Conditions and diseases

Why primary care leaves the obesity diagnosis unsaid

The patient across from me had been seeing the same primary care doctor for nine years. She weighed in the high 300s. She had high blood pressure, prediabetes, and knees that hurt every morning. I asked her what she'd been…

The patient across from me had been seeing the same primary care doctor for nine years. She weighed in the high 300s. She had high blood pressure, prediabetes, and knees that hurt every morning. I asked her what she’d been told about her weight over those nine years.

“Nothing,” she said. “He never brought it up.”

She wasn’t angry. She was a little embarrassed, as if she’d been keeping a secret that …

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Why primary care leaves the obesity diagnosis unsaid