your thinking. Some skinny loser eats twinkies and Coke for lunch everyday and gets colon cancer and is covered but the fat person whose depressed or has special needs doesn't?? You're warped :) if doctors are not caring and compassionate people, they shouldn't get ONE dime of public monies, including public employer plan business-- then they can all fight for who's left- the
1% business who can pay cash..then they'll change their tunes...and should be blacklisted

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Christine

5:58 pm on Tuesday, September 11, 2012

And I'm not liberal-- just HUMAN--fat just happens to be the new black-- personally I hate sunblock--Am
I the next target? you don't exercise you say? Well I'm not covering you either!' oh and I know your genetic code, and guess what? It sucks-- oops not covering you either..
LOL get my drift people???

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TMHSGrad

6:05 pm on Tuesday, September 11, 2012

Christine just described what will happen with Obamacare.

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Paul

6:10 pm on Tuesday, September 11, 2012

Christine. I dont know whether Obama will be reelected or not. Regardless, i will continue to enjoy the Upperystic Lake view out the back of the house . My health is my responsibility, is excellent thanks to my own choices in life and with another 35-40 years i can wait out Obama.

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Meggle

6:43 pm on Tuesday, September 11, 2012

I assume you will not be enjoying medicare when you're 65...

Paul

6:54 pm on Tuesday, September 11, 2012

you ASSUME wrong.... thanks to Obama it is necessary to HAVE signed-up and to have selected AARP secondary..... the system is such that regardless of having my own VIP general doctor to whom I pay $1,500 a year plus $30 per visit.... there are penalties to NOT signing up for Medicare A etc.

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Diana

7:13 pm on Tuesday, September 11, 2012

Well color me impressed. Did you sign up for some sort of "Make millions posting nonsense on message boards" thing?

Maya

8:10 pm on Tuesday, September 11, 2012

Paul don't you make assumptions. I'm not a liberal either, just a compassionate person. I didn't vote for Obama and I don't support his healthcare plan. I do however believe that everyone has a right to medical care, and obamacare making it impossible for some to get that care is what scares me.

As far as the race argument, I was only replying to others who were saying it was perfectly legal for her to deny patients based on race. Its not. It may be legal for her to deny patients based on weight but it’s still wrong.

BTW don't be so smug about your excellent health, because that rug could be pulled out from under you at any time. Not that I would ever wish poor health on anyone, but if you needed care don't you think you deserve to get it?

Again, I think this Dr. is a scumbag so overweight patients are better off in the long run not being able to make the mistake of choosing her. But I’d worry about the trend she is setting that will cause other doctors to follow suit and deny patients based on everything from chronic illness, to age. Because really under obamacare it doesn’t make financial sense for them to “treat” anyone but the perfectly healthy.

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fullname

8:55 pm on Tuesday, September 25, 2012

I "saved" a 400 pound patient from falling out of bed onto the floor. I am permanently injured with a right hip labrum tear with constant daily pain. From now on, those fat patients will hit the floor. I have 30 year old co-worker nurses who are already having joint problems from lifting/pulling/pushing fat patients. We won't do it anymore. If you are fat and laying shit, you will get cleaned up twice a day, no more, and we require 5 nurses to do it. Those 5 nurses must abandon thier other patients to the favour of that fat ones. AND if we injure ourselves, we end up with even fewer nurses who can take care of these fat fucks. We are tired, we are hurt, and assholes believe that we are abandoning our care of patients. Such as the first response stating that the MD who says, NO MORE is going to have to deal with a lawyer to defend her position. YOU people are disgusting. You raise our insurance rates, and raise our risks. You require more healthcare than normal people and have more commorbidity than normal patients. The United Kingdom has already banned knee replacements in fat people because you don't get up and walk to make it work. You are digusting. We hate you.

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Melissa Gleaton

9:14 pm on Tuesday, September 25, 2012

Maybe you went into the wrong profession. I dare you to use this language about your patients on your floor (and not hiding behind a screen name) and see how long you have a job. Florence Nightingale would be proud.

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The OLD Malden's gone..

9:44 pm on Tuesday, September 25, 2012

ABSOLUTELY NO WAY IN HELL your a nurse!! I hate to sound like some other grammar police on this site, but NO WAY is the above paragraph indicative of a college graduate..
And the contempt towards any kind of patient is beyond disgusting...
So YOU are a fraud!!

fullname

9:14 pm on Tuesday, September 25, 2012

Reading all of these comments, there are way too many "obese, heavy, overweight" statements. This has got to stop. The creatures are FAT.
We don't owe them the same treatment, an extra airplane seat, longer seatbelts, electric carts in Walmart, or extending them the privilege of putting health care and ems workers at risk.
I may HAVE to treat you when you're in MY ICU, but you can better believe I'm not going to waste my body on slinging you around. And their visitors are always just a stinking fat as they are.
I took a woman off of a ventilator one day and the first words out of her mouth? "Can I have a menu please?" She was back on a vent...too fat to breath effectively withing two days. YOUR healthcare dollar is paying for that, you stupid dicks.

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Diana

9:22 pm on Tuesday, September 25, 2012

And one day my healthcare dollars will pay to keep you alive too, even though the world might be a better place if they didn't. Hopefully they'll stint a little on the pain meds.

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The OLD Malden's gone..

9:48 pm on Tuesday, September 25, 2012

I can't believe I'm in total agreement with Diana....scary....

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Mike G.

11:02 pm on Tuesday, September 25, 2012

LOL

5/10 troll, pretty good effort.

fullname

11:19 pm on Tuesday, September 25, 2012

Admirable, concerned and I agree. Too bad we are a for profit hospital and all the help we need isn't a consideration here. (Las Vegas...obesity buffet heaven with cows at the trough). Truthfully, we triage in emergencies and fat people will be last to be saved. This should be a wake-up call to the naive contributors here. The nurses owe it to their own families to stay healthy and injury free in their workplace. Lose your weight Fatso's. We don't owe you our lives too. And NOTHING is worse than family members who bring them all the food they want and want the nurse to "pull them up in the bed higher " so they can binge. Yes...I'm in the correct job. I'm waiting for you pigs on a ventilator to help make the payments on my 3 houses, 2 cars, an RV, and a hot young petite wife. Have a cookie. Blame your thyroid. We've heard em all. And thanks for the reveiling profile pics of your fat jowls!!!

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Richard Jertz

8:41 am on Wednesday, September 26, 2012

Glad to see we are beating this topic to death now.

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