If my doctor, the person I trust to monitor my health and raise flags when needed, did not mention my weight, I would find another doctor. Yes, doctors need to be tackful, especially with such a sensitive topic, but they also need to be truthful. While it's no fun to get the "talk", I usually leave the office with a renewed energy to get going on my weight loss. I'm never angry at my dr. She isn't the one putting food in my mouth, I am. I'm the one who decides if I'm going to exercise or not. When she notices that I have lost weight since my last visit, she congratulates and encourages me. If the scale moved in the wrong direction, she asks if I want her help - nutritional counseling, medication, etc. I know how to lose weight, just need to do it.
I don't know what exact words the dr used in this particular case, but he was right in pointing out her need to lose weight. I like how the article ends with the story of another patient who took his warning to heart and lost the weight.