#Medical Fatphobia

[genderqueerdykes]

to every medical professional ever who complains about how working with fat patients is "harder":

why the hell did you go into medicine thinking it would be easy? for anyone, in any case? why the hell did you go into medicine thinking it would be an "Easy" career choice?

you're literally there to prevent people from dying, falling sick, or becoming permanently injured. that's an extremely difficult job no matter who you're working with. someone who can't keep on enough weight to survive is just as "hard" to deal with as someone whose weight genuinely impacts their health. all health issues are complicated and thus "hard"

even treating a cold can be difficult when someone has autoimmune issues. people literally die from the flu every single year due to complications. medicine is not and will never be "easy". claiming that fat people are "harder" to work with is a bullshit excuse that isn't even true. there are "average" weight people out there who struggle with extremely intense health issues that are not "easy" to deal with.

skinny and "average" weight people still can deal with horrific and difficult health issues. skinny and "average" weight people can develop cancer. they can have diseased organs. they can have issues with their red and white blood cell count. they can have life threatening allergies. they can frequently need surgery for a variety of reasons

surgery will never be "easy" no matter who you're operating on. a simple or "easy" surgery is still difficult. blaming fat people for medicine being difficult is taking the coward's way out. fat people do not make practicing medicine any more difficult- it's an inherently difficult field to get into

if you seriously get into the medical field because you believe it will be "easy" you're an idiot. it doesn't matter if your patients are critically thin, average weight, or fat- all of their problems will be "hard" to deal with because human health is scary. even if someone is dealing with a less "difficult" issue it's still going to be hard. don't go into medicine if you want a free ride through life: you're the one who's wrong if you seriously thought medicine would be easy.

[aleatoryw]

i've started looking at weight and health the way i look at class and income and it really puts a lot of things into a new perspective.

let me explain: in america at least, the lower class have significantly worse health outcomes, even when accounting for other factors. just being poor is enough to make your overall health worse. we don't know that being fat makes your health directly worse, like the data just isn't there, but for a moment, pretend it does.

imagine going to the doctor with a health problem and the doctor looking at your chart and saying well, this problem will be less severe if you go up an income bracket. have you thought about becoming rich? it would really help. start by saving a little money every month.

ridiculous, right?? very few people successfully go from working class to rich, it just doesn't happen on a large scale in society. maybe for a time you pick up some overtime hours, spend a little beyond your means, and appear rich. but eventually you burn out, your car needs to be repaired, and you return to being working class.

we do have this data: only some people can successfully lose large amounts of weight, and only a tiny fraction of people who lose that weight actually keep it off for more than a year. telling people to lose weight for their health is just absurd because they almost certainly can't do it any more than they can double their income for their health.

and yet i see it everywhere. a little poster in my work breakroom tells me to improve my blood pressure by losing weight! a psa on the radio says you need to take care of your heart by losing weight! we can't even conclusively prove that weight is the cause rather than just correlated with a lot of these problems but here it is offered anyway: have you tried being rich?

[whatbigotspost]

Some good news! The AMA is getting on the right side of some important stuff this week:

I’m the first to bring out snide, “gender affirming care is GOOD?!?????” And “the BMI is racist, fatphobic junk science?!???? CALL THE PRESSES!!!!” comments but I’m taking a sec to acknowledge this is actually really, really good.

The AMA is the largest professional association of medical physicians and carries enormous sway and power. We need them to move the needle on this shit, even if it is frustrating they feel years behind.

[fatliberation]

hi, i'm a fat person who is just starting to learn to love and appreciate my body and i'm very new to the fat community and all that.

i was wondering if you could maybe explain the term ob*se and how it is a slur. i've never heard anything about it being a slur before(like i said, i'm very new here) and was wondering if you could tell me the origin and history of the word or mayy provide links to resources about it? i want to know more about fat history and how to support my community but i'm unsure of how to start

Welcome!

Obesity is recognized as a slur by fat communities because it's a stigmatizing term that medicalizes fat bodies, typically in the absence of disease. Aside from the word literally translating to "having eaten oneself fat" in latin, obesity (as a medical diagnosis) straight up doesn't actually exist. The only measure that we have to diagnose people with obesity is the BMI, which has been widely proven to be an ineffective measure of health.

The BMI was created in the 1800s by a statistician named Adolphe Quetelet, who did NOT sudy medicine, to gather statistics of the average height and weight of ONLY white, european, upper-middle class men to assist the government in allocating resources. It was never intended as a measure of individual body fat, build, or health. 

Quetelet is also credited with founding the field of anthropometry, including the racist pseudoscience of phrenology. Quetelet’s l’homme moyen would be used as a measurement of fitness to parent, and as a scientific justification for eugenics.

Studies have observed that about 30% of so-called "normal weight" people are "unhealthy" whereas about 50% of so-called "overweight" people are “healthy”. Thus, using the BMI as an indicator of health results in the misclassification of some 75 million people in the United States alone. "Healthy" lifestyle habits are associated with a significant decrease in mortality regardless of baseline body mass index.  

While epidemiologists use BMI to calculate national "obesity" rates, the distinctions can be arbitrary. In 1998, the National Institutes of Health lowered the overweight threshold from 27.8 to 25—branding roughly 29 million Americans as "overweight" overnight—to match international guidelines. Articles about the "obesity epidemic" often use this pseudo-statistic to create a false fear mongering rate at which the United States is becoming fatter. Critics have also noted that those guidelines were drafted in part by the International Obesity Task Force, whose two principal funders were companies making weight loss drugs. Interesting!!!

So... how can you diagnose a person with a disease (and sell them medications) solely based upon an outdated measure that was never meant to indicate health in the first place? Especially when "obesity” has no proven causative role in the onset of any chronic condition?

There is a reason as to why fatness was declared a disease by the NIH in 1998, and some of it had to do with acknowledging fatness as something that is NOT just about a lack of willpower - but that's a very complicated post for another time. You can learn more about it in the two part series of Maintenance Phase titled The Body Mass Index and The Obesity Epidemic.

Aside from being overtly incorrect as a medical tool, the BMI is used to deny certain medical treatments and gender-affirming care, as well insurance coverage. Employers still often offer bonuses to workers who lower their BMI. Although science recognizes the BMI as deeply flawed, it's going to be tough to get rid of. It has been a long standing and effective tool for the oppression of fat people and the profit of the weight loss industry.

More sources and extra reading material:

How the Use of BMI Fetishizes White Embodiment and Racializes Fat Phobia by Sabrina Strings

The Bizarre and Racist History of the BMI by Aubrey Gordon

The Racist and Problematic History of the Body Mass Index by Adele Jackson-Gibson

What's Wrong With The War on Obesity? by Lily O'Hara, et al.

Fearing The Black Body: The Racial Origins of Fat Phobia by Sabrina Strings

[thebibliosphere]

Man, fuck doctors sometimes. I was finally able to see a neurologist with the intent of figuring out why about a month or so after a surgery I suddenly couldn't stand or sit upright without lower back pain. Like, very, VERY suddenly this came on.

And they told me to try losing weight about it after giving me a once-over.

And when I directly asked them if I wasn't what sh considered 'overweight', would she order many tests? Yes, she said she would.

I -did- get to make her backpedal by explaining I had worked hard to gain weight since for most of my life I was extremely underweight due to neglect, at least.

All this to say I relate to your tylenol woes. May we both find the help we need soon.

Man, doctors have such sticks up their asses about weight. I'm so sorry that was your experience.

I remember when I first moved here, and I started seeing a new healthcare provider. My symptoms weren't as bad yet, but they were heading that way, and the advice they kept giving me was to "lose weight."

I was 125lbs soaking wet. If that.

When I dropped... gosh, I think it was 30, almost 40lbs in about 3 months last year, I actually had a nurse congratulate me on it. Like no, Deborah, that's a sign there is something very, very wrong. (spoiler alert, it was my mast cells burning down my GI tract.)

Fatphobia literally kills.

[foone]

me: doc! I'm feeling like shit. I've got nausea and dizziness, constipation and diarrhea, fatigue, and my blood sugar is all over the place.

doc: yep that looks like a hernia. we can fix that with surgery... but you're too fat. we're gonna put you on the miracle weight loss drug.

me: okay... any side-effects?

doc: yeah. it can cause: nausea and dizziness, constipation and diarrhea, fatigue, and mess with your blood sugar.

me: looks into the camera like I'm on the office

[goldyke]

LAP Bands should be illegal

This post is going to deal with medical fatphobia, weight loss surgery, coercion, emetophobia, food issues, disordered eating, and just all around bad shit. But it’s important.

Shortly after I reached adulthood, I was coerced into weight loss surgery. I weighed about 250 pounds and was considered morbidly obese.

The Lap Band is a disgrace to the medical profession and is just another example of how the medical profession does not care about the lives of fat people.

To preface this: the surgery works. I lost 70 pounds and people treated me differently and I hated them all for it.

The Lap Band made my life miserable. When it was filled, I could not eat until noon without getting stuck. Even then, getting stuck was always a risk. There was a strict diet to follow and you were supposed to be safe from that if you followed it. On top of that, there were rules for how you ate. One standard I saw was not to eat in bites larger than your fingernail. Can you see yourself doing that for a week, let alone years and years?

Getting stuck is a horror you can't imagine. The food lodges in the top of your stomach, blocking off your system. You continue to produce saliva and swallow it down. Slowly, the mucous in your saliva builds up. It feels like you're drowning. Eventually, you have to essentially throw it all up. A disgusting experience (and a mortifying one if you're in public.) The saliva is thick and ropy. This experience is often called "sliming" on the forums.

I became frightened of eating in public. In a way, I became frightened of food altogether. I knew something had to give the day I reacted to someone biting a hamburger in a tv show the way a regular person would react to a killer jumping out in a horror movie. I developed the disgusting and unhealthy habit of chewing and spitting out food. I completely lost my enjoyment of many foods I had previously enjoyed because of how problematic they were (I can no longer enjoy a chicken thigh for example.) I stopped eating meals and began grazing. I developed eating habits worse than the ones that "made me fat"

After 3 years, I had the band emptied of fluid, which significantly decreased, but did not stop, these problems. I regained the weight, and found it didn't bother me. (Along the way I discovered that my discomfort with my body had never been weight related)

I had my band removed after 6.5 years earlier this year. I am in a support group on facebook for victims of this malpractice. There are 5.6 thousand members, each with their own horror stories. Some of them cannot get the band removed because insurance will not cover the procedure, though they happily covered the band's placement. Some have tried to go through with removal but have had surgeons try to coerce them into getting a different weight-loss surgery instead of just removing it. Many have long-term damage from the band eroding the walls of their stomach or esophagus, or from the band adhering to multiple organs. Many of them had the band for 12-14 years, before removal because none of our doctors told us it needs to be removed within 10.

Many practices no longer perform Lap Band surgery and now believe it is unethical. The surgeon who removed my band still performs this surgery regularly.

A study performed in 2011 with 151 lap band patients, found that 22% of patients experienced minor complications and 39% experienced major complications. The person who coerced me into surgery actually experienced major complications and needed an emergency removal.

I experienced no serious complications. Everything I described above is considered normal. And It still drastically lowered my quality of life.

I don't know why I'm sharing this or who I'm sharing it for, but here I am. If you know anyone considering the lap band surgery, don't let them go through with it without knowing the truth. And please be kinder to your body than the medical profession wants you to be.

[lorax177]

Fun fatphobia fact of the day:

CMS/HCC is a way for insurance companies to estimate how much money a patient will cost to insure, based on the major problems they have.

This is my list of diagnoses.

I blacked out one of them because it is my intersex condition and has to do with my assigned gender, which I don't want to be associated with my online presence. Also, there are a few repeats because doctors will put in their own phrasing, so sometimes when I switch doctors, I get re-diagnosed with the same thing, with slightly different wording. It's also missing a few diagnoses i got as a kid, namely my autism and a comprehensive list of the specific learning disorders I have, because I didn't think they were relevant to a general practitioner and i didn't want them on my record for safety reasons. Anyways, you'll notice that there are several of them that have the aforementioned CMS/HCC label. Those are schizoaffective disorder, major depression (which is part of my sza,) and two counts of "morbid obesity". My adhd, which I need to take two different medications daily to treat sufficiently enough to function, is not labeled as a major disorder, but my size is. Twice!

You'll notice that nowhere on this list is any diagnosis that is supposedly related to my fatness. That is because, metabolically speaking, my health is perfect. My lipids, a1c, blood pressure, pulse, and o2 are all in the excellent range. I am not on any kind of medications for any of these, either. The fact that I have more body tissue than their ideal, which has no bearing on my actual health, is considered more important to address than my neurodevelopmental disorder that requires two expensive medications to treat. They think that I am more of a risk for them because of an imagined bogeyman of a diagnosis ("morbid obesity", aka being fat) than something which actually has real life functional and financial consequences (my severe combined type adhd). Or, for that matter, my ocd, which I needed intensive outpatient therapy for; my transgender identity, which has cost them thousands of dollars in hormones and surgery; my asthma, which requires two medications to treat; and my gerd, which requires one.

I'm not advocating for medical insurance companies to make it harder for people with these diagnoses to get treatment. I'm just pointing out that the medical system sees me as a drain on their resources specifically because of my weight rather than the diagnoses that actually cost them money (albeit with one exception). They think my adipose tissue, which is not causing me any health problems, is more important to note than most of my legitimate health problems.

That is medical fatphobia.

[ed-recovery-affirmations]

Sending all the love and support to fat chronically ill people who are told that all their health problems would disappear if they just lost weight. Sending all the love and support to fat people with physical disabilities who are told they wouldn't be disabled if they just lost weight. Sending all the love and support to fat people with any illness or physical disability who has been pushed to try diet and exercise regimens that are not safe for their health condition, and who are judged for not taking this advice.

ESPECIALLY sending love and support to fat people who have been given conflicting or dangerous information from the medical professionals who are supposed to be supporting them.

[enbywerewolf]

Originally posted April 18-22, 2022

The first comic is literally what a doctor said to me. The rest is paraphrased.

[fatphobiabusters]

so i have a question, recently my doctor has recommended i lose weight for some health reasons, if i choose to go with that and lose weight willingly, does that make me fatphobic?

I can't tell you what to do with your body. Those decisions are yours. Life is complicated and nuanced, and so is oppression. If a trans person willingly loses weight because that's the only way the bigoted medical system will allow them to have top surgery, does that make them fatphobic?

Ultimately, what matters to me most is ending fat people's systemic oppression. What an individual person decides to do with their body, I don't really have the energy to care about. All of my mental energy is going towards more important matters that I do have a say in, like ending the wage gap that fat people endure and supporting fat positive legislation.

So whether or not the decision you make is fatphobic, you have bodily autonomy. Now if you're doing this because you believe weight equals health, well, "weight equals health" is fatphobic rhetoric. If you decide to lose weight because you want to feel superior to fat people, yeah, I'd say that's probably fatphobic. But my lack of mental energy to dictate what someone should do with their body, plus how nuanced and unique every situation is, makes me want to answer this ask with a shrug ¯\_( ￣o￣ )_/¯

You do what you want to do. If someone had a terminal illness and was told they'd magically survive by losing weight, I don't think I could blame them for trying when they're in such a desperate situation. I think the more important question to ask yourself is "Will this actually improve my health? Or will this harm me?"

Some other good questions to ask yourself are:

"How permanent would this weight loss actually be?"

"Is my doctor telling me to lose weight as their only means of treatment for me? Did they even examine me? What quality of healthcare am I receiving?"

"Is it specifically weight loss that helps this condition? Or is it certain behaviors that help and happen to sometimes include weight loss as a side effect?"

"Is weight gain what caused this condition? Is the answer to the previous question scientifically proven, or is it correlation? Is weight gain actually a symptom?"

"What scientific research is my doctor using to justify their recommendation that I focus on weight loss? How long was the study conducted for? Are there conflicts of interest? Does this study contain validity errors?"

I hope these questions will help you with the decision-making process. Good luck

-Mod Worthy

[spacedocmom]

Doctor Beverly Crusher @SpaceDocMom I truly do not understand why so many doctors in your era seem to hate chronically ill patients so much, enough to body-shame them and/or refuse to diagnose them properly and/or treat them with any degree of consistent care. Why become a doctor only to not care? emojis: black heart, blue heart, masked 2:24 PM · Mar 15, 2024

[wither-is-suffering]

If one more fucking doctor looks at me and says starving is fine because I'm fat I'm going to kill someone

[fatliberation]

Did u have a post abt how ozempic doesnt work somewhere on here? Tryna find it rn.

I don't post a whole lot about o/zempic or w/egovy in depth because it's a (somewhat) triggering topic for me. my dad is a lobbyist for n/ovo n/ordisk and he has continued to try to get me to take his drug because I have a "disease" that needs to be "treated." we've gotten into countless fights over it. I'm not in a place where I have the emotional energy to post about it, but here are some podcasts on the subject I have listened to and trust:

but yes, in short: it doesn't work, not for weight loss at least. it's prescribed with a diet and exercise (when their marketing relies on the fact that diets don't work. funny.) it doesn't make fat people thin, but it does make you lose a small percentage of your body weight (about 5 percent) because it's an appetite supressant. supposedly you would have to be on the drug for the rest of your life to keep that 5% off, and it's only been tested for a few years so we really have no clue of the long-term effects, and capitalism loves dependance! the side effects are horrible and are often too unbearable for folks to continue the drug. complete loss of interest and joy in eating, nausea, diarrhea, vomiting, constipation, stomach pain, headache, dizziness, fatigue, even gallbladder and pancreas problems, gastroparesis, and blocked intestines. and there could be a risk of thyroid cancer.

[animefeminist]

Nagata Kabi and the Mundane Pain of Sickness; or, That Time My Body Broke and I Had To Figure Out How to Keep Going

Content Warnings: Discussion of disordered eating and trauma

For many queer, marginalized manga readers, the name Nagata Kabi rings an immediate bell. Whether it’s her first title, My Lesbian Experience with Loneliness, her Solo Exchange Diary duology, her musings on alcoholism and marriage in separate, consecutive entries, or most recently, My Pancreas Broke, but My Life Got Better, Nagata’s autobiographical works capture contemporary life with an unflinching honesty that has resonated across her audience. This is certainly true for myself and that last title. 

My Pancreas Broke, but My Life Got Better is a bit of a time capsule, capturing how it felt to be sick in Japan’s emergent COVID-19 pandemic. It’s a pandemic that I had a unique perspective of as I was living in Fukushima when, in March 2020, the country shut down. I would go on to live within that pandemic until I immigrated back to the United States on August 11, 2020, where I would be faced with the jarring dissonance between Japan’s health care system and America’s tendency towards capitalistic cruelty.

While a distinctly different view on the pandemic, Nagata Kabi’s sixth autobiographical entry resonates with my own story as it captures the confusion and mundane chaos of suddenly living in a society that seems to be falling apart at the seams. Simultaneously, it details what happens when your body breaks while the world is just… kind of falling apart. It’s a story—a true narrative—about what happens when your life falls apart and you can no longer escape 

That last bit is what this article is about: falling apart.

Read it at Anime Feminist!

[phleb0tomist]

medical weight discrimination is such a huge problem and it’s such bull. i’ve been skinny disabled and i’ve been fat disabled, and guess what. my physical health was literally better when i was 200 lbs, I had the most muscle in my life, and i could move easier. I’m thin now and i do NOT feel better, i have less muscle, and i literally miss being fat. random people in your life will tell you that your chronic illness would magically leave if you lost weight. kill them