This is one of the funniest SNL skits I’ve seen in a long time (hat tip to KevinMD). It’s a spoof drug commercial about a birth control pill that allows women to have their period once a year. Enjoy!This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
The New York Times reported on a growing number of bloggers who identify themselves as “fat” and are proud of it. Their message is clear: accept yourself as you are, be proud of your body, and don’t feel forced to conform to the “thin is in” crowd. The Times continues:
Smart, sassy and irreverent, bloggers with names like Big Fat Deal, FatChicksRule and Fatgrrl (“Now with 50 percent more fat!”) buck anti-obesity sentiment. They celebrate their full figures and call on readers to accept their bodies, quit dieting and get on with life.
The message from the fatosphere is not just that big is beautiful. Many of the bloggers dismiss the “obesity epidemic” as hysteria. They argue that Americans are not that much larger than they used to be and that being fat in and of itself is not necessarily bad for you.
And they reject a core belief that many Americans, including overweight ones, hold dear: that all a fat person needs to do to be thin is exercise more and eat less.
What do I make of this? I think that the so-called fatosphere has hit on some important issues: discrimination against the obese, media pressures to be rail thin, and excessive yo-yo dieting are all unfortunate and perhaps dangerous aspects of our culture. Self-esteem can be rapidly eroded by unrealistic beauty ideals, and young women are particularly vulnerable. I whole heartedly agree with the fatosphere’s rage against the collateral damage of anorexic values. But I also think that the fatosphere goes too far in arguing that obesity is not a health problem and that some people are unable to lose weight and should stop trying.
First of all, there is no scientific doubt that obesity contributes to increasing type 2 diabetes and heart disease rates. Now, it’s true that some people’s bodies can handle extra fat without becoming diabetic or perhaps having a heart attack, but why take the risk?
Second, I agree that the jury is still out regarding how “dangerous” being overweight is (as opposed to being obese), and that people with BMIs <30 may indeed be physically fit with no obvious increases in morbidity and mortality. Yes, there is one controversial study that suggests that a little extra fat may actually be protective. But let’s not exaggerate those findings. It was a “little extra fat,” (i.e. being overweight) not obesity.
Third, I don’t believe that people are “doomed” to be obese. The National Weight Control Registry keeps a running list of thousands of Americans who have lost over 30 pounds of fat and kept that weight off for at least 5 years. Long term weight reduction is possible, and believing that it IS possible is important for success. So what do these successful folks have in common? No surprise here: long term, consistent calorie reduction and regular physical activity.
I have been cheering on my friend and blogger, Fat Doctor, as she works towards getting her weight out of the obese range. I do think that her voice is very much needed in the fatosphere: she acknowledges that weight loss is very difficult, she is honest about her struggles, she does not support discrimination against the obese or the pursuit of excessive thinness, but she knows that she must lose weight for her health, and she is getting medical help to achieve her goals.
If any of you out there would like to follow in Fat Doctor’s footsteps, there’s a weight loss group right here at Revolution Health (led by yours truly – and yes, I have some weight to lose!) that may help to get you back on track with regular exercise and healthy eating. Sixty percent of Americans are overweight or obese, which makes chubbiness pretty trendy. But we are not doomed… we can reverse this trend one person at a time. Let’s do it!This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
I recently interviewed Dr. Cliff Bassett about asthma in women and he gave some interesting insights into gender differences associated with this disease. I’ve summarized our conversation below – or you can listen to it here.
The CDC reports that 9% of women have asthma compared to 5% of men. I think that’s a very important finding and I’m not sure if women know that they’re at higher risk than men. The good news is that asthma is completely treatable, although sadly we have as many as 4000 deaths per year in this country attributed to asthma. We’re doing a better job identifying those with severe asthma, and the death rates are decreasing.
Women need to understand that even a small amount of weight gain (as little as 5 pounds) can add up to a much higher risk of death for women with severe asthma. So weight management is very important for those with more challenging asthma symptoms.
Women are more likely to be hospitalized due to an asthma attack than men. And interestingly, up to 40% of women report that their asthma symptoms get worse just before and after menstruation. So for women it’s important to keep a symptom diary, so that if there’s a regular worsening of asthma during menstruation, they might need to be treated more aggressively (perhaps with steroids or other medications) during that time of the month.
The new asthma guidelines (from the NIH) emphasize understanding asthma triggers as the foundation of prevention. It’s much safer to avert an asthma attack than to have to treat a full blown one. So it’s really important for women with asthma to figure out what might trigger their symptoms, and avoid those triggers as much as possible.
Now that it’s winter time, most environmental triggers are of the indoor variety. Over 100 million US households have pets. The most common pet is the cat, and up to 10% of people with allergies develop specific allergies to cats. If an individual suspects that she has a pet allergy, she should see an allergist to get tested to confirm that. Avoidance measures are important, though there are medications and allergy immune therapy (allergy shots) that can help with pet allergies.
Cold dry air can be an asthma trigger in some individuals, especially if they’re engaging in outdoor physical activity. Warm ups and cool downs can help to head off an asthma attack in the cold, though it’s always a good idea to have a rescue inhaler handy.
**Listen To Podcast***This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
I recently had the chance to observe a breast augmentation procedure performed by a surgeon friend of mine. The patient was a tall, attractive woman in her late thirties. Her husband was in the room, quietly listening to my friend’s explanation of the procedure and what should be expected. The patient was friendly and enthusiastic – the breast augmentation procedure was her birthday gift to herself. This was her second procedure, as she had already increased her cup size from an A to a C a few years prior. This time she wanted D or larger.
I felt mixed emotions as I observed the surgery. On the one hand the patient’s breasts looked fine the way they were (in my humble opinion) and it seemed wrong to further distort her natural body type. Yet on the other hand, I think that patients have the right to look the way they want to, and my personal beauty ideal shouldn’t be projected on to them. I asked my friend how she dealt with this sort of conflict.
“Well,” she said, looking at me with her surgical mask and blue hair net, “if a woman wants a green dress, it’s not the store clerk’s business to try to pressure her into buying a red one. I just try to give the patients what they want, and not impose my opinions on them.”
And so I watched as my friend carefully sutured the wounds around the new implants. She checked the movement of the saline-filled sacs inside the chest. She pushed the breasts together to check the cleavage.
“But the breasts don’t touch each other when you push them to the center,” I said, head tilted sideways.
“Her sternum is too wide for that. This is one of the limitations of implants of this size on her body. She just doesn’t have enough tissue to make that kind of cleavage.”
“Is that ok with her?” I asked, glancing down my own scrub top.
“It’s a give and take – she knows that going larger will not give her a natural look, but she’s ok with that. This is what she wants.”
And so the anesthesiologist woke the patient up, extubated her, and the nursing staff slid her over to the stretcher that would carry her to the recovery area. My friend escaped her sterile gown and gloves and prepared her post-op note at the nursing station desk. I smiled at the nurses who assisted in the surgery, and we shrugged at each other and went on our separate ways. I hope the patient is pleased with the outcome, though most of all I hope she feels content with how she looks, no matter what the bra cup size.
What do you think about breast augmentation?This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
Dr. Cliff Bassett is an allergy specialist in New York City. We recently discussed the differences between men and women when it comes to allergies. You can listen to our conversation or read on for a synopsis of the discussion.
Seasonal Allergies & Women
Women don’t always realize that nasal stuffiness may be a sign of an underlying medical condition or a side effect of medications. Low thyroid (hypothyroidism), taking oral contraceptive pills, or frequent use of aspirin or NSAIDs (such as Motrin), can actually increase the risk for nasal stuffiness. Some studies also suggest that hormone fluctuations can increase nasal congestion and allergy sensitivity. So women in particular need to be aware of their unique allergy triggers and get treatment from an allergy specialist when necessary.
Food Allergies & Women
A recent study suggested that women are twice as likely to have seafood allergies than men (4% versus 2%). The reason for this difference is unclear, and it may be related to increased vigilance on the part of women to get tested and diagnosed. However, food allergies are certainly on the rise in this country. I suspect it might have to do with the increasing use of stomach acid blockers. The medicines change the pH (or acidity) of the stomach environment and may influence the way that proteins are being broken down and absorbed by the body. Another theory is that dieting can lead to increasing food allergies – as women eat more protein and fewer carbohydrates, they become exposed to more protein allergens and develop intolerances to them. Ultimately we don’t know for sure what’s contributing to the increase of food allergies in this country, but the good news is that you can easily get tested and treated for them.
Drug Allergies & Women
Some studies suggest that penicillin allergies are more common in women than men. Anyone who has an allergic parent is at higher risk for having an allergic condition. If both parents are affected, your chances are 50-75% that you’ll have a similar allergic profile.
Moms: Be a Label DetectiveA law was passed in 2006 that requires all food products to be carefully labeled regarding whether or not they contain any of the 8 most common food allergens. Moms need to become familiar with all the possible names of ingredients that are related to their (or their child’s) food allergen. So for example “casein” is a form of milk protein, and should be avoided if the allergic individual has milk sensitivities. Also, be very wary of hidden sources of allergens – the glaze on pastries may contain egg proteins and traces of nuts may be hidden in cakes and breads. When dining out it’s always good to carry an allergy card for the chef so he/she can make sure that the food you order doesn’t contain any offending ingredients. The website foodallergy.org has a great list of tips for avoiding exposure to food allergens. I highly recommend it as a resource for women taking care of food allergic children.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
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