The last few
posts in this series have been rather weighty. It’s time to lighten things up.
Back in March when I
started this series on how to be the perfect patient, my plan was to
take you step by step through your entire visit. Last time I wrote about that,
I believe I still I had you sitting in the waiting room. Well, come on back!
The first
thing I am going to do is stop you at the dreaded scale. I feel bad that the
scale always gets such a bad rap. Just like me, the teen-ager in the McDonald’s
drive-through and the IRS, that scale is just doing its job. And that job is
not to tell you that you are fat; its job is to help your health care provider keep
you healthy. You can not blame that scale if it tells you something you don’t
want to know. And if you really don’t want to know, don’t look. I’m not going
to announce your weight to you or anyone else.
But before
you even get on that scale, I bet you want to take off your shoes, empty your
pockets, empty your bladder, take off your glasses and your baseball cap. And
that’s ok, but first I want to ask if you have ever flown on a commercial airplane?
Us seasoned
travelers know how to dress when we will be going through airport security. For
starters, we wear our airport shoes. Footwear that is comfortable for walking
but quick and easy to slip on and off. Few things annoy me more than standing
behind someone in line who has to untie and unlace their eight-inch high
hiking boots.
Feeling secure about their footwear, the seasoned traveler already has empty pockets. All they need
to carry on their person is their boarding pass and ID; everything else will already
be tucked into their carry-on.
So, when you
come to the clinic and you know you will get weighed and you hate to see what
the scale will say, plan ahead as if you were on your way to meet with TSA. Set
your carry-on on the counter, slip off your airport shoes and step right up. It
just makes everyone’s life easier. You don’t waste your time and mine emptying
your pockets and shedding extra clothing. You don’t have to worry about putting
it all back on your person or leaving it behind. It’s just so much easier.
Which may lead
you to ask, “but why do you have to weigh me every time anyway if it is such a
hassle for everyone?”
To be
honest, we probably don’t have to weigh every person every time. But sometimes,
we won’t know that til after the provider sees you.
You may have
some vague complaints and when we add to the mix that you have lost 10 pounds in
the last three weeks without even trying, your doctor may go, “ah-ha!” Or you
really hadn’t noticed how swollen your feet and ankles have been, and now that your
doctor sees your weight is up significantly since your last visit, he or she
will once again go, “ah-ha!”
The list of medical
diagnoses about which your weight is important include hypertension, congestive
heart failure, diabetes, thyroid disease, sleep apnea, arthritis, cancer and
many more. And it’s not always an increase in weight that we are concerned
with; unexplained weight loss is something to look at also.
One other
thing, no matter how few clothes you wear when you stop on our scale, the first
thing you are going to think to yourself, or say to me, is “but my scale is five
pound lighter”. And I totally believe you, because mine is too, but the scales
in your medical clinic are supposed to be calibrated by professionals at least
once a year. They are as accurate as they can be; sometimes your weight is just
going to fluctuate by a few ounces from the time you walk from the scale in Hall A at your
clinic to the one in Hall C.
I seem to be
running a bit long here, so will end by saying, don’t let your weight weigh you down, let your health care professionals do their job and let them tell you what to do or not do about those stray pounds.