tag:blogger.com,1999:blog-1449641905298601952.post2343286591351996245..comments2024-03-04T00:43:25.831-08:00Comments on Drop It and Eat: Drop the Diet, Manage Your Weight: What Your Healthcare Team Needs to Know About Your Non Compliance.HikerRDhttp://www.blogger.com/profile/15170145903147301280noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-1449641905298601952.post-61536735862040441352012-05-06T22:41:02.895-07:002012-05-06T22:41:02.895-07:00Woow! very wonderful!!! I've learned much abou...Woow! very wonderful!!! I've learned much about the topics about the nutrition education, the fact about this and the possible illness when you were not listening to the advice of the doctors and the benefits when you followed those steps and advice of the Doctors How to live a healthier living.andyhttp://www.iformkostdagbog.dk/noreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-84315023143680117492011-12-13T16:25:21.000-08:002011-12-13T16:25:21.000-08:00Thank you thank you thank you for writing this. as...Thank you thank you thank you for writing this. as a dietetic intern i feel like i'm occaisionally butting heads with those same MDs that get 5 hours of nutrition in their education. pt's don't need to just be "compliant" they need to be taught, supported and guided. change won't happen until the patient is ready-our job is to get them to that place!Elizabeth Jarrardhttp://www.dontwhitesugarcoatit.comnoreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-17322009200576574112011-12-05T09:09:50.066-08:002011-12-05T09:09:50.066-08:00As a medical student (Though in England, not Ameri...As a medical student (Though in England, not America) I can say that nutritional education here isnt a whole world better. We have covered the nutritional deficiency diseases, some work on malnutrition in hospital and eating disorders.. aaand thats about it. We need to be taught more about nutrition and why people do what they do. Expecting "compliance" seems to boil down to "expecting my patients' numbers to go the direction I want them to go, and if they dont it's the patients' fault" Not terribly productive. And who really completely alters thier diet longterm just to please thier doctor? They may do it because thier doctors' advice reinforces beliefs and behaviours they already have but no doctor has that kind of control- as you say not puppets on a string.<br />And it is so wrong to expect that from patients. Listening is whats needed, but that takes time, communication skills and empathy some doctors just do not have. We do get a lot more training now but you can tell who listens and who doesnt already. <br />Thankyou for putting a very complex medical problem beautifully into words.Ruthnoreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-24313661371234024052011-12-05T06:01:20.372-08:002011-12-05T06:01:20.372-08:00Re: Kate's message. Eat less and move more doe...Re: Kate's message. Eat less and move more doesn't work, full stop.I'm not a doctor but I'll bet that if people ate quality food in reasonable quantities (not starvation levels or excessive) that a great many health problems could be averted. Same with exercise-- reasonable amounts doing something you enjoy is beneficial; doing things that hurt or you dislike is not (looking at my own damaged knees in chagrin-- exercising more was not the right choice for me at least).<br /><br />Happy and healthy is far more important than body shape. Doctors need to learn to leave their charts and numbers aside from time to time and actually LISTEN to their clients. My new doctor is fantastic,she listens, she SUGGESTS (not orders), and she didn't say a word about losing more weight-- she was more interested in me maintaining my present comfortable and sustainable lifeways.<br /><br />BarbAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-14864626559964708222011-12-04T09:28:55.648-08:002011-12-04T09:28:55.648-08:00Thanks for your feedback! Any suggestions on sprea...Thanks for your feedback! Any suggestions on spreading the message to prevent the kind of damage Kate describes would be greatly appreciated!HikerRDhttps://www.blogger.com/profile/15170145903147301280noreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-25908031863260320672011-12-04T00:10:29.407-08:002011-12-04T00:10:29.407-08:00Such a brilliant post! Doctors, especially new doc...Such a brilliant post! Doctors, especially new doctors, need to remember that their patients are not naughty children. We do all sorts of funny things for all sorts of incredibly complicated reasons - most of which we don't even really understand ourselves!!<br />I have always been extremely lucky with my treatment as my gp specialises in eating disorders. But I have heard enough stories about ppl being told some very unhelpful things by their gps to know that there is something really basic going wrong in their training.PJhttps://www.blogger.com/profile/14486135269960422312noreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-49055317665150021412011-12-03T20:17:24.906-08:002011-12-03T20:17:24.906-08:00My mother goes to the doc once a year for a physic...My mother goes to the doc once a year for a physical and her blood sugar is always a tad high and they send the test results with a note that tells her to exercise more and eat fewer desserts. My mom is super tiny, definitely underweight, she has so many disordered eating habits that I can't even count them all, and she exercises like a fiend for over an hour a day. When she gets a note from her doctor that says "exercise more and eat fewer desserts" she translates that message to "lose weight fatty". She got so small she eventually went in for several other tests to rule out cancer because she was just wasting away, but when I helped her calculate how many calories she was consuming, she was averaging about 700 a day. She truly believes she was following doctors orders. <br /><br />A little extra time from the doctor would have prevented the problem, I think, at the very least he could have used more precise language.Katehttps://www.blogger.com/profile/12662034858495383191noreply@blogger.comtag:blogger.com,1999:blog-1449641905298601952.post-22821524294657203012011-12-03T13:11:30.234-08:002011-12-03T13:11:30.234-08:00This was an amazing article...I appreciate hearing...This was an amazing article...I appreciate hearing some articulate so eloquently how I feel. Your blog postings are slways so thoughtful and I love that you are able to see the wrold from your patients perspwctive while maintaining those professional lenses! Awesome!!Christinehttps://www.blogger.com/profile/09943341807770266365noreply@blogger.com