Standardizing Differentials and Diagnosis There's a reason why the process to find differentials and diagnosis are standardized and systematic. My coworkers, friends, and I are tired of hearing obeasts claiming to have "rare condishuns" and crap like that. If you're a bariatric patient, yes we must make notes about your weight before your other problems in the differentials before the diagnoses. Stop telling clinicians to make notes saying that your problems are not weight-related because chances are your conditions are more than likely to be worsened by your weight. This is why we suggest weight loss to see if it helps alleviate any of your symptoms. You can say you are injured by other devices but chances are your obesity may affect your healing. Weight loss does help a lot and not eating like a pig helps too. No please don't tell me the "I don't eat over 500 calories." bullshit because if you don't eat that much, you wouldn't be morbidly obese in the first place even if you have hormonal problems. After all, why do we ask patients if they drink or smoke? If you are fat, we have to bring this up for not only for your wellbeing but also to uphold our integrity as healthcare workers. We'd rather have bariatric patients eat less and lose weight than to waste resources on bariatric surgery but nope! When bariatric patients get mad at us for "fat shaming" them, they do stupid shit like ordering medicine from "online pharmacies" and not know they could be consuming manufactured fake pills from Pakistan or go to Mexico for bariatric medicine because to them, they can get their supposed cures cheaper and faster than professional healthcare workers can for them. So yeah. If you're over 300 pounds, chances are your condishuns are obesity-related so we must go by the standardized healthcare processes in providing treatment plans for obeasts after finding their differentials and their diagnoses. Otherwise, we're not upholding our integrity as skilled healthcare workers who want to provide the best care.