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> Which ways to lose weight are most safe, reliable, and effective is well-understood to actually be quite dependent on personal factors which are exactly the t
by vonmoltke 10y ago
> Which ways to lose weight are most safe, reliable, and effective is well-understood to actually be quite dependent on personal factors which are exactly the things that will not be properly assessed if doctors are less likely to order appropriate diagnostic tests for people that are overweight.
Other than a few anecdotes, one of which comes from an urgent care center[1], the article provides no evidence of categorically denying diagnostic tests, only surgeries.
> "Excluding other medical conditions" is exactly the problem, since comorbidities with obesity are not at all rare, and many of them are directly relevant to weight-loss strategies.
I have yet to encounter a doctor whose response to my weight is just, "Hi! Lose weight! TTFN!" It's hard to tell with the kind of surveys presented in this article if people are really being brushed off or if they are just being told things they don't want to hear.
[1] Relevant because urgent care centers tend towards shitty experiences regardless of your weight or medical problems. Especially the ones not affiliated with a hospital system.
- dragonwriter 10y ago> Other than a few anecdotes [...] the article provides no evidence of categorically denying diagnostic tests, only surgeries. That's not true; besides the anecdotes, there is, for example, the research review linked from the sentence noting that "Research has shown...". [0] [0] direct link: http://onlinelibrary.wiley.com/doi/10.1111/obr.12266/full http://onlinelibrary.wiley.com/doi/10.1111/obr.12266/full
- vonmoltke 10y agoI see a lot of discussion in that paper about stigmatization, "bedside manner" type stuff, and other things that understandably affect outcomes because it puts the doctor-patient relationship on a negative footing. I'm in complete agreement with that being a problem. However, it provides no evidence that diagnostic tests or any other care are categorically denied.