An Open Letter to Dr. Phil
Dear Dr. Phil,
Late last week, there was a bit of a kerfuffle on Twitter
about a statement on your website. In the summary of the show Saving Alex, youare quoted as stating that as a consequence of being obese, Alex may develop
"medical complications … including rheumatoid arthritis, hypertension and
heart attack."
Rheumatoid arthritis is not a medical complication of being
obese. Osteoarthritis, on the other hand - the "wear and tear"
arthritis - can be. RA is a chronic autoimmune disease in which the immune
system attacks itself, causing a chronic inflammation in synovial tissue and
erosion of the cartilage that cushions the surfaces of joints. We don't know
what causes the immune response that triggers rheumatoid arthritis, although
there are some indications that smoking, periodontal disease and a certain type
of bacteria in the gut may be involved. It affects 1% of the population, women
three times more often than men. In the last 12 years, the Biologic medications
have made a huge difference in the treatment of RA and it is now possible for some
to achieve remission. There still is no cure for this illness.
I have RA. I have had RA since I was four years old and
started using a power wheelchair at 16. In 2005, one of those Biologics saved
my life. I still use a wheelchair and still have high levels pain every day,
but I have a life and a job and I laugh every day. I am also passionate about
making life better for others who live with RA and advocate for awareness whenever
I get a chance.
I'm pretty sure that you don't personally update your
website, but because it is your site, the quote is attributed to you. This
makes me wonder if someone made a mistake when updating your website. Regardless
of the source of the quote, you/they are not alone in mixing up osteoarthritis
with rheumatoid arthritis. In fact, the #1 frustration of those of us who live
with RA is that most people believe that the bit of osteoarthritis they have in
their pinky or knee is the same as RA.
Dr. Phil, I am not going to engage in an impassioned and
snarky diatribe about the quote and what it may (or may not) say about you. That
gets us nowhere. Instead, I will ask that you join us in creating awareness
about RA. You are in a position to inform. You have a very popular show that
reaches a lot of people and can be a terrific partner in helping us advocate
for a better understanding of what RA is and how it affects people's lives. This
is the type of understanding that can lead to more funds being raised for
research. Research that can lead to many more amazing advances in the treatment
of RA and one day lead to a cure.
Would you consider doing a show on rheumatoid arthritis? It
may not lend itself to the usual format of your show, but every now and again,
shaking things up in the name of doing good can be worth it. Perhaps invite Christine Schwab, author of Take Me Home from the Oscars or Karen Ager, who wrote Enemy Within. I'll happily volunteer to join you in a discussion of RA. Kelly Young is also a terrific RA advocate, as is RA Guy. The point is that there are many knowledgeable health activists out there who can help you in educating your audience about RA.
October 12 is World Arthritis Day. Please join us in making
2011 the year that rheumatoid arthritis became better understood.
And for those of you reading who are not Dr. Phil, please help spread the word by sharing this link. Maybe if we all ask, he'll respond.
Update, October 12, 2011: Just in time for World Arthritis, some exciting news on this issue has happened!
And for those of you reading who are not Dr. Phil, please help spread the word by sharing this link. Maybe if we all ask, he'll respond.
Update, October 12, 2011: Just in time for World Arthritis, some exciting news on this issue has happened!
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