“I want to lose weight.”
“How are you doing on your diet and exercise?”
“Well, Doc, I do have a Fitbit,” she offered, then shrugged.
“Are you using it?”
“Sure! I do challenges all the time,” she said enthusiastically. “My friends and family all do it.”
“How many steps are you averaging per day?”
“Well, I don’t know actually…” Her voice trailed off. Then she brightened. “Sometimes I get in 10,000 steps, though!”
Ah, that magic number….
“Are you counting calories? Eating plenty of fruits/veggies? Decreasing portion sizes?”
“Nah. That’s waaaaaayyyyyy too much work. Don’t you have a pill you can give me?”
“You know, we are going to have to work on the diet portion of things. The weight isn’t going to come off without it.”
She looked me up and down critically, then glared. “Whatever, Doc. What do you know? You’re already skinny. I can’t lose weight.”
I get this all of the time. I just sighed.
Just so you know, I am not a wisp of a woman. I have hips. And a butt. Some might call it a large butt. AND she has no idea what I have looked like in the past, no idea how hard I work to keep my size where it is. I count calories obsessively. I exercise daily. It is incredibly hard. I come from a long line of morbidly obese people and it is a daily fight. It doesn’t come easy.
I understand more than my patients realize.