We're just sharing perspectives here, right? ;-)
Regarding the last couple of entries, I agree and disagree with both points of view.
Definitely, it is not a doctor's "job" to be kind. It's one thing for doctors to tell their patients who smoke, to stop smoking. It would be, at best, unprofessional, to ridicule the patient in every interaction, because the patient won't quit smoking. In reality, there are MANY overweight doctors, as well as those who smoke, abuse drugs and alcohol, etc., etc. If they chastise their patients for doing the same thing, they're just hypocrites. Do as I say and not as I do, is the corresponding refrain. Either way, you don't get to mock someone for not being perfect, even if you are.
I absolutely want my doctor to be dispassionate about my health care. I want my doctor to give me the straight skinny about what's going on or how I can improve. But I don't think there's any confusion between experiencing advice or encouragement, and experiencing disrespect or mocking.
On being overweight...
There are countless reasons people become overweight. It is probably true that most of us eat too much and exercise too little. There are some with hormonal problems that lead to weight gain and/or an inability to lose weight through healthy lifestyle alone. There are even those who claim obesity began on a large scale when pesticides began being used on a large scale, and can even show a link between growing obesity rates after pesticides begin being used in areas where they hadn't before. There is another claim that a virus predisposes an individual to weight gain, and about half the population has this virus. I don't pretend to be an expert in this area. I similarly don't try to assume why any given individual is overweight, much less judge them based on my assumption. I am judged amply as it is. I don't need to add to it.
It is sadly too common that many girls and women who've been sexually assaulted will subconsciously gain weight to make themselves less-likely to attract male attention, for fear of further victimization. When millions of unrelated people spontaneously develop the same coping strategy, it has to be viewed as a natural response to trauma, rather than a premeditated excuse.
In my own case, I was always super-thin, most of my adult life. My doctor diagnosed me with PCOS many years ago, and told me very little about the condition. Indeed, with almost no symptoms, the condition was practically irrelevant to me, and I all but forgot about it. Suddenly, about 5-6 years ago, I bean to gain weight. I tried dieting, exercising, and all the usual strategies to lose weight, and coudn't shift a pound. Sanctimonious folks would accuse me of lying about how much I was eating or working out, making me feel even more alone in my struggle. Purely through my own efforts, I finally learned about the link between PCOS and insulin resistance, and how this made it all but impossible to lose weight, short of daily marathon running and starvation. (For example, I was deathly ill a couple of years ago, unable to eat, and vomiting daily (hourly, at first). I didn't eat anything for at least a week and didn't lose weight. Try that if you're not insulin resistant.).
What no doctor ever told me...and likely many doctors don't even know...and what I learned from other PCOS folks...is that plain, ol' cinnamon is an insulin sensitizer. Once I added a cinnamon supplement to my diet, suddenly calorie cutting and exercise were doing their thing. Despite the previous two months gaining weight while in severe caloric deficit, my weight is now in free fall from the day I started taking a cinnamon supplement. I'm experiencing nearly the weight loss I would expect from this degree of caloric deficit, now that cinnamon has normalized my sensitivity to insulin. (I'm now averaging about 2.5lbs lost per week.)
Irritatingly, I discovered this is well-known by many. I found countless online articles and anecdotes. I even recall one of the sources being the livestrong web site, with a page dedicated to cinnamon as a way to treat PCOS-related insulin resistance.
I get angry when I think about the fact no doctor ever informed me of this. I get angry when I think of all the wasted time and effort. ...All my failed attempts to lose weight over the past 5 years. ...How brutally hard I worked out and dieted for the two months prior to learning about the cinnamon solution. If just one doctor had mentioned that PCOS was related to insulin resistance, or that an easy way to address this is by consuming 1-6g of cinnamon per day, then I probably never would have become overweight in the first place. I get very frustrated when I think about everything I've needlessly endured while overweight. Thanks, doctors (and self-appointed Internet weight loss experts), for all the helpful advice! (rolls eyes)
Now....finally...on just being human...
I would not elect to see a doctor who was a jerk. If I had any choice at all, I would not go back for more abuse. Only a masochist would. But I'm currently going through a similar experience with my dentist. It's not identical to the described scenario, since the issue has nothing to do with my oral health. But the discomfort I felt seeing a new dentist a year ago has kept me from going back. I finally realized that my discomfort was keeping me from getting the dental care I deserve, so I'm now looking for a new dentist, again. On my first visit with my then-new dentist last year, her assistant made some comments about my large pores (another "gift" from PCOS), and some popular product I should try to correct this awful, awful flaw of mine. Of course, I have their hands in my mouth, and can't explain that I'd already tried that product, with terrible results, like over 40% of the product's users, according to online reviews. That, alone, made me very self-conscious. Why was she inspecting my skin? She was probably 10+ years younger than I am, but looks older, yet has the superiority to give unsolicited skincare advice to others? (I did take her aside, later, and "corrected" her misinformed views on the product's efficacy.) Then, in a conversation with the dentist, I off-handedly mentioned something about eating a mostly vegan diet, and despite my excellent, overall health, extremely youthful looks, and near-perfect teeth, the dentist felt the need to "inform" me (laughing) of the problems I should be careful to avoid, regarding a vegan diet. The old, unscientific, outdated, and just plain inaccurate myths she spouted told me this was someone who is not especially knowledgeable about nutrition, physiology, or human evolution, and maybe I should be skeptical of her dentistry skills, as well. But, in truth, it just made me not want to come back. I really don't see a dentist for bad skincare advice or to hear ridiculous myths.
In all, I don't feel bad about being a human being, with feelings and opinions, and a right to a modicum of dignity in my daily interactions. I don't go back for more, when someone treats me badly. I am painfully realistic, and rely on fact and reason to solve most of my dilemmas. It's how I (so far, at least, have seemingly) solved my own weight problem, no thanks to a single doctor or self-appointed Internet "expert". So, while I agree that a doctor must be firm with patients who are harming themselves, it's just unrealistic to think that by disrespecting them, they'll magically change.
It reminds me of an incident with a former colleague. She mentioned how her brother was dating someone the family really disliked. She said they would harp at her brother about how awful the young woman was (in their eyes), to no avail. I explained that they were maybe coming at it the wrong way. If they built up the brother's confidence, maybe he would strive for a more accomplished (in the eyes of his family) partner. I explained that negative commands rarely work. Tell someone to stop thinking about elephants, and they'll probably start thinking about elephants. Positive commands work best. If you tell someone to sit down, they can do that immediately, without thinking. I suggested she and her family shift their focus from their dislike of this woman, to praising the brother for his accomplishments, and other positive qualities. I bet her that, in time, he would feel so great about himself, he'd seek out an equally fabulous mate. And guess what... That's exactly what happened. She later contacted me and said that conversation changed her life. She always focused on negatives, rather than looking at what was already great, or how to make a situation better.
I have found that helping people, encouraging them, educating them, and other positive actions are infinitely more successful than hoping they'll have some sort of "I'll prove him wrong" reverse psychology response.