Doctors’ open apology to those who fight overweight and obesity

<スパンクラス="キャプション">Doctors tell overweight people to increase their physical activity and eat less, but in reality, overweight may be due to genetic or other factors that keep you exercising.  </ span> <span class ="帰属"><クラス="リンク " href ="" rel ="nofollow noopener" target ="_空欄" data-ylk ="slk:UConn Rudd Center for Food Policy&Obesity">  UConn Rudd Center for Food Policy & Obesity </a>,<a class= CC BY-SA “src =”–/YXBwaWQ9aGlnaGxhbmRlcjt3PTcwNTtoPTQyOA–/ 34VBOIU2niIR.pGY2mRmQQ–~B/aD04NzQ7dz0xNDQwO2FwcGlkPXl0YWNoeW9u/ .Fww–/YXBwaWQ9aGlnaGxhbmRlcjt3PTcwNTtoPTQyOA–/–~B/aD04NzQ7dz0xNDQwO2Fw / 7d6c4eded0f6ee27d685fe56538112f7 “/>

Obesity has emerged as a significant risk factor for poor outcomes in patients infected with COVID-19. Based on how doctors and other healthcare professionals have previously treated obese and overweight patients, I think many will react by declaring “Well, it’s because of overweight!” ..

Let me suggest another feeling in the spirit of recognizing that people suffering from weight loss also have family and friends.

For those who feel embarrassed because they are overweight or have failed to diet. After giving you an irreversible task, we ridiculed you. When you tried to talk to us, we labeled you weak and crazy. We didn’t understand what you were experiencing, so we looked down on you. I never felt it myself. I did not know. Therefore, we apologize for the inconvenience. “

<スパンクラス="キャプション">A nutritionist talks to a patient at an obesity clinic in Mulhouse, France.</span><span class ="帰属"><クラス="リンク " href ="" rel ="nofollow noopener" target ="_空欄" data-ylk ="slk:BSIP/ゲッティイメージズ経由のユニバーサルイメージグループ">BSIP / Universal Image Group by Getty Images</a></span>“data-src =”–/YXBwaWQ9aGlnaGxhbmRlcjt3PTcwNQ–/ f3OkRwUgJurvZF0SRFrbbg-~ B / aD0wO3c9MDthcHBpZD15dGFjaHlvbg-/<noscript><img alt=A nutritionist talks to a patient at an obesity clinic in Mulhouse, France.<クラス="リンク " href ="" rel ="nofollow noopener" target ="_空欄" data-ylk ="slk:BSIP/ゲッティイメージズ経由のユニバーサルイメージグループ">BSIP / Universal Image Group by Getty Images“src =”–/YXBwaWQ9aGlnaGxhbmRlcjt3PTcwNQ–/ -~ B / aD0wO3c9MDthcHBpZD15dGFjaHlvbg-/″ class=”caas-img”/>

“Fat Shamming” does not work

This is just one example of an apology owed to a fellow person who was told to lose weight using diet and exercise. When that didn’t work, we blamed them for the failure of the treatment plan and choked their feedback with prejudice and persecution.

As Doctors and researchers, I have been working in this field for many years. I have directly witnessed the life-changing power of existing ideas, judgments and stereotypes. I have seen how unfounded negative thoughts are woven through virtually every interaction that people suffering from weight loss endure when seeking help.

And there are tens of millions of them.The Centers for Disease Control and Prevention classifies over 70% of adults in the United States As overweight, And over 40% as obese. Their numbers continue to grow, and even if they can lose weight, They almost always get it back with time.

Judgment of rash

For the sake of explanation, imagine I am your doctor. You have a rash on your body (representing an overweight or obese condition) and make an appointment with me to discuss a treatment plan.

During your visit, my office staff uses stigmatizing words and non-verbal signals that reveal that we are frustrated by the idea of ​​dealing with other people with a rash. I am. We call a set of assumptions that dictate the tone of our relationship, including the notion that you are lazy, ignorant, or both. You will feel my disgust, which will make you uncomfortable.

Unfortunately, healthcare providers generally treat patients suffering from weight loss by assigning stereotypes, quick judgments, and deep-seated negative attributes. Laziness, disobedience, weakness, dishonesty.

After this unpleasant exchange, I will prescribe your rash treatment program and explain that it is very easy and easy to use. To emphasize how great your results are, here are some resources, including pictures of people with beautiful skin smiles who have never had a rash. “It’s just a matter of sticking to it,” I say.

When you get home, you are excited to start treatment. However, you soon find that applying the cream is unbearable. It burns; Immediately after the treatment, the arms and legs feel like they are burning. You take a shower to wash off the cream.

Miserable conversation

A few days later, try again. Same result. Your body will not accept the cream for an unbearable burning sensation and itching. You go back to my office and have the next conversation.

You are: Doctor, I can’t stick to this plan. My body can’t stand the cream.

myself: This is why doctors don’t want to deal with people with rashes. I’m giving you treatment, and you don’t stick to it. I applied the cream to myself every morning without any problems.

You are: But there is no rash! Applying this cream when you have a rash is different from applying it to clear skin. I want to get rid of a rash, but I can’t stand this cream.

myself: If you don’t want to get treatment, it’s up to you. But it’s not the cream that needs to be changed. It’s your attitude towards sticking to it.

This exchange shows the prejudice, prejudice, and discontinuity between the donor’s perception and the patient’s experience.

<スパンクラス="キャプション">Those who are trying to lose weight need a new approach.</span><span class ="帰属"><クラス="リンク " href ="" rel ="nofollow noopener" target ="_空欄" data-ylk ="slk:Jamie Grill / JGI(ゲッティイメージズ経由)">Jamie Grill via Getty Images / JGI</a> </ span>“data-src =”–/YXBwaWQ9aGlnaGxhbmRlcjt3PTcwNQ–/ res / 1.2 / ovhcejzxutUnMWLqPCw8WA–~B / aD0wO3c9MDthcHBpZD15dGFjaHlvbg– / “/><noscript><img alt=Those who are trying to lose weight need a new approach.<クラス="リンク " href ="" rel ="nofollow noopener" target ="_空欄" data-ylk ="slk:Jamie Grill / JGI(ゲッティイメージズ経由)">Jamie Grill via Getty Images / JGI “src =”–/YXBwaWQ9aGlnaGxhbmRlcjt3PTcwNQ–/ 1.2 / ovhcejzxutUnMWLqPCw8WA-~ B / aD0wO3c9MDthcHBpZD15dGFjaHlvbg-/″ class=”caas

Prejudice and prejudice

For those who want to lose weight, the diet and exercise prescribing experience is not the same as for lean people in the same program.Recognize the experience of others as you do when the situation is different Promotes prejudice and prejudice..

But that night you can’t help. “Is there something wrong with me? Maybe my gene or thyroid? Cream seems to be very fun and easy for everyone else.”

At this point, the blame falls rudely on the patient.Despite the unmistakable explosion of this rash, and the worst treatment compliance rate We have marketed cream, We stubbornly keep it working. If the rash spreads and hundreds of millions of people fail or relapse daily, it is their own responsibility!

Over time, you feel more and more discouraged and depressed because of this intolerable situation. Frustration undermines your optimism and lacks your happy moments. You have this rash and can’t stand the treatment plan, but no one believes you. They judge you and say you choose not to use cream because you lack willpower and determination. You hear their conversation: “It’s her own fault,” they say. “If that’s me, just use d # $% cream.”

This is exactly the definition of prejudice. Often negative opinions related to something that is directed at someone and out of the control of the individual.It is widely proven that the causes of overweight and obesity are multifactorial, but the myth that it is the patient’s fault. Still widely accepted.. This perception of controllability is Pejorative stigma assignment..

Failure setup

That night you sit alone. I don’t think anyone on the planet believes your body can tolerate this treatment. Society believes that you first brought this to yourself. There seems to be no escape route.

We have repeatedly driven overweight and obese people to this place. We have set them up to enter the fall due to a failed therapeutic approach. When they came to us with the truth about tolerability, we loudly distrusted them and said they were mentally weak, disobedience, or lazy.

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So where are we going from here? What happens if we agree to stigmatize, stereotype, and stop blaming patients for treatment failures and accept that the current non-surgical paradigm is ineffective?

To get started, we need a new approach based on respect and dignity for our patients. The new lens of acceptance and interruption of judgment allows us to shift our focus to the treatment of the body rather than the concept of “mind over matter” that we do not use for other medical conditions. An objectivity and equality-based perspective allows caregivers to escape the outdated blame approach and recognize people who are overweight or obese, just like people with other illnesses. Only then will we eventually shift the paradigm.

This article will be republished from conversation, A non-profit news site aimed at sharing ideas from academic experts. It was written by: J. David Prologo, Emory University..

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J. David Prologo, MD, FSIR, and ABOMD do not work, consult, own shares, or receive funds for any company or organization that benefits from this article.

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