
Episode #14
What patients may be thinking but not saying
️This episode is sponsored by an unrestricted education grant from Eli Lilly Canada What a patient says in an obesity care conversation may not tell the whole story. In this episode, Dr. Roshan Abraham and Michelle McMillan explore what can sit beneath silence, hesitation or agreement, especially after past experiences with weight bias or stigma. They share practical ways clinicians can build trust, ask better questions and make follow-up feel safer. In this episode Why silence or hesitation may reflect mistrust, not disinterest How past weight bias can shape the next clinical conversation Why asking permission can help build trust How curiosity can uncover barriers a patient is experiencing Why agreement does not always mean a plan feels realistic How to make follow-up feel safer when treatment does not go as expected Why health, function and patient goals matter beyond the number on the scale Additional resources Canadian Adult Obesity Clinical Practice Guidelines https://utm.guru/us5rk Free course: Words Matter: The Consequences of Weight Bias and Stigmatizing Language https://utm.guru/us5rm Free course: Obesity Assessment Essentials https://utm.guru/us5rp Become a Certified Bariatric Educator Today’s conversation is a good reminder that obesity care takes knowledge, compassion and a commitment to reducing stigma. For healthcare professionals with experience in obesity care, Obesity Canada’s Certified Bariatric Educator exam is one way to have that knowledge recognized and stand out in the field. The next CBE exam takes place on November 28, 2026 and applications must be submitted by November 2 to be eligible to write. Learn more and apply: https://utm.guru/us5rG Enjoying the podcast? Support Scale Up Your Practice by: Sharing this episode with a colleague or team member Subscribing on your favourite podcast platform Leaving a review to help more listeners find the show Have a question or a topic you’d like us to cover? Email us at scaleuppod@obesitycanada.ca Disclosures This episode script was developed using NotebookLM to synthesize complex source materials into a structured educational format. The tool was used to analyze the Canadian Obesity Education Competencies (COECs) , the Obesity Canada Strategic Plan , and guest-specific research. Specific prompts were utilized to extract relevant learning objectives, map them to CanMEDS roles, and generate competency-based interview questions. While NotebookLM assisted in drafting the narrative arc and educational framework, all content has been reviewed, fact-checked, and refined by the podcast hosts and Obesity Canada's clinical experts. This ensures the script aligns with current Clinical Practice Guidelines and authentically represents the lived experience perspective.






