notobadthings:
thisisthinprivilege:
youveupsettits:
bigdeelight:
nudiemuse:
rainfelt:
thisisthinprivilege:
Hey, ever heard of somebody who just dropped dead of a heart attack suddenly, nobody thought they had anything wrong with them? Everybody thought they were perfectly healthy?
Know why they were never diagnosed with heart problems, never had a chance to get preventative treatments?
Fatphobia.
Medical anti-fat bias means that many thin people never get tested for cholesterol or other things that are indicative of heart disease, because many doctors think there’s no need to test them. Meanwhile, fatties with no history of any problems with these things get tested every single time. Often when they go in to see a doctor for something totally unrelated, doctors want a cholesterol check.
Because a correlation between fat and heart disease exists, some — too many — doctors assume that only fat people are likely to have it.
Fatphobia in medicine isn’t only killing fat people. It’s killing thin people, too.
-MG
Literally experienced this, thin privilege backfiring on me. My small fat roommate and I were the same age. We both went in for a physical at around the same time. She got a whole shitload of bloodwork that gave her cholesterol level, blood sugar, and told her about many vitamin deficiencies. I asked for the same, and was told my insurance wouldn’t cover it. I had better insurance than her.
I had to beg to get my b12 level tested, because my family has a history of depression and I’d heard there was a relationship, and my doctor kind of fudged a reason to check that and one other thing. Later, I got a bill, because my insurance refused to cover it.
Turned out my b12 was DANGEROUSLY low. I was well into the “psychiatric side effects” range. (I’d just gotten used to hiding in the bathroom and sobbing multiple times a week at work. I… don’t do that anymore.)
What other vitamins am I deficient in? I have no idea. I’m taking C and D and kind of hoping for the best.
Because fatphobia and healthism say that because I’m thin and relatively young, I can’t possibly be unhealthy.
Weight first treatment kills everyone
This is why I shy away from the doctor. Every single ailment I have is because I’m fat according to them. It hurts my feelings a lot. Maybe I’m just sick because I’m sick?
My doctor actually recently (two weeks ago) had the gall to try to diagnose me for sleep apnea and allergies (caused by the sleep apnea) because I made an appointment for a check up because I was sick, congested, and had a sore throat.
He gave me a prescription for fucking Zyrtec and told me I should get a sleep study done because my weight was likely the cause.
I went and got a second opinion from a local walk in clinic and turns out I had a fucking upper respiratory infection (caused by a virus) and it was on its way to becoming pneumonia. It had NOTHING to do with my weight.
I’m lucky I didn’t actually end up in the fucking hospital over it.
Yeah, you should let your doctor know that the one study that claimed to prove that fat physiologically caused sleep apnea turned out to have been falsified. The researcher admitted to it, retracted the study, and accepted censure. We’ve posted about it a couple of times now. The researcher’s name is Robert Fogel, and if you look around, you can find the official retraction. Maybe take that in to your doctor.
On the other hand, poor sleep does seem to cause weight gain, which suggests that for any correlation between fat and sleep apnea, the causation runs the other way.
-MG
The amount of fatshaming in medicine is ridiculous. I noticed during the very first year of my medical studies that doctors will try to pin everything on people being fat, including the flu or too thin hair. They will even say stuff like “but they weren’t even overweight????” when a person dies of heart failure as THE FIRST THING they can think of. They never say “but they didn’t even smoke” or “they didn’t even have high cholesterol”. They say “wait they weren’t fat why were they ill”
It gets even worse in Psychiatry. “Well if you lost weight maybe that would help the depression”, “I don’t understand why he’s still so unsure of himself. He lost about 40 pounds, he looks great.”
I have literally heard someone say to a rape victim “He chose you because he knew from your body type that you weren’t likely to outrun him.”
For decades, my mother-in-law had been a bit rounder than most women - mostly genetic, as many women in her family have been that way historically, and been perfectly healthy - but was experiencing a strange, seemingly randomly-occurring symptom of blood in her urine from time to time.
Doctor after doctor would look for the cause, but most fell back on some variation of her being overweight. Meanwhile, she continued steadily gaining weight, year after year, even though she ate less and less.
At the beginning of Thanksgiving week 2010, she went in for a checkup with her new primary care physician. They went over various things - like how tired and drained my mother-in-law felt, for a start - and as they were about to leave, the doctor had them drop off a blood sample, because she had a hunch and wanted to check something (creatinine levels, in case anyone is curious).
When they got home from the visit, the phone was ringing. It was the doctor.
“Good news! I know what your problem is. Bad news, your kidneys are failing. Go to the hospital now.”
Her kidneys had dropped below 10% function, the minimum for healthy living. It turned out, after extensive testing and a lucky incident, that she’d been having small, minor kidney infections for decades, which had been slowly chipping away at her kidney function - hence the ‘random’ blood in her urine.
Doctors had mostly just told her to lose weight and get more fit - when it reality, she was retaining water because her kidneys were slowly failing. She was otherwise completely asymptomatic for kidney failure.
The first week of dialysis, they extracted fifty pounds of water from her. It was agony to go through, but she felt amazingly better after that (wonder of wonders, a working faux-kidney, and she felt better? gasp).
But the fat-shaming didn’t stop there. Later, once we’d determined I could give her a kidney, her assigned transplant doctor’s first statement upon entering the room (she’d been previously instructed to lose weight to a certain point, to make the surgery safer, which she’d actually been doing just fine, if a tad slowly) was, “Your problem is portion control.”
At that point in time, she was eating no more than 800-1000 calories per day, and feeling full from that, but he didn’t believe that she was being truthful, and for the duration of the time she had to interact with him, he continually insisted she was eating too much. (She still eats less than everyone else in the house, and she’s the only one ‘classically’ overweight, though much less so than before the transplant).
By the time of the transplant, she was down to only 3% kidney function, despite dialysis six nights a week. Had this not been caught when it was, we probably would have lost her by then.
Thankfully, since giving her one of my kidneys, she’s been able to maintain a healthy weight and be more active, though she will always remain ‘rounder’ because of her genetics.
For years, doctors assumed all her problems were because she was overweight when, in fact, her being as overweight as she had been was a symptom of an underlying problem.
Unfriendly remind that ~25% of thin people have “obese” problems which leads to awful things, like has been said. If you’re thin, please be careful about believing doctors who just say, “you’re not overweight, so you’re fine!” b/c fatphobia is shit.
