This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing! As a fat patient who often exercises my right of informed refusal when it comes to recommendations of weight loss, I have had to correct my chart multiple times when the healthcare provider who recommended the weight loss labeled me as “non-compliant.” I’ll tell you how I handle it, but first I want to dig into the whole concept of “compliance” and weight loss recommendations. I refuse weight loss recommendations whether they are behavior-based,
OMG! This is gold! : I add something like “Provider recommended intentional weight loss but was unable to meet request for evidence of long-term efficacy/safety. As the intervention suggested doesn’t meet the requirements for ethical, evidence-based medicine, I requested an evidence-based treatment path and the provider was not able to offer one.”
Healthcare should just stop using the term "Compliance." Period. It's almost always used to Trojan Horse the provider's biases and lack of curiosity about their patients. It also encourages a paternalistic power dynamic between patients and providers.
Providers urgently need to examine weight bias in pre-op evaluation and planning, and I really appreciate you taking this subject on.
Thank you for the article, it's so valuable and helpful!
OMG! This is gold! : I add something like “Provider recommended intentional weight loss but was unable to meet request for evidence of long-term efficacy/safety. As the intervention suggested doesn’t meet the requirements for ethical, evidence-based medicine, I requested an evidence-based treatment path and the provider was not able to offer one.”
Thank you for sharing this and all of the references!
Healthcare should just stop using the term "Compliance." Period. It's almost always used to Trojan Horse the provider's biases and lack of curiosity about their patients. It also encourages a paternalistic power dynamic between patients and providers.
Providers urgently need to examine weight bias in pre-op evaluation and planning, and I really appreciate you taking this subject on.
Thank you for the article, it's so valuable and helpful!