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Does your doctor comment on your weight?
Replies
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Had my yeary physical check up today. I weighed in at 188lbs. By BMI standards I'm basically obese. But my doc stated that I look fantastic at 188lbs and my muscular body exceeds many 30 year old men she's seen. And I'll be 60 in 4 months.
A.C.E. Certified Personal and Group Fitness Trainer
IDEA Fitness member
Kickboxing Certified Instructor
Been in fitness for 35+ years and have studied kinesiology and nutrition
Hope this isn’t a weird question but what’s your BF% ? That seems to be more important than BMI for athletes typically right? Congrats on the mostly great checkup.
A.C.E. Certified Personal and Group Fitness Trainer
IDEA Fitness member
Kickboxing Certified Instructor
Been in fitness for 35+ years and have studied kinesiology and nutrition
At nearly 60 with your amount of muscle mass I can see why the doctor thinks you
look great. Quick Google search says 41-60 yrs old: Underfat: under 11 percent, Healthy: 11-22 percent, Overweight: 22-27 percent, Obese: over 27 percent.
Do you agree with the idea that your muscle mass contributed to your higher BMI count but putting you in the barely overweight category instead of the obese category? Or do you feel it still doesn’t represent you?
A.C.E. Certified Personal and Group Fitness Trainer
IDEA Fitness member
Kickboxing Certified Instructor
Been in fitness for 35+ years and have studied kinesiology and nutrition
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BuiltLikeAPeep wrote: »Does anyone else have a problem with a doctor addressing weight and nothing else? I have been to several different doctors who, after explaining why I was there, would start out with "ok, but what are you doing to lose weight?" Like, what does that have to do with (insert non-weight related issue here)? I could understand if i was being seen for bad knees or hips, but not things like ear aches. For example, last year I went to the ER because I thought I was having a heart attack. I was released with an appointment for a covid test and a diagnosis of "obesity ". I turned to the back of my discharge papers and found out my blood pressure, glucose, hemoglobin, vitamin d, potassium, magnesium and creatnin were all low.
I was just wondering if it happens a lot.
I once went to the ER with stomach pain. (I'm with the VA and that's what they told me to do.) I told them I had very large uterine fibroids and while they did some tests, they stopped looking. And on my discharge papers I saw the supposed reason for my visit was fibroids, when that was only an FYI, and the very clearly stated reason for my visit was stomach pain.0 -
Always, it’s the next level … first they blame everything on smoking so you stop smoking then they blame everything on your being over weight then it’s ‘your over 40…’ months m sure the last one will be you’re 100 how are you not dead yet 🥴
I’m not offended it’s just annoying 🙄
Yes, back in the 90s I was having neurological symptoms and was told it was due to my age. I was 30 O_o
The building I worked in turned out to have toxic mold. I'm so grateful the next doctor I went to specialized in environmental illness.0 -
paperpudding wrote: »oh dear.
I work in health care and I certainly dont get any kickbacks from Big Pharma or Big Shopping or any other such thing
Neither do the doctors. They don't get paid any money to prescribe anything
I must be in wrong country
I'm only aware that it is a thing in the US. And not a direct "pay to prescribe" thing.
We Found Over 700 Doctors Who Were Paid More Than a Million Dollars by Drug and Medical Device Companies
ProPublica has been tracking drug company spending on doctors since 2010. We just updated our database and found that companies are still paying private doctors huge sums for promotional talks and consulting.
Back in 2013, ProPublica detailed what seemed a stunning development in the pharmaceutical industry’s drive to win the prescription pads of the nation’s doctors: In just four years, one doctor had earned $1 million giving promotional talks and consulting for drug companies; 21 others had made more than $500,000.
Six years later — despite often damning scrutiny from prosecutors and academics — such high earnings have become commonplace.
More than 2,500 physicians have received at least half a million dollars apiece from drugmakers and medical device companies in the past five years alone, a new ProPublica analysis of payment data shows. And that doesn’t include money for research or royalties from inventions.
More than 700 of those doctors received at least $1 million.
Read more: https://www.propublica.org/article/we-found-over-700-doctors-who-were-paid-more-than-a-million-dollars-by-drug-and-medical-device-companies0 -
kshama2001 wrote: »paperpudding wrote: »oh dear.
I work in health care and I certainly dont get any kickbacks from Big Pharma or Big Shopping or any other such thing
Neither do the doctors. They don't get paid any money to prescribe anything
I must be in wrong country
I'm only aware that it is a thing in the US. And not a direct "pay to prescribe" thing.
We Found Over 700 Doctors Who Were Paid More Than a Million Dollars by Drug and Medical Device Companies
ProPublica has been tracking drug company spending on doctors since 2010. We just updated our database and found that companies are still paying private doctors huge sums for promotional talks and consulting.
Back in 2013, ProPublica detailed what seemed a stunning development in the pharmaceutical industry’s drive to win the prescription pads of the nation’s doctors: In just four years, one doctor had earned $1 million giving promotional talks and consulting for drug companies; 21 others had made more than $500,000.
Six years later — despite often damning scrutiny from prosecutors and academics — such high earnings have become commonplace.
More than 2,500 physicians have received at least half a million dollars apiece from drugmakers and medical device companies in the past five years alone, a new ProPublica analysis of payment data shows. And that doesn’t include money for research or royalties from inventions.
More than 700 of those doctors received at least $1 million.
Read more: https://www.propublica.org/article/we-found-over-700-doctors-who-were-paid-more-than-a-million-dollars-by-drug-and-medical-device-companies
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I don't care if a dr. tells me to lose weight, but sometimes they assume you need to lose weight so that's probably all that's wrong with you. Sometimes, weight gain causes health problems; and sometimes, other health problems cause weight gain. I think some doctors forget that sometimes.
Okay, long story follows but this is why it's so important to advocate for yourself with doctors when they dismiss everything else because you're overweight:
I lost 10 yrs of my life with my health going downhill. When it started I was overweight-- chubby mom who didn't take off all the baby weight-- but I had always been very active, playing basketball or freeze tag with my kids, dancing for hours on a night out, camping and hiking trips. Until I started getting more and more tired, more and more achy. Drs say "just lose weight."
Fast forward 5 yrs. I can still work and do chores and stuff, but I have no where near the energy I did have. Now, I trudge along and get through things, and I'm exhausted at the end of the day and stop doing stuff that used to be fun. My joint aches are making it difficult to be active and it's starting to depress me. I gain weight, and am diagnosed with Type 2 diabetes. I'm getting occasional heart palpitations, but dr. gives me EKG and it doesn't happen then, so she just tells me women sometimes get heart palpitations and it's normal, but my heart is fine. Drs say: "just lose weight."
Fast forward 2 more years, I rarely go out. I don't play with my kids anymore, it's a chore just to get through a day doing the minimum I need to take care of them. I have itchy rashes all over my skin. My joints hurt so bad sometimes I can't sleep. I get night sweats. I have what I called "heart flutters" a lot, like daily on and off. I'm always tired and having anxiety attacks and out of breath. I'm hating myself for failing at everything. I switch to working at home because my job as a photographer was too physical for me. I'm eating mostly junk because I haven't the strength to shop or cook, and I'm comfort eating due to the depression. Beg dr's for help, they run some tests and say "Just lose weight."
Time goes by, it's getting worse, and worse. I developed a cough that comes with the "heart flutters." I get to the point when I'm hardly leaving the house anymore. Just walking from one room to the next leaves me achy and winded. Showering knocks me out. I need to sleep with no blankets and two fans on me. I'm neglecting my kids, they learn to fend for themselves for a lot of things or my husband or mother have to help.
By year 8 or 9, I'm so discouraged by Drs I barely wanna go to them anymore, and when I do I don't try to get them to look deeper anymore. I've gained more than 100 lbs since all this started. They still say "just lose weight." And I hate myself more and more for failing every time I try to follow their advice.
Year 10, I can't barely walk to the bathroom and back. I've gained like 150 lbs since this started. I need help bathing. I'm getting my "heart flutters" and cough every 30 to 60 seconds, nonstop night and day. Every few minutes I wait to see if I'm just having a heart attack and wonder if I'm gonna die. I'm sleeping 18-20 hours per day and still tired the rest of the time. I realize I haven't left the house to even step out on the porch in a year. I'm still working at home but only part time. I'm always mad achey and always shoveling in Tylenol and Ibuprofen or I can't get thru the day. My marriage is affected terribly from the stress. I hate going to drs. Last dr visit like this and I'm told I've got chronic bronchitis without further tests, I'm put on a cough syrup, and told "just lose weight."
Finally I'm taken to the ER against my will. They do some tests and tell me I probably have non-Hodgkin lymphoma. They admit me and spend 10 days doing batteries of tests. Nurses are always like "you're still sleeping?" It finally comes down to exploratory lung surgery, because I've got no other signs of cancer.
Turns out I had a rare auto-immune disease. A treatable one that is rarely fatal, even though it came close to killing me. It's mainly attacking my lungs, joints, and skin. And the "heart flutters' are actually heart arrythmia due to low blood oxygen levels.
I was treated with steroids, which got the auto-immune disease out of control but sent my diabetes out of control. I still got winded easily and my muscles were so weak I was in a wheelchair for a couple of years doing PT till I got back enough strength to walk. The depression and frustration of it all unfortunately took quite a bit more time and effort to heal. My marriage never healed, and I ended up divorced. He got sick of being responsible for everything, and started cheating.
But I'm down 80 lbs. now, and my diabetes is not only under control but almost reversed, my auto-immune disease flare-ups are rare, and I can walk and do things again; still low on energy and stamina and strength in comparison to what I was before it all started, but I'm still working on it. And I'm finally finding peace of mind and depressive episodes are rare. Recovery has been slow but steady.
So yeah, I wasn't just this fat, lazy chick who didn't wanna exercise or eat right after all. Turns out that "just lose weight' meant my doctors weren't doing their job. Had they just listened to me and looked past my weight, they might have caught it years earlier and prevented the spiral downward.
Dr's should mention people's weight, sure, but when you're overweight you have to be careful and forceful in advocating for yourself when your doctor chalks all your problems up to weight.
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wow, @MacLowCarbing
Thanks for telling that story, and I'm really glad you are on the mend. :flowerforyou:1 -
I saw my Dr. In March. She prescribed a new blood pressure pill, a statin for cholesterol. Next time I saw her was September. I lost 40 lbs during that time. The nurse didn't mention it when she weighed me. The Dr. didn't mention it in the 30 minutes we talked. Just talked about blood pressure. Other people are noticing. Other people are mentioning it.
What's up?
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Not directly. If I see a specialist they usually write in their letter that I'm petite. Across a table they only see my slim face I guess. I mean, I'm not overweight but carry a lot of weight on my lower body.0
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Several years ago, I went to the doctor with fatigue, ankle pain, and pitting edema. She said "You're just fat". Just like that. I went to another doctor and was diagnosed with hypothyroidism. Which causes weight gain.
Recently, my doctor, mentioned I have a vitamin deficiency. I took it has away for her telling me I need to eat healthier. So I'm here to lose some weight by eat fewer calories each day without intentionally restricting any nutrients.0 -
I've struggled with depression through Covid. I put on 25 pounds and I was already overweight BEFORE the 25 pounds more.
I talked to my doctor about my mood several times and my weight. She finally told me to destress and gave me a pre-printed pamphlet on portion control. She never brought either up again or followed up with me on either. I put on 10 more pounds.
She constantly pushes me to get a colonoscopy even though I have no family history and no issues. My chances of colon cancer with no family history and no symptoms is 3-7%. It's not a horrible idea, but she ignores things that really worry me. My chance of long-term heart and kidney issues from the weight problem AND a family history of genetic high blood pressure...is a heck of a lot higher than 3%.
And switching doctors doesn't really help--the last two were the same.
So even if you bring up your weight, you may not get any help.
The same with depression.
It's frustrating. If you have a good doctor, hang onto them.
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I agree totally. Doctors hounded me and hounded me about colonoscopy. I said no, but I'd do Cologard. I've been seeing the same dr. for a year. She finally agreed. Did it. Peace. Still hounding me about blood pressure. Average at home is 114/70, but have some serious white coat.1
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@loulee997 I understand the frustration and the difficulty of your situation, believe me. Out of curiosity what kind of help are you looking for? I ask because, from what I understand, doctors aren’t really experts on weight loss, although they should know how to provide a source for you to receive help. Can you call and ask for a referral to a dietitian? If they’re still not helpful, I would look into some in your area with great reviews. I think working closely with a dietician and psychologist might be the most effective. I’m sorry you’re being ignored, you deserve so much better than that.2
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@loulee997 If you’re in the US, many insurance companies do not require a referral from your doctor to see a mental health therapist. Search for ‘counselors’ or ‘psychologists’ or ‘behavioral healthcare’ on your insurance company’s website for an in-network provider. Then, see if any of the therapists have a website and find out more information about the services they offer. Also, if you don’t have insurance or have difficulty paying due to a high deductible or other, check out local non-profits that offer a food pantry/job training/etc. They may offer free counseling or know if therapists that do. Don’t think that it is just in the larger cities, it is true for my (very) rural area.
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@loulee997 I understand the frustration and the difficulty of your situation, believe me. Out of curiosity what kind of help are you looking for? I ask because, from what I understand, doctors aren’t really experts on weight loss, although they should know how to provide a source for you to receive help. Can you call and ask for a referral to a dietitian? If they’re still not helpful, I would look into some in your area with great reviews. I think working closely with a dietician and psychologist might be the most effective. I’m sorry you’re being ignored, you deserve so much better than that.
It was more a combination of depression and weight gain. I was hoping to get a mild anti-depressant to just help me through a dark time in my life. I was also hoping if I got the crying and mood swings under control, I could get back to exercise and control my food intake. Since I also have a family history of thyroid disease and auto-immune--I also wanted to be sure it was tied to something physical. The year before, I went through six months when my hair was falling out by the handful. She wasn't helpful with any of these issues. My hair was falling out. My scalp couldn't be touched it was so painful. She told me it was stress. Ugh. Doctors.
I tried the therapist route. I needed meds. Most of the therapists in my area are psychologists, counselors, or social workers. They can't prescribe meds. So therapist told me meds and to talk to my GP. My GP tells me to meditate.
Now I pay out of pocket for an online prescribing psychiatric nurse to work with my therapist and get me the meds I need. Insurance will cover (partially) 12 visits a year to a therapist. It will not cover both a therapist and a prescribing person for therapy. We are still working on dose--so once that is right, I will only have to pay for the prescriber every 3 months instead of monthly.
It's a couple of extra $100s a month that I really don't want to spend.
I'm doing better. It was just more work than I needed it to be. I was really struggling and they made it so much harder.
T
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MaggieGirl135 wrote: »@loulee997 If you’re in the US, many insurance companies do not require a referral from your doctor to see a mental health therapist. Search for ‘counselors’ or ‘psychologists’ or ‘behavioral healthcare’ on your insurance company’s website for an in-network provider. Then, see if any of the therapists have a website and find out more information about the services they offer. Also, if you don’t have insurance or have difficulty paying due to a high deductible or other, check out local non-profits that offer a food pantry/job training/etc. They may offer free counseling or know if therapists that do. Don’t think that it is just in the larger cities, it is true for my (very) rural area.
Counselors and psychologists cannot prescribe meds. in my area, most are family therapists, drug therapists, or pastoral. I went thru two or three until I found a decent one. She is an okay therapist--although she also agrees that I have a chemical imbalance and need meds. She said 'talk to my GP'. She wrote my GP a letter. I got brochures on meditation from my GP. I finally hired a prescribing psychiatric nurse online and she works with my therapist. It costs a lot out of pocket, but it's working.
I used to try to get a better GP--but Kentucky is a pain.
No worries, I found a way around it. But they made it so much harder than it needed to be. I'm in an okay place. I'm lucky I could afford to pay for the prescribing therapist and the cost difference on the regular therapist. And my GP office visit costs. Health care ---what can you do...
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@loulee997 I understand the frustration and the difficulty of your situation, believe me. Out of curiosity what kind of help are you looking for? I ask because, from what I understand, doctors aren’t really experts on weight loss, although they should know how to provide a source for you to receive help. Can you call and ask for a referral to a dietitian? If they’re still not helpful, I would look into some in your area with great reviews. I think working closely with a dietician and psychologist might be the most effective. I’m sorry you’re being ignored, you deserve so much better than that.
It was more a combination of depression and weight gain. I was hoping to get a mild anti-depressant to just help me through a dark time in my life. I was also hoping if I got the crying and mood swings under control, I could get back to exercise and control my food intake. Since I also have a family history of thyroid disease and auto-immune--I also wanted to be sure it was tied to something physical. The year before, I went through six months when my hair was falling out by the handful. She wasn't helpful with any of these issues. My hair was falling out. My scalp couldn't be touched it was so painful. She told me it was stress. Ugh. Doctors.
I tried the therapist route. I needed meds. Most of the therapists in my area are psychologists, counselors, or social workers. They can't prescribe meds. So therapist told me meds and to talk to my GP. My GP tells me to meditate.
Now I pay out of pocket for an online prescribing psychiatric nurse to work with my therapist and get me the meds I need. Insurance will cover (partially) 12 visits a year to a therapist. It will not cover both a therapist and a prescribing person for therapy. We are still working on dose--so once that is right, I will only have to pay for the prescriber every 3 months instead of monthly.
It's a couple of extra $100s a month that I really don't want to spend.
I'm doing better. It was just more work than I needed it to be. I was really struggling and they made it so much harder.
T
Okay, this makes perfect sense! Obviously not making recommendations for you specifically but Wellbutrin has been the most helpful in dealing with my “stuff” and the concurrent weight concerns. Might be a worthwhile conversation if it hasn’t been already? Sometimes medication is the answer when nothing else helps. Dr. Says is great resource I’ve used for years! Hopefully you get some other options, but I wanted to provide what’s working for me.1 -
@loulee997 I understand the frustration and the difficulty of your situation, believe me. Out of curiosity what kind of help are you looking for? I ask because, from what I understand, doctors aren’t really experts on weight loss, although they should know how to provide a source for you to receive help. Can you call and ask for a referral to a dietitian? If they’re still not helpful, I would look into some in your area with great reviews. I think working closely with a dietician and psychologist might be the most effective. I’m sorry you’re being ignored, you deserve so much better than that.
It was more a combination of depression and weight gain. I was hoping to get a mild anti-depressant to just help me through a dark time in my life. I was also hoping if I got the crying and mood swings under control, I could get back to exercise and control my food intake. Since I also have a family history of thyroid disease and auto-immune--I also wanted to be sure it was tied to something physical. The year before, I went through six months when my hair was falling out by the handful. She wasn't helpful with any of these issues. My hair was falling out. My scalp couldn't be touched it was so painful. She told me it was stress. Ugh. Doctors.
I tried the therapist route. I needed meds. Most of the therapists in my area are psychologists, counselors, or social workers. They can't prescribe meds. So therapist told me meds and to talk to my GP. My GP tells me to meditate.
Now I pay out of pocket for an online prescribing psychiatric nurse to work with my therapist and get me the meds I need. Insurance will cover (partially) 12 visits a year to a therapist. It will not cover both a therapist and a prescribing person for therapy. We are still working on dose--so once that is right, I will only have to pay for the prescriber every 3 months instead of monthly.
It's a couple of extra $100s a month that I really don't want to spend.
I'm doing better. It was just more work than I needed it to be. I was really struggling and they made it so much harder.
T
Okay, this makes perfect sense! Obviously not making recommendations for you specifically but Wellbutrin has been the most helpful in dealing with my “stuff” and the concurrent weight concerns. Might be a worthwhile conversation if it hasn’t been already? Sometimes medication is the answer when nothing else helps. Dr. Says is a great resource I’ve used for years! Hopefully, you get some other options, but I wanted to provide what’s working for me.
It was one of the first ones I tried. I had a horrible reaction to Wellbutrin--both versions. It made me sleep 22 hours and made me super irritable. For most people, Wellbutrin gives you focus and energy. For me, it made me exhausted and extremely irritable. Finally was diagnosed with moderate chronic depression and adult ADHD. Taking a low dose of ADHD meds has helped with a lot of the symptoms. We're still working on finding the right depression meds.
But I'm doing better. All my sisters and half my nieces/nephews are on anti-depressants. Genetic.
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When I was a kid my Dr (pediatric) would always comment on my weight at every visit. I remember being so sensitive to talk to her about it and would even get emotional at times.
The moment I got older and transitioned to a new dr from then on they never talked or even mentioned anything about my weight. Even up to this day I still have this mindset with how my Dr is going to bring up the weight topic because of my experience as a kid.2 -
When I was morbidly obese, every doctor I saw brought up my weight. Prior to my ankle surgery I had an anaesthesiologist give me what he clearly thought was ‘tough love’, but what was actually bullying that left me in tears in the appointment and unable to eat for days afterwards. None of them ever explored why I was so overweight, they all just told me to eat less.
After I lost over half my body mass and entered the ‘normal’ BMI category for the first time in my life, I realised I had issues with disordered eating and asked for help for my probable BED. At which point I was told I had to be either underweight or morbidly obese to be referred to a therapist.
I’m a bit cynical about doctors these days.11 -
The only doctor that commented on my weight was when I was at a community college. I got annoyed with her because I had already lost 15kg and was halfway to a healthy weight. I guess she hadn't met me before. I've been much heavier since and they only talk about my weight if I mention it first (I think).0
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Went to the Dr. Today. She still didn't mention my 45 pound weight loss, but the nurse did notice that another Dr.'s office listed my height as 5'8", not 5'10" like they had listed. She asked how tall I am. I told her 5'8". We'll see if she changes it.0
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My previous doctor did, in a very negative way that has hurtful. I went to him to deal with a stomach issue that was causing vomiting and nausea. I told him that I had been unable to keep anything down and had lost 8 pounds in a week. He told me that was a good thing...6
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I think society as a whole has lost its bearings around food/weight and needs to recollect itself- give it time- maybe one day professional weight opinions will make sense/be based in reality- maybe not, I'm not going to hold my breath- don't use them as a weapon against yourself if you're that way inclined- they're not trauma informed- they don't really have our interests at heart- they're short w/ people so be discerning1
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I disagree.
I think " proffesional weight opinions" are based on reality ( ie sensible evidenced guidelines) and do make sense.
And I do think your doctor has your best interests at heart.
Whether they are short with people depends on their personal style - obviously medical profesional are human and have human variation, like everyone else.3 -
I think society as a whole has lost its bearings around food/weight and needs to recollect itself- give it time- maybe one day professional weight opinions will make sense/be based in reality- maybe not, I'm not going to hold my breath- don't use them as a weapon against yourself if you're that way inclined- they're not trauma informed- they don't really have our interests at heart- they're short w/ people so be discerning
What "weight opinions will be based in reality" Don't you think weight ranges/classifications are reasonable?2 -
My doctor recently told me she could tell by looking at me that I’d lost weight since the last time I saw her. She’s happy my health is improving. She’s encouraging in my efforts and offers sound advice if I ask her any weight loss questions. She’s terrific. She tells me encouraging stories of other patients of hers that have improved their health through weight loss.
The only time she indirectly referred to my weight previously was about a year ago and she said she has other patients like me I.e. hbp ,cholesterol, etc. that have strokes or heart attacks. She never said anything about my weight, but I got the message that I was heading for a disaster. Soon after she diagnosed me with diabetes. I smartened up.5 -
one of my big "Dad" speeches to my son was this
You will find very few people in life who truly love you and show you love. These are people like your mom and I and some of the very special friends and family members to whom you are close. There will not be many like this. On the other hand, you will encounter truly evil people who will go out of their way to make you their victim in one way or another. Thankfully, you'll encounter very few of these as well. To the other 99.999% of the world....YOU DON'T MATTER!! They may not seek to harm you, but they won't go out of their way to help you unless there is something in it for them.
I've found these percentages to be pretty true in real life. Of the pastors, and business owners, cops, teachers....and yes doctors....there are some good ones..some really evil ones....and the vast majority who will do nothing for you unless compelled to do so.
The only one looking out for my health is me. It helps to remember that 1/2 the doctors out there are below average.4 -
To answer the OP, no they don’t. I’m in the range where they’re not too concerned. However, if I have concerns that are weight related in anyway I would hope they would speak up. I don’t think my personal feelings have anything to do with my medical issues. Hopefully they would treat me like a human being though, that’s the case in most situations. Meaning, present facts in a respectful way.
For every villain in your story remember you, too, might be the villain in their story. We always think other people are so quick to take advantage of us, or don’t take the time to appreciate our concerns, but it’s never “us”, it’s always “them”.
They are not inherently bad because they don’t do what we want them to do. That’s our responsibility. And we can’t always do what others want. That’s their responsibility. But what we can do is be kind to each other and provide resources when they’re available. Apart from that, don’t expect anyone to fix for you what you can fix yourself. It doesn’t make anyone the villain or the savior. Spend less time judging others and more time reflecting on what you can do and who you are to those that matter.
Lastly, don’t ask a plumber to do an electricians job ie a medical doctor to be your therapist. That’s not fair. Seek the guidance of a professional that is qualified. Doctors are not “God”. And take responsibility when it is your problem to solve. There is no magic pill, words, diets, or religions. You have to do the work.
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To answer the OP, no they don’t. I’m in the range where they’re not too concerned.5
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