I love this in concept but in practice it will be more of the same, I think. The people who get certified as master fitness trainers will be the workout bros who are completely out of touch with the needs of some of the active duty population - particularly women and those who struggle with health as they age. Now they will just be there to nag and try and make themselves look good to command, which generally will entail unrealistic workouts and snarkiness. It's a talking point for their evals. I would be interested to know who is certifying them and what the program looks like, and if they are being taught to understand the difference between actual health and just working out.
I am saying this because my H is at the Naval Justice School right now, and they just did command PT for the first time since Covid. They got one of these dudes to lead the command PT, and even the senior leadership felt like the workout was incredibly out of touch with the situation and population. Three people were injured. They have not repeated the experience lol.
Oh no! I’m sorry he had that experience. I wouldn’t form an opinion and discount an entire program from one guy. I’m sure there are meatheads who go to the course but there’s plenty that aren’t. I don’t want to put my H’s job out there but he’s very involved with the course (and he’s the opposite of a dudebro) so I’m speaking from a knowledgeable place.
That said, this new way of approaching fitness and health in the military is a culture change, and there are definite road bumps and incorrect messaging out there still.
I am glad to hear it! Something needs to change for sure, and I hope that people like your H can make a real difference and find the balance for both military readiness and actual human beings and their health. Change takes time, for sure.
Post by foundmylazybum on Sept 21, 2021 14:52:57 GMT -5
Do you have any of the performance psychology trainers at your base?
I used to be part of the big group of trainers in the Army and while this is not our specialty, we did know a lot of people, have good networks and we were able to do referrals both on post and in the community.
We could provide some structure as part of a collaborative care team too and..speaking from my own experience, we tried to be exactly what you needed today: supportive listeners who heard the goal plus issues attaining it and then tried to work with the client in finding ways in, through and around the issues.
I'm very sorry you experienced that type of treatment. I think there is a better and more supportive way to explore your situation and find a path to a solution.
Post by seeyalater52 on Sept 21, 2021 14:58:04 GMT -5
This is so fucked up. I’m so sorry. I agree about explicitly asking for a referral to a dietitian and asking him to document it in your chart if he will not make the referral. That will also help create a paper trail for you to show you’re trying to access these resources if it comes to that.
I’d also report him. Not for being an asshole (although shitty bedside manner could be part of the complaint) but for giving advice outside of the scope of his practice and denying you resources to support your nutrition and health goals without even bothering to learn more about your current eating and exercise routine. It may not make a difference but I’d include the information about the disparaging remark he made about women exercising and not losing weight in that complaint.
I know you wanted kind words but I'm busy with Hulk Rage after reading that.
FUCK THIS DUDE
PLEASE ALLOW ME TO MAKE A NUMBERED LIST OF REASONS WHY HE SHOULD FUCK OFF AND MAYBE BE SUED FOR MEDICAL MALPRACTICE:
1. He made clinical recommendations without taking an appropriate clinical history. 2. He made medical recommendations that are not based in medical science. 3. He actively discouraged and prevented you from seeing an appropriate specialist who would be qualified to make science-based recommendations. 4. HE FUCKING TOLD YOU NOT TO EAT A BALANCED DIET LIKE WHAT IN THE ACTUAL FUCK
I'm so sorry about this. I would definitely look for a registered dietitian to work with, even if it means finding someone outside of the military. I'll note that so many medical doctors like to give out nutrition advice, but they don't spend a lot of time in medical school learning about nutrition. Certainly not as much time as RDs do.
This is so fucked up. I’m so sorry. I agree about explicitly asking for a referral to a dietitian and asking him to document it in your chart if he will not make the referral. That will also help create a paper trail for you to show you’re trying to access these resources if it comes to that.
I’d also report him. Not for being an asshole (although shitty bedside manner could be part of the complaint) but for giving advice outside of the scope of his practice and denying you resources to support your nutrition and health goals without even bothering to learn more about your current eating and exercise routine. It may not make a difference but I’d include the information about the disparaging remark he made about women exercising and not losing weight in that complaint.
What a sexist asshole. I’m so pissed for you.
I've been thinking about the women and treadmills since this post went up and continue to rage. Those women who are walking every day and not losing weight probably have better cardiovascular health than half of the keto bros. It just shows he really has no fucking idea what he is talking about.
Ugh I'm so sorry. Are you able to self refer to a registered dietitian? I know dependents are able to do that.
I would be so mad about the Keto rec, my understanding from RDs is that it's really not helpful unless it is medically needed for diabetes or whatever it was started for and closely monitored by the doctor. Greatly limiting any food group will cause you to lose weight just from that loss of calories, but doesn't mean it is healthy or good for you.
Post by estrellita on Sept 21, 2021 15:44:55 GMT -5
I'm so sorry you had to deal with that. What ridiculous advice, both the only meat diet and the fact he wouldn't even give you any resources! I can't see how that diet would be sustainable or healthy at all (unless you have a legit medical reason or something). What an asshole.
Post by dutchgirl678 on Sept 21, 2021 16:57:20 GMT -5
What a jerk! I am so sorry you were treated that way. I think it is wrong that they are going to BMI when that is such a flawed measurement.
And he is totally wrong too about the Keto diet. I followed a Keto diet a few years ago and we try to get back into low-carb eating, but it is definitely more than just eat meat! When we did it (DH and me) we both lost a good amount of weight. Then the pandemic hit and I stopped working out and started falling back into old habits, so I gained it all back and then some. That is not the fault of Keto though, that is my own behavior.
I hope you can get some help. I have had good luck with the recipes on the All day I dream about food website and the cookbooks of the author (Carolyn Ketchum). She also has a FB group called All day I dream about low carb. In the beginning, you definitely want to focus more on the main meals and less on the snacks. There must be nutritionists near where you live who could help you figure out a plan that is doable for you that could get you to where you would feel better about yourself and not be at risk of failing their (ridiculous) standards. Also check out Maria Emmerich. We also started getting meals 2x per week from Green Chef that are Keto/Paleo and they have been very tasty. But they are also pricey, so not a solution for everybody. If you are interested though, send me a PM and I can get you a discount code so you can try it.
What a jerk! I am so sorry you were treated that way. I think it is wrong that they are going to BMI when that is such a flawed measurement.
And he is totally wrong too about the Keto diet. I followed a Keto diet a few years ago and we try to get back into low-carb eating, but it is definitely more than just eat meat! When we did it (DH and me) we both lost a good amount of weight. Then the pandemic hit and I stopped working out and started falling back into old habits, so I gained it all back and then some. That is not the fault of Keto though, that is my own behavior.
I hope you can get some help. I have had good luck with the recipes on the All day I dream about food website and the cookbooks of the author (Carolyn Ketchum). She also has a FB group called All day I dream about low carb. In the beginning, you definitely want to focus more on the main meals and less on the snacks. There must be nutritionists near where you live who could help you figure out a plan that is doable for you that could get you to where you would feel better about yourself and not be at risk of failing their (ridiculous) standards. Also check out Maria Emmerich. We also started getting meals 2x per week from Green Chef that are Keto/Paleo and they have been very tasty. But they are also pricey, so not a solution for everybody. If you are interested though, send me a PM and I can get you a discount code so you can try it.
The “just meat” was I guess only supposed to be for 42 days (“don’t eat anything that comes out of the ground!”), then transition to a more traditional keto or Atkins low carb diet. But in my Googling, even the crackpot websites aren’t recommending anything that strict!
What a jerk! I am so sorry you were treated that way. I think it is wrong that they are going to BMI when that is such a flawed measurement.
And he is totally wrong too about the Keto diet. I followed a Keto diet a few years ago and we try to get back into low-carb eating, but it is definitely more than just eat meat! When we did it (DH and me) we both lost a good amount of weight. Then the pandemic hit and I stopped working out and started falling back into old habits, so I gained it all back and then some. That is not the fault of Keto though, that is my own behavior.
I hope you can get some help. I have had good luck with the recipes on the All day I dream about food website and the cookbooks of the author (Carolyn Ketchum). She also has a FB group called All day I dream about low carb. In the beginning, you definitely want to focus more on the main meals and less on the snacks. There must be nutritionists near where you live who could help you figure out a plan that is doable for you that could get you to where you would feel better about yourself and not be at risk of failing their (ridiculous) standards. Also check out Maria Emmerich. We also started getting meals 2x per week from Green Chef that are Keto/Paleo and they have been very tasty. But they are also pricey, so not a solution for everybody. If you are interested though, send me a PM and I can get you a discount code so you can try it.
The “just meat” was I guess only supposed to be for 42 days (“don’t eat anything that comes out of the ground!”), then transition to a more traditional keto or Atkins low carb diet. But in my Googling, even the crackpot websites aren’t recommending anything that strict!
No, that is absolutely a ridiculous recommendation!
I’m really sorry you were treated so horribly. That doc is terrible. I hope you are able to find what you need. A good dietician will set you on the right path. No food should be off limits!
He gave you dudebro advice with absolutely no regards to the fact that you are in fact not a dudebro. He and his pals get shredded with Keto and stand around lifting weights. He thinks that equals everyone.
It is shitty advice and he wasn't even considering you as a unique person.
I am so sorry you had a tough experience.
Precisely. I mean, I’m willing to try a low-carb eating plan and changing up my exercise routine. I haven’t really tried it before, and with the proper amount of help and support I think I might be successful at it (or at least find new food or forms of movement that I might enjoy).
But I’m gonna need a hell of a lot more that “do keto, just Google it, you’ll be fine.”
My mom did keto and all that happened was her weight stayed the same and her blood pressure shot through the roof. Didn’t stop her from acting like she was in a cult for the six or so months she was on it though 🤷🏻♀️
What an asshole. Definitely not helpful. Have you tried calling the insurance plan and asking for qualified nutritionists that could help you?
The keto diet is great for taking off a lot of weight, but it is so hard to stick with and you can yoyo up and then some if you don't think you can adapt to it permanently. If you DO want to give it a try and are on TikTok, there are some good creators with good recipes and advice. Here are 2 that I enjoy if you go that route and a qualified health professional supports it.
@lowcarbstateofmind - great low carb recipes @nicoles_positive_vibes (this person i take in doses, but she is a good reminder that you can lose >100 lbs if you are committed to the changed lifestyle. You don't need that - I do.)
Also @cookiterica used to be ketoerica, but she does all kinds of stuff now. She has a sister account but i can't remember what it is.
My H's cousin (in his late 40s) lost >150 lbs from his 325 lb frame in 1 year doing strict keto and a LOT of running. He has replaced food addiction with exercise addiction but is a lot healthier physically. If you have any issues about food for comfort and stuff, therapy is important. And I'd try to see another doctor about a good plan for you because hormones play a huge part.
but also warning: I started keto, dropped some good pounds and wasn't crazed with hunger like i am with most diets, but then my triglycerides shot up. not good!
Another approach may be intermittent fasting which helps a lot of women and allows for a more balanced diet. It's less about a "diet" than about focusing on when you eat to optimize your metabolism.
I have a horrible time with my weight so i don't have great tips except to trust your gut to get professional guidance from a nutritionist that can tailor something to YOU and fuck that doctor.
Ugh I'm so sorry. Are you able to self refer to a registered dietitian? I know dependents are able to do that.
I would be so mad about the Keto rec, my understanding from RDs is that it's really not helpful unless it is medically needed for diabetes or whatever it was started for and closely monitored by the doctor. Greatly limiting any food group will cause you to lose weight just from that loss of calories, but doesn't mean it is healthy or good for you.
This is not true. There are many people who have been doing keto for years and have lost weight and still eat a balanced diet. You are not limiting carbs but cutting out sugar and high-carb items like pasta and bread. And there are healthy sweeteners out there that you can use that don’t give the same insulin response as sugar which is helpful not only to diabetes patients but also for weight loss. Someone else mentioned the Mediterranean diet and it is very similar. There are different gradations of keto and low carb too. Not everybody should keep their carb intake under 20g per day.
You and I have a very similar story and body type. I’m so sorry you had that experience - I would have cried too - and he is 100000% in the wrong. I would absolutely file a complaint, even if you weren’t going to return. Doctors should not speak to patients like this. There is a way to have a conversation with a patient and this isn’t it.
"Hello babies. Welcome to Earth. It's hot in the summer and cold in the winter. It's round and wet and crowded. On the outside, babies, you've got a hundred years here. There's only one rule that I know of, babies-"God damn it, you've got to be kind.”
Ugh I'm so sorry. Are you able to self refer to a registered dietitian? I know dependents are able to do that.
I would be so mad about the Keto rec, my understanding from RDs is that it's really not helpful unless it is medically needed for diabetes or whatever it was started for and closely monitored by the doctor. Greatly limiting any food group will cause you to lose weight just from that loss of calories, but doesn't mean it is healthy or good for you.
This is not true. There are many people who have been doing keto for years and have lost weight and still eat a balanced diet. You are not limiting carbs but cutting out sugar and high-carb items like pasta and bread. And there are healthy sweeteners out there that you can use that don’t give the same insulin response as sugar which is helpful not only to diabetes patients but also for weight loss. Someone else mentioned the Mediterranean diet and it is very similar. There are different gradations of keto and low carb too. Not everybody should keep their carb intake under 20g per day.
That's not what he was recommending though. He said nothing but meat, eggs, and cheese, and to use Google to figure it out. That sounds very restrictive and like it should be closely monitored by a doctor not winging it through Dr. Google.
Post by NewOrleans on Sept 21, 2021 18:30:17 GMT -5
Oh wow. What a deflating appointment. I am so sorry that he treated you with condescension and dismissal tinged with misogyny toward female patients. TBH I don’t think he made any good points at all.
I do t want to give any food and fitness advice because I don’t know any, but I do have hugs. I do know there are great online support groups for all kinds of eating lifestyles whether you do Keto or another option.
VillainV , I'm a longtime lurker... I wanted to pop in to say that I am also struggling with obesity and a new ADHD diagnosis (it was long overdue!). I recently read that ADHD is associated with obesity because of the difficulty people with ADHD-inattentive have in sticking to a specific diet/exercise plan. I'm finding this to be true for me- I'm able to stick to WW more effectively now that I'm treating my ADHD. If you're up to it, go back to the doctor to receive treatment for your ADHD and see if that helps a little. Just a thought, hope it helps.
Post by bugandbibs on Sept 21, 2021 22:12:07 GMT -5
I’m really sorry you had to go through that. Nothing about that appointment was okay.
I want to warn you, but I’m not sure how to put this exactly because I don’t want to scare you off from getting treated and diagnosed. When I was diagnosed a year ago with ADHD and started on Adderall XR it triggered for me a relapse into my disordered eating habits. It was probably partly because I was already in weight loss mode (had lost 20 lbs in the months prior) and the lack of appetite when finding the right dose gave me the same high I always got during the worst of my eating disorder days. I was able to find a good balance between a dose that worked and my mental health. Being diagnosed and treated for my ADHD was one of the best things I have ever done for my overall mental and physical health, but I had some scary moments. I just want you to be aware. Especially while you are already so under pressure and unsupported by people around you.
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I don't have any advice, but I want to say two things.
1. I'm so sorry. I've had appointments like that too where I end up just crying in the car 😔
2. Keto sent me straight back to disordered eating. Tracking the macros led to tracking the calories led to severe restriction led to binge eating and purging. I'm sure the diet does good for some people, but it was definitely not good for me. And honestly I'm still not in a good place with food right now (or exercise).
So like I said, I have no advice. Just personal experience, solidarity, and creepy internet stranger hugs ❤
Post by penguingrrl on Sept 22, 2021 5:58:28 GMT -5
I’m so sorry. What a total shithead doctor.
I would definitely seek a dietitian, my sister is in residency now and laments the severe lack of nutritional training she got during medical school. She’s not a fan of keto diets at all with a few specific medical reasons to do it. She actually feels that a plant-based diet is the healthiest option, with little to no animal product at all. Ask 3 doctors and you’ll likely get 4 opinions on this.
I’m sorry that you were treated so poorly. I don’t have any real advice because I have no military experience but it sounds like you are stuck between a rock and a hard place. In my experience, any intentional weight loss leads back to disordered eating so all the talk of intermittent fasting, keto, cutting carbs, etc. would be red flags for me. Before I focused on intuitive eating the last two or three diets I tried didn’t even work at all. I plateaued quickly, was miserable and frustrated, and became obsessive over exercise.
Hopefully I’m misunderstanding but it seems like your options are disordered eating or your job. I hope there is some nuance I’m missing. If it weren’t for the job component I would say just to focus on healthy habits.
I am so so sorry. He's a dick. I don't know what I'd do about it, but I'd also cry endlessly knowing he is 'necessary' in my life.
Not the same, but my brother (Army doc) has been passed up for promotion after promotion after promotion because of his health (mostly weight). It is so disheartening seeing good people suffer through this and it makes me so angry.