Patient-blaming Stigma
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As you know, the pre-op process can be exhausting with so many appointments. In the country where I live, companies require us to produce medical certificates (MC) if you want to use your medical leave. Recently I had my visits to the dietitian and psychologist and since they are not doctors, they couldn't issue medical certificates. Instead, they gave me Excuse Chits with time stamps on it.
I've done this before (giving my company Excuse Chit in lieu of MC). At the time it was a visit to the physiotherapist. As I'd just broke my thumb around the same time, I think my company assumed my visit was related to the broken thumb and they gave me no issues about it.
This time around, however, my admin interrogated me as to why I couldn't produce any MC. They asked me what the purpose of my doc visits was (in front of everyone) to determine if I could claim medical leave. I may be overreacting, but I suspect that seeing the word 'dietitian' on the chit made them think that my visit was for weight loss and thus cannot be classified as medical need.
I hate that wanting to lose weight (especially when I'm clearly obese) is still considered an elective and somewhat for-vanity, instead of life-saving, must-do action. I think there's this mentality that obese people brought it upon themselves and that they should attempt to lose weight in their own time. Sigh.