Dr Bob on obesity

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.