communication, condescending twatbags, healthcare, mental health, social welfare

People offer diet advice to woman who wants to “end it all”…

I got a rather late start this morning. Or, it was late by my standards. I usually get up between 5:00 and 5:30 AM most days. Today, I got up at about 4:00 AM to answer the call of nature, went back to sleep, and didn’t wake up until almost 7:00. It was pretty nice, actually. I don’t have a real need to be up at 5:00, but I often wake up then, because that’s when Bill gets up most days.

After almost 21 years of marriage, I’ve come to follow his patterns because it’s easier. I’m also pretty productive most mornings. I like getting things done early in the day, so I can fuck off later… or maybe do something musical. I did make a video yesterday, expressly for Alex. I posted it last night, but had to repost this morning, because I somehow neglected to get the very beginning of the song. I think it’s because I was getting tired. I had the song about 85% nailed within a few minutes, but I can be a perfectionist about recordings. I think the take that finally made it to video was #30. I’m not sorry about that, by the way. It kept me busy and distracted.

Below is the link to the edited video without the missing opening measures.

I just learned this yesterday and I think it turned out pretty well…

So… about today’s topic…

As I was looking at my Facebook memories, I found an intriguing post from 2018 about how some doctors have a tendency to focus too much on a person’s weight when they present for examination. Below is a screenshot.

*In 2023, I still haven’t seen a doctor… but I have a feeling I’m going to have to bite the bullet soon. I absolutely dread it for THIS reason.*

Because I’m a masochist with too much time on my hands, I decided to look at the comments on the original post. I wasn’t surprised to find the usual belittling, insulting, victim blaming, shaming, arrogant, condescending, armchair psychoanalyzing, and all of the other shitty behaviors that comes at people who dare to comment on posts such as the above one. What’s especially funny about this post is that it’s from before the pandemic, when everyone and their brother had gone to the Google School of Medicine and Public Health. I’m surprised I survived the worst of the COVID era… although it’s entirely possible that we haven’t even been through it yet. You never know what the future holds.

Lots of people– mostly women– were sharing their personal stories of being dismissed, lectured, and treated with condescension by healthcare providers. And as they tried to relate to the cartoon, they got more of the same shit from perfect strangers with “correctile dysfunction”. It’s a waste of time trying to have a meaningful dialogue on social media, since so many people feel the need to show their metaphorical asses to everyone, rather than be courteous, and have basic empathy and kindness for their fellow man. I’ll admit, it’s easy to fall into that pattern of behavior, especially when someone is egregiously obnoxious.

I read quite a few posts before I got to one that made me stop in my tracks…

This is all I ever hear. I am severely overweight. I need my knees replaced but insurance won’t do it till my BMI 35 or lower. I can’t walk or stand very long due to the pain. I cant do water aerobics because I cant get out of the pool by myself and the gym is not allowed to help me. I cut my fat, cholesterol and amount of food I eat but I’m still not losing. I know it’s the lack of exercise but my doctor just keeps telling me to try harder. No help declined my request for physical therapy where I can get help in and out of the pool. My depression is so bad I am thinking of ending it all.

I really felt empathy for this woman. I don’t have problems like she does. I can still walk, and get up and down stairs. Hell, I recently explored several caves, which required some stamina. The first one, which had 456 steps going down, then up again (so 912 steps), was pretty difficult for me. But I still managed to do it without any ill effect. My knees are still good. I don’t have bad ankles or hips, either. I do have some lower back pain, which I know would be helped if I lost weight and got a new mattress. But overall, I have a pretty resilient body that has historically been ridiculously healthy. I think I inherited my parents’ strong constitutions. Dad died at 81, in spite of being an alcoholic and having Lewy Body Dementia. Mom is still going strong at 85 years old.

I’ve gotten away with not seeing doctors for many years, and I will admit, I mainly avoid them because I don’t want to waste time or money being lectured about a complicated problem that can’t be immediately solved simply because a doctor ordered it. I’m not stupid. I know it’s unhealthy to be overweight. But when I visit a doctor, I expect immediate help with the specific problem that brought me to their office, not lectures and shaming by someone who doesn’t really know anything about me other than what they see.

If I’m sitting on an exam table with a problem that needs to be addressed immediately, I expect it to be addressed ahead of lectures about my weight. Especially if the doctor doesn’t actually have advice that will work, and isn’t based on actually knowing something about me, and my lifestyle. It’s not helpful to simply tell someone to eat less and move more. If it were that simple, we’d have a lot fewer fat people.

I could identify with this woman’s predicament. I certainly don’t know what led her to be as heavy as she is/was in 2018. The simple answer is, she somehow took in too many calories for her body and didn’t exercise enough to burn them off. But what caused her to consume too many calories? What caused her not to get enough exercise? What is the best way to help her get back into balance? How can she be helped in a way that isn’t demeaning, insulting, and self-defeating? How can she be convinced that she’s worth helping, rather than just giving into despair and “ending it all”, as she put it.

There were a lot of comments on this particular cartoon post. Some of them spawned separate threads of their own with a bunch of responses. They were often tit for tat, “let’s compare qualifications” types of comments, that were unhelpful. I’m sure you’ve seen those types of comments yourself. They have a lot more to do with a person’s ego and personal biases than actually offering anything helpful to the conversation. But, if you’re unclear on what I mean, have a look at this exchange …

During my recent pregnancy, I gained very little weight and my OB told me I obviously led a very healthy lifestyle, but I also had to have extra ultrasounds and was considered “high risk” because of obesity. The disconnect between weight and perceived health is real.

A guy who doesn’t know this woman at all wrote this response:

what disconnect? The more weight you have on you the harder your heart has to work, it’s basic a&p, there is a very distinctive line on what your weight should be according to your structure (height, muscle fitness, genes ect) and if it’s not within those parameters (that medical professionals studied and developed for longer than you have been alive) then yes by medical definition you are overweight, and there’s not a single person in the world that’s overweight and is healthy, it’s medically and physically impossible.

A different person took him on, writing this response:

Considering how little information is on your profile it looks like you’re not a medical professional. You need to stop acting like one. As someone who’s actually studying nutrition and psychology none of what you said is true. Infact most healthy people are overweight. Being in peak shape with little extra body fat has been proven to make you less able to fight disease. There is morbidly obese, you can start having health issues due to weight at that point. But do you know what the number one indicator for chronic disease actually is? Prolonged stress.

Bold guy came back with this comment and a link:

I hope you’re joking, you went digging into my profile, which is private, and you determined I wasn’t a medical professional because my profile is private, excellent use of brain cells.

I’m not going to respond to rest of the gibberish, as this article singlehandedly dismantles the said gibberish, I suggest you read it before you plan your next stupid internet excursion.

***I’d like to point out that you control what’s public on your profile. Whatever is publicly posted on your profile for people who aren’t your “friends” is not “private” information. If you don’t know that, you probably shouldn’t be on the Internet, let alone working with people who have medical problems. I’d also like to point out that I don’t think this guy has ever helped anyone, if he has, in fact, ever worked in healthcare. ***

Italics person wrote:

a Heath line article lmao, yeah you’re probably not a professional otherwise you’d mention creditials other than just working in a hospital and bring up something literally any idiocy could Google. I’ve been a CNA going on 7+ years. Working in homecare, LTC acute care and a rehab unit. Stop spreading misinformation. I’m using real science. I’m studying for a PHD at MNSU. Getting into research not the clinical side of healthcare. Having little body fat does not a healthy person make. BMI doesn’t take into account muscle mass and nutritionists don’t like using that as a form a measurement. How someone feels should be the determine factor for health. Flexibility, good eating habits and overall strength and mental well-being are signs of good health and healthy people come in all shapes and sizes. People who push their body to limits to fit into strict guidelines aren’t going to be any more healthy than an overweight person, who is active, gets good rest and good nutrition. Infact that person putting their body through intense stress in order to be aesthetically easing may be less able to fight off disease and might be prone to injury. If you actually care about those you take care of, check yourself.

Bold guy– a supposed “seasoned” physician’s assistant, came back with:

I’m not going to read this bs story, I’ve been an ER PA for 3 years, prior to that I was a paramedic. (Count in the 5 years of school in between)

It’s not pushing your body to “limits” it’s eating healthy food and exercising. The less weight you have on you, the less your heart has to work, are you just not understanding that aspect of human anatomy? Do you not understand that your heart is the most important muscle in your body, and you destroy it by poor diet.

That article provides FACTS, Percentages… pulled directly from government statistics (please see sources before you just throw away important information just because it doesn’t agree with your rhetoric) if those OBJECTIVE SCIENCE backed statistics still don’t change your mind, then go on eat like shit, be happy, and I’ll see you in morgue before age 50, have a nice day, I’m not going to argue with a CNA who claims to know more than doctors.

***I’d like to know what drew this guy to work in healthcare. Was it just the paycheck? He doesn’t seem to care about people.***

Italics person wrote:

what Nutrition education do paramedics have? My professor for my emergency classes was taught stuff by me about both diabetics and my own personal congenital heart defect. You work in acute and emergency care you aren’t qualified to speak about chronic conditions

Sometimes it’s necessary to turn off the seatbelt warning chimes…

This morning, I woke up to more negativity on Facebook. I sighed and blocked yet another rando who decided to chime in on my flippant comment on Carolyn Hax’s advice column. I wrote about that situation yesterday, but for those who don’t want to read my rant, here’s a brief synopsis.

A woman in her mid 50s, describing herself as obese, was complaining about her gynecologist’s insistence on harping about her weight at every appointment. The woman wrote that she discusses her weight with her internist, and had engaged the services of a professional personal trainer. The letter writer was annoyed by her gyno’s fixation on her weight, especially since the doctor’s suggestions were not workable for her. She was seeking advice on what she should do about the doctor’s unwanted warnings about her weight issues.

Carolyn’s advice was to find another doctor, or be more assertive about asking the doctor to stop fixating on her weight. She wrote that if the letter writer was too nervous about confronting the doctor verbally, she should write a letter. I agreed with Carolyn’s advice, and yesterday’s long winded rant spelled out the reasons why I agree. A lot of other readers did not agree, and felt that the woman should simply follow the gyno’s orders, annoying as they might be to her.

I was one of the first people to comment on the Facebook post about this column. I wrote “Get another doctor, or be like me and don’t go.” It was kind of a flippant remark, but I was being serious on one level. As I mentioned in yesterday’s post, I don’t go to doctors very often at all. I realize that many people would say that’s unwise, especially since I can afford to go. But medical situations– at least when they involve me, personally– make me a bit crazy.

In yesterday’s post, I wrote about a woman named Winnie Jay who blasted me and someone who responded to me, then called me “girl”. Winnie Jay doesn’t know me, and doesn’t know the origin of my comment. Like it or not, avoiding doctors is one very effective way to avoid being lectured about weight loss. It may not be the wisest thing to do, if you want to maintain your health. But it truly is an effective way to silence the shaming, at least from a doctor.

I wasn’t offering advice, though, when I wrote “don’t go.” I don’t expect that the letter writer was reading comments from randos on Facebook to find out what she should do. She wrote to Carolyn Hax, not the Overeducated Housewife. 😉 I was just responding in a flippant way to the column… that is, in a way in which I’m sure a whole lot of people can relate. Who wants to spend money to hear a doctor tell them they’re fat? Duh… most fat people already know they’re fat, and a lot of people have already considered the obvious solutions to that problem.

If I wanted serious advice on losing weight, I certainly wouldn’t consult a gynecologist. The vast majority of physicians don’t actually get that much training on that topic in medical school and can’t offer advice that works. Most of them can only offer drugs and surgeries. If I wanted to lose weight, I’d probably visit a nutritionist and a personal trainer. If that didn’t work and I was still determined, I might go to a doctor who specializes in bariatric surgery.

Why waste time discussing weight loss at a 15 minute routine gyno appointment, when you could be talking about more specialized topics that a gynecologist would be better able to address, like coping with menopause or enjoying sex during middle age? Especially when the letter writer– obviously someone who values maintaining her good health– is already addressing her weight issues with her general practitioner? Or, at least she claims to be doing that… but why would she lie about seeing a GP?

After yesterday, I thought maybe that pithy comment would be part of my history, but then I woke up to a tag from another young woman who is now on my block list. She wrote something along the lines of, “Sure, don’t go to the doctor, get a disease that goes unchecked, and die. Stupid advice.” That this person called my “advice” (which my comment wasn’t meant to be) “stupid” is what prompted me to block her. I figure if it’s her first inclination to insult strangers online, she’s not someone I want to know, or need to engage with further. Life is short. Especially when you don’t visit the doctor on a regular basis. 😉

At first I was pretty annoyed about the second person’s comment. It stings to be insulted by another person, even when it’s a stranger. But then, after talking to Bill over our breakfast of blueberry pancakes, bacon, and coffee, I came to a conclusion about the weight obsessed gynecologist. And it was all due to the obnoxious comment from that stranger. Perhaps the rude rando did me a solid, after all.

And now… about today’s blog post title.

A few days ago, I was watching random YouTube videos and I came across one by a content creator called “Fixin it”. The channel is about how to do minor household and car repairs. The video that attracted my attention was titled “How to TURN OFF the Annoying SEATBELT ALARM BEEPS CHIMES”. See below:

This COULD actually be very useful information to some people.

Here’s one he did for Nissan cars.

The guy who runs the “Fixin It” channel explained that sometimes the seatbelt alarms go off when they aren’t necessary. In today’s nannyish world, where we have warning chimes and flashing lights for every hazard, the warnings can be overkill. Or, maybe there’s some kind of malfunction in the software or hardware that make those alarms go off when they aren’t needed.

I used to drive a Toyota Corolla and the alarm would go off whenever I put something in the passenger seat. In my car, the alarm would turn off after about fifteen seconds, but sometimes they’d keep sounding. That’s pretty annoying and potentially dangerous, especially if you’re the only one in the car, you’re wearing the seatbelt, and you just want to rock out to the Doobie Brothers while you’re “rockin’ down the highway”. The warning chimes can be distracting and cause unnecessary stress.

I was curious about the comments. Most people were delighted by the guy’s practical advice. They had all consulted YouTube to find out what to do about the annoying nanny chimes in their cars, and the “Fixin It” channel had really helped them. A few people wrote to say that the advice hadn’t worked for them, which is bound to happen sometimes. And I wasn’t surprised to see comments chastising Fixin’ It for offering advice on how to disarm an important safety feature in a car. Below is a small sampling of those reactions…

Or.. and follow me close on this one, buckle your seat belt.

could also make a video on how you dont survive an accident for not wearing seatbelt. because the only reason you want the beep off is you dont wear it and it keeps beeping

dude really? it’s there to save your life.

Not a good act to show

I wouldn’t recommend doing this

I like beeps because it warn me I am not wearing seat belt

You “fix” it by wearing your seatbelt lmao

Here’s a brainwave! If you wore your seat belt as the law dictates, you wouldn’t have any warning noise.

y’all can just buckle up bro.

It seems so simple, right? Just buckle your seatbelt and you won’t hear the beeping. Except sometimes you don’t want to put stuff on the floor of your car, and you don’t want to have to buckle all of the belts to prevent the chimes from going off while you drive. And some of us don’t need a warning chime to do the right thing. Some of us are married to a man who turns into Pat Boone if they don’t buckle up. 😉

There I was, talking about Carolyn Hax’s advice column with Bill, thinking about the two insulting comments those two women– neither of whom know a fucking thing about me– decided to leave for me like sprays from shitstorms, as opposed to rays of sunshine. And then it dawned on me. They weren’t unlike the incessant seatbelt alarms. Then I realized that the obnoxious OB-GYN was even MORE like the seatbelt alarm that won’t turn off.

I stopped to think about that letter again and realized these things:

The letter writer self identified as obese. She knows she’s fat.
It’s not possible for a person to lose weight immediately, as the doctor suggests it. It takes time and effort.
The letter writer has written that she is taking steps to lose weight and get fit. She says she’s hired a personal trainer and works out with them three times a week. It’s true that exercise alone usually doesn’t help people lose weight as much as eating fewer calories does. But it is an important, health promoting step to take, and it is a sign that she’s doing something to be healthier.
The letter writer clearly cares about her health. She not only sees a gynecologist regularly, but she also sees a general practitioner. That’s more than a whole lot of people do.
Although a lot of people think fat people are liars (and I’ve blogged about that phenomenon, too), I see no reason to assume the letter writer is lying about what she’s been doing to improve her health.
Even if she is lying, she’s mainly only hurting herself by doing so. Continuing to nag her about her weight isn’t helpful, and might even be harmful, if she decides she no longer wants to visit the gyno.

I’ve mentioned that I very seldom go to doctors. I probably should go to one, especially now that I’ve hit menopause (or so I assume– it’ll be official in January if I don’t have a period). But I don’t go to doctors because I was harmed by a couple of them. Both were overly concerned and very critical about my weight when I had come to them for help with other issues. One of them actually physically hurt me and left me with some pretty awful trauma issues.

My decision to not see a doctor could be disastrous if I placed a high value on living for a long time (which I don’t). Or, my decision to see a doctor could be disastrous if I see one that gives me bad advice or just blows me off (see this post for an example of a situation like that), blaming all of my issues solely on my weight. It sure is annoying to have to PAY for that experience, especially when it turns out there actually was a pretty serious issue going on that had nothing to do with weight. Or, I could do everything right and still die in my 50s because I was in the wrong place at the wrong time (see here for an example of that scenario).

Life is a crapshoot. The one thing that is certain, for every single one of us, is that someday, we WILL all die. There is no escaping it. And while most people want to live for as long as possible, some folks would just as soon leave the party early. And then there are people who wouldn’t mind staying longer, but don’t have a date, have no transportation home, and/or can’t afford the bar bill. 😉

If you are an especially risk averse person, you might choose to go see every kind of doctor there is, listen to everything they say, and follow their advice religiously. Maybe, if you can afford to do that, and you still have time to do anything else, you might enjoy a long, healthy, pain free life. But most of us can’t do that, nor would we WANT to do it. Moreover, if you ever venture outside of your bed, you’re going to be at risk of freak accidents that could kill you faster than cancer and diabetes ever could. And hearing the same annoying warning chimes from one doctor, when we’ve already been “buckled up” by another, isn’t effective or useful. Sometimes, it’s necessary to turn off the seatbelt warning chimes to stay safe, and get from point A to point B without having a wreck.

So, I stand by my flippant “non-advice” for the letter writer to find another doctor or, if she doesn’t want to hear the incessant fat shaming warnings, simply stop seeing her (or any other) gyno. Like it or not, she’s going to die someday, anyway. It might even happen when she’s rockin’ down the highway, listening to the Doobie Brothers, while grimacing in annoyance at the sounds of the malfunctioning seatbelt warning chimes.

communication, condescending twatbags, healthcare, mental health, overly helpful people, pests, social media

It’s not “bad advice” to tell someone to find a new doctor if they are unhappy with the one they see…

Yesterday, I read an advice column by Carolyn Hax of the Washington Post. The first subject came from a woman who described herself as in her mid 50s and obese. Her question was adapted from an online conversation. Below is what Hax put in her column:

Hi, Carolyn: Will you give me a Pap smear or a pep talk? I am dreading my yearly OB/GYN appointment. My doctor, while very personable, continues to care more about my weight than any other issues. I am in my mid-50s and obese, but I am working out two to three times a week with a professional trainer. Those sessions are quite strenuous.

I am not normally at a loss for words, but my mild pushback during the last physical resulted in an irritated doctor, pushing additional “suggestions” — which usually entail signing up for a commercial weight-loss program, visiting a colleague who is not in my network, tummy tucks, etc. I generally reserve those topics for my yearly visits with my general practitioner and prefer she concentrate on my “woman parts.” Yet I know the first thing out of her mouth during the next visit will be, once again: “You still need to lose weight. Are you still exercising?”

— At a Loss for Words

I agreed with Carolyn Hax’s advice, which was this:

A pep talk, then: Get another doctor. If that’s not practical, then state clearly to this one that you are working with your primary doctor on the weight and will not discuss it in this appointment. It’s your appointment, your care. You say what and when. If you lose your nerve in situations like this, then write it down and hand the note over.

I left a very short comment on the Facebook post for this column. I wrote “Get another doctor or, do what I do and avoid going. ;)”

Now… maybe I shouldn’t have have “joked” about not going to the doctor, since that’s not exactly a health promoting suggestion. I actually wasn’t joking, though, in spite of the winky smilie. I don’t go to doctors unless I’m really sick. I know some people think that’s crazy. In fact, given my educational background, it’s probably very surprising that I don’t visit doctors and get screenings. But if you know my history, it’s a lot less surprising. I had a really bad experience with a gynecologist who traumatized me. I also have kind of a bad attitude about life, most of the time. It’s getting worse by the day.

However… I do think the first part of my comment was sound. I do think that if your doctor isn’t a good fit for you, you should find another one. Doctors aren’t gods. They make mistakes sometimes. And if you’re going to one who upsets and alienates you so much that you don’t want to go see them, that’s a sign that you need to find a new doctor, even if they’re not wrong about advising you to lose weight, or change, or eliminate, some other aspect of your lifestyle.

OB-GYNs, in particular, are examining a very intimate part of the body, and that requires great trust in them. I am a firm believer that any doctor who is putting their hands in orifices where the sun doesn’t shine needs to be very professional and sensitive to their patient’s needs. I feel that way because of that first (and only) OB-GYN doctor I saw, who treated me like a slab of meat, insulted me, and physically hurt me. Then she basically told me to shut up while she continued her exam.

Afterwards, that doctor blamed me for the fact that she wasn’t as thorough as she’d wanted to be, because I wasn’t “relaxed”. As if I, as a virgin on whom she’d just used a large, metal speculum that hurt like hell, could easily relax, under those circumstances. She abused my trust. I left her office in tears, feeling like I had just been sexually assaulted, and knowing that technically, I’d only just had my first pelvic exam. That experience still made me feel extremely violated. Now, I don’t trust most doctors at all. Intellectually, I know it’s irrational to think that all doctors will do what that woman did to me. I’ve even had some good experiences with doctors since that incident. I still find it terrifying to see most physicians… even the ones who don’t require me to get undressed for them.

The doctor in the above scenario sounds like she’s basically competent, but she’s pushing “solutions” that aren’t feasible for the patient and are wasting precious time in an appointment that is probably already too short. So, I don’t think it’s wrong if the patient decides to try another doctor in that case. She may find, after trying another doctor, that she likes the first doctor more, or she may find that the second or third doctor she tries is better for her needs. If she has the flexibility to try different practitioners, I think she should. It’s her body, and her healthcare… and ultimately, it is her LIFE.

I got some likes for my very short comment, on which I didn’t elaborate. One person left me a “sad” smiley. But then, I got a comment from someone calling herself “Winnie Jay”. Winnie Jay decided to blast me and another commenter, then chastised me for “joking” about such a serious matter. She then ended her diatribe by calling me “girl”.

I know it sounds crazy, but Winnie’s comment really infuriated me. Especially, since she called me “girl”, which is a very diminishing and disrespectful thing to do. I mean, she’s not wrong to write that obesity isn’t healthy and is correlated with chronic diseases, and people often lie about what they’re actually doing to protect their health. But does she really expect people to take her seriously when she’s so confrontational and rude? My first instinct, honestly, was to tell her to go fuck herself.

However, instead of firing back at Winnie, who unceremoniously “pooh poohed” on my brief and basically innocuous comment, I wrote “Thanks for your input, girl.” And I left it at that. I didn’t even use a “reaction” or an eye roll smiley. If she has a brain, the fact that I reciprocated by calling her “girl” won’t be lost on her. If you want people to take you seriously and hear what you have to say, you shouldn’t go out of your way to alienate them… which is exactly my point about the doctor described in Carolyn Hax’s column. Fortunately, Winnie didn’t come back, nor did I get any other comments. As of this morning, Winnie is now on my block list; so we won’t run into each other again.

I looked at the responses on the Washington Post’s article itself, as opposed to its Facebook page. Quite a few people were pointing out that the doctor was right to aggressively harp on the woman’s weight at every visit. As a former student of public health, I agree that obesity isn’t healthy, and competent doctors should address it, or at least encourage healthy weight loss. However, physicians should do that with sensitivity and respect, as well as some situational awareness of the patient’s reality. Good people skills are important. Most folks don’t like to be lectured, especially if they’re adults. Chastising adults as if they are children is a good way to get fired.

I realize that asking doctors to have a little sensitivity might be a tall order when you only get about fifteen to twenty minutes for an appointment. But, if the doctor is spending some of that time promoting things like commercial weight loss programs, tummy tucks, or out of network doctors that the patient can’t, or won’t, access, that’s precious time wasted that could be used for coming up with a better, more effective solution, that will fit the patient’s reality and ultimately have more of a chance of success.

Medicine in the United States is a business. People can and do leave reviews for their doctor’s services. I don’t think that is a bad thing, either, because it helps people choose a practitioner who can give them the best care for THEMSELVES and THEIR OWN BODIES. Some people like authoritative doctors who tell them what to do; it gives them a sense of security. Other people prefer a more collaborative approach. Some people like doctors who are very relaxed and calm. Others feel like a doctor that is too calm isn’t doing anything to help them.

Fortunately, there are a lot of physicians in the United States, depending on where you live. Anyone living in the Washington, DC area will have a lot of options for receiving basically good care. So I think Carolyn Hax was right to tell the letter writer to look for another OB-GYN who is more in line with offering her care that is appropriate for her situation and preferences. After all, she’s paying for the doctor’s time and expertise. It might as well be time that is as pleasantly spent as possible, especially since she seems focused on improving her health and hanging around in this hellscape we’re in right now.

As for Winnie… I could have told her off, if I’d felt like it would have done some good. Winnie was likely looking for a fight, and she made some erroneous assumptions about me. She might be surprised to know why I responded the way I did, but instead of being respectful and kind, she decided it was more effective to be hostile and insulting to a stranger.

If I had decided to respond to her, I would tell Winnie that a person could be the BEST trained and most educated doctor in the world, who recommends all of the right treatments and medications and is very highly regarded and respected. None of that will do a single whit of good if a person feels so uncomfortable and alienated that they can’t bring themselves to make an appointment and go in to see the doctor.

Because of what happened to me when I saw a FEMALE OB-GYN, I have a really hard time seeing doctors today. Just the thought of calling one for an appointment fills me with dread and anxiety. I’m smart enough to know that not seeing a doctor is risky, especially at my age. But I also know that I don’t particularly want to grow old, anyway, and spending time talking to someone who is obnoxious, offensive, or oblivious isn’t my idea of a good time. Especially if I’m paying for it.

I also know that I am not the only one who feels this way… I’ve blogged about it before, with links to articles about people who have gone in for a specific medical problem, and the doctor remains hyper-fixated on their weight. That approach really can cause a person to feel like they don’t matter and their actual needs won’t be addressed; and it makes it that much harder for them to ask for medical attention when they really need it.

Again… just my thoughts, y’all. I have an issue that probably should be addressed by a doctor, but my choices here involve either going to a military doc (like the asshole OB-GYN who hurt me), or seeing a German doctor, who may go into lecture mode. Neither option is very appealing.

first world problems, healthcare, lessons learned, social media

Man dreams of dying by age 75… Internet goes berserk.

I ripped off today’s “clever” featured photo a couple of weeks ago, when I was engaged with the rude commenter who kept calling me “stupid” and “inane”. I think it’s a photo that invites a second look and says something unexpected…

We’re on the fast track to spring! Pretty soon, the trees and flowers will be bursting with new life. As beautiful as spring always is, it’s also the season when my allergies burst into new life. But at least there will be fragrant flowers, warmer temperatures, and longer days.

Welcome to March. This month promises to suck, as it usually does. Bill has a business trip next week, and part of the week after that. At the end of the month, we have a big trip to Stuttgart planned, so we can see the dentist and have procedures done. Meanwhile, Arran is still hanging in there. I will take him to the vet today for a treatment and exam. He really is an amazing dog with a strong will to live. As I’ve learned, after years of having dogs in my life, not all dogs are like that. Not all people are like that, either.

This morning, as I was waiting for Bill to come out of the bathroom, I noticed an October 2014 era article in The Atlantic that was reposted on Facebook. It was provocatively titled “Why I Hope to Die at Age 75”, and accompanied by the broadly smiling visage of a healthy looking man with glasses and grey hair. The author of the article, also the man in the photo, was named Ezekiel J. Emmanuel. He had subtitled his article with this thought: An argument that society and families—and you—will be better off if nature takes its course swiftly and promptly.

I was immediately intrigued. To be very honest, I’m not one of those people who wants to live for a super long time. I have a tendency toward depression, which means I often look at the dark side of things. I also had an angst ridden childhood that, at times, has been hard to overcome.

I know my childhood certainly wasn’t as bad as some people’s childhoods are. In fact, I’d say I probably had a very privileged childhood on many levels, at least in terms of material comforts. However, I often felt like I didn’t belong, especially within my own family. I never seemed to live up to other people’s expectations of me. After awhile, I had the same high expectations for myself, which I rarely managed to meet.

Frequently hearing my mom say things like “If you didn’t look so much like my mother, I’d swear I picked up the wrong baby at the hospital.” or “I never meant to have a fourth child.” or “Where did you COME from?” wasn’t helpful. She made it seem like my presence– which she and my dad were responsible for– was a huge inconvenience to her. That sentiment came through to me loud and clear, and it colored my world view.

Of course, now I know that my mom is imperfect, as we all are. Her comments were borne out of frustrations that had nothing to do with me. I just happened to be on the receiving end of them, because I was a child, and had no other choice. I eventually got away from that shit, but the memories still linger. I don’t have children of my own, nor do I have a burgeoning career, except as a blogger who writes things that few people read. Why should I hang around to be 100, like my Granny did?

So I read the article in The Atlantic, which leads with this hooky paragraph:

Seventy-five.

That’s how long I want to live: 75 years.

This preference drives my daughters crazy. It drives my brothers crazy. My loving friends think I am crazy. They think that I can’t mean what I say; that I haven’t thought clearly about this, because there is so much in the world to see and do. To convince me of my errors, they enumerate the myriad people I know who are over 75 and doing quite well. They are certain that as I get closer to 75, I will push the desired age back to 80, then 85, maybe even 90.

I’m not surprised that Emmanuel’s relatives are horrified by the statements he’s bravely uttered to them. It’s taboo to make comments indicating that one hopes for death at ANY age. Remember a few months ago, when Queen Elizabeth II died? She was 96 years old, and had lost her beloved husband less than two years prior. People were calling her death TRAGIC! Isn’t that insane?

Queen Elizabeth II lived for 96 years, a reigning monarch for 70 years, in a modern country, surrounded by wealth, rubbing elbows with important people, and adored by so many! She didn’t spend her last weeks languishing, alone and forgotten in a nursing home. She didn’t die at age 20, on the cusp of womanhood. She lived a full life, and it was simply time for her to move on. But people were calling her death tragic!

Emmanuel’s article was written in 2014, which was about six years before the whole world was caught in the grips of COVID-19. Countless elderly people died of the illness. People are still dying of COVID, although it seems like folks aren’t talking about it as much these days. Frankly, I’m glad they aren’t talking about it so much. I’m delighted there’s a lot less fighting over face masks and vaccines. Things are feeling decidedly more normal, although as I could see in the Facebook comment section for Emmanuel’s article, lots of people are still mourning the loss.

One lady bitterly wrote about how her elderly dad died “before his time” in a rehabilitation hospital, because people were fighting over wearing a “fucking mask”. I can tell she misses him. She’s still grieving his death. But did he really die too early? Or was COVID-19 just one of many diseases conspiring to end his life? She blames people for not wanting to wear masks, but even wearing face masks wasn’t going to stop COVID-19 in its tracks. All the masks could do was slow down the spread a bit.

I remember a couple of years ago, I wrote about the time I got a venomous private message from some guy who was upset when I took issue with a comment he made about an elderly couple who had just gotten married. The groom was 91, and his wife was 86. They wore masks during their wedding ceremony, but the wife’s mask happened to slip beneath her nose. Someone got a photo, and it was shared in the article about their nuptials. An all knowing MALE wrote that the bride’s improper face mask wearing was going to send her to an “early” grave.

In my post about this, I wrote:

I was a bit gobsmacked by the guy’s comment. I mean, these folks have already lived a normal life span. Millie is 86. Sam is 91. They aren’t going to be going to an “early” grave, regardless of what kills them. They aren’t teenagers, or even middle-aged. And they sure as hell didn’t need to be chastised by some busybody guy who feels the need to confront others about how they wear their masks on camera. I made a comment to that effect. Next thing I know, I’ve got a spam message from this guy who chewed me out, telling me that a death from COVID-19 is a premature death and calling me “stupid”. Of course he blocked me, so I couldn’t respond.

Likewise, a couple of weeks ago, I got repeatedly insulted by an Irish Times reader who took issue with my comment that “life is 100 percent fatal”. We were commenting on an article about a woman who was publicly fat shamed for wanting to order a cheese course. The person who called my comments “inane” and “stupid” was pushing for health promotion, writing to me as if I’m completely ignorant on the topic. As someone with master’s degrees in public health and social work, I’m literally not at all ignorant about health preservation. I just don’t agree that life should be about denying oneself simple pleasures over fears of a heart attack or a stroke.

Moderation is the key, of course, but we all have our own ideas of what moderation means. For some people, the fear of a heart attack or another chronic disease is enough to make them want to avoid certain indulgences. Other people don’t feel that way at all. They’d like to enjoy their cheese course in peace. That doesn’t necessarily make them reckless, foolhardy, or stupid.

After trying to maintain decorum and polite discourse with the insulting commenter, I’d finally had enough. I ended up telling off the stranger, who had relentlessly kept insulting me as she pushed her health promotion point. I explained that I would rather eat what I want with my friends, and live a shorter lifespan, than not eat what I want, and have to linger on this planet with “miserable bitches” like her. Then, I asked her to “kindly fuck off and leave me alone”, which she kindly did.

Ezekiel Emmanuel, author of The Atlantic piece that prompted today’s post, writes:

I am sure of my position. Doubtless, death is a loss. It deprives us of experiences and milestones, of time spent with our spouse and children. In short, it deprives us of all the things we value.

But here is a simple truth that many of us seem to resist: living too long is also a loss. It renders many of us, if not disabled, then faltering and declining, a state that may not be worse than death but is nonetheless deprived. It robs us of our creativity and ability to contribute to work, society, the world. It transforms how people experience us, relate to us, and, most important, remember us. We are no longer remembered as vibrant and engaged but as feeble, ineffectual, even pathetic.

I see nothing wrong or controversial about what Emmanuel wrote here. I come from a long line of people who have lived for a long time. My Granny was almost 101 when she died. She was amazingly active and beloved in her golden years, but when it was time for her to go, I have no doubt that she was ready. Likewise, my dad, who was a very healthy and active man, died at age 81 after spending six years in the hellish cognitive and physical decline of Lewy Body Dementia. His brother, my beloved Uncle Brownlee, had a stroke in 2019 while he was out and about. Two weeks later, he was gone. Somehow, I think Brownlee’s death, albeit at a younger age, was markedly better than my dad’s.

Emmanuel further writes:

By the time I reach 75, I will have lived a complete life. I will have loved and been loved. My children will be grown and in the midst of their own rich lives. I will have seen my grandchildren born and beginning their lives. I will have pursued my life’s projects and made whatever contributions, important or not, I am going to make. And hopefully, I will not have too many mental and physical limitations. Dying at 75 will not be a tragedy. Indeed, I plan to have my memorial service before I die. And I don’t want any crying or wailing, but a warm gathering filled with fun reminiscences, stories of my awkwardness, and celebrations of a good life. After I die, my survivors can have their own memorial service if they want—that is not my business.

Again… he’s not wrong. And it’s not that he’s saying he’s planning to off himself. In fact, in the next paragraph, he even writes that he’s against assisted suicide. He claims people who want help killing themselves are usually suffering from depression. Personally, I disagree with him on that. I don’t think a person has to be depressed to realize that a progressive brain tumor or Alzheimer’s Disease is inevitably going to rob them of their dignity and self-determination. I don’t think a person who wants to pass on before that can happen is necessarily “depressed”. To me, it makes good logical sense to want to get help in dying, especially under those conditions. I’m not the only one who feels that way, either. Moreover, living with unrelenting depression is also miserable. In a case when depression won’t abate, maybe assisted suicide makes sense.

But then he continues:

I am talking about how long I want to live and the kind and amount of health care I will consent to after 75. Americans seem to be obsessed with exercising, doing mental puzzles, consuming various juice and protein concoctions, sticking to strict diets, and popping vitamins and supplements, all in a valiant effort to cheat death and prolong life as long as possible. This has become so pervasive that it now defines a cultural type: what I call the American immortal.

I reject this aspiration. I think this manic desperation to endlessly extend life is misguided and potentially destructive. For many reasons, 75 is a pretty good age to aim to stop.

So basically, what Emmanuel is saying is, he’s going to stop trying to prolong his life beyond the age of 75. That means if a doctor finds out he has cancer or some other debilitating, chronic disease, he’s not necessarily going to seek treatment– particularly aggressive treatment. He might not bother with screenings. He recognizes that the older one gets, the more help they need into keeping going. I don’t think that’s an unreasonable observation. At some point, there are diminishing returns.

To read some of the comments on Facebook, though… So many people complained about ageism and devaluing the elderly. One person even compared the writer’s ideas to that of a Nazi, as the Nazis saw people in certain “undesirable or unproductive groups”, such as the elderly, disabled, LGBTQ, or those who weren’t white and Christian, as “useless eaters”. I saw more than one person complaining that the article was going to give people “dangerous ideas”.

All the guy did was share an opinion. No one is being forced to agree with or actively support Ezekiel Emmanuel’s ideas. They’re just food for thought. I see no need for offense or outrage on this subject. Emmanuel is not trying to say that all elderly people should have an expiration date. He’s simply sharing his thoughts, and perhaps stimulating other people to think about how they feel on this topic. He’s saying that when he’s 75, he hopes to die. It doesn’t mean he absolutely will die at 75. It doesn’t even mean that he can’t or won’t change his mind. It’s just a thought. Why are so many people afraid of people sharing their thoughts? And why do people have to be so critical and condescending when someone shares a thought with which they disagree?

One commenter wrote this, and I heartily agree:

Stunning how this article is being misconstrued by people with anecdotes about healthy old folk. I’m 77. Boringly healthy but I stopped all routine tests, pokings and proddings before I was 70. I may get some things done like cataract surgery since I am the family driver. However if I get something nasty I don’t plan on extreme measures. It’s in my will etc. For every healthy elder anecdote there are thousands of elderly getting major surgery when they cannot care for themselves at all. The “children” are desperate to …save Mom. Well, don’t save me (or the good doctor) if I can’t get to the bathroom by myself, thank you very much.

And others made really tone deaf comments, or complained when the tone deaf are rightfully invited to fuck off…

*I don’t blame the first commenter for telling the second one to fuck off. What a dumb comment.*

My Uncle Ed died last summer at age 85. I hadn’t spoken to him in some time, mainly because he’d slipped into Trumpian cognitive dissonance and labeled me a “liberal nutjob”. However, I did hear that Ed had a mass on his lung that he’d opted not to treat. Frankly, I can’t blame him for that. He lost his beloved wife, Nancy, in 2010. Donald Trump was no longer the president and the election wasn’t going to be overturned. What was the point of sticking around until age 86, when there were many loved ones who had passed before him? Maybe Heaven is real. At some point, it makes sense to pass on. Dying is part of living, and it’s something not a single one of us can avoid. If you were born, you will someday die. So you might as well live life on your own terms and enjoy it as you see fit, as much as you’re able.

I don’t have a problem with Ezekiel Emmanuel’s publicly stated thoughts about wanting to die at age 75. It’s just something to think about. Doesn’t mean any of us are going to actually do something to make death happen at a specific time. I don’t feel anger or fear in reading that idea, because in the grand scheme of things, that’s really all it is. Maybe it makes sense to him, even if it doesn’t make sense to other people. He should be allowed to speak his mind, and other people should have enough faith in themselves and other people to be able to hear his thoughts without feeling threatened by them.

Don’t tell people to “shut up”, simply because they dare to convey an idea that you can’t yet fathom. Be brave enough to hear them out. Maybe you’ll even learn something new.

These are just my thoughts, though. Please don’t take them as gospel… not that I expect anyone would.

law, narcissists, politicians, politics, sex, slut shamers, social media

Dear Mr. Pro-Life Guy… it’s time someone reminded you that “no means no”…

“No means no.” As a child of the 70s and 80s, I heard this catchphrase a lot. Some marketing genius came up with it for PSAs about date rape. It’s meant to emphasize the importance of obtaining sexual consent before proceeding with sexual deeds.

I never had a lot of problems with people not respecting me when I said “no” to sex. But, before some smartass tries to tell me it’s because no one was interested, I will state that like almost all women, I was occasionally sexually harassed by men. I just mainly stayed out of situations in which I would have to deal with them. I’m not sure why that was. To my knowledge, I’ve never been raped. I did have some unfortunate encounters with a pervert when I was growing up, but he just showed me pornography. He never actually touched me. For that, I’m grateful.

Last night, I had an experience in a comment section with a very aggressive pro-life warrior. I had just read a news story about 80 year old Florida Representative Frederica Wilson. In the late 1960s, Ms. Wilson almost died from a pregnancy that resulted in a stillbirth. Doctors pronounced her baby dead in its seventh month of gestation. However, because her pregnancy predated Roe v. Wade, doctors were not permitted to induce labor. According to the article, Wilson said:

“I had to learn how, first of all, to handle the immense grief that comes with losing a child and the fact that the corpse of that child was still within me. I cried every night and all day. My little body was wretched with pain, weakness and frailty.”

Today, I relived one of the most painful times in my life on the House floor. I shared my experience of being forced to carry my dead baby. Prohibited by law to induce labor, I carried my deceased child inside me for two months and almost died. We can’t go back. pic.twitter.com/emuWzQDgWX
— Rep. Frederica Wilson (@RepWilson) January 11, 2023

Wilson was commenting about anti-abortion legislation just passed by the House. The “born alive” bill will not go anywhere right now, as the Senate will probably not address it, and even if they passed it, Joe Biden won’t sign it. But it is a sign of what’s to come, as extremist right wingers try to impose their ridiculous anti-abortion views on the majority of Americans. I can’t help but notice that a lot of these folks are men. Quite a few of them are pushing shaming messages toward women who have casual, consensual sex. They claim they aren’t wanting to punish women for having sex for fun. But then, when a woman unintentionally gets pregnant, they think she needs to “lie in the bed she made for herself.”

Sure enough, there were several of these pro-life men opining in the comment section of the Washington Post article. A woman posted this excellent comment:

An embryo at 4 weeks is the size of a poppy seed. A 10 weeks fetus is the size of a pomegranate seed. Besides the contribution of one cell from a man, it is essentially a parasite using the woman’s blood, bone, muscle, etc. Don’t like abortion? Don’t have one. Mind your own business, in other words.

Then a pro-life man challenged her. He asked when she thought abortion should be banned. A lot of us, myself included, responded that it shouldn’t be banned at any stage of pregnancy. I’ve mentioned this before, but I’ll restate it for the latecomers. The vast majority of women who have abortions after the first trimester do so because there’s a medical reason. Either she’s sick, or the developing fetus has catastrophic medical problems. Late term abortions aren’t something a person does for fun or convenience. Any person who would do that for shits and giggles is not someone who should be a mother, anyway.

It wasn’t long before a guy named Kenneth decided to harass me with his pro-life views. I usually try to be respectful when I make comments, but this guy wouldn’t let up. He kept hammering away at me, trying to trip me up, challenging my opinions about abortion. I found him very disrespectful and responded accordingly. It reminded me of times when some horny guy wanted to do something sexual, when I didn’t. Fortunately, I never had an issue saying “no”, mainly because for some reason, I was afraid of sex and aggressive men. My fear of sex was greater than my fear of being socially rejected.

However, I happen to know that a lot of women, particularly young women, care a lot about what men think of them. So, when a man comes on to them, they’d rather just give him what he wants. They are willing to give in to his demands for sex. That’s how some of them end up pregnant when they never meant to be. While not every man is an asshole in this situation, a lot of men are.

I noticed that Kenneth had some “slut shaming” qualities. He commented to me that a woman who has a one night stand and has an abortion is doing so out of convenience. Obviously, he thinks that’s wrong. First off, the woman shouldn’t be having casual sex. Secondly, if she does get pregnant, she should commit to the pregnancy. Thirdly, if she doesn’t want to be a mother, she should give the baby up for adoption. He makes it sound like this is an easy thing to do. He acts as if pregnancy is easy, painless, and CHEAP.

Kenneth seems to think that he’s morally superior to pro-choice people, because he’s against abortion. Moreover, he thinks he has the right to hammer his views at total strangers. I normally don’t give guys like Kenneth much time, but I was feeling sort of hostile last night. He lobbed his impassioned entreaties at me, clearly getting nowhere, but unable to stop trying. I got increasingly annoyed, as he tried to explain to me– a woman– about pregnancy and the morals associated with it. It wasn’t the first time I’ve encountered this phenomenon.

I finally tired of Kenneth’s bullshit. It was time for dinner, and I wanted to end the conversation. So, after he referred to me as a “pro-abortionist”, I wrote this:

I am not a pro-abortionist. I simply don’t think you need to concern yourself with women’s healthcare decisions. It’s not your business. Especially since I highly doubt you vote for people who care about helping the poor or making healthcare affordable for everyone. Now please leave me alone. I’d rather clean the lint out of my bellybutton than continue this pointless dialogue with you.

As you can see, I very clearly asked him to leave me alone. I even used the word “please”. It’s a very clear indication that I’m saying “no” to continuing the discussion. It was getting nowhere, and my dinner was getting cold. But, not surprisingly, Kenneth came back with more stupid drivel. So I blocked him.

If I hadn’t had dinner in front of me, I might have pointed out that he was acting like a horny man. I refer to the type of man who pressures a woman for sex, won’t take “no” for an answer, and then slut shames her when she gets pregnant! This type of man accuses women of “getting themselves pregnant”. They call them sluts. They don’t want to help them. Instead, they say they should have been more careful. Guys like Kenneth put all the responsibility on women, as they demand to have a say in their healthcare decisions.

A few months ago, I had a similar experience, not on the topic of abortion, but about Virginia Military Institute. I wanted to comment because a number of my family members went there or worked there. Bill and I married there, although he’s not a graduate. My favorite relative, Uncle Brownlee (RIP), was in charge of the physical plant in the 1990s. He was actually at the forefront of making VMI accessible to women. I commented, and a man very soon attacked me for posting something positive about VMI. This guy wasn’t a right wing pro-life asshole, like Kenneth. Instead, it was a left-winger named Kent, trying to school me on how “racist, sexist, and abusive” VMI is.

I’m not going to try to tell people that VMI doesn’t have its problems. It’s not where I would have wanted to go to college. However, I do know that a lot of people– men and women– have done well at VMI and love the school. I think the good far outweighs the bad. Moreover, I have personal experience with VMI, thanks to my family members who attended and worked there. My perspective means that I don’t agree with people who think the school should be shut down for its sins of the past. This left-wing guy, Kent, who likely has ZERO actual experience with the school and probably doesn’t know a single graduate, felt the need to hammer me with his views.

As Kent tried to tell me more about “abuse” and all of the reasons VMI is “terrible”, I asked him to leave me alone. Naturally, he wouldn’t. For some reason, he couldn’t manage to do that. Instead, he came back with two more paragraphs of drivel. It was probably lost on him that he’s pretty abusive himself. I ended up blocking him, too, after pointing out that he doesn’t seem to be able to respect the word “no”. Perhaps he’s more like an “abusive” Keydet than he’d like to admit. I’m sure the strong and brave young women who choose VMI for college can make an informed decision about their higher education choices without Kent’s input, in spite of his penis.

I can’t help but notice that a lot of pro-life men missed the memo regarding “no meaning no”. I’ve noticed that they are also a lot like fat shaming men. Maybe it’s not so much the pro-life types that are like this, but it’s more narcissistic assholes who are. A narcissist can be on either side of the political spectrum, after all. But they do have one thing in common, and that’s the tendency to shame other people. And narcissistic men love to do it to women, especially those they see as somehow morally weak.

To these types, a fat woman is weak because she eats too much and dares to be in public when she’s not attractive to him. This is annoying to him. A pregnant woman who wants an abortion has the nerve to reject the sperm of the man who fucked her. She should have kept her legs crossed, just as the fat woman should keep her mouth closed. What they see as a lack of discipline is disgusting to them. But they never seem to look at their own behaviors, do they? The hypocrites!

I don’t have time for hypocrites, nor do I have the energy to waste on guys like Kent and Kenneth. My mind is perfectly good, and I have the ability to make my own decisions and form my own opinions. I don’t need help. When I ask to be left alone, I mean it. No means no.

Maybe if more men like Kenneth respected women who say no to them, there would be less of a need for abortion. Either way, it’s none of his goddamned business if a woman wants or needs an abortion. Women like me are going to fight for the right to make our own healthcare and education decisions without help from anti-choice assholes like Kenneth… and Kent, for that matter.

The Overeducated Housewife

Just another boring blog about a boring housewife…

Tag Archives: fat shaming