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[–] honormyacanthosis 0 points 1 point (+1|-0) ago 

My advise is come here to FPH to unleash your true feelings about bariatric patients. In person, you don't have to coddle them and sympathize with them, but partnering does work best. The way to partner is to ask them what their health goals are. Even if they don't mention "lose weight" as a goal, they will mention other things like "take less pills" or "be able to play with my grandchildren." Then, you ask them a series of questions to slowly lead them -- like idiotic children -- to the conclusion that losing weight will help them meet their goal. I recommend the book "Motivational Interviewing." Keep in mind that fatties are dense and stubborn. You can give them all the accurate information and education in the world and they will simply not get it, so don't even bother unless they ask. They have to want to lose weight for their own reasons, or they will just do as they do. This process is so slow and stupid, you'll want to scream at them. Just try to remind yourself that you're doing jedi mind tricks on them. And come here to vent.