Tag Archives: ASDAH

Stuff that Weighs More than Me: Giant Orange

Yup, that’s a person up there in the observation area!

Apparently, they just grow stuff bigger down under. The search for the stats for the giant espresso pot, led me down a rabbit hole of really, really big stuff in Australia. And the biggest of the really big fruit is this orange–which has observation windows and stairs.

Yup. Most oranges contain some juicy citrus fruit and a few pips. This orange incorporates a cafe, a souvenir shop, a 360-degree mural and a lookout area at the top. This orange has stairs.

I seriously want to go to Australia just to have my picture taken with this thing. Seriously. I’d fly on a plane for umpteen hours, just for that.

Speaking of planes, I’m hopping on one soon on my way to the ASDAH conference. I’ll be speaking or leading classes all 3 days. Can’t wait to see you there.

And just in case you’re wondering, “Orange you gonna share the stats?” here they are:

Materials: Fiberglass panels over a steel frame

Height: 45 feet

Diameter: 36 feet

Levels: 4 (Yes, this orange has four floors!)

Weight: 85 Tons

Conclusion: The Big Orange weighs more than me.

Love,

The Fat Chick

Like my posts? You’ll love my stuff!

Buy my book: The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of All Ages, Shapes Sizes and Abilities)–available in softcover and e-book versions

Buy my DVD: The Fat Chick Works Out! (A Safe, Easy and Fun Workout for Klutzes, Wimps and Absolute Beginners!)

Buy a book or a DVD for a friend and save $5! Just enter FRIENDBLFT in the discount code box!

Check out my Training Programs–both in person and via Skype (Starting at just $25!)

Book me to speak at your special event!

On Doggie Diversity

3 Replies

It’s always amazing to me, just how hard it is for people to wrap their heads around size diversity. They readily accept that some people are tall and some people are short. They accept that some people are good at math and some people can sing. They understand that we come with different eye colors and different hair colors and textures and have different shoe sizes. But when it comes to clothing sizes, when it comes to body composition–there is one size to rule them all. And that size is small.

Why, oh why is it so hard to accept that there will be diversity in body weight and shape as well as height and color? Some dogs are greyhounds.

Some dogs are pit bulls.

Greyhounds are not better than pit bulls. They aren’t healthier. In fact, pit bills on average live longer than greyhounds do.

No matter how much a pit bull diets, it will not be a greyhound. It will just be a very, very thin pit bull. The very thin pit bull will not be morally superior to other pit bulls. It will not be healthier than other pit bulls. In fact, it will probably be pretty sickly compared to other pit bulls and unless it is fed enough food, it will die of malnutrition and starvation.

And frankly, the notion that extremely svelte pit bulls look better in designer clothes is just a myth:

Frankly, tiaras are for dogs of every breed:

The reality is that the world is a place of wondrous diversity. We come in all sizes, shapes, colors and types. And that diversity is awesome. It makes life interesting. It helps us survive as a species.

So instead of disparaging people who look a little different, let’s celebrate our diversity! Then we can all run and frolic and play nice together.

Love,

The Fat Chick

Like my posts? You’ll love my stuff!

Buy my book: The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of All Ages, Shapes Sizes and Abilities)–available in softcover and e-book versions

Buy my DVD: The Fat Chick Works Out! (A Safe, Easy and Fun Workout for Klutzes, Wimps and Absolute Beginners!)

Buy a book or a DVD for a friend and save $5! Just enter FRIENDBLFT in the discount code box!

Check out my Training Programs–both in person and via Skype (Starting at just $25!)

Book me to speak at your special event!

Your Big Fat ASSumptions: The Right Now Show Episode 014

Paging Doctor Good…

4 Replies

Sometimes fat chicks have to shop a little harder to find a good doctor…

Well, yet another study has come out indicating that fat stigma is alive and well among medical students. Even NPR (with it’s RWJ-fueled, anti-fat slant) released a story about this study conducted among medical students in South Carolina. Over one third of the students tested, demonstrated moderate to strong bias against obese people. What’s more two thirds of those students who demonstrated fat bias were even aware that they had any bias against overweight and obese subjects. And while the study only checked bias among students in one school, it is clearly in line with other studies that demonstrate fat bias among doctors and med students.

None of this comes as much of a surprise to overweight and obese people seeking health care in this country. Many of us have experienced not only a flat refusal to treat the illness or injury for which we are seeking care, but also outright and overt disdain from our doctors. I have spoken extensively about my own story in the past. And as I have reviewed the videos that have been submitted for the Resolved Project created by the Size Diversity Task Force and ASDAH, I’ve cataloged so many distressing stories. We are compiling a veritable library of cases of little kids put on speed, doctors refusing care and medically supervised fat shaming.

It’s so hard to find a good doctor that will treat us with respect. It can be a long and arduous search. So it’s probably not a shock that another report was released last week that shows that overweight and obese patients are more likely to engage in “doctor shopping”. If one in three doctors coming out of medical school are displaying recognized or unrecognized bias against people of size, it makes sense that we have to look a little harder. What I find interesting about the study however is the way it connects doctor shopping with quality of care. One of the lead doctors from the Johns Hopkins study, Dr. Kimberly A. Gudzune, stated:

“There’s something going wrong in these doctor-patient relationships that make these switches so frequent for this group of people… The real problem here is that the health of overweight and obese patients who doctor shop is being compromised. Because they do not remain with their doctors for very long, they are ending up in the emergency room, likely for things that could have been taken care of in a primary care office.”

I wonder, does this point to yet another reason why fat stigma may be causing health problems that are currently blamed on fat? I’ve stated before, and I’ll state again, there is no proof that weight loss improves health. (For one thing, we can’t get enough people to keep enough weight off for long enough to do a real test.) We also know that people who engage in healthy behavior live longer, regardless of body size. What would be very interesting to me would be to see what impact medical training to reduce weight stigma would have on the health of fat patients. That’s the study I would like to see.

In the meantime, I guess we’ll just have to keep searching for Doctor Good…

Buy my book: The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of All Ages, Shapes Sizes and Abilities)–available in softcover and e-book versions

Buy my DVD: The Fat Chick Works Out! (A Safe, Easy and Fun Workout for Klutzes, Wimps and Absolute Beginners!)

Buy a book or a DVD for a friend and save $5! Just enter FRIENDBLFT in the discount code box!

Check out my Training Programs–both in person and via Skype (Starting at just $25!)

Book me to speak at your special event!

Teenage Boy “Diagnosed Fat”–Infection Missed

7 Replies

How many times have we heard this same story? A vibrant, active young man goes to the doctor, in this case, with knee pain. The doctor does a routine test and doesn’t see a problem. The doctor does see a young man who fits into an “undesirable” segment of the BMI chart. The solution, the young man is diagnosed as fat, is told that his “extra weight” is probably causing the pain in his knee and sent home. Now Kaleb is an active kid. He plays rugby, and he loves to sail. But once the doctor sees Kaleb’s place on the BMI scale, he just might think something like this: “Aha! I don’t have to say that I don’t know what’s wrong with this kid’s knee. I can write obesity in the kid’s chart and then we have a diagnosis!”

Unfortunately, in Kaleb’s case there was another diagnosis besides “fat” to be found. A short while later, he was taken to the hospital via ambulance after he fell down some steps. At that point, he was referred to a specialist that he saw two weeks later. The specialist ordered an MRI and during the scan they found a serious bone infection. Kaleb was scheduled for emergency surgery the same night. He is recovering well. So thankfully, the story has a happy ending.

But how much pain could have been avoided without the “fat diagnosis”? It appears that had this infection been detected earlier, it could have been treated with antibiotics rather than emergency surgery. Now there’s no guarantee that had Kaleb been thin, they would have found the infection sooner. They might have still sent him home and told him to take some aspirin and take it easy. Thin people are misdiagnosed too. But I’ve heard time and time again about people who are “diagnosed fat” and sent home. Remember this guy who was diagnosed fat, and it turned out to be a brain tumor? Remember his emergency surgery? I wonder if doctors, frustrated by a lack of diagnosis and discouraged from ordering expensive tests don’t lean on the BMI chart as a way to have something to write in their diagnosis box. I imagine in many cases, once patients are “diagnosed fat” and are shamed and blamed, they stop asking annoying questions. They stop demanding that doctors figure out what is wrong with them. In some cases, they stop going to the doctor altogether. This is part of the collateral damage and opportunity costs in the “war on obesity”. This is another example of the casualties that arise from singling out a body type as unacceptable and trying to eradicate it.

And we’re not just dealing with misdiagnosis here. We’re dealing with fat people suffering and dying from the mutilation of otherwise healthy tissue via gastric bypass and banding surgeries. We are seeing the development of more and more new strategies for trying to make fat people “healthy” by making their digestive systems mimic eating disorders and limited blood flow to the gut. We are so focused on helping fat people get healthy by making them thin that we are willing to make them really, really sick to help them get there. And sadly, in so many cases, the fat people who undergo these treatments end up fatter or sicker or less happy than they were in the first place.

There are weapons we can use in this war. One of them is to ask the doctor if thin people also experience the same problem. In Kaleb’s case, he or his mom might have asked, “Do thin people also have knee pain? What tests might you do if I were thin. Can we do those tests please?”

Another weapon is to help make doctors and other medical professionals more aware of the pain and repercussions of fat bias. And it just so happens that we have some terrific tools to do that. The Association for Size Diversity And Health (ASDAH) along with the Size Diversity Task Force are compiling videos about fat bias in healthcare. The project is called RESOLVED. Some folks at ASDAH have informed me that the deadlines are being extended. You can hear more about the project and see my sample video HERE. In addition, the Size Diversity Task Force has a unique opportunity through one of our members to help train medical advocates about fat bias in healthcare. But in order for your video to be used in both places, you need to submit your video by March 18. If you’re interested in participating in the project and/or have any questions or concerns, please leave me a note in the comments below. Or send me an email at jeanette at thefatchick dot com. I’d be glad to help.

Let’s do what we can to limit the number of casualties in the war on fat. Let’s help kids like Kaleb get the attention and care they need at the first doctor’s appointment–not the third. Let’s see what we can do to have “diagnosed as fat” be a thing of the past!

Love,

The Fat Chick

Dealing with Diabetes: Episode 004 of the Right Now Show with Jeanette DePatie (AKA The Fat Chick)

Right Now Show–Episode 003: Healthcare and YOU

5 Replies

In episode 003 of the Right Now show, we explore the new initiative by the Association for Size Diversity And Health (ASDAH) called RESOLVED: addressing weight bias in health care. Jeanette DePatie (AKA The Fat Chick) shares some stories about her journey in healthcare and shares details about the RESOLVED project with the viewers.

For more information about the RESOLVED project, go to the ASDAH website. And to read another story about a truly frightening misdiagnosis of a fat person, click on THIS LINK.

And finally, if you’re enjoying the show, don’t forget to subscribe at: http://www.youtube.com/jeanettedepatie.

Thanks so much!

Love,
Jeanette
AKA The Fat Chick
http://www.thefatchick.com

P.S. This marks my 365th blog post! (One whole YEAR of blog posts=YAY!)

Don’t forget to enter your miles in the Fit Fatties Across America page on the Fit Fatties Forum. Let’s see if we can get out of Colorado and a little further down the road!

And if you’d like more information about how to pick a doctor that’s right for you, there’s a whole CHAPTER on that subject in my book The Fat Chick Works Out! You can buy a hard copy or an e-book, whichever you like!

A Fatty Affair 2013 was Off the Hook!

3 Replies

If, like me, you were privileged enough to go to A Fatty Affair last weekend, I imagine you are still basking in the afterglow of what can only be called a massively cool rad fatty event. If you didn’t get to go, I’m sorry. But you can still view the clip above to get an idea of just how much awesome and win was experienced by all.

There was singing and dancing. There was talk about sex. There was home-baked yummy desserts. There were hula hoops. There were butt bounces. There was laughing and playing and more fabulous clothes for swapping than you can even imagine.

Kudos go out to Sarah Redman and her entire planning committee for creating such an uplifting, warm and positive event. I can’t wait for next year! Thankfully, Sarah has informed us that they plan on doing even more events in the coming year. If you want to stay on top of all the stuff this great group is cooking up, check out their web site.

This weekend reminded me once again, just how powerful community can be. I think at one time or another all of us feel like we are all alone in our journey towards self acceptance. But there’s no reason to go it alone. In addition to the Fatty Affair folks, there’s the Size Diversity Task Force (who has already collected over 15,000 pages towards the Paper Mache in a Big, Big Way project), ASDAH, The Fat Chick Clique and The Fit Fatties Forum (who have reached the Rockies in their jaunt across the USA). Don’t worry if one particular group is too far away or doesn’t fit your style. There are amazing size acceptance groups everywhere! So don’t try to do it all by yourself. Share or be square!

Love,

The Fat Chick

What is Health?

2 Replies

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

The National Weight Control Registry: Oh look, a Unicorn

7 Replies

Results not typical…

Over the past few weeks, I’ve heard several people advance the National Weight Control Registry as evidence that people can permanently lose weight. To take just two cases, It is currently prominently featured on the Weight of the Nation website and it was thrown at Julianne Wotasik and I during our interview on Dr. Drew’s show earlier this week. Add to that, my new friend Angela sending her amazing slides for a new UK lecture on the NWCR and a blog post seemed kind of inevitable…

The National Weight Control Registry is a list of about 10,000 people who are at or above age eighteen who have lost at least 30 pounds and kept it off for at least one year. There are follow up studies done on subsets of the group over time. But in order to initially qualify for this group you must only meet three criteria: be 18 or older, show an initial weight loss of over 30 pounds, and maintain at least 30 lbs of your initial weight loss for one year. As I mentioned on Dr. Drew’s show, I would have qualified for the NWCR at least two different times in my life. But alas, after the one or two year point, I regained my weight plus a little. (It was only when I stopped weight cycling that I have been able to maintain a steady, albeit higher weight.)

There’s lots of argument back and forth about the level of regain among participants. One follow up study from 2003 indicated that among the subset self selected for the review, over 70 percent had regained some weight over the two years of the study. Granted, most of them had retained a significant percentage of their weight loss at this point, but “recovery from even minor weight gain was uncommon”.

But here’s the main thing folks. The National Weight Control Registry is a study of a very, very small, self-selected sample of people who have lost some weight and kept some of it off. The study was never designed to apply to a general population– “Because this is not a random sample of those who attempt weight loss, the results have limited generalizability to the entire population of overweight and obese individuals.” So this is a study of what a very small percentage of people in the United States did in order to lose weight (lots of different things) and keep some of it off. Sure there have been glowing reports of what these folks have in common in maintaining some weight loss. Most severely restrict calories, exercise daily and weigh weekly. And many media outlets have shouted about the fact that most of these folks eat breakfast every day! (Since I’ve eaten breakfast every day for my entire life, and I’m still waiting for the magic weight loss to appear, I kinda wonder if this breakfast thing has a causal relationship with weight loss. But I digress…)

When I say the NWCR is a small sample, I mean it. At any given time, over 70 million Americans are trying to lose weight for good. The NWCR lists 10,000 who have managed to log some success in that regard. We’re talking about a .00014 percent success rate here. As a point of comparison, over 500,000 people completed a marathon last year. And when it comes to an Ironman race (that’s a 2.4 mile swim followed by a 112 mile bike ride followed by a 26.2 mile run all completed in less than 17 hours with no break) estimates run as high as 25,000 projected participants for this year. So why aren’t we suggesting that all Americans compete in marathons or even Ironman competitions to be healthy? After all, our sample sizes for successful people are 2.5 to 50 TIMES HIGHER than those listed in the NWCR. And since 25,000 people have managed to complete an Ironman, it’s clearly possible, right? Maybe those half million marathoners need to learn from the techniques of the Ironmen and just suck it up and do it. Anybody who doesn’t want to exercise for 17 hours straight is clearly a slacker.

We don’t suggest everyone compete in marathons and triathlons and Ironmans because it’s ridiculous. We know that not everyone has the time, health, money or inclination to train the average 40 miles per week clocked by mere marathoners not to mention the hundreds of miles clocked by Ironmen. While I adored my marathon training and am extremely glad I did it, I just don’t have that kind of time to dedicate to marathon training on top of all of the other fitness classes I’m teaching right now. And with plenty of research indicating that a mere 150 minutes of moderate exercise per week is all that is necessary to achieve extremely significant health goals, I’m happy too treasure my medals and move on. And since there is also plenty of research indicating that I can be happy and healthy by engaging in moderate healthy behaviors without significant weight loss, I’m happy to do that too and just get on with my life.

So my dear little chicklettes, I no longer qualify for the NWCR. Maybe you don’t qualify either, but that’s okay. Why not join my extremely exclusive Fat Chick Clique instead? It’s totally free, you get to get free stuff, and you can live your life however you want. Cuz’ that’s just how I roll.

Love,

The Fat Chick