Managing Weight Bias in Healthcare

Good evening everybody!

I hope you're all doing really really well, massive that you to everybody who read the previous post it was an absolute pleasure to write it and the response to it was awesome! Because of such a fab response to the more practical advice based posts I'll be planning a few more of these to come up pretty soon. From this point on I'll be using my summer to do 4 things one being blogging for this account, blogging for my university blogging platform, reading for my dissertation and enjoying my time off with trips, so I'll try to write as much as I can for both of my blogging roles. So, today's post is a pretty important one all in all and I have to stress as a disclaimer that although this blog is aimed at promoting awareness for genetic obesity disorders none of the advice or tips/suggestions I provide are limited to those with genetic obesity. This post in particular will be about how to handle weight bias in healthcare, something that I know fine well that almost every single overweight or obese person in on the planet will have or will face at some point. I know I have done a similar post to this but this one is much more in-depth and should be so much more helpful, hopefully. 

Source: MyGutTellsMe.com

The fact that there is so much weight bias, hatred, prejudice or whatever you like to call it, in society is hard enough to handle at the best of times but the issue becomes more than hard to handle when that weight bias creeps into YOUR healthcare. To really kick off this post I am going to tell you all a story... It was about 9 months ago I went into my local GP surgery, West Cornforth Medical Centre for those who are interested in which medical centres to stay away from, and I had been suffering from a chest infection, sinus infection, the psoriasis in my inner ears had flared up and I had made an appointment to attempt to deal with my chest infection. Being Asthmatic from birth I know how serious chest infections can end up being, I sat and explained my symptoms to the GP manning the surgery at the time and the first thing out of that man's mouth was "May I ask how you are managing your weight?". This isn't an uncommon thing in the lives of obese and overweight people, we deal with this kind of thing on a daily basis in healthcare, then have strangers on the street telling us we are putting a strain on our healthcare system by being overweight... as a side note I will point out that it is not our weight that most often is wasting money or time for healthcare systems around the world, if Doctors were willing to listen openly and actively to our concerns as human beings maybe we wouldn't be wasting appointments constantly poking for new Doctors who understand out current, very personal circumstances. The following are tips and tricks that I have had to develop over the years to get the healthcare that I not only need but that I am entitled to as a human being. 

• Unless your appointment is weight related make it known that you will not be discussing your weight in the appointment - I don't know how many times I have had to do this. I've attended an appointment for dermatology or my chest infection and ended up being asked about my weight. Often times it can make you so angry you want to scream or hit someone but the most appropriate way to deal with that kind of question is simply say "that topic is not relevant to the matter at hand, I am here to discuss my original problem". It is as simple as that and you need not swear, shout or get upset. As long as you are confident in how you handle the doctor and remember that if it wasn't for people using their services they don't get paid, so make the most of your time at the Doctors office by only speaking about what you need to. 

• If your weight is brought up again, without you explicitly discussing or asking about it, leave - Again, unless the appointment was weight related, and you are asked about your weight repeatedly, leave. You have not wasted your time to be hounded by questions regarding your lifestyle which may not be directly related to the problem you are presenting with. I fully understand that weight does play a role in many other health complications but if you are aware  your problem is weight unrelated then leave. I had to do this with the situation with my chest infection, the matter was pushed by the Doctor so I left. I ended up making another appointment later in the week and specifically requesting another doctor who was much more objective. 

• Second opinion - This is a lead on from my last point. If your doctor is blatantly telling you that you health concern is weight related and you feel he or she may be incorrect then get yourself a second opinion and ask for an extended appointment to fully explain your concerns. Your health should be number one priority to all doctors but sometimes it isn't, often times doctors can be too focused on skin deep issues and associate everything with visible issues such as weight concerns. If you're not comfortable with your Doctor's decision, make an appointment at a later date and ask for a second opinion, it doesn't hurt and you might get a different or the same answer but at the least you have tried to ask. If it feels wrong keep asking, keep pushing for answers because you have been in your body all of your life and you know when something is wrong, a Doctor doesn't have that intimate knowledge of your body, this is especially true of those with genetic obesity problems as many doctors do not understand these conditions. 

• Make Leaflets - This is something that I have had to do for a long time and I know other parents and people with genetic obesity conditions have done also. I have created an information sheet and a leaflet outlining what genetic obesity condition I have, what it is, what it means for me and what medications I can and cannot take. I often find that doctors do not read my notes which puts a serious barrier between myself and and good quality healthcare as they often treat me as the average oversight individual which is absolutely not the case. If you have complex healthcare needs I would highly recommend making information sheets and leaflets that tell your doctor everything he or she needs to know, especially if you will be working closely together in terms of your health. Often I do this when I get a new Gynaecologist, dermatologist or GP because they simply do't know about my genetic condition. Make those Doctors read the leaflets, make them understand YOUR healthcare needs because after all YOU are the most important person in that room when you have an appointment. 

So those are my main tips for dealing with weight bias in healthcare on a day-to-day basis. Eventually you will find a doctor who truly understands you it just might take time. Often you have to wade through all of the rubbish to find some treasure. I hope you have found these helpful and I will leave you with some parting wisdom:

Doctors do not know everything! You have been in your body longer than most doctors have been practising, you know yourself and your body so trust your gut!

You are a human being who is entitled to care, good health and supportive healthcare professionals. You can always make a complaint if you feel you've been treated unfairly. 

Bringing a dictaphone to your appointments can be a godsend, especially for those with chronic illnesses or memory troubles, dictaphones are a lifesaver.

You never EVER have to accept the words of one single doctor. There are many more who are willing to give you a second opinion. 

If your problems are weight related you are entitled to ask for psychological support to manage your emotions during a difficult time, even if those psychological problems are caused by your weight. Being overweight or bees is a stress on your mental health too!

Bring someone else along with you, its a lot less scary if you have someone you know will support you next to you during any appointment. 

I hope this has helped you and I shall be back sometime soon, once I have more posts ready to go that is! :) 

Katy xx