By Rachel Fox

Rachel Fox explores how doctor-writer narratives often depict fat people in dehumanising and hurtful ways, and argues they need to be reframed with empathy.
During my six years as a student in the medical humanities, I’ve become quite familiar with the “doctor reflecting on a memorable patient encounter” genre of publication. These stories often follow a similar structure: anecdotal introduction, explanation of patient/case/doctor’s own training, dramatic or otherwise significant event, then conclusion with a broader lesson and/or resolution for the author. Stories that take this form are compelling and familiar; readers get to vicariously experience the stakes of medicine with the security of closure awaiting them at the end, while the doctor-writer gets a cohort of witnesses for their perspective on some significant part of their practice. At their best, these stories “humanize” the experience of medicine, giving a personal voice to the intimacies within a seemingly indifferent system. But I have yet to see a story of this genre that humanizes fat people.
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As a Fat Studies scholar and fat activist, the issue of health is forever looming around me. In the background; in the foreground; off in the wings; waiting to pounce. Much of my scholarship has focused on fat identity and how it is managed in social media; much of my activism has focused on securing equal rights protection for fat individuals. And yet, when speaking to the media about weight discrimination in the workplace, or submitting an academic manuscript to a humanities journal, it is almost a guarantee that a reviewer or reporter will ask questions about fatness and health. “What about their health?” they’ll query, as though it has any relevance on whether fat people should be paid the same as non-fat people for work of equal value. “But isn’t fat unhealthy”, they’ll ask, as though someone’s health status has any bearing on whether they deserve to have a Facebook or Tumblr account. 
