Doctors That Overstep

As someone who has navigated the healthcare system as an obese individual, I have encountered a range of experiences with doctors. Some have been supportive and understanding, while others have crossed the line, making assumptions and comments that were not only unhelpful but also harmful.

I think it is crucial to address this issue from the patient viewpoint. As fat people we deal with far more than we should when accessing healthcare. We need to be more prepared and have more strength than most when heading into the medical office or exam room.

The assumptions doctors make

In my experience, one of the most common issues obese patients face is the assumption that we are unhappy with our weight and want to lose weight. I've found this assumption can lead to doctors focusing solely on weight loss as the solution to all health problems.

Have you ever experienced a pain in a body part only to be told that losing weight might help? Or that your chronic illness may have been caused by your bigger body. Or the suggestion that none of your other medical issues should be addressed before you lose weight.

If you're like me, you might well find your medical professional ignoring potential causes and treatments that are not weight dependent. This is when you need to find your voice to communicate clearly with your doctor about your health goals and concerns, emphasizing that weight loss is not the only focus.

Shaming tactics

I've written about doctor treatment before. However, I have not specifically mentioned the use of shaming language or tactics. I've met some doctors who believe that shaming patients about their weight will motivate them to lose weight.

What is a shaming tactic? When I was a preteen my primary care doctor told me that "a touch of anorexia might do you good." Yes, a grown medical doctor shamed a 12 year old girl who was only slightly overweight. Other shaming techniques may be smirking when you are attempting move your larger body. It might be a comment about what you are having for lunch. However, research has shown that weight stigma and shaming can lead to negative health outcomes, including increased stress, anxiety, and even weight gain.¹

If a doctor uses shaming language, I recommend addressing it directly. Do not let it slide. You can say something like, "I find those comments unhelpful and would prefer to focus on constructive ways to improve my health." Despite your level of discomfort, it is your time and your health. Shame should not be a part of your appointment.

Medical denial

Not all encounters with doctors who are concerned about your weight are negative and unnecessary. In some cases, I have found that doctors may refuse to provide certain treatments or tests until a patient loses weight. This can be particularly difficult if losing weight actually is necessary for diagnosing or managing a health condition.

If you encounter this situation, ask the doctor to explain their reasoning and provide evidence to support their decision. It has helped me to go into these situations with some research. It is possible that your healthcare provider is following standard protocols or medical institution rules. Once you have an answer, know that it is not the end. You can also seek a second opinion from another healthcare provider.

Build your support system

Building a strong support network is another key step that's helped me protect myself. My network includes friends, family, support groups, and healthcare providers who understand and respect my health goals. Having people who can offer emotional support and practical advice can make a significant difference in navigating the healthcare system.

I find that educating myself about my health and medical conditions is also empowering. The more I know, the better equipped I will be to advocate for myself and make informed decisions about my care. There are many reputable sources of information available, including medical journals, websites of health organizations, and patient advocacy groups.

It is also important to be aware of your rights as a patient. In the United States, patients have the right to receive respectful and non-discriminatory care. If you feel that a doctor has crossed the line, you can usually file a complaint with the medical board or relevant regulatory body. Additionally, consider bringing a trusted friend or family member to appointments for support and to help advocate for you.²

Be choosy if you can

If you find that a doctor consistently crosses the line and does not respect your health goals, it may be time to find a new healthcare provider. While it can be challenging to switch doctors, especially if you have been seeing the same one for a long time, your health and well-being should always come first. Do not be afraid to seek out a provider who will treat you with the respect and care you deserve.

When choosing a doctor, I find it helpful to look for those who have experience working with obese patients and who have received training in weight-neutral or body positive approaches. In my experience, these doctors are more likely to provide respectful and comprehensive care that focuses on overall health rather than just weight.

Another strategy I've used is to seek out healthcare providers who specialize in obesity medicine. These providers are trained to understand the complexities of obesity and, in my experience, are more likely to offer compassionate and evidence-based care.³

Consider complementary therapies

In addition to seeking specialized care, I find it helpful to consider exploring alternative or complementary therapies that can support overall well-being. This might include working with a nutritionist, physical therapist, or mental health professional who has experience working with obese patients. These professionals can offer personalized guidance and support that complements the care you receive from your primary doctor.

Take a breath

I know dealing with healthcare providers who overstep boundaries can take a real toll on our mental and emotional health. Dealing with weight stigma and discrimination can be stressful and emotionally draining. Finding healthy ways to cope with stress, such as through mindfulness practices, exercise, or creative outlets, can help us maintain our mental and emotional well-being. Be kind to yourself. Give yourself grace.

Doctors who step over the line when treating obese patients is a significant issue that requires proactive steps to protect ourselves. By communicating clearly, addressing shaming language, seeking second opinions, knowing our rights, building a support network, educating ourselves, choosing the right doctor, preparing for appointments, and being willing to switch providers if necessary, we can navigate the healthcare system more effectively and receive the care we deserve. Remember, our health is important, and we have the right to be treated with respect and dignity.