For the most part, my professional life as a doctor and my Feedism fetish do not intersect. Yes, it is true that I see a lot of fat people in my practice, but a third of the U.S. population is overweight or obese, so it is hard to go through a day *without* seeing a fat person. At any rate, I certainly don’t sexualize my fat patients as that would be all kinds of unethical. Naturally people who are engaged in Feedism and actively gaining weight aren’t going to tell their doctors about it because many doctors feel that “fat is bad in all instances and who in their right mind would want to actively get fatter?” and also most people think that stuff like that is private and doesn’t need to be shared with anyone and everyone.
However, having a full sexual history can be helpful in counseling patients on their health, because some people do engage in unhealthy sexual practices and Feedism is not exempt from unhealthy practices even though being fat is not necessarily unhealthy. For example, eating only fatty, greasy foods and not engaging in any physical activity whatsoever (which is what many feedees do to gain weight) is not a very healthy lifestyle. As a physician, knowing that someone is a feedee would help me to counsel them on healthier ways to engage in their behavior (That’s just me, though. I think most doctors wouldn’t be able to get past the “but intentionally getting fatter is bad” part).
There is only one time (so far) that I have encountered a feedee in my medical career. I found out that she was a feedee by accident, but in learning that she was one I was able to have a positive effect on her health.
I was a third year medical student, on my second rotation (in the third and fourth years of medical school students rotate through the different medical specialties to start gaining some practical knowledge and help choose which one to do internship and residency in after graduating). This was a pediatrics rotation and after a week of just following my supervising physician around he felt comfortable with letting me go into a room by myself and talking with the patients and their families for a while before he went in to finish the visit. He especially liked to have me see “challenging patients” because he felt they presented the best learning opportunities.
One of those “challenges” was Amy (not her real name), a 14 year old girl who weighed 300 pounds. Keep in mind that I was still a very inexperienced third year medical student and my trainer took particular (sadistic) delight in telling me, “We’ll have you go in and visit with Amy.” I had no idea what I was going to face.
I walked in the room and Amy was sitting on the examining table with her arms crossed in front of her. She didn’t smile at me when I introduced myself and she didn’t shake my hand either. She eyed me rather suspiciously. I looked at her chart. She was in for her 14 year old wellness examination. Before I could say anything else she said, “You’re not going to tell me to lose weight, are you?” I said, “The thought did cross my mind,” and then she said, “Well, I’m not going to do it. In fact, I’m going to get even fatter!”
“What are you, a feedee?” I muttered under my breath, barely audible. Amy must have heard me, though, because she suddenly sat straight up and said, “OH MY GOD, HOW DO YOU KNOW WHAT A FEEDEE IS?” I looked straight at her and briefly considered my response. I decided that answering honestly would be the best thing, so I said, “I am a Fat Admirer.” The whole tone of the examination changed at that point. She immediately relaxed. Here was a doctor who understood her. “I never met an FA doctor before,” she said.
We talked a little about her interest in Feedism and her dietary and exercise habits. I expressed concern at the fact that she wasn’t exercising at all and that she wasn’t making very healthy food choices. I also expressed concern at the fact that, at age 14, she was still maturing mentally and physically and that I didn’t think it would be good for her to engage in intentional weight gain at that young an age. I told her it would be better for her to wait until she was 18. She listened to me carefully and asked appropriate questions. I finished my examination without problems. At no time did I tell her that she had to lose weight. She asked me not to tell my training physician about the Feedism thing. I told her I would not. Besides, he would have thought we were both crazy if I had.
I left the room and my trainer went in to finish the visit with Amy. When he came out he was stunned. “I don’t know how you did it, but you’re the first person to get through to her.” When it came time for my evaluation my trainer wrote on the form, “Excellent bedside manner. Able to reach even the most difficult patients.”
I have no idea what happened to Amy after that. She would be about 26 years old today. I think I had a positive influence on her, and I’d like to think that I could have a positive influence on any other feedee patient who felt it necessary to tell me that, as their physician.