Did your doctor ever tell you to lose weight?

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Mmmily

Joined: Jul 10
Posts: 115

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Posted: 05 Apr 2011, 09:00
I've been overweight most of my life. The only person to ever say anything was my mother, but she never tried anything other than insulting me to try and get me lose weight. When I started having knee problems I went to the doctor almost every 3-6 months and got different analgesics, x-rays, and MRIs, but he never suggested I lose weight. When I got pregnant, I noticed on my medical record the doctor had written a note about my "above average BMI" and that I was at risk for complications, but no one ever addressed those issues with me, and my doctor never made any suggestions for losing the post-baby weight.

Now my SIL is struggling with serious weight problems. She was overweight before she got pregnant, and 9 months after her daughter was born she is still gaining weight. It's gotten to the point where she can barely wrap her arms around both her own body and her daughter's so she can no carry her daughter for more than a few yards. I tried talking to my MIL (my SIL still lives at home) about it because I really worry about my SIL's health, but my MIL said that my SIL just saw her doctor for a postpartum visit (breastfeeding issues) and the doctor didn't mention weight loss, so it probably isn't as bad as I think.

I worked with doctors for 5 years before changing careers, and weight was always a taboo issue with patients. Doctors would always talk about the patient's weight when the patient's weren't around, but hardly ever to their face. Why do doctor's wait until a person is obese and facing life-threatening diseases before confronting the real problem? Does anyone else have experience with this?
debbiegaile

Joined: Feb 11
Posts: 10

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Posted: 05 Apr 2011, 09:03
Yes! My doctor use to tell me that I was healthy! (meaning fat)....Now they are telling me how serious it is because of my age and the problems I'll have to deal with...Good luck to you!!! I'm trying!!
aaron326

Joined: Mar 11
Posts: 82

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Posted: 05 Apr 2011, 09:31
i have never been told by my HCP that i need to lose anything bc i dont have any health issues. my blood pressure and everything esle is ok. BUT my gyno has told me over and over that i need to, in not the nicest way might i add. i have PCOS which causes weight gain and makes it near impossible to get pregnant especially when your heavy. its makes it difficult to lose weight and all my dr know that i have this issue. but my gyno has never hesitated to throw in my face that i will never have a child and if i do my miricale at my weight that it puts me at risk...

i almost wish that he wasnt so mean about it but i think its put it into reality. we need the people that are supposed to take care of us when we are ill... to tell us when we are putting ourselfs in a bad situation.
"the greatest pleasure in life is doing what people say you cannot do."
-Ralph Emerson
kstubblefiel...

Joined: May 10
Posts: 1,400

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Posted: 05 Apr 2011, 10:13
I've been told countless times over the years by providers that I needed to lose weight, even though I've always been relatively healthy otherwise. I have the most respect for physicians who give you that tough love & tell you the honest truth whether you want to hear it or not. My mom is a physician & I know for a fact that she LOVES following up with people who have taken her words to heart & improved their own health. I also know she LOVES the fact that I finally took charge of my own weight. Very Happy

Kat | NO EXCUSES, JUST RESULTS | Next milestone - 256: 60 lbs lost
2013: still up from 1/1, but coming back down...
2010: 50.4 lbs lost | 2011:17 lbs lost | 2012: 1 lb gained
How I did it: http://stubbysticks.wordpress.com/weight-loss-summary-by-month/
prettymasi

Joined: Oct 10
Posts: 2

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Posted: 05 Apr 2011, 10:17
Do realize that everyone isn't very kind nor sensitive when is comes to people feelings. No! You can't change the people but you can change your doctor!!! If you feel as though he is not a caring in concern health provider find a new. There is a plently Ob gyns thats supportive and have the skills in the medical field. He lost not yours! Keep up the good work your doing a good job. And, might I add your very pretty! Smile


Your supporter slash buddy,
Prettymasi
Hoser

Joined: Jul 10
Posts: 2,052

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Posted: 05 Apr 2011, 10:36
Yes, my doctor has told me to lose weight. He's done it in a good way, though, not in a shaming way, by pointing out that certain health problems would be lessened if I lost weight. He's also pointed out the health problems that I'm heading toward by not losing weight.
mwessinger

Joined: Aug 10
Posts: 184

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Posted: 05 Apr 2011, 10:40
My doctor would tell me I needed to lose weight and quit smoking every time I saw him. I quit smoking years ago, and on the next visit after I quit, he emphasized that I needed to focus on my weight even more. I have not been for my physical yet this year, but I am sure he will be surprised since the last time I was in his office I tipped the scales at 301 pounds.
kstubblefiel...

Joined: May 10
Posts: 1,400

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Posted: 05 Apr 2011, 10:44
mwessinger wrote:
I have not been for my physical yet this year, but I am sure he will be surprised since the last time I was in his office I tipped the scales at 301 pounds.

Same here! My last physical was in July right after I first started my weight loss (>300 lbs) so I could get baseline stats. I can't wait to see how much I can accomplish before this coming July so I can go see him again. Smile

Kat | NO EXCUSES, JUST RESULTS | Next milestone - 256: 60 lbs lost
2013: still up from 1/1, but coming back down...
2010: 50.4 lbs lost | 2011:17 lbs lost | 2012: 1 lb gained
How I did it: http://stubbysticks.wordpress.com/weight-loss-summary-by-month/
lisakp71

Joined: Jun 10
Posts: 527

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Posted: 05 Apr 2011, 11:02
Crazily, the only times doctors have yelled at me for weight has been for losing - while I was pregnant. I was pretty sick, and not like I didn't have enough fluff to share Very Happy - but still not ideal. Any of my doctors probably SHOULD have given me a little reality check before 240lb though; my heaviest pregnant weight was just over 200. Wow, that was the first time I ever put those two numbers together - EW! Razz

Maybe none of them did because I'm also ridiculously, unreasonably healthy - lowish blood pressure steady as a rock at 110/70, super-low cholesterol without ever even thinking about it (like in the 120s-140s)... my big butt and I have plenty of work left to do, but also have plenty to be grateful for!

I would have been mortified had any Dr. said "So, you're deep into dangerous territory here - stop it!", but in the end I ~think~ I would've been grateful for the nudge. Maybe? Razz
aaron326

Joined: Mar 11
Posts: 82

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Posted: 05 Apr 2011, 11:41
prettymasi wrote:
Do realize that everyone isn't very kind nor sensitive when is comes to people feelings. No! You can't change the people but you can change your doctor!!! If you feel as though he is not a caring in concern health provider find a new. There is a plently Ob gyns thats supportive and have the skills in the medical field. He lost not yours! Keep up the good work your doing a good job. And, might I add your very pretty! Smile


Your supporter slash buddy,
Prettymasi


was this for me?
"the greatest pleasure in life is doing what people say you cannot do."
-Ralph Emerson
Pixiestyx

Joined: Oct 10
Posts: 559

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Posted: 05 Apr 2011, 12:35
Only doctor who told me that losing weight would help was a state appointed one that I was required to see for my back to get Ssi (no longer on it because I'm back with husband who they said makes to much lol)
The doctor said if I was to lose weight it would put less strain on my back. Has it helped well some days I swear I still can't move. Others I'm fine. But my pcd never mentioned anything about weight.
gefd28

Joined: Jan 11
Posts: 187

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Posted: 05 Apr 2011, 12:36
I couldn't imagine staying with my doctor if he kept quiet about my weight. I love that my Doc is a tell it like it is kind of guy. Funny thing, when he took over from our old doctor, most of my family went to other doctors because he was "rude". In other words, he'd say you need to lose weight, you cant eat that when you're diabetic (not me), you need to exercise, ETC.

Apparently they all wanted a doctor that would just ignore the cause and prescribe a drug that would take care of it.

Anyway, Last May he told me that I wound up in the hospital because of my diet and lack of exercise. I'm looking forward to my next visit so he can see I kept my promise to change.
CherryPie

Joined: Apr 10
Posts: 74

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Posted: 05 Apr 2011, 14:24
It is perhaps why there is such a problem in the USA. Here (France) if you are 20 lb overweight you will be nagged to death if you go with 5 miles of a doctor!! I am a bit overweight at 171 lb for 5.7" but not enough to worry anyone when I lived in UK but when I reached 185 lb here doctor said "YOU ARE VERY VERY FAT - you must do something NOW" Now I've never been more than a UK size 16 (USA size 12) but I am the fattest person I know here and my French girlfriends are horrified that I'm not more bothered about it. You can't actually much buy clothes in ordinary shops above size 14 (USA 10) so I'm happy to be back at that size I am not desperate to lose more weight but have to say that general disapproval does motivate you to do something about it.
prettymasi

Joined: Oct 10
Posts: 2

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Posted: 05 Apr 2011, 15:22
Yes! Aaron, the message was for u!
kkd1125

Joined: Apr 10
Posts: 332

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Posted: 05 Apr 2011, 15:28
I'm surprised how few doctors have commented on my need to lose weight. I've been overweight/obese since college and only 2 out of my 5 doctors since then have said anything. And even when they did, they were very hesitant to say anything. I've gone through 2 pregnancies while very heavy (#1 started at 245 and #2 started at around 270), and had high blood pressure since the first one 13 years ago. There have been only 2 docs that have ever said anything to confront my problem. But they weren't very serious about it. They said something like "You know, if you just lost a little weight, the blood pressure would probably go down." One of them just handed me a DASH (low-sodium for HBP patients) diet page that was so badly photocopied I could barely read it. And there was no discussion. It's sad that as soon as you get a "serious" disease that can be treated with medicine or a specialist, they do not hesitate to talk. But when it's everyday serious, triggered by my behavior choices, and can be treated without drugs or major mecial intervention, they clam up. Doctors need to firmly but compassionately confront patients more.
gnat824

Joined: Jul 10
Posts: 1,699

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Posted: 05 Apr 2011, 15:29
My doc mentioned it - my first appointment with a new PCP and she suggested I try Weight Watchers. This occured after I had explained that I try to eat healthy and after SHE commented that I got a lot of exercise. I found this really frustrating because I really got the impression that making the number of the scale smaller was the most important thing to her. No high BP and my labs weren't in yet, but they all came back fine. I do think its important for docs to be frank with their patients about weight- if your doc can't even be straight with you, we're all in trouble! But it needs to be a discussion centered around your health and not just about an arbitrary number.
- Natalie
Mmmily

Joined: Jul 10
Posts: 115

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Posted: 05 Apr 2011, 15:53
gnat824 wrote:
But it needs to be a discussion centered around your health and not just about an arbitrary number.


I think part of the problem for doctors is that it's hard for them to discuss possible health scenarios with overweight patients who aren't quite in the health danger area of the scale. Until our weight affects are health it is just a number, but monitoring that number early can prevent people from dealing with severe diets later as well as stopping diseases like diabetes and high BP. My concern/problem is that doctors need to address the issue before it becomes an issue. Most people have to be on the verge of obese before it is brought up. Not a lot of doctors will discuss your eating/exercise habits when your BMI is just above the normal range, but why should a casual conversation about your health be so taboo? If it turns out that you eat healthy and exercise then fine, the doctor inquired and even if your BMI is above normal, you're still living a healthy lifestyle so it's nothing to worry about.

I think discussing healthy eating/living habits should be part of any doctor's visit. If a patient is a frequent visitor to the doctor even for just cold symptoms, I think doctor's should be addressing diet and exercise. Repeated studies have shown that most people who eat healthy and exercise suffer less illnesses than unhealthy eaters who don't exercise.
mellowyellow...

Joined: Jun 09
Posts: 4

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Posted: 05 Apr 2011, 18:58
My gynecologist told me to lose weight and I cried in the car on the way home Sad she was really harsh about it too!Sad
1tarheelfan

Joined: Jan 11
Posts: 37

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Posted: 05 Apr 2011, 21:32
The pediatrician literally yelled at me when I took my daughter in for a school physical for the 5th grade (we had just moved to a new state). He told me that if I choose to over-eat that I should not subject my daughter to those same habits. While it pissed me off at the time, it was the best thing that he could have possibly said to me. I started eating healthier so that my daughter would eat healthier. She was overweight at the time and is no longer overweight.

Secondly, I am a nurse practitioner and must tell you that it is my duty to tell people about their weight. If their labs and blood pressure are fine, it is still necessary to discuss weightloss with them. Since I am overweight, I know the way to tell them without being too harsh. The problem is that no one wants to hear that they are overweight. I will be honest - I hate hearing it too. It's a lot easier to treat diseases with pills and people are much more open to that. When you explain to someone that they are overweight and have to make lifestyle changes, they usually don't like to hear that. I usually take the route of offering some diet education within that appointment and discuss portion sizes (most of us think we eat one serving when we are actually eating 3 servings). I also talk to them about walking everyday. It does make it easier when I tell them that I'm in the same boat with them and we can work on it together.
radiochick

Joined: Jan 11
Posts: 303

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Posted: 05 Apr 2011, 21:45
That must have been tough Tar. I remember my mom and I had a similar appointment, but I was in high school... we were searching for answers as to why I was tired all the time. I wouldn't solve that mystery until age 31 (enzyme deficiency requiring cortisol replacement) and that time every doctor blamed my weight. She really gave my mom a good talking to. However, nothing changed. So, kudos to you for making great choices for youself AND your daughter!

I wanted to lose weight then too, but just wasn't in the right mendset. In high school I was 185-ish and wore a 36 inch waist pant at my full adult height of 5'7". Of course, now I would LOVE to be that!



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