Category Archives: Uncategorized

Stuff That Weighs More than Me: Lolong, The World’s Biggest Crocodile

lolongHoly handbags, Batman!   This is one huge reptile!  Lolong, shown above, is the largest saltwater crocodile in captivity.  He was captured by local townspeople in a remote southern Philippines town near Manilla.  Apparently it took over 100 townspeople to subdue the giant brute who was later confirmed to have taken down local water buffalo.  EEEEEEEK!  Lolong currently lives in a new ecotourism park and research center in the outskirts of Bunawan and has drawn thousands of visitors.  Here’s the stats:

Age: Estimated at over 50 years

Length: 20.24 feet

Weight: 2,370 lbs.

Conclusion: Lolong, the world’s largest crocodile weighs more than me, and he’s scarier too!

P.S. Don’t forget to enter your time or miles HERE by noon today to count for this week’s total on Fit Fatties Across America.  Let’s see just how far we can get this week!

And don’t forget to register for next week Tuesday’s Teleseminar on fitness for the New Year!

Love,

The Fat Chick

Thursday Theater: Presenting Right Now (With Me!)

Hi everybody! I’m so excited to present the very first episode of my new web show “Right Now! With Jeanette DePatie AKA The Fat Chick”.  Hope you like it. If you’ve got some specific topics you’d like me to cover in the show, I’d love to hear them. And if you are willing to be interviewed for the show (via my super handy skype cam) I’d love to have you on! Just comment below or send an email to jeanette@thefatchick.com.

I also feel it necessary to talk about a few of the other incredibly awesome things we’ve got going on! First of all, on the Fit Fatties Forum, we’re still going strong with our Fit Fatties Across America project. In less than 2 weeks we’ve gone from New York City to Topeka, Kansas! Can you believe it? Don’t forget to enter your minutes or miles HERE by noon on Fit Fatties Fridays. Then check back after 5PM to see just how far we all have gone.

Next, I wanted to let you know that I will be presenting a teleseminar next week Tuesday evening at 5PM PST (8 PM EST).  I’ll be talking about setting safe, reasonable and fun New Years resolutions for fitness.  Click HERE to register.  There are limited slots and we’ve got a whole lot of people already registered.  So go on over there and register right away!

Finally, I wanted to remind you that Paper Mâché in a Big, Big Way is still going strong. We’d love for you to “liberate” diet books from thrift stores and resale shops (so no more money goes to the diet industry) and send them to us so we can use them to make the world’s largest paper Mâché sculpture. Or if you’d prefer, you can donate money and we will liberate the books for you! I know. There’s just so much awesome here, it can hardly be contained!

So hop to it my little Chicklettes.  Let’s get going, right NOW!

Love,
The Fat Chick

What is Health?

definition

One of my regular readers recently sent me a question about how I define health.  She was particularly interested in my definition, as she felt that most if not all of the definitions of health out there in the world either would not or could not include her.

First and foremost let me tell you that I think there is no such thing as perfect health.  There is no specific state of being that you can achieve, there’s no moment that comes with achievement badges and a certificate that marks “health”.   But let’s take a moment to discuss some of the definitions of health already floating around out there.

Now let’s take a moment and consider some other definitions of health.  Here’s the World Health Organization definition of health:

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

Now the WHO definition does take the ideas of mental and social well being into account.  So, it scores points for that.  But it also implies that these things are in addition to the complete absence of disease or infirmity.  It also implies that health is a state of complete well being.  Now under this definition of health, i may have achieved that on one particular day, when I was 19.  I think it was a Tuesday.  But I think this is an “idealistic” view of health that leaves a lot of people who are dealing with chronic disease or infirmity with the idea that health is not possible for them.  Which sucks.  So why bother?

Needless to say I think this definition leaves something to be desired.

The Association for Size Diversity And Health has this definition of the principles of Health At Every Size(R):

1. Accepting and respecting the diversity of body shapes and sizes.

2. Recognizing that health and well-being are multi-dimensional and that they include physical, social, spiritual, occupational, emotional, and intellectual aspects.

3. Promoting all aspects of health and well-being for people of all sizes.

4. Promoting eating in a manner which balances individual nutritional needs, hunger, satiety, appetite, and pleasure.

5. Promoting individually appropriate, enjoyable, life-enhancing physical activity, rather     than exercise that is focused on a goal of weight loss.

And this definition is far better.  It promotes a series of behaviors and principles as opposed to an arbitrary standard of physical indicators or an unattainable ideal of perfect well-being across a spectrum of categories.  I actually really like the HAES(R) principles as spelled out by the Association for Size Diversity And Health a whole lot.  But I also understand that as opposed to the WHO definition, it’s a little long and ponderous.

So how do I define health?  I’m not sure that my definition is better than either of those listed above–it’s just the way I personally see it.  I think health is one end of a personal continuum that is completely unique to each of us.  We do not achieve health.  We move towards health or away from health in our own lives.  When we move towards health, we engage in behaviors that give us a better quality of life and give us more energy and  capacity to do and enjoy the things that are most important to us.  When we move away from health, we engage in behaviors that rob of us of energy and give us less capacity to  do and enjoy the things most meaningful to us.  All the while, we must take into account that there are aspects of quality of life outside of our control.  We are imperfect beings who age and die.  This is a fact of life.  But the pursuit of health, is the process of discovering for ourselves, what behaviors allow each of us to make the most of the bodies that we already have to experience and attain that which means most to us from day to day.

Which is also very long and ponderous.  So here’s my shortcut version:

Moving towards HEALTH is the process of using the body you already have in a way that allows you to best enjoy and or/attain the stuff that matters to you most.

I’m not a doctor or a philosopher.  But those are my thoughts.  I hope you are able to find what health means to you on your personal continuum and move towards it in a way that feels wonderful.

Love,

The Fat Chick

 

Baby Steps

So often when it comes to integrating intuitive eating and moderate joyful exercise into our lives, we hear that we should take baby steps.  And by that, what is usually meant is that we should take a series of very small steps, one after the other.  And when it comes to making any changes to eating patterns and exercise patterns, I agree that baby steps are best.

But maybe what I mean by baby steps is less about how small the steps are, and is more about how the steps align with what feels good to our bodies.  Babies and very young children don’t count carbs or calculate how many MET units they have expended in a particular workout.  They don’t eat based on a point system or in order to look great for bathing suit season.  Babies always look great during bathing suit season.  Babies usually eat when they are hungry and quit when they are full.  They eat what they like and what their bodies tell them they want.  And they “exercise” because it feels good and is fun!

I mean check out the pair that is boppin and groovin’ in the exercise above.  They are taking baby steps towards health.  They are in a loving family situation, they hear music and they just rock out with their bad selves.  It’s pretty obvious that they are having a great time!

Why not take some “baby steps” towards health this week?  What would it be like to let your hunger and your taste buds dictate what and when to eat or not eat?  How about putting on some music and bopping around in your chair or grooving around the living room?  Why not put down your diet books and exercise books and just let yourself fully and unreservedly inhabit your body?

All I can say is go baby go!

Love,

The Fat Chick

Why it’s so Good to Fail Big and Fail Often

bird

I was recently inspired by this article in New York Times Magazine called “Be Wrong as Fast as You Can”.  It talks, in no uncertain terms about how the author runs around with tons of super great ideas in his head.  These ideas are fabulous.  These ideas are perfect.  These ideas CAN. NOT. FAIL.  Why?  Because these ideas live only in the author’s head where there are no risks, where nothing is impossible, and  where everything is still potentially perfect.  He talks about what keeps him from turning these ideas into reality.  And the conclusion he draws is that it’s fear of failure that’s keeping him back.

Hmmm.  I have to say this sounds kinda familiar.  How many years of my life have I spent with super great ideas in my head?  You know–the ones that give me something to talk about at parties, doodle about in my dream book, and discuss after uncorking the second bottle of chardonnay?  But how often have these ideas stayed in my head and never made it out into the cold, cruel world?  How many ideas never became real because I still haven’t learned how to fail?

The author of the article, New York Times Magazine editor Hugo Lindgren suggests that over the years he’s had a lot of theories about what he needs to do quit procrastinating and making his dreams real.  He found his answer in an interview with John Lasseter on the Charlie Rose show.  It seems the folks at Pixar have an in-house theory for success, “Be wrong as fast as you can.”

Yup. I’ve gotta say, I’m hearing some bells ringing here.  If you want your ideas to turn into stuff that can be seen out in the world and possibly, you know, help some people, you’ve got bump those little birds out of the nest to see if they can fly.  Some of your ideas won’t make it.  Some of them will fail.  In that case, I say good riddance.  You were clogging up your brain space with plans for impossible, un-buildable stuff.  Get rid of it.  Make room for another crazy idea.  But some of your ideas will frantically flap their little wings and start to get a little lift.  And now you’re on your way to making your ideas work.

But if you want to see if that little birdie can fly, you can’t push it out of a nest that is five inches from the ground.  You’ve got to give the idea room to get flapping.  If you’re going to fail, you should do it spectacularly.  Don’t fail because you were timid.  Don’t let your ideas fail because you let your fears talk you into half-measures or half-hearted attempts.  You’ve got to endure risk to have the potential for reward.

So, I’m stepping out on a limb right here and announcing that this week I will be launching a new web video show called “Right Now”.  I’ll give you a sneak preview and let you know that in the very first episode we’ll talk about why your body, your mind and your spirit are right now, and why you should stop waiting and pursue what you want in your life right now.

It may succeed.  It may fail.  But if I do fail, I hope I fail spectacularly!

Love,

The Fat Chick

Stuff That Weighs More Than Me: World’s Largest Scale Model of the Solar System

The Ericsson Globe

The Ericsson Globe

Let me start by saying that this is one of the coolest things I have heard of, like EVER!  And I also will have to state for the record that I don’t have a lot of data about the exact weights of the objects here.  Nevertheless, I have great confidence that it weighs more than me.  Let me explain.  The world’s largest model of the solar system is in Sweden.  The sun is represented by the Ericsson Globe.  And we’re not talking about a measly little statue here, no sir!  The Ericsson Globe is currently the largest hemispherical building in the world.  It hosts up to 13,850 guests for hockey games and indoor football, and can hold even more people for musical performances.  Which makes sense, because the sun is you know, BIG.  Oh and by the way, the Ericsson Globe also hosts a funicular railway system known as Skyview.  Just in case you don’t know what a “funicular railway” is, the Skyview consists of two gondolas that hold 16 passengers each that take you up the side of the globe and offers unparallelled views of Stockholm.

The scale model stretches for a distance of 590 miles from the “sun” to “termination shock“.  (Follow the link to learn all about what termination shock is all about.  Trust me, it’s cool!)  The scale model contains 16 other bodies including four inner planets–Mercury, Mars, Venus and the Earth (as well as its moon), four outer planets–Jupiter, Saturn, Uranus and Neptune, four dwarf planets–Pluto, Ixion, Eris and Sedna, two comets–Halley’s and Swift-Tuttle, two asteroids–Saltis and Palomar-Leiden and one near-earth object–Eros.

Here’s the stats:

Sun: (Ericsson Globe) Diameter (the disk) 233 ft. (incl. the corona) 361 ft.

Mercury: Distance from “sun” 1.8 miles. Diameter 9.8 inches.

Venus: Distance from “sun” 3.4 miles.  Diameter 24.4 inches.

Earth (and moon): Distance from “sun” 4.7 miles.  Diameters 25.6  and 7.1 inches

Eros: Distance from “sun” 6.8 miles.  Diameters 2.0 mm x 0.7 mm x 0.7 mm.

Sattis: Distance from “sun” 6.8 miles.  Diameter <1 mm.

Mars: Distance from “sun” 7.2 miles.  Diameter 13.8 inches.

Jupiter: Distance from “sun” 25 miles.  Diameter, 24 feet.

Palomar Leiden: Distance from “sun” 37 miles.  Diameter 0.2 mm.

Saturn: Distance from “sun” 45 miles.  Diameter 20 feet.

Uranus Distance from “sun” 91 miles.  Diameter 8.5 feet.

Halley’s Comet: Distance from “sun” 127 miles.

Neptune: Distance from “sun” 142 miles.  Diameter 8.2 feet.

Pluto (and Charon): Distance from “sun” 186 miles, Diameters 4.7 and 2.4 inches.

Ixion: Distance from “sun” 224 miles.  Diameter 2.6 inches.

Swift-Tuttle Comet: Distance from “sun” 242 miles.

Eris: Distance from “sun” 317 miles.  Diameter 5.1 inches.

Sedna: Distance from “sun” 503 miles.  Diameter 3.9 inches.

Termination Shock: Distance from “sun” 590 miles,  Represented as a large plate.

Combined weight: A whole LOT.

Conclusion: There’s a big, big universe out there, and it weighs more than me.

Love,

The Fat Chick

P.S. Want to have access to other fun and cool content?  Don’t forget to sign up for The Fat Chick Clique.  It’s totally free!   You also might want to join me at this upcoming teleconference or this amazing event!

Biggest Loser: Part Two Corrective Guide Based on Exercise Science

screamer

If you are doing as the advertising suggests and watching the latest season of The Biggest Loser with your family, you may have seen some stuff that is pretty disturbing.  In the first episode, we’ve got folks falling off treadmills, needing emergency medical attention and the usual Biggest Loser Barf Fest.  We’ve also got trainers yelling, screaming, insulting and bullying contestants in the hopes of helping them get in shape.  But as I suggested yesterday, this is “reality” television.  And a lot of the techniques you see on this show are the exact opposite of what we are taught as fitness professionals.   A lot of that stuff is just plain wrong.  And some of it is downright dangerous.

As I mentioned in yesterday’s post, there is just so much misinformation about health and fitness on this season of The Biggest Loser, I just can’t fit it all into one blog post.  So here on Thursday Theater day, I bring you part two.  (Click on the photo above to see a short YouTube clip for this week’s Thursday Theater).  Let’s talk just a little bit more about what you and your kids might have “learned” on the show and why it’s a really bad idea to make it part of your fitness practice.

4.  The best way to motivate somebody to get fit is to yell, scream, curse at them, and bully them.

There’s an awful lot of evidence out there that bullying, yelling, screaming, shaming, cursing at and frightening people is a terrible long term strategy for motivating them to get and stay in shape.   People tend to be drawn to things that give them pleasure and shy away from things that cause them pain.  Being publicly shamed is extremely painful for most people.  In addition, there is ample evidence that people stick to exercise longer if they are intrinsically (internally) motivated rather than those who are extrinsically (outwardly) motivated.  So a person who identifies herself as an exerciser and works out because of the benefits she sees for herself (and also happens to enjoy the workout) is far more likely stick to exercise than someone who is motivated by shame and fear, especially if that shame and fear is applied by someone outside of themselves.  After all, what are you going to do when there isn’t a crazy mean lady who gets paid millions of dollars to scream at you every day.  Eventually you have to do it by yourself.  And you’ll have a much better chance of doing it yourself if you’ve built up the inner strength and self-esteem to be your own cheerleader.

And lest you be tempted to bully your kids into losing weight, let me tell you right now that this is likely to backfire.  Recent evidence indicates that kids being bullied from any source, be it school playgrounds, teachers, coaches and parents is likely to make kids engage in healthy behaviors and may make them gain more weight in the long run.  Not to mention the fact that kids who are bullied tend to have lower grades and poorer school attendance.  Being bullied frankly messes kids up, sometimes permanently.  If your kid is being bullied at school because he is fat, the last thing you should do is be another bully in his life.

5.  It is normal, feasible and desirable for a person to lose 10, 15 or over 20 pounds in one week.

When I was studying to be a personal trainer, I learned that there are two ways to lose 20 pounds in one week–dehydration and decapitation.  The weight loss levels on the Biggest Loser are not reasonable or sustainable by most people.  Furthermore there have been some suggestions that the length of a “week” (as long as 15 days) as well as hydration levels (including dehydrating contestants to the point of urinating blood) are manipulated to make it look like contestants are losing more weight.  The U.S. Department of Health and Human Services and the National Institutes of Health, suggests losing no more than 1/2 to 2 pounds per week. They suggest you may lose a few more pounds in the first 3 weeks of a program, but should not try to sustain weight losses at that level for more than two or three weeks without serious medical supervision.

Rapid weight loss can lead to a variety of health problems including gallstones, dehydration, dizziness, depression, and loss of lean muscle including heart muscle.  If you goal is health, the last thing in the world you want to do is lose lean muscle mass.  And losing muscle mass in your heart can be seriously dangerous.

Long story short, it’s not really safe or sustainable to lose more than two pounds per week at home.

To sum up, The Biggest Loser is a commercial television show on a for-profit network.  Press releases, promotional video and pompous rhetoric aside, their main goal is to make money.  Television shows make money by having better ratings.  Losing 1/2 pound per week in a rational sustainable way may be the healthiest option, but it makes for lousy TV.  Please take these facts into consideration as you watch the show, and decide whether or not to use anything on that show as a guide for your own health practice.  Because what makes for good TV may not make for a healthy body.  Please let common sense be your guide.

Love,

The Fat Chick

P.S.  If you are upset that The Biggest Loser has chosen to take on “childhood obesity” this season, consider signing our petition here.

If you’re looking for sensible and rational assistance for your exercise efforts, consider joining The Fat Chick’s Personal Training Programs.  If you sign up before January 14, you can try any of my training programs for just $25.  We’re also offering special training groups on the Fit Fatties Forum starting at just $10 per month!

There is a lot of very detailed and specific information about how to build a safe and pleasurable exercise regime found in my book The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of all Ages, Shapes, Sizes and Abilities).  You can pick up an autographed copy for just $16.95 (plus S+H) on my website.

Also remember that a little exercise adds up to a lot over time.  And exercise is more fun when you do it together.  So you might want to consider adding your exercise totals to our Fit Fatties Across America program.  We’re pooling all of our exercise minutes and miles as we make our way across the country.  We went 167 miles in the first few days of the program, and we’re hoping to reach St. Louis this week!  Make sure to enter your exercise data by noon on Friday to count towards this week’s totals!

Biggest Loser: A Corrective Guide Based on Exercise Science Part 1

screaming

If you were unfortunate enough to have watched the season opener for The Biggest Loser this year, you saw some very frightening and confusing things.  You saw people vomiting.  You saw people falling off treadmills.  You saw kids on the show with accompanying tinkly happy music being told that they should stand up to people who bully them.  You saw not one but three “fitness coaches” screaming at, hollering at, spitting at, disparaging and yes, bullying the adult contestants.  You saw a contestant being home for losing a “measly 15 pounds” in one week.   You saw paramedics coming to pick one of the contestants up.  All in one episode.

When it comes to the modern Roman Coliseum, this season opener takes the cake!  One was thrown to the lions.  One was carried off on a stretcher.  And several fell during battle.  And while this makes absolutely delicious material for snark, I want to take a moment out and do a little damage control here.  Because this year, the producers claim to be taking on the “challenge of childhood obesity”.  This year, they want you and your kids to watch the show together to learn about a healthy lifestyle.  And that, my dear friends, is a big, BIG problem.  Because a lot of what they depict on that show, is the exact opposite of what we are taught as fitness professionals.  A lot of the stuff on that show is just plain wrong.  And some of it is seriously dangerous.  So let’s talk a little bit about what you and your family may have “learned” on that show and why it’s not a good idea to apply those ideas to your own fitness practice.

1.  It’s a good idea for folks who are completely sedentary to start with exercise sessions that are several hours long, provided there are fitness trainers there to scream at them.

Exercise science seems pretty clear on the fact that accelerating rapidly from no physical activity to a lot of physical activity is a bad idea.  Starting out with sessions of several hours puts a person at greater risk for injury, burnout and sudden death.  So where should sedentary adults begin?  Here’s what the U.S. Department of Health and Human Services has to say:

Therefore, for a person who has been sedentary for some time for whatever reason, the initial dose of activity should be at a relatively low intensity, of limited duration, with the sessions (also called bouts) spread throughout the week. An example of this approach would be a walking program with sessions of 5 minutes of slow walking, 5 to 6 days per week, with the bouts performed at various times throughout the day (e.g., 3 times per day). As the person adapts to this amount of activity, the bout duration could be slowly increased to 10 minutes, and as exercise capacity begins to increase, the walking speed could be increased…

The US Department of Health and Human Services also cites various studies that indicate “when individuals increase their usual amount of physical activity the risk of injury is related to the size of the increase. ”  So starting out with several hours of exercise at a time, can increase chances for musculoskeletal injury.  Furthermore moving exercisers from a completely sedentary life to long bouts of vigorous exercise can be very hard on the heart.  Moderate, gradually increasing exercise programs are generally quite safe.  Yet each year about 75,000 Americans suffer heart attacks during or immediately after exercise.  Studies show that these victims are most often sedentary men over age 35 who were either at risk for heart disease or had heart disease and then exercised too hard and too fast for their fitness levels. (American College of Sports Medicine 2006).  So if you are sedentary and haven’t exercised in a while, be safe.  Start of slowly and don’t ramp your fitness levels more than 10% per week.

2.  In order to get a really good workout, you should ignore pain, dizziness and other symptoms that are normally associated with distress in your body.

On the show, contestants are told to “push through” physical symptoms like pain, dizziness, and weakness.  However, sports science indicates that these symptoms are important messages that can warn of a serious problem before it occurs.  According to the Mayo Clinic, shortness of breath, coughing and wheezing are possible signs of an asthma attack, and light-headedness, irritability, dizziness and confusion are possible symptoms of heatstroke, a potentially fatal condition.  Other causes for irritability, dizziness and confusion could be dehydration, a dangerous dip in blood sugar or even the onset of a coronary event.  For those of us exercising alone or at home, exercise danger signs are an important early warning system that should not be ignored.  Here are some of the generally accepted exercise warning signs:

1.  Feelings of dizziness or light-headedness

2.  Feeling tightness in chest, trunk, back or jaw

3.  Extreme breathlessness

4.  Unusual fatigue

5.  Nausea

6.  Loss of muscle control

7.  Allergic reactions–hives or rash

8.  Blurred vision or changes in consciousness

If you are exercising and experience any of these symptoms, it means you should stop exercising.  If these symptoms persist, it is important to seek medical attention.

3.  Vomiting is a normal part of any vigorous exercise routine.

Actually exercise induced nausea is a fairly common complaint, but there’s no reason to see it as a badge of honor.  In the past when questioned about this issue, Biggest Loser trainers suggested that the extremely high percentage of episodes of vomiting on the show are because the exercisers have a lot of toxins in their bodies.  I can find no research to back this assertion.  It appears the most common cause of exercise induced nausea (and vomiting) is again related to doing too much exercise at too high an intensity level too soon in an exercise program.  There are other potential causes for exercise-induced nausea.  A 4% drop in body weight from dehydration is enough to cause nausea and vomiting (a possible cause of the Biggest Loser Barf Fests).  While eating large fatty meals close to exercise sessions can trigger this nausea, the severely restricted diets of Biggest Loser contestants make this an unlikely cause.  In any case, exercisers should not see nausea and vomiting during workouts as a sign they are working hard enough, but rather as an opportunity to “fix” something in their training program that isn’t quite right.  Try an even more gradual increase in exercise intensity and levels from week to week.  Be sure to maintain a proper level of hydration.  Try not to eat large meals before workouts.  And consider changing your exercise mode (runners tend to have this problem more often than walkers or cyclists).

Frankly there’s too much misinformation and bad ideas in the Biggest Loser to detail them all in one post.  So, I’ll take up this topic again in another blog post.  In the mean time, please remember to let common sense into your exercise regime.  And also keep in mind that exercise does not have to make you miserable. You can reap physical, emotional and spiritual benefits while engaging in exercise that’s fun, pleasurable and reasonable.

Love,

The Fat Chick

P.S.  If you are upset that The Biggest Loser has chosen to take on “childhood obesity” this season, consider signing our petition here.

If you’re looking for sensible and rational assistance for your exercise efforts, consider joining The Fat Chick’s Personal Training Programs.  If you sign up before January 14, you can try any of my training programs for just $25.  We’re also offering special training groups on the Fit Fatties Forum starting at just $10 per month!

There is a lot of very detailed and specific information about how to build a safe and pleasurable exercise regime found in my book The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of all Ages, Shapes, Sizes and Abilities).  You can pick up an autographed copy for just $16.95 (plus S+H) on my website.

Also remember that a little exercise adds up to a lot over time.  And exercise is more fun when you do it together.  So you might want to consider adding your exercise totals to our Fit Fatties Across America program.  We’re pooling all of our exercise minutes and miles as we make our way across the country.  We went 167 miles in the first few days of the program, and we’re hoping to reach St. Louis this week!  Make sure to enter your exercise data by noon on Friday to count towards this week’s totals!

Why I Write About Health

health

There are times when I and other fellow bloggers in the fatosphere are criticized for talking about fat and health.  We are accused of healthism and ableism.  We are told we are furthering the notion of “good fatties” who eat well and exercise and “bad fatties” who don’t.  We are told that we are playing into “poster child” syndrome where fat people feel obligated to behave in a way that is outwardly healthy in order to be accepted in our society.  So I thought I’d take a moment today to talk about why I blog so much about health.

First let me state for the record that I think every human being on the planet should be treated with respect.  Whatever you choose to eat, whether or not you choose to exercise, whether or not you choose to go to the doctor–however you choose to live your life, that’s your choice.  No one has the right to call you names or choose not to hire you or give you health insurance based on the way you look.

Second let me state that I am one person who happens to write a blog.  I am not the end all and be all authority of what it means to be a fat person.  I do not speak for or represent all fat people everywhere.  I am one person, and I report my experience from my perspective.  And in my world and from my perspective health is very important to me.  So I write about it.  That doesn’t mean that there are not other very important things to write about.  Some people write about being fat and wearing fashionable clothes.  Some people write primarily about being fat and social justice.  Some people write about being fat and having a fabulous sex life.  These are all perfectly wonderful things to write about.  There is not one single one of us fat people who can write about the entire experience of being a fat person and cover every angle, every detail and every nuance of what it is to be a fat person in our society.  We all write from different viewpoints, and I say vive la différence.

I also understand that not everybody is coming at health from the same place and with the same access.  Not everyone has access to good, affordable medical care.  Not everyone has a safe place in their neighborhood to go for a walk.  Some people cannot walk.  Not everybody has access to the food they would like to eat or the fitness resources they might like to utilize.  Not everybody has much free time in their lives to focus on anything other than earning enough money to survive and to shoulder the responsibilities they have for caring for family members.  I get it.  I offer what resources I can when I can.  I offer resources understanding that accessing these resources may prove very difficult if not impossible for some people.  Again, I am not everything to everybody.  But if I can be something to somebody, I’ll keep doing what I do.

As I said, I write about health because it is a topic that is important to me.  And since health has always been important to me, understanding that Health At Every Size (R) was even possible was an important step on my personal journey to self acceptance.  Because when I believed that being fat was necessarily and unquestionably a death sentence, I had a hard time with the idea that being fat was okay for me.  I understand that there are no guarantees in life.  I am not nor will I ever be “in perfect health”.  In fact, I don’t believe “perfect health” even exists.  Health is a continuum along which we all travel back and forth from hour to hour and day to day.  And when I am sick and when I am injured and when I face health limitations, it doesn’t mean I was a good fat person or a bad fat person.  It means I am a human person.  And I’m okay with that.  But knowing about HAES (R) was unquestionably important to me.

Just because I write about health does not mean that I think it should be important to everybody.  But I want people to know, that if being healthy is important to them, health is possible at every size.  They can choose to have a health focus in their lives without choosing to spend a lot of their life losing weight.  If health is important to you, there are plenty of things besides weight upon which you can choose to focus that are statistically likely to help you be healthy and may have a positive impact on your quality of life.

Another reason that I choose to write about health is that fears about our health have been used to bully fat people into some very dubious health practices by people who may be well meaning or may simply want to earn a lot of money from us.  Frankly, before I decide to have gastric bypass surgery, or take weight loss medications or ingest a tapeworm or empty my stomach contents into a bucket in the name of health, I want to understand the true story of the health risks of engaging in these behaviors as well as the health risks of not engaging in these behaviors.  I want to understand alternative treatments.  If engaging in a little bit of moderate exercise is likely to have a better health outcome than a surgery which permanently alters the way I digest food, that is something I want to know.  Not everybody in the world may want to know that.  It doesn’t mean that everybody in the world is obligated to choose moderate exercise.  But if there is an alternate therapy that costs very little and has very few side effects then I am going to talk about it.  I am going to share that possibility.  You can pick it up or leave it alone as you choose.  You can read my blog that day or be completely uninterested and read something else, it’s up to you.

Look, in my little blog corner of the world, I can choose to serve pancakes.  Maybe somebody else will choose to serve lobster.  I think I can serve pancakes without in any way disparaging the lobster chefs or lobster eaters out there.  Thankfully life is a giant buffet with infinite choices.  Fill your plate with the things that make you happy.

Love,

The Fat Chick

 

Trigger Warning: Why an At Home Stomach Pump Might Not be Such a Good Idea

happytummyOkay, what I’m going to talk about today amounts to potential corporate backed, government sanctioned bulimia.  And it has a pretty major “ick” factor as well.  So if either of these things are triggering to you, you might wish to go back to Thursday’s post with the dancing bird.  I’m totally cool with that.

But there has been a flurry of articles and emails flying around about a firm that wants to tackle obesity by offering what amounts to an at-home stomach pump.  I know.  It sounds like an article from The Onion.  It sounds like a really badly thought out skit on Saturday Night Live.  I even checked Snopes.com  But unfortunately, it appears that this is real.

Wired magazine recently published the article, “US firm wants to tackle obesity with at-home stomach pump.”  In the story, they explain that a US company (ASPIRE BARIATRICS LLC) has filed for a US patent for “Apiration Therapy” which is intended to be “a non-invasive alternative to gastric bypass.”  Basically what happens is the patient has outpatient endoscopic surgery in which a tube is installed in their stomach that pokes out a very small incision in the center of the abdomen.  Once the incision heals, the tube is trimmed flush with the patient’s body and a “skin port” is installed.

The patient is then encouraged to regularly pump the contents directly out of their stomach.  Let me explain exactly what this means.  (And I’m offering an additional trigger warning right here.  Thursday’s dancing bird was super cute…)  Here’s a quote from the “study”

She “aspirated” after every meal: “the patient uncapped [her] tube, connected a 60 cc syringe and extracted food from her stomach twice. This resulted in a siphon effect, which permitted the subject to freely drain the stomach by allowing the open tube to empty into a bucket. The patient squeezed the tube to enhance propulsion and to break up large food.”

 

Okay.  So you eat a meal.  And then you connect a syringe to your “skin port” and create a “siphon effect” which “freely drains” your undigested stomach contents into a bucket. Apparently by doing this and drinking water between each aspiration, the dieter was able to evacuate between 2 and 3 liters of fluid after each meal.

Let’s just stop right there, shall we?  Just HOW can anybody think that this is okay?  How, exactly are you supposed to have anything approaching a normal life with this treatment?  After each meal, you have to attach a syringe and engage in a multi-stage process, during which you drink several liters of water and dump your raw stomach contents into a bucket.  How can THIS be a good idea?

The reason I am telling you this decidedly disturbing story is not simply to gross you out or titillate you with gory details.  (Although I have no doubt that both of these play a part in why the story was originally published).  No, I want to use this story to illustrate a few very important points.

1.  Our society makes people desperate to lose weight.  Fat people face constant messages that they are sick, lazy, gross, unworthy and useless.  Many are harassed by strangers in pubic places, derided by doctors, passed over by potential employers and face daily abuse by strangers and loved ones alike.  Fat people who have internalized these messages or are worn down by the constant abuse may become desperate.  They are desperate enough to have irreversible surgery done to alter the functioning of healthy organs.  They may even be desperate enough to siphon their stomach contents into a bucket.  But is the real problem here the fat, or the desperation that our world inflicts on fat people?

2. This patent application was filed based on a single study of 24 patients who, best I can tell, have been followed for less than two years.  Now it’s important to note that this invention has NOT been approved by the US Food and Drug Administration.  But given some of the folks involved in this project (including Segway creator Dean Kamen who co-invented the prototype) it is likely to move rapidly in that direction.  Can we just note the situation here where we had a guy who invented a product that keeps people from having to walk anywhere also inventing a bariatric product?  Anybody else see a contradiction here?  And while many weight loss schemes and products seem to work well in the first year or two, they all seem to have considerably less success at the 3-5 year stage.  What reason do we have to believe that this process would be any different?

3.  The purpose for the product as stated in the patent application is “The present invention is less invasive than current surgical procedures for reducing weight and allows patients to live a normal and active lifestyle without experiencing adverse side effects.”  Just exactly how normal is it to spend more than 20 minutes several times per day emptying food out of your gut into a bucket?  It is interesting however that the patent application does not cite any potential health benefits of the product outside of the “normal and active lifestyle”.  This may be because with their extremely limited sample size and study duration they weren’t able to record any.  Or maybe they just feel the health benefits of weight loss are something that “everybody knows” about.  Or maybe it’s because we’re finally realizing that the health problems associated with overweight and obesity may have been blown out of proportion.

4.  How is this not medically induced bulimia?  Whether you regurgitate your stomach contents or squeeze them out of a tube, it basically amounts to the same thing.  Sure, you may have less damage to tooth enamel and esophagus from the tube method, but it seems likely that many of the problems of malnutrition as well as the damage of the binge/purge cycle would apply here.  Maybe dealing with fat by creating a systemic, medicalized eatiing disorder is not the way to go here.

5.  It’s about money.  The prototypes were created, the medical trials were completed all at what had to be enormous expense, because there is a tremendously huge amount of money at stake here.  Gastric bypass surgeries seem to be waning in this down economy as stories of corruption, and more and more information about long term side effects and reductions in efficacy come to light.  Bariatric medicine is looking for the next “big” thing that will allow them to make a lot of money.  You can bet this project will be fast-tracked.

Okay, this post has already reached epic length and I should probably wrap this up here.  So here’s the bottom line.  Do we want to live in a world that is so emotionally toxic to fat people that they will do anything to lose weight?  Do we want to live in a world where the health benefits of intuitive eating and regular moderate exercise are pushed aside in a mad dash to create stunning “before” and “after” pictures and to line the pockets of bariatric medical establishments?  Or do we want to choose something better for ourselves and for all of our brothers and sisters of all sizes?

I don’t know when or if this product will ever come before the FDA.  I do know that in the mean time, I will continue to work towards a HAES (R) approach to wellness.  I know that I will work for health and well being for people of all sizes that is based on sound science, dignity and self-respect.

Love,

The Fat Chick