On Thursday, I went to the doctors, because I want my bloodwork done. I was prediabetic, but my last AC1, a year ago, was great. My doctor's office is a teaching office for new doctors, and I got a resident. After taking a history, she measured my waist and said, "You still have a ways to go, we recommend all women have a waist under 81cm (31inches)."
I was annoyed, because I've lost over 100lbs in under a year. Plus, I can't stand standardized body expectations. My regular doctor would not have said such a thing to me.
Later, I told my sister's gf about this. She's a nurse in a heart surgery unit. I told her that my caloric intake is consistently between 900-1500, and she said, "The recommendation for women is 1300."
%^(*&!! Seriously? My BMR is 1769 at my current weight. WTH is wrong with them? I bike, walk 5 miles a day, weightlift regularly. 1300 for all women, regardless of size, activity? If anything, I've been concerned that I'm not eating enough.
Anyways, I want to know what the stupid things medical professionals have told you? And given my BMR 1769, and my activity level's high, what is your opinion on what my caloric requirements are for safe, consistent weightloss?
Crowbar, Im sorry about these stupid and insensitive comments. It annoyed me too, for you!
What's wrong with them, sadly, is that with very few exceptions, medical doctors know almost nothing of importance about nutrition and exercise and what is required to prevent disease or get back into good health.
The surgeon's comment is funny. Isn't 1300 between 900-1500?! Anyway, she is a surgeon, and perhaps a good surgeon. Surgeon's don't do a lot of primary care.
As for the resident - that's a good teaching moment for her. I wish you would have said something like "Since you are learning to be a doctor, it will be important for you to think about what you say to patients. I've lost over 100 pounds in the past year and I exercise 5x a week. My A1C was excellent last time (throw out other labs she will "get") and it really doesn't help me at all when you point out that I have a ways to go. I am working on my health every single day. Please don't try to put me into your standardized box. Clearly I know I have a ways to go and Im working my butt off to get there."
Something like that. Teach her a thing or two about why what she said was not helpful.
Its not too late to write a letter!
Also, think about perhaps sharing less details and protecting yourself from scrutiny since most people are idiots on this stuff compared to what you know. Just a thought. Or have a good comeback like "Well, lets see....I've lost over 100 pounds, I exercise everyday, I feel great and my labwork is stellar so those calorie charts clearly don't apply to everyone".
As for whether or not you are eating enough - are you hungry? Is your hair and skin healthy? Lots of people have slow metabolism/sluggish thyroid. Has that been checked?
Keep up the fabulous work.
When I was inititally diagnosed with cancer, during a very painful pelvic exam, the dr kept saying over and over, " I am not hurting you, I am not hurting you." I wanted to kick him in the face. I had also asked him why he had chosen to be a gyn oncologist and he told me, "I like to do surgery and the money is great." I never went back.
My oncologist at Sloan Kettering (supposed to be the best and the brightest, right?) has told me not to take vitamin c because it causes cancer.
Oh, and my original surgeon prescribed estrogen for me, even though he left in my ovaries, despite the fact that many cervical cancers have estrogen receptors and are estrogen sensitive.
You really need to be your own advocate when it comes to medicine. My father is a doctor ad my mother is s nurse and the horror stories they could tell you about other doctors are unbelievable.
When I was in college I came down with a nasty cold. I'd spent half a day alternating between freezing and melting. I stumbled my way to the on campus clinic. Despite there being no one there, I was told I needed an appointment and the first opening was the following tuesday, 6 days away. I got a friend to take me to the ER. I got checked out, and left alone for almost 20 min when a nurse came in and congratulated me, I was pregnant.
I asked for a second opinion because I'm male. Another 20 min wait and she comes back, I have the flu.
Ever since then I don't trust doctors.
The dumbest thing I've ever been told by a doctor is when I got my blood work back and I had HDL 100 and LDL 121 so total cholesterol= over 200! She had a freak out and said, "Wow your bloodwork is in bad shape, I highly recommend seeing a nutritionist." Pshh, and then she wanted me to get a flu shot!
"I want to know what the stupid things medical professionals have told you?"
When speaking with a doctor in the office I have to repeat to myself…general practitioner…general practitioner …general practitioner …this person is just PRACTISING right now…practise practise…the problem is they never seem to practise a bedside manner …meaning…focus on who’s with you now, not on who’s next, and most importantly listen and let it absorb.
I went in to have my big toe looked at because I was having an odd pain and wanted to make sure I hadn’t done some major damage to it after a 60 pound dumb bell rolled off a bench and smashed it…My GP told me I was fat ……I blinked wondering how that was effecting my toe pain… I told him I lost 40 pounds …he told me to lose more…I told him… keep practising. He didn’t understand what I meant at first, but then it clicked and he seemed pissed, but it was quickly apparent that I wasn’t the first one to have said something similar to him…
I respect the field of medicine, I respect the amount of time and effort that goes into what is a field that can be one of the most stressful jobs in the world, and I respect the amount of sheer knowledge that is stored away in order to help diagnose what might be wrong with an individual on any given day...BUT…given the amount of medical errors resulting in deaths that occur EACH year (6th leading cause of death in the USA by some estimates)…I refuse to be treated as though I don’t know ANYTHING and that my questions and opinions are somehow negated because you studied a whole semester on diet and nutrition and the topic I’m discussing was never covered, ergo...has no value...and that if something is wrong with you, it’s because you’re fat…it’s gotta be it!
The stupidest thing a doctor has ever said to me wasn’t his words… but his assumptions
It's what they told me and what they didn't tell me. About a year ago, my Endo had me do an endoscopy to determine if I had Celiacs. I ended up doing it and have had digestion issues ever since. I just found out from my PCP that at that time they found out I had gastritis and a stomach ulcer but failed to tell me until two days ago. Now I have to due some heavy damage control and try to kill off the H. pylori that is causing the ulcer as it seems to be the cause of my digestion issues.
I think that the point made by Crowlover is a good one- if you can, let the person know! I've had a couple run-in's, the most traumatic of which was a young resident telling me that I didn't actually have a heart condition and that I probably was just quite anxious and should be put on anti-anxiety meds. This was AFTER I'd already had a heart surgery. Not helping the "delicate female" label that had just been slapped on me, I burst into tears and proceeded to get very upset and leave the appointment. After taking a few days to compose, I called the office and had a long conversation with the receptionist who then passed me on to my cardiologist who apologized profusely. At the next appointment the receptionist told me that the incident had inspired the cardiologist to bring in a group that taught all the staff (cardiologists, LPN's, RN's, residents) about prejudice and gender bias when treating patients. My cardiologist brought the resident in to apologize to me, and it all ended up being a good experience overall. My cardiologist was always wonderful to me, and still is- he even teared up when he had to cancel one of my surgeries. This incident impressed me as one of the few that ended up with a positive resolution. I wonder, however, if patients were more vocal about their feelings, if this would happen a lot less. I think particularily what you are talking about, which would be the very sensitive topic of weight, needs to be drilled into physicians and dietitians (as a future dietitian, holy crap do the students need to hear WAAAAAAY more about this) how to approach it. Right now it is dealt with so insensitively or awkwardly, or just not at all. It is truly horrible some of the things I've heard about that doctors have said to even modestly overweight patients- I can't imagine the harassment (and it many cases it could literally be called harassment because it is so disrespectful and condescending) that any obese patients must undergo.
Another incident was a very odd remark that made me extremely uncomfortable during a pelvic examination- young guy, I think he had no idea that it freaked me out. Thinking back, I kick myself for not mentioning it directly to him or to the receptionist (who I even knew) on my way out. Could have saved the doctor making that same weird comment to dozens of other women before someone down the line pointed out to him that it was a very odd thing to say at totally the wrong time. We get really frightened of policing other people when they get out of line, I wish that it was easier and we had more avenues to do so without worrying about being offensive or picky, even though we deserve to be picky when it comes to our comfort and health.
My daughter's pediatrician told me that her eczema couldn't possibly be related to any food allergies, because eczema isn't a symptom of allergic response. (This was after the allergist told me that the foods causing eczema were difficult to pin down because eczema is usually a result of combined multiple immediate onset and delayed onset allergies.)
My bloodwork was showing that I was anemic and my PCP said that it was normal for women to be anemic, because we lose so much blood during menstruation. First of all, it is not normal to be anemic, even if you are menstruating. Second, I hadn't gotten my period in about five months, so it is doubtful that this would be the cause of the anemia. On top of that, after learning about my lack of period and my concern over it, she did nothing to look into the cause.
Stupid things people say...I have a good friend who is 58; walks everyday; does pilates and yoga a few times a week; and jogs frequently. She's as slim as can be, bordering on skinny. When she got her blood work results, they told her that her LDL was high so she should lose weight and do more exercise. Seriously?
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