Poll: Should Health Care Workers Have a Healthy BMI?
As someone in the health and fitness industry, I've often felt the pressure to be a certain size or look a certain way. Why should anyone take workout and diet advice from me if I'm not in good shape and eating right? Although I've always been active, my diet isn't always the greatest and my body fat percentage isn't exactly where I want it to be. I'm not someone you'd look at and think "Boy, she must spend a lot of time at the gym." I'm a healthy weight for my size, but what if I was overweight or obese? Would you want me to be your personal trainer? What about your doctor, nurse or pharmacist? Do you expect them to be a healthy size because they work in the health care industry?
Dr. Regina Benjamin has been nominated as surgeon general by President Obama. She runs a rural health clinic in Alabama, does works of charity for the community and has been recognized with awards for her hard work. But instead of people talking about her outstanding credentials, there are people asking whether or not someone who's overweight should be in the surgeon general position. As a side note, it's interesting that this question is being raised about a woman, but never was when an overweight man was in the position.
If you went for your annual physical and your doctor told you it was time to start losing weight, you'd probably take his advice seriously. But what if he was overweight? Would it make you question whether or not he was qualified to give this kind of advice, or would it make you feel better, knowing he's likely struggling right along with you? In a recent New York Times blog, one doctor discussed giving patient advice in light of his own weight issues.
On one hand, I think it's important to practice what you preach. I shouldn't tell someone they need to drag themselves out of bed every morning to work out if I'm not willing to do it myself. But on the other hand, no one is perfect. Even though we have the tools and knowledge of what it takes to be healthy, those in the health care industry face temptations and challenges just like everyone else. There are days when I'd rather sleep in than get up to exercise. There are days when eating a hot fudge sundae is an enjoyable part of my day. But hopefully the days when I'm on track far outweigh the number of days when I veer off a little.
What do you think? Should health care workers be required to have a healthy BMI? Why or why not?
Dr. Regina Benjamin has been nominated as surgeon general by President Obama. She runs a rural health clinic in Alabama, does works of charity for the community and has been recognized with awards for her hard work. But instead of people talking about her outstanding credentials, there are people asking whether or not someone who's overweight should be in the surgeon general position. As a side note, it's interesting that this question is being raised about a woman, but never was when an overweight man was in the position.
If you went for your annual physical and your doctor told you it was time to start losing weight, you'd probably take his advice seriously. But what if he was overweight? Would it make you question whether or not he was qualified to give this kind of advice, or would it make you feel better, knowing he's likely struggling right along with you? In a recent New York Times blog, one doctor discussed giving patient advice in light of his own weight issues.
On one hand, I think it's important to practice what you preach. I shouldn't tell someone they need to drag themselves out of bed every morning to work out if I'm not willing to do it myself. But on the other hand, no one is perfect. Even though we have the tools and knowledge of what it takes to be healthy, those in the health care industry face temptations and challenges just like everyone else. There are days when I'd rather sleep in than get up to exercise. There are days when eating a hot fudge sundae is an enjoyable part of my day. But hopefully the days when I'm on track far outweigh the number of days when I veer off a little.
What do you think? Should health care workers be required to have a healthy BMI? Why or why not?
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Comments
Nurses, like mothers, are not allowed to feel bad, much less actually be sick; you better show up, even if you are dead (this has been a long running joke, but if you don't believe me ask a nurse what happens if she were to call in because she or her child was sick). Nurses also are among the highest rates of divorce. I was told, very matter-of-factually, one time that I was supposed to consider the hospital where I worked more important than my home or my children; it's needs should Always come first. In my experience, the preeminence of the job over the individual has always been considered the norm. Most nurses, especially those of my era, were expected to take care of everyone else before they took care of themselves.
Nurses are RESPONSIBLE for anything and everything from giving medications to picking up the floor (and sometimes even mopping it). That is especially true if something goes wrong.....; but, when things go right, the nurse seldom gets anything more than a quick thanks and wave bye; after all, everyone knows that the doctor is the one who deserves all the credit for patient recovery. Nurses check every medical order for accuracy and appropriateness for a given patient twice every day, first when the order is received and again around midnight when all of the days orders are reviewed to be sure nothing has been missed. Nurses have the responsibility of advocating for patients. I was on the front lines when patient advocacy became a paramount responsibility for nurses and we took a lot of very nasty reactions from doctors for having the audacity to open our mouth in his/her presence much less to actually question one of their orders or make a suggestion; but if something went wrong then it was our fault for not catching the error or problem in time to prevent it from becoming a real problem.
I have said all this to say, I generally didn't have a serious weight problem when I was working until my knees became so broken that I was in almost constant pain and barely able to walk. And there were many, many times during my career that about the only nice experience I would have over the course of a day or shift was the quick do nut, cookie or piece of cake, pie or candy that was always in abundance especially around holidays. It was not uncommon for that sweet item and a cup of coffee to be my meal for the night; especially since most hospitals/clinics did not provide anything for their night and weekend staff except what can be found in a vending machine; and those are not always kept stocked, especially on weekends. So before anyone sits in judgement about whether a nurse's BMI (weight) gives them the right to make "healthy recommendations" they need to have a clear idea as to what all the influences are that 'overweight nurse' has to deal with every single day before she gets the chance to think about what is going on with her own body...... - 9/1/2012 2:50:55 PM
Although, I would not go to a personal trainer who is obese or doesn't look the way I want to. The reason for this is the same. If you have all the answers, why don't you look the way I want to? Maybe that is being unrealistic, but definitely a valid point for many. - 8/7/2012 12:32:41 AM
HOWEVER, although I'm not in health care (I'm a stay-at-home, homeschooling mama), I am overweight even though I know what I'm supposed to do in order to stay healthy. I'm slowly but surely changing my habits, but knowing what we're supposed to do about our health doesn't always mean it's easy. Otherwise, everyone would be at a healthy weight.
When I see obese nurses, etc., my first thought is not that they don't take care of themselves -- my first thought is how hard it must be for them to stay healthy when faced with a heavy workload, non-standard hours, and short breaks.
I do wish more health care workers actually looked like they tried to be healthy, but realize that "fat" person I'm looking at may have already lost 50 pounds and I'm just not aware of that information. I don't think we need one more thing mandated by the government.
If a person's job depends on fitness or size (like an airline steward/pilot, a stripper, a physical trainer, etc.), then yes, their fitness standards should fit within certain parameters set by those who hire them. However, if a doctor, nurse, or other health care worker is able to do his (or her) job effectively with the speed and accuracy necessary in each situation, then his health, or lack of it, is his own problem. - 8/2/2012 3:03:41 PM
There's the old line "Practice what you preach" but it isn't always that simple. Growing up, my Dad would always tell me to never smoke cigarettes even though he did it himself. I understand now that he didn't have the will power/ desire to quit, but he didn't want me to pick up the same habit because he was well aware of how terrible the habit was.
Maybe your doctor became a doctor because they really enjoy helping others -- so much in fact, that they've dedicated their life to it (and possibly neglected their own life - and health - in the process). Try to think broadly. There could be many reasons why your doctor isn't healthy weight-wise, but in my personal opinion, if they're knowledgeable about the topic - and whether they follow the advice themselves or not - I'm going to listen.
- 7/26/2012 11:37:35 AM
If you are not happy with your health care provider, for whatever reason, you should look for someone else. As long as you have faith & trust in their ability, that is all that matters. If their weight negatively influences your opinion, then it's not the right fit. - 7/25/2012 7:44:51 PM
So I think that body composition should be the emphasis, not some arbitrary height/weight calculation. - 7/24/2012 9:32:39 AM
I would not chose a car mechanic that had a broken down car
ok ok you get the point but I do not think it should be mandated
the key here is choice! - 3/23/2012 2:26:18 PM
I know a lot of people who dread going to the doctor. I LOVE seeing my doc. He's a little pudgy, yes, but he is kind, compassionate, and straightforward without ever judging. He can be as blunt as a brick: "You need to lose weight because obese people die young." But he exudes such concern and genuine caring that it's never hurtful. He doesn't push a lot of drugs, but when he prescribes something, he makes sure I understand why I need it, how it works, and how I will be able to tell it is working.
I do what he tells me because I trust him, and that trust is based on his genuine concern for my well-being and the fact that he has never steered me (or my mom) wrong. The fact that he is a little pudgy and admits he struggles with his weight only makes him human in my eyes. In all other respects, I think he is perfect. I don't know what I'll do when he retires. He's about my age. Maybe I can convince him to keep working until I drop. ;) - 2/22/2012 1:59:20 AM
As far as taking advice: I have been thoroughly put off by a physician who lectured me about losing weight every time I was in her office (she is no longer my physician), and highly influenced by my current physician, who speaks to me with respect about the fact that I have a serious problem. Both of these women are slim, but one can get me to try to help myself, the other one set me up to resist her with all my might. And the best diet advice I ever got came from an overweight OB/GYN I was working with. He pointed out to one of his pregnant patients that a fast food bacon/egg/cheese sandwich (a personal favorite) has more fat in one serving than anybody should eat in a week. So does the weight of my provider make a difference? No. What makes a difference is the attitude of that provider, and that has to do with personality and attitude, not with whether they can and/or do take their own advice to heart. - 2/15/2012 5:40:56 PM
I would raise my eye at a doctor who would push me to workout and eat less, when s/he is obese (overweight or "plump" is okay - I am not convinced that being overweight is completely harmful).
This is mainly because the doctor that I do have is "plump" and I LOVE LOVE LOVE her. When we talk about exercise, I am convinced by her advice because she does workout. She isn't a marathon runner or anything like that - in fact, she physically can not run without harming herself - but I admire that she makes an effort to swim several times a week because she loves it and she can. I always come away thinking, if this woman runs her busy full-time practice and is in her 50s, then I need to make an effort too!
I think what also would help is for a doctor to advise with empathy and compassion. Overweight or not, it certainly wouldn't help for a doctor to bark at a patient to lose weight. I think that if a doctor would and could advise so that the patient is convinced that it is coming from a place of caring (and not make the patient feel like a terrible person), many would be more open to it.
A second thing is for the doctor to make sure that the patient understands that weight loss should not be done overnight, and that it can be a long - but rewarding! - process. People naturally lean towards short-term solutions, but as we all know, quick anything will make you bounce back to where you were just as quick.
The last thing is for a doctor to help the patient navigate through the weight loss process instead of just sending the patient off with a "you need to lose weight" diagnosis. The weight loss industry is so inundated with so many crazy "solutions" - it is overwhelming! A good place to start is to point a person to a place where they will never feel alone in weight loss - be it SP, Weight Watchers, etc. A big part of the weight loss process is re-learning how to eat and live, delving into your own issues that hinder your own health, and finding ways to overcome triggers. - 10/6/2011 11:19:05 AM
overweight(perhaps not grossly so,but still,there it is).I have never been judgemental
with my patients & try to joke with them & tell them if I had all the answers I'd be skinny!
I have advised patients about Spark as a help,& have even given them appropriate
/cookbooks from my own collection...yesterday,a rather overweight patient asked
me if I was taking a diuretic-this threw me off & asked her why-she said well,you have
put on so much weight-I thought they might give you one!(in fact,I had just lost 5 lbs!)
I am constantly amazed by the things people feel free to say to us-I would never treat
a patient such!I should mention that at one time I worked for the Pritikin diet-I was in
perfect shape & I would have never been ugly to someone because of their weight! - 9/29/2011 6:26:08 AM
Did you ever hear the one about how the mechanics car is the last one to get fixed because he's busy taking care of everyone else? It doesn't mean he doesn't know how to fix his car, he just doesn't ever get the time to do it.
- 3/8/2011 5:30:22 PM
As to the comment about health advice, I think it is how the information is delivered. If a person can't see you as a person with a struggle than they have no business doing what they are doing. Compassion is a very important ingredient in my profession. I'm not paid to lay out judgement on others. I can give advice based on parameters but everyone is an individual and I have to take that into account. Anyone who is unable to do that is doing a major disservice to their patient/client.
I have been on journey to obtain a healthy lifestyle and it is going to take time and patience. Do you take me at face value with no regard for my efforts? It is a two-way street. I believe, an overweight person such as myself, would have tremendous empathy for someone with the same struggle. - 3/8/2011 2:57:26 PM
-SELF-RIGHTEOUS-
HOW DARE WE!! - 12/26/2010 9:22:29 AM
I think people look at the professionals (no matter what the profession) as examples, and probably do so more unconscientiously than conscientiously. - 11/28/2010 11:38:25 AM
Second, good grief, how judgmental can we be? Someone doesn't deserve a health career because they have weight issues? What if they're on steroid medications, which can blow them up like balloons?
There can be a lot of reasons why people are larger than they might like to be. I'm active and I know a lot of other active people whose bodies will simply not give up the weight. How cruel it would be to limit their career opportunities because of it. - 8/24/2010 1:21:11 AM
I am a hairdresser and I have to have nice appearance as well as hair and makeup done- so why shouldnt my doctor have to do the same. I can literally loose my job if I dont appear a certain way- why shouldnt my doctor be heald to that same standard. NO ONE would take me serious if I showed up with an amazing portfolio and looked like bozo the clown it just wouldnt fly- - 5/18/2010 11:57:23 AM
For sure, a doctor or nurse may feel awkward delivering advice about weight loss, especially if they have weight issues, but it doesn't make the truth less true. If a health professional with "issues" is allowed to abdicate the responsibility of speaking the truth to patients with similar issues, wouldn't that be nice? We could do what we always do in life. Seek out people who say what we like to hear, or seek out health care people who are fat so we don't have to hear it....
I do agree the lines aren't so clear as with an oncologist. They can't be expected by virtue of their profession to never fall prey to the disease they fight.... I'm seeing where this could go a hundred ways.. - 5/17/2010 10:09:54 PM
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