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(Daily Mail)   Texas hospital refuses to hire anyone with a body mass index of more than 35. In other words, no Americans need apply   (dailymail.co.uk) divider line 258
    More: Asinine, Texas Tribune, job hunting, Mr. Brown, Texas, health care providers  
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9844 clicks; posted to Main » on 07 Apr 2012 at 5:23 AM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-04-07 11:11:42 AM

trekkiecougar: Oh I understand that. And I agree with Nixon that caloric intake is a major factor. My loved one is now eating more healthy, it's just that sometimes his job gets so busy he forgets to eat (!) Then he'll grab something to eat real late, right before bed. And don't let me get started on the potted meat and crackers augh! I just want some anecdotes from my fellow male Farkers to see what worked best for their bodies overall.

Thanks!


I've never really had any luck. I once got down to 230 doing lots of cardio every day and removing soda from my diet, but most of my weight lost was from my arms and legs (which weren't really that big to begin with). I have a feeling that to lose my torso fat, I'd have to just go crazy with an unsustainable amount of diet an exercise, so I've given up trying. As long as I'm not gaining any more weight (been in the 250-260 range for a solid 3 years), I'm not too concerned.

I'll probably die young from heart disease, but that's preferable to starvation diets and exercise.
 
2012-04-07 11:16:33 AM

david_gaithersburg: You may be able to download a pedometer app of you have one of those so called smart phones.

 
2012-04-07 11:19:05 AM
Should "normal" be based on the ideal or the average? If it was based on the average we would all have more room on aircraft.
 
2012-04-07 11:25:14 AM

Bathia_Mapes: BMIs don't take muscle mass into account either. During his Mr Universe days, a BMI would have said that Arnold Schwarzenegger was overweight based on his muscle mass.


During his peak Arnold Schwarzenegger was 235 lbs. At ~6' 1" that means even as one of the most buff guys in the world his BMI was 32.

He'd had no problem getting under this hospital's chub-index.
img.xcitefun.net
Considering fat weighs less than muscle, you'd really have to be huge to not make it below a BMI of 35.
 
2012-04-07 11:31:31 AM

batcookie: Farked_in_the_NW: You don't get to a BMI of 35 by walking up and down the halls taking care of patients. There are a couple of nurses I work with who are obese and they are invariably found sitting behind the desk. In this field there is ALWAYS something to do and if you're sitting down that something is not being done. I'd say that BMI may just be an indicator of work ethic.

Now, I'm attacked for not understanding, I do. My metabolism isn't such that I can put away a box of twinkies and a gallon of ice cream without gaining weight. On days that I work I can put away some food without it affecting my weight... Now off to finish getting ready for work.

/Nurse

I seriously resent the assumption that a BMI would have ANYTHING to do with a person's work ethic. My father was a very large man who struggled with his weight for his whole life, and he was the hardest worker I've ever known. In fact he worked himself into an early grave, which being 9 years old I REALLY appreciated.... That man couldn't say no to anything or anyone. "Tony, I need some help cleaning my gutters..." "Tony, can you give me a ride to Mexico to escape the cops?" He'd do anything for anyone and never took a rest in his life. I won't sit here and have people say "fat = lazy" because it IS NOT true.


I agree with you. But you got to remember this is Fark. You will not win.
 
2012-04-07 11:31:46 AM

shooosh: Your wallet? You can't even afford TF!


Hello pot, my name is kettle. It is a pleasure to meet you!
 
2012-04-07 11:40:58 AM
I really tried but I could not find that strip in Mad Magazine from around 1970 that showed Americans getting so fat their legs became useless appendages and they resembled weeble wobbles that the wiry Red Chinese invaders easily pushed aside. Around the same time they did the bottled milk, water and air delivery parody.

/it's in my attic but I'll be dammed if I'm digging it out for this.
 
2012-04-07 11:46:12 AM
Peggy Howell, public relations director for the National Association to Advance Fat Acceptance,

This is a thing? Someone actually created a National Association to Advance Fat Acceptance?
 
2012-04-07 11:49:45 AM

Gosling: This is a thing? Someone actually created a National Association to Advance Fat Acceptance?


Yep. Sad, isn't it?
 
2012-04-07 11:51:32 AM

Nogale: shooosh: Nogale: I know nothing but if that's true you should completely ignore the BMI BS. You're kicking ass! Find a different tape measure than BMI, like, yourself! Who better to judge? Good luck on the marathon.

Oh, I just mentioned BMI because it was the criterion brought up in this thread. I know it's a highly problematic measurement and don't usually bother with it.


BMI may not be perfect but it is cheap and quick, a 15 second weigh in could provide the BMI once you have weight on file. Body Fat % although more accurate is also a slower and more expensive alternative. For the extremely small percent of the population who has extremely low body fat but high BMI I'm sure they could get an exception.

I for one think this should be applied to anywhere that sells food. If you have a BMI over 35 you should be limited to healthy choices only. If the government is going to pay for healthcare and a big chunk of that will be obesity related then the government should be able to proactively fight obesity including dictate what obese people consume.
 
2012-04-07 12:09:15 PM

d_the_sandman: According to TFA, it's more about "personal appearance" than overall healthiness. Which in the big scheme of things is not much different than having an official policy of not hiring folks with visible tattoos. I don't agree with either, but it's more understandable on a social level than actually using the BMI scale as a scientific way of gauging obesity, which everyone knows is bunk.

The weird thing to me is that 35 is actually on the low end of "obesity" on the BMI scale. Someone who is just hovering around that number would only be "moderately obese". Even for a non-athletic, sedentary person and not just a bodybuilder with all kinds of muscle/bone variables complicating the scale, that's still not THAT fat. At least, not enough to look reasonably "unprofessional" in a nurse outfit. But that's subjective.


That's being over 60 pounds overweight. It's still fat, unless by non-athletic, sedentary person you mean needs a forklift to be able to get out of bed.
 
2012-04-07 12:10:26 PM

LouDobbsAwaaaay: maq0r: They are not going to hire the skinny dumb person either, there are other hiring factors, that is, an education. A person who's educated in medical sciences and actually lives up to them is millions times better than one who knows the shiat but doesn't live by it.

Right ... well, go ahead then. I'm just glad they are freely advertising that they hire for reasons other than job qualifications. If that makes sense to you, I wish you the best of luck. If I'm in a hospital, it will be one that screens applicants based on their relevant skill set, expertise, experience, and work record.


No, they are not. They are hiring based on job qualifications PLUS healthy lifestyle.

They aren't hiring your local gym trainer to perform heart surgery.
 
2012-04-07 12:16:17 PM
Apparently to have a BMI of 35, I'd have to literally double my current weight. I cannot imagine that. Being that fat must be uncomfortable as hell.
 
2012-04-07 12:16:52 PM

RancidSorbet: Nothing worse than being stuck in a hospital bed with a nurse who reeks of tobacco.


A dental hygenist that reeks of tobacco?
 
2012-04-07 12:17:44 PM

trekkiecougar: PKKK MEL: There's no such thing as spot fat loss, any suggested program for trimming an area is not valid.

Oh I understand that. And I agree with Nixon that caloric intake is a major factor. My loved one is now eating more healthy, it's just that sometimes his job gets so busy he forgets to eat (!) Then he'll grab something to eat real late, right before bed. And don't let me get started on the potted meat and crackers augh! I just want some anecdotes from my fellow male Farkers to see what worked best for their bodies overall.

Thanks!


If he eats at night, make it proteins and slow carbs. Eggs or oats. And just walking more can help greatly when overweight.
 
2012-04-07 12:22:30 PM

mr0x: Befuddled: I'm amazed when I find anyone in the medical profession who thinks the BMI nonsense has any validity.

Go pick some taller than average athletes who are in very good shape and apply the BMI nonsense to them, I'll bet you'll find most are considered obese. Like Michael Jordan, listed as six foot six inches and 216 pounds. His BMI is 25 so he's overweight.

Most people aren't athletes or body-builders.

For the general population, the BMI is strongly correlated with body fat percentage if classified by population groups like sex, age etc.


Actually, a lot of the population has a skewed BMI. Even a lot of normal people do. Frame size, natural mass, nice racks (wait, what?).

I swim several miles a week, walk (not run) regularly, and do martial arlts. I'm a lot more fit than most, fairly strong, but no body builder. I'm 'overweight'.

The fact is, if you're taking the time to do the right things, BMI and the food pyramid are absolutely out the window. If you're doing nothing, it may or may not be right for you, depending on who you are. Want a real test? Do a water displacement test. I'd rather be overweight in my shape than 'healthy' in BMI.
 
2012-04-07 12:22:33 PM
everything is bigger in Texass!!
 
2012-04-07 12:23:18 PM
here i sit
cheeks-a-flexin'
just gave birth
to another texan!
 
2012-04-07 12:34:25 PM
Americans, the FATASSES of the world! You fatasses are number 1!
 
2012-04-07 12:50:55 PM

mr0x: Bathia_Mapes: BMIs don't take muscle mass into account either. During his Mr Universe days, a BMI would have said that Arnold Schwarzenegger was overweight based on his muscle mass.

Why would someone with so much muscle work in a hospital?

It would probably end up breaking carts and keyboards.


phildean1963.files.wordpress.com
 
2012-04-07 01:12:21 PM
Lots of folks repeating the well known examples of outlier athletes versus BMI. Did anyone read the sidebar in TFA? It references an actual study - not just anecdotes about the extremes - that confirms the BMI is pretty inaccurate. But the study found BMI significantly underestimated obesity.

While only 26 per cent of the patients were classed as obese according to BMI, 65 per cent of them fell into that category when measured with the DXA scan.

So yes, BMI is a crude measure, but don't kid yourself that your BMI is "high" but you're still in decent shape. Unless you get royalties from poster sales, BMI is more likely underestimating your fattiness.
 
2012-04-07 01:15:27 PM
Mahalo nui, Pkk Mel!
 
2012-04-07 01:15:40 PM

pippi longstocking: [musclegainreview.com image 500x333]

BMI is pure BS, probably like their treatments.
What if you look like this guy? I bet his BMI is close if not over 35.


That guy is representative of an insanely small portion of the population, 1:100,000 perhaps. For most people it's an adequate rule of thumb.

/BMI of 22.7
 
2012-04-07 01:20:55 PM
Over 200 posts. It looks like this thread struck a nerve with the average Farker.

Now noted and added to my box of trolling lures.
 
2012-04-07 01:30:56 PM

AcneVulgaris: Bathia_Mapes: BMIs don't take muscle mass into account either. During his Mr Universe days, a BMI would have said that Arnold Schwarzenegger was overweight based on his muscle mass.

But 35? That's pretty farking fat.


My ex-wife has a BMI of roughly 77. THAT is fat. 35 is nothing.
 
2012-04-07 01:33:22 PM
Well they're certainly not going to be able to replace fat American nurses with Mexican nurses. You think the U.S. population is unhealthy? Holy crap, go to a beach in Mexico sometime. The kind with actual Mexicans on it, not tourists from other countries. Now THAT is an unhealthy population.
 
2012-04-07 01:33:26 PM

puffy999: Ed Finnerty: When it's illegal to be fat inside, you'll see your "fat breaks".

Until fat becomes a vapor, it's just not the same.


Add one letter to "fat" and you'll find an offensive vapor that obese people tend to produce more of that you would probably want them to take outside.

/that letter is "r"
//it goes between the "a" and the "t"
 
2012-04-07 01:37:55 PM

Smeggy Smurf: My ex-wife has a BMI of roughly 77. THAT is fat. 35 is nothing.


In that case, congratulations on your divorce.
 
2012-04-07 01:38:22 PM
If you can't put your arms flat against the sides of your body, you're too farkin' fat, BMI below 35 or not.

That is all.
 
2012-04-07 01:47:35 PM
farking standards, the bane of modern day America
 
2012-04-07 02:02:56 PM
Subby sounds fat. As do a lot of farkers.

Yes, BMI has 'issues'. However, I'd wager that those who complain about said issues are generally not those fall into that very small category.
 
2012-04-07 02:32:31 PM
Where I work, patients have often commented on why the front desk reception staff is so fat! They are! This isn't even in Texas! One of the fattest co-workers, who was until last week due to staffing changes was welded to her computer, now has to room patients. She looks so miserable walking.
 
2012-04-07 02:54:39 PM

Bathia_Mapes: BMIs don't take muscle mass into account either. During his Mr Universe days, a BMI would have said that Arnold Schwarzenegger was overweight based on his muscle mass.




People who fall into that sort of category are the extreme minority, and are people who will not be measuring their fitness using such crude tools as they'll be extremely fit.

But for 99.999% of people, 35 is fat. Fat fat fat.
 
2012-04-07 02:55:24 PM
machoprogrammer

Is this the thread where fat people try to convince themselves BMI is totally invalid because bodybuilders and football players would be considered overweight/obese with BMI?

Forget tall people, body builders and professional athletes. I'm average height. A few years ago I had a BMI of 23.5. I looked like a concentration camp survivor. A healthy weight for me is about 20 pounds higher, which would put me firmly in the Overweight area of the chart.
 
2012-04-07 04:47:58 PM
I've got to be at the gym in 20 minutes, so I'm really getting a kick out of this thread.

/BMI=23.0
 
2012-04-07 04:48:31 PM
Putting the critiques of BMI to one side, people here seem to forget that medicine has always cared about appearances.

Statistically, a patient's confidence in the doctor has an effect on the success of treatment. That's why doctors walk around with a stethoscope hanging around their neck.. the stethoscope is a symbol people associate with 'doctor', and carrying it around the neck is a psychological cue that says, 'this person is so busy doing their job that their tools are always within reach'. Same for the lab coats. Same for the dress shirt and tie under the lab coat. Same for the confident voice and the firm handshake. It's why the concept of 'bedside manner' is a meaningful and relevant medical term.

Doctors play to those stereotypes because in medicine, the mental game matters. A patient's confidence in the physician can literally be the difference between life and death.

If medicine was just a matter of science and prodecures, it would be easy. Doctors would rank right up there with plumbers and auto mechanics. Unfortunately, humans are complicated things, and a doctor who can't convince patients to participate in the healing process isn't effective.

So regardless of how tightly your knickers get twisted, if a significant fraction of a hospital's client population says, "I won't listen to that doctor," that's a medical issue. And unless you believe it's right to deny people medical care unless they conform to some particular flavor of groupthink, it's an issue a hospital has an obligation to address.

In this particular case, it's hard to see how obesity wouldn't raise questions about a healthcare professional's competence at a level which could have a negative effect on the patient's participation in the process.

If a patient can look at doctor and say, "I'm healthier than you are, why should I listen to you?" the doctor has already lost the game.

If a doctor is advising a patient, and the patient can point to a nurse or orderly walking past and say, "is your colleague an example of the standards you're preaching?" the doctor has lost the game.

If a doctor has to say, "medicine is a high-stress occupation," to excuse the obvious lack of health in themselves or the staff around them, they may as well get out of medicine.. that statement is a direct admission that 'high stress' is a valid medical justification for unhealthy behavior, and guess what: everyone's job is stressful in some way or other. You may as well get out of the 'prevention and treatment' business and head over to 'cleanup and disposal'.
 
2012-04-07 05:31:56 PM

badhatharry: First they came for the smokers. Then they came for the fatties. I wonder who will be next.


Maybe amateur athletes and fitness freaks? They probably take more time off than the fatties and certainly the smokers so their sports injuries can heal.
 
2012-04-07 06:10:53 PM

Bathia_Mapes: BMIs don't take muscle mass into account either. During his Mr Universe days, a BMI would have said that Arnold Schwarzenegger was overweight based on his muscle mass.


I wonder just how many health problems bulking up with muscle will have? I've seen a lot of undergrads who are into bulking up for the sake of being big recently, and I wonder if that's going to have health consequences as well.

Consuming all that protein, pushing blood through all that muscle... At least they're exercising to get there, but I still wonder.
 
2012-04-07 06:55:23 PM
That's probably a little less than 20% of the nurses I work with. I'm "only" at 31 and I feel like a farking embarrassing lard-ass. Trying to do something about it though.

/Broken ribs really fark up your workout.
 
2012-04-07 07:21:48 PM

NIXON YOU DOLT!!!!!: Fwee wiwie!


"Salad's not food. Salad is a promissory note that food will soon arrive."

/John Pinette is relevant to this thread
 
2012-04-07 07:44:31 PM
Fat people are gross.
 
2012-04-07 07:56:15 PM

Befuddled: I'm amazed when I find anyone in the medical profession who thinks the BMI nonsense has any validity.

Go pick some taller than average athletes who are in very good shape and apply the BMI nonsense to them, I'll bet you'll find most are considered obese. Like Michael Jordan, listed as six foot six inches and 216 pounds. His BMI is 25 so he's overweight.


Well they have to use some kind of scale, they can't just say "you're fat"
 
2012-04-07 08:46:56 PM
when my brother was in the hospital. He was pretty out of it a lot of times.
One of the ladies that came in to take temp and blood pressure was about as big as
the bed. My brothers eyes got all big and they would follow her around the room. He watched her
the whole time till she went out the door and he just looked at me and then back at the door.
He actually looked kind of scared and asked me "Could you pick her up?". i said no.
That's all he said.
When the nurse came in later. The first thing he said when she walked in
"Goddamn put her on a farking treadmill, I was afraid she was gonna fall on me and smother me".
True story.
 
2012-04-07 08:49:27 PM

Farked_in_the_NW: You don't get to a BMI of 35 by walking up and down the halls taking care of patients. There are a couple of nurses I work with who are obese and they are invariably found sitting behind the desk. In this field there is ALWAYS something to do and if you're sitting down that something is not being done. I'd say that BMI may just be an indicator of work ethic.

Now, I'm attacked for not understanding, I do. My metabolism isn't such that I can put away a box of twinkies and a gallon of ice cream without gaining weight. On days that I work I can put away some food without it affecting my weight... Now off to finish getting ready for work.

/Nurse


Bullshiat. I reached 250 pounds as a waiter. we were busy enough most shifts I didn't get a chance to sit down until counting my cash at the end of the night.

I ate like a hog though :)
 
2012-04-07 09:43:00 PM

cgremlin: /John Pinette is relevant to this thread


John Pinette is damned near always relevant.

Or Gabriel Iglesias....he's not fat, he's fluffy!
 
2012-04-07 10:35:29 PM

Mayhem of the Black Underclass: I just thought it was the last legal way they could discriminate against black (read "sassy") nurses. Because we know all the fat black nurses are horrid biatches and the skinny ones are all pleasant as punch.


Actually, all a lawsuit would have to do is prove black people or other minorities are disproportionately affected by the policy and they'd have to drop it. Even though there are plenty of fat white people, I'd venture a guess that the majority of applicants turned away by this policy are black or Hispanic. Poor people have a higher likelihood of being obese, and minorities are disproportionately poor.

Plus, there's just a little bit of "code" in this statement: Mr Brown told the newspaper the regulation is based largely on 'appearance', rather than fears of high insurance premiums for potentially unhealthy employees. 'The majority of our patients are over 65, and they have expectations that cannot be ignored in terms of personal appearance,' he said.

Let's see, who would people over the age of 65 living in Texas object to the most when it comes to hospital workers?
 
2012-04-07 10:46:48 PM

Lsherm: Let's see, who would people over the age of 65 living in Texas object to the most when it comes to hospital workers?


The gays!
 
2012-04-08 12:19:31 AM

cmb53208: badhatharry: First they came for the smokers. Then they came for the fatties. I wonder who will be next.
Maybe amateur athletes and fitness freaks? They probably take more time off than the fatties and certainly the smokers so their sports injuries can heal.


*snort* Yeah, you just keep thinking that. "I don't exercise because I don't want to miss work."

Party-sized bucket of flan: Lsherm: Let's see, who would people over the age of 65 living in Texas object to the most when it comes to hospital workers?
The gays!


Those cats that can sense death.
 
2012-04-08 12:36:21 AM

batcookie: Oh Texas... I love how you are always trying to one-up your own stupidity.



You sound fat.
 
2012-04-08 01:04:34 AM
At my heaviest back in 2002, my BMI was 32.5, and I felt like a disgusting fat piece of shiat. Now I'm a leaner 22 with muscle definition in the abs, shoulders, legs, and butt.
 
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