sebastienne: My default icon: I'm a fat white person with short dark hair, looking over my glasses. (Default)
[personal profile] sebastienne
Generally, I've not had too bad a time of it with fatphobia in the medical profession (although I'm not sure that every negative blood test for glucose/thyroid issues has been entirely necessary), but today I saw just a little bit of the system which limits fat people's access to decent healthcare.

I was registering with a new GP (yeah.. only 18 months after I moved house..) and the form required me to give my weight and blood pressure. So far, so standard, yeah? Only I was required to do this using a self-service scale & cuff system in the middle of the waiting room. Yeah.

So, I've done a lot of work to exist in the world without constant niggling self-hatred. I focus on treating my body well so that I can get the most out of it, and not on punishing it for not looking or behaving in a certain way. Dammit, I have a necklace that says "FAT", like it's a neutral descriptor, and sometimes I even have the courage to wear it!

And even I felt judged and shamed by the little machine that spoke aloud (it spoke! aloud!) to tell me to stand up straight. (I didn't know that it was going to go quiet before printing me a little read-out slip that told me that my body is an epidemic.)

Then I moved on to the blood pressure machine! Now, once again, I want to reiterate that I completely understand the utility of taking these routine measurements out of precious GP-time and into self-service. But this one-size-fits-all cuff did not strike me as the way to do it. It hurt, of course - blood pressure readings always do - but there wasn't even a little note on the display, "don't worry, it's meant to feel like that". Just, "sit still". The form also carried instructions to take three readings if BP was higher than 140/85; at 136/86 I wasn't sure it it applied to me, so I did two more. (The subsequent two dropped off; if I'd known I was going to be doing DIY medicine I probably wouldn't have cycled.) And then I thought.. everyone in this waiting room has registered with this GP. They've all seen that instruction. They're seeing me repeat this humiliating pain three times, and they know it is because I am an unhealthy fatty, OMGZORS!!!11.

And then I thought about all the people who'd been through this, and had decided not to make that appointment after all. Or who'd looked at that machine in this public space and remembered past traumas, and decided not to bother registering. And then I was sad.

Note: if you want to comment on this post with any kind of "concern" for my "health", you might want to go and read Five Fat Facts, which covers some concepts I've skimmed over here in a bit more depth.

ETA: Mr Lansley said: "We have to halt and then reverse the tide of obesity in this country." Ooh, that's a new metaphor! Much less viscous than usual fat-analogies. Kind of fun to imagine!

Date: 2011-10-13 04:58 pm (UTC)
happydork: A graph-theoretic tree in the shape of a dog, with the caption "Tree (with bark)" (Default)
From: [personal profile] happydork
Oh, wow, that's awful. :( I wish that just for one minute everyone who's so desperately "concerned" would think about the real health effects of fat shaming.

Date: 2011-10-13 07:08 pm (UTC)
From: [personal profile] annalytica
I am concerned for your health if your doctor keeps giving you reasons to stay away from their surgery. That is fucked up. If they must make you do it yourself rather than having a nurse do it, they could at least put the machine somewhere private.

Date: 2011-10-14 08:22 am (UTC)
necaris: me looking dapper at a wedding (Default)
From: [personal profile] necaris
Oh dear that's awful :-( is that GP the only game in town?

Date: 2011-10-13 03:30 pm (UTC)
From: [identity profile] ayaron.livejournal.com
:O( Sorry the world is the way it is.

*hugs*

*realises he needs an icon for 'supporting a friend against oppression, prejudice and general unfairness of the world'*

Date: 2011-10-13 04:02 pm (UTC)
From: [identity profile] liminereid.livejournal.com
That's just horrible. Why the hell would a GP not realise weighing is the kind of thin people might wish to do in private? A year ago I would ahev had a panic attack if asked to weigh myself in public. How gross and humiliating and insensitive. (Unrelatedly, is it me or are bloody pressure cuffs getting more painful? The last time i had one it really really hurt.)

Date: 2011-10-13 06:24 pm (UTC)
From: [identity profile] queerpup.livejournal.com
We have a similar machine at our GP's and I want to use it, but I don't want to use it in public. It has screens either side, but people queuing at the desk can still see you there.

I'm not particularly overweight, I don't think my physicality is going to be judged by those in the queue, I'm just very, very self-conscious!

Date: 2011-10-13 07:33 pm (UTC)
From: [identity profile] notintheseheels.livejournal.com
Ugh. It's exactly this sort of shit that has made me too scared to register with a GP nearer me for the past two years (I know, I'm avoidant!). I've had too many bad experiences and heard too many things like what you describe above. It's rubbish.

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sebastienne: My default icon: I'm a fat white person with short dark hair, looking over my glasses. (Default)
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