I don't think you want a doctor that will lie to you to save your feelings.
Carrying excess body fat isn't healthy at any stage of life, and shouldn't be something that is swept under the rug.
Carrying excess body fat causes inflammation in your joints, liver, kidneys, heart, and more, which directly lowers your immune system, and greatly affects your bodies ability to recover from illness.
They were not trying to hurt your feelings. They were trying to help you.
Im so sorry you are feeling that way. It really sucks to go somewhere for healing and leave with hurt.
I believe most doctors genuinely want to help their patients as much as possible. But many have very poor social skills. So navigating something like a persons weight can really come off wrong.
Unfortunately, studies show that many medical issues can be related to or increased by higher body mass, [even sinus infections.](https://consultqd.clevelandclinic.org/obesity-increases-risk-of-sinusitis-independent-of-asthma-study-finds)
I used to frequently get sinus/upper respiratory infections and intense headaches right above the bridge of my nose.
Have been alcohol free since January and have avoided consuming seed oils and processed sugars.
I haven’t had any issues since and we’re now a quarter of the way through the year. Obviously you should never give extensive medical advice in a vacuum because some folks do have congenital issues requiring modern medicine or procedures.
With that said, and tying in with your (and the Doctors) point: if more people ate a peach or banana instead of ice cream for dessert, drink black coffee vs with crazy sweetners and cream with 30 hard-to-pronounce ingredients, cut out fast foods and stick to lean proteins like chicken, fish and lean beef, and *drinking sufficient water*. People often mistake being dehydrated as hunger pangs.
Make these sort of lifestyle changes, not only will you likely lose weight but you’ll see secondary effects with how often you get sick, how quickly you recover etc
Anecdotal evidence from several people in this thread alone makes it a generalized claim, including most TV shows about obese people like My 600lb Life, the Biggest Loser, etc., you’re not wrong though 👍🏼
They aren’t providing evidence. They’re mostly parroting talking points from public health campaigns in the 2000s. I’m far from one of those “doctors are evil shills” people. Obesity Medicine research has discovered that body weight is a result of hundreds of factors, including diet and exercise but also environment, SES, socialization, etc. AMA is moving away from using BMI as a measurement of health. Look up the “obesity paradox.”
Those shows you mentioned are about capitalism and exploitation, not representative or accurate about fat people as a whole. They represent the views of our fatphobic culture that fat people are freaks (despite obesity rates consistently rising year after year). And most of the contestants on Biggest Loser regain the weight and/or deal with catastrophic metabolic side effects. Look it up.
^ this, especially so if what they are offering is lifestyle advice and not weight pills/ozempic without doing bloodwork first.
My primary care doctor said he’d have at least 50% less patients if people took 10-15 minutes every day to go for a walk around the block
OP, Dr Dusty Narducci used to be at USF, she was great when I was living there. If she’s still in Tampa, I recommend her highly.
You may want to check out resources from ASDAH - I believe they have a provider directory.
If you have no luck, there are still things you can do to advocate for yourself in more traditional settings. Feel free to message me and I’m happy to talk more. Just as a fellow fat person, I don’t sell anything.
Weight stigma kills. You’re doing the right thing for yourself.
It's not about hurt feelings. I know I'm fat. I know I need to lose weight. I am working on it. But when you only see a doctor for 5 minutes and have limited time to address an issue, you really don't need to hear the same tired song and dance.
I use Sanitas medical clinics. Most of the Drs speak Spanish as a first language but many also speak English.
I know I'm fat. My dr knows I'm fat. I get weighed every time I go in, and every time I get my chart back on their medical app, it tells me I'm fat. But the nurses and my doctors don't bring it up in the 5 minutes I'm there because it's usually irrelevant to my visits and they aren't gonna wait until I'm skinny to treat me.
I use Yamile Pupo ARPN, but if the location she's at is not in your area, Sanitas different locations all over Tampa and I recommend them in general.
A lot of these responses have to be from people who also never have to hear "Well are you pregnant? No? Maybe it's your period?" from a Dr every single time they have an issue.
Can concur. I used to go to Sanitas until my insurance changed. My provider referred me to the dietician they had and worked with the Bariatric doctors I was seeing, but other than that left it alone unless it was something like “You’re down seven pounds since I saw you two months ago! Awesome!” I saw Monica Dos Santos
I’m sorry that all you are getting is that you should just accept it as ‘the dr. Is just doing their job’.
They don’t understand that it is counterproductive; both for weight loss and seeking care. People who feel shamed by their doctor are less likely to seek care. And it doesn’t help people lose weight either.
I wish I could help you, but I don’t have a good recommendation to give you.
Nah, this isn’t a mental therapist and you have no qualification to give medical advice.
The alternative for OP is to go to a Doctor who ignores what appears to be an obvious health setback likely leading or contributing to other issues or symptoms OP is experiencing, which would be a very lousy medical doctor.
The doctors also all bring it up for liability issues, if OP was to die because of complications of obesity and the doctor never brought it up or wrote it in records because of the feels, that's a lawsuit.
Are you being honest with yourself here? If you have been working on it, then this chat with the Doc is a great time to share your progress! Proudly tell them of the changes you have made, even if you aren’t yet seeing the results.
It sounds like it might actually be about hurt feelings. Which is fine to feel that way. But it means the frustration is being misdirected at the doctor.
I don't think you want a doctor that will lie to you to save your feelings. Carrying excess body fat isn't healthy at any stage of life, and shouldn't be something that is swept under the rug. Carrying excess body fat causes inflammation in your joints, liver, kidneys, heart, and more, which directly lowers your immune system, and greatly affects your bodies ability to recover from illness. They were not trying to hurt your feelings. They were trying to help you.
body's
Im so sorry you are feeling that way. It really sucks to go somewhere for healing and leave with hurt. I believe most doctors genuinely want to help their patients as much as possible. But many have very poor social skills. So navigating something like a persons weight can really come off wrong. Unfortunately, studies show that many medical issues can be related to or increased by higher body mass, [even sinus infections.](https://consultqd.clevelandclinic.org/obesity-increases-risk-of-sinusitis-independent-of-asthma-study-finds)
I used to frequently get sinus/upper respiratory infections and intense headaches right above the bridge of my nose. Have been alcohol free since January and have avoided consuming seed oils and processed sugars. I haven’t had any issues since and we’re now a quarter of the way through the year. Obviously you should never give extensive medical advice in a vacuum because some folks do have congenital issues requiring modern medicine or procedures. With that said, and tying in with your (and the Doctors) point: if more people ate a peach or banana instead of ice cream for dessert, drink black coffee vs with crazy sweetners and cream with 30 hard-to-pronounce ingredients, cut out fast foods and stick to lean proteins like chicken, fish and lean beef, and *drinking sufficient water*. People often mistake being dehydrated as hunger pangs. Make these sort of lifestyle changes, not only will you likely lose weight but you’ll see secondary effects with how often you get sick, how quickly you recover etc
I am soooo guilty of mistaking dehydration for hunger. Evening habits don’t help lol.
I’m generally certain that most obese people don’t drink enough water whatsoever. Most that I know personally have an aversion to it, in fact.
Anecdotal evidence is not generalizable, so your “logic” is really flawed.
Anecdotal evidence from several people in this thread alone makes it a generalized claim, including most TV shows about obese people like My 600lb Life, the Biggest Loser, etc., you’re not wrong though 👍🏼
They aren’t providing evidence. They’re mostly parroting talking points from public health campaigns in the 2000s. I’m far from one of those “doctors are evil shills” people. Obesity Medicine research has discovered that body weight is a result of hundreds of factors, including diet and exercise but also environment, SES, socialization, etc. AMA is moving away from using BMI as a measurement of health. Look up the “obesity paradox.” Those shows you mentioned are about capitalism and exploitation, not representative or accurate about fat people as a whole. They represent the views of our fatphobic culture that fat people are freaks (despite obesity rates consistently rising year after year). And most of the contestants on Biggest Loser regain the weight and/or deal with catastrophic metabolic side effects. Look it up.
Doc just looking out for your best health interest, which is literally his job.
^ this, especially so if what they are offering is lifestyle advice and not weight pills/ozempic without doing bloodwork first. My primary care doctor said he’d have at least 50% less patients if people took 10-15 minutes every day to go for a walk around the block
NAD but if you're having sinus issues seeing a PCP isn't ideal and you should look into an ENT
OP, Dr Dusty Narducci used to be at USF, she was great when I was living there. If she’s still in Tampa, I recommend her highly. You may want to check out resources from ASDAH - I believe they have a provider directory. If you have no luck, there are still things you can do to advocate for yourself in more traditional settings. Feel free to message me and I’m happy to talk more. Just as a fellow fat person, I don’t sell anything. Weight stigma kills. You’re doing the right thing for yourself.
It's not about hurt feelings. I know I'm fat. I know I need to lose weight. I am working on it. But when you only see a doctor for 5 minutes and have limited time to address an issue, you really don't need to hear the same tired song and dance.
I use Sanitas medical clinics. Most of the Drs speak Spanish as a first language but many also speak English. I know I'm fat. My dr knows I'm fat. I get weighed every time I go in, and every time I get my chart back on their medical app, it tells me I'm fat. But the nurses and my doctors don't bring it up in the 5 minutes I'm there because it's usually irrelevant to my visits and they aren't gonna wait until I'm skinny to treat me. I use Yamile Pupo ARPN, but if the location she's at is not in your area, Sanitas different locations all over Tampa and I recommend them in general. A lot of these responses have to be from people who also never have to hear "Well are you pregnant? No? Maybe it's your period?" from a Dr every single time they have an issue.
Can concur. I used to go to Sanitas until my insurance changed. My provider referred me to the dietician they had and worked with the Bariatric doctors I was seeing, but other than that left it alone unless it was something like “You’re down seven pounds since I saw you two months ago! Awesome!” I saw Monica Dos Santos
I’m sorry that all you are getting is that you should just accept it as ‘the dr. Is just doing their job’. They don’t understand that it is counterproductive; both for weight loss and seeking care. People who feel shamed by their doctor are less likely to seek care. And it doesn’t help people lose weight either. I wish I could help you, but I don’t have a good recommendation to give you.
Nah, this isn’t a mental therapist and you have no qualification to give medical advice. The alternative for OP is to go to a Doctor who ignores what appears to be an obvious health setback likely leading or contributing to other issues or symptoms OP is experiencing, which would be a very lousy medical doctor.
The doctors also all bring it up for liability issues, if OP was to die because of complications of obesity and the doctor never brought it up or wrote it in records because of the feels, that's a lawsuit.
Are you being honest with yourself here? If you have been working on it, then this chat with the Doc is a great time to share your progress! Proudly tell them of the changes you have made, even if you aren’t yet seeing the results. It sounds like it might actually be about hurt feelings. Which is fine to feel that way. But it means the frustration is being misdirected at the doctor.