Stephanie de Giorgio
The evidence suggests that once a person is obese, the chances of them successfully losing a significant amount of weight permanently through "lifestyle changes" is around 5% . Even with intense multidisciplinary input . NHS provision for treatment of the long term chronic Ds sense that is obesity is woeful. It is woeful because of the moral judgments made by those in charge about fat people. They "deserve it", they "just don't get hard enough", they are "weak". The lack of evidenxe based scientific rigour that doctors use when they say lifestyle measures are the way forward is laughable and would NEVER be considered acceptable for any other condition. It's like telling a depressed person to cheer up.
For a charity like CRUK to have a campaign like this , without backing it up with a call for the NHS to provide proper obesity services, including but not exclusively massively increased provision of the one successful evidence based treatment available , bariatric surgery, is short-sighted and fat-shaming and shows a massive lack of thought.
I can guarantee that almost no fat person will see that poster and think oh gosh, I must try harder. They will think, great, another thing bashing me without anyone being able to offer decent help.
This is why the smoking comparison is laughable. There are good services and no one has to pick up a fag, everyone has to eat. It is a very different thing.
Yes obesity contributes to cancer. So let's treat it seriously. With evidence based treatment like every other condition. Not tel
For those above, I don't think the title was Zoe's choice, I believe was a Pulse choice? So we can leave that one aside and focus on the article.
I was asked to make coffee for a GP in CCG meeting when I walked into my staff room to get something from my pigeon hole, because he thought I was the admin staff. I have had the experience of having my points in meetings utterly ignored until repeated by a male colleague. That one happens A LOT in one organisation I work at.
This behaviour goes on all of the time. Changing it isn't just down to us women, it is down to all colleagues calling it out when they see it, male or female.
"Nan's sex toys....hilarious!! When I ask our CCG lead if she had to do it (our ED is basically under direct control of simon Stevens its so disastrous), the air turned blue!! She didn't, luckily a different team.
Actually spat coffee out at "Siri, my teeth are itchy". On form Deveson, on form.
Co-founder Resilient GP
Criticising people simply for lack of experience is never helpful. Thinking people should "know their place" as a trainee is never helpful.
I love the idea of reverse mentoring for example. New ideas and ways of doing things should be welcomed .
Insight on all sides is required however. Someone who has never done a job needs to think carefully about telling people who have done it how to do it. And someone who has been doing it for years shouldn't think they know it all.
I have loved taking trainees through the scheme as a PD and a trainer. I have learned loads. I have also been told to "shut up and only speak when spoken to" in a meeting as a trainee GP. Open mindedness is the key.
What a strange thing to write and then for pulse to publish.
This might be the best one yet Pete!
This sadly just confirms what many knew already I think
Bloody awesome as always Zoe
Love it Pete. "David Cameron in a charcuterie" was a moment of genius.
Going to admit that reading this made me well up. Because it's so right. I stood in my office the other day looking like a bit of a loon wanting to throw my computer out of the window shouting this and wanting to walk out and NEVER return.
I didn't, I just quietly got on and saw the next patient in the end. I will go down fighting but there are times when I just don't care anymore. I never thought that would be me.
Spot on as always Zoe. It was an extraordinary thing to witness for the first time.
The profession has, I think, been naive previously and always thought they must just get on with it in the name of professionalism.
What is professional in my mind? To tell the politicians what a good job we do, how they have no idea how much these professionals will cost if we lose our contractor status and to do this because we know that high quality medicine coupled with continuity of care is what is best for patients.
To do this, we need to stop playing nicely and stand up and be counted.
"Oh but the patients will suffer"? They will suffer a hell of a lot more if we don't.
May I also add that no practice should be allowed to define itself by the religious beliefs of the partners. No "we are a Christian practice, we are a Muslim practice, we are a spaghetti monster practice". That is where the rot really sets in and it has no place in medicine.
We have discussed this before Phil and you know my opinions on religion in practice.
Yes, if it is important to a patient, that should be dealt with, by a priest, minister etc. Many people rely on caffeine, I don't plan on becoming a barista.
If a doctor has religious faith, then I suppose it could be discussed if the patient initiates however on the same level as I share my thoughts on helpful books etc.
What must NEVER happen is religion used instead of good medicine, religion influencing the choice of treatment or the doctor forcing their religious views on the patient.
And it is those events that I have been party to in places I have worked with religious individuals and that is unacceptable. The GMC agreed when a patient complained.
The more evangelical the GP, the more I worry.
Resilient GP is as described above. We are very new and growing rapidly and you can find us at resilientGP.org or on Facebook at resilientGP . Thanks for the kind words.