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patient obesity is a don't-touch topic...



 
 
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ANARIE
Posts: 12,356
3/1/13 12:33 A

I have to agree with ONLINEASLLOU. Damned if they do, damned if they don't. I've heard the same person complain that their doctor doesn't say anything about their weight and then complain that s/he said the word obese at another visit. When I was at my heaviest, I avoided doctors myself because I didn't want to hear them tell me I really ought to lose weight. No matter how gently they said it, I wouldn't have liked it, and there's a good chance I wouldn't have gone back.

I did like what the article said about motivational interviewing, trying to find out what the patient's motivation level is and how the doctor can help them make whatever changes they're willing to make. But that would take time. You'd have to have at least half an hour to talk, and most doctors are specifically limited to five minutes or less per office visit.

I wonder if that was taken into account in the study the article mentions. If doctors have begun talking to patients even less about obesity, is it because they have even less time than they did 20 years ago?



ZENANDNOW
SparkPoints: (33,405)
Fitness Minutes: (2,138)
Posts: 2,406
3/1/13 12:24 A

And it's the doctor's responsibility to talk to his/her patients about their health...especially if it is a family doctor. Regardless of what the patient may think or say, the doctor needs to show a bit of concern for their patients.



LALAFITZ
SparkPoints: (44,023)
Fitness Minutes: (41,010)
Posts: 3,299
2/28/13 10:26 P

I would expect help if that's what my appt. was about. However, if I went in because my arm hurt, I would hope that the doc was helping with situation at hand.


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ONLINEASLLOU
SparkPoints: (44,835)
Fitness Minutes: (31,991)
Posts: 3,623
2/28/13 9:38 P

It's interesting though ... many times, when health care providers bring up the subject of obesity with their patients, the patients get offended. (See the other thread about people's reaction to health care professionals in the school system trying to help the children by notifying their parents about weight problems.)

I've heard people say things, "He keeps telling me I should lose weight. Does he think I don't know that?"

From the health care provider's perspective, it sometimes seems as it is "D***** if I do. D***** if I don't."



AGITATOR1
SparkPoints: (2,974)
Fitness Minutes: (0)
Posts: 460
2/28/13 7:58 P

Some times I feel like I am nothing more than a cash machine for some health providers. I am thankful my doctor told me I was obese and that I should lose some weight. At 208 pounds I didn't think I was obese. I didn't need my doctor to tell me how to lose weight. I challenged myself right here at SP and went on to lose 43 pounds



JANIEWWJD
SparkPoints: (210,953)
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Posts: 6,651
2/26/13 11:19 P

Interesting article!!!



JOYCECAIN
SparkPoints: (60,619)
Fitness Minutes: (42,583)
Posts: 2,751
2/26/13 6:37 P

I agree with you. My doctor asked me how I had lost my weight, and I told him thru Sparks, and walking. I also told him, if I NOT HAD TO BE ACCOUNTABLE, I would not have lost. I gave him info, so if he chose to tell patients about Sparks, he and they could check it out.



ZENANDNOW
SparkPoints: (33,405)
Fitness Minutes: (2,138)
Posts: 2,406
2/26/13 6:19 P

I certainly agree with both of you in this matter. 17 years ago, after moving to my present town, I went to my family doctor's office. I saw another doctor that day instead of my own...and at one point he told me as big as I was, I would be dead before I became a senior citizen; that he had never seen obese seniors walking around.

That ticked me off and I've never been back to him since. I realize that what he said was probably true, to an extent (although I have seen obese seniors before)...but the way he told me -- so nonchalantly, as if he were discussing the weather -- hit me the wrong way, and I realized then that this doctor wasn't very personable and had an awful bedside manner. Of course, his words didn't motivate me to begin losing weight either.

My current doctor would be considered obese as well. I've stuck with him over the years because he is friendly enough, and he also treated both my parents while they were still alive. However, he has never really spoken with me about my obesity, besides referring me to a nutritionist several years ago.

Now that I've lost 81-lbs, he is happy for me, and even asked me how I was losing the weight...which made me feel good. But I agree with the news article in that many doctors do not discuss a patients obesity unless actively pushed by the patients themselves...and that is unfortunate. Had my doctor talked with me years ago and encouraged me to seek weight loss solutions which were attainable for me, I may have begun my road to a thinner ME long before now.





SLASALLE
SparkPoints: (164,222)
Fitness Minutes: (67,120)
Posts: 9,110
2/26/13 5:11 P

Obesity is a national epidemic. Doctors NEED TO be a part of talking about it. They should receive proper training on how to do so in medical school; if not on the agenda before, it certainly should be now.

Lots of things are tough to talk about, but a doctor should know how to constructively discuss solutions to this problem with their patients.



GLITTERFAIRY77
Posts: 8,023
2/26/13 4:09 P

It shouldn't be a don't-touch topic. My problem with one of the doctors I had as a teenager was that every effing ailment I had, she would tell me I really needed to lose weight. She didn't refer me to a nutritionist. She didn't give me any recommendations. She didn't sit and talk with me about calorie recommendations, or cardio recommendations. Nothing of that sort. A good doctor will talk to their patients about why they need to lose weight, tell them how they should go about it, and if the patient refuses to listen, I think, dang it, they did their best.
Most fat people know they are fat, and don't want to stay that way. Most are aware of some of the health risks being obese can cause. In America especially, I think it would behoove doctors to get some sort of training regarding how to talk to their patients. They wouldn't ignore a bad cough, or chronic nose bleeds-why do they ignore obesity?



ZENANDNOW
SparkPoints: (33,405)
Fitness Minutes: (2,138)
Posts: 2,406
2/26/13 3:59 P

www.ocregister.com/articles/weight-408996-
patients-doctors.html


Edited by: ZENANDNOW at: 2/26/2013 (16:01)


 
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