Rebecca Hiles and millions of women like her are getting judged too quickly by their doctors — and it can mean the difference between life and death.
At 17 years old, Rebecca Hiles came down with bronchitis and walking pneumonia. Three years later, she was still coughing every day. “Doctors said, ‘If you lost weight, you wouldn’t have this many coughing fits,'” she recalls. One night, she started coughing up blood, but when she went to the ER, her doctors said it was probably just a broken blood vessel and sent her home with an inhaler. “That was the first time I started to think that maybe it wasn’t just weight,” she says.
In her first two years of college, Hiles danced a couple times a week and trudged up the massive hill on campus (nicknamed Cardiac Hill) daily. “I was very active, but I wasn’t losing weight and my breathing was just getting worse,” she says. “Any time I went to see the doctor to figure out why I couldn’t shake this cold or that cold, I was given an antibiotic and told to lose weight.”
By 23, the cough got so bad that Hiles began to have trouble controlling her bladder during coughing spasms and finally had to rely on adult diapers. The fits sometimes made her throw up. She spent many nights curled around a bucket in a hot shower, coughing and vomiting, hoping the steam would make it easier to breathe. When blood tests kept coming back normal, her doctors would say, “We don’t know what to tell you — it’s clearly just weight-related.”
It’s as true in the medical field as it is in the social and professional realms: Your weight has a big impact on how you are perceived. Doctors readily admit to judging their fat patients. A 2003 survey of 620 primary care physicians found that more than half viewed obese patients as “awkward, unattractive, ugly, and non compliant.” As terrible as it is to be denied a promotion or receive poor service at a restaurant because of your size, being diagnosed through the lens of a doctor’s weight bias could be lethal.