Overcoming Pain

Why people experience chronic pain, and the power they have to de-intensify it

The Denial Diet

If a person does not think there is a problem, it almost certainly will follow that there will be no thinking as to how to eliminate the problem. At least there has been some activity in the media over the last few months, which, while not a clarion call, may serve as a wake-up call to individuals about the overweight and obesity issues that affect them or loved ones. Read More

Why is it woman are so easily

Why is it woman are so easily the target for fat shaming on the part of men. Try reading Fat is a Feminist Issue.

Size 14 = overwieght?

What size is the ideal size, in your opinion?

You really have issues, Dr Pants-On-Fire.

Almost none of the comments on your "benign obesity" post had to do with denying the risks of obesity. The bulk of the comments revolved around two problems:

1. The fact that you singled out women when discussing weight issues. You're doing it again with the chosen picture here.

2. The fact that you're deliberately mixing overweight and obesity when the medical consequences for each are vastly different. And oh boy, are you doing it again here!

You're being dishonest and misleading, which takes credibility away from the few facts you do get right on this issue.

Now, as to this post:

1. Do you realise that the thin Barbie is massively underweight, which brings its own whole load of medical problems? She absolutely should NOT be held as a model of an ideal body shape!

2. "Suddenly, we as a society are being seduced into dividing up unhealthy behavior, or unhealthy states of being, into things that are either “cool” or “confident,” or “gross.” "

You mean, like you yourself are doing, by using a picture of a BARELY overweight model as an example of "dangerous obesity"?

3. "Perhaps the overweight problem affects so many of us that we just assume it is a part of us—and, therefore, normal."

Are you really that stupid on this topic, or are you just pretending? I'll give you two hints: Despair, and Hopelessness.

4. "Many overweight and obese children come from families with a history of failed attempts to manage their weight. Denying is much easier than dealing with the daily reality of failure."

If they have a *history* of failure, then clearly they are not denying the problem. What they are denying is their ability to do anything about the problem - precisely *because* they have *repeatedly* tried and failed. If you try and try and try again, and yet you keep failing miserably and ending up worse than when you started, then yes, the logical and reasonable conclusion is that you can't do anything about it.

5. "It would appear that parents have more difficulty in talking to their children about double cheeseburgers and double chins than they do about pot-smoking and sex."

Was that conclusion actually in the report, or did you make it up entirely on your own? Moreover, are you arguing that talking to children about weight (a long-term danger) is more important than warning them about drugs and sex (both potential short-term dangers)?

6. "If a person does not think there is a problem, it almost certainly will follow that there will be no thinking as to how to eliminate the problem. "

True... but entirely irrelevant. It's rather flabbergasting how you seem to be unaware of the *massive* weight-loss industry out there. Contrary to what you seem to be thinking, the vast majority of overweight and obese people are NOT in denial about their weight, and are *constantly* trying to lose weight, thus feeding a multi-billion dollar industry which preys on their despair and hopelessness.

7. "The reality is that being overweight should not be considered a normal state of affairs. It is associated with chronic pain. It is associated with early death."

No. Overweight is not associated with these things. Obesity is. There IS a difference, and the fact that YOU DENY IT is beyond ironic considering the title of this post.

8. Please stop mentioning smoking and weight in the same post. Dealing with smoking is easy: just stop. Stop smoking. Stop lighting up a cigarette and bringing it to your lips and breathing in the smoke. Easy. Obese people have no such easy solution, because they can't just stop eating. They have to keep ingesting their drug for the rest of their life, but without ever allowing themselves to freely enjoy it. If you want to compare with smoking, then try this: try telling a heavy smoker that from then on, they will have to smoke only 5 cigarettes a day (no more, no less), at exact times, for the rest of their life, day after day, without any exception for work-related stress or family celebrations or anything else. That would be a *start* into the mindset of an obese person trying to lose weight.

All in all, you're showing yourself to be massively ignorant about the issue of weight and weight loss, as well as frighteningly dishonest in your use of words and studies. This is both professionally unethical and personally disgraceful. Shame on you, Dr Borigini, for contributing to the societal mishandling of obesity instead of helping solve it.

Bravo, Del

You have captured the reality of being overweight/obese in this culture. A very hard road to slog, if there were easy solutions, nobody would be overweight / obese.

Dr. Borgini, after his

Dr. Borgini, after his previous "Myth of Benign Obesity," still has not addressed the following reader concerns:

1. That he does not understand the difference between overweight and obese.
2. That he focuses on shaming people about their bodies rather than encouraging them to make healthy choices.
3. That he focuses on overweight women as opposed to overweight people in general.

I noticed that he did not respond to any of the comments to his article, "Myth of Benign Obesity" (unless he posted anonymously). Instead, he chose to write them all off en masse in a new article. I find this disappointing, but not surprising. Because his articles are unsubstantiated, he will have trouble defending them in a comments discussion.

Seriously?

I mean really? There's not much I can add that the above responders haven't already pointed out. The backlash from your last blog wasn't about "Yay, we're fat and proud!" The backlash was on your blatant sexist rant, complete and total ignorance on the differences between overweight and obese, and your shameful lack of understanding or empathy for eating disordered people.

As with many medical doctors, you have NO UNDERSTANDING of psychological issues and if you had an ethical bone in your body you'd stop commenting on them, right now. Addiction is a serious illness that comes in many forms, from drug addiction, alcohol addiction, gambling addiction, and food addictions. There are already tons of psychiatrist, psychologists, therapists, and counselors out there who actually have educated themselves on these illnesses and are experts in their fields, many of them have blogs on this very website. You, sir, are neither educated nor an expert in these fields and have no business whatsoever voice your thoughts on these issues.

Obesity is not an issue of not being aware that eating fast food isn't good for you, no matter what pithy article you might have read somewhere. Obesity is the symptom of larger issue, sometimes a medical issue, which requires medical intervention, which does NOT INCLUDE lectures on the dangers of CHEESEBURGERS!

Eating disorders and food addictions are very real, very emotinally painful, and very dangerous illness that you sir are attempting to sweep under the rug with shallow pictures of a fat Barbie.

I fully second Del's statement, shame on you Dr., shame. "First do no harm." Shame.

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Mark Borigini, M.D., is a board-certified rheumatologist who has devoted his career to treating illnesses that cause chronic pain and disability.

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