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How do we tell them that they are fat???

Discussion in 'General Issues and Discussion Forum' started by footdrcb, Feb 6, 2011.

Tags:
  1. Griff

    Griff Moderator

    According to an online calculator I'm pitching in at 22.4

    And I bench 220...
     
  2. Catfoot

    Catfoot Well-Known Member

    Ian G,

    Either you're built like a string bean or that's just your head measurement you're giving us ?? :D

    regards

    Catfoot
     
  3. Griff

    Griff Moderator

    Ooops typo - I meant 24.2, not 22.4!
     
  4. Deborah Ferguson

    Deborah Ferguson Active Member

    Hi
    As an aside - what are twinkies ?
    Cheers
    Deborah
     
  5. RobinP

    RobinP Well-Known Member

    Damn - overweight at 26.2.

    Ian do you really bench 220lb?I was feeling pretty buff the other day when I benched 154lb,

    Better measure is fat percentage. 22% at moment but hoping to go sub 20% in 8 weeks
     
  6. Attached Files:

    Last edited by a moderator: Sep 22, 2016
  7. footdrcb

    footdrcb Active Member

    Now that is a big twinkie. LOL
     
  8. footdrcb

    footdrcb Active Member

    Ive just big stomach bones thats all.....BMI 32 Get on that treadmill boy ...
     
  9. footdrcb

    footdrcb Active Member

    I might start a thread that is titled "Show us your abs" anyone feel like giving this a shot ???? Rob Issacs will be my first model followed closely by RobinP ....

    Cat foot ...you dont get off that easily either .....

    FDCB
     
  10. Thats funny in so many ways :D
     
  11. Only way to see my abs is with some kind of laprascope. I've not seen them for a few years now.

    C'est la vie. Once I had a six pack, now I have a barrel. It holds more so thats ok. I suffer from a much underdiagnosed glandular condition called "being a greedy fat B*****D who ate all the pies". Apparently quite common.
     
  12. Catfoot

    Catfoot Well-Known Member

  13. susiesue

    susiesue Member

    i avoid eye contact and say, "a high BMI may be a contributory factor." they get the idea then and generally agree with me. i then suggest non-weight bearing exercise i.e swimming to help control and bring down BMI i never mention the F word.
     
  14. susiesue

    susiesue Member

    i know what i mean, and they know what i mean. it allows the discussion to take place without having to be rude or personal.
    positivity attracts positive results, negativity equals low self esteem and reaching for the bargain bucket on the way home.
     
  15. Boots n all

    Boots n all Well-Known Member

    Sorry, but how many of your clients know what BMI is?
    Maybe ask the next 10 clients if they know what BMI is to get an idea.

    l heard a "speaker" at a community function talk about BMI in the under 15 football team, one parent asked how could they increase their child's BMI, "Would better boots help?", l guess the setting and people not paying full attention didnt help.

    BMI = Best Medium Intercept?
    BMI = Best Man Injured?

    Just heard on the news that a new study has linked increase of stroke to "Diet Soda"? That will go down well.
     
  16. footdrcb

    footdrcb Active Member

    What is wrong with aussies ?????? What jokes are they ??????? Ive never heard any , or perhaps im to dumb to recognise them ......

    What was the question again??????


    FDCB
     
  17. caf002

    caf002 Active Member

    Obesity and Type 2 Diabetes are rampant in the 1st World. I am sure our third world countries look at us not only what we eat but also what we throw away. There are many medical reasons for obesity but what we put in our mouth must rank as number 1 cause! . If our modern society especially us practitioners are too afraid of the back lash of telling the truth to our patients than nothing will change. We are not discriminating, we are simply being honest.

    In short answer, tell them what you see. Tell the truth. I would rather loose the patient as result of being honest rather than mal practice. :craig:
     

  18. An Aussie pirate walks into a bar with a wooden leg, a hook and an eye patch.
    The Barman says 'Sheesh - How'd you lose the leg'

    The Pirate says 'Arrrrr - A shark took it off at the knee'

    The Barman says 'Thats no good, what about the hand?'

    The Piarate says 'Arrrrg - Lost it in a bloody bar brawl'


    The Barman says 'Jeez - Well what about the eye then?'

    The Pirate says 'Thats easy a seagul crapped in it'

    The Barman says 'What?!?!'

    The Pirate says 'Arrrrrrr...I'd only had the hook one day...'


    After their boat sinks, two aussies are left floating around in their lifeboat in the middle of the ocean. All of a sudden one of them spots a funny looking bottle bobbing in the water and pulls it out. He sees something written on the bottle but can't quite read it so he gives it a bit of a rub.
    SHAZAM.....out pops a genie!
    "For releasing me from the bottle I will grant you one wish."
    The guy glances at his mate, smiles and without further hesitation says, "I wish the whole ocean was beer!"
    The genie claps his hands together and BOOM, there's a blinding light and the genie is gone. The guy quickly leans over the side of the boat and takes a big swig of "water".
    "You're not gonna believe this mate, but it's really beer!"
    His mate screws up his face and says "That's just bloody brilliant mate! Now we’are going to have to piss in the boat!!”

    A pom, fresh off the plane at Sydney airport, is trying to negotiate Australian customs. Finally, when it's his turn to get his passport stamped, the customs officer starts rattling off the usual questions:
    C.O. - How long do you intend to stay?
    POM - 1 week.
    C.O. - What is the nature of this trip?
    POM - Business.
    C.O. - Do you have any past criminal convictions?
    POM - I didn't think we still needed to!


    Aussies: Believe you should look out for your mates.
    Brits: Believe that you should look out for those people who belong to your club.
    Americans: Believe that people should look out for and take care of themselves.
    Canadians: Believe that that is the government's job.

    Aussies: Dislike being mistaken for Pommies (Brits) when abroad.
    Canadians: Are rather indignant about being mistaken for Americans when abroad.
    Americans: Encourage being mistaken for Canadians when abroad.
    Brits: Can't possibly be mistaken for anyone else when abroad.


    Canadians: Endure bitterly cold winters and are proud of it.
    Brits: Endure oppressively wet and dreary winters and are proud of it.
    Americans: Don't have to do either, and couldn't care less.
    Aussies: Don't understand what inclement weather means.


    Americans: Drink weak, pissy-tasting beer.
    Canadians: Drink strong, pissy-tasting beer.
    Brits: Drink warm, beery-tasting piss.
    Aussies: Drink anything with alcohol in it.


    Americans: Seem to think that poverty and failure are morally suspect.
    Canadians: Seem to believe that wealth and success are morally suspect.
    Brits: Seem to believe that wealth, poverty, success, and failure are inherited.
    Aussies: Seem to think that none of this matters after several beers.


    Brits: Have produced many great comedians, celebrated by Canadians, ignored by Americans, and therefore not rich.
    Aussies: Have produced comedians like Paul Hogan and Yahoo Serious.
    Canadians: Have produced many great comedians such as John Candy, Martin Short, Jim Carrey, Dan Akroyd, and all the rest at SCTV.
    Americans: Think that these people are American!


    Americans: Spend most of their lives glued to the idiot box.
    Canadians: Don't, but only because they can't get more American channels.
    Brits: Pay a tax just so they can watch 4 channels.
    Aussies: Export all their crappy programs, which no one there watches, to Britain, where everybody loves them.


    Americans: Will jabber on incessantly about football, baseball and basketball.
    Brits: Will jabber on incessantly about cricket, soccer and rugby.
    Canadians: Will jabber on incessantly about hockey, hockey, hockey, and how they beat the Americans twice, playing baseball.
    Aussies: Will jabber on incessantly about how they beat the Poms in every sport they played them in.


    Aussies: Are extremely patriotic about their beer.
    Americans: Are flag-waving, anthem-singing, and obsessively patriotic to the point of blindness.
    Canadians: Can't agree on the words to their anthem, in either language, when they can be bothered to sing them.
    Brits: Do not sing at all but prefer a large brass band to perform the anthem.


    Brits: Are justifiably proud of the accomplishments of their past citizens.
    Americans: Are justifiably proud of the accomplishments of their present citizens.
    Canadians: Prattle on about how some of those great Americans were once Canadian.
    Aussies: Waffle on about how some of their past citizens were once Outlaw Pommies, but none of that matters after several beers.
     
  19. footdrcb

    footdrcb Active Member

    An australian family was driving behind a rubbish truck when a large dildo flies out and hits the windscreen. To hide her embarrassment the mother turns and says to her young kids "my what a big insect", to which her 7 year old says, "I'm surprised it could fly with a dick that size".

    A Aussie couple were celebrating their 9th wedding anniversary one night, & decided to continue in the bedroom. But before they started, the wife said, honey what did you think when you first saw me naked? The man replied I wanted to f#?k your brains out & suck your tits dry.The wife then said what do you think now when you see me naked? He replied, it looks like I did a pretty good Job!!

    A bloke has a car crash into the back of a dwarfs car. There seems to be lots of damage. The dwarf gets out and seeing the damage says, "I'm not happy". The bloke says back to him, "well which one are ya then?????


    25 Reasons why beer is better than women

    1 - You can enjoy a beer all month long
    2 - Beer stains wash out
    3 - You don't have to wine and dine a beer
    4 - Your beer will always wait patiently for you in the car while you play football
    5 - When your beer goes flat you toss it out and get another one
    6 - Beer is never late
    7 - A beer doesn't get jealous when you grab another beer
    8 - Hangovers go away
    9 - Beer labels come off without a fight
    10 - When you go to a bar you know you can always pick up a beer
    11 - Beer never has a headache
    12 - After you're finished with a beer the bottle is still worth five cents
    13 - A beer won't get upset if you come home with another beer
    14 - If you pour a beer right you'll always get good head
    16 - A beer always goes down easy
    17 - You can always share a beer with friends
    18 - You know you're always the first one to pop a beer
    19 - Beer is always wet
    20 - Beer doesn't demand equality
    21 - You can have a beer in public
    22 - A beer doesn't care what time you come home
    23 - A frigid beer is a good beer
    24 - You don't have to wash a beer before it tastes good
    25 - If you change beers you don't have to pay maintenance
     
  20. posalafin

    posalafin Active Member

    Health professionals get complaints because they tell their patients they are fat or obese. So we respond by coming up with 'apparently' more politically correct terms that don't directly address the problem but rather talk around in circles.

    One day health professionals will start getting sued for failing to tell their patients that they were overweight and that this has contributed to their health problems.

    The terms obese and overweight are not derogratory terms, they are legitimate ways of describing in plain English a body habitus that can (does) have negative effects on a persons physical and psychological well being.

    Instead of talking in circles with patients by using all sorts of cryptic wording how about we just tell them "Being overweight (or obese) is likely (or definitely) to be a contributing factor (or significant contributing factor) to your current problem (insert diagnosis). If you would like some advice on ways to manage your weight I can provide you with some information and local contacts for people who specialise in this area".

    It is important to ensure that you have some information at hand to give to patients. It is unprofessional to suggest that they should lose weight but then fail to provide them with the resources to follow up on this. It doesn't need to be elaborate & there are plenty of written resources around from government & other professional bodies (e.g. dietitians association) that you could have available to give to patients. Also an updated list of local dietitians, exercise physiologists, health clubs etc might be beneficial.

    Sometimes people don't like to hear things about themselves but that doesn't mean we don't have a duty of care to tell them. I wouldn't like to hear that I have cancer but would excpect my doctor to tell me if I did. I would also expect the information to be given to me in a way that I could easily understand e.g. "David you have pancreatic cancer" ....rather than "David you have a cluster of abnormal cells that have infiltrated your pancreas and resulted in an abnormal growth".

    Society is becoming so sensitive and politically correct it's killing us!
     
  21. Boots n all

    Boots n all Well-Known Member

    ...and that is the finish of our quota for politically incorrect statements for the month;)
     
  22. Very well put posalafin.

    Look at it, say what it is.

    A similar argument takes place in my clinic with shoes on a daily basis. Sometimes you have to be blunt.
     
  23. Andy J

    Andy J Member

    footdrcbPerhaps if one doesn't like talking obesity to a patient, it might be an idea to have a few notices placed diplomatically & strategically in the waiting area and surgery/clinc (" Obesity/being overwieght contributes to heel pain/plantar fasciitis"). That way one doesn't have to say a word to a patient, for fear of being offended. I personally just tell them that their weight "may"be contributing to their painful symptoms
    l Well said Robertisaacs - great sense of humour.
    Peace -----What can I say, I thought most British people have a great sense of humour (I know I have, originally from Lincolnshire), which leads me to my next response......

    drsorbes ----- I have got one of those talking scales, but mine isn't as polite as yours. Mine says"get off you fat b.......d"

    regards, Andrew (PS, I had some great laughs whilst reading responses)
     
  24. footdrcb

    footdrcb Active Member

     
  25. starfish3211

    starfish3211 Member

    Hi Harley Guy,

    Even though I do not have a solution I do admire your problem! How about...Sir, Madam... could be that your specific bone structure is not supporting your body at a optimal level and I suggest you visit an Orthopedic to takel a look an run a few tests... one can never be too sure you know. .maybe the kind Dr could tell them they are overweight and you keep the patient.
    :drinks
     
  26. Overweight is such a non-politically correct term......I tend to use the more proper PC term......"undertall"....:rolleyes:
     
  27. fatboy

    fatboy Active Member

    Maybe they're not fat, just allergic to salad...
     
  28. I have that!!!
     
  29. RobinP

    RobinP Well-Known Member

    I like to refer to it as a spot of lard retention
     
  30. fatboy

    fatboy Active Member

    I have an over-active cake gland...
     
  31. MJJ

    MJJ Active Member

    That's not food........that's what food eats!
     
  32. SANFORD ROSENFELD D.P.M.

    SANFORD ROSENFELD D.P.M. Welcome New Poster

    Once we get your feet feeling better you will be able to enjoy daily walks. This will certainly help your weight .
     
  33. hkpod

    hkpod Active Member

    Too funny everyone! Not sure how religion became part of the thread though - RELAX!

    Back to the topic though....I like to be general rather than saying "you have this problem because you are fat"! Mainly because I think it is actually hurtful to hear it in words even if you know it (like my girlfriend that comments on my extra facial wrinkles whenever she sees me - I KNOW THEY ARE THERE, I just don't need you to bring it up!!).

    For instance, I like to mention that "in my clinic I often see that as small amount as 4-5kg weight gain can cause problems in the feet and then ask them if they are above their ideal/normal weight? " This usually leads them into telling me how they have put on weight and then a discussion on what we can do as podiatrists to help and what they can do to help themselves. I also find that if your treatment does not help because of factors outside of your control such as their obesity, they are fully aware that there is no quick fix from me. (I guess I am concentraing more on women patients though.)
     
  34. footdrcb

    footdrcb Active Member


    I was diagnosed with cancer in may last year....(second time in 10 years, and a completely different cancer)
    My specialist just said "You have cancer" full stop , no bones about it.....It was actually a relief because then we could "get on" , book surgery blah blah... I agree with the politically correct thing....what a toss....

    Honesty , the best policy ....

    Kind regards

    FDCB
     
  35. footdrcb

    footdrcb Active Member


    Being a bit of a rough looking bloke podiatrist , nearly 70 percent of my patients are men.... I agree wholeheartedly with your comments. I also find that men normally whinge because the big stomach bones only stop them from tying there shoelaces or cutting their nails. Asthetically, they dont seem that concerned.
    Just my perceptions.
    or observations.

    as you mentioned ever so beautifully ,,,, "are you above your ideal weight?"

    A great bit of clinical advice ..thank you very much


    FDCB
     
  36. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    From CNN:
    Too few docs tell patients they're overweight

    The Influence of Physician Acknowledgment of Patients' Weight Status on Patient Perceptions of Overweight and Obesity in the United States
    Robert E. Post; Arch G. Mainous III; Seth H. Gregorie; Michele E. Knoll; Vanessa A. Diaz; Sonia K. Saxena
    Arch Intern Med, Feb 2011; 171: 316 - 321.
     
  37. Orthican

    Orthican Active Member

    Overwieght?.....naah... your feet are probably just too small for your body.....

    Seriously though I say it like this...assessment etc..then.."and your current body mass may interfere with getting the best results at this time...you might consider this if you want a better outcome with your foot pain..."
     
  38. brekin

    brekin Active Member

    People who are overweight are very aware of the situation as often they have spent a large majority of their lives trying to deal with it.

    Generally clients respond very well when I point out that weight is a factor as it increases the forces involved. But this needs to be done in a supportive manner. Education is rarely enough - you can't just tell someone, "you need to lose weight". But rather there needs to be support mechanisms in place to help them. Most people know what they should be doing but find the barriers too hard to overcome. We all know that we should be exercising 30 minutes plus a day but how many of us are actually acheiveing that?

    What needs to be done is to spend time with the client to see what are the real barriers to their healthy lifestyle and assisting them with strategies for overcoming them. However it is much easier for us as the health professionals just to tell them that they need to lose weight and leave them on their own - after all it's their problem isn't it?

    If we as podiatrists would put more effort into motivational interviewing and behaviour change techniques rather than just telling people their overweight we would have a lot more success.

    Cheers
    Brett
     
  39. Ros the Pod

    Ros the Pod Active Member

    I always say, I hope you don't mind and I am not being rude and I am in exactly the same boat myself, but ... I always find that approach NEVER causes anyone any offence. I must say if I know a pt's weight is exacerbating/causing their problem, I do find it very hard to bite my tongue.
     
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