Dave,
I definitely feel your pain. I've never had any major ills which is amazing for someone my age and my size, but when I've been forced to see a doctor, I always get the same thing, "you need to lose weight." And it's always said like I've never thought of that before and that if I just go home and turn the right switch it will just magically happen.

My current doctor is actually a former college classmate. She is terrific. I told her about my new woe expecting to get a lecture on the food pyramid. Instead, she was encouraging and said that science has a lot of catching up to do with effective weight loss. She told me to go for it and let her know how it was going because she wanted something to try for herself.

It's definitely a journey to find a doctor who not only treats your ills, but who tries to understand you as a unique person. Keep trying man...it's a pain but once you find the right doctor, you'll be happy you kept looking.
God bless,