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I was once getting dental work done, and the dentist and her assistant engaged extensively in diet talk with each other while they worked on me. Like “oh I’m so bad, I gained 5 lbs over the holidays!” “I’m so sinful for eating dessert!” That kind of crap. I know there are worse problems, but ugh! Maybe don’t do this in front of your patients if you’re a HCP. You have no idea what kind of harm you might be doing to them.

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This is is so good! I have one to add which may be a rephrase of one of yours:

Am I delaying treatment for this patient (by recommending weight loss), when I would feel a sense of urgency if a thinner patient had the same signs and symptoms?

If a thinner patient’s symptoms signal something serious may be going on (or needed to be evaluated quickly to prevent disability or death), but a doctor expects a higher weight person to lose weight before a conducting the same differential diagnosis, this is not a doctor I can trust with my life.

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