pulmonarymd
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Post by pulmonarymd on Mar 28, 2022 11:13:17 GMT -5
Obesity increase the risk of the following Diabetes lipid disorders hypertension risk of coronary artery disease heart failure atrial fibrillation deep venous thrombosis Cancer arthritis gout gallbladder disease gastroesophageal reflux Increased risk of pregnancy outcomes kidney stones urinary incontinence sleep apnea asthma increased susceptibility to infection If you compare that to cigarette smokers, you see a similar list lung disease cancer in multiple organs- lung, bladder, kidney, esophagus, head and neck, pancreas heart disease reflux stoke osteoporosis cataracts pregnancy complications infertility vascular disease leading to amputations I am expected to address cigarette smoking at every visit. it is a quality measure. Obesity is a risk factor for many diseases as you see. SHould it not be addressed. A physician in Ohio was sued by a family and lost because he was did not recommend strongly enough that a patient who died from heart disease stop smoking and lose weight I haven't said it should be ignored. I've said it is a convenient scapegoat. There are cases that I'm not going to look up right now where women are continually told their weight is why they can't get pregnant, why they have this pain or that, and it turns out it wasn't the weight at all! I'm sure you know this, but the possibility that 1 fat person might not realize they're fat and hasnt internalized everything wrong with themselves because of that fact is why we should keep the status quo? Is it the cause or a side effect? Is it related at all? Those are questions providers should be having with patients, getting at least a baseline of data before assigning weight loss as the cure all. Sure, and doctors who do not do their job are wrong. But the solution is not to ignore its health risks either. Many people seem to think that we should not address it at all. There is now a push to not weigh people at every visit. So now we will not find unintentional weight loss until the problem is worse. For example, if I diagnose someone with sleep apnea, I treat it, but I will also discuss its relationship to weight, including the fact that it may not get better with weight loss. That is how it should be dealt with.
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raeoflyte
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Post by raeoflyte on Mar 28, 2022 11:15:20 GMT -5
www.nature.com/articles/s41591-020-0803-xOur default assumption is always that health issues are caused or exasperated by weight and I expect the data will disprove that in many ways in the coming years. It's always nice to be able to separate ourselves from bad things, to feel like we have more control over our lives, that we're right, and other people are wrong. I get that, and weight is a really easy way to judge ourselves against others. We are all judgmental. We all have things that push our buttons. For many people it is weight, and I get it. It is tied with with all kinds of emotions and self-esteem. But ignoring its negative health effects helps no one. Medicine needs to do a better job dealing with obese patients, and everyone needs to be treated honestly and with dignity. We need to leave our prejudices at the door. People judge smokers who get lung cancer, alcoholics who get cirrhosis, opiate addicts who get ill. I have yet to meet someone who has not been judgmental about those patients. A little more empathy would help society in all kinds of ways. I don't believe anyone is ignoring weight. I will say that my sons endocrinologist office is what I hope to see in all medical offices. Their providers leave shaming at the door. Even if you're not a good patient and flawed in almost every way.
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Lizard Queen
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Post by Lizard Queen on Mar 28, 2022 11:26:55 GMT -5
My issue with using weight as the easy excuse, is that you ignore other risk factors. The people I know basically overused their hips. My aunt was very active and worked on her feet a lot. Dad golfed, and walked the course. My DH had the body of a movie star, but tore his labram and has never gotten back to being able to even bowl, much less run on his lunch hour like he used to. Anyway, I really Nonsmokers get lung cancer. Runners die from heart attacks. I have sleep apnea yet am not obese, whereas I have seen many obese people who do not have it. But to ignore the impact of something because someone without it gets the same disease is wrong. Maybe you take other things into consideration in your practice and otherwise, but the statement that was made about this individual did not. Apparently, they know 💯 the cause of this guy's bad hips.
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jerseygirl
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Post by jerseygirl on Mar 28, 2022 11:32:58 GMT -5
Older son is ortho surgeon and for elective joint replacement requests patient try to stop smoking for 6 months. There is a poorer outcome for smokers. He also requests them to loose weight again for 6 months. He doesn’t shame them just presents outcomes also requests but doesn’t deny surgery for smokers and obese His MIL needs both hip and knee surgery and is losing weight, her ortho in CA also told her better to lose weight first She’s lost around 75 lbs and still needs surgery but already has less pain As for relating this to finances , easier surgery and recovery needing less hospitalization time and rehab care and less cost
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NoNamePerson
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Post by NoNamePerson on Mar 28, 2022 11:38:54 GMT -5
Does not staying married to someone who eventually inherited around $3,000,000 from parents. I just felt like I would be a high class hooker forage hanging for another 17 yrs just to get money. Nah, not a bad financial just a keep my sanity decision. Yeah, you could have stayed married for the potential inheritance, and he could have divorced you. End result would be the same. I would have covered my bases before money hit the bank Bottom line I went to bed without it and didn’t need it when I woke up. Reason I filed after 18 yrs and hit the road running! His 3rd wife earned that money
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Lizard Queen
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Post by Lizard Queen on Mar 28, 2022 11:41:52 GMT -5
Older son is ortho surgeon and for elective joint replacement requests patient try to stop smoking for 6 months. There is a poorer outcome for smokers. He also requests them to loose weight again for 6 months. He doesn’t shame them just presents outcomes also requests but doesn’t deny surgery for smokers and obese His MIL needs both hip and knee surgery and is losing weight, her ortho in CA also told her better to lose weight first She’s lost around 75 lbs and still needs surgery but already has less pain As for relating this to finances , easier surgery and recovery needing less hospitalization time and rehab care and less cost If my DH got a hip replacement, would he be able to get back to running? (We were pondering this option years ago, and I can't remember what the holdup was exactly. I thought it maybe had to do I that, or perhaps need for subsequent surgery.) 6-4, 185 lbs, 48 yo.
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NoNamePerson
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Post by NoNamePerson on Mar 28, 2022 11:43:58 GMT -5
I’m really late to this thread but do we need to start a bad medical choices thread? Just asking. Yes I know health decisions can cause financial problems. I looked at my financial decisions. Guess I don’t pay enough attention to others to judge them. I am not perfect.
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raeoflyte
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Post by raeoflyte on Mar 28, 2022 12:04:44 GMT -5
I haven't said it should be ignored. I've said it is a convenient scapegoat. There are cases that I'm not going to look up right now where women are continually told their weight is why they can't get pregnant, why they have this pain or that, and it turns out it wasn't the weight at all! I'm sure you know this, but the possibility that 1 fat person might not realize they're fat and hasnt internalized everything wrong with themselves because of that fact is why we should keep the status quo? Is it the cause or a side effect? Is it related at all? Those are questions providers should be having with patients, getting at least a baseline of data before assigning weight loss as the cure all. Sure, and doctors who do not do their job are wrong. But the solution is not to ignore its health risks either. Many people seem to think that we should not address it at all. There is now a push to not weigh people at every visit. So now we will not find unintentional weight loss until the problem is worse. For example, if I diagnose someone with sleep apnea, I treat it, but I will also discuss its relationship to weight, including the fact that it may not get better with weight loss. That is how it should be dealt with. Your comment about not screening for unexplained weight loss brought up something that has never occurred to me, but now I will never forget. When ds was 6, we took him to the doctor for a suspected uti because he was peeing a lot. Of course 48 hours later a receptionist at the endocrinologist office gave me the actual diagnosis of type 1 which was terrifying and it took me years to reconcile how everything went down. But our gp's office absolutely weighed ds that day. And while I didn't know it then, he had lost more than 10% of his body weight. He went from something like the 97th percentile to the 75th, and they never said a word. Didn't care or didn't notice, and yes Ill say its in large part because he was a normal weight/size for his height. They had been his doctor since he was born and 8-10 pounds is a lot on a 6 year old. They didn't find anything on the urine sample but gave a rx for antibiotics and were going to send us on our way when dh insisted they send a sample to the lab. I don't expect most medical professionals to know much if anything about type 1, but there were a lot of balls dropped that could have ended badly for ds. I kind of wish I hadn't realized about another one.
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swamp
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Post by swamp on Mar 28, 2022 13:01:37 GMT -5
What does being shaped like Santa Claus have to do with bad hips? Every person I know with hip problems was fairly skinny. My husband is tall and thin, yet has hip problems. Because fat is bad. They are the scourge of humanity. If you stay skinny you will never have health problems.
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swamp
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Post by swamp on Mar 28, 2022 13:03:53 GMT -5
1 Anecdotes aren't data 2 Obesity is a well known risk factor for arthritis. It puts a significant strain on the joints. In addition, obesity is a factor in the outcome of joint replacement surgery, and many orthopedic surgeons will not do joint replacements on people above a certain BMI due to risk of failure and poor outcomes 1. She's got one anecdote, I have 5. 2. I was looking for some better reference material than the marketing-related that one she linked. Maybe a study showing obese people needing hip replacements more often than thin people? Maybe part of the reason they are obese is that moving hurts? I know I’ve put on significant weight since I hurt my back.
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Lizard Queen
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Post by Lizard Queen on Mar 28, 2022 13:19:45 GMT -5
1. She's got one anecdote, I have 5. 2. I was looking for some better reference material than the marketing-related that one she linked. Maybe a study showing obese people needing hip replacements more often than thin people? Maybe part of the reason they are obese is that moving hurts? I know I’ve put on significant weight since I hurt my back. Very true. Even my skinny DH moved into the overweight category for a while when he could do nothing without extreme pain.
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Lizard Queen
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Post by Lizard Queen on Mar 28, 2022 13:47:06 GMT -5
1. She's got one anecdote, I have 5. 2. I was looking for some better reference material than the marketing-related that one she linked. Maybe a study showing obese people needing hip replacements more often than thin people? Your numbers are irrelevant, still anecdotal. Is this good enough? www.hopkinsarthritis.org/patient-corner/disease-management/role-of-body-weight-in-osteoarthritis/#:~:text=Overweight%20women%20have%20nearly%204,or%20obesity%20and%20knee%20OA. Overweight women have nearly 4 times the risk of knee OA; for overweight men the risk is 5 times greater. Being overweight is a clear risk factor for developing OA. Population-based studies have consistently shown a link between overweight or obesity and knee OA Actually, it's not really the information I'm looking for. There's some extrapolation one could assume from this, but really don't care about age of onset as much as lifetime need.
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Cookies Galore
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Post by Cookies Galore on Mar 28, 2022 13:51:58 GMT -5
Nonsmokers get lung cancer. Runners die from heart attacks. I have sleep apnea yet am not obese, whereas I have seen many obese people who do not have it. But to ignore the impact of something because someone without it gets the same disease is wrong. Maybe you take other things into consideration in your practice and otherwise, but the statement that was made about this individual did not. Apparently, they know 💯 the cause of this guy's bad hips. That poster has a long history of judging other people's diets and weight, so is anyone really surprised? As far as your husband, if he's in that much pain, get the surgery! I didn't have a hip replacement, just repaired some damage, but I went from needing assistance to stand up to being able to do it hands-free, which is something I never thought I'd brag about, lol. My issue was developmental and being active exacerbated the problem. I gave up running before my surgery and never got back into it, but I hike, walk, ride my bike (couldn't do that much), do Barre, yoga, etc. Perfectly reasonable weight and body shape, for the record.
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pulmonarymd
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Post by pulmonarymd on Mar 28, 2022 13:58:13 GMT -5
Older son is ortho surgeon and for elective joint replacement requests patient try to stop smoking for 6 months. There is a poorer outcome for smokers. He also requests them to loose weight again for 6 months. He doesn’t shame them just presents outcomes also requests but doesn’t deny surgery for smokers and obese His MIL needs both hip and knee surgery and is losing weight, her ortho in CA also told her better to lose weight first She’s lost around 75 lbs and still needs surgery but already has less pain As for relating this to finances , easier surgery and recovery needing less hospitalization time and rehab care and less cost If my DH got a hip replacement, would he be able to get back to running? (We were pondering this option years ago, and I can't remember what the holdup was exactly. I thought it maybe had to do I that, or perhaps need for subsequent surgery.) 6-4, 185 lbs, 48 yo. Joint replacement surgery is a treatment for pain. Timing is tricky for younger people, as the joints only last about 20 years, and younger, more active people can wear them out quicker because they are more active. Only he can tell you if he is ready for surgery. He should get back with the surgeon to discuss timing. My wife did research on outcomes of joint replacement surgery with the Orthopedic surgeons here for about 17 years. She always said the surgeons would say it is an operation for pain, and only the patient could decide if they were uncomfortable enough.
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Lizard Queen
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Post by Lizard Queen on Mar 28, 2022 14:01:18 GMT -5
Maybe you take other things into consideration in your practice and otherwise, but the statement that was made about this individual did not. Apparently, they know 💯 the cause of this guy's bad hips. That poster has a long history of judging other people's diets and weight, so is anyone really surprised? As far as your husband, if he's in that much pain, get the surgery! I didn't have a hip replacement, just repaired some damage, but I went from needing assistance to stand up to being able to do it hands-free, which is something I never thought I'd brag about, lol. My issue was developmental and being active exacerbated the problem. I gave up running before my surgery and never got back into it, but I hike, walk, ride my bike (couldn't do that much), do Barre, yoga, etc. Perfectly reasonable weight and body shape, for the record. True. I'm glad you were able to get closer to normal. I think you had the same issue/surgery as my DH. He's been in physical therapy for 5-6 years now. Tried simply jogging a little bit in the course of helping the kids practice baseball, which lit his hip on fire, I guess. It's just sad to me. We used to go to national bowling tournaments, and there'd be bowlers there in their 90's, and he can't even do that.
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pulmonarymd
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Post by pulmonarymd on Mar 28, 2022 14:01:43 GMT -5
Sure, and doctors who do not do their job are wrong. But the solution is not to ignore its health risks either. Many people seem to think that we should not address it at all. There is now a push to not weigh people at every visit. So now we will not find unintentional weight loss until the problem is worse. For example, if I diagnose someone with sleep apnea, I treat it, but I will also discuss its relationship to weight, including the fact that it may not get better with weight loss. That is how it should be dealt with. Your comment about not screening for unexplained weight loss brought up something that has never occurred to me, but now I will never forget. When ds was 6, we took him to the doctor for a suspected uti because he was peeing a lot. Of course 48 hours later a receptionist at the endocrinologist office gave me the actual diagnosis of type 1 which was terrifying and it took me years to reconcile how everything went down. But our gp's office absolutely weighed ds that day. And while I didn't know it then, he had lost more than 10% of his body weight. He went from something like the 97th percentile to the 75th, and they never said a word. Didn't care or didn't notice, and yes Ill say its in large part because he was a normal weight/size for his height. They had been his doctor since he was born and 8-10 pounds is a lot on a 6 year old. They didn't find anything on the urine sample but gave a rx for antibiotics and were going to send us on our way when dh insisted they send a sample to the lab. I don't expect most medical professionals to know much if anything about type 1, but there were a lot of balls dropped that could have ended badly for ds. I kind of wish I hadn't realized about another one. Works the other way too. If someone gains a significant amount of weight over a short period of time, you need to consider the possibility that they have developed congestive heart failure, liver disease, kidney disease, or have undiagnosed sleep apnea. I understand the emotions surrounding weight, but there are legitimate medical reasons to measure it. Just because some physicians do not do good a jo in this area means that it should not be addressed. It means we need to do better.
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pulmonarymd
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Post by pulmonarymd on Mar 28, 2022 14:22:57 GMT -5
I’m really late to this thread but do we need to start a bad medical choices thread? Just asking. Yes I know health decisions can cause financial problems. I looked at my financial decisions. Guess I don’t pay enough attention to others to judge them. I am not perfect. The biggest one is smoking. No positive to it, expensive, leads to early disability and death.
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Deleted
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Post by Deleted on Mar 28, 2022 14:31:54 GMT -5
That poster has a long history of judging other people's diets and weight, so is anyone really surprised? I am a passionate advocate of avoiding the necessity for medical intervention, to the extent it's possible, by healthy lifestyle choices. And now, in order to avoid being Rigby'd, I am no longer participating in this discussion.
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raeoflyte
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Post by raeoflyte on Mar 28, 2022 14:34:57 GMT -5
Your comment about not screening for unexplained weight loss brought up something that has never occurred to me, but now I will never forget. When ds was 6, we took him to the doctor for a suspected uti because he was peeing a lot. Of course 48 hours later a receptionist at the endocrinologist office gave me the actual diagnosis of type 1 which was terrifying and it took me years to reconcile how everything went down. But our gp's office absolutely weighed ds that day. And while I didn't know it then, he had lost more than 10% of his body weight. He went from something like the 97th percentile to the 75th, and they never said a word. Didn't care or didn't notice, and yes Ill say its in large part because he was a normal weight/size for his height. They had been his doctor since he was born and 8-10 pounds is a lot on a 6 year old. They didn't find anything on the urine sample but gave a rx for antibiotics and were going to send us on our way when dh insisted they send a sample to the lab. I don't expect most medical professionals to know much if anything about type 1, but there were a lot of balls dropped that could have ended badly for ds. I kind of wish I hadn't realized about another one. Works the other way too. If someone gains a significant amount of weight over a short period of time, you need to consider the possibility that they have developed congestive heart failure, liver disease, kidney disease, or have undiagnosed sleep apnea. I understand the emotions surrounding weight, but there are legitimate medical reasons to measure it. Just because some physicians do not do good a jo in this area means that it should not be addressed. It means we need to do better. Sure except the doctor didn't care because he was still normal weight. See my point? You continue to argue a point I haven't debated. But how is your industry "doing better" besides continuing the battering ram that weight is still probably the cause of all fat peoples problems? It might not be weight, but just to make sure why don't you lose a bunch just so we can make sure. Then if you're still in pain, sad, having actual medical issues we'll start caring.
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pulmonarymd
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Post by pulmonarymd on Mar 28, 2022 14:41:26 GMT -5
Works the other way too. If someone gains a significant amount of weight over a short period of time, you need to consider the possibility that they have developed congestive heart failure, liver disease, kidney disease, or have undiagnosed sleep apnea. I understand the emotions surrounding weight, but there are legitimate medical reasons to measure it. Just because some physicians do not do good a jo in this area means that it should not be addressed. It means we need to do better. Sure except the doctor didn't care because he was still normal weight. See my point? You continue to argue a point I haven't debated. But how is your industry "doing better" besides continuing the battering ram that weight is still probably the cause of all fat peoples problems? It might not be weight, but just to make sure why don't you lose a bunch just so we can make sure. The doctor did a poor job, a pediatrician should be clued in to type 1 diabetes, as they will see it regularly over their careers. I understood your point entirely. I was just pointing out that there are legitimate reasons to weigh patients. This doctor weighed him and ignored an important sign. You will get no argument from me that he was wrong. You(and many others) are smearing an entire profession over the actions of some physicians. Physicians should not make assumptions about a problem, and should not comment about an unrelated issue unless they are asked.
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swamp
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Post by swamp on Mar 28, 2022 14:45:02 GMT -5
I’ll give an example with my DD.
She is chunky. She was born chunky.
When she was 10, I took her to urgent care over a weekend for a sinus infection. She has a regular pediatrician, but it was a weekend. The PA examined DD and told her she needs to lose weight.
THIS PA HAS NEVER LAID EYES ON DD AND LNOWS NOTHING ABOUT HER HEALTH HISTORY.
HOW IS HER COMMENT HELPFUL?
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NoNamePerson
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Post by NoNamePerson on Mar 28, 2022 14:45:17 GMT -5
I’m really late to this thread but do we need to start a bad medical choices thread? Just asking. Yes I know health decisions can cause financial problems. I looked at my financial decisions. Guess I don’t pay enough attention to others to judge them. I am not perfect. The biggest one is smoking. No positive to it, expensive, leads to early disability and death. WTF are you talking about. I don’t see a question in my post. GC. Or DebbieMD in disguise.
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raeoflyte
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Post by raeoflyte on Mar 28, 2022 15:03:09 GMT -5
Sure except the doctor didn't care because he was still normal weight. See my point? You continue to argue a point I haven't debated. But how is your industry "doing better" besides continuing the battering ram that weight is still probably the cause of all fat peoples problems? It might not be weight, but just to make sure why don't you lose a bunch just so we can make sure. The doctor did a poor job, a pediatrician should be clued in to type 1 diabetes, as they will see it regularly over their careers. I understood your point entirely. I was just pointing out that there are legitimate reasons to weigh patients. This doctor weighed him and ignored an important sign. You will get no argument from me that he was wrong. You(and many others) are smearing an entire profession over the actions of some physicians. Physicians should not make assumptions about a problem, and should not comment about an unrelated issue unless they are asked. I don't think it's smearing when it is a legitimate, documented, nationwide problem. I'm not smearing police when I say they have a racial injustice problem in their ranks. We can't fix problems we don't own and understand. How many health issues are we exasperating by fat shaming? I agree the medical community needs to do better, and I think the data is out there and coming and we will likely see correlation is not causation and I hope it will help for better care. Empowering patients to approach their medical care as partners with doctors instead of students being graded creates better medical care. If someone needs to not be weighed to be able to comfortably go to the doctor, its a hell of a lot better than avoiding the doctor entirely. It doesn't mean no one should ever be weighed, but it's at least an actionable step and acknowledging where that person is right now and treating them as a person not a weight. We can say we need to do better, but if it isn't followed up with action nothing will change. Don't worry - I still know being fat is bad and likely, but not always, the reason for any medical problems.
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raeoflyte
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Post by raeoflyte on Mar 28, 2022 15:05:31 GMT -5
I’ll give an example with my DD. She is chunky. She was born chunky. When she was 10, I took her to urgent care over a weekend for a sinus infection. She has a regular pediatrician, but it was a weekend. The PA examined DD and told her she needs to lose weight. THIS PA HAS NEVER LAID EYES ON DD AND LNOWS NOTHING ABOUT HER HEALTH HISTORY. HOW IS HER COMMENT HELPFUL? It's the hardest with kids and absolutely where we need to work the hardest to change.
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Ava
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Post by Ava on Mar 28, 2022 15:17:36 GMT -5
As someone who's dealt with obesity all her life, I can give my opinion regarding medical care. Years ago, I was derided and even made fun of by more than one doctor. Which made me feel so bad that I avoided medical care for years. Then I started working with a therapist and I managed to seek care again. I deserve medical care and I deserve to be treated with respect.
I go to the doctor and if I feel disrespected I change doctors. The doctor I currently have takes my weight as a part of who I am. She mentions it in a very matter of fact way, and doesn't emphasize it too much, nor does she ignore it. I consider it the right approach.
I have to say lately I see a shift, and most doctors mention weight but don't disrespect me or give me a lecture.
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wvugurl26
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Post by wvugurl26 on Mar 28, 2022 15:48:06 GMT -5
My grandma went to a new doctor last week. She's been having some issues that her primary care can't/won't treat. We are concerned that there's another cause besides stress for her dropping 50 pounds since the fall.
We got a oh it's normal for old people because they stop eating regular meals. The best part is at 5'1 and 150 she's still overweight according to the print out. She seems very frail now. She'd have to lose another 18 pounds to not be overweight.
I'm pushing for an appointment with a geriatric specialist. This lady has no concern whatsoever about such a large weight loss. She didn't suddenly start eating just salads and exercising 2 hours a day. It was within the same health system so new person had access to prior records and refused to order bloodwork to check her out.
Yes, being overweight can cause issues but the same people can also have real problems that need treatment. Losing weight will help some things but not all.
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Lizard Queen
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Post by Lizard Queen on Mar 28, 2022 15:52:16 GMT -5
That poster has a long history of judging other people's diets and weight, so is anyone really surprised? I am a passionate advocate of avoiding the necessity for medical intervention, to the extent it's possible, by healthy lifestyle choices. And now, in order to avoid being Rigby'd, I am no longer participating in this discussion. And looking down your nose at anyone not blessed with your kind of genes.
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NoNamePerson
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Post by NoNamePerson on Mar 28, 2022 15:53:27 GMT -5
My grandma went to a new doctor last week. She's been having some issues that her primary care can't/won't treat. We are concerned that there's another cause besides stress for her dropping 50 pounds since the fall. We got a oh it's normal for old people because they stop eating regular meals. The best part is at 5'1 and 150 she's still overweight according to the print out. She seems very frail now. She'd have to lose another 18 pounds to not be overweight. I'm pushing for an appointment with a geriatric specialist. This lady has no concern whatsoever about such a large weight loss. She didn't suddenly start eating just salads and exercising 2 hours a day. It was within the same health system so new person had access to prior records and refused to order bloodwork to check her out. Yes, being overweight can cause issues but the same people can also have real problems that need treatment. Losing weight will help some things but not all. I'm surprised that they didn't just prescribe 20 pills for her to take. That seems to be the norm with older patients!
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Mar 28, 2022 15:55:08 GMT -5
I’ll give an example with my DD. She is chunky. She was born chunky. When she was 10, I took her to urgent care over a weekend for a sinus infection. She has a regular pediatrician, but it was a weekend. The PA examined DD and told her she needs to lose weight. THIS PA HAS NEVER LAID EYES ON DD AND LNOWS NOTHING ABOUT HER HEALTH HISTORY. HOW IS HER COMMENT HELPFUL? Is this PA related to the one that told me my ear was congested because I don't take iron during my period? Still not convinced he wasn't an escapee from the prison across the street.
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NoNamePerson
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Is There Anybody OUT There?
Joined: Dec 17, 2010 17:03:17 GMT -5
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Post by NoNamePerson on Mar 28, 2022 16:02:00 GMT -5
I’ll give an example with my DD. She is chunky. She was born chunky. When she was 10, I took her to urgent care over a weekend for a sinus infection. She has a regular pediatrician, but it was a weekend. The PA examined DD and told her she needs to lose weight. THIS PA HAS NEVER LAID EYES ON DD AND LNOWS NOTHING ABOUT HER HEALTH HISTORY. HOW IS HER COMMENT HELPFUL? Is this PA related to the one that told me my ear was congested because I don't take iron during my period?Still not convinced he wasn't an escapee from the prison across the street. I'm sorry but this is the funniest thing I've seen online today. Thanks for the belly laugh and for causing me to at least be HEALTHY for a few minutes.
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