I’m not sorry…

I believe the ‘May you live in interesting times’ debate is well and truly settled. These times are no blessing. Life has become that dog in the burning house meme. We’re all expected to carry on, but hey, I don’t think any of us are fine.

Dog in a burning room with a speech bubble saying this is fine

In recent years we’ve had the rise of the right. Politicians who have zero interest in the common good, civic responsibility or even telling the fucking truth. Police are still murdering POC without consequence, whilst they simultaneously neglect to intervene when a maniac massacres small children. The poor get poorer, the rich get richer. Footballers have to intervene to feed hungry children because our leaders have absolutely no interest in people who aren’t just like them. A global pandemic is killing millions and spawned a new kind of selfish. The same people who won’t wear a piece of cloth on their face to protect other will happily force a ten year old child to give birth to a rapist’s child. A new, extra virulent type of anti vaxxer has infected our society. Marginalised groups are more at threat than ever; hate crimes soar. The American right to a gun cannot be challenged, but abortion, gay marriage, trans rights, basic medical care and voting rights are always on the table. The tories lie, cheat and steal right under our noses. They rape and harass to no one’s surprise and the party doesn’t even have the decency to be embarrassed. Parliamentary goal posts are moved at will, Mp’s get a raise and workers whose wages don’t even keep up with inflation are shamed for striking. Covid, corruption, inequality and of course inflation rage. The PM has gold wallpaper and blow jobs in Westminster. The rest of us dread the electric bill and can’t afford butter. While he’s paying his various flings with public money disabled people can’t even co habit without losing meagre government assistance. The earth we stand on is crumbling beneath our feet and I haven’t even scratched the surface. There’s a whole world of cruelty out there, it never ends.

Did you think that paragraph never end? Where you begging for full stop followed by nothing? Join the club. This isn’t burnout. I don’t need a bit self care and neither do you. We need a revolution. Watching the scummiest humans on the planet make everything worse day after day, year after will destroy any decent person.

If you feel like you’re losing it, I think that’s perfectly reasonable. If you’re angry and sad and feel utterly helpless, I’m right there with you. I am sorry that you’re expected to carry on regardless. I’m sorry that you must live in these intolerable times without any grace. I don’t know what will make any of this any easier, but if you do, please give that to yourself. Don’t apologise for what you need or your reaction to our atrocious world. Nothing is ok, we don’t have to waste energy pretending it is.

* Obviously let’s all organise, protest, donate, vote and support each other as much as we are able. Change won’t happen if we don’t force it, but please also take care of yourself.

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On the plus side…

Fatigue is getting the best of me this week. I am out of spoons, but I don’t want to be out of words on this blog. Hence, I wil be sharing some short pieces I have written for other publications. I hope you find them as absorbing as my usual content.
First up a piece on how body shaming & fat stigma makes plus size infertility an even bigger challenge.
Infertility is  heart breaking affair for anyone who wants to have a child. With the NHS now reporting that 1 in 7 couples have difficulty conceiving, infertility is more common that we realise. Thankfully most people in UK will be able to access fertility treatment via the NHS. However, some people are not deemed suitable for treatment. One of the groups who may be denied access are those categorised as clinically obese.
Women with a BMI over 30 are routinely refused fertility treatment. Drs advise them lose weight before they can be referred to a specialist. There are a number of issues with this policy and some  are tied in with the way society as a whole views fat people. Let’s begin with index used to measure if a person is obese. Body Mass Index (BMI) has been widely discredited. The index has a number of problems including the fact that BMI does not differentiate between muscle & fat. Hence, people who are fit & have healthy body fat can be classified as obese. Another issue is that BMI does not recognise difference in body shape. It is well established that those who carry their weight around the middle (sometimes known as apple shaped) are at much higher risk of health complications than those who carry excess fat around their hips (pear shaped) [1].Thus women with very different shapes & risk factors can be labelled with the same BMI. Perhaps the biggest failing is that BMI  does not always change with lifestyle alterations. A person may make significant changes to their health without necessarily losing large amounts of weight. Partaking in regular exercise and switching to a healthy (but not calorie focused) diet will have a huge impact of a person’s wellbeing. Sadly, BMI would not recognise these positive changes unless there is also weight loss. This can put women in the position of focusing on how much they weigh rather than how healthy their lifestyle is.
Of course, there are also questions to be asked outside the clinical failings of BMI. It is important to note that there is no official policy on women who are under weight. Despite the fact that being too thin can have a bigger impact on a woman’s fertility than being too big. The medical community appear to jump to the conclusion that fat is always bad. A notion that is reflected in society & that causes plus sized women to face wide spread discrimination. It is estimated that half of pregnancies in the UK have obese mothers. Yet studies show that only 5% of admissions to neonatal units and 4% of preterm births could be avoided if all pregnant women had a ‘normal’ BMI at the start of pregnancy [2].The implications is clear, overweight woman are regularly having healthy pregnancies & deliveries. Still the overwhelming message from the medical community is that obese women automatically have  high risk pregnancies.
The most worrying part of this protocol is that women are often not even referred to a fertility specialist until the capitulate on the weight loss issue. This means that women who have specific medical problems interfering with conception are forced to delay interventions that could solve their problems. The bottom line is that women who are classified as obese get a raw deal. Underlying prejudices seem to be making an already distressing issue much harder of plus size women. Infertility can make women feel powerless and incompetent. When you are fat, those feelings are increased by the prevailing impression that your weight is to blame.
1 Mayo Clinic
2 Public Health England, Maternity obesity and pregnancy outcomes.