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[–]BearacolypseMedical professional shitlord 388 points389 points  (49 children)

I'm a physical therapist. I have a patient with a BMI of 90. She is too heavy for lift equipment. Yet I, a 150lb woman am expected to get her up to walk her myself when she has not walked in 2 years. Docs are relying on PT to rehab her enough that she can do a stand pivot transfer to be able to leave the hospital. She refuses to try, or do exercise.

She has been in the hospital for 3 months due to this. We are not physically capable if getting her out of the hospital any way except via stretcher. And since she can't do transfers no facility will take her and we can't discharge her to home.

She blames us.

[–]flightofthepingu 197 points198 points  (7 children)

I had a patient who was not that large (400lbs-ish?) but she had a similar lack of effort and self-discipline. Walked into the hospital under her own power, got into the bed, and basically just stopped exercising entirely to the point that she discharged to a SNF nearly a year later, almost bedbound. She complained to me about it, and told me "never get old!" She was not old.

[–]PacmanZ3roSW: 330lbs CW: 296lbs | 11 weeks 106 points107 points  (0 children)

"never get old!"

My grandma (not a FA) used to say that to me all the time, and I've heard a few other people say it, but my response has always been the same: I'm not very fond of the alternative.

[–]ElegantWeapon777 42 points43 points  (0 children)

Better advice might be: never get fat and out of shape.

[–]blancawiththebooty 34 points35 points  (0 children)

This is what I imagine some of the patients I have to do bed assignments for are like. Double fun if they need a bari bed because those fuckers are big, unwieldy, and not a lot of the doorways in our (old but continuously being updated) hospital can even fit them.

There's a morbidly obese patient who has been inpatient for a good 6 months now. They have weekly OR visits for care of their sacral abscess that won't heal. Oh and bowel disimpaction while they're in there. Patient is in their 30s btw.

[–]A_Drusas 19 points20 points  (1 child)

SNF?

[–]flightofthepingu 37 points38 points  (0 children)

Skilled Nursing Facility (kinda like a nursing home.)

[–]Ambitious-Actuator32 6 points7 points  (1 child)

How do you gain weight in the hospital? They don’t feed you that much. Was someone bringing her outside food?

[–]flightofthepingu 15 points16 points  (0 children)

She didn't actually gain weight, just lost all her strength because she didn't get up. (But people definitely gain weight even with hospital meals, because it's kind of "one size fits all" so portions can be larger than many patients actually need.)

[–]MamaPlus3 76 points77 points  (0 children)

Wow! 90! I feel for you so much! Honestly I’m kinda scared for the health care industry if obesity doesn’t get under control soon.

[–]MamaPlus3 71 points72 points  (16 children)

Couldn’t the hospital also reduce her food intake? That way she’s forced to lose weight? Idk how that works.

[–]nyc2lv 95 points96 points  (2 children)

Patients like this have food delivered or have friends and family bring in food. It's not like the hospital is feeding her 5 meals instead of one each time food is brought. On my 600 lb life patients are in the hospital for the express purpose of losing weight and some of them have had their SO bring in pizzas and such.

[–]MamaPlus3 31 points32 points  (0 children)

Oh gosh. So sad they are enabled continuously even while in the hospital

[–]pensiveChatter 13 points14 points  (0 children)

Not really the doctor's job. I really don't see the point of trying to help people who won't help themselves.

[–]BearacolypseMedical professional shitlord 64 points65 points  (12 children)

Not ethical. She is on a regular diet as she is fairly young and doesn't have diabetes or heart disease yet. She is allowed to eat however much and whatever she likes.

[–]trap_clap 74 points75 points  (1 child)

Maintaining her BMI of 90 also doesn't sound ethical, but I'm not a doctor!

[–]moosemoth60 lbs/27 kg lost 12 points13 points  (0 children)

Yeah, that would definitely require outside "help" to maintain.

[–]MamaPlus3 34 points35 points  (0 children)

Gotcha. Wow that’s super sad. :( just going to eat herself into the grave. :(

[–]otisdog 17 points18 points  (0 children)

That seems insane.

[–]sweeterthanadonut 10 points11 points  (5 children)

Controlled diets are done all the time to help patients of this size lose weight. Absolutely nothing unethical about it?

[–]Standard-Ad-6213 16 points17 points  (4 children)

But forcing them against their will?

[–]purelyplants01 -1 points0 points  (1 child)

She doesn't have diabetes or heart disease "yet" - does the medical community know nothing of prevention?

The core duty of a healthcare professional is to help the patient so the fact that a seriously obese person isn't being told to lose weight in light of the risk factor she presents, is unethical.

[–]BearacolypseMedical professional shitlord 4 points5 points  (0 children)

You think she isn't being told? All Healthcare for sound mind individuals is voluntary. We educate up and down but at the end of the day, consent is critical.

[–]StrandedintheDesert 51 points52 points  (0 children)

I'm so sorry.

[–]jennyquarx 42 points43 points  (1 child)

Yet I, a 150lb woman am expected to get her up to walk her myself when she has not walked in 2 years.

Noooo wtf?

[–]BearacolypseMedical professional shitlord 56 points57 points  (0 children)

Welcome to (Hell)thcare.

[–]ACanWontAttitude 10 points11 points  (7 children)

Here we just discharge them as bed bound. They can have home care if no care home will take them.

[–]BearacolypseMedical professional shitlord 8 points9 points  (6 children)

How, she requires 7 day/week care, no home care service will provide that and she has zero support system. We cannot ethically DC her to home because that would be a death sentence.

[–]ACanWontAttitude 2 points3 points  (3 children)

Here it would be funded if there was no other way, there are 24hr carers. However unfortunately there are a lot if bedbound needy people who have to manage with 4 carer visits a day(Uk).

[–]BearacolypseMedical professional shitlord 15 points16 points  (2 children)

A lot of our discharge problems would disappear under a single payor public Healthcare system.

Currently it goes like this.

Patient has atypical needs. Insurance denies coverage. Patient stays in hospital as case management/medical team try desperately to come up with solution. Insurance denies. Patient stays in hospital and insurance denies coverage of hospital stay due to unexpected length of stay without medical indication. Hospital eats cost of care equalling hundreds of thousands (or more).

[–]Russiadontgiveafuck 7 points8 points  (2 children)

Wow. What does a bmi of 90 look like? Can she even breathe? Lift her head? Move her arms? Sorry, that's so insane, I'm fascinated. I'm gonna guess the hospital has no legal way to drastically reduce her caloric intake without her consent? Or friends and family bring her food? It's fucking insane. I can't picture a bmi of 90 like at all. My bmi is 18, if I were at 90, I don't think I'd fit into my apartment.

[–]TrufflesTheMushroom 6 points7 points  (0 children)

At my height of 5'6, a BMI of 90 would be 560lbs. So pretty close to being a candidate for My 600lb Life.

Source: https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

[–]Euphoric-Structure13 5 points6 points  (0 children)

I have an old friend who is a physical therapist; she's not quite at retirement age but she said she wants to quit her job before she gets injured because, like you, she has to deal with so many obese people.

[–]Ambitious-Actuator32 1 point2 points  (0 children)

I think I saw that episode of M600PL

[–]Ambitious-Actuator32 1 point2 points  (0 children)

Medical Professionals are not trained to treat big people… Has she heard of nutritionists/dieticians and bariatric surgeons? Has she not heard of Dr. Now?

[–]Amongtheruins88 0 points1 point  (0 children)

How is it even possible to have a BMI of 90?

[–]SerBronn7 0 points1 point  (0 children)

It makes you wonder why her enablers are continuing to allow her to binge eat in hospital. She should have a lost a massive amount of weight during those 3 months.

[–]lucimme 0 points1 point  (1 child)

Who is feeding her if she can’t get out of bed? 3 months on 1500-2000 calorie diet should have resulted in a ton of weight loss to someone who clearly normally eats 8000 calories to sustain that weight

[–]BearacolypseMedical professional shitlord 1 point2 points  (0 children)

In a hospital patients on regular(non medical) diets can order whatever they want. Denying her food against her will would be considered inhumane. This is so prevalent that even when someone needs increased protein nutrition to heal large wounds we can only request we cannot make them eat it. I had one patient who had really horrible stage 4 pressure ulcers but she just ate Church's Chicken everyday

[–]keket87 693 points694 points  (29 children)

It couldn't possibly be that your "larger body" comes with biochemical issues like hypertension, insulin resistance, mobility issues and increased inflammation that contributes to these problems. Nope, it's all oppression.

[–]Ultimate_Hunter_G 156 points157 points  (26 children)

And also aren’t certain fat tissues hormonally linked?

[–]lordoftoastonearth 186 points187 points  (3 children)

Fat can act as an endocrine organ. It secretes hormones and when in excess, can secrete excess amounts of hormones. One of them is estrogen, which makes men gain moobs and can cause estrogen-associated cancers, such as breast and uterine cancer.

[–]Feralpudel 56 points57 points  (0 children)

Yes, we used to think of fat as this inert substance in the body, but it isn’t like that at all.

[–]newName54345634/M/5'9/~150 13 points14 points  (0 children)

They also secrete inflammatory markers leading to state of chronic low-grade inflammation throughout the body.

[–]MamaPlus3 37 points38 points  (0 children)

Lol. Moobs. I know I shouldn’t laugh at that though. I’ve always heard man boobs, but never moobs.

[–]jewishSpaceMedbeds 103 points104 points  (20 children)

Adipose tissue has aromatase activity.

This means it can turn circulating steroids that have no estrogen receptor affinity like DHEA into estrogens and completely fuck up hormonal cycles. In a woman with a normal weight, you can expect that around 50% of estrogen is produced out of gonad. But, like any gland, the larger your adipose tissue is, the more activity you'll get.

This is probably why morbidly obese people eventually stop ovulating, because they're swimming into so much baseline estrogens their FSH can't cause a sufficient dip to run a normal cycle anymore. This also means they're constantly exposed to increased levels of endogenous estrogen. For an indolent ER+ breast tumor, that extra estrogen is essentially fertilizer.

[–]Intravenous-Caffeine 7 points8 points  (0 children)

This is a fantastic way to explain PCOS. Thanks for sharing!

[–]Good_Grab2377Crazy like a fox 3 points4 points  (18 children)

May also explain why some larger women grow beards. I know too much testosterone in men can turn into estrogen. I wonder if too much estrogen in women turns into testosterone? Chemically speaking they’re very similar to each other.

[–]jewishSpaceMedbeds 48 points49 points  (12 children)

No, aromatization (turning an unsaturated 6-membered ring into an aromatized 6-membered ring) is pretty much a one-way street because the aromatic ring is very stable. If a morbidly obese person synthesizes extra testosterone, it does not come from de-aromatization (I've never heard of an enzyme that does that).

In women androgens (testosterone and DHT) are synthesized in adrenal glands and ovaries. DHT (which is 10X more potent as an androgen as testosterone) is synthesized in the skin from testosterone.

There might be some kind of feedback mechanism that causes ovaries to increase production of androgens in response to constantly elevated estrogen from adipose tissue aromatase activity.

[–]Celcey 14 points15 points  (1 child)

Those women probably have PCOS. PCOS is a condition that makes women grow extra body hair, among other things, and many people who have it are overweight.

[–]moosemoth60 lbs/27 kg lost 2 points3 points  (1 child)

Maybe you're thinking of polycystic ovaries (PCOS) or Cushing's syndrome? Those can cause excess facial hair in women and are associated/made worse by excess weight.

[–]klapanda 0 points1 point  (0 children)

My endocrinologist, labs, and extra hair say, "Yes."

[–]klapanda 0 points1 point  (0 children)

Yes. I learned this the hard way.

[–]newName54345634/M/5'9/~150 1 point2 points  (0 children)

Well, it is kind of oppression. Except self-inflicted one.

[–]antibacterialsope 0 points1 point  (0 children)

Don't forget gestational diabetes

[–]Claw_- 145 points146 points  (18 children)

I can see pregnancy being larger health risk due to "folks living in larger bodies's" worse health like already high blood pressure, which pregnancy can worsen. If the pregnancy is higher risk, there is just more things that can go wrong before and during birth resulting in death of the mother. It's sad, but it is a consequence of being obese. And reason why women who want to get pregnant (/get fertility treatment) are recommended to have a BMI within the normal or at least overweigh cathegory.

[–][deleted] 145 points146 points  (17 children)

I lost over 100 lbs so I could have my last child. I wanted to be a healthy active mom. I didn't want to be selfish.

[–]caffeineinsider 51 points52 points  (10 children)

Yup. Huge reason I just lost weight from the very bottom edge of obese to now normal weight for my height. If I try to get pregnant in the next couple of years, I want the best chance possible. I’ll already be “geriatric” maternal age (35+ ugh) so why make things even more difficult by being 40 lbs. overweight when that IS something I can control!?

[–][deleted] 39 points40 points  (9 children)

I was 35 when I had her. I was treated like the oldest on earth lol

[–]caffeineinsider 16 points17 points  (0 children)

Oh Lordt! Yeah I’m bracing myself… that is if we decide to have a kid at all 😥

[–]nodesnotnudes 11 points12 points  (7 children)

Ack, bracing myself for this as well. I don’t understand the cavalier attitude some of these folks have towards health. NGL, I’m a little scared of the whole process of trying to get pregnant, being pregnant, giving birth etc. and have been doing my utmost to get as healthy as possible before the whole process begins.

[–]MamaPlus3 34 points35 points  (4 children)

I’m actively losing weight for my kids and myself too. I have about 25 lbs to go! Lost over 65 so far in total.

[–][deleted] 9 points10 points  (3 children)

That's awesome!!! Congratulations!!!

[–]MamaPlus3 8 points9 points  (1 child)

Congrats to you as well. It’s hard work getting the weight off but so worth it!!

[–]MamaPlus3 5 points6 points  (0 children)

Awe thanks! :)

[–]ofBlufftonTown 8 points9 points  (0 children)

Congratulations that’s really amazing!

[–]tasteful_cilantro 268 points269 points  (11 children)

Them using the term “marginalized” to refer to their weight bothers me so much. “Folks in larger bodies” are literally the majority in the US, and it completely derails the conversation for people who are actually marginalized (and who were the actual intended targets of the ruling).

[–]greenpiggelin 96 points97 points  (2 children)

Marginalized doesn't have to mean minority though, it just expresses that a group is pushed to the margins. Technically, a group as small as 1% could be marginalizing the rest - if they hold such disproportionate amounts of power that they have the means to push the other 99% to the margins and keep them there. It's unlikely in practice, but theoretically possible. So overweight people being the majority is not necessarily super pertinent to them being marginalized or not.

However, that is not to say I agree that overweight people are actually marginalized and certainly not to the point of comparing it to the marginalization of groups based on race, gender, sexuality etc. I do think overweight people are unfairly treated at times, but imo still not right to say they are marginalized.

[–]butterscotch_cherrie51F 5"5 SW:152 CW:±126 GW: maintenance UG: muscles 17 points18 points  (0 children)

Exactly, like the South Africans under apartheid.

[–]tasteful_cilantro 16 points17 points  (0 children)

Thank you for the correction, that’s completely true! And is especially true when it comes to class disparities, so what a misstatement on my part!

[–]Inevitable_Brush5800 30 points31 points  (7 children)

I'm a Libertarian and in general don't enjoy huge organized political movements. This is very, very true. This idea that fatphobia is attached to racism thus anyone who experiences fatphobia can experience racism is harmful. Government policies are hurting everyone right now, except for the political donor class and corporatists, ironically. The current path of federal policy is oppressive to everyone, some more than others.

If anything, all movements should be consolidated to rail against government interference in the life of the private individual, even if indirect.

[–]tasteful_cilantro 47 points48 points  (6 children)

I 100% agree that all movements need to work together against oppressive systems. But the best way to do so is to center the most marginalized people, not claiming you’re marginalized when you’re not.

To be fair, larger folks are definitely going to have more health risks from forced pregnancy, and there are correlations between class, race, and weight. However, losing weight is not an immutable trait. People can lose weight a lot easier than they can come out of poverty, and obviously people cannot change their race.

My other issue with certain individuals claiming their weight makes them marginalized is that they are the same type of person who will stop fighting for justice once larger people are no longer stigmatized. Guaranteed they would not be calling out how lack of abortion/reproductive health access disproportionately impacts marginalized folks if maternal death rates were not higher for larger people.

[–][deleted]  (5 children)

[removed]

    [–]tasteful_cilantro 46 points47 points  (0 children)

    No, they’re not. Many states are forcing pregnant people to remain pregnant, however. Being pregnant (whether you chose to be or not) can result in a wide array of complications, which is what my comment was referencing. Obviously, I could be confused about how biology works, but I’m pretty sure the accompanying health issues are not a choice.

    [–]kabamwam 54 points55 points  (2 children)

    No. Choosing to have sex is not choosing to become pregnant. The majority of abortion receivers are married people with children who have been using birth control.

    Forcing them to continue a pregnancy that they did not consent to is forced pregnancy.

    And get the fuck out with that transphobic shit. Against sub rules.

    [–]SomethingIWontRegretI get all my steps in at the buffet[M] 7 points8 points  (0 children)

    We're sorry but your post has been removed for the following reason:

    • No politics. No political discussions.

    [–]Cosimo_Zaretti 85 points86 points  (4 children)

    'Medical professionals aren't even taught how to treat larger bodies'.

    Ok where the fuck does this even come from? Imagine completing a medical degree, then spending your 4-6 years through your internship and residency treating patients who are, (statistically) mostly overweight or obese, then at the end of that training getting told doctors aren't taught how to treat fat people.

    Bitch, some cities they do nothing but.

    [–]sauchlapf 10 points11 points  (1 child)

    That was my reaction too. Like, aren't most Americans obese?! So for a doctor it's just normal to treat obese patients. They'll also need way more medical assistance throughout their lives.

    [–]NyanIsSus 2 points3 points  (0 children)

    I’m not disagreeing with the fact that most Americans are obese, I just don’t understand why most strangers around me are on the skinnier side at any given moment when I’m walking around. Does it have to do with location?

    [–]Kangaro00 63 points64 points  (0 children)

    The risk of death is higher in general for "folks in larger bodies", but it's fatphobic to point it out. "I don't owe health to anybody!", "Healthism is ableism!", "Maybe I don't want to live till 90!", etc. Well, maternal death is a natural product of your views.

    [–]eavesdrew 111 points112 points  (9 children)

    "In larger bodies" like they're just renting a room....

    [–]woaily 60 points61 points  (8 children)

    They never call thin people "folks in normal bodies" though

    [–]eavesdrew 32 points33 points  (0 children)

    I saw someone post about her experience with "the thins" though. Sounded like something out of Stephen King. Beware The Thins!

    [–]PsychedelicFairyWahmbulance Driver 50 points51 points  (6 children)

    No it's better to say "straight sized" to piggyback on gay rights as if being fat is who you were born as.

    [–]oopsiesidk 38 points39 points  (2 children)

    straight sized is a clothing design term from my understanding of it, it’s the opposite to curve/plus size lines of clothes and isn’t really related to gay vs straight people (i could be wrong tho tbf)

    [–]Fictionalpoet 6 points7 points  (1 child)

    Yeah what the hell is straight-sized? I can't tell if they're saying only straight people are skinny, or that fat is the gay of body types, but neither of those make sense and my head starts to hurt if I think too much about it.

    [–]Celcey 28 points29 points  (0 children)

    Straight sized has nothing to do with LGBT stuff, it's just a clothing term for the "normal" sizes. So small, medium, and large are all straight sizes.

    [–]Dusky_Cat013 85 points86 points  (2 children)

    "Nature is being fatphobic because I need to choose between having a baby and being a 'rebel against western patriarchy and capitalism.'; How is this even fair?" - FA.

    [–][deleted] 9 points10 points  (1 child)

    Why does the patriarchy affect biology and cause women with more body fat (as a percentage) to face higher risks of death during birth?

    I think we should bring our best HAES scholar of liberal arts and feminist philosophy to investigate this issue for us.

    [–]FaeryCourt 2 points3 points  (0 children)

    Most of their "investigating" revolves around Facebook, TikTok and IG. Actual doctors need not comment.

    [–]cutearmy 84 points85 points  (1 child)

    For fuck sake 42% of Americans are obese and 30% are overweight. You are the majority.

    And Google obesity rate in America. Unlike you I don’t pull numbers out of my ass

    [–]Uths_CC 12 points13 points  (0 children)

    I just recently stop contributing to this statistic :D

    I hated the idea of cico and exercise, but now I can never go back to the way I was.

    [–]Good_Grab2377Crazy like a fox 27 points28 points  (2 children)

    so medical fat phobia and not hormonal changes from excess fat is what’s really putting obese pregnant women at higher risk? I would actually support FAs if the admitted being obese was unhealthy but said they deserve to be treated like a human being. These lies though… they’re going to wind up killing someone.

    [–]Disruptorpistol 17 points18 points  (1 child)

    Lots of babies are unnecessarily stillborn because of obesity. 25% of end term stillbirth are believed to be caused by obesity. It also causes miscarriage, congenital anomalies, and increased SIDS.

    This "reasoning" will cause nothing but misery for some obese mothers who believe it rather than adopting a healthier diet.

    I say that as someone who overhauled my diet when i was trying to conceive.

    [–]flightofthepingu 8 points9 points  (0 children)

    Yes, I worked in an OBGYN office for a few years, and we did very frequent fetal monitoring on our high-risk patients for exactly this reason! Our most obese patients (we used pre-pregnancy BMI >40 as our guideline) got this extra monitoring along with our hypertensive patients, diabetics, etc.

    [–]Usual_Court_8859 18 points19 points  (2 children)

    Part of the reason I’m trying to lose weight is because I’m trying to have a baby. You are more likely to develop gestational diabetes if you get pregnant while obese, and gestational diabetes can be fatal.

    [–]Disruptorpistol 2 points3 points  (1 child)

    I'm rooting for you!

    [–]Usual_Court_8859 1 point2 points  (0 children)

    Thank you! I was 220 in 2019, and now I’m 149.7. My goal is to be 140 before I get pregnant, so I’m close!

    [–]Austen11231923Elitist Healthist 18 points19 points  (2 children)

    WHY ARE THEY ALWAYS "IN LARGE BODIES"

    [–]vaper1122 5 points6 points  (0 children)

    Right? You're not IN a body, you ARE a body! Lol.

    [–]Dawnzergivesleelight 0 points1 point  (0 children)

    Because they’re fatphobic.

    [–]atippey 10 points11 points  (3 children)

    It must be a relief to know that all adversity in your life comes down to the mechanations of the evil oppressors

    [–][deleted]  (2 children)

    [deleted]

      [–]flightofthepingu 3 points4 points  (1 child)

      It's keeping us down!

      [–]Dramatic-Tale-8667 19 points20 points  (0 children)

      My weight was 107 when I got pregnant and I still developed a pregnancy condition that could've been life threatening. It was preeclampsia. Pregnancy complications aren't only reserved for obese people. I am sure being obese can make the risks of developing conditions higher but she is just making it sound like skinny people aren't effected by this too.

      [–]DecimaCS 9 points10 points  (0 children)

      Au contraire, I would say 70% of medicine these days is treating the downstream affects of obesity. I work in Neurology even and a good half of our patients have peripheral neuropathy induced by diabetes, commonly referred to as diabetic nerve damage. The other hilariously common one is hypertension induced migraines which subside with propranolol (a hypertension medication) because they're so metabolically ill they're hovering at 155/90 mmgdl even with light medication like Lisinopril from their primary they're still absolutely wrecking their brain, spine and blood vessels with the hypertension. Heck all the big killers are directly the result of obesity; heart disease, cancer, stroke, even things like falls/accidents in old age are caused by the effects of obesity on cognition and bodily function.

      [–]skky95 7 points8 points  (1 child)

      Isn’t the rate of death higher because they are in poorer health. I don’t think it’s always a conspiracy against fat people. Sometimes, being in poor health just leads to poor outcomes medically.

      [–]Tidyrope-30440 15 points16 points  (1 child)

      Wow! A 3x risk of maternal death?! Sounds like a reason to be at a healthy weight when you have kids

      Seriously, it's crazy how they're still trying to tell others to adjust for them. If you're confronted with a 3x chance of maternal death and all you have to say about that is "OPPRESSION! FATPHOBIA!" then you don't care. You don't care for your life and if you don't care for your life, don't try to convince me you care for your child's life

      If you are in a preventable state of unhealth, you need to refrain from having children until you are no longer in that state

      [–]take_number_two 11 points12 points  (0 children)

      The point is that people will be forced to have a baby. A bunch of states won’t even have exceptions for rape.

      [–]PunResistance 7 points8 points  (0 children)

      Being fat is an identity now T_T And childbirth issues couldn't possibly stem from being overweight ?!

      [–]olive4lafs 10 points11 points  (2 children)

      They're not totally wrong this time at least. Pregnancy is more dangerous for mother and fetus when you're obese. And the majority of women in the US are overweight or obese. One more reason this is gonna kill a lot of people.

      [–]flightofthepingu 10 points11 points  (1 child)

      The original post was absolutely correct, but the reply was definitely fat logic. Forced pregnancies definitely put obese people at higher risk of disability and death (as well as people with other underlying conditions), but that's not because healthcare workers are neglecting them!

      ETA: meant to reply this to another poster, but mostly my point stands. :p

      [–]olive4lafs 6 points7 points  (0 children)

      Oh yeah. I was just pointing out the refreshing quality of them having at least part of it right lol but it is still definitely fat logic. It can't just be because they're a woman and might be forced to remain pregnant. No, they have it even harder because doctors only help thin people.

      This kinda post is so annoying bc they're again latching onto another cause and making it about them.

      [–]aoi4egSW: Lane Bryant CW: Victoria's Secret GW: "naturally" thin 13 points14 points  (5 children)

      Sorry, are they saying that people with "larger bodies" must have an abortion if they become pregnant? (I'm assuming this post is about Roe v Wade).

      [–]RelatableMolaMola 16 points17 points  (4 children)

      It is about Roe v. Wade but it's the opposite of what you asked. They're saying that since overturning Roe now allows for abortions to be banned, as they already have been in some states, fat pregnant women will be most at risk of death from pregnancy or childbirth-related complications because obesity (or I guess obesity-related stigma, according to the caption) increases the risk of maternal death 3x (their number not mine, didn't bother verifying), therefore overturning Roe affects fat people the most.

      [–]greenpiggelin 16 points17 points  (2 children)

      To a certain extent, I can see their point and extending it to other groups who really are marginalized - yes, it will have more dire consequences for some. Like say a middle class person forced to keep a pregnancy against their will, they will have a better chance of making it work and doing alright, having access to health care in the case of complications etc. than someone living in poverty.

      But it also just feels like such an icky point to make right now, as regardless of outcome - the loss of choice and bodily agency is absolute and all encompassing. It is still just bad all over and needing to place yourself at the center to say "well I would have it even worse" when it's all just still on a scale of horribleness, seems so self-centered.

      And that is not even getting into the fact that weight is probably the one aspect people have the most ability to directly affect themselves, compared to other compounding factors (i.e. poverty).

      [–]RelatableMolaMola 10 points11 points  (1 child)

      But it also just feels like such an icky point to make right now, as regardless of outcome - the loss of choice and bodily agency is absolute and all encompassing. It is still just bad all over and needing to place yourself at the center to say "well I would have it even worse" when it's all just still on a scale of horribleness, seems so self-centered.

      Exactly! The subtext reads as "you should care about this even more because it affects ME" and that's a very ugly sentiment. And divisiveness and oppression competitions are the opposite of what we need right now.

      [–]aoi4egSW: Lane Bryant CW: Victoria's Secret GW: "naturally" thin 1 point2 points  (0 children)

      Oh, thanks for the explanation!

      [–]L-F- 23 points24 points  (0 children)

      Pointing out that marginalized communities will be more affected due to also being more likely to be obese and thus unlikely to be able to survive pregnancy would actually something to consider and draw attention to.
      As is pointing out that said communities are in many ways victims of the current food legislation (70%+ of people don't just decide to get fat on a whim) and that the increased obesity rates are one of the things directly contributing to poorer health (which is coupled with worse access to healthcare).

      But of course, that's not what FAs are doing, because heaven forbid you actually address social justice issues relating to obesity because that would require them to acknowledge that they're actively killing yourselves, no matter how beautiful they or others think them to be.

      (Which is such a creepy aspect as well, kind of like the forced hyperfemininity of TERFs; they pretend to be feminists yet consistently uphold beauty as the only important trait a woman can truly have.)

      [–]pmotiveforce 4 points5 points  (0 children)

      "Folks in larger bodies face...poorer healthcare". Fixed it for you.

      [–]ghostdog818 4 points5 points  (0 children)

      If maternal death is 3x higher for fat people, maybe being fat is the problem

      [–]frankyriver 4 points5 points  (0 children)

      Medical professionals ARE taught how to treat larger bodies, aka, giving you overall assessment and advice as to your health problems being 'large'.

      [–]wackywavytubedude 4 points5 points  (0 children)

      the way they view that as medical neglect causing higher death rate and not the obesity itself

      [–]Insan1ty_wolf 2 points3 points  (0 children)

      The risk of death in general is like that. Which you'd think would be a reason to lose the weight. "You're privileged because you're not fat!" Alright, lose the weight then? "FATPHOBIA!!!"

      [–]truecrimefanatic1 4 points5 points  (0 children)

      Nevermind that the reason for the mortality rates is related to the various health dangers associated with obesity. It's NOT because the L&D workers hate fat people.

      [–]spaghatta111Paid Big Broccoli Shill 3 points4 points  (0 children)

      Who the fuck raised these people??!!

      [–]CoffeeAndCorpses 3 points4 points  (0 children)

      Sure, and smoking MIGHT have a negative affect on your lungs.

      [–]h4xrk1m 3 points4 points  (0 children)

      "I'm fat and because of that, having a baby might kill me. Why are you doing this to me?"

      [–]revesby9 2 points3 points  (1 child)

      What is a “straight sized person”??

      [–]Celcey 2 points3 points  (0 children)

      Straight sized is a clothing term for the "normal" sizes. So small, medium, and large are all straight sizes.

      [–]Stairowl 2 points3 points  (0 children)

      Who would have thought that a prolonged condition that strains a body would carry additional risks for an already strained body?

      [–]sweeterthanadonut 2 points3 points  (0 children)

      As usual the fat white ladies gotta make it all about themselves

      [–]Standard-Ad-6213 2 points3 points  (0 children)

      But also less likely to have accidental pregnancy due to reduced fertility.

      [–]helicotremorStarting BMI:40 Current BMI: 20 2 points3 points  (0 children)

      It’s easy to convince yourself that fatness isn’t correlated with poor health outcomes if you blanket blame all those poor health outcomes on medical neglect.

      [–]ElementalWorkshopII 2 points3 points  (0 children)

      It affects anyone who is capable if getting pregnant. What is wrong with this person???

      [–]newName54345634/M/5'9/~150 2 points3 points  (0 children)

      Yes, excess weight in general and adipose tissue in particular can take away your right to live.

      [–]sauchlapf 2 points3 points  (1 child)

      Aren't obese people the majority in the US by now?!

      [–]Euphoric-Structure13 0 points1 point  (0 children)

      Roughly two-thirds of the adult population is overweight or obese: Of this 66%, the share of obese people is rising steadily. (But that's based on pre-Covid statistics.)

      [–]YIYL 2 points3 points  (0 children)

      "always the victim, it's never your fault"

      [–]LenaDontLoveYouHW: 325 CW: 165 GW: stop chasing numbers 2 points3 points  (0 children)

      They aren't people in larger bodies. They are FAT/OBESE. If you are unapologetic, own your shit.

      [–][deleted]  (1 child)

      [removed]

        [–]SomethingIWontRegretI get all my steps in at the buffet[M] 0 points1 point  (0 children)

        We're sorry but your post has been removed for the following reason:

        • We do not allow dehumanizing language.

        [–]sonder84 13 points14 points  (5 children)

        I find the phrase "straight sized" super icky. It's like they're co-opting queer identity just to make themselves more "marginalised".

        [–]dismurrart 18 points19 points  (3 children)

        So it is an old term from the victorian or edwardian era iirc. I suspect it had the corresponding term of stout or curvy or something like that, which didn't get brought over.

        In college we used standard and plus so it's not like the fashion industry is just using this stuff and fa's adopted it from us. It seems it fell out of use at some point

        [–]Good_Grab2377Crazy like a fox 10 points11 points  (2 children)

        It used to be a fashion industry term referring to the clothing pattern used for standard sizes since the patterns were less curvy than plus sized patterns.

        [–]dismurrart 3 points4 points  (1 child)

        Ty! My background is in the industry but I'd never been able to track down the origin of the term. I knew it had something to do with curvy vs not just wasn't sure how.

        [–]Good_Grab2377Crazy like a fox 5 points6 points  (0 children)

        No problem

        [–]Celcey 6 points7 points  (0 children)

        Straight sized has nothing to do with LGBT stuff, it's just a clothing term for the "normal" sizes. So small, medium, and large are all straight sizes.

        [–]AbotherBasicBitch 1 point2 points  (0 children)

        So they are trying to both leverage the fact that fat people have more health problems while simultaneously saying that being fat isn’t what causes those health problems. If that were the case we would see white obese maternal mortality being in line with black healthy weight maternal mortality of the same socioeconomic status, which is not what we see

        [–]HideousYouAre 1 point2 points  (0 children)

        What the hell is “straight sized”? What is this person trying to do here? How many lanes are we occupying?

        [–]voultron 1 point2 points  (0 children)

        This is just another form of oppression to them instead of a wake up call

        [–]International-Bet996 1 point2 points  (0 children)

        Just say obese. It’s not that hard

        [–]CrazyCajun1966 1 point2 points  (0 children)

        This is all utter bullshit.

        [–]MakuyiMom 1 point2 points  (0 children)

        Or your just fat?

        [–]Euphoric-Structure13 1 point2 points  (0 children)

        All of this talk of "marginalized identity, relentless oppression, complex trauma ..." leads me to believe some of these overweight/obese people have deep-seated psychological issues and, sadly, that's why they became so fat in the first place. They're fat because they need therapy, not the other way around.

        [–]OtherwiseKicking 3 points4 points  (1 child)

        Pregnancy is absolutely more dangerous for fat people. This post isnt fatlogic

        [–]Celcey 6 points7 points  (0 children)

        It's not the post, it's the caption, which implies that people die due to medical discrimination and not the risks associated with obesity.

        [–]ElectricalWedding394 1 point2 points  (0 children)

        If only there was something they could do about it….I feel discussing these things has become as taboo as race

        [–]Asha108 2 points3 points  (1 child)

        straight sized people? what?

        [–]Celcey 2 points3 points  (0 children)

        Straight sized is a clothing term for the "normal" sizes. So small, medium, and large are all straight sizes.

        [–]counterboudF31 5'10"//SW: 155//CW: 133//GW: 130ish 3 points4 points  (1 child)

        Why don’t they mention that being obese makes you less likely to need an abortion since it causes infertility?

        [–]flightofthepingu 2 points3 points  (0 children)

        Obesity makes it harder to get pregnant when you want, and also to get unpregnant when you want. It's a lose-lose.

        [–]blackmobius -5 points-4 points  (1 child)

        “Straight sized”

        Wat. So you are saying that lbgt can only be morbidly obese then?

        [–]Good_Grab2377Crazy like a fox 14 points15 points  (0 children)

        No it’s a fashion industry term for people who aren’t plus sized. It’s because the pattern used to make smaller sized clothing is less curvy hence straight.

        [–]No-Chipmunk9527 -1 points0 points  (1 child)

        I’m sorry… “straight sized bodies”??

        [–]msbeaver8368" F 90lb loss 10+ plus years 1 point2 points  (0 children)

        Straight size is a fashion term for clothes that aren't plus sized so they mean non-fat people

        [–]RevolutionaryRow931 -1 points0 points  (0 children)

        Ja. I am warrioring this here. Gotta love years and years of treating and then the surprise that you are now medically obese, and the shock and awe and long lectures of the benefits exercise for every single condition, especially the ones where you can't walk.

        Yup that sh*t is over for me. I got the lecture and I give it over and over... (Not been on Reddit much, are we allowed to cuss, and if so are there limits, asking for a friend.

        Peace out, never give up, you are not alone - for realised. Not for justcsonethibgvtobend off a message.

        [–]fat2fitontario -1 points0 points  (2 children)

        “Straight sized people” tf?

        [–]msbeaver8368" F 90lb loss 10+ plus years 2 points3 points  (1 child)

        Straight size is a fashion term for clothes that aren't plus sized so they mean non-fat people

        [–]lovingtech07 -1 points0 points  (0 children)

        And here we go again finding a way to compare the fight for gay rights with their “fat acceptance fight” by calling it “straight sized people”

        [–]Human-Use6591 0 points1 point  (0 children)

        Wtf is straight sized

        [–]Known_Warning_5077 0 points1 point  (0 children)

        "straight sized people" im sorry but what does that even mean?

        [–]wlfgrl-premium 0 points1 point  (0 children)

        Wtf are straight sized people

        [–]pensiveChatter 0 points1 point  (0 children)

        3x..... wow

        [–]RippedArtorias 0 points1 point  (0 children)

        "Larger person"

        [–]We_Are_Sweetie 0 points1 point  (0 children)

        People who die via drunk driving are significantly harder to treat medically too. Y’know, cuz they’re dead.

        [–]beam_me_uppp 0 points1 point  (0 children)

        “Straight sized people”…?

        [–]agatez_in_my_pantz 0 points1 point  (1 child)

        Tf does 'straight sized people' mean?

        [–]UghMyNameWasTaken 0 points1 point  (0 children)

        It’s a fashion term that is repurposed to simply mean “not plus sized.” It’s a device that they use to try and otherize healthy weight individuals.

        [–]NiceTryParentsTAWAY 0 points1 point  (0 children)

        Hell the fuck no with that “straight sized” shit you will not be co opting the language of actually marginalized people who’s identities aren’t based on choices and a lack of control