YEP.
"
Once this particular Weeble has wobbled, she's not gonna get back up.
We're already off to a bad start, Juliana is conflating "kindness" with "being pro-obesity" which violates the Hippocratic Oath. Doctors should not encourage self-destructive lifestyles. Excessive drinking and smoking, high-risk sex, hard drugs, obesity, these should all be discouraged. I realize I sound like a puritan here but there is really a finite amount doctors can do for people who don't at least meet them halfway.
There are two parts of medicine: Treating specific patients, and addressing public health. From the public health standpoint fat-shaming is always a good idea: There probably are one-in-a-million patients who are healthy despite their weight or really do have a metabolic issue causing them to gain weight but a doctor is liable to roll his or her eyes when everybody claims to be that outlier. Also stop misusing this word "trauma", it's lost all meaning just like "trigger". I sincerely doubt a doctor assaulted Juliana with a liposuction vacuum (note: all my knowledge of liposuction comes from the Subway episode of "South Park") or worksheets to log calories when she was five.
Ah yes, my old nemesis HAES. The book itself is much less radical than how deathfats portray it and a good chunk of it covers simple, harmless things like finding exercises which are enjoyable and painless at one's current weight. The problem with HAES is the same problem as new-age treatments or herbal remedies, it's become mistaken for a substitute for proper medicine. The inventor of HAES, Linda Bacon, is also not an MD, RN, or whatever the title is for nutritionist - she is a PhD in physiology. Physiology is no more applicable to nutrition than it is to dentistry or optometry. I also find it hilarious that Linda Bacon is thin - she gets to lead all the deathfats into temptation and they're none the wiser!
The links I tried in this section did not work because this article is over two years old but these all amount to "here are tried-and-true ways to bully your doctor!" The statement "Sometimes it takes the language of notable and reputable sources to get through to people" is particularly disturbing because it means Linda knows she's lying and is crafting her statements to coerce doctors. I am not a malpractice attorney but passing fat acceptance bullshit off as accepted treatment sounds an awful lot like a way to implicitly threaten doctors with a lolsuit if they don't push this quackery.
Hooray, we've finally gone into doctor shopping. There are plenty of inept and even unethical doctors out there; just because she found a quack willing to tell her "you're doing great keep it up" doesn't change the fact that she's likely to have a heart attack at 40. Hell I'll tell her that for $50 and do it with a straight face for $125 - way better deal than paying for insurance!
The link she posted in the first paragraph is defunct but the tables on the vendor's website are all rated to 500 pounds or 227 kg and change which tells us she is likely over 500 lb (227 kg): At her self reported height of 5'1" (155 cm) this makes her BMI 94.5 kg/m2 or just shy of four times a healthy weight. As a complement to her admission she can't clean herself after defecating, she also admits she has trouble giving a urine sample which means she probably has trouble wiping after urinating. I think I know why the University of Kansas is so eager to have her stay home even with COVID more or less over. Also, in the interest of candor, I genuinely thought those double wide seats in doctor's offices were for parents with children the first time I saw them and still can't wrap my head around someone being too big for one of those. I also don't understand how the exam room could be too small for her - the smallest I have seen are maybe six feet by ten feet and Juliana is only six feet around not six feet wide. The only thing I can think of is that she's so big that she has a poor sense of where some of the excess fat is and that makes her constantly bump into things. God Himself couldn't give her a clearer message to lose weight and she's still not getting it.
So close but so far, Juliana almost realized that being a worry-free deathfat is so expensive that it's practically a luxury. I imagine she also thinks that the starving African children in Cambodia have thin privilege.
Let me translate that to Kiwi: "What would you recommend if you ignored the obvious and most likely cause of my issues"? Any doctor who does this is necessarily going to be giving lousy advice.
NO, BAD JULIANA! (whacks her with rolled-up newspaper) The idea of patients as customers is not just a fat people thing but it is inherently dangerous because it means doctors (as in, people we trust with our lives) are going to tell patients what they want to hear rather than what they need to hear. This can end in only one of two ways, either eventually this catches up with the patient and s/he needs a treatment for which s/he is too heavy or doctors begin routinely doing high-risk treatments because they weren't willing to say "no you're wrong and here's what you're going to do instead". At least for now surgeons are refusing to perform ultra-high-risk surgeries (if Null's podcast on Chantal is accurate the metric is, "the patient must be more likely to die from his/her condition than the surgery itself") and we get hilarious chimpouts. I for one hope that never changes.
Jesus Frederick Christ.
If she puts in just a little more effort, she can easily hit a BMI of 100 by her 30th birthday.
