tag:blogger.com,1999:blog-3245783834297902042.post5857755693920983111..comments2023-10-26T05:49:59.824-04:00Comments on Reflections of a Grady Doctor: Six month follow up.gradydoctorhttp://www.blogger.com/profile/10639816377218206777noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-3245783834297902042.post-15909866325040183112014-11-01T13:55:11.428-04:002014-11-01T13:55:11.428-04:00Welp- I think that it's awesome that you'r...Welp- I think that it's awesome that you're empathetic to their plight, and I bet these undercurrents that you sense are 10000000% accurate. One perspective I can think of is perhaps approaching this by trusting that when they say "I'm working on it"- that they really are (To varying degrees of success, judging by the weight gain, it seems). I think of this situation to be kind of like when you're knitting and you lose a stitch- maybe they've lost a stitch in their weight loss plight, and so then you could take the approach of helping them pick it up? You could hold them to task when they say they're working on it- and perhaps they'll 1. open up to tell you where they are stuck- or 2. if they are lying to you, this might prod them to do something for real? I think with this approach you're allowing them to own their resolution- and it might be best this way since they know their own baggage and can implement change to suit themselves best. - Grace. :)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-18659345019183223282014-10-31T20:47:49.331-04:002014-10-31T20:47:49.331-04:00Keep on doing great things! It probably feels lik...Keep on doing great things! It probably feels like you are wasting your breath at times but that is when someone eventually surprises you and makes some changes!Steve Fridenmakerhttps://www.blogger.com/profile/04365599777846366777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-73941602199825179582014-10-31T00:06:42.149-04:002014-10-31T00:06:42.149-04:00Obesity is so tough. It really is, man. Sigh.Obesity is so tough. It really is, man. Sigh.gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-4781227937263803472014-10-31T00:05:35.454-04:002014-10-31T00:05:35.454-04:00Thanks, Sweet Jo. I changed the inner thoughts to ...Thanks, Sweet Jo. I changed the inner thoughts to italics. Definitely didn't want it to seem like the patient was the villain or rude. My thoughts were equally so. I guess in my head I was just sort of thinking that this happens a lot. I could be wrong, though. But then again, I could be right.gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-45411992971370047882014-10-30T23:44:57.657-04:002014-10-30T23:44:57.657-04:00This post made me so sad. I didn't read it as...This post made me so sad. I didn't read it as an internal dialogue and it helped that you clarified that. You try your best to help those who come to you and you know first hand how extra weight can impact one's health horribly. You show here how the patient feels embarrassed to see a dr because he/she seems to know but can't help themselves. I wonder if you shared your story about your sister if the patient would know in their heart you truly cared and were not judging them. Or is that crossing professional boundaries? It is so sad that you really do care and the patient can't feel it. That rudeness to you seems like a cover up for deep shame. Sweet JoAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-85994866776729299872014-10-30T18:52:07.163-04:002014-10-30T18:52:07.163-04:00Yeah. I think a lot happens internally on both end...Yeah. I think a lot happens internally on both ends. Hopefully most read it that way.gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-54581340791068662902014-10-30T14:27:01.711-04:002014-10-30T14:27:01.711-04:00I am really glad to hear that most of that is inte...I am really glad to hear that most of that is internal.Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-87656052635869879222014-10-30T12:57:13.981-04:002014-10-30T12:57:13.981-04:00This post reminds me of the one you had on your bl...This post reminds me of the one you had on your blog earlier in the year which talked about the in ability to out run a big a$$ without changing one's eating habits. I put that quote on my Facebook page, and I could just feel all the hairy eyeballs I had coming my way especially from family members who are almost ALL morbidly obese. URGH!!!Anonymoushttps://www.blogger.com/profile/16564638461381455667noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-43737928261180764152014-10-30T11:11:47.823-04:002014-10-30T11:11:47.823-04:00Lisa, all but the beginning and ending are meant t...Lisa, all but the beginning and ending are meant to be our internal dialogue. None of that "lashing out" is really spoken. Unless you count her saying "before you can say it" part lashing out. <br /><br />I think this is typical of many encounters everywhere. Definitely not just at Grady. gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-56693354913076914212014-10-30T11:09:33.394-04:002014-10-30T11:09:33.394-04:00I like this suggestion. Thanks, Florence.I like this suggestion. Thanks, Florence.gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-1986967605966126022014-10-30T11:08:49.610-04:002014-10-30T11:08:49.610-04:00It is. Some days are harder than others.It is. Some days are harder than others.gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-89917360023160122632014-10-30T10:46:34.875-04:002014-10-30T10:46:34.875-04:00Is it just that it's a Grady clinic, or is thi...Is it just that it's a Grady clinic, or is this a typical interaction in any medical clinic? Because I would NEVER consider lashing out like that at someone trying to help me. Do patients often come in with chips on their shoulders?Lisahttp://lisaandmollie.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-70625926271124431262014-10-30T09:44:25.713-04:002014-10-30T09:44:25.713-04:00How about asking your patient to promise to eat 1 ...How about asking your patient to promise to eat 1 apple and drink 1 glass of water each day and you promise not to say anything about her weight. Then the next time she comes in ask if she could manage to eat a whole bunch of celery in a week, maybe 1 stalk per day in addition to her 1 apple each day. And add another glass of water each day. It may help. Florencehttps://www.blogger.com/profile/01157294752967287405noreply@blogger.comtag:blogger.com,1999:blog-3245783834297902042.post-75396362108608071822014-10-30T08:43:36.923-04:002014-10-30T08:43:36.923-04:00You listen. You understand. It's hard.You listen. You understand. It's hard.Ms. Moonhttps://www.blogger.com/profile/09776404747858099919noreply@blogger.com