case: (Default)
Case ([personal profile] case) wrote in [community profile] fandomsecrets2012-11-08 05:48 pm

[ SECRET POST #2137 ]


⌈ Secret Post #2137 ⌋

Warning: Some secrets are NOT worksafe and may contain SPOILERS.


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Notes:

Secrets Left to Post: 01 pages, 015 secrets from Secret Submission Post #305.
Secrets Not Posted: [ 0 - broken links ], [ 0 - not!secrets ], [ 0 - not!fandom ], [ 0 - too big ], [ 1 - repeat ].
Current Secret Submissions Post: here.
Suggestions, comments, and concerns should go here.

(Anonymous) 2012-11-09 09:59 pm (UTC)(link)
I've worked in hospitals for over 20 years and a lot of my work is tackling unhealthy behaviours with people. Fact is, none of us like being told what to do. It's why doctors find patients not taking their medication, or following any of the "advice". Think about it, someone tells you what to do, you immediately form arguments as to why you won't do it. It's the way we work cognitively, we argue against things, and decide to do things just to spite the person who has the gall to boss us about.

Also we don't want to be judged, so don't tell our doctors the whole truth about our behaviour.( I know I never do, and I don't expect patients to tell me the truth, it's amazing how patient's stories change as you get to know them...)

Most people who are overweight know it, you telling them something that's obvious is only gonna put their back up and increase resistance. Those doctors and clinicians who really listen and work with the patients to come up with their own plans for behaviour change, or to work with their ambivalence about changing, they are the ones who have some success. I think you can do a lot more than tell the patient their options and educate them. You can let them be the expert in their own lives, and help them as the person who can do the tests they need, and prescribe for them and give them any information that they require, or helps them, rather than lectures that just make their eyes glaze over and take the same time as more effective discussions.

(Anonymous) 2012-11-09 10:20 pm (UTC)(link)
thanks for saying this. all too often people want to say SO NOT MY FAULT when, yeah, if you really looked at your own behaviors, at your own thought processes? it is your fault.

I remember once telling someone the fastest way for me to lose weight is to stop eating white bread and cut out processed sugar.

I can't tell you how many people chimed in saying 'OMG I COULD NEVER GIVE UP MY BREAD AND MY FROSTED FLAKES'. yeah. okay. so...stay fat, then. but it's not 'other medical problems' that may be contributing to it. you are just a fucking douchbag because you don't want to make some changes because it's haaaaaaaard. or you don't want to be told what to do!

if you are physical capable otherwise, park at the back of the parking lot and walk to the store/mall.

walk to your mailbox.

take the stairs instead of the elevator.

cut out white bread (or at least cut down. take half the bun off your fucking cheeseburger). use sugar-alternatives.

we have a great measure of control over our lives. if you choose not to utilize it, no one is to blame. not the doctors, not some medical condition.

you.

(Anonymous) 2012-11-10 12:07 am (UTC)(link)
Um. I really hope you keep an open mind with your heavier patients for their sake.

I only became overweight (not obese) recently because of stress, a more inactive lifestyle, and bad eating habits (not how much I was eating, what I was eating).

I got a new primary last year. I was being told that the symptoms I had been describing BEFORE weight gain were being CAUSED by my current weight. That's bullshit. I won't deny that being overweight aggravates symptoms for certain conditions but don't sit here and bullshit me because you want to be lazy. Told that fucker off and finally got a proper diagnosis and treatment like a year later (glaucoma and pcos).