Thursday, January 02, 2020

STOP Fact Shaming Me

One of the ways people in this country became so ignorant was by humoring people who decided that when they didn't like something, all they had to do was accuse the person who brought that fact to their attention of shaming them or ruining their self esteem (as if people don't even know the meaning of the word SELF), and that would make the factual person the bad guy. It worked very well following the 'don't dis me' and 'others own my self-esteem' period.

OBESE is a medical term. 


OBESE is a coded ICD diagnosis (2020 ICD-10-CM Diagnosis Code E66.9) Being obese increases your risk of diabetes, heart disease, stroke, arthritis and some cancers. If you are obese, losing even 5 to 10 percent of your weight can delay or prevent some of these diseases. Obesity comes in a variety of flavors that you can check out if you follow the link.

When your doctor tells you that you are obese, it is the same as him telling you that you are diabetic, hypertensive, depressed . . . He is NOT insulting or shaming you - he is doing his damned job. And when he says you need to lose weight and makes helpful suggestions, he is doing his fucking job and doing it fucking well. And the person who ignores that diagnosis and advice is non-compliant and deserves to be shamed if they are out somewhere running their mouth or fingers about how horrible it is for people to fat shame and for doctors to keep telling people how not to be fat. 



MY COMMENT in response to one of the don't fat shame fat people because they are beautiful, too status: 


But it makes you unhealthy so I won’t shame OR elevate it as a reasonable life choice.
I chose this picture because it closely resembles mine, 

sans ugly surgical scar, moles, and hemangiomas


 
















RESPONSE TO ME:
False, check out Intuitive Eating and Health at Every Size. Confusing weight for health is very slowly dying like thinking the bumps on a persons skull tells you meaningful medical information. You live in diet culture (every human does) and it has sadly led our medical establishment astray. There are tons of examples of medicine historically getting it wrong. Health is not determined by bmi. Be fat! Be fatter than 220 pounds! Be whatever your body naturally wants to be. You will not inherently be healthy just because of a bmi. Just like thinness doesn’t make you automatically healthy.

:::my guess is her group is probably a kissing cousin of the anti vaxxers::

My response there: 


I will stand behind my knowledge and opinion. My research (tens of thousands of cases) says weight is a high risk factor.
 Note: no one asked about my research or history in order to determine whether or not I might have a clue.

Then someone posts a picture of her fat gut and says she's healthier than many people her age (you know, that -- well, our worst candidate is better than mcconnell/trump, so let's just nominate our worst instead of working for our best argument). And insists her lab work is good. (Which it will be until it's bad because lab work tells you what is happening the day the specimen was taken, and routine lab work might predict a pattern that can help an informed healthcare provider advise you before it's too late. But your lab work TODAY doesn't necessarily mean you will be fine tomorrow. A clean x-ray of my arm doesn't tell you I won't have a fracture next year.)

And this was included in an otherwise more reasonable comment on the thread: However, the systematic dismissal of medical conditions and ailments due to weight in excess of "standards" is a true problem. Endless tales of people being told to lose weight and have their concerns dismissed is dangerous. Not even have tests and scans you would run on "lighter" people is negligent.

👆👆👆👆👆 Exactly what happens when doctors realize they are dealing with a non compliant, overly sensitive patient who will ignore their advice and totally stress themselves into another new diagnosis if s/he persists in advising them well. And I have LITERALLY had doctors sit in my office and cry after leaving patients who were in my hospital dying because the doctor had spent years telling those patients how they could save their own lives but they refused to listen or comply. People love to complain about the doctors making too much money and not fixing them, etc. and I have heard doctors say they feel guilty for taking the money of people who keep coming to them wanting them to find something new to blame their conditions on because they don't like the FUCKING TRUTH AND HOW THEY ARE MAKING IT WORSE.

In this meme afflicted society, it has become taboo (is the word taboo taboo now?) to even attempt to go deeper into the topic than the surface half-baked idea the meme maker wanted us to think about. The anti-critical-thinking hordes rush in to 'FACT SHAME' people like me and oh the irony people who fact shame people who they believe are fat shaming or slut shaming when we really don't care at all if those people are fat or sluts or fat sluts - we just want some honesty. 


If you WANT to be fat, a slut, or a fat slut, own it and don't be mad at the people who congratulate you on your success of being who you want to be. If you don't want to be those things but are despite your best effort to not be, know that what others think of you shouldn't affect how you think of yourself. I didn't want to be born with a disability, or to have the many diagnoses I collected throughout my life. And I certainly didn't want to pass those on to my kids and their kids . . .  Sometimes life just sucks and being angry with people who notice those sucky things in my life won't help anyone. 

Maybe people who sincerely wonder why other countries can have universal health care and we can’t should look at ALL OF THE COMPONENTS in the equation. Obesity is a significant risk factor and contributes to and/or complicates many diagnoses — all of which increases the cost of healthcare.

#FactsMatter #FatKills #UnpopularOpinions #IWillSayItEvenWhenNoOneElseWill

1 comment:

Chuck Larlham said...

Well said, Sandy... on both the obesity issue and the fact-denial issue. I particularly liked your blunt (and sometimes profane) approach and your dearth of medical jargon (except, of course, where nothing else says what you need to say). You did a great job of blending the two issues. Each of them supported and was an example for the other. Excellent!

JCPS BusGate