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Ethical Issue - Discussion of Obese Nurses, Physicians and Patients

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lord if that aint the truth!

a couple months ago my husband and i made a pact to not eat out anywhere in the fast food industry at all. we only go out maybe once a month or so to a nice restaurant. we are doing good too. you sure do eat better if you just cook it at home. and the food's better too!

the thing we are working on now is portion control. when i cook, i usually cook for an army but its just the 2 of us. so im learning portion sizes and just cooking that. i'm a true food addict so i struggle with food daily.

i've been enjoyingmy weekly grocery trips to see the new things i can come up with.

yesterday i was going to make some potatoes. i hadn't bought any because i figured we had plenty. everyone has potatoes, right? when i got the bag out i was shocked at the sprouts growing on them. it wasnt till then that i realized i hadnt cooked any kind of potatoes in forever. i realized we'd been eating good veggies instead and we hadnt even missed the potatoes. i was so proud of us!

i work only weekends. we've made a pact there for no fast food at lunch too. we've been taking stuff together to have different things for lunches and snacks. we've got oatmeal/cereal/cottagecheese for breakfasts, lean meats/cheeses for lunches, soups, etc. fruits for snacks. we have this one patient that we spoil rotten. every sunday i take him breakfast from hardees and a sunday newspaper. that was always our day to cheat and we'd get biscuits too. we havent had one for ourselves in almost 4 weeks now i think.

i'm doing my pool therapy workouts and the outdoor pools will be open soon! i cant wait. i'm megaobese so it helps me to do pool workouts. i'm lazy though, real bad. i sit and crochet all week. it's hard to change yourlifestyle.

i've done things like bought smaller plates and bowls. i browse the good will and dollar tree stores and find the cutest plates/bowls. my food therapist says to make it pretty so you WANT to sit down and eat it.

i'm learning how to tell if my body is really hungry or if im eating to cover up an emotion. i might eat anyway but at least im learning to recognize that, right? lol

i was kidding about the sausage biscuits, lol. but the donut stores really are that close, with hardees, mcdonalds and all the rest in between the two stores. it's like a battleground. if i make it home without stopping, i win the battle!:lol2:

Sounds like you're doing a lot of the same things I am. It's working, however slowly........ah, I'm too impatient, it took me 30 years to get here and it'll take longer than a few weeks to undo everything I've done to myself over those years. But I can tell you from experience that KNOWING where your weak spots are is half the battle won!:yeah:

I know what you mean about the pool...........wish I had easy access to one, because that's one place I would gladly exercise because it doesn't hurt! The closest pool is almost 10 miles away however, and it's one of the old-school places where you HAVE to wear a bathing suit, they won't even let you wear a T-shirt over it. So I don't go there........the bathing suit hasn't been made that adequately covers a 300-pounder. Which means I've got to figure out some other way to exercise year-round, because my other favorite 'workout' is working out in the yard ;) and there's only about 4 months to do it in. :icon_roll

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Southernbeegirl I was respomding to your post from the last page with humor... In light of your last post let me say Congrats you seem to have humor And a good handle on your issues. Good Lock.

TuTonka

ahhh i'm trying at least. i've given myself 6 months. if i dont make a substantial change in my life i'm going to die. my doc wants me to gave gastric by pass surgery. i'm scared of it. i want to do it on my own.

heck, if i can quit drugs/alcohol, i can quit food too.

what i need is a friend to force my lazybutt to get in the pool. ya wanna be my coach? i'll take you to the donut stores for payment :D

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Look at how the younger docs deal with it. Nutrition and tons of exercise. Many of the older docs 50-60 smoke and have borderline health.

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Sounds like you're doing a lot of the same things I am. It's working, however slowly........ah, I'm too impatient, it took me 30 years to get here and it'll take longer than a few weeks to undo everything I've done to myself over those years. But I can tell you from experience that KNOWING where your weak spots are is half the battle won!:yeah:

I know what you mean about the pool...........wish I had easy access to one, because that's one place I would gladly exercise because it doesn't hurt! The closest pool is almost 10 miles away however, and it's one of the old-school places where you HAVE to wear a bathing suit, they won't even let you wear a T-shirt over it. So I don't go there........the bathing suit hasn't been made that adequately covers a 300-pounder. Which means I've got to figure out some other way to exercise year-round, because my other favorite 'workout' is working out in the yard ;) and there's only about 4 months to do it in. :icon_roll

oh but i disagree! i weigh 350lbs. and i get my big butt right in that pool dangit! i have the cutest bathing suits! they now have suits that are shorts. i love them! it's like wearing clothes but you are wearing a swim suit.

i get mine here.... this is the suit i just got. i got these shorts with that black/white top in the right hand corner. and i look so cute in it!

http://www.junonia.com/detail.htm?sid=537092&tl=3&ldid=2&sdid=10

so now you dont have an excuse! lol, you are welcome :D

i have to drive 20 minits to work out at the fitness center. i hate the drive but it's something i gotta do. i take a water aerobics class with a bunch of ladies, most over 60. they are the greatest ladies! i started taking their class when i was going for PT for sciatica and strengthening after i threw a PE at work. i would do my therapy in the deep end the hour before their class. there i would be, working my butt off with my oxygen tubing floating all around me, lol. i started PT 2 weeks after my PE. i dont know why i did that, lol. so they invited me to stay for their class one day and my therapist said i could try it. it took me a few classes before i was strong enough to do the whole class. when i finished my first whole class they all applauded for me. they are the funnest women. they come for the fun and the exercise. they gossip during the whole class, lol. it's a hoot.

it wont be long before the pool is warm enough to get in here at my apartment complex. we have the best pool. and during the week there are very few people there. there are hardly any children that live here. i live at the pool during the summer. so people stare at me? yeah, sometimes. screw 'em. swimming is something i love, love,love to do and i'll be danged if im going to let some rude people keep me from it.

thats what i think about people that stare at me or are rude at work. screw 'em!

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food addict here, too.......I LOVE my baked potatoes....I put cottage cheese on them instead of butter/sour cream.....they are delicious !!!!

I bake instead of frying....chicken, fish, lean beef.....

The only thing I HAVE given up was Donuts....so STOP !!!!!! I am lucky there are no DD or KC near my place or on the way to work !!!!

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My tip... don't eat all the goodies that are brought in from patients and co-workers!

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oh but i disagree! i weigh 350lbs. and i get my big butt right in that pool dangit! i have the cutest bathing suits! they now have suits that are shorts. i love them! it's like wearing clothes but you are wearing a swim suit.

i get mine here.... this is the suit i just got. i got these shorts with that black/white top in the right hand corner. and i look so cute in it!

http://www.junonia.com/detail.htm?sid=537092&tl=3&ldid=2&sdid=10

so now you dont have an excuse! lol, you are welcome :D

i have to drive 20 minits to work out at the fitness center. i hate the drive but it's something i gotta do. i take a water aerobics class with a bunch of ladies, most over 60. they are the greatest ladies! i started taking their class when i was going for PT for sciatica and strengthening after i threw a PE at work. i would do my therapy in the deep end the hour before their class. there i would be, working my butt off with my oxygen tubing floating all around me, lol. i started PT 2 weeks after my PE. i dont know why i did that, lol. so they invited me to stay for their class one day and my therapist said i could try it. it took me a few classes before i was strong enough to do the whole class. when i finished my first whole class they all applauded for me. they are the funnest women. they come for the fun and the exercise. they gossip during the whole class, lol. it's a hoot.

it wont be long before the pool is warm enough to get in here at my apartment complex. we have the best pool. and during the week there are very few people there. there are hardly any children that live here. i live at the pool during the summer. so people stare at me? yeah, sometimes. screw 'em. swimming is something i love, love,love to do and i'll be danged if im going to let some rude people keep me from it.

thats what i think about people that stare at me or are rude at work. screw 'em!

You are an inspiration!!

And thanks for the link---yes, I could definitely deal with those swim shorts and the tankinis.

Our local Y has water exercise classes for older people and those with arthritis; I could handle that to start.

You've given me some great ideas.......thank you!:yeah:

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You are an inspiration!!

And thanks for the link---yes, I could definitely deal with those swim shorts and the tankinis.

Our local Y has water exercise classes for older people and those with arthritis; I could handle that to start.

You've given me some great ideas.......thank you!:yeah:

i started to tell you to check out the Y. we have the same classes at our Y here. we also have this aquatic center that actually has classes for obese people.

it is so much easier for me to work out in water. my joints dont give out and if i sweat nobody sees it, lol.

i knew you'd love those swim shorts!! but be sure to order the size you normally wear or maybe even a size smaller because they run kinda big. i love that site. their clothes are a bit pricy but very well made and totally worth it.

another thing is that insurance will pay for PT with a dx of obesity. it's like having a personal trainer. :D

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food addict here, too.......I LOVE my baked potatoes....I put cottage cheese on them instead of butter/sour cream.....they are delicious !!!!

I bake instead of frying....chicken, fish, lean beef.....

The only thing I HAVE given up was Donuts....so STOP !!!!!! I am lucky there are no DD or KC near my place or on the way to work !!!!

i hadnt thought of putting cottage cheese on a potato. what a great idea!

i'm trying to learn to eat a low carb diet. i have PCOS. my doc is really pushing me hard to eat low carb. why is it that we crave carbs so much???

i found these canned peaches that are sweetened with splenda and have like 4 carbs a can. so for breakfast i eat cottage cheese and peaches.

i started baking proteins last year. they are so yummy that way and way more easy to cook. i line the pan with foil, bake the food and voila! easy clean up too.

i want to start cooking fish. for some reason, i shy away from cooking fish, although i love it. i do keep a bag of frozen, boiled shrimp in the freezer though. so easy to thaw out, mix up some cocktail sauce, throw a salad together and yum! i read on http://www.hungrygirl.com that the new Gorton's grilled shrimp is delicious so im going to try that. but i have a grill pan that i make it in on the stove and it comes out great.

being from the south, we love fried squash down here. one day i thought "why cant i oven "fry" it?". it turned out great! i used an egg dip and dipped the pieces in it and rolled them very lightly in panko crumbs (i tried cornmeal but it didnt get cruncy in the oven but panko makes it so crunchy). i drizzled just a tad of olive oil on the pieces and baked them. tasted better than fried.

does anyone have any cooking tips or food tips for a lower carb diet? i know i'd sure love the help!

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My tip... don't eat all the goodies that are brought in from patients and co-workers!

but..but..but...that would be so rude of me! (lol)

i have a favorite patient and call he and his wife my adopted mom and dad. she makes me homemade apple butter with splenda! is that not the sweetest?

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http://www.medscape.com/viewarticle/701809?src=mp&spon=24&uac=127916SY

If it works, this is a link to an article from MedScape Nurses, discussing bias against the overweight and obese majority. I've only skimmed it, but it may be of interest to other participants in this thread. I think it's fair to say we've seen some examples of bias against the obese, here.

Please understand, I'm not remotely saying fat people should adopt a "victim" mentality. I think it's critical to take ownership of our problem if we are ever to overcome it. But I also think it is a very rare individual who will be adequately motivated by self-loathing, or the disapproval of others, to make positive changes that will last. I applaud those who are able to say "screw 'em" and go swimming, anyway. A fat person who exercises will be healthier than a fat person who doesn't, so that in itself is a valid goal.

ETA: Well, I went through it in detail, and it didn't tell me a lot I didn't know, but I suppose the reinforcement is useful. One thing that occurs to me is that with obesity as prevalent as it is, many of those showing bias against the obese are likely to be at least overweight, themselves.

Edited by nursemike

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http://www.medscape.com/viewarticle/701809?src=mp&spon=24&uac=127916SY

If it works, this is a link to an article from MedScape Nurses, discussing bias against the overweight and obese majority. I've only skimmed it, but it may be of interest to other participants in this thread. I think it's fair to say we've seen some examples of bias against the obese, here.

Please understand, I'm not remotely saying fat people should adopt a "victim" mentality. I think it's critical to take ownership of our problem if we are ever to overcome it. But I also think it is a very rare individual who will be adequately motivated by self-loathing, or the disapproval of others, to make positive changes that will last. I applaud those who are able to say "screw 'em" and go swimming, anyway. A fat person who exercises will be healthier than a fat person who doesn't, so that in itself is a valid goal.

ETA: Well, I went through it in detail, and it didn't tell me a lot I didn't know, but I suppose the reinforcement is useful. One thing that occurs to me is that with obesity as prevalent as it is, many of those showing bias against the obese are likely to be at least overweight, themselves.

If they're not overweight themselves, I suspect that they at least have been overweight at some point, felt awkward about their weight or been told by a hypercritical parent/coach/teacher/other authority figure that they were too heavy. This kind of bias doesn't occur in a vacuum. Since research establishes obesity to be far more complicated than a simple calories in vs. calories out equation, to sit in judgement of someone who struggles with their weight can only be driven by internal conflict. Says I!

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