this post was submitted on 11 May 2025
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[–] [email protected] 13 points 8 hours ago

shoutout to my current PCP for actually listening to my symptoms and (most importantly) when they started/worsened and treating them and/or the cause while also reminding me I still need to keep working on my weight

gonna miss her when I move towns :[

[–] [email protected] 18 points 9 hours ago (1 children)

quality rage bait πŸ‘πŸ‘πŸ‘

[–] [email protected] 3 points 3 hours ago

I'm not rage baiting, its a shitpost, in the community for shitposts.

[–] [email protected] 107 points 14 hours ago (9 children)

Got a lot to say but I'll keep it brief-ish. Corporations love unhealthy people. They will artificially celebrate this and reinforce unhealthy lifestyles. This extends beyond weight.

Once entrapped, escape is hard. Some are passive and depressed. Some are dismissive and defensive. No matter which cycle you are in, it's unhealthy.

I think smoking is bad like I think being overweight is bad. If a doctor says alcohol is killing you, it probably is. I don't think hatred is deserved, but don't expect any validation for those choices.

[–] [email protected] 20 points 12 hours ago

I am down 50+ pounds, and have another 20 to go. This is new to me, but I absolutely agree with everything you said.

[–] [email protected] 36 points 13 hours ago* (last edited 13 hours ago)

Surely no coincidence that being obese is a gateway to hyperconsumerism anyway. Sugary, fatty, processed snack foods are way more profitable than healthy meals.

Walking around town is free, can't have that. Sit at this computer chair, watch advertisements and play video games instead.

Heart disease at 26? That'll be $2k/month until you die.

Get depressed, buy the meds, never leave your couch, don't fight back, you're the evolution of humanity and - most of all - you are beautiful.

[–] [email protected] 20 points 13 hours ago* (last edited 12 hours ago) (6 children)

The meme isn't about that, I've read stories of some doctors refusing to perform surguries to overweight people, but other doctors doing the surgery anyway.

The same way a lot of women get told stuff is just from their period by doctors.

[–] [email protected] 51 points 12 hours ago

I'm a medical student and I have some direct experience with this. Sometimes, the difference between the surgeon who will do the procedure versus the surgeon that won't do the procedure is the availability of specialized facilities and equipment that they have access to. An elective surgery (i.e. not an emergency surgery) can go from routine to very high risk depending on the amount of adipose tissue the patient has.

And it's not just a matter of the fat tissue overlying the surgical site. Morbidly obese patients are much more likely to have things like sleep apnea which can make anesthesia more risky and might require more specialized equipment than a particular surgeon/hospital/anesthesiologist might have access to. The "morbid" part of "morbid obesity" also refers to the fact that people above a certain threshold of weight are much more likely to have other health conditions like heart disease that make anesthesia more risky.

[–] [email protected] 11 points 10 hours ago

Similarly - if you are trans and on HRT, every problem is due to your hormones.

[–] ChairmanMeow 32 points 12 hours ago (3 children)

The reason for that is that surgeons are rated based on their success percentages meaning they'll recommend against risky surgeries.

The upside of this is that surgeons aren't operating willy-nilly on people and will make a proper risk assessment. The downside is that overweight people have an inherently higher risk of complications from surgery, so some surgeons will pass.

It's not because they think these people don't need it, it's because they think it's too risky. They're usually not wrong about that, you just need to find a surgeon willing to take the risk or, if possible, reduce the risk by losing weight.

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[–] [email protected] 16 points 12 hours ago* (last edited 1 hour ago)

When talking about obese individuals, the fat very easily gets in the way of surgery. Compared to a healthy patient the risk of complications during surgery is much greater and really not worth chancing it (most if the time)

[–] [email protected] 19 points 13 hours ago (5 children)

Look. Shitty doctors exist, but when 1/3 of the US is overweight, there are underlying issues that need addressing. I only hear horror stories when an addict, alcoholic, or overweight individual in my life is feeling insecure or defensive about a prognosis. Too many people deflect and it's enabling a much larger issues. Our basic instincts are being exploited.

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[–] [email protected] 13 points 10 hours ago (2 children)

What part of the Hippocratic Oath does this refer to? If anything, the Oath specifies "us[ing] those dietary regimens which will benefit my patients according to my greatest ability and judgment".

[–] [email protected] -3 points 3 hours ago

This is a joke, in a community for jokes.

[–] [email protected] 5 points 8 hours ago

I heard Dr Mike saying the other day how we a doctor, prescription drugs suck. End of the day, they have serious risks vs benefit. But the one thing known to give you the benefit of drugs without the risk is lowering your weight. Like across the board it improves so many things. I don't envy doctors who know what the answer is but are told they're assholes for trying to help

[–] [email protected] 70 points 14 hours ago (11 children)

I can't blame doctors for letting obesity color their opinion. Look around your doctor's waiting room. Everyone is fat. Imagine the suffering and illness they see daily due to fat. How can those observations not color their general attitude?

[–] [email protected] 20 points 13 hours ago* (last edited 13 hours ago) (2 children)

Everyone is fat

Exactly, which points squarely at an environmental cause, not at individual sloth/gluttony or some shit like that.

The conclusion you're saying doctors arrive atβ€”which I don't doubt you're correct aboutβ€”is actually completely fucking backwards.

[–] [email protected] 51 points 13 hours ago (1 children)

Yeah but your doctor cant prescribe you burning down capitalism, they can prescribe you lower your caloric intake.

[–] [email protected] 21 points 12 hours ago (1 children)

Yeah but your doctor cant prescribe you burning down capitalism

Unless....

[–] [email protected] 19 points 10 hours ago

"Actually officer I have a prescription"

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[–] [email protected] 9 points 10 hours ago (5 children)

What harm is the doctor doing to fat people in your opinion?

[–] [email protected] 13 points 8 hours ago (4 children)

Isn't it well-known that doctors frequently dismiss health concerns with "have you tried losing weight?"

[–] [email protected] 5 points 2 hours ago

When you look at how strongly obesity correlates with everything from back- and knee pains to weakened immune response to sleep issues and cardiovascular disease...

When a severely obese person has any of the above, it's reasonable, scientifically backed diagnosis/prescription to say "these issues will probably go away by themselves if you lose weight". This is about treating the cause and not the symptoms: When severely obese people are heavily over-represented among those with a certain disease or problem, you can try treating the symptoms, but should expect that they return rather quickly.

Of course, there are cases where the issues come from something else, but no matter who goes to the doctor with health issues, their first response will be to try to treat the post probable cause.

[–] [email protected] 10 points 5 hours ago

Weight gain can turn a small thing into a bigger thing. A outpatient procedure is more likely to turn inpatient if the patient is over 300lbs.

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[–] [email protected] 20 points 10 hours ago (1 children)

People love to claim that doctors don't take fat patients seriously and complain when they tell them to loose weight.

In the Fediverse there are also some Nutjobs who will claim that being morbidly obese isn't unhealthy and that those doctors just don't have a clue if they think it is unhealthy

[–] [email protected] 11 points 9 hours ago

#loose

Fat people can lose weight. Loose people... are more fun I presume.

[–] [email protected] 2 points 6 hours ago (1 children)

There is a fat acceptance movement that says you can’t control your wight, and also the only healthy way to eat is to eat whatever you want whenever you want, and if doctors want to weigh their patients or inform them of the health risks of being overweight or not do operations where excess fat would create complications, the only possible explanation for any of that is fatphobia.

[–] [email protected] 1 points 2 hours ago

That's not what that is.

Its more just not going out of your way to be an asshole to fat people.

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