coming from someone morbidly obese. 
I could never figure out which was worst for the defrocked warped primitive:
(a) once having had a license to practice as a registered nurse, guaranteeing one a secure and substantial paycheck, but then losing it due to the temptation of narcotics meant for patients;
(b) being short and squat.....and fat;
(c) going blind;
(d) graced with a face like Hindenberg's; or
(e) or being the most negative, the most pissy, the most foul, primitive on Skins's island.