this post was submitted on 11 May 2025

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549

doctors (lemm.ee)

submitted 1 month ago by [email protected] to c/[email protected]

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[–] [email protected] 161 points 1 month ago (15 children)

Got a lot to say but I'll keep it brief-ish. Corporations love unhealthy people. They will artificially celebrate this and reinforce unhealthy lifestyles. This extends beyond weight.

Once entrapped, escape is hard. Some are passive and depressed. Some are dismissive and defensive. No matter which cycle you are in, it's unhealthy.

I think smoking is bad like I think being overweight is bad. If a doctor says alcohol is killing you, it probably is. I don't think hatred is deserved, but don't expect any validation for those choices.

[–] [email protected] 72 points 1 month ago* (last edited 1 month ago)

Surely no coincidence that being obese is a gateway to hyperconsumerism anyway. Sugary, fatty, processed snack foods are way more profitable than healthy meals.

Walking around town is free, can't have that. Sit at this computer chair, watch advertisements and play video games instead.

Heart disease at 26? That'll be $2k/month until you die.

Get depressed, buy the meds, never leave your couch, don't fight back, you're the evolution of humanity and - most of all - you are beautiful.

[–] [email protected] 31 points 1 month ago* (last edited 1 month ago) (10 children)

The meme isn't about that, I've read stories of some doctors refusing to perform surguries to overweight people, but other doctors doing the surgery anyway.

The same way a lot of women get told stuff is just from their period by doctors.

[–] [email protected] 96 points 1 month ago (3 children)

I'm a medical student and I have some direct experience with this. Sometimes, the difference between the surgeon who will do the procedure versus the surgeon that won't do the procedure is the availability of specialized facilities and equipment that they have access to. An elective surgery (i.e. not an emergency surgery) can go from routine to very high risk depending on the amount of adipose tissue the patient has.

And it's not just a matter of the fat tissue overlying the surgical site. Morbidly obese patients are much more likely to have things like sleep apnea which can make anesthesia more risky and might require more specialized equipment than a particular surgeon/hospital/anesthesiologist might have access to. The "morbid" part of "morbid obesity" also refers to the fact that people above a certain threshold of weight are much more likely to have other health conditions like heart disease that make anesthesia more risky.

[–] [email protected] 20 points 1 month ago (1 children)

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

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[–] [email protected] 46 points 1 month ago (3 children)

The reason for that is that surgeons are rated based on their success percentages meaning they'll recommend against risky surgeries.

The upside of this is that surgeons aren't operating willy-nilly on people and will make a proper risk assessment. The downside is that overweight people have an inherently higher risk of complications from surgery, so some surgeons will pass.

It's not because they think these people don't need it, it's because they think it's too risky. They're usually not wrong about that, you just need to find a surgeon willing to take the risk or, if possible, reduce the risk by losing weight.

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[–] [email protected] 29 points 1 month ago (17 children)

Look. Shitty doctors exist, but when 1/3 of the US is overweight, there are underlying issues that need addressing. I only hear horror stories when an addict, alcoholic, or overweight individual in my life is feeling insecure or defensive about a prognosis. Too many people deflect and it's enabling a much larger issues. Our basic instincts are being exploited.

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[–] [email protected] 20 points 1 month ago* (last edited 1 month ago)

When talking about obese individuals, the fat very easily gets in the way of surgery. Compared to a healthy patient the risk of complications during surgery is much greater and really not worth chancing it (most if the time)

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[–] [email protected] 94 points 1 month ago (28 children)

I can't blame doctors for letting obesity color their opinion. Look around your doctor's waiting room. Everyone is fat. Imagine the suffering and illness they see daily due to fat. How can those observations not color their general attitude?

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[–] [email protected] 49 points 1 month ago (1 children)

Have you tried not being fat?

reminder: shitpost

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[–] [email protected] 43 points 1 month ago

[–] [email protected] 39 points 1 month ago (7 children)

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

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

Me:

[–] [email protected] 156 points 1 month ago (5 children)

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

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

[–] [email protected] 67 points 1 month ago (15 children)

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

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[–] [email protected] 68 points 1 month ago (1 children)

200 calories every other day

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

[–] [email protected] 17 points 1 month ago (1 children)

Yeah, they tend to forget about those.

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

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

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

quality rage bait 👏👏👏

[–] [email protected] 21 points 1 month ago (1 children)

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

[–] [email protected] 19 points 1 month ago

You sound distressed, you should lose some weight.

[–] [email protected] 30 points 1 month ago

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

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

[–] [email protected] 24 points 1 month ago

shoutout to my current PCP for actually listening to my symptoms and (most importantly) when they started/worsened and treating them and/or the cause while also reminding me I still need to keep working on my weight

gonna miss her when I move towns :[

[–] [email protected] 21 points 1 month ago (2 children)

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

[–] [email protected] 26 points 1 month ago (7 children)

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

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[–] agamemnonymous 20 points 1 month ago (3 children)

What part of the Hippocratic Oath does this refer to? If anything, the Oath specifies "us[ing] those dietary regimens which will benefit my patients according to my greatest ability and judgment".

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[–] [email protected] 18 points 1 month ago (1 children)

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

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[–] [email protected] 17 points 1 month ago (8 children)

Now we have weight loss drugs, though. Those are apparently unbelievably effective

[–] [email protected] 25 points 1 month ago (13 children)

Sort of. We have drugs that can help you lose weight, but they come with their own challenges and risks, and you still need to eat right and exercise. And even then, it's prescribed and covered for diagnosed diabetes. If you want it to lose weight, you probably have to pay for it.

Eating right is much more difficult than people pretend it is, and exercise is simply not possible for a lot of overweight people. You might as well say "don't be poor, and also don't be poor."

So when you say on top of that, "we've made it easier for you to lose weight with this new drug, as long as you aren't poor," that's not really helpful.

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[–] [email protected] 14 points 1 month ago* (last edited 1 month ago) (1 children)

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

Medical culture is unbelievably bigoted.

[–] [email protected] 30 points 1 month ago (6 children)

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