18 responses to “Am J Cardiol concern-trolling: “But mobility aids will stop them EXERCISING!””

  1. Astrid

    OMG, go disability shame, presumably TAB doctors! And of course strip the autonomy away from disabled, older people! Ableist and ageist epic fail.

  2. lilacsigil

    Subtext: scooters aren’t used by disabled people, they’re used by lazy fat [non-disabled] people.

    Nice analysis!

  3. Susan

    Do they print letters? Perhaps highlighting the lack of control group and the logic fail would do some good. Or do you have to be in the hierarchy before you’re allowed to point out the obvious?
    .-= Susan´s last blog ..Dear BBC, =-.

  4. Anna

    My jaw is dropped.

    Seriously? I’ve seen how much people’s quality of life improves when getting a scooter. People who suddenly are able to get around and see their friends and family and participate in their community a lot more — they happier! They get to spend time with people!

    Arg! This makes me so angry.

  5. coldneedles

    This makes me furious. My scooter is the best thing that’s happened to me since becoming ill.

    Suddenly going shopping, going to the cinema and going into uni more than once a day were things I could do and I no longer had to be in awful pain and exhaustion or worry about my muscles suddenly giving out and causing me to fall over in the middle of the street. The thought that someone could be deprived of that through medical arrogance is fury inducing. I never consulted with my doctor before getting the scooter and I don’t see why it’s their business what decisions people make to deal with disability.

    Thanks lauredhel for the great take down.

  6. Sarah

    just…gah.

    Of course, us TAB types have to get carefully-considered doctor’s approval before we’re allowed to buy a car or a public transit pass rather than walking or biking everywhere. So it only makes sense that doctors would apply the same restrictions to scooters.

  7. attack_laurel

    Complete and utter study FAIL*. Just FAIL FAIL FAIL.

    (capslock is shorthand for rage)

    I… I can’t even think what to say, except word. To everything you’ve written.

    *I’m in the medical study field myself, and that study? Absolutely worthless. The statistical outcome that they report themselves is no different (actually, slightly less, but the group studied is too small to extrapolate anything significant from the lower incidence) from the general population, and they completely fail to account for the bias inherent in confusing correlation for causation (as in, the people that developed diabetes would have developed it anyway, scooter or no, which is what the control group is for).

    It’s so feccking puritanical, this advocation of denial – “You have sinned against normalcy! No scooter for you!” – and the disgusting trope of a patient can’t decide for themselves what risks to take, so the doctor needs to do it for them? AAAaaaaaarrrrggggggh.

  8. lauredhel

    Hi everyone – just wanted to thank you for making my comment holiday worth returning from!

    (I have nothing to add, I just love saying “(capslock is shorthand for rage)”.)

  9. attack_laurel

    “(I have nothing to add, I just love saying “(capslock is shorthand for rage)”.)”

    Hee! :) It truly is a great takedown of that article and study of TAB fail.

  10. The Nerd

    W
    T
    F
    ?

  11. hsofia

    I don’t think the study is successful in terms of number of actual respondents, but I do think this is important: “The possible adverse effects of regular motorized scooter use, recently popularized for patients with physical limitations, has not been previously examined.” I think possible adverse effects should always be examined. Also, the conclusions these authors arrive at are not policy; they are just their own conclusions. I don’t think it’s unreasonable for cardiologists who have patients using scooters to talk with their patients about what effect these can have on their cardiovascular health. Ultimately it is always the patient’s choice to buy or not buy one.

    A close relation of mine (almost 80) wanted a scooter very badly. This prospect made our family very anxious. Her history of cerebrovascular events had damaged her memory, decision making ability and reaction time. Any concerns we raised she dismissed as us trying to control her or restrict her freedom. It’s true a scooter would have allowed her more independence, which we certainly wanted her to have. But they are not a good idea for everyone, and some research into what characteristics make a good candidate would probably be useful.

  12. The Untoward Lady

    This reminded me of the common practice of denying autistic children the means of seeking what they need for themselves in the name of “forcing them to learn to speak.”

    Or maybe denying Deaf children sign language because it might allow them an alternative to oralism and thus “make them less verbal.”

    Or back to autism again: how about forcing children who can’t communicate vocally to communicate vocally rather than though an AAC device or with sign?

    You know, you don’t even need to restrict this to disability at all. I’m a transsexual woman who’s hormone therapies have made all the difference in my quality of life. My doctor, on the other hand, believed that the hormones might have been linked to a small change in my blood glucose levels and threatened to deny me my medications because they MIGHT cause me to develop diabetes. Of course, the decision of whether or not this was an acceptable risk, or even an acceptable trade-off, wasn’t left up to me, it was left up to a doctor to decide what was best for my life. (ps: I fired this doctor)

  13. Penny

    Thank you for this. It needed to be done and said. Publishing bad research isn’t just an academic embarrassment or a waste of paper; PUBLISHING BAD RESEARCH HURTS PEOPLE.

  14. Storm

    What the everlovin’ fuck? You can’t have a scooter, even though the study shows that this will make you feel happier about life, because then you’ll just…die?

    My reading comprehension is usually spot-on, but this study has made me doubt my own bloody mind. GAH, FAIL.

  15. Jesse the K

    Brilliant analysis! Kudos!

  16. Kateryna Fury

    Funny. I am fighting this right now for a wheelchair. I am crawling through my house most of the time to get to the bathroom, if my caregiver isn’t here (and she has three whole hours here for five days a week) I can’t eat or get a drink without CRAWLING. So I don’t eat a lot. This is a big risk for diabetes…

    I had a scooter but it is busted, again. The insurance has denied me three times in three weeks for a wheelchair, which would fit my actual needs. I can’t get to the doctor. I can’t go out. The concern is I won’t move enough. If I could get OUT OF MY DAMNED HOUSE I would go swim, the only exercise that I am allowed by… my… DOCTORS.

    *slathering rage here and all over the above*

  17. Kaitlyn

    @Kateryna Fury – OMG, I am so sorry. That is horrible and wrong, but come on, if you got the scooter, you’d just be even lazier than you are now. “I can’t physically walk” is really just an excuse! /bitter sarcasm (My mom tells me to lessen my pain by walking, when I have had episodes that have left me curled up on the floor gasping for breath because I dared walk 5 feet.)

    I hope this changes soon!

    I had a side effect to a thyroid drug that made it painful to walk (my ankle joints hurt) and I got around on my butt. My mom was horrified, and it was less fun everywhere but the stairs, where we already did that. Thankfully, that was solved with a medication change.

    Best of luck Kateryna!

  18. Kateryna Fury

    Yeah, I did some fun math, and the cost of the wheelchair I need is 10,000 or less depending on the where. I think it will be closer to 7000. My average annual cost of preventable ER visits is around 50,000. Those are only the visits caused by a lack of chair.

    With women especially there is a general conception that we just are being weak etc. I don’t care where it came from, it kills people daily.

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