Ha! I LOVE this!
My last two PCPs were appallingly-arrogant fat shamers. I'd only go to the doctor every couple of years and only if I was very sick beyond what could be treated at a Minute Clinic (where you weren't weighed) or needed a prescription refilled. No routine annual shame-physicals for me.
I began to decline getting on the scale at the doctors office around 2005, perhaps earlier. (I believe a doctor only needs to look at a patient and follow the Goldilocks method: To Fat, Too Thin, Just Right. Does the precise number really matter?) The first PCP once stood by the scale, bent over, patted her thighs, whistled and said "C'mon, girl! C'mon! You can do it!" like I was a dog. Her staff froze gape mouthed. I paused for a moment, blushing with embarrassment, then pulled myself together, replied, "Arf! Arf!" and walked out the door.
Her default DX was that any and every malady I had was caused by fat. On statins I had every text-book classic side effect: liver enzymes off, muscle weakness and pain, glucose rising to pre-diabetes, aphasia, hair falling out and finally statin-induced full blown dementia (i was getting lost in my own neighborhood). "Are you sure this isn't from statins?" I asked. "Oh no, it's because of your obesity." I quit that doctor and statins a year or so before DS -- and all these things disappeared. (The DS immediately dropped cholesterol to normal level.)
My second PCP was just dreadful all the way around but I was finding it impossible to get another reputable PCP who was accepting new patients after the influx of new patents post-Obamacare. This one would refuse to TREAT anything because I was fat. When my A1C crept up, I asked for Metformin. She refused and told me she wouldn't talk to me about diabetes treatment until I lost weight. I had an incredibly stressful week due to a disastrous family reunion and suddenly was having episodes of auras and crippling headaches 3-5x a day and she wouldn't even see me for a week, then, when she noted my BP was sky high, I had to beg her for medicine to treat it. "It's against my better judgment to prescribe for someone who won't take care of themselves." The last time I saw her was two months later when I told her I was going to have the DS (she had never heard of it). She told me she didn't believe in WLS and that it wouldn't work for me. I asked her how many patients she had had with WLS. She had none.
My latest PCP is lovely but she never knew me fat. Who knows if she would have treated me the same.