Tag Archives: mobility scooter

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

So I stumble across this at Diabetes.co.uk: Mobility Scooters Can Increase Your Risk of Developing Daibetes and Heart Disease

“O really?”, thought I, “I wonder how well-controlled that scoldy little piece of disability panic was?” So I read on.

However, recent research suggests that mobility scooters can do more harm than good by heightening the risk of diabetes and heart disease .

“More harm than good?”, thought I, “I wonder who measured that? How did they decide which effects outweighed which in the goodness vs. badness stakes?” So I read on.

Astonishingly, a study of scooter users in the U.S.A discovered that almost one in five developed diabetes after buying one to get around.

“Huh”, though I. “One in five, eh? Hm, that doesn’t sound all that different from the baseline prevalence in the population, let alone the older/ill/disabled population.” So I read on.

The research, published in the American Journal of Cardiology, highlights how multiple benefits to patients’ health from being able to get around more easily are being erased by the effects on the cardiovascular system.

“Erased?”, thought I. “Completely wiped out? Huh. Was it the people concerned who decided this, or someone else?” So I read on.

Researchers are urging doctors to consider the risks of scooter use before making recommendations to patients invest in a scooter.

“*Doubletake*”, thought I. “Doctors should consider the risks? Doctors? Not, say, people with disabilities? Just doctors? Doctors should weigh up the risks before offering any options at all? Doctors should decide?” So I read on.

[…] There have even been incidents when scooters have killed individuals.

OMG RANDOM IRRELEVANT SCOOTERPANIC!

Moving on.

They recruited 102 patients, with an average age of 68, who had obtained medical approval for a scooter and monitored their health over six years. Even though patients stated that they felt better physically and mentally, tests demonstrated that 18.7 per cent developed diabetes during the follow-up period.

“Erm”, thought I, “Right then. Sure enough, it was an older population- nearly seventy years old on average. The prevalence of diabetes in the population older than 60 in the USA is 23.1%, and that’s not people who are already ill and have other risk factors. That’s not really a surprising number.”

“I wonder,” thought I, “I wonder how that control group did, the age- and disability-matched control group, the one who didn’t get scooters at the same time?”

OH WAIT.

Yeah, there wasn’t one. No control group.

Just a group of elderly people with cardiac failure, neurologic disease, disabling arthritis, and chronic lung disease. Just a group of people with disabilities trying to eke out a life and getting used as a Lesson To All Of Us about the dangers of sloth.

The abstract is here, in the American Journal of Cardiology. Effect of Motorized Scooters on Quality of Life and Cardiovascular Risk, Brian W Zagol and Richard A. Krasuski, Volume 105, Issue 5, Pages 672-676 (1 March 2010).

This sterling little doctor-centric chastisement does contain one really useful piece of information:

[…] significant physical and psychological improvements in all quality-of-life categories (p <0.001) [...]

I’ll say that again, ‘cos they buried the lead. After getting a scooter, people experienced:

[…] significant physical and psychological improvements in all quality-of-life categories (p <0.001) [...]

But the authors decided to slap a big ol’ “DESPITE” before this statement about how the lives of people with disabilities were improved by appropriate mobility aids, and instead go on to list the way several laboratory parameters became “worse” over time in this group of ill elderly people. In a study with NO. CONTROL. GROUP.

We have absolutely no idea how these laboratory parameters would have fared had the people concerned not obtained mobility scooters. All we know is that their quality of life improved significantly in all domains.

What the study fails to recognise – among other things – is that the alternative to getting about on mobility aids isn’t a day of jaunty strolling; it’s immobility. The alternative to going out sitting on a scooter isn’t a doubles tennis match and a brisk swim followed by a bootscooting class; it’s sitting at home.

But the quality of life of PWD, the lack of alternatives, is dismissed by these concerned medicos as a relatively trivial aside; as just one factor for doctors to consider before deciding whether to withhold their blessing – and their financial rubber-stamp – to mobility aids:

In conclusion, interventions, such as scooters, that improve self-perceived quality of life, can have detrimental long-term effects by increasing cardiovascular risk, particularly insulin resistance. Physicians should carefully weigh such risks before approving their use, as well as ensure healthy levels of activity afterward.

Dudes. Newsflash. You’re not the ones who should be carefully weighing this hypothetical “risk”. We are. And you sitting there planning to deliberately withhold mobility aid funding to the poorest people in the population because you think they might – not will, only might – see their blood glucose tweak a few points? Not ok.

You don’t get to dismiss the importance our self-perceived quality of life (“self-perceived”? Who do you think is the best person to assess our quality of life? You?) with a parenthetical “Despite”. What is important to us is important to us; you don’t get to override that with your misinformed concern-trolling. You don’t get to decide on your own, then inform us what’s important in our lives. You don’t get to exclude us from the conversation. You don’t get to tell us which risks are worth taking.

You don’t have the moral right to immobilise us based on your imposition of your own value system on our lives. You wouldn’t even have that right if this was good research. When it’s fucked-up hand-waving? Put the journal down, and start seeing real people. The people right in front of you, who are looking for independence, the ability to shop, the ability to socialise, the ability to go to the fucking doctor, the choice to have a better life. The life you’re planning to say “no” to.

Recommended Reading for October 26

Linkblurt: We Are Immobilised

A disabled college student is having trouble getting around campus, after someone stole his motorized wheelchair. […] Horus had locked it up and left it charging overnight. When he returned to campus, it was gone – all that was left was the charger. […] Horus’ wheelchair cost about $5,000 and that means whoever stole it faces grand theft charges.

“It’s really difficult for me to replace it. To replace it, it would take me like a year,” Horus said.

Health Care is an anti-racist issue [US]:

See, I’m one of the 25 million Americans who are underinsured. I have health insurance — pay $350/month for it — as part of a new policy that I switched to back in January when I quit my 9 to 5 to become a freelancer/fulltime writer for awhile. I’m pretty healthy and only in my thirties, but I have a family history of fibroids (like 50% of black women). So every year when I get my annual physical, I also get an ultrasound to check for those. This year the test showed small fibroids — too small to worry about, really, not even requiring treatment, though I need to keep an eye on them in case they grow. No biggie, I thought; my doctor’s efforts at preventative care had done what they were supposed to do, and detected a potential problem early enough that I can fix it easily if necessary. Health care at its best.

When two whole cakes ain’t enough arsenal…

I was leaning against a sign that read “Bus Stops Here” and jamming to some Dresden Dolls, my trusty guide dog sitting politely at my left leg. He laid down impatiently as the minute hands ticked and still no bus in sight. Then, out of what most docs wouldn’t call peripheral vision I spotted a figure stooping for a pet-by.

What is a pet-by, you ask? It’s when a knowing pedestrian sneaks in a pet or smooch or otherwise grossly boundaries-crossing form of affection at an unsuspecting service animal. Not to be mistaken with human grabbings or other forms of harassment but nonetheless devious and irritating for both animal and human handler.

Without missing a beat and sans usual snark I said loud enough for passerby to hear that “that was a shitty thing to do.” There, I said it. That was a shitty thing for person to do. Ask first, respect my answer, move on. Clearly knowing petting wasn’t allowed, ze sneaked on by, hoping I wouldn’t notice. Too bad my dog alerts me, not liking unknown human touch too much.

Where Neurodiversity Meets Feminist Theory: Part I, Part II, Part III:

Another area I see feminism and disability-rights perspectives reinforcing each other is on the question of caregiving. This might not seem like an obvious choice, since you often see feminists and disabled self-advocates at odds over this issue: when disabled people assert our right to adequate care in our own homes (or wherever we choose), feminists argue that we are also claiming entitlement to the underpaid or unpaid labor of women. (See the feminist blogswarm over Ashley X for ample evidence of this conflict).

But when you think about it, modern industrial capitalist society’s way of dealing with children, disabled people, elderly adults and every other group that needs help with daily tasks is exactly what you’d expect from a society in which women are invisible second-class citizens. When women are not valued as highly as men, women’s work is not regarded as real work, and obligations that fall under the umbrella of “women’s work” (say, care for the old, the sick and the disabled) will be more likely to be dismissed as “family responsibilities” in which government meddling is unwarranted.

Post-Trauma.net is “here to help you access information about Post-Traumatic Stress Disorder and related mental health information.” They have a list of resources available.