Posted on Monday, 5th January 2009 by Maritzia
OK, maybe I’m overstating the issue a bit. Not every fat person hates every doctor. But there’s a reason fat people tend to avoid going to the doctor. The Rotund had a very good post back in November, On Disrespecting Doctors that I highly recommend. Please read the comments as well, since you’ll find many examples of how fat people are treated by doctors (you can see my two cents there as well). Rampant weight bias in the health care field has been very well documented. If you want to learn more about it, you can check out this course that was designed specifically to combat weight bias.
For many overweight people, going to the doctor is just a nightmare. For many years, I never left a doctor’s office without tears in my eyes, usually tears of anger and frustration. I would go in with specific medical issues, and all I would get were lectures on my weight. No one seemed interested in the fact that I was sick, much less in figuring out why. Every problem was blamed on my weight.
And if you tried to explain to them that you didn’t eat as much as they thought or that you exercised regularly, you were usually accused of being a liar. It took me 25 years to get a diagnosis of fibromyalgia, and I still have to fight to get the thyroid dose I need in spite of the fact that I have flagrant symptoms of hypothyroidism.
So, if doctors don’t like how we talk about them? Honey, they’re lucky we’re not saying a lot worse. After the way so many of us have been treated over the years (or mistreated as the case may be) it’s no wonder that we have more adverse outcomes for serious illness than thin people. Traditionally, it’s been blamed on the fact that we’re fat.
But take a look at this article. It seems that if you adjust the dose of chemotherapy for ovarian cancer based on a woman’s weight, the outcome differences between fat and thin women disappear. It seems that if you figure out that fat women have more blood, so therefore need a higher dose of medication to match the same density in the bloodstream as thin women, that they actually get better at the same rate!
It seems to me that this should be self-evident. And yet when I’ve tried to talk to my doctor about trying higher doses of some meds because…well…I’m fat, I’ve been stonewalled and pretty much told I don’t know what I’m talking about. And yet they’ll give a higher dose to men because men are bigger!
Now before someone jumps down my throat, I know there’s more difference between treating men and women besides size/weight. But do your research. That’s the main reason for different dosing between the genders for years as most medical research used male subjects (that’s a topic for another day).
So, my point is this. Fat people have been treated shabbily by the medical profession for years. We’ve been considered lazy, non-compliant, nasty, and gross (those are actual words used to describe fat people in one of the aforementioned studies on weight bias). So if we consider doctors to be arrogant assholes, I guess we have our reasons.
Posted in Fat Acceptance | Comments (1)


