A 5'2" woman weighing 254 lbs today told me she "hardly eats anything". I guess that might be true if "anything" means the whole cow.

There is no height on a woman that makes 254 lbs a good weight. And a man would have to be srsly tall and buff to carry it off

If you are an average height female and you weigh > 150 lbs you are overweight or obese.

In the practice of medicine these days I'm drowning in fat and denial. I can't fix either with my Rx pad or my knife. @nursesluck

UR a physician? MT @healthewoman woman weighing 254 lbs told me she hardly eats anything. might be true if "anything" means the whole cow

@TravisSaunders What physicians aren't allowed to tell the truth?

More terrifying tweets MT @healthewoman In practice of medicine I'm drowning in fat and denial. can't fix either with my Rx pad or my knife

@healthewoman of course they can. but those tweets may do more to promote anti-obesity bias than anything else.

@TravisSaunders I'm sick of years of obese ppl telling me they don't eat. Have you ever had to cut thru 4 inches of fat to get a baby out?

@healthewoman would you publicly denigrate patients with other chronic diseases?

@TravisSaunders Obesity in pregnancy increases the risk of fetal death 4-6X

@Jessica_Turon @TravisSaunders Dead babies aren't cards. There are real risks to tge fetus for being fat and pregnant.

@healthewoman yes, I know. I'm not pro-obesity. But there are better ways to deal with the problem than putting down obese patients.

@TravisSaunders Obesity is not a chronic disease; it's a behavioral problem: too much junk food, not enough exercise.

@healthewoman of course. how could i have forgotten that it's so simple. of course no person w/ obesity has tried the exercise & diet combo

@healthewoman and of course there's no evidence that it's a complex disease with physiological and psychological factors at play.

@Jessica_Turon Ya it's kind of hateful to be in such denial abt being overweight you'd risk the health and life of your unborn child.

Srsly?? MT @healthewoman Ya it's kind of hateful to be in such denial abt being overwgt you'd risk the health and life of your unborn child.

@TravisSaunders You clearly don't read the obstetric literature on obesity and pregnancy,

@healthewoman clearly. I assume the lit says we should denigrate people rather than providing evidence based treatment and counseling?

@TravisSaunders and you've never had to struggle to pull a baby out from under a woman's 4 inch pannus , now a commonplace occurrence

@TravisSaunders You also aren't in the trenches of clinical medicine in the US. Americans have become the world leaders in denial.

@TravisSaunders People ignore advice to get counseling. They want a pill or a magic wand. They don't want to be responsible.

I need to check out of this convo and hit the sack... big day of ignoring obesity literature tomorrow. Weird way to end my Easter weekend!