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Weight gain due to medicines for hypothyroidism and bipolar disorder - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi... I'm kind of overweight, and I'm supposed to see my doctor on Thursday, and I'm nervous about being weighed, talking about my weight, etc. The last doctor I went to was somewhat judgmental, and that sort of has made me uncomfortable with the idea of seeing a doctor. I know I should exercise more, but I take antidepressants and have hypothyroidism, both of which can also contribute to weight problems. I just want to have an appointment where I can actually talk comfortable with my doctor about all my health issues. Do you have any ideas for opening communication with her on this? Thanks
Doctor :   Hi
Doctor :  
Let me read this first
User :   Okay
Doctor :  
Please give me few minutes so that I can help you better
User :   Sure
Doctor :  
The best place where you can communicate or talk to the Doctor about your problems is here
Doctor :  
and I am Dr.
Doctor :  
I can help you to speak with me
Doctor :  
on all your issues
User :   Okay, thank you
Doctor :  
Please go ahead now
User :   Well, like I said, I'm just unsure about how to talk about this with a doctor, because I've had a few bad experiences.
Doctor :   Okay I will reduce all your concerns
User :   I just feel uncomfortable in general, and I know that it's important to have good communication with your doctor
User :   The doctor I saw before basically told me that I needed to diet and exercise, and that I would reach my goal that way. I do need to exercise, but as I said, I have a few complicating factors as well
User :   I have a sluggish thyroid, and I take medications for bipolar disorder
Doctor :   Ok
User :   I know that my doctor has to alert me to the dangers of obesity, diabetes, etc., but it's important to listen to the patient, too
Doctor :  
You are right
Doctor :  
Your doctor should be patient to listen to you
Doctor :  
and then should help you in right way so that you achieve the desired weight
User :   I just want to be able to talk about this to that we both get heard
Doctor :  
I agree with you that the hypothyroidism and medicines for bipolar can cause weight gain
Doctor :  
Do you want to speak to me over phone?
User :   I'd prefer to withhold my phone info, would it be okay to continue talking online?
Doctor :  
yes
Doctor :  
I too prefer the same
User :   okay, so what would you suggest about how to handle this subject with my doctor?
Doctor :   Ok, let me help you
Doctor :  
Do you want a help to speak to your Doctor or would you like me to help you in solving your medical problems?
User :   Just on how to talk to my doctor about this
Doctor :  
I suggest you few things
Doctor :  
Take an appointment which is nearest
Doctor :  
available
Doctor :  
*earliest availabe
User :   okay
Doctor :  
If you can discuss the time of appnt to be in the morning first thing or afternoon first thing
Doctor :  
with the Doctor's secy
Doctor :   secretary

User :   okay... my appointment is at 1pm on Thursday
Doctor :  
The Doctor will be more patient when he sees his first patient
Doctor :  
The Doctor will be more patient when the appointments are less
User :   that makes sense, I guess
Doctor :  
Now, write your problems in a sheet
User :   okay
Doctor :  
Determine your goal for your appointment e.g. diagnosis, specialist referral.
Doctor :  
Arrive early to fill out any forms that may be required
User :   this is just a routine check-up, I am seeing my gyocologist
Doctor :   In your case it is mainly to discuss few issues with her at length
User :   no, it's just that this topic usually comes up when I see a doctor, and I just want to know how to handle it
Doctor :  
Look the Doctor wants to see maximum results in you
Doctor :  
hence she / he tries to re inforce certain things in you
Doctor :  
and since your problem is more to do with the Weight gain
Doctor :  
than the Bipolar medicine and Hypothyroidism
Doctor :  
The Doctor is trying to help you in knowing the benefits that you get losing weight
User :   Yes, but if the doctor does not listen to me, why should I listen to him/her? The communication is blocked... as I have told you, this is a simple check-up
User :   And you do not need to reinforce that fact, because I know it is very important to be a healthy weight
Doctor :  
Ok
Doctor :  
I understand
User :   Maybe I should speak to a different doctor?
Doctor :   Not a bad idea, in fact you should take an opinion from a different doc
User :   I mean, on here.... could you transfer me to someone else?
Doctor :  
who is really patient and just listens to you than re inforce
Doctor :  
Yes
Doctor :  
I shall do it
User :   It's important, in my opinion, to listen to each other... how can the doctor help the patient if he/she doesn't listen?
Doctor :  
Hello, I am Dr. XXXXXXXX here
Doctor :  
Please go ahead
User :   Hello, I am a little upset at how I was spoken to by a previous doctor on here
Doctor :  
Let me read the problem
Doctor :  
first
Doctor :  
Now I got you
Doctor :  
As said by the previous doctor
Doctor :  
Once you take an appointment
User :   I hope so... the last doctor was somewhat helpful, but didn't really listen to me
Doctor :  
at a less busy times
Doctor :  
the Doctor is more patient
Doctor :  
So make a note of all the questions you wish to speak to your Gynec
Doctor :  
Let me put you some examples
User :   look, that is not the issue.... the issue is communication between doctor and patient, and how to achieve maximum communication... i need to know how best to handle it when my doctor wants to talk about my weight... why are you not helping me with this?
User :   the last doctor was quite nasty about it, why is it so difficult for you to listen to my question?
Doctor :   Please do not get upste
Doctor :  
upset
Doctor :  
I know you are already in
Doctor :  
suffering
Doctor :  
I can take any time to help you
User :   I am upset, because I feel like nobody listens to my side of the problem... I think I should just cancel my appointment, this is not worth it
Doctor :  
Your choice but if you feel that all Doctors are not listening to you
User :   I work, intern and take classes, I am up to my ears in a hectic schedule, and I come to you for help and I get all this trouble
User :   It is not worth it to me unless you will listen to me and help me
Doctor :  
I listen so patiently
Doctor :  
and none of my patients have problems with me
Doctor :  
and I am sorry I could not help you

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