Room for Possibilities

I’m excited to announce that Integrative Medical Weight Management has moved to a larger space, one that creates room for new possibilities!

My new office is located inside the Lake City Professional Center, an historic two story red brick building that was originally an elementary school.

I can easily imagine children running down the halls, squealing with delight, learning and growing with each passing day.  It couldn’t be more perfect!

I believe that healthcare offices should be warm, inviting, comfortable, and inspiring.

Golden angel wings greet all who enter, and serve as a reminder of our power to take flight.

The large paned windows bring the trees and sunlight into the rooms and allow us to glimpse beyond our self-imposed limitations.

The warm, colorful walls hug the rooms, creating a safe space to gestate health.

And did I mention the spacious parking lot and ground floor access? 

If you want to see it for yourself, drop by for a cup of tea or filtered water.  Rest in the firm, comfortable chairs in the waiting room, where you can gaze at the angel wings and expand your vision of you and your health.


Finding Freedom from the Grip of Weight and Shame


Sally thought the shame and embarrassment she felt about her weight would never let her go to Hawaii or enjoy the oceanside sun and surf.

But then things changed…

The Grip of Shame

It is not unusual for those carrying extra pounds to carry something that feels even heavier than the weight they want to lose.

This something is not visible, yet it takes up more space than anything or anyone else in the room. It can be suffocating. And it can hold us back, even from simple joys.

What is this monstrous beast?

Discover More

Ditch the Resolution! A Practice for Making Real Progress with Your Weight & Health Goals

Watching our own New Year’s resolutions fizzle out is, to put it lightly, not fun.

As we reach January, we feel the freshness of a new year, filled with possibilities. As we do, we may be filled with hope or dread—or both. But we have hope!

Then the weeks go by and we skip our New Year’s resolutions here, make an exception there, find an excuse there, and before we know it we are so far off the bandwagon we give up.

It’s tough! Only 1 out of 8 people follow through on their New Year’s resolutions for any period of time. Even less last a year or longer.

The truth is, we’re tough on ourselves. We never even see the progress we’ve made year to year, or even month to month.

Progress is the goal of those who succeed. Small, realistic steps are how you summit mountains, and come out the other side a new person.


Rather than jumping into setting resolutions and goals, I recommend that you first take some time for reflection. Start your new year by looking back at the old year.Discover More

Philadelphia Freedom

“Did you climb the Rocky Steps?”

“Yes! The view at the top was awesome.”

It was the most asked question after my return from Philadelphia last week, where I attended the spring conference of the American Society of Bariatric Physicians (ASBP).

Made famous in the 1976 movie Rocky, the Rocky Steps are the 72 stone steps that lead up to the entrance of the Philadelphia Museum of Art. Tourists flock to them, reliving the journey from underdog to victor. Stopping at times to indulge in the view, their perspective growing wider and grander with each step.

Although our conferences are held in some great cities, I am rarely able to partake of the local sights. My days are jam-packed with learning from early morning until early evening, leaving barely enough time for dinner, meetings, and sleep.

But I got lucky in Philadelphia.

With some free time before my flight back to Seattle, I was able to view the museum’s renowned art collection and scale the iconic steps. Each step reminded me of the power we have to overcome our limitations—both real and imagined.

I thought about the limited perspective that so many have about weight, about the misconceptions and the stigma. I remembered how my heart hurt when one of the conference speakers reminded us that the characteristic that is most discriminated against in our country is weight.

I recalled the stories I’ve heard from people seeking medical care who are met with simple answers, or blame and shame, or both, when what they really need is accurate information delivered with respect and sensitivity. I saw the faces of those who want to be seen as a person with a medical issue, not as someone who is defective. I thought about how infrequently this is the case.

And my heart hurt even more.

Then it occurred to me:

I am in Philadelphia—the birthplace of American freedom.

Home of the Liberty Bell. The place where the Constitution was signed. A major hub of the Underground Railroad.

It has always been a gathering place for forward thinking people who simply won’t accept the unacceptable.

My mind flashed back to the conference that had just ended. With eagerness and excitement, we filled the conference rooms—all 600+ of us—learning, speaking, encouraging, sharing, welcoming newcomers.

We broke the conference attendance record, just as we have at the last several conferences. Now over 1800 strong, our organization is growing steadily. Step by step, we are climbing higher.

Yet still, there are not enough of us. We are only a fraction of what is needed.

We need more obesity medicine specialists. We need more primary care providers who can skillfully and sensitively address weight issues. We need all medical professionals to be educated about the complexities of weight so that every patient will receive guidance and feel accepted.

And we all need to demand this of our medical providers. Every single one of them, without exception.

This is the road to freedom. Freedom from bias. Freedom from discrimination. Freedom from stigma. Freedom to pursue health.

Just like those who came before us, we can no longer accept the unacceptable.

It is time for each of us to take our next step. As we do, our perspective will grow wider and grander.

I imagine that the view at the top is awesome.


Upcoming Engagements:
  • American Association of Physicians Assistants National Conference, May 18-22, 2019, Denver, CO
    How to Talk to Patients About Weight, co-presenting with Amy Ingersoll, PA-C
    The Art & Science of Prescribing Anti-Obesity Medications, co-presenting with Amy Ingersoll, PA-C
  • American Association of Nurse Practitioners National Conference, June 18-23, Indianapolis, IN
    How to Talk to Patients About Weight
    The Art & Science of Prescribing Anti-Obesity Medications
  • Alaska Nurse Practitioner Conference, Anchorage, Alaska, September 19-21
    How to Talk to Patients About Weight
    The Art & Science of Prescribing Anti-Obesity Medications
  • Association for Counseling Education & Supervision 2019 Conference,Seattle, WA, October 10-13
    Co-presenting with Katie Christensen, MA, LPCA, NCC
    Recognizing & Reducing Weight Bias in Counselor Education & Supervision
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