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Should Gps Stop Mincing Their Words With Obese Patients?
//GPs should stop worrying about causing offence and offer obese patients help to control their weight, experts have said.//
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They could always offer advice. It doesn't need to be rude or aggressive as "not mincing one's words" suggests. However it isn't one's job to go outside one's remit. so giving advice on issues not asked about, is on dodgy ground. One can be concerned and help without pushing and offending. It helps no one to encourage folk not to visit the doctor because it is an unpleasant experience and gives the patient the impression that they have an unpleasant GP.
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Yes. They don't have to be rude about it but telling it like it is should be the norm for GPS.
Fat people know they are fat but are mostly in denial about everything. Take away the medical reasons, which are very rare, and the 'I'm big boned' sort of excuses and you are left with the vast majority that have got into the habit of eating too much for the amount of activity they do. Take away the weight and a huge amount of the medical problems they have go with the weight.
It is exceedingly hard to lose weight when you have spent the best part of your life depending on food as a crutch. There is no getting away from that or that Food becomes a mind set that trumps insult or injury. But to not take the advice of your PG or try to take an active role in your health should not be an option.
When I was fat I rarely went to the Dr but whenever I did he always said the problem, whatever it was, was because I was fat. I of course was indignant and decided that it was easier for the Dr to say that than treat the problem. I have Since lost half my body weight and all my former problems have gone except two. Which, if I hadn't been so fat for so long, wouldn't have materialised in the first place.
Once eating becomes a psychological problem those issues should be addressed as well as losing weight.
Fat people know they are fat but are mostly in denial about everything. Take away the medical reasons, which are very rare, and the 'I'm big boned' sort of excuses and you are left with the vast majority that have got into the habit of eating too much for the amount of activity they do. Take away the weight and a huge amount of the medical problems they have go with the weight.
It is exceedingly hard to lose weight when you have spent the best part of your life depending on food as a crutch. There is no getting away from that or that Food becomes a mind set that trumps insult or injury. But to not take the advice of your PG or try to take an active role in your health should not be an option.
When I was fat I rarely went to the Dr but whenever I did he always said the problem, whatever it was, was because I was fat. I of course was indignant and decided that it was easier for the Dr to say that than treat the problem. I have Since lost half my body weight and all my former problems have gone except two. Which, if I hadn't been so fat for so long, wouldn't have materialised in the first place.
Once eating becomes a psychological problem those issues should be addressed as well as losing weight.
Many overweight people know all there is to know about diets and nutrition but in my opinion they have the wrong attitude towards it. A friend who has been 'dieting' for about 20 years roasts her food dry or in water, uses no salt, drinks 'diet' drinks, but follows meals with cake and the comment 'naughty but nice'. I really believe that if she could ditch the idea that food she enjoys is 'naughty', she'd look less favourably upon it. She reminds me of a child daring to flout 'the rules'.
Like Cassa, I also think a lot of overweight people are in denial. I see many ladies who clearly make great efforts with their appearance - beautifully coiffured hair, perfect make-up, elegantly painted nails - but the body ….. ouch! I get the impression that they don't possess a full length mirror - or if they do, they don't look beyond their faces. I think a lot of fat people have a kind of love affair with food - an obsession that's difficult to conquer. Losing weight requires more than a change of diet - it requires a change of attitude towards food.
Like Cassa, I also think a lot of overweight people are in denial. I see many ladies who clearly make great efforts with their appearance - beautifully coiffured hair, perfect make-up, elegantly painted nails - but the body ….. ouch! I get the impression that they don't possess a full length mirror - or if they do, they don't look beyond their faces. I think a lot of fat people have a kind of love affair with food - an obsession that's difficult to conquer. Losing weight requires more than a change of diet - it requires a change of attitude towards food.
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