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Going to the doctor as a fat person sucks (hexbear.net)

submitted 5 days ago by NotLuigi@hexbear.net to c/chapotraphouse@hexbear.net

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I’m 370 lbs and today I had a doctor tell me that people who are skinnier than me are all like that because they work out and eat right. Can I get a roll call for the people who are less than 370 lbs and eat like shit or don’t work out? Because I’m pretty sure you exist.

Also, one time I had a doctor ask me “are you sure?” 4 times after I said I didn’t have any breathing problems. Like nah I’m just big.

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[-] glans@hexbear.net 34 points 5 days ago

Here's one for your doctor. A meta analysis that correlated obesity with bad outcomes during h1n1. However, a different group took a second look at the same data. They realized that fat people were treated differently by the care team. Specifically, they were allowed to get sicker before being given medication. If you adjust for late treatment, there actually wasn't a difference.

And of course we know that fat people delay going to doctor/hospital because of their many bad experiences, trying to avoid getting harangued etc. So they are already getting treatment later. So even if you get a great individual doctor you're already at a disadvantage.

citation

Results: We identified 22 articles enrolling 25,189 laboratory confirmed patients. The pooled estimates indicated obesity significantly increased the risk of fatal and critical complications of influenza A(H1N1)pdm09 infection (for fatal, OR = 1.81, 95% CI: 1.23-2.65; for critical complications, OR = 1.67, 95% CI: 1.13-2.47). However, we found significant interaction between early antiviral treatment and obesity (β = -0.28). After adjustment for early antiviral treatment, relationship between obesity and poor outcomes disappeared (OR = 1.14, 95% CI: 0.94-1.39).

Conclusions: The results of the meta-analyses showed obesity significantly increased the risk of death, critical complications, and severe complications for influenza A(H1N1)pdm09 infection, especially among high-quality studies and in Asia region. Importantly, the result from our meta-regression indicated that the conclusion should be interpreted with caution, because early antiviral treatment might be a key confounding factor.

Weight and prognosis for influenza A(H1N1)pdm09 infection during the pandemic period between 2009 and 2011: a systematic review of observational studies with meta-analysis

I heard about this study a long time ago. It's from 2016 so maybe it has been replicated or refuted by now. Given the method of reinterpreting existing data it should be easy to bang this kind of thing out. But I don't know stats so wouldn't even start to look.