Merrill. "So patients are sitting at home
because they got injured at work 10 months
ago. They might have underlying health
issues, and they can't exercise, because they
hurt their shoulder or whatever." Meanwhile,
the numbers staring up from the scale are get-
ting larger and larger.
"It really presents a challenge to us to try to
get them healthy enough for surgery, and they
need the surgery so they can go back to
work," she says. "We just had a woman come
in that we've been trying to get on the
(surgery) schedule for 10 months. But she
can't get her diabetes under control because
she can't afford her medicine. And because
she doesn't work, she's going to get evicted
from her apartment. It's very sad."
It's also a vivid illustration of the kinds of
obesity-related issues that go beyond what
some would reflexively characterize as a lack
of self-discipline. Dr. Sinha strongly suggests
providing sensitivity training that's focused on
dealing with obese patients — something that
only a quarter of our respondents say they
provide.
"It would behoove them to do it for 2 rea-
sons," he says. "One is the moral aspect of not
wanting somebody to get insulted. But there's
also the financial angle. What happens if your
facility gets a bad reputation? If something
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