Nickelplate, I agree with you, but apparently it's a very touchy
subject. I've already gotten into trouble saying things like this.
Here's an entry of my blog that has touched a nerve for some readers:
http://www.livejournal.com/users/youngmd/4922.html
I learned my lesson that I have to approach the topic very carefully as
a physician working in an urgent care setting. Most of the times,
I have never met these patients and parents, so I don't have the
benefit of an established doctor-patient relationship with them.
So what I say may be easily misconstrued, despite my good intentions.
I discussed the matter with the department chairman after that
incident, and he agrees with what I did. But he cautioned me
about addressing such sensitive topic with my patient population, and
he told me not to be too persistent on the issue. Otherwise, I'll risk turning them off and offending people.
I also learned to use the word "too heavy for your height" instead of
"overweight" when discussing the topic with patients. I thought
not using "obese" or "fat" was sufficient.
Everyday, I strive to do the best I can as a doctor, but my passion and
diligence are not always appreciated. The relentless manner I
discuss obesity with my patients is driven by nothing but my passion to
turn their lives around. I want to make a difference, and I still
would like to think that I can.