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I wish my doctor had read this article about losing weight...

Friday, January 10, 2014



www.nhlbi.nih.gov/health
/prof/heart/obesity/aim_ki
t/steps.pdf


My doctor has been treating me and not mentioning my weight. He is not one of those doctors who blames everything on my weight. But.. he has not been very helpful to me either--I mean helpful about the weight. Once he said when I am ready , I will lose the weight. And one of our visits he counseled me. He said just cutting 500 calories a day would result in 1 lb. loss each week. But he had no ideas about how cravings made it impossible to do what he asked.


The above article seems like a much more helpful approach.

It starts a dialogue but is not blaming. I can see where it might lead to a real understanding of my problem. It shows respect for me.

chris
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  Member Comments About This Blog Post:

DJ4HEALTH 1/11/2014 10:02PM

    emoticon

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SOFT_VAL67 1/11/2014 12:09PM

    My own doctor had lap band surgery. So, I was thinking, "wow, it worked for her, she treats my health issues, maybe it can work for me".
Thank goodness I tried a different approach, she was pretty understanding and only said when I decide what I want to do let her know.
Well, what do I do doc? was my thinking. I have tried WW, I have tried almost all fad diets, etc.
For me, it did take the prepping for the lap band surgery to finally open my eyes. The surgeon I first went to, was strict and seemed judgemental, but in the long run, it was he, who finally opened my eyes, he showed me how important it was to remove fat around the organs, and he helped me to see that eating healthy foods wasnt the end of the world. While I chose to NOT go thru with the surgery, i was always thankful I went to him, if not for that doctor, I might have gone to one who didnt care about the patient and only wanted to do surgery. His plan called for losing 25 pounds or more before he would even consider the surgery.
I was given a 1200 calorie a day diet to follow for three months, then in the last 2 weeks leading up to the surgery, I was put on an all liquid high protein diet, alot of protein shakes.
In that time period I lost 25 lbs, and I got to thinking, hmmm, maybe, just maybe, I can keep doing this without surgery.
And so I did.
I put off the surgery and I kept eating high protein, I had already given up soda, and I walked, 20 minutes was pushing it for me in the beginning, but within months I was walking up to 2 hours a day, somedays 2 times a day.
I was eating healthy foods, who knew.
And I was losing weight, I lost a total of 70 lbs, now, I will be honest, I have gained 16 of that back, after breaking my foot and not being able to walk for 6 months.
But I am back on the right track, I know it can be done, we have to do it for ourselves, our doctors can either be helpful and offer up great diet plans, or they can be passive, or they can have an who cares attitude, i mean afterall, if their patients are unhealthy, wont that keep them coming back?
Luckily for me, i found a doctor who helped me find what worked for me and I had to be the one to make it work. emoticon

Comment edited on: 1/11/2014 12:12:51 PM

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JACRBUNCH 1/11/2014 11:32AM

    Thanks for sharing

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-BLESSINGS- 1/11/2014 8:39AM

    Thank you Chris~

I have had similar experiences...
what amazes me... is the drop 500 cal. is not always true...
it depends what cals.. and so many other factors...

great info thanks for sharing

~Deby

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LAURANCE 1/11/2014 8:20AM

  My doctor didn't say anything to me about losing weight. Nor did he say anything about diabetes. It was the Physician's Assistant, not the doctor, who ordered the A1c test, and that after I'd told him I was concerned about diabetes.

I did my own weight-losing, and I beat pre-diabetes myself without being told to.

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NASFKAB 1/11/2014 3:29AM

  awesome thanks for sharing

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NANCYPAT1 1/11/2014 1:43AM

    Few doctors have any idea or training about weight management or weight loss - hopefully it is improving but relying on doctors who are not specifically trained is a waste of time and energy.

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DS9KIE 1/11/2014 12:47AM

    emoticon

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1STATEOFDENIAL 1/11/2014 12:11AM

    So send the article to your doctor and use it to start a dialogue. If there is a way to send it to him (some clinic/hospital groups have websites that allow you to see parts of your medical record and allow you to contact your doctor through email) do that, or print it out and call ahead to let his nurse know you'd like him to read it before your next appointment. Then bring a copy to the appointment and have a discussion with him about it.

By doing this, you can open the dialogue with your doctor to explain what steps you're taking and what's working or not working, and allows him to consider what else might help you. Many doctors don't know how to bring up weight loss to their patients. Every person is different, so what might 'light a fire' under someone will make someone else feel shamed. The doctor/patient relationship must be a team working together and that requires being on the same page.

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EXOTEC 1/10/2014 10:26PM

    Nice article.
I agree, doctors could use some help in managing their overweight patients... The ones who've been in practice for any length of time weren't given those tools in their education. They've also probably met with some bad reactions from attempts at trying to open weight reduction topics with some patients. Some people are just touchy and don't want to go to their doctors because they're going to get "the talk." As well they should, if their healthcare team is doing their job in directing health. Then there's the difficulty of following up and managing any plan the patient agrees to adopt - because you can't just tell someone "do this" and thereafter abandon them to the effort. You wouldn't expect them to manage your drug therapies this way. Also, with today's healthcare constraints, it's tough enough for doctors (or their staff) to fit in enough patients to satisfy their insurance requirements, too. We're not the only ones struggling under government regulations.
I see this would be an excellent opportunity to have a staff nutritionist or dietitian in the practice. Survey patients to see which ones would comply, or at least attempt, and then offer them a referral to a specialist right in the office.

I think doctors are coming around - at least the newer ones, and the enlightened or courageous ones who have been around a while. I just hope they, or their staff designee, will get educated with the newer science that's out there, and not just the old dogma they learned many years ago in med school. Science progresses.

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MSMASLIN 1/10/2014 10:07PM

    My current doctor told me I have a lot of pounds to lose but we have not discussed how. She referred me to physical therapy and asked me to stretch every day. Its a start. Thanks for another great post.

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KERRYG155 1/10/2014 10:06PM

    I had one doctor tell me that it was real easy to lose-all you have to do is eat less. Yeah, right!

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2HAMSDIET 1/10/2014 10:02PM

    Oh the things over the years Dr. have told me over the years. emoticon Now I have a Dr. that found I had my thyroid issues and is on the same diet I am on. Most Dr. only have a week of nutrition. Great article. Thanks Chris.

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CHUBBY_MOM 1/10/2014 9:36PM

    My dr once told me to do yoga. That was his answer when I asked if there was something different I could do since what I was doing wasn't working. He has never mentioned my weight expect once he said "It might not hurt to lose a few pounds".

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GRANDMABABA 1/10/2014 9:33PM

    That is a good article that all the docs should read. Thanks for sharing.

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ARTJAC 1/10/2014 9:13PM

    emoticon

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TRYINGTOLOSE64 1/10/2014 8:59PM

    I think some doctors have preached so much about weight loss to people that they've given up at talking to people about it. You know.... is as if they get that feeling like all of their words are just going in one ear and out the other so why bring it up.

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PHOENIX1949 1/10/2014 8:55PM

    With the AMA classifying obesity as a disease, it seems logical that more and more doctors will be bringing up the topic. Hopefully they will handle the conversation as suggested in this NIH article. Interesting. Thank you.

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SQUIRRELMOMMA1 1/10/2014 8:02PM

    Occasionally my Dr used to tell me to lose weight. Never gave me any suggestions on how just said to do it. Well it must be easy! Oddly enough it took kidney failure and a trip to a nutritionist to hear about SparkPeople and how to really do something. Dr's need educating too.

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LJCANNON 1/10/2014 7:55PM

    emoticon Excellent, and Very Informative Article! Many Drs could use this information and give it -- or Something Very Similar- - to their Overweight or Obese Patients.

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BRENDA_G50 1/10/2014 7:47PM

    Some doctors don't even have a clue when it comes to weight loss. They will tell you to lose some weight to help with some of your health concerns, but, they just don't say how. I need specific instructions, menus, what exercises are the best, etc...in other words, I need educated on what to and what not to do. Give me a manual and I can usually figure it out, just make sure it's simple and contains foods that you can pick up at ANY grocery store. Nowadays, a lot of recipes call for ingredients I've never even heard of before. Therefore, I'm reluctant to even try them. emoticon

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SHERYLP461 1/10/2014 7:15PM

    My doctor has just started mentioning my weight, non of them before even mentioned it.

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FROSTY99 1/10/2014 6:45PM

    I think and hope more drs are going to become more consistent in helping their patients understand how their weight is affecting their health. My previous dr was very into weight and told me if I wanted to live a long and active life then it was time to get serious and then the next visit she gave me a diet to follow as I was either going to do something about my weight on have to go on medicine for diabetes. That got my attention and I am a work in progress. We are only as good as our desire to lose the weight and we have to find something that will inspire us to do it. That was my AH-HA moment.
Pat

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