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My mom diagnosed me with POTS after redinag about it on the internet, too! I'd had three seizures over the course of six months, and anti-convulsants didn't work. Tests confirmed I didn't have abnormal brain activity, so doctors couldn't figure out what was going on. I often felt dizzy and have had persistent stomach problems since childhood, and it took lots of web surfing to finally figure out what was wrong. We urged doctors to perform a tilt-table test, and sure enough it was POTS. You can read my full store on my blog click my name to go to it. This is such an amazing story, and it's great that Hayley is doing better!
Thanks for this video, I try and do the right things and it's relaly hard when you live with a lot of smaller people who eat and buy whatever they like and It's always in your face. But the end of the video relaly made me see that I have to take responsibility for my health and stop using the excuse that everybody in the house is eating things I know I should not. Thanks again.
I disagree that using softer words is "sugar coating." Like a teenager that needs to be reminded to do his homework, overweight patients will tune out doctors if they don't feel comfortable in the exam room. As a person who has been overweight most of my life, I can tell you it is refreshing when a doctor looks at me as a whole person and not just my weight. Obesity has many factors including emotional/behavioral and medical. I tended to respond better to a clinician when they provided real support, offered suggestions, and used a soft approach to my weight issue.
I am a fitness instructor, and would LOVE it if simple wording changes would motivate folks to adopt a healthier lifestyle! However, it seems that people make positive lifestyle changes only when they are ready. No amount of word shuffling is going to make a person commit to a physical activity regimen, and dietary changes for any length of time. Its more a matter of ones mindset at a given time. Stress, hardships, and self doubt often keep us in our comfort zones. Its difficult to muster up the motivation necessary to add exercise and say "no" to comfort foods unless we are feeling strong emotionally. For me a positive outlook always precedes any outward changes I make. The desire to change HAS to come from within. The only words that really make a difference are the ones we say to ourselves.
Words can hurt. I'm overweight and have heard these words all my life. It wasn't until I decided to accept those words used to describe my condition which helped me move to the next step of recognizing my condition. What mattered most to me was that I changed how I felt about those words, and then made up my mind to change me.
I often think that both my grandmothers would laugh at the idea of someone putting an exercise machine in their homes for exercise. Their lifestyle led to exercise since they lived on a farm, grew their own vegetables, canned, etc.
I tend to equate exercise with lifestyle. Instead if watching television from 6-10, I take a walk, go for a bike ride, and socialize. It is amazing to see how many television screens are flickering while walking in the evening.
If a person is not already commited to the need for an exercise program, no amount of sugar coating will get them to do the right thing. Either they know the way to the gym or the pool and will want to get underway or they don't. Just focus on what options are available and let them decide for themselves the why's
There is no reason a patient needs to hear the word "obese" or "extremely obese"and certainly not 'fat"... they know! They live it everyday.Overweight or unhealthy weight covers the entire spectrum. Yes inform them on risks associated, but the "clinical" label is not helpful.
I don't think that putting a different spin on it is sugar coating it at all (at least where the exercise rebranding is concerned). I am also reluctant/uncomfortable using the word "obese" with my patients. Instead, I say that their weight puts them at increased health risk. Whether that is sugar coating it or not, I'm not sure...but I feel it makes my patients less defensive and more open to working with me.
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