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Do some doctors just get a kick out of telling you to lose weight?

212 replies

Crawdle · 19/05/2025 13:01

Saw my gp for the first time in years. He commented that I looked very well (told him I have lost 30 pounds with about a stone until I am in the normal bmi range).

Anyway, as we were talking about how to treat the issue I went in for he was looking at his computer when he said “okay and then we really do need to get your weight under control to bring you into the healthy BMi range, it will be extremely beneficial”

Like okay?? I told the gp I’m on track to be in the healthy range by my birthday (end of summer). We even discussed my plans to go on a special trip to watch a sporting event for a few mins!

He said all this whilst his gut (MUCH larger than mine) was pressed against the desk.

AIBU to find this very annoying?!

He just took on a very serious tone when he said it. No “you’re getting there blah blah”

OP posts:
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CheezePleeze · 20/05/2025 22:45

LottieLamaz · 20/05/2025 22:23

My point is the overweight person can be fitter and healthier than the slim person. It’s a too simplistic view and the NHS cannot really offer any other help than a doctor sitting there telling you that you are fat so what’s the point?

My point is the overweight person can be fitter and healthier than the slim person.

But that's always been the case since time began.

Some smokers are still puffing away into their 90s, but that doesn't mean we should all be smoking 20 per day, does it?

Like it or not, obesity is a killer and over 60% of UK adults are overweight or obese.

And they'll still be overweight or obese whether they know skinny people with poor diets or not.

Youstolemygoddamnhouse · 20/05/2025 22:44

LottieLamaz · 20/05/2025 21:48

So patronising. If you are a nurse you should know that you can have a person presenting as slim, but does not have a healthy diet and who is not active. Slim does not equal healthy and no you do not have to have an under active thyroid to be overweight. Oh gosh your post… just oh no!

I said skinny people don’t always have a healthy diet. Anyone can have an opinion does not mean you’re qualified .

LottieLamaz · 20/05/2025 22:23

CheezePleeze · 20/05/2025 21:52

The slim adult has nothing to do with the overweight one though, so why compare?

Their metabolisms are obviously different.

The overweight adult is consuming too many calories and not doing enough exercise to burn them off.

And that would still be the case if their sibling was fatter.

My point is the overweight person can be fitter and healthier than the slim person. It’s a too simplistic view and the NHS cannot really offer any other help than a doctor sitting there telling you that you are fat so what’s the point?

CheezePleeze · 20/05/2025 21:52

LottieLamaz · 20/05/2025 19:56

Chubby child is 23. Does not have any medical problems. Skinny child is 19, has always been skinny, does not run around a lot, can eat what he wants and always has been able to. I am prone to being chubby too even on a healthy diet and plenty of exercise. It’s not always straight forward which is why I think doctors should be a bit careful. They will have plenty of slim unhealthy patients too who doesn’t get hassled (as I see it).

The slim adult has nothing to do with the overweight one though, so why compare?

Their metabolisms are obviously different.

The overweight adult is consuming too many calories and not doing enough exercise to burn them off.

And that would still be the case if their sibling was fatter.

LottieLamaz · 20/05/2025 21:48

Youstolemygoddamnhouse · 20/05/2025 20:47

Ah. When you said child I assumed it was someone who was under the age of 14. Maybe say adult children to avoid confusion. I assume they both live at home as you know their eating habits? If you are overweight you are consuming too many calorie, this is fact based on evidence. You may also have a health condition that makes your body harder to lose weight like thyroid problems. The reason slim people don’t get hassled about their weight is because their weight isn’t causing issues. I think many people will have an opinion but unless you have went to medical school or university for a health related degree then you have no idea what you’re talking about, how could you possibly know the ins and outs of a job that you do not too nor have been trained in. And yes I know what I’m saying as I’m a nurse.

So patronising. If you are a nurse you should know that you can have a person presenting as slim, but does not have a healthy diet and who is not active. Slim does not equal healthy and no you do not have to have an under active thyroid to be overweight. Oh gosh your post… just oh no!

foreverblowingbubbless · 20/05/2025 21:43

Unless you have GONE to medical school?

Youstolemygoddamnhouse · 20/05/2025 20:47

LottieLamaz · 20/05/2025 19:56

Chubby child is 23. Does not have any medical problems. Skinny child is 19, has always been skinny, does not run around a lot, can eat what he wants and always has been able to. I am prone to being chubby too even on a healthy diet and plenty of exercise. It’s not always straight forward which is why I think doctors should be a bit careful. They will have plenty of slim unhealthy patients too who doesn’t get hassled (as I see it).

Ah. When you said child I assumed it was someone who was under the age of 14. Maybe say adult children to avoid confusion. I assume they both live at home as you know their eating habits? If you are overweight you are consuming too many calorie, this is fact based on evidence. You may also have a health condition that makes your body harder to lose weight like thyroid problems. The reason slim people don’t get hassled about their weight is because their weight isn’t causing issues. I think many people will have an opinion but unless you have went to medical school or university for a health related degree then you have no idea what you’re talking about, how could you possibly know the ins and outs of a job that you do not too nor have been trained in. And yes I know what I’m saying as I’m a nurse.

spoonbillstretford · 20/05/2025 20:29

lifeisgoodrightnow · 20/05/2025 18:58

Not sure why anyone else should do something about one’s own weight ?

The point is, the OP already was. And the "We" in that phrase, quoted from the OP; sounds it's something that the GP is going to help with. Or else it's just a patronising turn of phrase.

LottieLamaz · 20/05/2025 19:56

Youstolemygoddamnhouse · 20/05/2025 19:02

Think it will depend on who old they are? Puberty most kids become chubby as they are growing. But if that is not the case. Would take chubby child to doctors to see if they have a thyroid problem. Does the skinny child run around a lot? May burn those calories if they are playing sports.

Chubby child is 23. Does not have any medical problems. Skinny child is 19, has always been skinny, does not run around a lot, can eat what he wants and always has been able to. I am prone to being chubby too even on a healthy diet and plenty of exercise. It’s not always straight forward which is why I think doctors should be a bit careful. They will have plenty of slim unhealthy patients too who doesn’t get hassled (as I see it).

foreverblowingbubbless · 20/05/2025 19:48

bigboykitty · 20/05/2025 16:28

@Crawdle I recommend responding with 'what about you, fatty, how are we going to tackle your weight' to shut him up. He sounds tone deaf.

Entitlement 🙄

Youstolemygoddamnhouse · 20/05/2025 19:02

LottieLamaz · 20/05/2025 18:56

Absolutely not the case. My slim, and has
alwwys been slim or skinny, child eats an enormous amount of calories per day. My slightly chubby child does not. My slim child is also the one drinking all the fizzy drinks.

Think it will depend on who old they are? Puberty most kids become chubby as they are growing. But if that is not the case. Would take chubby child to doctors to see if they have a thyroid problem. Does the skinny child run around a lot? May burn those calories if they are playing sports.

lifeisgoodrightnow · 20/05/2025 18:58

spoonbillstretford · 19/05/2025 13:05

Probably just not listening and giving out his usual spiel.

What were his suggestions for "okay and then we really do need to bring you into the healthy BMI range, it will be extremely beneficial”? What was he suggesting he or other services do about it?

Edited

Not sure why anyone else should do something about one’s own weight ?

LottieLamaz · 20/05/2025 18:56

Youstolemygoddamnhouse · 20/05/2025 16:38

The chubby one might eat the healthiest but is likely consuming more calories that the skinny one. You could eat lots of salad which is healthy but if you’re eating an excessive amount you will still put on weight. Agree not all slim people know how to eat healthy. But they will be eating fewer calories regardless.

Absolutely not the case. My slim, and has
alwwys been slim or skinny, child eats an enormous amount of calories per day. My slightly chubby child does not. My slim child is also the one drinking all the fizzy drinks.

outforawalkb · 20/05/2025 17:43

Sometimes they just don’t listen
i was being wheeled down for an operation, first time and obviously nervous/distressed
One of the staff took it upon themselves to lecture how my condition was worsened by smoking, it was only ever smokers who had it, basically it was all my fault

i did snap, that I was diagnosed age 12, my mum also had this condition as a non smoker, and I quit smoking a year ago and it got so bad AFTER quitting that I needed my first operation for it

Youstolemygoddamnhouse · 20/05/2025 17:32

CheezePleeze · 20/05/2025 17:22

Agreed.

It's a vile way to speak to anyone, let alone someone whose job it is to help keep you alive and healthy.

I have asked what to they want HCP to do in this situation and no one has suggested anything. Whatever they do people will complain either way. If they mention the patients weight they get pissy if they don’t they’ll probably accuse them of neglect. Stop being so sensitive.

CheezePleeze · 20/05/2025 17:22

Youstolemygoddamnhouse · 20/05/2025 16:40

Why would you say that? The doctor is literally doing their job. The doctor’s weight has no bearing on the Op. They are still doing their job if they are fat or skinny. You’re the tone deaf one

Agreed.

It's a vile way to speak to anyone, let alone someone whose job it is to help keep you alive and healthy.

Youstolemygoddamnhouse · 20/05/2025 16:40

bigboykitty · 20/05/2025 16:28

@Crawdle I recommend responding with 'what about you, fatty, how are we going to tackle your weight' to shut him up. He sounds tone deaf.

Why would you say that? The doctor is literally doing their job. The doctor’s weight has no bearing on the Op. They are still doing their job if they are fat or skinny. You’re the tone deaf one

Youstolemygoddamnhouse · 20/05/2025 16:38

LottieLamaz · 19/05/2025 21:57

Not all slim people know that either. I have 2 children. One very skinny and one slightly chubby. The chubby one eats the healthiest diet and exercise the most 🤷🏻‍♀️

The chubby one might eat the healthiest but is likely consuming more calories that the skinny one. You could eat lots of salad which is healthy but if you’re eating an excessive amount you will still put on weight. Agree not all slim people know how to eat healthy. But they will be eating fewer calories regardless.

Youstolemygoddamnhouse · 20/05/2025 16:31

Badbadbunny · 20/05/2025 11:06

Thing is that for five years, my HBA1C was increasing and it wasn't picked up. I trotted along every year for the blood test and inquisition appointment (of course, no appointment during the covid years!). Never heard anything back afterwards. Just assumed bloods were fine, as they had been for years. I "assumed" someone from the GP would contact me if there was a problem with the HBA1C results.

About a year ago, I went to see the GP for a different matter and just casually asked about the HBA1C to check it was still OK. He read out the readings of the last 5 years and each year was above my target range and getting higher. I asked him why no one had picked it up and he couldn't give me an answer. Just kept saying he'd get "someone" to contact me about it!

That started a train of events where there was a perceived urgency to deal with it! Starting with a phone call from a "diabetic nurse" who I'd never seen before, increasing a tablet, then another blood test a few months later, resulting in a phone call from a different "diabetic nurse" increasing another tablet, and then another blood test and another different "diabetic nurse" issuing a different tablet. No "lifestyle" advice. Eventually they stopped ringing and arranging new blood tests, so I assume the bloods are now within targets again. I did try to make a phone appointment with a diabetic nurse to find out, but told by the receptionist that they have no diabetic nurses anymore!

At the last annual blood test, back to the old ways again - lots of the same questions, blood test taken, but radio silence ever since. The GP surgery don't put the results on the NHS app. So I phoned up a few weeks later to ask the receptionist for the results - she'd only tell me the GP had marked them "satisfactory" like the previous five years had been marked that way, and she claimed she "couldn't" give me the actual reading!

I really don't think that's "great" or "correct" at all!

HBA1C levels can increase but not mean anything. We all have a target range so anything higher than that then yes it should be picked up. If it’s increasing but under the target range then it’s not usually an issue however they should have told you. Do you have any other health conditions to be getting blood tests annually?

bigboykitty · 20/05/2025 16:28

@Crawdle I recommend responding with 'what about you, fatty, how are we going to tackle your weight' to shut him up. He sounds tone deaf.

Youstolemygoddamnhouse · 20/05/2025 16:26

senua · 19/05/2025 22:51

HCP of course need to have empathy when dealing with patients but they also need to do their job.
But they are not doing their job. The obesity crisis is getting worse, not better, despite people claiming that all this 'nudging' works.

How should they do their jobs then? If all this “nagging” isn’t working what do you think they should be doing? Why can’t fat people stop blaming everyone else for their problems.

foreverblowingbubbless · 20/05/2025 14:34

Tbh like a previous poster they have never commented on my weight but they do ask what exercise you do.

henlake7 · 20/05/2025 12:02

Weirdly my GPs have never mentioned my weight, even though I was 17st, until I was prediabetic.
TBH I would of been more then happy for them to tell me I was too fat before that point! As it was I was already on a diet and successfully losing all the weight by then so the diabetic nurse just sat me down and told me to do a bunch of stuff that was actually less then I was doing already!

Health professionals should be mentioning it....so many conditions can be avoided or lessened with weight loss.

CatHairEveryWhereNow · 20/05/2025 12:02

@Badbadbunny you can try writing to the practise manager and asking for the actual results.

I dd that in pg all hell broke loose as it turned out MW had just outright lied to me - Dmum ended up doing the same for Dad as he was going for tests and hearing nothing back - wrote to practise maanger turned out the reception staff were filing results and no GP was seeing them - prompted a change in procudures at their GP.

justasking111 · 20/05/2025 11:57

We get random texts from the surgery.

How to stop smoking, how to lose weight etc. they're not personalised.

The pharmacy next door offers the same advise.