OH MY GOD!!!!! BIRDS BITCH.
Thank you again for bringing light to this well-debated topic. I’m sure by now as users of the internet we know that you can find articles in support of and in opposition to just about every issue out there.
I’m not saying that you can’t trust said articles and publications, but the truth is that if you search though pubmed or any endless list of citations at the end of a journal article, you’ll find that the debate is endless and for every article you find saying one thing, there are just as many saying the other. It’s sad to say but as someone in the medical field and the science field, what drives each investigator to publish new information is not always simply the desire to further science. There is a lot of self-driven interests out there to publish based on fame and to further one’s own career and standing in the scientific community. A lot of times it is easier to go with a study that is against the grain simply because it hasn’t been done and thus is more fascinating to publish.
I would like to say that I am quite offended by your statement “it scares me that you offered to educate people on something that doesn’t hold up…” and “please don’t try to talk to people about something you don’t seem to have a lot of info on.” You have not asked me to educate you on anything, so you really don’t know the whole picture of what I have to say regarding healthy weight and BMI. I would have appreciated if you at least gave me the opportunity to state my full claims, besides the one I had to shorten to about 150 characters on someone else’s message board, before making your judgement. I also take great offense to your statments, because as I stated in that very succinct message, I am a medical student— thus I am working towards becoming someone whose life is dedicated to helping others be the best, healthiest versions of themselves and yes— educating them. You do not know how many years of training this has taken and will continue to take, nor the sincerity with which I wish to practice medicine and to positively affect my patients one day. For you to say that you are in fear of what I may suggest to my patients and that I am erroneously speaking about a subject that I am making a career and my entire livelihood out of is deeply insulting and quite short-sighted.
And to come back to the issue at hand, while BMI is nearly not the ideal prognosticator of health, and you may be correct negating the association of “overweight” and unhealthy or “obesity” and disease, that is not what my colleagues and i are saying either. Sure, simply because one is overweight does not automatically mean that they are unhealthy! That is for sure. The issue with any significant deviation from a healthy weight (this includes being severely underweight) is the RISK that these conditions put on the patient to develop future actual diseases. Just like smoking is not a disease in itself, it does still significantly increases the risk of getting lung cancer. Similarly, while being overweight or underweight is not a disease in itself, it is significantly linked to numerous other true health risks. One of the first things we are encouraged to do when counseling our patients is 1. stop smoking/drinking alcohol and 2. maintain a healthy weight. None of what we suggest to anyone is out of malice or ill-will. In fact it is very difficult for us to bring these issues up or to share our concerns for these maladaptive behaviors such as eating and drinking habits, because we understand how sensitive of a subject they are for all of us. That being said, we still push the discomfort of bringing these potentially offensive suggestions aside to do what we feel is best for the patient and the longetivity of his/her life. As always, the choice to heed our advice and our opinion always lies with the patient. The best I or any other health care provider can do is to gently make our well-informed suggestions and hope that our patients will respect the years of training and care that comes with our help. At the end of the day whether they would like to accept the truth of what is being said, or rather stick their head in the sand, or search out support in favor of opposing counsel lies completely with them.
Thanks for your message.
Jackie Kennedy in Dior, 1962
because thats what i do.