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Kathy Robertson's avatar

For two years (1.5 years ago) I was seeing the most respected respirologist in my city because I was suffering with shortness of breath (SOB). LOSE WEIGHT were his first words to me. You're too heavy and that's why you have SOB. Hurt, but I took what he said to heart and started looking at what I could do.

I read an article about Intermittent Fasting and it sounded like something that would work. I don't eat a lot really, so four hours of eating time was perfect. Done and dusted. And it worked well for my life style and I lost 60 lbs in 6-8 months.

My SOB? Worse! I could barely walk 25 feet without being totally breathless. It was so embarrassing because I was sure others were thinking "if she wasn't so big, she wouldn't be out of breath". My next appointment with the respirologist was coming up and I decided that I was going to tear him a new one (anyone who knows me, knows this wasn't really going to happen, but I wanted to let him know how upset I was). Unfortunately, or fortunately, I ended up in the ER a week before my appointment and was diagnosed with Idiopathic Pulmonary Arterial Hypertension (IPAH or PH). Idiopathic = unknown cause. Well the appointment with him went a lot differently and he was (almost) apologetic when he saw me. He then arranged for me to be a patient with the PH clinic and wished me well. The last question (he had the nerve to ask this as his last question) was since I lost so much weight in a fairly short time, did I do so with the aid of diet pills. Reasoning was that diet pills can be a factor in the development of PH. He was looking for a loophole to blame the PH on me, not his inept doctoring. If he had just stopped with the fat shaming and done some simple tests, I would have been diagnosed sooner. Instead I was trying to lose weight and getting closer and closer to collapsing and dying. If I were a suing person, I would definitely think I have a good reason to.

Now 1.5 years into my diagnosis I am 50% better, but my life has been considerably shortened. An earlier diagnosis wouldn't have changed my fate, but doctors really need to STOP fat shaming and just do the tests needed to rule out other issues.

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Morgan's avatar

That woman from Random House is correct, unfortunately. My husband wrote a diet book called Just Tell Me What to Eat! published by Da Capo. He's an Internist and former chef and the book included 6 weeks of healthy recipes (don't look at me like that, you've never had his Fettuccine Alfredo) along with evidence-based health information. No gimmicks, just "Here's the science. Here's what works. Get back into the kitchen and cut out the junk. Make a lifestyle change - don't go on a diet."

Didn't sell in droves.

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