Wordless Wednesday: Hiking In Oregon
The Last Socially-Acceptable Prejudice: Weight Discrimination
ABC News recently published the article “Stigma Against Fat People the Last Acceptable Prejudice.” Several elements of this article struck a chord in me, and I wanted to touch on some of them in a blog post. Forgive me for paraphrasing so much of the article…there was so much good research and content.
Earlier this month, the Rudd Center for Food Policy and Obesity at Yale University published a study, indicating that in a courtroom setting, male jurors didn’t administer blind justice to plus-size female defendants. Female jurors displayed no prejudice against obese male defendants, especially lean men, and were much more likely to slap a guilty verdict on an overweight woman. Rebecca Puhl, the co-author of the Yale study, said that “these displays of fat stigma are par for the course.” Prejudice against fat people is pervasive and translates into inequalities across broad areas of life. Puhl continued:
“Thinness has come to symbolize important values in our society; values such as discipline, hard work, ambition, and willpower. If you’re not thin, then you don’t have them”
A study by the Center for Creative Leadership found that top-level managers with a high BMI are judged more harshly by peers and seen as less effective than their slimmer colleagues, both in professional and in interpersonal relationships. I can personally attest to the fact that this happens, and I’ve felt held back in my career objectives. People have liked me on paper, but have treated me far less favorably at in-person job interviews than their initial online correspondences would suggest.
As much as HR departments will claim otherwise, weight prejudice in the workplace is real. I’ve experienced it repeatedly through my career. I have been passed over for job offers and promotions. I am applauded for my creativity, not my hard work. Is is just a coincidence that professional opportunities are opening up for me like crazy after losing weight? It’s tough to say.
It’s obvious that weight discrimination doesn’t just exist in the workplace. It happens in our schools and in our families. More than 70% of obese people say that they had been ridiculed about their weight by a family member.
Yet another study by Puhl at Yale found the following results: Fifty percent of doctors found that fat patients were “awkward, ugly, weak-willed, and unlikely to comply with treatment.” 24 percent of nurses said they were repulsed by obese patients. Almost 30% of teachers said that becoming obese was “the worst thing that can happen to someone.” People have few qualms aiming overly cruel comments toward overweight and obese people because there are few consequences. One of the ironies of the treatment of overweight individuals is fat people didn’t get much sympathy, even from others struggling with their own weight.
Fat stigma hasn’t changed much in my lifetime, and every time it becomes a topic of conversation…people get uncomfortable. People want to change the subject. In this sense, weight prejudice is the last acceptable prejudice.
“Overweight people are usually shown in stereotypical ways- engaged in out-of-control eating or bingeing on junk food- and they are often shown as the target of humor or ridicule,” said Puhl. “With the amount of media we all consume, it’s no wonder these stereotypes stick.”Puhl also stated, “There are no federal laws on the books that make it illegal to discriminate on the basis of body weight, so on the whole, it remains legal. It sends a message that it’s no big deal.” Public health campaigns which brand obesity as a disease are easily perceived as criticizing individuals, rather than the environmental and social factors that lead to weight gain. People engage in public fat-shaming. She also believes media portrayals of heavy people as fat, lazy and gluttonous do them no favors.
Another article I found in Forbes, titled “The Obesity Police Turn A Solvable Problem Into A Needless War“, also brings up some interesting points. “when it comes to addressing obesity, the most prominent public health activists are intent at making it into a war, rather than a solvable problem.” The reference the following video made by Coca-Cola:
Coca-Cola’s video give scientifically accurate data and is trying to spark dialogue about how obesity is caused by consuming more calories than we burn (including the calories in Coke products). They support programs that advocate healthy living, and make it a point to display calorie counts boldly on their packaging.
However, public health activists are not happy about the campaign. These health activists tend to one-up each other, using inflammatory language and tactics to make the food and beverage industry into the villains, instead of making actually making a difference. For instance, Michael Jacobson from the Center for Science in the Public Interest said that if the company was serious about wanting to help fight obesity, it shouldn’t even advertise full-calorie drinks. “They’re trying to pretend they’re part of the solution, instead of part of the problem”. The solution should be to focus on helping those struggling with obesity, and provide resources to those who feel trapped in their predicament, rather than pointing fingers at companies.
So. Where do we go from here? How can we bring up these dialogues and foster meaningful change?
I think the important thing is to talk about obesity, and the ways that people can emerge from the trapped feeling of excess weight. Last week I sent out a tweet and posted in my Beauty and the Bypass Facebook Group, asking for people to share their experiences about weight discrimination.
And what was the response?
Zip. Zilch. Nada.
Nobody is comfortable talking about weight prejudice. People are either too scared to talk about their experiences, or they fear retribution for discussing the experiences they’ve had with weight prejudices in the workplace. Or even weight prejudice in general. I have stayed mostly silent on the subject, even though it’s an issue that infuriates me. Last year when I published my post “Weighty Impressions“, there was fallout from it because I mentioned experiences that I’d had in the workplace (at several different jobs). Employers are scared of getting sued, and employees aren’t really protected by anything legally. It’s a really bad situtation.
Where do we go from here? I think it’s time to talk about it. Ideas?
Fashion Friday: 2-for-1 Slimpressions Long Leg Shaper
SALE EXTENDED! 2-for-1 Long-Leg Shaper available February 8th-9th!
I’ve talked before about the need for compressive garments after massive weight loss, and how much I love Slimpressions shapewear. I found out that there is a 2-for-1 sale today on the Slimpressions Long Leg Shaper…and I think you should hop on it! It retails for $45, so getting two for $45 is a steal.
Obviously, even with compression garments, not every lump and bump of skin on your body will be smoothed away. That’s what plastic surgery is for. But wearing high-quality shapewear will help you have the appearance of a longer and leaner body. This lower-body shaper is woven with “butt-lift” technology to give the illusion of a toned derriere.
When I wear my long leg shaper, I’m able to wear jeans that are a size smaller. They suck in my panni and make my hips more shapely. I like them because they’re really stretchy, but stay in place. I can make them stretch down to my knees so there’s no line when I wear pants, but they also can be worn with shorter skirts.
Click on the banner below for the BOGO code for the Slimpressions Long Leg Shaper. Trust me, they’re awesome.
My ER Visit in Vegas
Reactive Hypoglycemia. It’s serious stuff. And when it comes on, you have to stop EVERYTHING and take care of yourself.
I experienced my worst RH crash in Las Vegas earlier this month. I was in Las Vegas for New Media Expo, and was taking advantage of every chance I had to network, party, and enjoy my time in Vegas. Before I had my surgery, I didn’t have a lot of stamina to keep going and going at conferences. I would catch a few speakers, then go back to chill in my room. Go wander the expo halls, then chill in my room.
At NMX, I pushed myself to go ALL DAY LONG.
I partied too hard…which is funny for a girl who didn’t touch a drop of alcohol to say. I made the stupid mistake of staying up for 23 hours to play and party, then only slept for 3 hours. Latent insomina has been killer for me since I returned home from my trip to London, and I have a hard time sleeping in past 5:00 am. Once I was awake, I went to the hotel gym for a workout (since I knew it would be the only chance I would have for the day). Nothing too strenuous because I was tired, but I worked out nonetheless.
I went to a networking breakfast after, but apparently I didn’t eat enough. While I was in Guy Kawasaki’s keynote, I started feeling the evil crash of reactive hypoglycemia. Dizziness, double vision, sweating, and they chills. It was time to eat again – NOW.
I gathered my belongings, and walked to the closest place that had anything edible – the hotel convenience store. I got some Nutter Butter mini-cookies and some peanut butter M&Ms, trying to get a little protein in (with not a lot of great options). I took my snacks to the big padded hallway bench and started munching. But the double vision and dizziness got worse, so I laid down on the bench. A concerned conference-goer saw me and grabbed casino security. Security brought the EMTs over, who had me suck down part of a tube of glucose gel. It’s tough with gastric bypass patients…because not enough sugar will keep you crashing, and too much will make you have dumping syndrome.
Ten minutes after the glucose gel, I wasn’t having much improvement in my symptoms. The EMT’s called the paramedics to give me an evaluation (and to bring a blood glucose monitor). By the time they pricked my finger and checked my blood sugar, it was back up to 90. I was getting frustrated and anxious because I usually feel so much better within 30 minutes of eating, but it wasn’t getting better. The paramedics decided to load me up on the gurney, give me some oxygen, and take me to the ER.
I felt sick enough that I couldn’t walk or form very many coherent sentences….but I was able to use my phone. I had the paramedic take my picture while we were on the way to the hospital, and I Instagrammed it with the #NMX hashtag because all these people at the conference saw the commotion with the EMT’s, but couldn’t communicate with me. Social media was the best way for me to keep people updated on my progress. At the hospital, they took a few vials of blood, gave me an exam, and hooked me up to an IV.
Over the next 3 hours, I spent most of it asleep in my curtained off area in the ER. I wasn’t able to eat or drink while they figured out what was happening, but they sure pumped me through of IV fluids. The emergency staff didn’t know much about gastric bypass patient protocol, let alone reactive hypoglycemia. After finishing my 3rd bag of fluids, I was given a diagnosis of fatigue and severe dehydration. My electrolytes were all out of whack, and my body was shutting down. It’s possible it wasn’t RH that made me feel so sick, but I’m pretty sure it was a factor.
I was discharged from the hospital with a strongly-worded charge to “take it easy.” Someone telling me to “take it easy” is like speaking Mandarin Chinese- completely unintelligible. I was at a fun conference, for heaven’s sake! My sister drove me back to the Rio from the ER, and while I was there, I wanted to talk to a few people to let them know I was okay. So even though I did walk around the expo, I only stayed about 10% as long as I wanted to. I drove my car back over to my hotel, then crashed for a 2 hour nap. I met up with some friends at Mon Ami Gabi at Paris for dinner, then skipped the official conference party. I spent a little time with some friends at the bar, then got so tired so quickly I had to be walked across the street to my room. I slept like a log that night.
The rest of the conference I drank lots of water, ate more often, took breaks often, avoided walking everywhere, and went back to my room to rest a few times. I didn’t go to every session, nor did I go to every party and activity I was invited to. It was tough to limit myself, but it’s what I had to do.
Next time I’m at a conference, I’ll do better about pacing myself…especially if I’m still dealing with daily RH symptoms.
How Much Does Stuff Weigh? [infographic]
Rapid and significant weight loss through gastric bypass isn’t the typical weight loss experience. While 2 pounds a week is considered a “healthy” rate to lose weight, there are periods of rapid weight loss where some patience can lose over 50 pounds in a month. While it feels good to drop pounds and lose inches, it’s sometimes hard to visualize how much weight you’ve actually lost.
In Bariatric Bad Girl Club, we’ve talked about certain lists of weights and how much our losses equate to in everyday items. My coworker Joseph created this infographic for our site at work, and I thought it would be fun to share here. When we discussed it in BBGC, it was a hilarious conversation because the largest weight on this infographic is 100 pounds, and many people in the group have lost much more weight. So we came up with funny combinations of what our losses were equivalent to. My favorite? A response from @Trina_Lockary on Twitter.
How much have I lost? At 122 pounds, I’ve lost a toilet, a car tire, and 8 sticks of butter. Let the good times roll.
What Is Reactive Hypoglycemia?
Over the past two months, I’ve begun experiencing one of the dreaded after-effects of gastric bypass surgery: reactive hypoglycemia. Most people who are familiar with gastric bypass know about dumping syndrome, but reactive hypoglycemia can be just as painful and uncomfortable.
Reactive Hypoglycemia (RH) is a condition indicating recurrent episodes of hypoglycemia in people who do not have diabetes. Scientists and nutritionists think that RH is a consequence of excessive insulin release triggered by intake of carbohydrates, but the insulin release continues past the digestion phase, and and beyond the disposal of the glucose derived from the meal. According to the NIH, a blood glucose level below 70mg/dL at the time of symptoms, followed by relief after eating, confirms a diagnosis for reactive hypoglycemia.
Reactive Hypoglycemia symptoms include:
- Double vision or blurry vision
- Unclear thinking
- Sleeping Trouble
- heart palpitation or fibrillation
- fatigue, depression
- dizziness, lightheadedness, confusion
- sweating
- headaches, tremors, flushing
- nervousness, irritability, panic attack
- increased appetite, craving sweets
- numbness/coldness in the extremities
In severe untreated cases, coma can be a result from RH. It’s serious stuff.
How do you treat RH? By eating. The quickest way to feel better is to eat something that will get your blood sugar up quickly, so sugars and carbohydrates seems to work the best. But having protein and fat will help sustain you so you don’t have another RH episode.
Now, I leave a disclaimer that this is NOT to be taken as medical advice, but I’m sharing what I’ve come up with after tracking my RH episodes and talking to my doctor. I will often have peanut butter and crackers, or some popcorn. Fruit juice usually makes me dump, but a sip or two seems to help me get out of an RH episode. I’ll admit, sometimes I’ll eat junk food when I sense the first symptoms of RH, and being timely is much more important than choosing the exact perfect thing to eat.
I had my first experience with RH in November in England. I was meeting up with a friend in Liverpool one morning, and the restaurant we planned to eat at wasn’t open yet. I nibbled on some turkey jerky, then we walked around Albert Dock for a few hours, then I went to the Beatles Story museum. As soon as I got back in the car, I started getting confused, shaky, weak, and had blurred vision. I knew it was because I hadn’t eaten and I actually blacked out for a few seconds. Eating made me feel better very quickly.
The next RH episode was on Thanksgiving. I had a fairly surgery-friendly dinner (turkey, salad, veggies, sf jello) with one exception – I had a little bit of mashed potatoes and gravy. I’ve been having powdered mashed potatoes for a few months, but mashed real potatoes took me over the edge. I went into dumping mode for about 20 minutes. As soon as the dumping subsided, I laid down and fell asleep immediately. When I woke up, I felt disoriented, my arms and legs were completely numb, and had double vision. When I tried to stand up, I collapsed and started shaking uncontrollably. I got on BBGC and left a message with my symptoms, and everyone agreed it was an RH episode.
I started tracking the symptoms through the next 10 or so episodes, and I realized that there were two common items : I had done a rigorous workout within the past 24 hours, and it had been more than 3 hours since I’d eaten anything. To date, I’ve completely passed out 3 times from RH. Every Sunday in the 3rd hour of church, I’d have RH symptoms, so I began packing crackers, granola bars, and other portable items to eat between classes.
I met with my doctor, showed him my log of RH episodes, and he agreed that it was something I needed to take very proactive control over. His main advice to me, which is not what is part of the typical gastric bypass diet, is to eat more carbs. Eat something a little carby with every meal. Eat carbs and protein before and after working out. Stop exercise at the first sign of fatigue. Be intuitive and listen to my body’s signals.
My weight loss has been slow the past 2 months, but my body is shrinking. I’m down a dress size, but only about 5 pounds from the beginning of January. I’m exercising hard, my muscles are getting more lean and toned, and I am enjoying an active lifestyle. My body is no longer in ketosis, but I’m okay with that. I’d rather have energy, exercise, and eat more carbs, than be lethargic with a carb and exercise restriction.
Now, if I can only get this reactive hypoglycemia under control!