Well: When the Doctor Is Overweight

Cheryl Graham

Dr. George Fielding, a pioneer of weight loss surgery in Australia, remembers how patients treated him in the late 1990s, when his weight reached 330 pounds on his six-foot frame. He would meet new patients, dressed in Armani suits and feeling on top of the world, and then be abruptly upended.

“They’d say, ‘Mate! You’re sitting there telling me I need it? You need to have your surgery!’ ”

Despite being an internationally recognized expert on lap band and gastric bypass surgeries, Dr. Fielding knew that his appearance was dissuading some patients from using his services. And years of yo-yo dieting and extreme exercise hadn’t helped him keep the weight off.

“People would come for consultations and say they would do it, and then they didn’t come back,” said Dr. Fielding, who now works at New York University’s Langone Medical Center. “I knew they were probably thinking, ‘Wow, he’s fat! Is he any good?’ ”

So Dr. Fielding wasn’t at all surprised by the results of a recent study in the International Journal of Obesity showing that patients secretly — or not so secretly — look with disdain on doctors who are overweight or obese. Just as overweight people are stigmatized in an array of professional and personal settings, overweight doctors are seen as less credible than “normal weight” doctors, and patients are less likely to follow their medical advice, the study found.

The study’s stinging conclusions resonated, too, with Dr. Deep Ramachandran, a pulmonary critical care and sleep doctor at Genesys Regional Medical Center in Grand Blanc, Mich. After administering tests exploring his patients’ breathing irregularities, he often has to tell them a blunt truth: they need to lose weight.

That can be a particularly tough message for this messenger to deliver. Dr. Ramachandran, 42, says he has a body mass index of 38 and should lose at least 60 pounds.

“It’s easy for doctors to assume that once we put on the white coat, patients will listen to what we say,” he said. “But this study says the white coat doesn’t protect you. You have to own your problems and communicate with patients in ways they can understand.”

So he often tells patients that he, too, struggles with weight loss and knows how hard it is.

“How do we deliver a message that may be seen as hypocritical? I don’t know the answer,” Dr. Ramachandran said. “But doctors are human beings first and scientists second. We are subject to the same maladies as the rest of society. It’s an incredibly difficult problem, and a challenge.”

The bias against overweight people is so socially accepted, said Dr. Rebecca M. Puhl, the lead author of the study and the director of research and weight stigma initiatives at Yale University’s Rudd Center for Food Policy and Obesity, that “despite all the doctor’s training and expertise, it can jeopardize the doctor’s ability to have a conversation about health care with the patient.”

Patients seem to hold doctors to a stricter standard: “If you’re a health professional, people think you shouldn’t be struggling with weight,” said Dr. Puhl, who is a clinical psychologist and has conducted extensive research into weight stigma.

For the study, the Yale researchers randomly assigned 358 participants — about 57 percent female and 70 percent Caucasian, with an average age of 37 — to complete one of three online surveys about a hypothetical doctor, responding to questions like whether they would choose the doctor as a provider, follow the doctor’s advice about exercise and losing weight, or consider the doctor credible and trustworthy. The only difference among the versions — indeed, the only identifying characteristic about the gender-neutral doctor — was whether the doctor was “normal weight,” “overweight” or “obese.”

The researchers also included a widely used “fat phobia” list of 14 pairs of adjectives that ranks the respondent’s perceptions on a scale. Typical pairs include “lazy/industrious,” “good self-control/no self-control” and “attractive/unattractive.”

Those who answered the surveys about doctors described as overweight or obese were significantly more likely to change providers than those with doctors described as being of normal weight, regardless of the weight of the patient. The higher respondents’ fat phobia scores, the more likely they were to place their trust in a physician of “normal weight.”

Dr. Fielding, the Australian bariatric surgeon, knows firsthand the change in attitudes that can occur in patients and colleagues when they deal with doctors of different weights. Since having lap band surgery 13 years ago, at age 43, he has maintained his weight at 210 pounds, following a regimen of regular, moderate exercise and 800 calories a day. “I was treated completely differently by patients and doctors,” he said. “They weren’t distracted by the fact that I was fat.”

He acknowledged that the respect now automatically conferred on him sometimes ignited an ancient flicker of resentment. “I’m the same guy, still George,” he said.

Dr. Puhl suggests that medical professionals have a front-line position to change the bias against people who are overweight and should make sure that patients understand the many factors that contribute to excess weight, including genetics, food chemistry and the biology of satiety.

“Then shift the conversation from weight loss to health behaviors that patients can improve, regardless of body weight,” she said. “I’ve met enough people who are thin and unhealthy because of drinking or smoking, or are overweight by the B.M.I. but are very healthy. And that is true for doctors as well as patients.”


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Whatever Rows Your Boat

"A youthful mind in a youthful body." It's a slight spin on an old saw -- and it's what keeps Alexandria dancer and choreographer Jayne Letsche on her toes at 85, just as it brings oarsman Bill Cox out onto the Potomac, skimming through the early-morning mist at age 63. They are living proof of what the research tells us: that no matter what your age is, physical activity fosters feelings of well-being. For active men and women like Cox and Letsche, being old is a state of mind -- and one they are not ready to adopt.

Todd Galati, a kinesiologist with the American Council on Exercise, says that "adults on average are losing about a half a pound of muscle a year." And it doesn't take much to slow the loss. "Some type of strength training -- like two days a week -- can help maintain some of that muscle mass," he says, allowing us to continue to lead independent lives.

No need to explain that to Cox, an engineer from Bethesda who begins most days with an elite crew of rowers (including his favored rowing partner, Cindy Cole, 50) at the Potomac Boat Club, whose members take to the river even through the winter chill.

Cox, who rowed in college, turned to sculling in his 50s when other forms of exercise took their toll. "Before that I ran and biked. The running, after many years of it, I was starting to feel it in my knees and other points. Rowing is non-impact; it's excellent exercise; it works all of the muscle groups. It's also very technical -- it's like any other sport, you have to get very good at it before you get efficient. It's relaxing, at the same time very strenuous," he says.

"And what's not to like about getting out on this river at 6 in the morning?" he asked as he pulled up to the dock around 7:30.

On the same late-November morning, Shawn Fenty was combing the trails of Rock Creek Park with a small group of runners -- led by his mayor-elect brother -- at a steady seven-minute-mile clip. At 41, Shawn Fenty, general manager of the running-shoe store Fleet Feet in Adams Morgan, says he already feels some of the strain that comes with age. "Yes, it does take longer to recover from an injury," he admits. But the exercise makes him feel good, and endurance runs in the family. "We had my dad as an example, and you tend to do what you are naturally inclined to do."

Fitness is unique to each body, but some of what might be lost with age can be saved, Galati says. First, strength training (that is, a minimum number of reps using weights, a cable or the body) helps maintain muscle mass; second, balance and cardiovascular training (aerobics, tennis, running, swimming and biking, for example) help the flow of blood to vital organs; and third, flexibility training (stretching and yoga) maintains your joints' range of motion.

As Cox, Letsche (who is director of the Diamonds, a senior tap-dancing troupe in Alexandria) and Edmund Cooke, 63, a labor attorney who sets aside time as to practice karate at DC Self Defense Karate Association in Mount Pleasant know: If you're engaged, doing what you used to do or what you could have done when you were young, you're not going to feel old.

-- Meaghan Wolff


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Multy News

News for Charles Ramsey

The Troubling Viral Trend of the “Hilarious” Black Neighbor
Slate Magazine (blog) ‎- 9 May 2013
Charles Ramsey, the man who helped rescue three Cleveland women presumed dead after going missing a decade ago, has become an instant Internet meme.
Charles Ramsey: Ohio "hero" and Internet sensation
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Charles Ramsey describes Amanda Berry rescue - video
The Guardian‎ - 8 May 2013
Charles Ramsey: Hero of abductions case, instant Internet star ...
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May 8, 2013 – Charles Ramsey, the man who helped free three captive women in Cleveland, has become a national hero and viral video star.
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Ramsey on finding the missing women and his relationship with suspect Ariel Castro.
DEAD GIVEAWAY - Hero Charles Ramsey Songified! - YouTube
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Anderson Cooper Interviews Charles Ramsey - Uproxx
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May 8, 2013 – Anderson Cooper interviewed Charles Ramsey and it's one of the greatest things in the history of ever.
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May 7, 2013 – From Yahoo! News: No one is saying that Charles Ramsey isn't worthy of the "hero" mantle. He helped save three women who were held captive — brutally — in ...
Charles Ramsey: Top 10 Memes Glorifying the Unsung Hero | HEAVY
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May 7, 2013 – Arising from obscurity came a hero media watchdogs pray for: Charles Ramsey.
Charles Ramsey hailed as hero for role in helping Amanda Berry ...
www.guardian.co.uk › World news › Ohio‎
May 7, 2013 – Ramsey was initially considered a lone saviour but neighbour claims it was 'group effort'
Charles Ramsey's Interview | Know Your Meme
knowyourmeme.com/memes/events/charles-ramseys-interview‎
May 7, 2013 – Overview Charles Ramsey is a Cleveland, Ohio resident who rose to internet fame in early May 2013 after assisting three women who had been missing for ...
could hero Charles Ramsey get the $25000 reward? - Toronto Star
www.thestar.com/.../cleveland_kidnappings_quirky_charles_ramsey_is_...‎
May 7, 2013 – The McDonald's-eating American who rescued Amanda Berry from a Cleveland house could be eating fancier meals if he gets the $25000 reward money.
News for Jodi Arias

Jodi Arias Convicted of First-Degree Murder
ABC News ‎- 8 May 2013
Jodi Arias spent 18 days on the stand sharing intimate, emotional and oftentimes X-rated details of her life before a rapt television and online audience. She had ...
Jurors resume deliberations in Jodi Arias trial
Yahoo! News‎ - 8 May 2013
Jodi Arias Selling 'Survivor' T-Shirts Raise Funds For Victims Of Domestic Abuse - Huffington Post
Huffington Post‎ - 9 May 2013
Jury concludes Jodi Arias deliberations for day - Yahoo! News
news.yahoo.com/jury-concludes-jodi-arias-deliberations-day-235235019...‎
May 8, 2013 – From Yahoo! News: PHOENIX (AP) — The jury in Jodi Arias' murder trial concluded its second full day of deliberations on Tuesday without reaching a verdict.
Jodi Arias | HLNtv.com
www.hlntv.com/clusters/jodi-arias‎
May 7, 2013 – HLN is covering the Jodi Arias trial live gavel-to-gavel as it comes to its dramatic conclusion. Arias is accused of shooting her ex-boyfriend Travis Alexander in ...
jodi arias | Radar Online
radaronline.com/category/tags/jodi-arias/‎
May 7, 2013 – After four months of silently sitting in the Maricopa County Courtroom listening intently to the marathon testimony in the Jodi Arias, the jury is finally in ...
Jodi Arias Trial: A look at the charges being considered by jurors ...
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May 7, 2013 – A jury of eight men and four women is entering their second full day of deliberating Jodi Arias' fate Read more by Crimesider Staff on CBS News' Crimesider.
Jodi Arias Trial Explainer -- Daily Intelligencer - New York Magazine
nymag.com/daily/intelligencer/2013/05/jodi-arias-trial-explainer.html‎
May 7, 2013 – The craziest trial in the country is wrapping up — now's the time to catch up.
Jodi Arias Verdict Watch: Day 3 Deliberations - Huffington Post
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May 7, 2013 – The Jodi Arias jury returns to court today for Day 3 of deliberations in her capital murder trial. The eight-man, four-woman panel, concluded their first full day of ...
Jodi Arias Murder Trial May 7 | Jury Verdict | LIVE VIDEO | Mediaite
www.mediaite.com/tv/watch-jodi-arias-murder-trial-verdict-watch-2/‎
May 7, 2013 – The murder trial for Jodi Arias, the admitted Arizona killer of ex-boyfriend Travis Alexander, concluded last week. And now we wait for a jury verdict. The.
Jurors resume deliberations in Jodi Arias' Arizona murder trial ...
www.foxnews.com/.../jurors-resume-deliberations-in-jodi-arias-arizona-...‎
May 7, 2013 – The jury in Jodi Arias' Arizona murder trial is set to resume deliberations.
Jodi Arias' Jury — Second Day Of Deliberations Begin, No Verdict ...
hollywoodlife.com/.../jodi-arias-jury-deliberations-second-day-murder-tr...‎
May 7, 2013 – The jury is still out in the murder trail of Jodi Arias. On May 7, the jury entered the second day of discussions to decide on a guilty or not guilty verdict.

News for The Voice
'The Voice': Who had the most epic song? - USA Today
USA TODAY ‎- 9 May 2013
After Adam Levine and Usher's teams sang, it Shakira and Blake Shelton's.
'The Voice' marred by voting inconsistencies - USA Today
USA TODAY‎ - 8 May 2013
'The Voice' has voting snafu, addresses on air
Entertainment Weekly (blog)‎ - by James Hibberd‎ - 8 May 2013
The Voice | NBC - NBC.com
www.nbc.com/the-voice/‎
May 9, 2013 – Adam Levine, Blake Shelton, Shakira, and Usher coach the strongest singers from across the country in a search to find The Voice. Mondays & Tuesdays 8/7c.
Vote - Newest - Videos - Episode Guide - Videos
'The Voice' marred by voting inconsistencies - USA Today
www.usatoday.com/story/life/tv/2013/05/08/the-voice.../2145499/‎
May 9, 2013 – Despite the problems, four singers were eliminated on Wednesday.
'The Voice' Recap: Night of Regrets for Adam Levine - Video ...
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May 8, 2013 – Poor Adam Levine. Before Monday night's episode of The Voice, we would have said he was the coach to beat this season. But then his team effectively c.
Voting snafu hits 'The Voice' - TODAY.com
www.today.com/entertainment/voting-snafu-hits-voice-1C9853634
May 9, 2013 – It turns out that controversies over counting votes aren't limited to political elections. "The Voice" host Carson Daly kicked off...
'The Voice' Results: Caroline Glaser, Justin Rivers, Karina Iglesias ...
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May 9, 2013 – "The Voice" results are in and Justin Rivers, Karina Iglesias, Cathia and Caroline Glaser are going home. It was the first live elimination ceremony for "The Voice" ...
Shakira Eliminates Karina Iglesias — 'The Voice' Down To Top 12 ...
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May 9, 2013 – 'The Voice' Recap: Top 12 Announced After Shakira's Shocking Elimination. Wed, May 8, 2013 9:10pm EDT by Emily Longeretta 15 Comments 28,769 Article ...
The Voice Results: Who Made the Final 12? - The Hollywood Gossip
www.thehollywoodgossip.com › Tags › The Voice‎
May 9, 2013 – The Top 12 have been announced on The Voice. Find out here who made the cut!
'The Voice' Recap: Four Contestants Are Sent Home
www.hollywoodreporter.com/live.../voice-recap-four-contestants-are-5196...
May 9, 2013 – After two night of live shows, a special Wednesday episode of NBC's singing show revealed the Top 12.
'The Voice' recap: Top 12 announced | Season 4 Episode 15 | EW.com
tvrecaps.ew.com/recap/the-voice-season-4-episode-15/
May 9, 2013 – In the first live results show of the season, decisions come down to the wire as the coaches pick the Top 12.
The Voice Results: Four Eliminated, Shakira Asks For A Little ...
www.accesshollywood.com/the-voice-results-four-eliminated-shakira-ask...‎
May 9, 2013 – Four singers were eliminated, cutting the competition down to a Top 12 on Wednesday's edition of NBC's “The Voice.” View celebrity photos and get the latest

News for Kim Kardashian

Us Magazine
Kim Kardashian bares bump in a vacation bikini - USA Today
USA TODAY ‎- by Ann Oldenburg ‎- 9 May 2013
Kim Kardashian, who is seven months pregnant, sports a bikini on the cover of the new issue of 'Us Weekly' magazine.
Robin Williams Doubtfires an insult at Kim Kardashian
The Sun‎ - 9 May 2013
Hip-Hop Rumors: Did Kanye Act A Fool And Defend Kim Kardashian At The Same Damb Time?
AllHipHop‎ - 8 May 2013
Kim Kardashian videos, photos and blog: Official website
kimkardashian.celebuzz.com/‎
May 8, 2013 – Kim Kardashian photos, pictures, galleries and videos. Read Kim's latest blog and get updated news on the star of the E! hit reality show Keeping up with the ...
Kim's Blog - Photos - New Year, New Beginnings - Kim Kardashian videos ...
Kim Kardashian's bikini puts baby bump on full display - latimes.com
www.latimes.com/.../la-et-mg-kim-kardashian-bikini-baby-bump-20130...‎
May 8, 2013 – Kim Kardashian isn't hiding her baby bump. It's on full display in a two-piece bikini.
Kim Kardashian shows off her blossoming baby bump in a bikini as ...
www.dailymail.co.uk/.../Kim-Kardashian-shows-blossoming-baby-bump-bi...
May 8, 2013 – Kim Kardashian seemed distinctly unselfconscious as she showed off her blossoming baby bump in a bikini during a recently family holiday to Greece.
Kim Kardashian Flaunts Pregnant Bikini Body on Family Vacation in ...
www.usmagazine.com/.../kim-kardashian-flaunts-pregnant-bikini-body-...‎
May 8, 2013 – The reality star, expecting her first child with Kanye West in July, dared to bare her seven-month bump in Mykonos.
Robin Williams Hits Kim Kardashian With Major Twitter Burn
mashable.com/2013/05/08/robin-williams-kim-kardashian-twitter/‎
May 8, 2013 – Wait, what? Robin Williams, of all people, uses his classic flick "Mrs. Doubtfire" to big-time burn Kim Kardashian on Twitter.
Robin Williams vs. Kim Kardashian: Who Wore It Best - ABC News
abcnews.go.com › ABC News Blogs › Entertainment › Celebrities
May 8, 2013 – lynseymullen/Instagram Robin Williams is the latest to weigh in on Kim Kardashian's all-floral ensemble for Monday's Met Ball — claiming he looked better as a ...
Kim Kardashian's 'Gloved' Gown Sparks Kanye West Engagement ...
www.mtv.com/.../kim-kardashian-kanye-west-engagement-rumors.jhtml‎
May 8, 2013 – Kim Kardashian and Kanye West spark engagement rumors after the reality star's Met ball dress designer, Riccardo Tisci, refers to her as West's "future wife," in ...
Kim Kardashian flaunts bare baby bump in bikini during Greece ...
www.nydailynews.com/.../kim-kardashian-flaunts-bare-baby-bump-bikini-...
May 8, 2013 – Now that's a baby bump. Kim Kardashian enjoyed some fun in the sun last week while vacationing on the island of Mykonos in Greece.
[PICS] Kim Kardashian Pregnant Bikini Photos — Bares Bump In ...
hollywoodlife.com/.../kim-kardashian-pregnant-bikini-pics-baby-bump-...‎
May 8, 2013 – Take that, haters! The sexy reality star showed off her amazing body and bare baby bump in a tiny bikini while vacationing in Greece. Do YOU think Kim looks
News for Jeanne Cooper

Times of India
Longtime 'Young & the Restless' star Jeanne Cooper dies at 84
Entertainment Weekly ‎- by lynette rice ‎- 8 May 2013
Jeanne Cooper, who played matriarch Katherine Chancellor on CBS' hit soap The Young and the Restless, has died. She was 84. Cooper, who has starred in ...
'Young and Restless' star Jeanne Cooper dies at 84 - USA Today
USA TODAY‎ - 9 May 2013
Jeanne Cooper, 'Young and the Restless' matriarch, dead at 84
CNN International‎ - 8 May 2013
Jeanne Cooper, 'Young and the Restless' matriarch, dead - CNN.com
www.cnn.com/2013/05/08/showbiz/tv/obit-jeanne-cooper.../index.html
May 9, 2013 – Jeanne Cooper, who played Katherine Chancellor, the "Dame of Genoa City," on "The Young and the Restless," has died. She was 84.
Jeanne Cooper dead; 'Young and Restless' star was 84 | Fox News
www.foxnews.com/.../jeanne-cooper-dead-young-and-restless-star-was-8...‎
May 8, 2013 – A network spokeswoman said Cooper's family told the network of her death. Her son Corbin Bernsen's Facebook and Twitter accounts also said Cooper had ...
Jeanne Cooper DEAD -- 'The Young And The Restless' Star Dies At ...
www.tmz.com/.../jeanne-cooper-dead-young-and-restless-corbin-bernsen...‎
May 8, 2013 – Jeanne Cooper, a huge soap opera star who played Katherine Chancellor on "The Young and the Restless" for decades, has died. She was 84."L.A. Law" star…
The Young and the Restless star Jeanne Cooper dies - Arts ... - CBC
www.cbc.ca/news/arts/story/2013/05/08/jeanne-cooper-obit.html
May 8, 2013 – Jeanne Cooper, the actress who played wealthy socialite Katherine Chancellor on the soap opera The Young and the Restless for 40 years, has died. She was ...
Jeanne Cooper Dead: 'Young and the Restless' Star Dies at 84 ...
variety.com/.../jeanne-cooper-young-and-the-restless-star-dies-at-84-120...‎
May 8, 2013 – Jeanne Cooper, the soap opera star best known for her role on “The Young and the Restless,” died Wednesday morning in Los Angeles from an undisclosed ...
Jeanne Cooper, 'Young and the Restless' Star, Dies at 84
www.nytimes.com/.../jeanne-cooper-actress-on-the-young-and-the-restless-...
May 8, 2013 – Ms. Cooper played the fabulously wealthy matriarch Katherine Chancellor for four decades and was the longest-serving cast member of the television soap ...
Jeanne Cooper Dead at 84 — Starred on 'The Young and ... - TVLine
tvline.com/2013/05/.../jeanne-cooper-dead-at-84-young-and-the-restless/‎
May 8, 2013 – Jeanne Cooper Dead at 84 Daytime-TV grand dame Jeanne Cooper, who played The Young and the Restless' Katherine, passed away on Wednesday morning ...
Jeanne Cooper, 'Young & the Restless' matriarch, and All My (soap ...
www.washingtonpost.com/.../jeanne-cooper-young-the-restless-matriarch-a...
May 9, 2013 – Jeanne Cooper accepting an Emmy award for outstanding lead actress in a drama series for her work on “The Young and the Restless” in 2008. Cooper played ...
'The Young And The Restless' Star Jeanne Cooper Dead At 84 ...
losangeles.cbslocal.com/.../the-young-and-the-restless-star-jeanne-cooper...‎
May 8, 2013 – Jeanne Cooper, grande dame of CBS' "The Young and the Restless," died Wednesday at the age of 84.

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