A physican where I work called a patient a "FAT PIG!"
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A GI doc on my floor had to do abdominal surgery on a very fat woman. As you know, these surgeries take longer. It was his last case and he was very tired by the time it was completed. The family was very angry that the surgery took so long. Anyway, after the patient was placed into her room, her family joined her. The MD walked in the room to check on her and as soon as he walked in her husband said angrily "What took you so long!?" The physician responded back with "She's a fat pig, what did you expect?" and walked out of the room. He got a phone call from administration as he was driving home and was told he had to go back to the hospital and apologize. And that was it. No other consequences.
A nurse would be terminated on the spot if he or she did something like that. It's not fair.