Dr Bob's entry On obesity provokes response. Like several of those who comment on his entry – I applaud his honesty – and will come clean like he has: when we care for patients who have been participants in their illness, it is tempting to blame them, and in our weaker moments, we do.
Bear with me here …
Addiction is a powerful disease – whether to drugs or tobacco or food. Working with addicts is challenging. We try so hard to listen, understand, counsel and advocate.
|I often suggest that patients read James Prochaska's book:|
.. and it's helped several of my patients change self-destructuve behaviors.
It's also a good read for physicians. A core concept of the book is that we don't change our patients — they change themselves.