To be fed up of the nurse making a comment on my weight at every single pill check

(70 Posts)
thelongandwindingroad Thu 11-Apr-13 15:31:25

I have to have a pill check every six months during which the nurse checks my blood pressure and weight.

When I first went on the pill after my DC's birth I was overweight - it was mentioned at my pill check. Fine, I knew my BMI was overweight and went on to do something about it. I didn't mind it being pointed out to me.

I lost about 2 stone and at my next pill check the nurse commented on it positively. Ok, fair enough.

But EVERY time I go for my pill check the nurse (and there are a couple of them at the surgery so not always the same one) ALWAYS mentions my weight.

One time it was "oh, you've put on 2 kilos". I was wearing winter boots and coat at the time and weighed on different scales to the previous time so hardly thought it was worth mentioning. ESPECIALLY as my BMI was still in the normal range.

Another time it was "your weight is perfect, don't lose any more and don't put on any more".

Basically every time I go they mention if I've lost of gained a few pounds.

I HAVE A HISTORY OF EATING DISORDERS which I have managed to overcome in the last 5 years or so by eating well, exercising a lot and not weighing myself too often.

I find it incredibly stressful when comment is passed on my weight and I appreciate it wouldn't bother other people. But I am due another pill check soon and seriously considering coming off the pill and switching to something else as already I am worried about them commenting on the 4 pounds extra I weigh since last time they weighed me.

I realise this is MY problem. But is it really necessary for them to pass comment on my weight when it is in the healthy BMI range and has been at every visit except the first one?

holidaysarenice Fri 12-Apr-13 02:11:43

Your weight is very relevant to taking the pill - partifularly the progesterone only pill (mini-pill) so I can see why they ask.

Next check up pre-empt the questions, when the nurse asks how you are getting on etc. Comment fine, feel healthy, think my bp is healthy and a few pounds of weight on but still in normal bmi so happy with that too.

EMUZ Fri 12-Apr-13 00:46:55

I've refused to see a certain nurse over a similar thing. To be fair it was one in a long line of being asked about my weight but she suggested I "cut out the crappy food/takeaways/junk and try some gentle walking"
I told her I eat Paleo, I do circuits, bootcamp, spinning, horse riding, body pump and have personal training sessions and I wasn't too sure exactly what the gentle walking would do for me blush
It was just the way she said it that got me, a doctor had weighed me not that long ago and gone to find different scales as he thought they were broken (no,I really am that heavy)

Josie1974 Thu 11-Apr-13 20:56:41

I would make a complaint to the practice manager pointing out that medically unnecessary comments about weight can be severely triggering for ED sufferers. Many of whom will not have it in their medical records.
The nurse needs feedback on this.

specialsubject Thu 11-Apr-13 20:43:43

I once saw a doctor who asked me my weight, when I said I didn't know he congratulated me - you can just look at me to see I am a normal weight.

my weight is just a fact about me, like my height,and when I have eaten too much and moved too little I am not worried if it is pointed out. But I haven't had an eating disorder.

OP - if they don't know you've had an ED they can't respond accordingly. But it does seem odd to comment on any weight change of half a stone or less, and even more so if you are a healthy weight.

Floggingmolly Thu 11-Apr-13 20:32:36

Some pills are dangerous if you're overweight. She has to check.

StiffyByng Thu 11-Apr-13 20:09:45

I wouldn't complain about being weighed for a reason. I wouldn't complain about a quick chat about healthy eating, although believe me, I'm no stranger to it. I do complain about rude, ill-informed HCPs making personal remarks and threatening comments. (I'm talking about my own occasional experiences here, rather than the OP's.) But if these comments, however unthinking they are, are making the OP upset, then the nurses need to stop. Especially because harping on about being a healthy weight is unnecessary.

Itchywoolyjumper Thu 11-Apr-13 19:45:48

I'm a sexual health nurse and it is important that you are weighed before you take the pill due to the risk of blood clot formation being dangerously high if you are over a certain BMI and taking the pill.
However, if my patient is in a healthy BMI range I wouldn't comment on it past saying everything was fine. I think your nurse is making conversation without thinking how this might affect you. RevoltingPeasant has it right, just tell her you don't want to talk about your weight unless there is a problem and get her to write it in the notes.

HumphreyCobbler Thu 11-Apr-13 19:40:29

I know I am not overweight. I still do not want to know exactly what I weigh. It is triggering for me and can set me off on a spiral of negativity. The OP has particular issues that mean she does not want her weight to be discussed and she has every right to insist on that.

countrykitten Thu 11-Apr-13 19:20:24

General post btw - not aimed at you OP.

countrykitten Thu 11-Apr-13 19:19:58

We have an obesity epidemic. HCPs SHOULD be bringing this up with patients and we SHOULD be listening. And snog I am not sure that everyone does know if they are at a healthy weight or not.

And just because it is widely used and very safe does not mean that the pill does not have health issues associated with it - and being overweight is not a good idea if you are on the pill.

Doubtfuldaphne Thu 11-Apr-13 18:49:24

I had exactly the same problem with the depo injection
She once said 'I can't find your hip bone with all this padding'!
I stopped having the injection in the end.

montage Thu 11-Apr-13 18:45:35

Definitely say you don't wish to know what you weigh/ have any comment regarding what you weigh.

One of the recommendations the government is considering is "every contact counts" which means every single health care professional is meant to raise the issue of weight at every single contact if they think someone is overweight.

I think this is a a very very badly thought-through policy. It's going to put some people off contact with hcps for starters.

SpicyPear Thu 11-Apr-13 18:30:39

YANBU. I have ED history and would also find that awful. Last time I was weighed at the Dr I actually preempted her by saying that I am aware I am overweight but in recovery from an ED. She took the rather large hint and moved on. Is there any Dr you could go to who you would behppy to mention it to?

Oblomov Thu 11-Apr-13 18:29:06

I think it is standard these days.
For years, no one said to overweight people, that they really should loose some weight or the chances of developing type 2 diabetes are increased.
they should have said something to my dh, but no one ever did. And he did develop type 2 diabetes.
I have been diabetic my whole life and no one has ever mentioned my weight to me before. Mind you, to be fair it was the same, for nearly my whole life. But, Now, every time I go the GP (and when dh does,) she makes a comment about my weight.
I think it is just a change in their focus. And actually I can not see how that can be a bad thing.

undercoverSAHM Thu 11-Apr-13 18:24:55

WELL DONE for getting to grips with your ED. That is no mean feat and you should be so proud of yourself.

I expect the nurse is just being chatty and I am not sure what you can do about it (sorry) even though I can see exactly why you might find it disturbing. Remind yourself that you ARE actually in the normal BMI range before you go in and feel confident (if you can - sorry, I know it may not be that simple). But really be proud of your journey :-)

Jollyb Thu 11-Apr-13 18:20:09

I agree she probably doesn't realise the impact of her comments. In my clinics patients are weighed every visit and 9 times out of 10 the patient seems keen to know their weight- asks for me to convert it from kg to stone/lbs and wants to know how it compares to previous readings.

Snog Thu 11-Apr-13 18:17:56

Everyone already knows if they are a healthy weight, we don't need a nurse to point it out.
I would say that you find it patronising to have your weight commented on or else I would make a comment back to the nurse about her weight
"put on a bit yourself, eh?"
In fact I wouldn't agree to be weighed in the first place.

Bobyan Thu 11-Apr-13 18:17:17

In England, most people are overweight or obese. This includes 61.3% of adults and 30% of children aged between 2 and 15. People who are overweight have a higher risk of getting type 2 diabetes, heart disease and certain cancers. Excess weight can also make it more difficult for people to find and keep work, and it can affect self-esteem and mental health.
Health problems associated with being overweight or obese cost the NHS more than £5 billion every year.

This is from the gov.uk website.

HCP are damned if they mention your weight and given the health implications of being overweight damned if they don't.

InSync Thu 11-Apr-13 18:12:59

I always refuse to be weighed at the doctors. I also have a history of ED which is actually on my medical records, so they'd see that if they cared to look. I just tell them I don't want to be weighed thank you.

trinity0097 Thu 11-Apr-13 18:05:30

You do not need to tell a receptionist why you want to make an appointment.

As an aside I moved to a totally new area nearly 3 years ago, neither the doctors or nurses I have seen at the practice have ever weighed me when I have been in about the pill, they only do blood pressure!

Chucksteak Thu 11-Apr-13 17:59:15

OP, as CabbageLeaves has stated, as a patient you have the power and the choice to decline or accept any healthcare offered to you.

In your case, you are perfectly within your rights to decline to be weighed. You can also refuse to see this nurse again - you do not need to do anything or see anyone you are not comfortable with. If you are uncomfortable with any doctor or nurse - you can refuse to be treated by them. If you are unhappy with a course of treatment, it is up to you to decide what is best. It is your body and you decide whether or not to accept or refuse any recommendations made by a HCP. They cannot force you to do anything against your wishes.

This nurse should keep her comments to herself as they are unwelcome and unnecessary.

Don't forget, the surgery get a bonus (Qof) payment for every patient that is weighed.

thermalsinapril Thu 11-Apr-13 17:53:23

YANBU. Most women are well aware of their own weight, shape and size.

CabbageLeaves Thu 11-Apr-13 17:47:02

OP I meant you have a choice about being weighed smile Just politely decline the offer

Cherriesarelovely Thu 11-Apr-13 17:46:19

Oddly enough I had a very similar experience to yours many years ago when getting the pill. When I first went on it I was being rather silly about food and was basically eating very little. I weighed 7 stone. The nurse described that as "excellent"! When I came to my senses and began to eat properly again I gradually gained a stone and she kept admonishing me for it!!! In the end I got really snotty and told her that when she first met me I was barely eating.

thelongandwindingroad Thu 11-Apr-13 17:40:53

Thank you all, that's really helpful.

I thought you were all going to tell me I was being ridiculous. I don't have a lot of sensible perspective when it comes to weight stuff, unfortunately.

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