By: BethAmy Clouse

BethAmy Clouse — Mon, 29 Mar 2010 06:20:37 +0000

Sorry…when you’re fat, you get more than your share of “obese patient body habitus incompatible with optimal viewing results” aka you doctors can’t seem to try & view my brain the long way around (& after the “cleansing,” you SHOULD be able to see through my eyes backwards). Also, we see, “Pt. obese, noncompliant with positioning.” No one stops to think when you have a double wide on a single wide cold slab of procedural table, repositioning takes a bit more time, which is not allotted, hence, it’s blame the pt. time as schedules (as well as the @$$e$ of a lot of folks in your profession) are tight & don’t allow the necessary time. After all, they ARE fat. So it’s their fault you have to do a half-@$$ job on a double @$$ person. Providing you survive this malpositioning & body habitus nightmare without being perforated (in a chart review of C-scopes one place I worked, fat people were perforated at an alarming rate – & blamed thoroughly, via “karma medicine,” for the problem), you can then be informed, if you end up with positive biopsy results, that it’s your own d****d fault you have colon cancer. You can be sure that, like all obese cancer pts., you are going to get the short end of the C-scope on pain & nausea control, & absolutely no sympathy. You may be otherwise pretty much heterosexual, monogamous, faithful, hard working, caring, but, you’re fat, so you deserve the disease & the pi$$poor medical tx that go with obesity.
The real risk obesity poses to healthcare is that fat people don’t want to go to doctors to be told if they follow a 1000 cal diet & exercise 4 hr or more per day, they will then, if this regimen actually results in sustained weight loss, be treated like a human being – i.e., your diseases will be treated with something other than a diet sheet, appt. with a dietitian, list of gyms to hit (for more apparently well-deserved public humiliation), & the inevitable “fat lecture.” You will, they promise, get antibiotics for infections instead of diets. If you get sick, they’ll treat you with compassion. BUTT: Since the regimen stalls metabolism (I know, trust me), the promised weight loss rarely occurs. Even if it does, you WERE fat, & therefore, even if you lose all the weight, IT’S STILL YOUR FAULT YOU GOT SICK because you USED to be fat. The promised treat-you-like-a-human-being stuff doesn’t materialize unless the doctor was never averse to fat people in the first place – in which case, they DON’T think a diet sheet & a list of gyms cures pneumonia. Those types of doctors are rare. Where they get figures that say doctors don’t advise fat people to diet, exercise, & lose weight, I don’t know. That’s all most fat people ever hear, & it’s the sum total of treatment for most obese people – who then go home & eat because they’re upset about being treated like they’re worse than drug addicts who mug & kill people for drugs, alcoholics who mug people for booze & kill them by driving drunk, promiscuous people who spread drug-resistant & carcinogenic STDs/AIDS/various forms of Hepatitis (esp. C, which can cause cancer), sex addicts/porn addicts who end up sometimes as rapists or even child molesters (added to the list for promiscuity), gambling addicts who leave families indebted & starve their kids…why fat people & smokers are considered so much more evil than these people, instead of victims of nicotine addiction or food addiction & overdieting, has to be that we are not as physically attractive. These days, even doctors seem to hate fat people because we don’t look attractive enough to inspire sexual responses (except for some ethnic groups). At least, that seems to be the only differentiating factor between addiction to food & addiction to other substances/processes.
In other words, we’re too ugly to get good care; you can’t put a bag over any ugly parts because there aren’t bags large enough (even body bags don’t come that large) to hide all of it. And since we’re ugly, no one wants to look at us long enough to treat us. When forced to do so for chronic conditions & things like cancer, doctors & RNs flee the room to avoid looking at the Fat Ugly Patient any longer than necessary – leaving us hurting & hurling (& I’ve worked oncology before; I’ve heard the “let them barf, maybe they’ll finally lose weight” thing enough to get really close to a rap for assault & battery from the sincere desire to b***h slap the body ho across the unit).
Body Nazis control the world. The war is on. And they don’t really intend to let us get thin, or the public humiliation at the gym, pushing people off bikes & skates, running them off jogging tracks/trails, trying to run them over by jumping the curb to get their ugly fat @$$e$ off the sidewalk, jumping on their heads while they’re swimming laps to take it over (or holding you under water long enough to drown you) while the lifeguard laughs, would not happen. So, we’re all getting fatter. Maybe someday, we’ll get angry enough to sit on the ones who treat us badly – might as well use that fat @$$ for something useful.
If you take a look at people, you’ll find thin people are the most aggressive at all-you-can-eat buffets; they’re the big winners in gluttony – oops, sorry, I mean eating – contests, out-munching fat people by a, well, sizeable margin. But apparently, it’s OK to be a glutton if you’re thin. But it’s not OK to be fat even if you have no metabolism left & 1200 cal a day means you simply don’t gain more weight.
So, please tell me: What is the point in fat people seeking medical attention again? And above all, why in the world would we submit to a colonoscopy only to be subjected to substandard testing & treatment for whatever’s wrong? If we deserve it, why would you care if we bothered with the screening? Won’t we die faster & get out of your hair?

Comments on: What Do You Need To Do At Fifty? You Need Your Colonoscopy: No Ifs, Ands, Or Butts! by Patricia L. Raymond, MD, FACP, FACG

By: BethAmy Clouse