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Doctor Reprimanded for Calling Patient Fat



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No. 40
from hollyster
Old Aug 29, 2005, 11:41 AM

Originally Posted by stevierae
I am confused---what would you "call" him on---the fact that he cared enough about this patient's well being to point out how very grave her situation was (that's why, after all, it's called MORBID obesity----you can DIE from it, if you don't take some very serious action, and fast. That's why many morbidly obese patients have one last chance to save their lives, and that's in the form of gastric bypass--not a surgery to take lightly, but necessary, and rife with complications that can also kill you (the surgery was a success---but the patient died---sort of complications, such as DVT and pulmonary emboli.

Some of these patients are in such denial that they need a good swift kick in the a** to hear and finally accept the truth--sort of a "Toughlove" approach. I think the anesthesiologist of whom you speak does these patients a favor, if he shocks them into opening their eyes and making some radical lifestyle changes.

I'd rather someone saved my life than coddled me because he was afraid of being politically incorrect in his terminology.
Exactly. Are MDs or other health care providers supposed to ignore other conditions as well so that they do not offend a pt's feelings. I can see the the attorneys now. Why Dr. did you ignore the huge black mole on the pts face that had irregular borders and was changing in appearance and then the MDs response, Yes, I noticed the changes but I did not want to insult the pts appearance.
Ridiculous, yes but were is the line drawn. I have argued many times with MDs that performed gastric bypasses because I felt that they were only addressing a symptom and not the underlying issues causing the obesity and have been told you cannot assume pts have some form of psychologocal problem because they are morbidly obese, it will get you sued. I refuse to believe that you can get up tp 500lbs without some psych issue.
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No. 41
Old Aug 29, 2005, 12:59 PM

I think the whole of America is in strong need of a good reality check.


Of all the stupid things to sue over.......

The Emperor has no clothes. Time to get real.
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No. 42
from mandrews
Old Aug 29, 2005, 01:04 PM

Originally Posted by hollyster
Exactly. Are MDs or other health care providers supposed to ignore other conditions as well so that they do not offend a pt's feelings. I can see the the attorneys now. Why Dr. did you ignore the huge black mole on the pts face that had irregular borders and was changing in appearance and then the MDs response, Yes, I noticed the changes but I did not want to insult the pts appearance.
Ridiculous, yes but were is the line drawn. I have argued many times with MDs that performed gastric bypasses because I felt that they were only addressing a symptom and not the underlying issues causing the obesity and have been told you cannot assume pts have some form of psychologocal problem because they are morbidly obese, it will get you sued. I refuse to believe that you can get up tp 500lbs without some psych issue.
I saw Dr. Bennett on CNN yesterday. He is very blunt, and dry. I am sure his bluntness and lack of tact is what got him in trouble plus commenting on her private life didn't help. He did have an obese patient on the show that was diagnosed with cancer a few years ago and he told her she needed to lose weight and take care of herself. She said he was hard on her but she appreciated his bluntness. It motivated her do help herself.

melissa
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No. 43
from sunnyjohn
Old Aug 29, 2005, 01:04 PM

Default Nekkid Emperor!
Originally Posted by SmilingBluEyes
I think the whole of America is in strong need of a good reality check.


Of all the stupid things to sue over.......

The Emperor has no clothes. Time to get real.
SmilingBlue Eyes,

The Emperor has been prancing about naked for a LONG time!

He's quite a site, being so 'fluffy' and all!

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No. 44
from elthia
Old Aug 29, 2005, 02:48 PM

Originally Posted by sbic56
I agree. Being a bit chunky myself, I wouldn't want my doc to sugar coat anything. He didn't do that when I was quitting smoking; he reminded me exactly how bad that was for me. Why should it be different about my weight?
I agree. That's why I'm looking for a new PCP. Mine wasn't willing to be blunt and tell me the truth, instead he sent me to a specialist to tell me what was wrong. I wouldn't even know this if I had gotten a copy of my medical records.
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No. 45
from stevierae
Old Aug 29, 2005, 03:07 PM
Updated Aug 29, 2005 at 03:10 PM by stevierae

Originally Posted by mandrews
I saw Dr. Bennett on CNN yesterday. He is very blunt, and dry. I am sure his bluntness and lack of tact is what got him in trouble plus commenting on her private life didn't help. He did have an obese patient on the show that was diagnosed with cancer a few years ago and he told her she needed to lose weight and take care of herself. She said he was hard on her but she appreciated his bluntness. It motivated her do help herself.

melissa
It didn't say, but is Dr. Bennett a psychiatrist? I got that impression from this remark he made, in which he makes a very good point:

"You come in here, you pay $75 to sit on the couch. I'm not going to sit here and talk about the weather with you."

If he IS this woman's psychiatrist---maybe she initiated therapy with him in the first place to TALK (and receive counsel) about psycho-social issues (i.e., lack of self esteem related to her appearance; perceived lack of advancement opportunities in her career field related to her appearance; inability to have a decent social life/possibly marriage prospects/possibly conception (or future conception) issues----)

I'm speculating here, but you get the idea. Did she want to "lie on the couch" and have him tell her that SHE was perfect; that SHE was a victim, and, worse, ignore the facts about the very real co-morbid conditions that presumably accompanied her morbid one? Did she prefer to die, ignoring the truth?

Telling the truth is his JOB, as a physician. If he's her psychiatrist, she's paying a steep hourly fee to hear the truth. I can't imagine why she'd pay good money to hear lies, further reinfocing her denial.

THAT, now, (lying to a patient) would probably constitute medical malpractice, or at least an ethics violation from the state medical board. Why should he be sanctioned because she can't face the truth about her condition?
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No. 46
from sbic56
Old Aug 29, 2005, 04:21 PM

Originally Posted by elthia
I agree. That's why I'm looking for a new PCP. Mine wasn't willing to be blunt and tell me the truth, instead he sent me to a specialist to tell me what was wrong. I wouldn't even know this if I had gotten a copy of my medical records.
It takes a specialist to deliver the honest truth? What a wuss. I agree, time for a new PCP.
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No. 47
Old Aug 29, 2005, 09:58 PM

Default It's interesting...
In this post, many people believe that being overweight - and the problems that come with it - is something that people should be made aware of. In another post - the one about smoking nurses being hypocritical - many people believe that smoking - even though it can cause as many problems as obesity - is a person's right. I wonder if this woman would have been as offended if the MD told her to stop smoking? I wonder if she would have had a strong case?? HMMMMM.

BTW, was this MD her PCP or her psychiatrist?

CrazyPremed
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No. 48
Old Aug 29, 2005, 10:16 PM

I think BOTH issues should be honestly discussed between PCP and patient.

Smoking will kill you.

so will being obese.

It's really the bottom line. You will die, if you don't change your ways. Or worse, be horribly disabled for a large portion of your life.

I don't see a lot of people arguing smoking is something to tread lightly about....not at all.
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No. 49
Old Aug 30, 2005, 04:38 AM

I wonder if this woman would have been as offended if the MD told her to stop smoking?
Probably. Sounds like she didn't like any dose of reality.
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