Tuesday, March 24, 2015

Morbid Obesity Is A Health Threat That Many Do Not Wish To Cure

Dear Tazi:

I have an enormous appetite. I love food and can't get enough of it. Consequently, I am seriously overweight.  My doctor has told me that I am morbidly obese and need to lose 250 pounds. My problem is, I don't want to diet. I love food too much. I especially love sweets, so to give those up would be heartbreaking for me.

I know what I look like, and I know that the choices I am making will shorten my lifespan, but I would rather die younger and live a fulfilling life than eat like a bird and be miserable for the rest of my life, which would be much longer because eating healthy is said to prolong your lifespan. No thank you!

My doctor has told me that he cannot help me if I won't help myself. I asked him what he meant by this and he told me he would drop me as a patient! Can he do this? Is this even ethical? I am sure I could find a new doctor, in time; one that I like and who accepts my insurance, but in the meantime who would prescribe my medications? I am on insulin for diabetes and I take several other medications for my heart and blood pressure. My doc says he is trying to keep me from an early grave, and then he tries to push me into one!

Overeating And Loving It

Dear Overeating And Loving It:

If you are certain - and I mean absolutely positive that you are not using your love of food to compensate for something that is missing in your life - you need to make this clear to your doctor. We all have the free will to live our lives as we see fit, and if your choice is to wreck your health through a poor diet that is your decision. Some people choose to smoke in spite of the overwhelming amount of medical evidence that argues against it; some participate in extreme sports that result in multiple broken bones and arthritis; you are choosing your poison.

Your doctor also has free will, and if it is his choice not to continue seeing you as a patient he has every right to dismiss you for not following his medical advice. Why would you want to continue to see this doctor when you disagree with his plan for treating you? Just as personal relationships break off, so do professional ones; it sounds like the time has come for you and this doctor to part ways, with no hard feelings.

Whether it is ethical of your doctor to dismiss you as a patient is a judgement call, but I will say it would be unethical of him to dismiss you without plenty of notice and a list of referrals for other doctors who would be willing to treat you and prescribe your medications. Until then, he should remain your primary care physician, regardless of his desires. I suggest you bring up this idea to him, and ask for a list of referrals to other doctors who could meet your needs.


Ask Tazi! is ghostwritten by a human with a Bachelors of Arts in Communications. Tazi-Kat is not really a talking feline.

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