First Impressions Matter, B**ch!!!! - page 5

:( Yanno, I always try to make a good first impression with patients and their families. It freakin' matters. It sets the whole tone, and it really makes a difference in what kind of rapport you... Read More

  1. by   pebbles
    I've been weighed as part of every routine exam with my GP, and also when I was referred to a gastroenterologist. Never bothered me. If you think about it, many parts of medical exams are very... "personal" and can leave a person feeling dehumanized if you aren't professional enough, etc. I fail to see why asking someone about the sensitive subject of weight is so much more horrific than asking them about anything else... I hate the way our society is so fat-paranoid. It's not some guy on the street asking to weigh you, it's a medical exam.
  2. by   Nurse Ratched
    A good friend of mine not only refuses to be weighed (and she is a very "average" sized person), she also refuses to put on a gown if the circumstances don't warrant it, as it wouldn't in a situation like yours. Sometimes offices have this automatic routine set up; weigh, VS, strip, whether or not it's actually necessary. She feels that having to put on the paper gown disempowers her (is that a word? - you know what I'm trying to say) by placing her in subordinate position to the medical people (being nearly naked doesn't exactly imbue most of us with self-confidence.)

    The horror! Patients standing up for themselves! It'll be anarchy!!
  3. by   shay
    Originally posted by pebbles
    I've been weighed as part of every routine exam with my GP, and also when I was referred to a gastroenterologist. Never bothered me. If you think about it, many parts of medical exams are very... "personal" and can leave a person feeling dehumanized if you aren't professional enough, etc. I fail to see why asking someone about the sensitive subject of weight is so much more horrific than asking them about anything else... I hate the way our society is so fat-paranoid. It's not some guy on the street asking to weigh you, it's a medical exam.
    Pebbles, obviously you've never had an eating disorder.

    Tell a rape victim that a pap smear is just a "medical exam." Tell a child vicitim of sex abuse that a male doctor who resembles their father is "just a medical practicioner."

    Nice attitude. See my response to Molly. Carry on.
  4. by   mark_LD_RN
    Shay thanks for pointing out a persons right as a patient. They have a right to refuse anytreatment. Hopefully the litle office MA will learn here lesson. as nurses we need to be aware of the patients bill of rights. I always respect them and insist on them being respected when i am the patient or one of my family.

    you had every right to refuse ,i support you fully

    another thing i hate is an MA with an attitude
  5. by   Sleepyeyes
    I quit going to one PCP because of the goons in her front office and her 1/2 =year voicemail.
  6. by   nell
    Shay, I have learned a lot from this thread.

    Although I was painfully skinny until age 30, it was not due to an eating disorder -I just couldn't gain weight. I also outgrew it (by about 300%) and am now "obese" (6' 1" and 240 lbs). I think your comparison to rape/molestation victims is probably right-on and I NEVER would have thought of that.

    I will try to do better with the druggie moms. Had one last week (actually they are pretty rare in my unit) who was being unreasonable and I was grateful that I could avoid all but one phone call. I will keep your Academy Award winning attitude in mind...

    Can I ask what ttc is? A google search turned up things like:

    Toronto Transit Commission
    Trying to Conceive
    Tools of Tensor Calculus
  7. by   researchrabbit
    Kind of on topic....

    A physician in Dallas did "breast exams" by putting his hand down his female patients' shirts (not even removing bras). The board there has yet to discipline him (Texas has one of the worst track records for disciplining physicians). Apparently most of his patients were AFRAID to say no or complain, or accepted his explanation that this was a "necessary" part of the exam.

    How many patients felt guilted into this demeaning procedure? And how many are now LESS likely to go the doctor?

    How many patients who know they are going to get weighed and feel diminished by it are going to skip THEIR appointments?

    Yes, weight is part of a medical exam. But weighing -- LIKE ANY PART OF AN EXAM -- can be refused for any reason.

    If the doc feels s/he needs a weight, and the patient says no, it can be estimated. Or appearance can be described in the notes (that's what shrinks usually do, BTW).

    PS I do know this is a bad analogy!
    Last edit by researchrabbit on Sep 11, '02
  8. by   shabookitty
    I too have been plagued by an eating disorder...it is awful to be weighed...i would find myself running my a** off as soon as I got off the scale! Hmmm. done 4 miles! Oh hell, I'll do two more. And the skipping meals and hacking the one meal you do eat. You are a mental slave. I was able to tell folks calories per serving about food items off the top of my head! It is awful. Oh gosh, what about the body fat measurement vs scales! It just sucks...uh, yeah you weigh 120lbs but your body fat is 30! Grrrrr. I agree with Heather...weigh backwards! If weighing is "that" necessary.
  9. by   shay
    Originally posted by nell

    Can I ask what ttc is? A google search turned up things like:

    Toronto Transit Commission
    Trying to Conceive
    Tools of Tensor Calculus
    Nell, that would be trying to conceive. My dh and I are preparing to start a family.
  10. by   shay
    One more thing...............this is especially for the likes of pebbles and molly and any other nurse who seems to have forgotten the pt. bill of rights and that they are not there to power trip on the pt...........found this on another message board:
    Ok currently, I disrespect all nurses. Yes, I know that is unfair, that there are good nurses out there, but I haven't seen any. And I've seen a lot of nurses with my MIL and sister's cancers. I have relatives who are nurses, friends who are nurses. They all suck. They are cold, clinical b**ches.
    And you wonder why people feel this way about nurses? Pull your head out of your hind quarters and realize that your patients are PEOPLE, not your little lab rats or subjects. You are not queen of your domain.

    No wonder people hate getting health care. It's because of nurses with attitudes like yours, i.e., that pts. who object to certain things are being silly and unreasonable, that people have this image of nurses being "cold, clinical b**ches". Get over yourselves and go take a course in therapeutic communication and basic social interaction.
  11. by   pebbles
    Um... I didn't say you had to MAKE someone get weighed.
    A weight can be an important part of a medical exam... of course the pt has the right to refuse, and that nurse had no tright to try and force you after you said no. But that doesn't mean we should avoid taking weights at all.... When pt refuses ANYTHING, it should be documented but accepted. Geez. I was just commenting on the issue of a weight as part of a medical exam.... I fully accept the principles behind the bill of rights, and nowhere did I say otherwise.

    Shay, I think you jumped to some conclusions about me that weren't fair....

    This wasn't an eating disorder clinic, you were at... asking a pt to be weighed is a perfectly valid assessment. (BUT not accepting her refusal is wrong). Also - a good doctor won't just look at weight, he'll look at patterns of weight from visit to visit, etc. The GP is often one of the first links in treatment for eating disorders. MANY aspects of a health examination, as you say, can be sensitive subjects, but we as nurses or patients can't avoid them. If a pt refused to be weighed, I would pass that info on to the primary caregiver (the doc) and he can follow up on why in the exam room. Following up is important, too, not just accepting a pt's refusal....
    Last edit by pebbles on Sep 11, '02
  12. by   pebbles
    Originally posted by shay
    One more thing...............this is especially for the likes of pebbles and molly and any other nurse who seems to have forgotten the pt. bill of rights and that they are not there to power trip on the pt........... Get over yourselves and go take a course in therapeutic communication and basic social interaction.
    We're none of us perfect communicators... some of the conclusions you have jumped to (and ranted about) indicate that as well. If you didn't like what I said, fine. I clarified it above. But for you to say that I should take a "communications course" is patronising and ironic beyond belief. I understand that you are upset, but I don't appreciate your apparent vengeance. Perhaps you'd care to tackle the course with me?.......
  13. by   shay
    The GP is often one of the first links in treatment for eating disorders.
    Read the whole thread first, Pebbles. It wasn't a GP, IT WAS A PSYCHIATRIST. WHOM I WAS CONSULTING WITH REGARDING TAKING ANTI-DEPRESSANTS DURING PREGNANCY SPECIFICALLY TO TREAT MY EATING DISORDER. It WASN'T a GP. My e.d.o. has already been diagnosed, thank you.

    Here's the crux of my beef with you:
    I fail to see why asking someone about the sensitive subject of weight is so much more horrific than asking them about anything else... I hate the way our society is so fat-paranoid. It's not some guy on the street asking to weigh you, it's a medical exam.
    I don't care WHO asks me my weight. It's not about being "FAT PARANOID," it's about already having issues with food and weight and clothing size.....and it's about not being treated like a stupid child for refusing to weigh. FYI, my therapist treating me for my e.d.o. has specifically instructed me not to weigh, and not to have scales in the house. Are rape victims that I take care of in labor who have difficulty with vaginal exams "sex paranoid?" NO. It's the SAME THING.

    I hope you never have anything bad happen to you in your life and then have salt rubbed in the wound later by someone who is supposed to be your "caregiver." You "fail to see" why it's such a big deal??!!?? Good Lord. Get a clue.

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