none of this is easy. I'm not making any claims or recommendations here other than to acknowledge that in a multi-ethnic nation we can't pretend everyone should have the same BMI. How that gets applied to health care is above my pay grade.
It might be irresponsible for you or me to bring up someone's weight and or eating habits but it's the responsibility of a Dr to give their patients data that can help them get healthier. There are people that don't want Drs to weigh patients or take other measurements.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
This post was edited 2 minutes after it was posted.
It might be irresponsible for you or me to bring up someone's weight and or eating habits but it's the responsibility of a Dr to give their patients data that can help them get healthier. There are people that don't want Drs to weigh patients or take other measurements.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
At one time or another, most people have calculated their body mass index or had it done for them. But despite its widespread use, it can't actually tell you much about your health.
It might be irresponsible for you or me to bring up someone's weight and or eating habits but it's the responsibility of a Dr to give their patients data that can help them get healthier. There are people that don't want Drs to weigh patients or take other measurements.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
GD might not but I was referencing an NPR episode.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
GD might not but I was referencing an NPR episode.
Yeah, it’s a little complicated. If you use BMI alone to determine who is healthy or not, that’s a failure. Stupid, bad medicine. Nobody who knows what they are doing would do that. I guess if you use BMI to be the sole determinant of access to a benefit, say life insurance, and this disproportionately and inappropriately disadvantages a group, like black women, you could even argue this measure is racist, intentional or not. If you use these data in the proper context and with the proper understanding, it’s just more data that informs us and our decision making. So, if you shame somebody and deprive them of something based only on BMI, not good, terrible, but if somebody accuses you of being racist because you are trying to assess their long term health risks based on the available measures, that’s also lame. All I’m saying is that in the real world we weigh people and try to assess their adiposity, just like we measure their BP or cholesterol or HgB A1C or a host of other measures and nobody actually accuses us of being racists with a straight face.
Yeah, it’s a little complicated. If you use BMI alone to determine who is healthy or not, that’s a failure. Stupid, bad medicine. Nobody who knows what they are doing would do that. I guess if you use BMI to be the sole determinant of access to a benefit, say life insurance, and this disproportionately and inappropriately disadvantages a group, like black women, you could even argue this measure is racist, intentional or not. If you use these data in the proper context and with the proper understanding, it’s just more data that informs us and our decision making. So, if you shame somebody and deprive them of something based only on BMI, not good, terrible, but if somebody accuses you of being racist because you are trying to assess their long term health risks based on the available measures, that’s also lame. All I’m saying is that in the real world we weigh people and try to assess their adiposity, just like we measure their BP or cholesterol or HgB A1C or a host of other measures and nobody actually accuses us of being racists with a straight face.
You're a doctor arguing against idiots on LRC. You won't win this argument. The only time they will listen to is if they wake up after you have given them life saving surgery.
It might be irresponsible for you or me to bring up someone's weight and or eating habits but it's the responsibility of a Dr to give their patients data that can help them get healthier. There are people that don't want Drs to weigh patients or take other measurements.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
Give it a few years and that will change, probably around the time a fresh class of doctors from schools that no longer require the racist MCAT join you.
It might be irresponsible for you or me to bring up someone's weight and or eating habits but it's the responsibility of a Dr to give their patients data that can help them get healthier. There are people that don't want Drs to weigh patients or take other measurements.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
Professors are apologizing for saying ‘male’ and ‘female.’ Students are policing teachers. This is what it looks like when activism takes over medicine.
I've excerpted a sentence from the abstract of the following paper:
"Electronic health record (EHR) structure and language can exacerbate the harm they experience by using transphobic terminology, emphasizing binary genders, and pathologizing transness." Note: binaries are bad because Jacques Derrida, the post-structuralist philosopher said that they exist in hierarchal relation to one another. To abolish the hierarchy (which is thought to be an effect of culture and not, say, anisogamy) we must deconstruct the binary.
Abstract. Transgender people experience harassment, denial of services, and physical assault during healthcare visits. Electronic health record (EHR) structure
And on free speech and the stifiling of academic inquiry, see the following:
"Despite its reputation as the pinnacle of higher education in the United States, Harvard ranked an abysmal 170th of 203 schools in FIRE’s 2022 College Free Speech Rankings. About 3 in 4 Harvard students (73%) said shouting down a speaker or trying to prevent them from speaking on campus is acceptable to some degree, and roughly 1 in 4 (26%) condoned using violence to stop a disfavorable campus speech. Nearly 3 in 4 students (74%) said they are “somewhat” or “very” uncomfortable expressing an unpopular opinion to fellow students on social media. And three-quarters of students (75%) said they worry “a lot” or “a little” about damaging their reputation because of someone misunderstanding something they say or do."
On Wednesday, Harvard professors Steven Pinker and Bertha Madras announced in The Boston Globe the formation of a new faculty-led council to defend academic freedom at Harvard.
And, in medicine, if you think the recent decision to make USMLE Step 1 pass/fail is a one-off thing meant only to decrease student stress or to place more emphasis on one's performance in clinical rotations, think again. Eventually you will see calls to abolish the MCAT and the USMLE entirely on the grounds that both exams are racist and sexist.
I'm not cherry-picking or reading conspiracy theorists. This attack on liberal principles in the name of progress (often showing up in arguments about free speech or scientific objectivity) is a well-known phenomenon in knowledge-producing institutions and will have enormous consequences for society if not addressed.
Around 170 years ago, a white guy in Belgium, who was never interested in health to begin with, came up with a ratio that years later was adopted by health experts to decide whether or not to treat or insure a person — a ratio that insurance companies and doctors still use today. It's the ratio we still use to discriminate against others and harshly judge ourselves. This is the ratio that we are all told to be concerned about because body fat is supposedly killing us.
Around 170 years ago, a white guy in Belgium, who was never interested in health to begin with, came up with a ratio that years later was adopted by health experts to decide whether or not to treat or insure a person — a ratio that insurance companies and doctors still use today. It's the ratio we still use to discriminate against others and harshly judge ourselves. This is the ratio that we are all told to be concerned about because body fat is supposedly killing us.
But this is not the truth.
What concerns you the most? That the ratio was first developed 170 years ago, or that the guy who came up with it was white, or that he was in Belgium?
I'm wondering what will happen in your head when someone informs you that around 180 years ago, a white guy living in Austria came up with the rules of genetic inheritance . . .
I've excerpted a sentence from the abstract of the following paper:
"Electronic health record (EHR) structure and language can exacerbate the harm they experience by using transphobic terminology, emphasizing binary genders, and pathologizing transness." Note: binaries are bad because Jacques Derrida, the post-structuralist philosopher said that they exist in hierarchal relation to one another. To abolish the hierarchy (which is thought to be an effect of culture and not, say, anisogamy) we must deconstruct the binary.
And on free speech and the stifiling of academic inquiry, see the following:
"Despite its reputation as the pinnacle of higher education in the United States, Harvard ranked an abysmal 170th of 203 schools in FIRE’s 2022 College Free Speech Rankings. About 3 in 4 Harvard students (73%) said shouting down a speaker or trying to prevent them from speaking on campus is acceptable to some degree, and roughly 1 in 4 (26%) condoned using violence to stop a disfavorable campus speech. Nearly 3 in 4 students (74%) said they are “somewhat” or “very” uncomfortable expressing an unpopular opinion to fellow students on social media. And three-quarters of students (75%) said they worry “a lot” or “a little” about damaging their reputation because of someone misunderstanding something they say or do."
And, in medicine, if you think the recent decision to make USMLE Step 1 pass/fail is a one-off thing meant only to decrease student stress or to place more emphasis on one's performance in clinical rotations, think again. Eventually you will see calls to abolish the MCAT and the USMLE entirely on the grounds that both exams are racist and sexist.
I'm not cherry-picking or reading conspiracy theorists. This attack on liberal principles in the name of progress (often showing up in arguments about free speech or scientific objectivity) is a well-known phenomenon in knowledge-producing institutions and will have enormous consequences for society if not addressed.
What a crack up. I particularly liked the story blaming queer theory for the death of the trans man who came to the ED with abdominal pain. Maybe somebody should do a physical exam? This is not a gender identity issue, its just simple malpractice.
Listen, I’m a professor at what you might call the most “woke” medical school in the world. All of what you’ve posted is sensationalized nonsense. Do we strive to do better with language and respect patient and student preferences and identities, of course we do. Are we denying or not teaching about biological sex or not weighing patients? Nonsense. At the end of the day, the students, residents, fellows in this school realize that medicine is serious business and that lives are on the line and they buckle down and learn the material accordingly.
This post was edited 1 minute after it was posted.
I've excerpted a sentence from the abstract of the following paper:
"Electronic health record (EHR) structure and language can exacerbate the harm they experience by using transphobic terminology, emphasizing binary genders, and pathologizing transness." Note: binaries are bad because Jacques Derrida, the post-structuralist philosopher said that they exist in hierarchal relation to one another. To abolish the hierarchy (which is thought to be an effect of culture and not, say, anisogamy) we must deconstruct the binary.
And on free speech and the stifiling of academic inquiry, see the following:
"Despite its reputation as the pinnacle of higher education in the United States, Harvard ranked an abysmal 170th of 203 schools in FIRE’s 2022 College Free Speech Rankings. About 3 in 4 Harvard students (73%) said shouting down a speaker or trying to prevent them from speaking on campus is acceptable to some degree, and roughly 1 in 4 (26%) condoned using violence to stop a disfavorable campus speech. Nearly 3 in 4 students (74%) said they are “somewhat” or “very” uncomfortable expressing an unpopular opinion to fellow students on social media. And three-quarters of students (75%) said they worry “a lot” or “a little” about damaging their reputation because of someone misunderstanding something they say or do."
And, in medicine, if you think the recent decision to make USMLE Step 1 pass/fail is a one-off thing meant only to decrease student stress or to place more emphasis on one's performance in clinical rotations, think again. Eventually you will see calls to abolish the MCAT and the USMLE entirely on the grounds that both exams are racist and sexist.
I'm not cherry-picking or reading conspiracy theorists. This attack on liberal principles in the name of progress (often showing up in arguments about free speech or scientific objectivity) is a well-known phenomenon in knowledge-producing institutions and will have enormous consequences for society if not addressed.
What a crack up. I particularly liked the story blaming queer theory for the death of the trans man who came to the ED with abdominal pain. Maybe somebody should do a physical exam? This is not a gender identity issue, its just simple malpractice.
Listen, I’m a professor at what you might call the most “woke” medical school in the world. All of what you’ve posted is sensationalized nonsense. Do we strive to do better with language and respect patient and student preferences and identities, of course we do. Are we denying or not teaching about biological sex or not weighing patients? Nonsense. At the end of the day, the students, residents, fellows in this school realize that medicine is serious business and that lives are on the line and they buckle down and learn the material accordingly.
Tuck posted a rambling and subtlety angry vid yesterday about "truth" in the news. Pretty ironic. He conspicuously did not mention FOX or anyone associated with them or any pending lawsuits. Likely his termination was also a non disclosure / gag order in exchange for them not suing him for $1B+, so don't expect a "tell all" book or show. But do expect more angry rambling with no substance.
Guys, stop this nonsense. I’m a practicing doctor at one of the best medical centers in the world. We weigh and calculate a BMI on every patient. We ask patients first, and of course, they can decline. Maybe 1/100 decline. We explain why the information is important and what are the correlates and determinants of health. We use these data, both high and low BMI, to counsel patients about their health as best we can. NOBODY has called us fat phobic or racist. We care for a very diverse group of patients. BMI is not a perfect metric, but it’s useful. This is all just nonsense. GD does not work in health care, at least I don’t think so.
Did you READ the ABC story screaming racism in the title? The word "racism" appears 3 times in that file - twice in the title/reference to it, and once in a paragraph heading. No where else in the story. And in the section headlined using that word, I was fully expecting to see an explanation (however lame it might be) about why it was "racist"? Read that section. There's not even an attempt to explain why it's racist. In a freakin' story with "racist" in the freakin' title. Summary:
- Bad news #1: Yes, it's true that entities use "clickbait" titles.
- Bad news #2: Yes, it's true that folks on the left are often way, way too willing to loosely use very bad words ending in "-ism."
- Bad news #3: Morans in the U.S. have taken the existence of #2 and decided that they like the idea of pushing back against it by supporting and electing an autocrat. JFC.
In the past, a former president or fired talk show host just faded into the background noise. This was especially true if there was overwhelming proof that had deliberately misled people. Social media as allowed them a continued platform for lies and that is a shame. Their followers choose willful ignorance to obvious facts.
Bringing it back on topic - how is Tucker's old time slot doing on Fox News now? Is Tucker happy with his unplanned vacation?
But this trip into medicine and higher education IS on topic. Because it emphasizes that so many Americans have been convinced by people LIKE CARLSON that because there is stuff they don't like being pushed by the left (and there always is, of course, and from both sides, throughout any country's history) that they ought to accept Trump and constant lying and Cruz and anti-democracy and MTG and.....
In the past, a former president or fired talk show host just faded into the background noise. This was especially true if there was overwhelming proof that had deliberately misled people. Social media as allowed them a continued platform for lies and that is a shame. Their followers choose willful ignorance to obvious facts.
eh maybe.,
Bill O'Reilly was king of the right wing mountain and when he lost his fox job he disappeared.
Megyn Kelly also lost her fox job and has disappeared.
Not clear Tucker will maintain relevance. He might...but not clear yet. He does seem to have a unique charisma among the m'agas. Ironically, since Tucker hates Trump. Ah, show business.
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