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How I Treat Obese Patients in a Federally Qualified Health Care Clinic




Two of the most exciting parts being a physician working in a federally qualified health care clinic are providing medical care that I believe makes a difference and helps to put the patient in charge of their own health care, and helping my patients gain medical literacy. This includes discussing their weight.

Being overweight or obese is a gateway to an extensive variety of disease states across a multiplicity of organ systems. Obesity is a chronic, relapsing, multi-factorial, neurobehavioral disease, wherein an increase in body fat promotes adipose tissue dysfunction and abnormal fat mass physical forces, resulting in adverse metabolic, biomechanical, and psychosocial health consequences.
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To both prevent and treat this disease, the field of obesity medicine is an exciting and growing field that is marrying new and evolving sciences, cognitive behavioral therapies, and mind-body medicine modalities.

I have made it a personal policy to discuss weight with 100 percent of my patients. In my primary care setting, where we have limited time per patient visit and I am seeing patients with multiple and chronic illnesses, it is really a matter of time and practicality. With the few minutes I have with each patient, what is the one thing that I can do or say that will have the biggest impact on my patients’ reduction of morbidity and mortality?

Having a conversation about weight with the patient saves me time and involves the patient in taking charge of their health. Talking to a patient about their weight and their BMI are crucial components in helping them to “buy in” and become a key player on their own healthcare team.

For example, here’s a sample of patient BMI ranges that I observed over a two-day period: I saw 31 patients with BMIs ranging from a high of 67.5 to a low of 15.1 with ages ranging from 18 to 66. 21/31 had BMIs of 26 (approximately 66 percent) or greater. Most of these patients were insured through the Affordable Care Act, Medicaid or Medicare.

My typical office visit goes something like this: My Medical Assistant brings the patient back into the exam room where vital signs are taken. Height and weight are entered into the electronic medical record at each visit and the BMI is automatically calculated. The patients see their vitals signs displayed before their eyes. When I enter the room, I briefly explain to the patient what they are seeing on the screen. For many patients this is a learning opportunity as I explain BMI and what the ranges mean. The majority of patients are curious. They want to know where they fall, how close they are to normal, etc. I then take a few minutes to explain that losing as little as 5-10 percent of their baseline weight can lead to exponential improvements in their health and quality of life. This is especially motivating for my patients who are:

1) Suffering from multiple comorbidities such as hypertension, hyperlipidemia, diabetes, and joint pain;
2) Tired of taking multiple medications and or being insulin dependent;
3) Tired of looking older than their chronological age;
4) Tired of being depressed;
5) Feeling like they are a victim and want to have a sense of something that they can do to contribute to their well-being.

I bring my patients back for more frequent office visits, generally every week to two weeks for an initial period of 12-16 weeks to provide the added support and accountability needed to support a patient on a weight loss journey. I have also familiarized myself with the current anti-obesity medications available and prescribe them for the appropriate patient, along with eating behavior modification and exercise prescriptions.

The other day a patient of mine returned for a weight check, delighted with another few pounds of weight loss. She exclaimed that her cardiologist stopped one of her anti-hypertensive medications, and she was smiling broadly — her dental hygienist told her earlier in the day that she looked like she was losing weight and looked good. She was near tears. She stated that her stress incontinence had improved so much that she was thinking about trying a beginner’s yoga class. This kind of success story has become an everyday part of my daily experience as a physician — and my own joy and satisfaction is priceless.



1."The Epidemiology and Determinants of Obesity in Developed and Developing Countries." http://econtent.hogrefe.com. International Journal for Vitamin and Nutrition Research, 14 Mar. 2013. Web. 25 Mar. 2017.


Blog written by Carol Penn, D.O.



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6 Dieting Myths



“Losing weight is easy!” – said no one ever.

Let’s be honest… losing weight can be extremely challenging, especially when you’re trying to figure it out on your own. Between TV, the internet, magazines, friends and family, and countless other sources that try to tell you how to do it, separating fact from fiction can seem nearly impossible. With all of this information overload, how do you figure out what will work for YOU?

First and foremost, if weight loss has been a challenge, and especially if you need to lose a significant amount of weight, it’s always best to consult a physician, registered dietician, or another professional with a background in weight loss.  There are also many clinics that specialize in weight loss and that have programs that can be tailored to your specific needs, and finding a clinic is not as hard as it may seem. Sometimes, asking for help is the first step to seeing real, long-lasting results.

In the meantime, we’ve done some of the work for you and found some of the most common dieting myths on the Internet. Take a look at the slideshow below with 6 dieting myths you may have heard, as well as the facts behind them!


Source: West Virginia University


Blog written by By: Vanessa Ramalho/Robard Corporation


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5 Ways to Teach Your Daughter about Healthy Weight & Body Image



In the age of social media, the Internet, reality TV, and pop culture, women and girls face an enormous amount of pressure to look a certain way or be a certain weight. More now than ever, weight and body image concerns create an immense amount of anxiety for women, but increasingly more so for young girls. Girls’ dissatisfaction manifests around body image, particularly weight, at an alarmingly young age:

• Over 80 percent of 10-year-old girls are afraid of being fat.
• By middle school, 40-70 percent of girls are dissatisfied with two or more parts of their body, and body satisfaction hits rock bottom between the ages of 12 and 15.

And while it’s natural to be concerned about our daughters’ weight and to encourage them to be healthy, a recent study from Cornell Food & Brand Lab says that one of the best things you can do to encourage healthy weight and positive body image is … don’t talk about her weight!

The study published in Eating and Weight Disorders surveyed 501 women between the ages of 20 and 35 and asked them to recall how often their parent(s) commented on their weight. The findings showed that women whose parents were less likely to comment on their weight or how much food they ate were also less likely to be overweight as adults. Interestingly, women who recalled their parents commenting on their weight in their youth were generally more likely to be dissatisfied with their weight in adulthood, regardless of whether they were overweight or not.

“If you're worried about your child's weight, avoid criticizing them or restricting food. Instead, nudge healthy choices and behaviors by giving them freedom to choose for themselves and by making the healthier choices more appealing and convenient," recommends lead author Brian Wansink. "After all, it's the choices that children make for themselves that will lead to lifelong habits." 

If you are a parent and hope to encourage a healthy weight and positive body image in your daughter, there are many other ways to do so that won’t lead to unintended negative affects later in life. Take a look at the slideshow that suggest 5 positive ways to teach your daughter about healthy weight and body image.



Sources: Cornell Food & Brand Lab, NYC Girls Project


Blog written by Vanessa Ramalho/Robard Corporation


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