Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

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:
lechatnoir · 19/05/2025 14:42

I doubt very much they 'delight in it' @Bbq1 but given 64%+ of adults in the are overweight or obese, I'm not surprised it's 'almost everybody' especially as the link between excess weight and poor health is well documented. Frankly, I'd be surprised if a doctor did NOT mention it. The size of the doctor is of zero irrelevance. Obesity levels are climbing and costing the NHS vast sums of money for treatment that could be avoided - I think it's something like £6billion! Anything they can do to support someone to lose weight should be applauded IMO and not mentioning it for fear of upsetting or offending someone is quite possibly part of the reason why it's a such a growing issue.

(not to say the dr in OP's post wasn't insensitive and could have shown greater empathy by asking if she needs any support to continue her weight loss journey and explaining the benefits to her health)

Someone2025 · 19/05/2025 14:40

CheezePleeze · 19/05/2025 14:25

Taking their own advice will do nothing for their patients.

But it would make them a bit more credible because after all if loosing weight was that easy why are they not able to do it

justasking111 · 19/05/2025 14:38

Our GPs do this every bloody time, smoking, weight age etc. need a new hip, knee they ask these questions. In Wales it's to knock you off the referral list I've worked out. Because if you tell them you have private insurance they beam at you. Falling over themselves to be obliging.

Choosechoclate · 19/05/2025 14:31

I was told that I was obese by a practice nurse 35 years ago. It was the only wake-up call I had to motivate me to loose weight.

I’m glad she decided to weigh me and have that conversation. I’d probably still be carrying those extra 30 kg and more, and my life would have looked different.

Today, I think she’d be more cautious before saying anything.

MattCauthon · 19/05/2025 14:28

Sounds like he just got on with his job in an efficient manner, considering how many patients he'll have to see.

Bollocks to that. It's NOT efficient not to remember the conversation from 8 minutes earlier and respond accordingly, "right, you've mentioned your weight - excellent work and keep it up as it's clearly important, as you know" does not take extra time or effort.. It's not efficient to handle medical matters in an entirely inpersonal manner - all it does is make people feel liek shit and reduce their liklihood of continuing to make changes.

And more importantly, it makes me wonder what else he missed during this appointment. Perhaps she said something else that was important about her healthcare, but he wasn't paying attention and so he missed it.

I speak as someone who had a condition in pregnancy that was missed because mid wife after mid wife didn't take my complaints seriously because they simply heard I'd had a test for this condition and they glossed over it after that. I was lucky enought to see a senior midwife in my final few weeks of pregnancy who listned to what I said, clocked the timing of my original test, realiesd it was entirely possible the test had been administered too early and sent me for restesting.... which then resulted in me receiving multiple panciked calls from the surgery later that day because they wanted to induce me practicalyl immediatley.

So not paying attention annoys the SHIT out of me.

CatHairEveryWhereNow · 19/05/2025 14:27

Back20 · 19/05/2025 13:31

I think you just get whatever generic information the computer happens to spill out.
No thought whatsoever about whether it’s helpful or even appropriate.
Quite simply “computer says”, then they can tick their box and call it good.
I recently had my first hard fought for appointment after sudden diagnosis of serious chronic condition. The “advice” was loose weight (I’m not overweight), stop drinking alcohol (I drink very minimally) and increase exercise. Nothing specifically about my condition, where to go for help or what to do. That needs another appointment apparently AngryConfused

Support groups for that condition may well be more helpful with more up to date advice than NHS - certainly what my parents have found - though obviously depends on condition and what's out there for it.

gamerchick · 19/05/2025 14:25

Walker1178 · 19/05/2025 13:53

I had a car accident where the other driver hit my car door, caused damage to my shoulder which was understandably quite painful. Helpful advice from my GP ‘Losing weight will make it better’ 🙄

Did you get the 'when was your last menstrual period' as well.

CheezePleeze · 19/05/2025 14:25

Someone2025 · 19/05/2025 14:19

An awful lot of nurses should take some of their own advice as most of the ones I see are overweight

Taking their own advice will do nothing for their patients.

Louisa58 · 19/05/2025 14:23

Back20 · 19/05/2025 13:31

I think you just get whatever generic information the computer happens to spill out.
No thought whatsoever about whether it’s helpful or even appropriate.
Quite simply “computer says”, then they can tick their box and call it good.
I recently had my first hard fought for appointment after sudden diagnosis of serious chronic condition. The “advice” was loose weight (I’m not overweight), stop drinking alcohol (I drink very minimally) and increase exercise. Nothing specifically about my condition, where to go for help or what to do. That needs another appointment apparently AngryConfused

That’s awful. How insulting ! Hope you can get some proper help and guidance for your new condition.

MmeChoufleur · 19/05/2025 14:23

I remember my family GP (who probably had a BMI 35+) telling me when I still had about half a stone of baby weight to shift “You could do with losing just few pounds. I know, I know you’re looking at me thinking ‘You absolute bloody hypocrite!’ but I HAVE to tell you. It’s the rules” and then pissed herself laughing. I wouldn’t take it personally.

CatHairEveryWhereNow · 19/05/2025 14:23

It does make them sound like they weren't listening at all.

Could be worse all your symptoms could be put down to the weight.

Dad had untreated sleep anea - he did lose the weight but struggled to keep off - went back to GP about snoring - and it affected whole house - to get a shrug. Likely sleep apnea was a continuting factor to the weight gain rather than weight causing the sleep apnea in his case.

Later when he was obese again despite his best efforts he had a lot of bone joint pain - again put down to weight - which probably didn't help. A blood test was done someone added vit D - GP rang in panic as he was one point away from being blue lighted to hospital and needed to come in immediately. He felt more able to move about when his levels were back up to normal levels - or NHS normal anyway.

CheezePleeze · 19/05/2025 14:23

MattCauthon · 19/05/2025 14:17

Perhaps I'm extrapolating. But I was assuming that she had been overweight for a while and that woudl be on her records

But even if not, and even if he THINKS she's lying, surely, if he's paying attention he'd still give her positive reinforcement for the weight she has (apparently) lost, while encouraging her to continue to lose weight. That's just basic patient care to a) pay attention b) be supportive.

Sounds like he just got on with his job in an efficient manner, considering how many patients he'll have to see.

But it also sounds like the OP is very touchy about it, considering her report on the GP's weight which is neither here nor there when it comes to the OP's health.

5128gap · 19/05/2025 14:22

Someone2025 · 19/05/2025 14:19

An awful lot of nurses should take some of their own advice as most of the ones I see are overweight

I'm sure like most OW people they probably try. But if it were that easy there would be no OW people. Being a nurse doesn't automatically remove all the barriers to weight loss that people who are not nurses face.

Springersrock · 19/05/2025 14:20

I’m convinced they either don’t listen to a word I say, or it’s just become something they say without realising.

I had a HRT check a few weeks ago and asked for some help with diet, nutrition, etc. I’ve put on put on a couple of stone over the last few years and nothing I do will shift it - healthy diet, gym and personal trainer, lots of exercise, swimming, tried fasting, etc. I’m only just outside of the healthy range, but I feel uncomfortable so the GP referred me to a nutritionist.

At the end of the appointment, having just discussed all this and referred me, he said “we also need to address your weight, it would be good to get back to a healthy weight” - er….

I’ve also got frozen shoulder for the second time - for which he referred me to physio/hydrotherapy - again, losing weight will help with that apparently.

Fortean · 19/05/2025 14:19

CheezePleeze · 19/05/2025 14:10

"I've lost loads of weight recently"

"I haven't had a drink since last Christmas, honest!"

"Smoking? Nah I packed that in months ago Doc".

These are all things GPs hear regularly, but they still need to do their job.

But, it's ridiculous to say we really need to do something about your weight to someone who has literally just told them they're doing something about their weight. It makes it seem like they haven't listened at all.

And it's not like he actually gave her any advice or anything.

Someone2025 · 19/05/2025 14:19

spoonbillstretford · 19/05/2025 13:10

A practice nurse told me off for being overweight about ten months after I'd had DD2 and had just run the Great North Run. I was about six pounds overweight and had lost two stone of the two and a half stone I put on having DD2.

Edited

An awful lot of nurses should take some of their own advice as most of the ones I see are overweight

Louisa58 · 19/05/2025 14:18

Birdseyetrifle · 19/05/2025 13:24

We have to click a box that says we’ve mentioned that weight loss will help. That’s all there is to it in most cases.

This. Tick box exercise which health professionals can’t frustratingly override. You have done great and a great example of what hard work and commitment accomplishes. Losing weight to reach a healthy BMI is not easy but oh so worth it in the end - healthier internal organs and enhanced wellbeing / confidence.

5128gap · 19/05/2025 14:18

No. I think if they're good doctors they get a kick out of helping their patients to be well and healthy, managing existing health conditions and preventing new ones. Obviously given the number of patients they are statistically likely to have who are OW, this probably involves raising the subject of weight loss on a fairly regular basis. Even those perverse enough to get pleasure from that would surely find the novelty wore off with the sheer repetition.

MattCauthon · 19/05/2025 14:17

CheezePleeze · 19/05/2025 14:14

You're not the OP though are you?

She hadn't seen her doctor for years.

Perhaps I'm extrapolating. But I was assuming that she had been overweight for a while and that woudl be on her records

But even if not, and even if he THINKS she's lying, surely, if he's paying attention he'd still give her positive reinforcement for the weight she has (apparently) lost, while encouraging her to continue to lose weight. That's just basic patient care to a) pay attention b) be supportive.

CheezePleeze · 19/05/2025 14:14

MattCauthon · 19/05/2025 14:13

Well, my doctor could tell that I had 100% lost weight because my last data point on weight was significnatly higher than it was when I came in. So it's not exactly DIFFICULT for them to confirm, even if they dont' know you well.....

You're not the OP though are you?

She hadn't seen her doctor for years.

MattCauthon · 19/05/2025 14:13

CheezePleeze · 19/05/2025 14:10

"I've lost loads of weight recently"

"I haven't had a drink since last Christmas, honest!"

"Smoking? Nah I packed that in months ago Doc".

These are all things GPs hear regularly, but they still need to do their job.

Well, my doctor could tell that I had 100% lost weight because my last data point on weight was significnatly higher than it was when I came in. So it's not exactly DIFFICULT for them to confirm, even if they dont' know you well.....

CheezePleeze · 19/05/2025 14:12

Crawdle · 19/05/2025 14:08

The fact that the gp defaulted to a generic, statement made the whole experience feel very impersonal. It was just poor bedside manner imo.

Sure, doctors have protocols and checklists but good practice would involve listening and tailoring guidance based on what has been discussed

I’m a family lawyer and will often go into a call with a bunch of points I need to address. If the client independently brings up the info I need I don’t then rehash it. Interpersonal skills is a thing, no?

Edited

But if your gut was touching your desk, how would that affect your clients in any way?

You'd still be just as qualified wouldn't you?

CheezePleeze · 19/05/2025 14:10

Fortean · 19/05/2025 13:58

You seem to be missing the fact that she has already told him about her weight loss and that she was continuing with it. So, he didn’t need to bring it up again, not if he’s actually listened to a word she said.

"I've lost loads of weight recently"

"I haven't had a drink since last Christmas, honest!"

"Smoking? Nah I packed that in months ago Doc".

These are all things GPs hear regularly, but they still need to do their job.

Crawdle · 19/05/2025 14:08

The fact that the gp defaulted to a generic, statement made the whole experience feel very impersonal. It was just poor bedside manner imo.

Sure, doctors have protocols and checklists but good practice would involve listening and tailoring guidance based on what has been discussed

I’m a family lawyer and will often go into a call with a bunch of points I need to address. If the client independently brings up the info I need I don’t then rehash it. Interpersonal skills is a thing, no?

OP posts:
CheezePleeze · 19/05/2025 14:08

You haven't seen him in years so he'll have no idea whether you've really lost any weight, or you're just trying to stop him mentioning it - much like when a smoker claims they've given up but they haven't.

His gut won't give you a heart attack or diabetes and given he wasn't the one visiting you about a health problem, I don't know why you've even mentioned it?