According to a據 survey調查 , about 66 percent of US adults are overweight or obese?約百分之六十六的美國成年人超重或肥胖？ However, only 12 percent of US adults say they have ever been told by a doctor, nurse, or other health care professional about the weight issue.然而，只有百分之十二的美國成年人表示，他們從來沒有告訴醫生，護士或其他保健專業人士關注的重量問題。 You may be wondering why these people were not told by doctors then.你也許會奇怪，為什麼這些人不是醫生當時告訴。 But, wait, should a doctor be responsible to inform his patient is overweight?但是，等待，醫生應負責通知他的病人是超重？
We have two camps of people here:我們有兩個陣營的人在這裡：
Those Who Against The Idea Of Doctor Telling Patients About Overweight Issue: 那些反對的醫生告訴病人超重問題：
- This is a sensitive subject, especially for people who have low self-esteem.這是一個敏感的問題，特別是對人誰低自尊。 So, it is better to let someone who is very close to them to say those words, rather than doctor.因此，最好是讓別人誰是非常接近他們說這句話，而不是醫生。 Worse, some are embarrassed and do not want to hear about it.更糟的是，有些尷尬，不想聽到它。
- A lecture or “helpful reminder” may not work.的演講或“有益的提醒”，可能無法工作。 Just like people who smoke, some overweight people already knew about that they are overweight.就像誰吸煙的人，有些超重的人已知道他們是超重。 They are reminded of it when they go shopping for clothes or when they look at mirror or when they look at models in magazine.他們提醒時是去買衣服，當他們看鏡子或當他們看模型雜誌。 Some even know the health implications.有些甚至不知道對健康的影響。 So, if they choose to ignore it, it is nothing else a doctor can do.所以，如果他們選擇忽視它，它沒有別的醫生可以做。
Those Who Think That Doctor Should Point Out Obesity: 那些認為醫生應該指出 ， 肥胖：
- Doctors should point out anything that affects the health of their patients.醫生應當指出，任何影響病人的健康。 Most patients will take note of what doctors have said, compared with advices from family members, friends or even personal trainers.大多數病人注意什麼醫生說，與家人意見，朋友，甚至私人教練。 After all, doctor is someone who we look up to.畢竟，醫生是誰，我們期待的人最多。
- If a doctor can inform someone who is underweight, he should do the same for people who are overweight too.如果醫生可以告訴誰是體重過輕的人，他應該這樣做的人誰是超重了。
What Mun Thinks: 什麼門認為：
- The doctor should look at the big picture and determining what the patient's lifestyle before telling the patients that they are fat.醫生應該看大局，確定哪些病人的生活之前，告訴病人，讓他們也高。
- A doctor should know the fine line between “informing”, “advising” and “judgmental lecturing”.醫生應該知道一線之間的“通知”，“建議”和“判斷的說教”。 Doctor should be tactful in how he deliver the message, but that does not mean he should beat around the bush.醫生應該巧妙，他是如何傳遞郵件，但是，這並不意味著他應該拐彎抹角。 I do not expect the doctor will say sentence like this, “You are obese and your going to die,” and then walk away.我並不指望醫生會說這樣一句話，“你是肥胖和你就要死了”，然後走開。 Give advice what to do.提供意見，怎樣做。 Offer help.提供幫助。 Provide emotional support.提供情感支持。
- Doctor should make it a medical issue, not a beauty or appearance issue.醫生應該讓一個醫學問題，而不是美容或外觀的問題。 By doing this, patients will find it easy to accept and listen.這樣，患者會發現很容易地接受和傾聽。 Also, a doctor who is in good shape tend to gain trust easily in this weight issue.此外，醫生誰是良好的狀態往往容易獲得信任，在這個重量問題。 I doubt that you will listen to a 300-pound doctor to tel you, “Hey, you are overweight.我懷疑，你會聽到一個300磅的醫生電話你，“嘿，你超重。 You better watch your diet and do more exercise.”你最好注意你的飲食和多做運動。“
What do you think, should a doctor be responsible in informing his patient about overweight?你認為，應該負責的醫生通知他的病人中超重？
Category: 分類： Health 健康 
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Janice Boyer // 賈尼斯博耶 / / May 19, 2009 at 8:45 AM 09年5月19日在上午08時45分
I am a health care professional and overweight.我是一名專業醫務人員和超重。 I think a Doctor should mention to his patient the consequences of being over weight and ask the patient if it's something they want to work on and come up with a treatment plan that the patient is part of.我認為，醫生應提及他的病人的後果是超重，並要求患者如果這是他們想要的工作，並拿出一個治療方案，病人的一部分。
Sometimes the encouragement and understanding, not critisim, of a person's excess weight, from their physcian is the motivation a person needs to get on a weight loss program.有時，鼓勵和諒解，而不是critisim，一個人的超重，他們physcian是一個人的動機需要，沒能參加減肥班。 And like others have said, we try to please our doctors because we do look up to them.而像其他人所說的，我們試圖請我們的醫生，因為我們視他們。 If the doctor is critical and condesending, then that'll just make the patient stay away and not seek treatment for other medical issues which will put their health at a even higher risk.如果醫生是關鍵和condesending，那麼這將只是讓患者遠離，而不是尋求其他醫療待遇問題，使他們的健康將在更高的風險。 I agree that someone is probably not going to listen to an overweight doctor.我同意有人可能不會聽醫生的超重。
alfonto // alfonto / / May 19, 2009 at 8:55 AM 09年5月19日在上午8點55分
i agree with you mun.我同意你的門。
doctor should be tactful about informing his/her patient that he/she is overweight and should also making it more on medical consequences of being overweight.醫生應該委婉有關通知他/她的病人，他/她是超重，也應該使更多的醫療後果超重。 The emotional part, I think it will sink into the patient's mind after doctor informed on what could happen if the patient let all the excess weight control his/her life.的情感而言，我認為這將陷入患者的心後，醫生告知可能會發生什麼，如果讓所有的病人控制體重超過他/她的生活。
of course, doctor should also one who walk the talk and should be in normal BMI rather than the one who is in the “morbidly obese” BMI.當然，醫生也應該一誰言行一致，應在正常的體重指數，而不是一個誰是“病態肥胖”體重指數。
Patriot Henry // 愛國者亨利 / / May 20, 2009 at 11:09 AM 二零零九年五月二十○號在日上午11:09
“What do you think, should a doctor be responsible in informing his patient about overweight?” “你認為，應該負責的醫生通知他的病人中超重？”
Yes, they should, but only once.是的，他們應該，但只有一次。 I personally have a tremendous amount of respect for fat people, especially VERY fat people, who are that way because they enjoy the lifestyle.我個人有大量脂肪尊重人，尤其是非常肥胖的人，誰是這樣，因為他們喜歡的生活方式。
And why wouldn't one listen to a fat doctor speaking about the medical consequences of being overweight?而為什麼沒有一個聽醫生談到肥胖的醫療後果超重？ Merely because they choose to take risks doesn't mean they don't know the dangers of those risks…and they'd be much more likely to be able to speak from first hand experience.僅僅因為他們選擇了冒險並不意味著他們不知道危險，這些風險...，他們會更加容易能夠說出的第一手經驗。
Yin Teing 尹忒嗯 // / / May 28, 2009 at 4:31 PM 2009年5月28日在日下午04:31
I feel the doctor should notify the patient if he/she is overweight because uncontrolled weight led to a lot of future medical complications.我覺得醫生應通知病人，如果他/她是因為控制體重超重，導致了很多未來的並發症。 But most doctors would just say 'you just need to lose weight' without telling the 'hows'.但是，大多數醫生只想說：'你只需要減肥'沒有告訴'hows'。 Most patients would have know that they need to lose weight- and a doctor should also identify if the overweight is attributed to depression- for that, it's a different form of treatment alltogether.大多數患者會知道他們需要減肥和醫生也應確定是否超重是由於抑鬱症，為此，它是一個不同的方式處理產品總數。
Btw Mun, congratulations- your blog is listed as #60 in the Malaysia Top Blogs by Riceblogger Btw門，祝賀您的博客被列為60號在馬來西亞熱門博客的Riceblogger http://www.riceblogger.com/top-100-malaysian-blogs/ http://www.riceblogger.com/top-100-malaysian-blogs/ . 。
Keep up the good work :)保持良好的工作：）