Butterfly Cauldron
Tuesday, August 07, 2007
This article, it does not say what you think it does
Study links women's obesity, birth defects risk! Blame it on the fat! Shame, shame, shame on you fat women. Daring to be mothers. The nerve. Don't you know you're not worth fucking, much less knocking up? Ha.
Ahem.
Okay, basically this article says that obese women (Which, again, they don't define. What does that mean, anyway?) have a higher risk of giving birth to babies with birth defects. About a whole whopping one percent greater chance. Now, I'm not really a statistician, but isn't that, oh, not a significant difference? Couldn't a variation that small be a quirk of the study? Isn't that basically the same risk as non-obese women?
"Obese women should not be overly alarmed by these findings because their absolute risk of having a child with a birth defect is low, and the cause of the majority of birth defects is unknown," said University of Texas researcher Kim Waller, the study's lead author.
Still, the results underline yet another reason for women to maintain a healthy weight, Waller said.
Gah! We don't know why most birth defects happen, and really, you're not that likely to have a baby with a defect anyway, but you know, you really shouldn't be fat anyway even though we have absolutely no evidence that being fat, by itself, is in anyway dangerous to your developing fetus. But really, don't be fat, okay?
Reasons for the potential link between obesity and birth defects are unclear, Waller said. It's possible that some women had undiagnosed diabetes, which also is linked to birth defects, she said.
While the study didn't examine weight during pregnancy, it's also possible that some women tried potentially dangerous weight-loss techniques right before conception or during early pregnancy, when most birth defects occur, the researcher said.
She urged obese pregnant women, however, not to try diet pills, fasting or other aggressive methods which also might contribute to risks for birth defects.
Let's parse that out, shall we? It's not the fat that seems to be responsible for the very tiny, non-significant increase in defective babies. It's undiagnosed diabetes -- which is bad for the woman, too. Again, it's not the fat, it's the disease. (Which should be caught, if there's pre-natal care. Testing for gestational diabetes is standard. If you don't have healthcare, however. . .) What else is bad? Oh! Trying to lose weight! That's right, those crazy Grapefruit Juice and Exlax diets could do the baby in. It could also fuck up the mother, but let's not mention that.
I recommend no one try diet pills or fasts or aggressive weight loss methods, pregnant or not. Those pills seriously raise your blood pressure, fasting messes up your metabolism and agression is only useful in the boardroom and the bedroom.
So, to recap: One study suggests that a very small, in-any-other-study-not-worth-mentioning percentage of obese women are more likely to give birth to babies with birth defects. But, the study doesn't suggest it's being fat that caused it. It's more likely to be an undiagnosed illness or crazy diet plans. But don't be fat. I mean, it's even in the headline, for gods sake!
Labels: fat, medical care, outrage, stupid people
Saturday, June 23, 2007
More medical horor stories
Obesity Surgery -- Now OK For Kids as Young as 12! Because fat kids need the pressure of doctor's trying to amputate part of their stomach.
There ARE Limits!At last, the FDA rejects a weight loss drug! While it's okay if they make you crap your pants, making you want to kill yourself? Not so much. Although, frankly, I think the fact that this was a non-American company might have had more to do with it. Watch for: an American company peddling the same thing with a different name.
Because fat women dying is funny When you find a fat woman having a heart attack, the proper response is to a) take her to the hospital or b) say she's too big to move and laugh while she dies.
Move for Gods sake! All us fat girls, who just sit around eating bonbons and drinking sugar water all day. If we'd only move! You know, do the dishes or something. . .
Labels: fat, medical care
But what about my moral beliefs?
Rape victim goes to hospital. Has exam, asks for EC.
Boyer stared in disbelief. No? She tried vainly to hold back tears as she reasoned with the doctor: She was midcycle, putting her in danger of getting pregnant. Emergency contraception is most effective within a short time frame, ideally 72 hours. If he wasn't willing to write an EC prescription, she'd be glad to see a different doctor. Dr. Gish simply shook his head. "It's against my religion," he said, according to Boyer. (When contacted, the doctor declined to comment for this article.)
How does he have the right to do that? When she says to him, I'm in danger. When she wants to avoid having a baby due to rape. Where's the compassion? These people call themselves Christians? (This was at a Catholic hospital.) This is what they think Jesus would do? Really? Why would anyone want to follow a god that has so little regard for his followers suffering?
But, some say, EC is now available over the counter. Sure, if you can find a pharmacy that carries it and a pharmacist willing to give it to you. For some women, that's very hard to find.
Planned Parenthood M.D.s report patients coming to them because other gynecologists would not dole out birth control prescriptions or abortion referrals. Infertility clinics have turned away lesbians and unmarried women; anesthesiologists and obstetricians are refusing to do sterilizations; Catholic hospitals have delayed ending doomed pregnancies because abortions are only allowed to save the life of the mother. In a survey published this year in The New England Journal of Medicine, 63 percent of doctors said it is acceptable to tell patients they have moral objections to treatments, and 18 percent felt no obligation to refer patients elsewhere. And in a recent SELF.com poll, nearly 1 in 20 respondents said their doctors had refused to treat them for moral, ethical or religious reasons. "It's obscene," says Jamie D. Brooks, a former staff attorney for the National Health Law Program who continues to work on projects with the Los Angeles advocacy group. "Doctors swear an oath to serve their patients. But instead, they are allowing their religious beliefs to compromise patient care. And too often, the victims of this practice are women."
I wonder if it would be possible to file some sort of gender discrimination suit against these doctors? Since their victims are, predominantly, women. I've never heard of a man being denied any medicine or treatment. (If you have, please email me the info. ) Is this one of those issues that will have to go to the Supreme Court? And gods help us, I hope if it does, we've got a few more liberal justices sitting than we do now.
Because, you'll notice that when doctor's are given the right to refuse, they're given the right to refuse treatment that seems to apply exclusively to women.
In 1973, following Roe v. Wade, Congress passed the so-called Church Amendment, allowing federally funded health care providers to refuse to do abortions. In the years since, 46 states have adopted their own abortion refusal clauses — or, as proponents call them, conscience clauses — allowing doctors to opt out. Now many states have gone further. Sixteen legislatures have given doctors the right to refuse to perform sterilizations; eight states say doctors don't have to prescribe contraception. "This is about the rights of the individual, about our constitutional right to freedom of religion," says Frank Manion, an attorney with the American Center for Law and Justice, a legal group in Washington, D.C. Founded by minister Pat Robertson, the organization has represented health care providers and lobbied for laws that protect them.
Here's the thing: I believe strongly in a person's right to do as they please. I believe a doctor who does not want to perform abortions, she/he does not have to. But I also believe that they should be completely upfront about that fact. Their patients should not be surprised to find out that information. If a doctor won't prescribe birth control, they need to say so, up front. Post a sign somewhere in the lobby, at the sign-in desk. So, if you're there to see the doctor for the Pill, you know not to waste your time.
Because when we're talking about the rights of the individual, we can't forget the rights of the individual patient. Because she's got the right to know, before she spends her co-pay or the only gyno visit her insurance will pay for (One per year, ya know), if her doctor is going to cover all her medical needs or not.
If a pharmacy carries a drug, I don't believe a pharmacists should have the right to refuse to dispense it. The pharmacy itself has the right to decide not to carry something, but if it's in stock and someone comes in with a legitmate script for it, give it to them. If you can't do it, pass it on to someone who will. Period. No one should ever be turned away because someone else has decided to impose their morals upon them. Ever. Because while we do have freedom of religion in this country, that freedom is not allowed to impose itself on others. (I mean, I have the right to fervantly believe Kali will rip their balls off or give them festering boils on their dick, but that doesn't give ME the right to rip 'em off, ya know?)
I don't think emergency room docs should be allowed to deny EC either. Yes, it's over the counter, but if I'm a rape victim, I want the damn pill NOW. I don't want to have to find the nearest Walgreens and hope their pharmacist will let me buy it.
I feel more lenient to doctors in private practice, who don't do the hospital thing. Provided they advertise upfront what they will not do. (Anyone ever heard of a man being denied a vasectomy because of religious issues? Or denied Viagra?)
Since 2005, 27 states introduced bills to widen refusal clauses. Four states are considering granting carte blanche refusal rights — much like the law adopted by Mississippi in 2004, which allows any health care provider to refuse practically anything on moral grounds. "It's written so broadly, there's virtually no protection for patients," says Adam Sonfield, senior public policy associate for the Washington, D.C., office of the Guttmacher Institute, a reproductive-health research group. Sonfield notes that many refusal clauses do not require providers to warn women about restrictions on services or to refer them elsewhere. "You have to balance doctors' rights with their responsibilities to patients, employers and communities," he adds. "Doctors shouldn't be forced to provide services, but they can't just abandon patients."
There has to be a way to balance things. I mean, I'm worried I'll be denied care because I'm a woman, fat, bisexual, chronically ill. And some of these laws would allow the doctor to deny me for any of those reasons. How is that remotely far? How is that remotely moral? Whose morals are these? Because they're not mine, at all. I mean, would we stand for a doctor refusing treatment to a black man because he's black? Or Jewish? And yet, because we're women and want to not be pregnant, it's okay? WTF?
In theory, the laws aren't aimed solely at women's health — a bill in New Jersey lists eye doctors and prosthetics technicians as examples of providers who'd be allowed to refuse care based on their beliefs. But Morrison warns women not to be fooled. "I ask you, what belief would keep someone from fitting a patient with a prosthetic limb?" she asks. "What they're really after is limiting access to women's health care. Reproductive health is seen as something other than regular health care" — not a straightforward matter of treating and healing, but something laden with morality — "and if you treat it that way, it becomes something providers can say yes or no to." Men, for the most part, escape such scrutiny: It's pretty hard to imagine someone being made to feel he's going straight to hell for choosing to take Viagra or get a vasectomy. And if women come to fear their doctors' judgments, a new set of problems can develop. "Then you have women who don't communicate with their doctors or avoid getting care," Morrison warns. "Any way you look at it, it's dangerous for women."
Right. That about sums it up, no? Because why would you go back to someone who makes you feel so bad? That lump in your breast? Oh, that's just a cyst. Those headaches you're having? Too much stress and caffiene. The unexplained weight lose? Why complain, just be glad you're losing. None of those things could be serious.
If there's one thing both sides can agree on, it's this: In an emergency, doctors need to put aside personal beliefs to do what's best for the patient. But in a world guided by religious directives, even this can be a slippery proposition.
Ob/gyn Wayne Goldner, M.D., learned this lesson a few years back when a patient named Kathleen Hutchins came to his office in Manchester, New Hampshire. She was only 14 weeks pregnant, but her water had broken. Dr. Goldner delivered the bad news: Because there wasn't enough amniotic fluid left and it was too early for the fetus to survive on its own, the pregnancy was hopeless. Hutchins would likely miscarry in a matter of weeks. But in the meanwhile, she stood at risk for serious infection, which could lead to infertility or death. Dr. Goldner says his devastated patient chose to get an abortion at local Elliot Hospital. But there was a problem. Elliot had recently merged with nearby Catholic Medical Center — and as a result, the hospital forbade abortions.
"I was told I could not admit her unless there was a risk to her life," Dr. Goldner remembers. "They said, 'Why don't you wait until she has an infection or she gets a fever?' They were asking me to do something other than the standard of care. They wanted me to put her health in jeopardy." He tried admitting Hutchins elsewhere, only to discover that the nearest abortion provider was nearly 80 miles away in Lebanon, New Hampshire — and that she had no car. Ultimately, Dr. Goldner paid a taxi to drive her the hour and a half to the procedure. (The hospital merger has since dissolved, and Elliot is secular once again.)
How much more blatantly could it be framed? These laws endanger women's lives. Unless they're lucky enough to find a doctor who is willing to break the rules or go the extra mile to find them good care, they could die. Or they could lose their fertility. But this isn't about women. Oh, no. No no no. It's about the provider's rights!
Does a woman have to die to get these laws changed? Or rather, how many women have to die? Because one death certainly wouldn't be enough. It would take more than that.
Sometimes, I hate people.
Labels: abortion, birth control, medical care, outrage
Monday, March 05, 2007
Is that a beachball in your belly or are you just fat?

Anyone who is even the slightest bit overweight has had to deal with a doctor who was 'concerned' about their weight. It's a rite of passage, I think. Or a plot by Big Pharma to make us all insane. Those of us who are more than slightly overweight get used to it. I'm very lucky, in that my new doctor is open to discussing weight loss if I choose, but she isn't pressing the issue and is really interested in treating the symptoms I bring to her. But I've dealt this them before. The one doctor who told me that I was just in pain because I was stressed and needed to lose weight. Who tried to get me to spend thousands on Chinese herbs that would make me lose weight. Who put me on Prozac, but refused to do any tests to find out if there was actually an illness causing my symptoms. And gods know, my Aunt Vickie paid for being sick and ill with her life. She died from shame, although the physical cause was a stroke. She wouldn't go see a doctor because she was fat and she knew it would be an issue. So she died at 42 of a disease (Hugh's Syndrome, an autoimmune disease that she'd had for years which had weakened her blood vessels to the point that they failed) that could have been controlled with a simple aspirin a day.
So when I read this story I am not at all surprised. A naturally chubby girl starts gaining weight rapidly. She goes to doctors, gets told she needs to lose weight. She goes to more doctors, she gets told to accept that she's fat and that's all and she needs to lose weight. Doctor after doctor after doctor tell her the same thing. And the whole time, she's got a cyst growing inside her, swelling to the size of a frigging beach ball. And her health fails, not because she's fat, but because there was a foreign object growing inside her, pressing on organs and muscle and joints and ultimately rendering her unable to walk normally. And she's just fat, that's all. Except she's not.
How many years did she live like this? How much did she suffer because the medical establishment didn't take her seriously? Because all they saw was a fat woman? And how easy was it to figure out? A simple, painless ultrasound would have discovered this cyst while it was small and it could have been removed and she'd have had her life, but no. No. Instead, her life is taken over, she's shamed and humiliated by the people she goes to for help and for what?
She grew larger and larger, and the weight damaged Hilton's quality of life and contributed to the failure of a marriage. Still, doctors told Hilton she had better accept the fact that she was just fat and change her ways.
She's just fat. Only, she wasn't. And if one single doctor hadn't taken her seriously, she'd still be trapped in that body, still enslaved to a cyst that could have been removed -- much safer -- when it was mere millimeters long.
Labels: fat, medical care, outrage
Friday, July 14, 2006
Digital boobie pictures
I had my first mammogram today. Whoohoo.
At 31, I'm rather young to be getting my boobs squished and radiated, but three months of breast pain and a squishy lump sent me off to have my lovelies photographed. It wasn't a particularly pleasant experience, but it wasn't nearly as painful as I'd been lead to believe. Now, I simply have to wait for the results. Well, the results of the mammo and the blood work I got done Wednesday. On Tuesday, my doctor found protein in my urine, which is a not good thing, particularly when you've got Lupus. So, I'm waiting to find out if my kidneys are starting to screw up. In a way, it's kinda funny. I'm not sure which test should concern me most. Lumpy breasts or screwy kidneys? Where's a girl to put her focus? Either one could kill me, but neither likely will.
Anyway, while I was in the waiting room today the hospital had CNN on. And they were doing a report on the fighting going on in Israel and Lebanon. And the receptionist, a older Pentecostal lady, starts talking about how people should know better than to mess with Israel because that will only bring Jesus back faster. And everyone else in the waiting room, except me, started nodding and agreeing and going on and on about how sacred Israel is and how this is a sign of the end of the world and....I just kept thinking, "Shouldn't mess with Israel? How about we not mess with anyone? How about no one fire weapons at anyone else because it's wrong not because "God" said not to? How about we stop holding on to superstitious beliefs and start valuing people just because they're, oh I don't know, people? How about we stop holding some people to a set of standards because they're "chosen" and other people to another set because they're "condemned"?"
I realize I live in the middle of Jesusland, but...why do people insist on relating everything to their version of Christianity? It's terribly self-centered and small-minded. I remember growing up and talking to my mother about what I wanted to do when I grew up. I had lots of ideas and she never discouraged any of them. But she always said things like "Well, God could use a Christian lawyer." or "There's a need for good Christian journalists." Everything was qualified by being Christian. What, I couldn't just be a lawyer (didn't go that route, btw)? Or a reporter? Or an artist? Or a street sweeper? It wasn't good enough for me to do what I wanted with my life, I had to be following Gods' Plan (TM).
I wonder sometimes if my parents know how much they contributed to my resenting pretty much all things "Christian". (I say that because I've finally gotten to the point in my life where I can set the true Christian teachings/beliefs apart from this pseudo-Paulism that masquarades as Christian these days.) I wonder if they know how much their insisting I go to church twice on Sundays and once on Wednesdays, every god-blessed week made me run, run, run far from church as soon as I got to college? I wonder if they know how uncomfortable and unhappy I was being compelled to go to church camp every summer, Youth Rallies every month, youth activities all the time? And I wonder if it would have mattered if they did. Because there's this strain of thought in fundy churches that, if you're uncomfortable, it's because the Holy Spirit is working on you to get saved. Instead of, oh, I don't know, you like to think for yourself. Or you don't like being in crowds or about lots of people or that you feel religious faith is a personal, private, not-for-public consumption affair?
When I had surgery in May, my mother asked me, before I went into the operating room, if I knew I'd go to heaven if I died on the table? Now, I believe I will. Or, well, I believe in the continuation of the soul in some form and I believe in a Goddess that loves me. So I could honestly answer yes. But if she knew why I could answer yes, she'd have been worried the whole time I was under. And I don't want her to worry, because I'm not worried. And if I'm not worried, why should she? I'd like to live in a world where conflict in another country, which is killing hundreds if not thousands, would be seen as something worthy of concern in it's own right. I'd like to live in a society where other people's pain is not important only in so much as it relates to your belief in a coming judgment. I'd like to live in a place where it wouldn't matter what a person believes, or what they don't believe, where people are valued for simple being. But I don't. I live in Jesusland, where everything centers around being "Christian" and anything or anyone that doesn't live up to that set of standards is either less-than or, usually, inconceivable.
Labels: fundies, medical care, war
Friday, July 07, 2006
And this is why fat people don't go to doctors...
By DAVID TIRRELL-WYSOCKI
Associated Press Writer
CONCORD, N.H. (AP) -- A judge has ordered the state Board of Medicine to stop disciplinary proceedings against a doctor accused of telling a patient she was so obese she might only be attractive to black men and advising another to shoot herself following brain surgery.
Judge Edward Fitzgerald made clear in a ruling released Thursday that he did not condone remarks attributed to Dr. Terry Bennett and found them unnecessary, but ruled Bennett had a right to speak bluntly.
"It is nonetheless important ... to ensure that physicians and patients are free to discuss matters relating to health without fear of government reprisal, even if such discussions may sometimes be harsh, rude or offensive to the listener," he concluded in the ruling Wednesday.
The complaints against Bennett included charges that he told a white patient that she was so obese she might only be attractive to black men.
"Let's face it, if your husband were to die tomorrow, who would want you?" the board has said Bennett told the overweight patient in June 2004. "Well, men might want you, but not the types you want to want you. Might even be a black guy," it quoted him as saying, based on the woman?s complaint.
Bennett, 68, has denied making the comment, but has said he's seen polls supporting that position.
"If you look at the polling, nobody likes fat women," he said last year. "Is it right? No. Is it sensible? No. Is it true? Yeah ... Black guys are the only group that don?t mind that. Is that racist to say that?"
A 2001 complaint accused Bennett of telling a woman recovering from brain surgery to buy a pistol and shoot herself to end her suffering. The doctor was also accused of speaking harshly to a woman about how her son might have contracted hepatitis, according to the ruling.
Bennett claimed victory.
"The question now is: Will the board waste more of your and my tax dollars and appeal this, or accept done as done?" he said in a telephone interview.
Fitzgerald also ruled that state and American Medical Association requirements to treat patients with "compassion and respect for human dignity and rights" are so vague they are unconstitutional. Bennett probably would have won his challenges before the board, the judge said.
Bennett said he planned to sue everyone involved for "malicious prosecution."
"I am not inclined to be forgiving about it," he said. "It's been devastating and infuriating."
Assistant Attorney General Elyse Alkalay, who represented the board in the court case, said she was reviewing the ruling and had not decided whether to appeal.
Bennett could have faced penalties ranging from a written reprimand to suspension or revocation of his medical license.
_______________________________________________
Where do I begin? Seriously. First, no one likes fat women? Uh, no. I do. I tend to prefer them. So, point one against the good doctor.
Second...what the fuck? I mean, seriously. What.The.Fuck? This is what's passing for good bedside manner these days? I know there was a point in my life that, if a doctor had spoken to me that way, I'd never darken their door again. And I'd stay sick and suffering, because of the "blunt" nature of his advice. Only black men will want you? What? What's the problem with that? There's nothing inherently inferior or wrong with black men. What the fuck? I just...what the fuck???
Okay. Calmer now.
Here's the problem with doctors like this -- they get fat people killed. Don't believe me? Let me offer my Aunt Vickie as an example. She died when she was 42 of a stroke. She was 5 foot nothing and probably 350 lbs. She was also a nurse in one of the best hospitals in the state, in the ICU. She knew, we found out after her death, that she knew something was wrong. She'd been taking drug samples from work to treat what she thought, it seems, was simply high blood pressure. The problem was, she didn't just have high blood pressure. She had an auto immune illness, one related to Lupus actually. One that a simple blood test could detect. One that could have been treated, though not cured, by taking one damned pill a day. One little, tiny pill. She'd likely had it for 10, maybe 15 years. It had damaged her blood vessels so badly, that the two main ones in her brain had actually rebuilt themselves, carving out a new pathway because the old one had been scarred to the point it was blocked.
She was around doctors every damned day. She was friends with dozens of them. And she wouldn't go to any of them, wouldn't talk to any of them about her symptoms because she was so very, very afraid they'd make it all about her weight. She was so ashamed of being fat that she died way, way, way before she needed to. And why was she ashamed? Because of bastards like this guy who thinks that "blunt" talk is the way to get fat people to loose weight. Why the hell is it anyone's business if someone is fat? Unless the fat is actively affecting a patients health, what the hell does it matter?
My aunt was an amazing woman. She was a second mother to me, the one I could actually talk to. She was the only other person in my family to escape the Fundy programming. I could do things with her, or tell her things, that would scandalize everyone else in my family. She was smart and funny and the most generous, loving person you'd ever meet. It didn't matter that she was raised in poverty. It didn't matter that she, like my mother, was told by her father she was worthless because she was female. She put herself through nursing school, she worked her way up to an awesome job, she bought a house when she was my age, she had great friends and was so very, very loved.
Christmas was her favorite holiday. She didn't have any children of her own, so she spoiled her nieces and nephews. I was the oldest, so I had the most benefit of her adoration. Every year, she brought in piles and piles and piles of presents. Whatever we wanted, we got. It was amazing, really. She let me crash at her house the summer before I started grad school. My boyfriend and I painted her house one summer. She took me on vacations to Disney World and the mountains and the beach. She really loved life and she wasn't afraid to just get out and do things.
But she wouldn't go to the doctor. She wouldn't do the one thing she needed to do most. She was so afraid of being told she felt bad because she was fat, that she just didn't go. And so, she died. Even that morning, when she was having the stroke, she wouldn't call an ambulance. She wouldn't go to the hospital. And because she waited, she died. Because she had been told, been brainwashed to believe that all her problems were caused by her fat, she died.
Being fat was not the physical cause of her death. Regardless of the fact that she was 350 lbs, that's wasn't the organic cause of her death. No, it was that damned undiagnosed autoimmune disease.
And you know what scares me? It scares me to think that, even if she had gone to the doctor, it wouldn't have changed anything. It scares me that people like this bastard are in practice. Because if she'd gone to someone like him, they wouldn't have seen a sick woman. They'd have seen a fat woman.
Labels: fat, lawsuit, medical care

