Mom's Watching

I think that it should NOT be a touchy subject when going to the PCP but until they change thieir approach it will be...

Imagine you go into the doc with a nasty rash on your face.  It isnt what you made the appt for - but it is there for the world to see.  The doc says.. wow that rash looks like it hurts (sympathetic) tell me does it itch?  is it spreading?  what have you tried? (inquisitive) well it looks to me like it might be exczema.  I am going to give you this booklet on exczema and a scrip for hydrocortozone. (helpful)  Come back and see me in 2 weeks and we will see how it is going.  If you arent having improvement I will send you to a dermatologist for a consult. (hopeful) now if the doc handled weight the same way it might sound like this... doc says ...  looks like you've gained some weight recently.  Are you noticing that it affects your lifestye, emotions, helath?  tell me does it make your joints hurt?  It sounds to me like you are having some issues with your weight and I'd really like to help you get it under control.  Here is a booklet on weight loss, info on WW and TOPS and a website where you can track your intake and exercise.  Come back and see me in a month and we can see what is working for you.  If you are still struggling then we can send you to a bariatric dr or a nutritionist for a consult... but that isnt what we get is it.  We get I guess I dont need to tell you that you are morbidly obese and you need to lose some weight. (judgmental) and if we actually dare to ask for help we get it is simple.  eat less and move more. (well duh!)