Recent comments in /f/springfieldMO

xcityfolk t1_iyjb9bn wrote

> “denied being depressed”

This is medical speak for, "when I asked the patient if they had depression they said they didn't." For instance, if a doctor said to a patient, "do you have any pain that I should be aware of," and the patient said they did not, the doctor would note on the chart, "patient denies pain." It doesn't mean, that you argued about it or that there was some kind of disagreement, just that his findings for depression were negative.

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neonlumberjack t1_iyjb4us wrote

The thing is that he told me I was at a healthy weight and didn’t need to exercise more than I already was, but then wrote in my notes that I was overweight and that we discussed lifestyle changes when we didn’t. And I have brought up my concerns about the BMI, and he wrote me off.

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neonlumberjack t1_iyjadu3 wrote

Not sure. When I asked to change a prescription of mine, he agreed and wrote a script for the exact same thing I’d been taking. He also wrote in my notes that I “denied being depressed”, which is just…yeah. So there’s a few other reasons why I’m looking for a new doctor, but the BMI being completely applied when it shouldn’t be is an issue.

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CRMagic t1_iyjadi0 wrote

No one argued otherwise. The BMI is a tool, one that works in most cases, and has some known outliers, like just about any other tool used to determine things in medicine. Wholesale rejection of it because it doesn't work in your case is illogical. And your doc doesn't seem to be basing advice to you on it based on other comments in this thread, which sounds to me like you already have what you want.

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neonlumberjack t1_iyj8y6x wrote

I’m not actually though. My doctor didn’t tell me to lose weight or go on a diet at all. The BMI doesn’t take into consideration several aspects that contribute to weight and shouldn’t be used as the only way to determine what a healthy weight should be. I’m looking for a doctor who is aware of that.

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Dbol504 t1_iyj8qv6 wrote

Unless you're Wolverine you don't have enough extra bone density to throw off BMI. And your age, race and sex won't matter when you look at a BMI that says you're this tall and weigh this much so you are either over, under or at a healthy weight. As for muscle mass if you're that built to be throwing off BMI your doctor can look at you and tell. My BMI always comes back high but I also compete in bodybuilding. The doctor just shrugs and notes extra muscle and we move on with the physical.

Lastly - you know you're allowed to ignore your doctor when they tell you that you're overweight and need to diet? Most of the US does already.

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neonlumberjack t1_iyj8fzj wrote

I fall into the category where the BMI doesn’t correlate well, but my doctor is using the BMI as an indicator, which is the problem, so I’m looking for a doctor who doesn’t use the BMI in such a way. I’d like to find a doctor who has a better understanding of how to determine a healthy weight.

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neonlumberjack t1_iyj7lmo wrote

It doesn’t take into consideration several things that affect weight, such as bone density, muscle mass, sex, age, race. It’s not a good indication of what a healthy weight should be. I don’t necessarily have “beef” with it, but I’d like a doctor who doesn’t solely look at the BMI for an accurate reflection of a healthy weight. I’m also not “looking for diet advice” from my doctor, but you are weighed at check-ups, and that weight is then applied to the BMI.

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CRMagic t1_iyj57jp wrote

There are a few categories of people where the BMI doesn't correlate well with the actual body fat content. Really roughly, it's young adults, women, and bodybuilders.

Any doctor worth their salt should already know about those and be explaining to you why they are concerned in spite of that, if they even are. Otherwise, you're complaining about docs using a pretty robust indicator for health problems that works for the vast majority of the population.

I seriously doubt you will find a competent family practitioner who completely disregards BMI.

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Television_Wise t1_iyj3pgj wrote

>A lot of them are walking on the road with no reflective gear.

If you mean walking alongside the road, then that is what you're supposed to do when there's no sidewalk.

No idea why you imply pedestrians should be wearing reflective gear everywhere. Do youwear reflective gear when you leave the house?

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