Asked by justthestupidparts
First of all, I apologize for taking so long to answer your post. When I received it I was still out of town. Second, I wanted to write something thoughtful and I needed time to not write something out of anger. Anger that you would accuse me of doing harm by not mindlessly insisting on weight loss as the ultimate solution to a fat person’s health problems.
To start with I would like to state that I do not refuse to advocate weight loss, where it is appropriate to do so. I assume that you are operating on the false assumption that being fat automatically makes a person unhealthy. I can assure you that it does not.
"But, what about the obesity epidemic? What about the diabetes epidemic? But what about…?" I hear you ask.
There are lots of illnesses that have been statistically correlated with being fat. But the thing to understand is that correlation does not equal causation.
Lets use Type 2 diabetes and fatness as an example. Diabetes type 2 is an illness of insulin resistance. That means the body requires more insulin to produce the same sugar lowering effect than a nondiabetic body would need. Insulin is produced by cells in the pancreas called beta cells.
Contrary to popular belief, people don’t just go from being nondiabetic to diabetic overnight. Rather there is a process that occurs. We have found that there are differences in a person’s beta cells that happen long before a person even begins to show signs of insulin resistance. Many people who go on to become type 2 diabetics will have higher levels of insulin circulating in their bodies for years before they even become prediabetic. One of the other functions of insulin in the body is to promote the storage of excess energy as fat. So, insulin makes people fat, and keeps people fat (makes it harder to lose weight).
Can you see where I’m going with this? The question now becomes, are people diabetic because they are fat? Or are they fat because they are diabetic? This is an extremely important distinction to make.
When I see a diabetic person, fat or not, I tell them to make sure they get plenty of exercise and to watch what they eat to control their carbohydrate intake. What does this sound like? “Diet and exercise.” The difference is that I don’t tell people to lose weight. Many of my patients who follow this advice do in fact lose weight, and that is fine. Many of my patients do not. That is also fine. They all have better control of their sugars, and in most cases, to similar degrees. I fail to see how not insisting on losing weight is “doing harm.”
There are times when a person’s weight turns out to be a factor in their illness and where weight loss may help in treating it. In those cases, I do suggest some weight loss. But in NO case is it ever necessary for someone to get to their “ideal body weight” to help their condition.
Finally, let’s look at the idea of “doing harm.” Did you know that studies (link and link) have shown that the medical profession as a whole is biased against fat people? That there are countless stories about people having serious illnesses going undiagnosed because they are fat and doctors refuse to look beyond that? That fat patients stop going to their doctors after being repeatedly made to feel ashamed for being fat by their doctors? For trying so hard to lose weight but not being “successful?” That, to me is the real harm that is done. The psychological harm. The physical harm that results from not going to the doctor for a serious problem because the doctor will either ignore it or just embarrass them again.
Are you aware that the vast majority of people who lose weight are not able to maintain that weight loss over the long term? And that people can end up far fatter than they would have become otherwise due to the lose-gain cycle. That that cycle can also cause serious harm to a person?
I care about each and every one of my patients whether they are fat or not. Whether they are healthy or not. Fat patients get the same consideration given to their concerns as thin people. I don’t simply dismiss things because a person is fat or tell them that losing weight is the ultimate answer. If my medical work up indicates that losing a small amount of weight may help, then I suggest it. Otherwise, it is not necessary.
Finally, before you try to tell me about all the research that shows being fat is unhealthy, I have a few of links to lots of evidence-based medical research that shows that being fat does not necessarily make one unhealthy.
Serious question? Serious answer.
The doctor is fucking IN
Wow this is amazing.
if only more doctors were like this dude, for real.
How about we trust the fucking doctor since he’s, you know, a FUCKING DOCTOR AND YOU ARE NOT A DOCTOR AND LET HIM DO HIS JOB.
I just wanted to make a point about something that you said to an ask, that most men “don’t want to work with feminists to change custody laws.”
I just wanted to point out that we don’t NEED to change custody laws. Exaggerated complaints by men aside, actual studies show that when men actually want custody, they overwhelmingly get it.Even if they abuse their wife. Even if they abuse their child(ren). Even if they’re alcoholics or drug addicts or only want custody to spite and hurt their ex.
So uh, yeah, dudes, tell me again how child custody is skewed in favor of the mother?
Wow. Holy damn wow. Thanks for pointing that out. I am even more hardcore side-eyeing the absolute HELL out of MRAs atm.
Oh hey, yet another MRA talking point that is total bullshit. It’s almost like their movement isn’t about gender equality at all and is just about combating feminism with yet more misogyny.
Yes, yes, yes. The custody system is not biased towards women. It astounds me how many MRAs have the temerity to call themselves “skeptics” or “rationalist” when they seem incapable of understanding elementary statistics.
hmmm, is this true? It feels wrong somehow….anyone care to chime in?
Well, as you would know if you clicked on all of those various sources, it is correct. It probably FEELS wrong because we’ve all absorbed plenty of lies and stereotypes living in a society with fucked up power dynamics.
"You could be forgiven for believing that the fedora just materialized on a dude’s head one day, perhaps after he successfully inserted 12 separate ‘get me a sandwich’ jokes into a single piece of My Little Pony erotic fan fiction. But the hat’s real origin was entirely unrelated to Applejack and Gilda discovering their repressed love: It got its name from the 19th century play Fedora, in which actress Sarah Bernhardt wore a stylish, narrow-brimmed women’s hat while playing the lead, Princess Fedora. Female fans of Bernhardt picked up the style, which soon became an early symbol of women’s liberation. Only later did fedoras become associated with menswear. In other words, like those Satanists who unknowingly wear an ancient Christian symbol around their necks, MRAs have picked the wrong symbol for their movement and should try adopting something new.”
OH MY GOSH
Too good. Too goddamn good.
When Marilyn Manson understands the culture and media problem better than most media outlets…you have problems.
Stop giving shooters their 15 minutes of fame.
Well…how about that…
This is older than god, but it’s damn important.
(Image set of Marilyn Manson. Over the course of four panels, he said “So when you have these things like Columbine, and you have these kids who are angry and they have something to say and no one’s listening, the media sends a message that says if you do something loud enough and it gets our attention then you will be famous for it. Those kids ended up on the cover of Time magazine, the media gave them exactly what they wanted. That’s why I never did any interviews around that time when I was being blamed for it because I didn’t want to contribute to something that I found to be reprehensible.”)
Do you know why it’s a rule that suicides aren’t reported in the media and if it’s done in a public place, the authorities take care of it very quickly and quietly? Because they don’t want to encourage people to kill themselves. If suicide victims were given lots of media attention and fawned over like mass shooters are, others with severe depression or suicidal tendencies might be attracted to the attention they know they would get after they killed themselves. That attention and notoriety is appealing enough to push many people over the edge. Why, then, don’t we do the same for mass shooters? Why do we spend weeks throwing their faces on the front page of every newspaper, the cover of every magazine, and call in so-called experts on news channels to meticulously try to figure out what they were thinking?
Says bisexual author and columnist AJ Walkley, "Recently my newsfeeds have been flooded with stories about attacks on trans* and non-binary individuals … Fortunately, one trans*bisexual activist is taking charge of this problem, turning to Kickstarter in hopes of raising the funding to launch the Transgender Violence Tracking Portal. I sat down with New Jersey programmer and activist Allison Woolbert to discuss her campaign and what she hopes will come from it.”
AJ Walkley: What is your connection to the Transgender Violence Tracking Portal?
Allison Woolbert: I am a concerned member of the community. I wanted to find a way to make sure that the violence against transgender/genderqueer/non-binary people is accurately documented and not swept under the carpet. I launched the Kickstarter project to make the vision of this project a reality. As CEO of a computer software development company, I am providing the programmers and technologies necessary to make this project successful.
Walkley: Why is a Transgender Violence Tracking Portal needed, in your opinion?
Woolbert: So often, the media and law enforcement are dismissive concerning the violence that is inflicted on transgender/genderqueer/non-binary people. In addition, hate incidents against transgender people are often not documented at all. Many of the cases that are reported are sensationalized, and the facts become muddled and disconnected.
Currently, there is no data repository that can validate and provide tangible evidence of the violence that has been inflicted on the transgender community … With this project, the data will be available to be reported and queried against every day of the year. At any given point in time, we will have a website that can show the world what the picture of our community looks like and raise the awareness and the responsibility of law enforcement to protect our basic right to live … The project will also enable us to allow interested groups and parties to sign up for email alerts when something in their community has happened and needs attention …
Walkley: There are some very grim statistics when it comes to violence against transgender people. Can you share a few?
Woolbert: Sadly, we have some horrid statistics that exist about the violence toward our community. The Transgender Murder Monitoring Project estimates at this point that approximately every three days a transgender person is reported murdered throughout the world … Virtually every few days, I hear about a transgender suicide or attempted suicide … Of the assaults, we have yet to have any statistics available …
Walkley: If your campaign is successful, what do you hope will come out of the Transgender Violence Tracking Portal? How will this site help?
Woolbert: There are so many capabilities that this portal will make available to the public. Just to list a few, I believe on some levels we will be able to track the numbers of the violent assaults and murders, as well as what the disposition of the crimes might be. In other words, is the case still open? Has anyone been charged? Were they found guilty, and did they get an appropriate sentence? Did a hate crime charge get pressed? Did the convictions get overturned? Did they use the “panic defense,” and was it upheld or used to mitigate sentencing? Have the police conducted a thorough investigation? …
Walkley: Should your campaign succeed, when can backers expect to see a completed portal site?
Woolbert: … I would hope that by the first quarter of 2014, we will have the portal fully up and functioning, ready for data to start being entered by volunteers. We have already begun the process in recruiting and vetting international volunteers from the various nations to be reporting officials for their areas …
WANT TO LEARN MORE AND GET INVOLVED IN THIS IMPORTANT ISSUE?
I don’t know if rape jokes encourage rape culture. I don’t care. You still shouldn’t tell them.
Statistically, if you have told a rape joke to a group of more than five people, one of the people you told it to was a rape survivor, possibly of multiple rapes. They will not necessarily disclose this to you; rape apologism is endemic in society and most rape survivors are cautious about whom they tell. Some may even be too ashamed of their rape to admit it to anyone, or because of rape-minimizing narratives like “men can’t be raped” and “I consented to oral, so I couldn’t have been raped” may not admit it even to themselves. The fact remains: if you’ve told dozens of rape jokes in your life, then you have almost certainly told a joke that minimizes or trivializes rape in front of a survivor.
And if you put as your Facebook status “I totally raped at Halo today” for your two hundred Facebook friends to see, statistically, you have just reminded thirty-three people of one of the worst experiences of their entire lives.
To describe how well you did at a video game.
why do so many anti-sj people think that the goal of social movements is to eradicate hate?
hate is not the problem. hate, despite what Gandhi says, can even be cathartic when you finally aim it at your oppressors instead of yourself.
hate wasn’t even the…
Following his experience of being called a racial slur on his flight, Brandon T. Jackson was questioned by the police for being the victim of racism. Then when his flight landed and he was done being questioned by the police, he was restricted from flying anymore and stranded and left to unexpectedly look for a hotel while they were all booked. All of this occurred because a racist US Airways staff member called him the n-word and told him “I don’t care if you’re Obama’s son”. He’s asking that this story and information be shared so please do so.
Jane H. Hill, The Everyday Language of White Racism (via wretchedoftheearth)
This is like when me and my white soon-to-be husband were looking for places. I’d call up and they’d say, “Come on down! Get an application!”. Because I don’t “sound” black.
Then I’d walk in 2 minutes later and they’d be all, “Oh. Sorry, we just rented it.”
Then I’d send him in and he’d get an application.
The best part? Walking back in while he was completing the application. “Oh, they gave you an application? But they told me it was just rented. ODD. THAT. I’m going to report them so let’s just skip this place, m’kay?” The looks on their faces and the pathetic apologies were just too much fun.
Used to deal with the same thing with road trips. Hotels would tell me that there were no vacancies, but my white roommate would go in and get us a room, usually cheaper than advertised.
I do similar stuff at restauants and other places of business with my white bf. At least it makes it easier to know where not to go!
Reblogging again for the commentary
But we’re just supposed to *trust* and think everything is an *isolated* incident.
Not so sophisticated scholars, were they? I mean this really, really shouldn’t be all that surprising.
It shouldn’t be surprising, but I guarantee that most white people find it unbelievable
I’m going to reblog this every time I see it on my dash. My parents pointed out how this phenomenon worked when we were moving to PA (they’d get steered to crummier neighborhoods and have to insist on being shown others). Housing discrimination is still pretty widespread and the gatekeepers? Tend to either intentionally or due to unchecked bias reinforce the status quo.
It always floors me the things people are surprised at. Meanwhile, every person of color is sitting here like, “Oh. Must be another day that ends in Y, and in other news, water is wet.” Like, really, people are surprised by this, and whenever they show surprise at learning stuff that we go through, I have to poker face, lest I end up giving them the most disbelieving side eye in history because how do you NOT know this? But then, you know. Some people have the privilege of being able to be unaware it because it’s not a problem they have to deal with. :/ (via lori-jaye)
Reblogged again for commentary
Sounds like my friends when they were looking for a place in Midtown memphis(mostly white liberal middle class area)… they said people would invite them to see the places and then would either suddenly become unavailable or they would just ignore their phone calls.. but the Obama’s said “no more excuses.. work harder”…
its weird that guys get so touchy when you accuse them of sexism like “im not sexist wtf????” when they should really be worried about “ive been acting sexist wtf????” like dude youre not the victim of an accusation the accusation is the result of your behavior