this post was submitted on 11 May 2025
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[–] [email protected] 177 points 2 months ago (16 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] 79 points 2 months ago* (last edited 2 months 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] 56 points 2 months ago* (last edited 2 months ago) (10 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] 97 points 2 months ago (3 children)

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] 20 points 2 months ago (1 children)

This is what I came to say but wasn't smart enough to put into words. There's a lot more factors than just being overweight of why a surgery can't be performed. For a while an issue at my hospital was we were one of the few in the area that could do MRIs on larger patients. So bigger hospitals would transfer these patients to us just for an MRI because their MRI machine was too small or couldn't handle the weight.

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[–] [email protected] 48 points 2 months 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] 37 points 2 months ago (17 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] 23 points 2 months ago* (last edited 2 months 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)

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[–] [email protected] 36 points 2 months ago (1 children)

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

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[–] [email protected] 106 points 2 months ago (2 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] 38 points 2 months ago* (last edited 2 months ago) (12 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 at—which I don't doubt you're correct about—is actually completely fucking backwards.

[–] [email protected] 81 points 2 months ago (1 children)

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

[–] [email protected] 33 points 2 months ago (1 children)

Yeah but your doctor cant prescribe you burning down capitalism

Unless....

[–] [email protected] 30 points 2 months ago

"Actually officer I have a prescription"

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[–] [email protected] 21 points 2 months ago* (last edited 2 months ago) (12 children)

Look around your doctor’s waiting room. Everyone is fat.

Lots of people are old and age correlates with weight gain. But the volleyball player who blew out her ACL isn't fat. Neither is the chemo patient who is back for a final round.

How can those observations not color their general attitude?

Doctor: "Feels like everyone I see is either sick or injured"

Nurse: "Try spending less time in the ER"

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[–] [email protected] 86 points 2 months ago (8 children)

Me: "I've tried everything I am physically capable of trying short of anorexia. Ive tried to walk. Ive tried lifting weights. I've even starved myself. 200 calories every other day for 3 months. Nothing works. I think I may have a legitimate medical issue"

Doctor: "Drink water and walk. Thatll be $250."

Me:

[–] [email protected] 163 points 2 months ago (5 children)

It's important to notice that while an underlying medical issue is certainly likely in your situation, and that's hard to work against... There's no physical way you were actually ingesting 200 daily calories and didn't lose weight.

This is beyond biology, it's physical. You were either consuming way more than that, or you were actually losing weight and just didn't notice. There's no alternative.

[–] [email protected] 71 points 2 months ago (15 children)

I mean they said every other day, if one day they get 200 and the next they get 5000 they ain't losing weight...

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[–] [email protected] 84 points 2 months ago (1 children)

200 calories every other day

Forgot to mention the 8000 calories on the alternating days but I’m sure that’s fine

[–] [email protected] 26 points 2 months ago (1 children)

Yeah, they tend to forget about those.

[–] [email protected] 31 points 2 months ago (1 children)

Mans thinks he broke the laws of conservation of mass and that's why he's still fat

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[–] [email protected] 55 points 2 months ago (2 children)

Have you tried not being fat?

reminder: shitpost

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[–] [email protected] 37 points 2 months ago (1 children)

quality rage bait 👏👏👏

[–] [email protected] 23 points 2 months ago (1 children)

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

[–] [email protected] 22 points 2 months ago

You sound distressed, you should lose some weight.

[–] [email protected] 30 points 2 months ago

I've had almost exclusively military doctors for nearly two decades, and I can tell you they aren't trying to respect your feelings (not that they're dicks). If your tests come back with high cholesterol, they aren't jumping to Lipitor or some shit, they'll refer you to a nutritionist and tell you to exercise more. They have no problems telling you that your health troubles come from that weight crushing your organs and joints.

And that's as a person in the military, who has to maintain a certain level if fitness to keep my job.

[–] [email protected] 29 points 2 months ago* (last edited 2 months ago) (1 children)

The patient is a women, in poverty, disabled, mentally ill…

Medical culture is unbelievably bigoted.

[–] [email protected] 33 points 2 months ago (6 children)

And all of that would be made worse if she was fat as well. Being fat is unhealthy. I was a medically obese child. 250lbs at 12. Losing 80lbs is one of the greatest changes I've ever made in my life, if not the best, for my daily quality of life.

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[–] [email protected] 25 points 2 months ago (3 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".

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[–] [email protected] 25 points 2 months ago (2 children)

Obesity is a disease, so it should be treated as such. It’s not more of a personal failure then getting lung cancer from smoking.

Yet tobacco companies are shamed and taxed, while the sellers of addictive junk foods and sugary waters are thrivingcand marketing for children.

And at the end, people are dying, and taxpayers are paying the cost for capitalist greed.

[–] [email protected] 29 points 2 months ago

There's a saying: "it's not your fault, but you are the only person who can solve it".

Only you can reduce your calories, only you can stop smoking and only you can quit alcohol. That's shitty that you have to, and in an ideal world it wouldn't be like this, but it is.

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[–] [email protected] 24 points 2 months 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] 23 points 2 months ago (2 children)

Or a mentally troubled patient. Or a black patient. Or a woman.

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[–] [email protected] 21 points 2 months ago (2 children)

Also if they're dentists (suddenly teeth become "bones to smile with").

[–] [email protected] 26 points 2 months ago (7 children)

You're going to need a root canal, not because its the best procedure for the job, but because its more expensive.

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[–] [email protected] 21 points 2 months ago (6 children)

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

[–] [email protected] 42 points 2 months 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] 18 points 2 months ago (1 children)

#loose

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

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[–] [email protected] 31 points 2 months ago (5 children)

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

[–] [email protected] 22 points 2 months ago (1 children)

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.

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[–] [email protected] 18 points 2 months 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] 19 points 2 months ago (5 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.

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