Skip to main content

Can Doctors Help You Lose Weight?

As a gastroenterologist -a trained specialist in digestive issues - I should have expertise in obesity, nutrition and weight loss strategies.  I really don’t.  While I have knowledge on these issues that likely exceeds that of most of my patients, I received inadequate formal training on these subjects during my gastroenterology training.   It is inarguable that digestive doctors – and indeed all physicians – should bring a high level of expertise on these medical issues into their exam rooms.  The impact of obesity reaches nearly every medical specialty.   Obesity is linked to heart disease, stroke, cancer, arthritis, diabetes, sleep apnea, high blood pressure and many other illnesses. 

Most of my overweight patients tend to remain so.  Many of them are simply resigned to a shape and size that they feel they cannot alter.   Some are not motivated to engage in the hard work and long journey that can lead to a leaner dimension.  Some do not recognize that successful weight loss requires a steely and sustained mental commitment to the task.  Others have food addiction issues and need an appropriate strategy to break through.   Some are convinced that they are plagued with a lethargic metabolism that retains pounds despite minimal food intake.  Many eat, not because they are hungry, but because of anxiety and stresses in their lives which have not been adequately addressed. 


Of course, medical professionals need more knowledge and skill in addressing nutritional issues.  How relevant are these skills to medical practice?   According to the CDC, over a third of American adults are obese.   And, more of us will be classified as obese if the definition of obesity is broadened.  This is analogous to what has happened with diagnosing folks with elevated cholesterol levels.  The medical profession, with a huge assist from the pharmaceutical industry, has lowered the ‘normal’ level of blood cholesterol over the years.  The result is that previously healthy people now have a cholesterol condition.   We saw a similar result last year when ‘normal’ blood pressure levels were made lower which instantly created millions of new hypertensive individuals.  Now, many of them may be subjected to the risks, expense and psychological effects of being told that they are diseased.   The argument, of course, is that this more aggressive approach saves lives.   Let’s see over the next decade or two if this hypothesis will be supported or refuted by medical evidence.   Keep in mind that many medical ‘breakthroughs’ announced with fanfare and optimism have been proven wrong. 

So, if you are among the millions who are struggling to shed some pounds, there are pathways available.   It can be a challenging road.  After all, if it were easy, then we'd all be think.  But, it can be done.  The first step on the journey takes place in your mind.  Are you all in?  



Comments

  1. This comment has been removed by a blog administrator.

    ReplyDelete

Post a Comment

Popular posts from this blog

Becoming a Part-Time Physician

Next month my schedule will change.  I will henceforth be off on Fridays with my work week truncated to Monday through Thursday.   I am excited to be enjoying a long weekend every weekend.  And while the schedule change is relatively minor, this event does feel like an important career moment for me.  It is the first step on a journey that will ultimately lead beyond my professional career.  It is this recognition that makes this modest schedule modification more significant than one would think it deserves.  As some readers know,   my current employed position has been a dream job for me.   Prior to this, I was in a small private practice, which I loved, but was much more challenging professionally and personally.   My partner and I ran the business.   Working nights, weekends and holidays were routine for decades.   On an on-call night, if I slept  through until morning, I felt as if I had won the lottery.   And w...

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Will Smarter Lawyers End Frivolous Lawsuits?

How do you know if a lawyer is any good?  Of course, they've all passed the bar, but now their profession is lowering it.  While most of us strive for excellence, and raise our children to value this virtue, prominent legal educators are establishing a new quality intitiative for their profession.  Who says that lawyers can't reform themselves?  Perhaps, we physicians can follow their bold example and raise the credentials of our pre-medical students.  I’ll present the facts. You be the judge. I have written a dozen posts on tort reform on this blog, which always generate spirited and adversarial retorts from attorneys and their supporters. They accuse me and other tort reform advocates of carrying water for insurance companies. They repeatedly point out that I know nothing about the legal system and are unqualified to opine on its flaws. They deride me when I argue that effective tort reform would reduce the practice of defensive medicine, despite the re...