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The HAES Files

A Tale of Advocacy: Two Knees and a Surgeon

by Theresa Jarosz Alberti

I was so angry at my surgeon. He’d finally agreed to operate on me, but his initial refusal to give me total knee replacement surgery had resulted in more than a year of excruciating pain and disability. Facing the upcoming surgery, I knew I needed to let go of my negative feelings before he sliced me open. It was time to focus on positive energy so that I’d be in the best frame of mind to heal.

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No Body is Disposable! Fat and Disability Communities Join Powers to Close the Camps

by Dawn Haney and Max Airborne

In this poignant and timely piece, Dawn Haney and Max Airborne of Fat Rose describe how disability and fat liberation politics are inextricably connected to migrant rights. They describe how fat and disabled people have taken a stand against the detention centers at the USA’s southern border, in the #NoBodyIsDisposable movement, and explain how ASDAH members can deepen their social justice work by taking action on this critical issue.

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No Body is Disposable!

All Bodies are Valued, Indispensable, and Cherished!

Your Body is Integral. It is necessary to make things whole.

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This is the world we fight to live in, one where all bodies are cared for, including our own. This is part of the ASDAH vision.

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An Open Letter to Dr. X, From a Former Fat Child

In the age of “childhood obesity” rhetoric amid the global panic around adiposity, one anonymous writer writes of her experiences as a fat child and adolescent in medical care. Sadly, the physician’s attempts to “control her weight” led not only to disconnection from her body, but also to a dangerous eating disorder. As much of our readership is aware, there is currently a “starvation trial” involving intermittent fasting for adolescents being conducted in Australia. Many Health At Every Size (HAES®) advocates and several professional organizations have spoken out about the potential harms of this trial, giving rise to more global awareness of the negative impacts of restrictive diets on children. Given this context, this is a particularly poignant piece about the very real harms of weight management practices with children and teens.

Dear Dr. “X,”

I hope this letter makes its way to you. It has been many years since I’ve visited your practice and I’m not sure if I have the right address or if a well-meaning assistant might deem this letter ill-suited for your undoubtedly busy schedule. I’ll admit it’s long, and possibly difficult to get through, but I promise it’s worth the read.

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An Open Letter to Fitness Professionals

by Lindley Ashline

Encountering weight-based discrimination and internalized weight bias can be particularly challenging in spaces designed to highlight fitness and body movement. In this piece, Lindley Ashline writes a letter to fitness professionals about the challenges faced by fat persons in fitness spaces and encourages fitness professionals to be more intentional and inclusive of fat bodies.

The Happy Place

Recently I saw a comment from a fitness professional that got me thinking. She said that she wants to help people in bodies of all sizes get to the “happy place” of exercise.

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Recovering Abundantly in a One-Size-Fits-All World

by Erin Harrop

When I began my recovery journey from an eating disorder 13 years ago, I had a certain set of expectations about how the recovery process would go. Healthcare professionals told me to expect several things. They reassured me that as I learned to eat a broader variety of foods that my anxiety around eating would go down. What?! They said the more I faced my fears, the more comfortable I would feel. They also told me that my body would start to “adjust,” and that with regular consistent nourishment my hunger and fullness cues would normalize, my digestion would become more regular, and my physical discomfort with the eating process would decrease. It was hard to believe at first, but in the end, they were right. The more fear foods I approached, the less anxiety I had; and even though I felt very uncomfortable physically in the beginning, the more consistently I ate my meals and snacks, the more everything started to “flow” a little better.

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To Be Seen

by Dawn Clark

When I came home from the ASDAH conference, I was repeatedly asked about my time there. How was it? Did you have fun? Did you learn anything? Who did you meet?

The simple answer to most of those people is; “I had a great time. I really enjoyed meeting everyone. I learned so much. And I learned that I have much to learn, especially regarding marginalized people.” But the deeper answer more confusing and difficult to understand. Deep down, when I reflect on that experience, I want to shout from the rooftops; “I WAS SEEN!!”

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Never too much: Reflections on accessibility and fatness

by Gabrielle Hruska

In the summer of 2017, I woke up one Wednesday morning, unable to walk. The pain was so intense in my right hip and ankle, and my left knee. Unbearable pain, with absolutely no recognizable reason. I went to Urgent Care, the doctor there thought maybe I had Lyme Disease, she advised me to take antibiotics, and to see my regular doctor BEFORE THE WEEKEND. By the next morning, I was unable to take the pain and went to the Emergency Room. In Radiology, they thought I had been in a car accident. After 4 days in the hospital, it was determined that I had Reactive Arthritis. Reactive Arthritis is really rare, and was described to me, as precipitated by a “perfect storm” in the body. Some kind of infection combined with food poisoning, and after the food poisoning passes, your body can go into Reactive Arthritis. I did not test positive for any kind of infection, nor did I have food poisoning… I have no idea why this happened. It takes anywhere from 6 months to a year to recover from Reactive Arthritis, and my Rheumatologist says I will always be susceptible to a flare up. I spent the entire summer using a walker. I fought desperately against the supposition that “Of course this happened, you are fat.”

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Healthcare Providers Get Our Marching Orders for the War on Fat People

by Deb Burgard, PhD

My brilliant friend Jessica Wilson has taught me so much. She is fond of asking, “What is the problem we are trying to solve?”

The question is burning in my mind after reading a recently released Washington DC think tank publication called “Provider Competencies for the Prevention and Management of Obesity”

Go take a look at this 8-page document that attempts to dictate how healthcare providers should carry out its vision, complete with a whopping 8 citations.

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