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Does your doctor comment on your weight?
Replies
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I have had doctors in the past comment on my weight, my last doctor was the worst. No understanding about anything just that I was over weight. I quit going to him at the beginning on this year. The doctor I have now hasnt said anything and is very understanding3
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Doctors should tell pregnant women when they are gaining too quickly. No reason to get offended. I say this having recently been pregnant. My baby is 3 months old.
Why? Does it harm the baby somehow to gain weight quickly vs slowly?
I remember my doctor telling me the same thing (many years ago) when I gained 7 lbs one month. Made some snide comment about "eating too much ice cream" and how I'd just have a lot more to lose. But everyone I know who has been pregnant has been like that, big jumps in weight some months. I think I ended up gaining 32 lbs total, at 5' 10" and starting weight of 130. Sometimes doctors are just *kitten*.
(He also told me my 10 lb baby was going to be "average size" - I switched doctors for the next two.)
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Doctors should tell pregnant women when they are gaining too quickly. No reason to get offended. I say this having recently been pregnant. My baby is 3 months old.
Why? Does it harm the baby somehow to gain weight quickly vs slowly?
I remember my doctor telling me the same thing (many years ago) when I gained 7 lbs one month. Made some snide comment about "eating too much ice cream" and how I'd just have a lot more to lose. But everyone I know who has been pregnant has been like that, big jumps in weight some months. I think I ended up gaining 32 lbs total, at 5' 10" and starting weight of 130. Sometimes doctors are just *kitten*.
(He also told me my 10 lb baby was going to be "average size" - I switched doctors for the next two.)
It doesn't hurt the baby per se but it can be a sign of some pretty major issues and obesity in general leads to a worse outcome for mother and baby in delivery.
That said that doctor was still a jerk - there's a difference between concern for real issues and telling you to lay off the ice cream.9 -
wunderkindking wrote: »Doctors should tell pregnant women when they are gaining too quickly. No reason to get offended. I say this having recently been pregnant. My baby is 3 months old.
Why? Does it harm the baby somehow to gain weight quickly vs slowly?
I remember my doctor telling me the same thing (many years ago) when I gained 7 lbs one month. Made some snide comment about "eating too much ice cream" and how I'd just have a lot more to lose. But everyone I know who has been pregnant has been like that, big jumps in weight some months. I think I ended up gaining 32 lbs total, at 5' 10" and starting weight of 130. Sometimes doctors are just *kitten*.
(He also told me my 10 lb baby was going to be "average size" - I switched doctors for the next two.)
It doesn't hurt the baby per se but it can be a sign of some pretty major issues and obesity in general leads to a worse outcome for mother and baby in delivery.
That said that doctor was still a jerk - there's a difference between concern for real issues and telling you to lay off the ice cream.
Back in the 60's when I was born my mother's doctor told her she was gaining WAY to much weight, and went so far as to put her on a strict diet, and told her that she was going to have a huge baby.
Only AFTER I was born at 5lb 1oz did they realize that there were two babies, and my twin sister was born a few minutes later.
I grew up hearing that story so maybe it has influenced my view of doctors commenting on pregnant women's weight gain.
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Many of the (Australian) pregnancy magazines I read whilst expecting in 2004 mentioned that 1) weight gain was probably inevitable (weight loss was cause for medical concern) but that minus the weight of the baby/waters etc, 5-10kgs was probably "normal" and that expectant mums might experience ligament/joint/muscle issues if weight was gained quickly or more than 10kgs was gained during the pregnancy. When you consider the strain that carrying a full-term baby plus 10 or more kilos would put on a tired, hormonal person, I can understand why doctors might be concerned about a sudden or "excessive" weight gain ("" because excessive means something different to everyone). Of course, I think doctors treating expectant people should have a better bedside manner.
I gained about 5kg, and if it weren't for the untreated "sick-all-day-and-night" morning sickness I probably would have gained more.3 -
I think 10 kg is considered about the right amount to gain
Of course there are other factors influencing what is best for each person - but as a rough rule of thumb.3 -
paperpudding wrote: »I think 10 kg is considered about the right amount to gain
Of course there are other factors influencing what is best for each person - but as a rough rule of thumb.
Really? That seems way too low to me - I have always heard 25 - 35 lbs is recommended amount for an average weight woman.3 -
Late the the thread - answering the original question:
My cardiologist never talks about weight. Don't know about my new PCP as we won't meet until next month. Besides, what do 95% of docs KNOW about nutrition? Having several docs as friends I came to learn that nutrition is a single course during their undergrad days. One freaking course on nutrition! They! Do! Not! Know! Nutrition!
So I stumble on with my wife and we dig in to the research. <sigh/>1 -
My doctor will talk about it if I bring it up. I have been losing weight and I slowly gained weight in my last pregnancy, so I got more positive comments about my weight from my doc. Also, because I was working with a nutritionist, she just said that was great.0
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paperpudding wrote: »I think 10 kg is considered about the right amount to gain
Of course there are other factors influencing what is best for each person - but as a rough rule of thumb.
Really? That seems way too low to me - I have always heard 25 - 35 lbs is recommended amount for an average weight woman.
Yes really.
I did say 10 kg, not 10 lb.
Which is about 22 lb.
Slightly lower than your range but not way lower.
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KeithBarrows wrote: »Late the the thread - answering the original question:
My cardiologist never talks about weight. Don't know about my new PCP as we won't meet until next month. Besides, what do 95% of docs KNOW about nutrition? Having several docs as friends I came to learn that nutrition is a single course during their undergrad days. One freaking course on nutrition! They! Do! Not! Know! Nutrition!
So I stumble on with my wife and we dig in to the research. <sigh/>
But the question was Does your doctor comment on your weight - not Does your doctor comment on your nutrition.
Doctors don't need to know detail about nutrition to know about healthy weight ranges.
I would expect a doctor to refer somebody to a dietician if they need detailed nutrition advice - but that the starting point for that might be a need to reduce weight.
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KeithBarrows wrote: »Late the the thread - answering the original question:
My cardiologist never talks about weight. Don't know about my new PCP as we won't meet until next month. Besides, what do 95% of docs KNOW about nutrition? Having several docs as friends I came to learn that nutrition is a single course during their undergrad days. One freaking course on nutrition! They! Do! Not! Know! Nutrition!
So I stumble on with my wife and we dig in to the research. <sigh/>
Just popping by to say hello to a fellow Scadian.
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My doctor hasn't said anything other than congratulations, and asked me how I did it (presumably to make sure I wasn't doing something unsafe) and was understanding when I said, "Something's wrong, because my weight loss has stopped dead in the water." (My thyroid has crapped out. Surgery to remove the tumors in January hopefully.)
I'm sorta-kinda trying to maintain at this point because I am also going to try to get a breast reduction and they like you to be at the same weight for six months. Which I have been, thanks to thyroid. (sigh)4 -
MargaretYakoda wrote: »Just popping by to say hello to a fellow Scadian.
Hello m'Lady (as I have no idea your rank - yet.) Lord Iohannes at your service. Once of An Tir, then the Outlands where I became the 2nd Squire to Sir Leifr, now residing in Trimaris (Shire of Sangre del Sol). But shhh! We never told anyone we were here since we moved in 3 years ago.
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KeithBarrows wrote: »MargaretYakoda wrote: »Just popping by to say hello to a fellow Scadian.
Hello m'Lady (as I have no idea your rank - yet.) Lord Iohannes at your service. Once of An Tir, then the Outlands where I became the 2nd Squire to Sir Leifr, now residing in Trimaris (Shire of Sangre del Sol). But shhh! We never told anyone we were here since we moved in 3 years ago.
An Tir here. But my tiny shire in the middle of nowhere didn’t survive the pandemic, sad to report.
Fortunately my son and his wife now live in the thriving Barony of Baltha An Oir. So there are still events in our future.
In my years of medieval re-enactment I’ve been a Pied Piper, a herald - mostly field heraldry, which is great fun and lots of walking - but also book heraldry and illumination/scribe, and court herald on occasion. Many times an event autocrat, which is fun if you delegate properly ,
I’ve entered arts and science competitions, but mostly to ensure there were the minimum of three entries, so someone else had a chance to be a champion.
I spin, and weave, and sew. I can sing a ribald tune, or an inspirational filk, depending on the occasion. All thanks to my SCA participation.
Fun story, re your proper use of m’lady.
I have never taken the game (it is a game) so seriously that I thought pretend nobility were more important than pretend peasants (my persona is a peasant).
And so, on Thursday night, during 30 year,
No (kitten) there I was….
I had my then ten year old son with me. My husband had to work most of that week, so it was just the two of us, in a tiny tent.
I chose to set up very near a large group of portable toilets. That way my son would have a good geographic marker to find our tent should he ever get lost.
Anyhow…. Southern Washington State, Thursday evening in late April, 1998…
We’re sound asleep. Because we’re in the quiet camping section . Y’know. Where the families are camped.
Around 3 AM there is noise on the wide path outside the tent.
Lots of noise.
Lots and lots of drunken noise.
I peeked out of the tent, and saw a couple hundred people. All lined up for the porta-potties. They kept getting louder and louder.
Imagine a rave. Right outside your bedroom window. A medieval rave. Complete with hurdy gurdies and belled jesters.
After half an hour (yes. I timed it) I had had enough. I stuck my head outside the tent and screamed at the top of my lungs “SHUT UUUUUUP!!!!!!!” and then pulled my head back inside and went back to sleep, in the blissful silence.
Fast forward a decade. My son and I were at a black smithing class. SCA, of course. The instructor was a BIG DEAL, rather high up in An Tir’s Order of Precedence.
He began a story about how it really is all a game. And how, at 30 year, on Thursday night, it was the night the King and Queen of Drachenwald had finally arrived on site. So all the Kings and Queens, and every Baron and Baroness, and most Pelicans and other High Muckity Mucks were partying.
They decided to tour their world, such as it was. And they got drunker and drunker as they went along. Eventually forgetting there was a quiet section. Where children were sleeping. Mere yards away from the large collection of portable toilets.
When the “crazy woman” stuck her head out of her teeny tiny tent and told basically every pointy hat in the entire known world to “shut up” it was a hilarious, but necessary reminder.
I laughed so hard, and admitted it was me. And that they had woken up my son.
Had it not been a game? It would likely not have ended as a funny story the Barons and Pelicans tell each other over their camp fires.
😉
OK. That’s enough time off topic.5 -
paperpudding wrote: »paperpudding wrote: »I think 10 kg is considered about the right amount to gain
Of course there are other factors influencing what is best for each person - but as a rough rule of thumb.
Really? That seems way too low to me - I have always heard 25 - 35 lbs is recommended amount for an average weight woman.
Yes really.
I did say 10 kg, not 10 lb.
Which is about 22 lb.
Slightly lower than your range but not way lower.
Yes I did the math. Given that it is lower than the lowest end of the recommendation it is actually "way lower".
At any rate not sure what area of Australia you are in but this is from the Queensland Health Department:
Target weight gains during pregnancy:
Pre-pregnancy BMI (kg/m2) Recommended total weight gain range (kg)
<18.5 underweight 12.5 to 18
18.5 to 24.9 normal weight 11.5 to 16
25.0 to 29.9 overweight 7 to 11.5
≥ 30.0 obese 5 to 9
You'll notice that my comment mentioned "average weight" woman - and the range I gave is exactly what is recommended here. Maybe you see a lot of overweight women in your practice or something so for you "average weight" is overweight? What I meant was "normal weight" or not in the under or overweight BMI range. So for those women 10 kg is below the recommendations in your country for that group.3 -
No we see a range of size women.
Probably, like most of the population, more are overweight than not.
I guess the term 'way lower' is subjective .
Still seems slightly lower to me - but not going to hijack the thread on semantics.
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KeithBarrows wrote: »Late the the thread - answering the original question:
My cardiologist never talks about weight. Don't know about my new PCP as we won't meet until next month. Besides, what do 95% of docs KNOW about nutrition? Having several docs as friends I came to learn that nutrition is a single course during their undergrad days. One freaking course on nutrition! They! Do! Not! Know! Nutrition!
So I stumble on with my wife and we dig in to the research. <sigh/>
And the one course in nutrition the doctor gets as an undergrad is one more course than probably 98% of the population gets.
So if they know nothing, the vast majority of the general population is really screwed regarding their own knowledge.
P.S. I do think doctors as well as PAs, NPs, nurses, etc. should have more training in nutrition than they get.
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Theoldguy1 wrote: »P.S. I do think doctors as well as PAs, NPs, nurses, etc. should have more training in nutrition than they get.
I cannot agree more. Unfortunately, the general attitude is to rely on Nutritionists or fake it because "I am the doctor and I *should* know this." The insurance companies have not made it any easier for the doctors or the patients. Prevention is NOT a focus. There is no $$$ in it.
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KeithBarrows wrote: »Theoldguy1 wrote: »P.S. I do think doctors as well as PAs, NPs, nurses, etc. should have more training in nutrition than they get.
I cannot agree more. Unfortunately, the general attitude is to rely on Nutritionists or fake it because "I am the doctor and I *should* know this." The insurance companies have not made it any easier for the doctors or the patients. Prevention is NOT a focus. There is no $$$ in it.
Agree with lack of preventive medicine.
Personally I don't mind if a medical professional (or really anyone for that matter) says they don't know something and suggests I consult another professional, even better if they can refer me to the appropriate person.
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