Big Fat Positive podcast episode 248: Diet Culture and Parenting with Virginia Sole-Smith (Part 1)

Diet Culture and Parenting with Virginia Sole-Smith (Part 1) – Ep. 248

April 3, 2023

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Laura and Shanna welcome special guest Virginia Sole-Smith, author of the upcoming book “Fat Talk: Parenting in the Age of Diet Culture,” to talk about what diet culture is, how it affects us as parents, why we should not be encouraging weight loss in children, how to navigate the anti-fat bias present in the medical system (as a pregnant person and as a parent), and more. This is Part 1 of a two-part interview. Tune in next week to hear the rest of our conversation! Also, Shanna reports on her anxiety showing up in a very unexpected parenting situation, and Laura reports on taking her two- and four-year-olds to their yearly checkups at the pediatrician. Finally, Shanna and Laura share their BFPs and BFNs for the week. Shanna’s kids are 4 and 7 years old, and Laura’s kids are 4 years old and 2 years old.

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Big Fat Positive: A Pregnancy and Parenting Journey is produced by Laura Birek, Shanna Micko and Steve Yager.

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Episode Transcript

Laura

Welcome to Big Fat Positive with Shanna and Laura. This week, we have our weekly check-ins. We have our special segment, which is an interview with the author Virginia Sol Smith, who's here to talk about her new book, Fat Talk, Parenting and the Age of Diet Culture. And we close with our BFPs and BFNs. Let's get started. Hi, everyone. This is episode 248. Shanna. Hi. Hello.

Shanna

I feel like we're across a big cavern yelling at each other from side to side. Shanna, Shanna, Shanna.

Laura

We are across the Los Angeles Basin, or I guess across the valley. True. Yep. So tell me what's going on on your side of the valley.

Shanna

Well, things are fun. Over here, we had a good week, couple things to talk about. The first is that at Elle's school this week, it was Read Across America week, which I guess it just means they celebrate reading. And the one thing her teacher does is invite parents into the classroom to read a book to the class. And when I found this out, I could not raise my hand fast enough for this assignment. I was like, please pick me. I've never done anything in Elle's classroom or in any of my kid's classrooms before, you know, with COVID and restrictions and all this stuff, like, just such a distance between me and what's going on in my kid's classroom. So I was excited to be part of the day. Also, there is nobody better suited for this role than me. I mean, I love reading kids' books. I love doing voices.

I actually used to volunteer for a nonprofit that would send us out into classrooms to read picture books to kids through the Screen Actors Guild. Oh, that's right.

Laura

I remember that.

Shanna

Yeah. It was so fun. I used to read to first graders. And so I just was very, very jazzed about this. It was a huge process to clear myself, to volunteer. I had to do a background check, like a live scan fingerprint, a TB test with my doctor, you know, all that stuff. So I got all my ducks in a row and the next hurdle was what book to pick. So I, went online and looked up like funny kids books because I knew I wanted to be funny for the kids.

Laura

Got to be funny for the kids.

Shanna

Yes, exactly. And so I found like 20 titles of funny kids books. I requested all of them online for my library. So they all got sent over to my library and put on hold. And I checked them out and read them and read them to the girls and stuff. And I was trying to keep it a mystery from Elle, because that was part of the thing with the teachers. Like it's a mystery reader. You know, you don't know if your parents coming. You don't know when they're coming. You don't know what book they're reading. So I was trying to be sly, but also I wanted to read all these books to her to see like how she reacted to them and what would be best for first graders.

Laura

Oh yeah, focus groups. You gotta make sure that you're picking the right one. I mean, you don't want to show up and read something super boring and then all they remember about Elle is that her mom is a boring reader.

Shanna

Exactly. You're starting to see where my mind is going with all of this, right?

Laura

I've known you for a long time.

Shanna

I'm like, I need to knock this out of the park. So clearly I'm doing a lot of prep work here. Oh my goodness. So we discovered a lot of great, really funny books. But the one I ended up picking is The Book with No Pictures by BJ Novak.

Laura

Look, you got to go with like a surefire winner, right? You can't just pick a new book and hope it'll fly.

Shanna

Yeah, exactly. So I knew this one would be funny. Elle cracked up when I read it to her at home. So I kind of was like, maybe I'll read this one when I come to your class maybe this week. I was trying to keep it mysterious. So I had that in my back pocket and ready to go. Well, the day came for me to go and do my assignment, and I'm getting ready for the big day. Your gig. My gig.

You booked it. I did. I booked the gig. I was so proud. I was getting ready. I was like doing my makeup and everything. And then I was like, you know, I should probably practice reading this book because it's different sitting next to your child and reading a book than like holding it up and, you know, presenting to the class. So I'm like sitting in my desk holding the book up pretending like I'm reading to these kids. And as I'm halfway through the book, I am overcome with extreme anxiety. I was like, oh my God, what if I fuck this up? I don't know. It was irrational, Laura. I think it harkens back to a lot of performance anxiety I used to have when I was acting and performing improv and storytelling on stage. I realize now that I had a ton of performance anxiety. I don't think I ever knew that. Yeah, I don't think I really did either.

I was often just like, wow, why am I so shitty at auditions or, you know, I don't know, but I understand it now and I haven't done anything like that in a while. So here I am getting ready to read to first graders and my stomach is in knots, my chest is tight and I can't stop thinking about messing this up and nobody laughing.

Laura

Wow, Shanna, Shanna, Shanna. I mean, this just goes to show how anxiety can take over your brain in a very irrational way because it's like the stakes are pretty, pretty low on this one. Oh, not to my little brain. But I get, you know, the feeling that it's really, really important and you want to do a good job. So, okay. So you practiced, you got anxiety. Did you suck it up and still go?

Shanna

Of course. I went down there. My anxiety peaked because it was raining and I couldn't find a parking spot, you know, and I'm worried about being late and I had to park far away and, you know, go in the rain and everything. Oh, it's just all this build up, right? I mean, from getting cleared to go into the classroom and wanting to do a good job. All this build up. And I get there, I go in the classroom. I read the book, it takes about six and a half minutes, I finish and I leave. Like the whole thing took about 10 minutes total.

Laura

Of course, yeah.

Shanna

It was just hilarious. But it was, it was awesome. It was great. The kids laughed. It was a totally fine reading. I loved engaging with them. Elle was like super happy and proud to have me there. And overall it was a success despite my anxiety.

Laura

Can you do a little of your robot monkey voice?

Shanna

For those of you who know the book, yes, it's pretty standard. It's just like, I am a robot monkey. What about you?

Laura

It's a hard one because like monkeys, but then it's like, I'm a robot monkey. It just goes robot. There's no monkey to my robot, but I just say robot monkey.

Shanna

Yeah, it's a tricky one. You know the line they love the most? They just died laughing was, My only friend is a hippo named Boo Boo Butt.

Laura

Boo Boo Butt. I knew it was going to be Boo Boo Butt because it's always Boo Boo Butt. That is, I mean, I can just look at Augie and say Boo Boo Butt, like, and he will start cracking up.

Shanna

Oh, it's such a great line. And the kids, I could tell like half of them are like very rule following. I don't think they're allowed to say the word butt in their classroom, you know, and here I am saying butt and they're just kind of like looked around nervously in the other half like Elle and her more like wild friends. They're like,

And it was interesting to see the reaction.

Laura

That's really funny. This is reminding me of when I went into Augie's classroom to read books. I read I Want My Hat Back by John Klassen. And as I'm reading it, I'm like, ooh, is this a controversial choice? Oh, because of the bear eating the bunny in the end? Yeah, because of the rabbit murder.

Shanna

Rabbit murder.

Laura

At the end of it. Yeah. But, you know, whatever. Whatever.

Shanna

It came out of my mouth. Whoops a daisy. Yeah, I definitely had that moment of like, oh, I just said boo boo butt. But you know, I did clear the book with a teacher ahead of time. So she like gave me the go ahead. So I felt.

Laura

Oh yeah, smart.

Shanna

It's okay. But yeah, it was just a really fun way to be able to participate in her school life that I haven't had a chance to do yet. So hopefully now that I'm cleared, I can do more things in the classroom or maybe chaperone field trips or something. I don't know. We'll see.

Laura

Yeah, totally. I mean, you went through all that effort. You might as well capitalize on it.

Shanna

Yeah, exactly. Awesome. Yeah, that was really fun. I do have one other thing about this week, but I'm going to save it for the last segment. For now, I want to hear about you all, what's going on in your world.

Laura

Well, the big highlight or maybe low light, depending on who you ask of this week, was that I finally got the boys in for their two and four year checkups with their pediatricians. Good, good. Those are important. They are important. They got scheduled a little late because, you know, bureaucracy basically at the pediatricians office. But we finally got them in, you know, August is almost two months late and Sebastian's a month late, but I I guess it doesn't matter as much when they get older, right?

Shanna

I don't think it does. We're rarely on time. So yeah, once they're like two plus.

Laura

Yeah, because I have this mentality of like, they're two week checkup, they're four week checkup. You know, you go so often at the beginning that it seems like, wait, but they're, he's two in two months. Like, is it so valid? Exactly. But anyway, something we did differently this year was I actually took them separately to these appointments. Oh, smart, smart. I'm glad you think it's smart. My mom was like, why are you doing that? Why not just bring them together? But we did that last year, Shanna. And i don't recommend it if you can avoid it like if you have the flexibility to take the time off from your work or whatever you're doing to take the kids separately i have to say it was a much better experience because you know you're dealing with nerves and being in a different environment and all that stuff and maybe like.

shots happening and it's just a lot to manage the emotions of two children and also two children trying to like explore the pediatrician's office at the same time. So yeah, so after last year I said no more, we're doing these separately. So I actually had them back to back Wednesday and Thursday. And the one thing about August was he was asking me, you know, I told him, we're going to go see the pediatrician. He knows his doctor's name. And so I was like, we're going to go see that doctor tomorrow. And his first question was, am I going to get shots?

Shanna

Oh, right. He's been anxious about shots lately.

Laura

very. And when he had to get his COVID booster, he spent all day anxious about it and like wouldn't come to me and cried the whole drive in the car. And, you know, it's been a thing. And he hasn't built up in his mind is this big bad thing, which I think is very common for young kids and adults, to be honest. Like, I know a lot of adults who don't like getting shots. But the problem was I had no idea. Like, I legitimately didn't know if he was going to get shots because I feel like at this age, it's very hit and miss like where you are on the schedule. Yeah. You know, because for instance, Sebastian did not need to get any shots.

Shanna

Right.

Laura

Like he got off scot-free. So I was like, honestly, baby, I don't know. I would call the doctor and ask, but they're so swamped and overwhelmed that I'm not going to hear back. I'm like, we're just going to have to find out tomorrow. You know, we're going to have to find out.

Shanna

That's too bad. You know, I recently took CeCe to her four-year visit and when I was making the appointment, I remember the appointment scheduler was like, and this will be an appointment with two shots. Like they told me. That's smart. When I scheduled. And I was just kind of like, oh, OK, interesting. But now that I think about it, that that is so smart because you might want to strategize what time of day or what day of the week you get that appointment or, you know, repairing your child ahead of time. Like there's so much there's It's a really smart choice so I'm sorry you didn't have that knowledge ahead of time.

Laura

I know I know but you know in the end it worked out okay he was nervous and when we got there. The nurse said it you are gonna get two shots today and he managed to keep it together throughout the appointment like. He let the doctor look at his ears and do all that stuff and he was okay. He did okay good The one clutch move that I I did was I pocketed a bunch of dum-dums from our stash of lollipops before we left the house Yes, and I told him that and I was like I showed him in my pocket I was like Augie look I have a bunch of lollipops for after your shot So you don't have to worry you get to choose a flavor and that really motivated him to Not be too upset so

Shanna

Yeah, our doctor's office offered CECE, like, a Paw Patrol sticker. And in my mind, I was like, that's not cool. Like, that's not enough.

Laura

Yeah, I mean, we also got a Paw Patrol sticker, but yeah, that wasn't going to sustain him.

One interesting finding from that appointment was that he has raging ear infections in both of his ears. What?

Shanna

That was a surprise to you. Usually that's very obvious. You'd think, Aki, are your ears hurting?

Laura

No. Aki, is anything bothering you? No. Just like literally zero complaints about it. Except, he's asked a few times if we could turn the TV up. That's it. And we were like, it's kind of loud already. And he'd be like, I can't hear it. Wow. That is it. But the doctor was like, yeah, normally I like to wait and see with your infections, but these are pretty bad. I'm going to give you a moxa cell. Wow. So we're on a 10-day course of a moxicillin right now.

Shanna

Okay, well, good that they caught it. Yes, yes. What about Sebastian? How did his appointment go?

Laura

So his appointment went well. The doctor was very impressed with him in general. And like, you know, I've talked about how I'm a little worried about his speech, but the doctor is not worried at all. I've revived my spreadsheet. My spreadsheet is, I don't know, probably like 100 to 120 words and phrases that I've collected of his. And she was like, psh. She's like, that's fine. But I'm like, but the average child at two, according to all the reading I've done has 200 words. She's like, yeah, that's fine. She's basically, she's like, stop, stop being, stop being you. Stop being, stop comparing against your first child. Like he's doing fine. His development's great. She watched him like run full speed across the room. It was very cute.

Shanna

Oh, that's so cute.

Laura

He's doing well. So I had no complaints there, no ear infection there either. I was like bracing because his appointment was second. And Corey was just like, should we just ask her for antibiotics right off the bat? Because they've been sharing all their viruses and everything. Oh, right. But no, he has one ear that was slightly inflamed, but she said it was fine.

Virginia Sole-Smith

Oh, good.

Laura

So no surprise ear infections there. And yeah. they're both doing really well. So the only thing is like, we don't really know how tall he is because he was wiggling when we tried to measure him lying down and he was slouching when he was standing up and neither of the measurements satisfied my doctor. And she's like, it doesn't matter. He's fine. Yeah.

Shanna

I feel like I remember a similar thing happening when CeCe was around that age. Like they measured her so many different ways and stuff and they're just like, It seems like she's shrunk, but maybe we're measuring wrong and they're just like, yeah, whatever, we'll check it next time. So maybe that's like a two-year-old thing.

Laura

Yeah, maybe. I mean, yeah, because they're like, he's either ninth or 20th percentile. We don't know. I'm like, okay, whatever. I'll worry about this if it's something to worry about. So yeah, we are all checked up and Just otherwise having a pretty normal week sounds good.

Shanna

Shall we move on to our special segment which is so special this week? It's so good. Yes, let's do it

We are back, and this week's special segment is an interview with Virginia Sol Smith, the author of the upcoming book Fat Talk, Parenting in the Age of Diet Culture. And we are so excited to have Virginia on the show. Listeners, you might remember way back in episode 180 of our podcast, Virginia was actually my BFP for the week because Laura and I had recently discovered her writing and fell in love with her. And even in that segment, we were like, oh my gosh, we need to get Virginia on our show. It's just like would be such a great match. So Virginia is here to talk with us today and we are so excited. Virginia, welcome to our show.

Virginia Sole-Smith

Thank you for having me. I'm so excited.

Laura

Yay. Okay, we're gonna get started because we have so many questions for you. I'm just such a huge fan of your work. I follow your sub-stack newsletter. I listen to your podcast, Burnt Toast, and I've read both of your books now. I was so excited to get to interview you because that meant I got an advance copy of Fat Talk, and I was like devouring it. So I first found your work when my son, Augie, who's now four, about two years ago, he started becoming a very picky eater. And I was lamenting about this to some friends and my friend, Kristen, who has a child who needed a feeding tube for a few years, recommended your book, The Eating Instinct, to give me some perspective on what I thought was sort of catastrophic picky eating from Augie. And reading your book was such a revelation. And I just thought it was so useful.

But I wanted to know, like, can you tell our listeners how you came to write about food and kids and diet culture and how it all intersects?

Virginia Sole-Smith

Yeah, absolutely. And I love hearing that the eating instinct was helpful for you in that way. So my career has always been as a health journalist for about 20 years. I've been doing health and nutrition reporting. And for the first decade, I was doing it mostly for women's magazines, which meant I was an active participant in diet culture. I wrote a lot of stories about the, quote, right way to eat, good foods and bad foods, portion control. et cetera, et cetera, all the while feeling very conflicted about that work. Kind of always trying to soften it or make compromises or find ways where I was like, I'm not telling people to die. I'm just giving them a lifestyle plan and that sort of thing, which I'm sure will sound sort of familiar to lots of folks.

And then when I became a parent almost 10 years ago now, I had this pretty intense experience that I talk about in the first book where my daughter was born with a rare congenital heart condition. She completely stopped eating as a result of that. And we spent two years with her on a feeding tube trying to figure out If she could eat again what that would look like you know all of these things and that experience. Forced me to reckon with a lot of what I thought I understood about food and health and bodies and motherhood I mean it was like pretty. It was definitely being dropped in the deep end with my first kid. And what came out of that is I realized I had spent this whole career trying to teach people roles in what I thought the science said about what their body size should be and how they should eat.

And I was trying to find those rules for myself and never landing on anything that worked or felt satisfying or sustainable. And then with this experience with my daughter, it was like, oh, there are no rules. We have to totally throw out any idea of a playbook here. We're going to be figuring this out very much on our own terms. Pediatric feeding disorders are not super well understood or researched. And so that was in a weird way super liberating because it pushed me so far outside the system I could finally see the system. And I think at that point I started to ask a lot of big questions. Like why am I assuming that my definition of being a good mom is raising a perfect eater or a healthy eater? Like why am I putting so much emphasis on that when like

actually how you feed your child is like it's a really big and super time consuming job but it is only one aspect of your relationship with your kids right. And then that led to questioning a lot of what I thought like quote healthy eating even meant and realizing a lot of it probably most of it at that point. was tied to, well, what will achieve fitness? And so that led to a deeper critique of diet culture, starting to understand the concept of anti-fat bias and sort of pivoted me into the work I've been doing since then, which is reporting on how diet culture and anti-fat bias manifest in all areas of our life, in healthcare, in fashion, in workplaces, but especially in our parenting. And that's what led me to write the new book.

Shanna

Wonderful. Thank you. So in your new book, Fat Talk, you talk about how diet culture affects our experiences as parents. But before we get too into the weeds, I think some of our listeners might be confused about what diet culture is and how it's harmful. So I'm wondering if you could speak to that and talk a little bit about why we shouldn't be encouraging weight loss in our kids.

Virginia Sole-Smith

Yeah, definitely. Those are great questions. So diet culture is a whole system of beliefs that teaches us fundamentally that the best bodies, the healthiest bodies, the most beautiful bodies are thin bodies and that the ways in which we feed ourselves and move our bodies should always be with an eye towards what we'll preserve or achieve thinness. And so Diet culture is definitely like the women's magazine version I just talked about. It's influencers on social media. But it's also often showing up at your doctor's office when there's a big focus on weight and that sort of clouds out any other conversation around health. It's showing up in schools when they do track your food log sorts of assignments with ninth graders, which teach kids to count calories and be really obsessive about everything they're eating. And it also shows up in this very casual offhand way.

It's the way you show up at your friend's cocktail party, and there's a beautiful cheese play. And instead of just eating some cheese and enjoying it, you're saying things like, oh my God, I'm being so bad. I can't believe I'm eating the cheese. And it's like, well, they put the cheese here for you to eat. Like, you don't need to apologize for eating the food that's served at this party, but you feel like you do because you're so conditioned to feel like anytime we're indulging ourselves or doing anything that we associate with fatness, we need to atone for it and perform thinness like as aggressively as possible. Right. Yeah. So that's diet culture. And I think what's really tough for, you know, so we all grew up with diet culture. The sort of 80s and 90s and early 2000s version was, was its own beast for sure. Oh my gosh.

Laura

It was awful. I think we're all approximately the same age, elder millennials, you know, like 70s to 80s kids. And yes. Oof. Was it a tough time?

Virginia Sole-Smith

It was a time. It was a time to be alive for sure.

Real intense. And so we have all of that stuff we carry with us from those years. And then the way diet culture has morphed. So we grew up with the Jenny Craig Weight Watchers, Snack Well Cookies, Fear of Fat, then morphing into the fear of carbs and sugar. And the emphasis on whole foods and the emphasis on eating clean and paleo, et cetera, et cetera. And it's really hard to let go of one iteration. You kind of just keep piling them on. And so you can end up in this place where I think a lot of folks are now where basically nothing that's not a green vegetable feels safe and okay to eat. Just like an impossible way to live, obviously. And it's a particularly impossible way to feed kids because most kids are just not that into green vegetables.

Shanna

Right.

Virginia Sole-Smith

And there's nothing wrong with that. Their kids aren't doing anything wrong. Kids are eating in a way that's totally developmentally normal and healthy and going to promote growth. But because our expectations of what feeding a family should look like are so saturated with diet culture, we end up in this position where we are feeling like we need to micromanage and control how our kids eat and try to get them to be these super eclectic, kale-loving toddlers that eat all of these different things when they're like, can I just have mac and cheese, please? That mismatch is so stressful for parents. And when you really drill down into what's going on there, a lot of that mismatch is driven by the fact that parents are really scared to raise a kid in a bigger body.

They're really scared that having a fat kid will mean they've failed as a parent, will mean they're judged for it, will mean terrible things for their kids' lives. So we really do have to look at that fear and that fear of fatness and really say to parents, like, how can we release this? Because this is where a lot of the harm comes from. Absolutely.

Laura

Can I just ask though, I feel like there's still a lot of parents who say, you know, in their mind because this is how we've all been taught is that, but isn't fat a thing to fear, right? Like, shouldn't that be? Isn't that a reasonable thing we should be afraid of? How would you respond to that?

Virginia Sole-Smith

It's not something to be afraid of. It's not a bad way to have a body. It's one of the many ways to have a body in the world and it's nothing to fear. But our culture has taught you otherwise since you were really little kids. So it completely makes sense that that's your knee jerk place to be with that. So I say that without any judgment. But what we know from the research is, you know, to go back to Shannon's question about why it's not a good idea to try to have kids lose weight, we know that the number one predictor for future eating disorder risk is childhood dieting and weight-based shaming or teasing. And that is both like sending a kid to a Weight Watchers meeting or bullies on the playground calling you terrible names about your body.

But that's also parents being really controlling about how many cookies you can have and whether you need to eat green foods first and the sort of more like subtle shaming comments that relatives make about your kid's body or that doctors make. So we need to look really clearly at the potential for harm there and say,

That is risking my child's health in a really concrete way. Eating disorders are the deadliest mental illness for kids to develop. They cause years and years of harm. They're really deep rabbit holes to try to climb out of. They are not what we want for our kids. But the problem is parents are simultaneously very aware of that. They're very aware. I think especially our generation of parents is looking back and being like, wow, we got some really messed up messages about bodies and food and we don't want to pass that on. But we don't want our kids to be fat either. And because we're holding onto that fear, we can't really make progress on the first goal. We're caught in this rock in the hard place. And what we have to recognize is that until we can release the fear of fatness,

We're always putting conditions around which bodies are worthy of being loved and which bodies are considered acceptable. And as long as you're doing that, as long as you're still saying, we want you to love your body, but with an asterisk, you're never actually going to be able to achieve loving your body, right? Because it's only going to be contingent on if you can maintain it in a certain way.

Laura

I think that's so important. We're recording this episode for people who are listening in a couple of weeks in the future. The day after the Oscars.

Virginia Sole-Smith

Yeah.

Laura

When Brendan Fraser won Best Actor for The Whale. And like, I don't know about you, Virginia, but when that happened last night, it was like a gut punch for me. Same. Because it just showed how just how fatphobic we still are and how it's still a celebrated thing to view fat people as other. And I think it's the work you're doing in trying to promote this, you know, fat acceptance and understanding that eating disorders are more dangerous is so important.

Virginia Sole-Smith

Yeah.

Laura

So I really appreciate that. So one thing, you mentioned how a lot of, you know, like eating disorders can be, you know, the seeds can be planted at doctors' offices. And you also talk a lot in the book about how doctors are just as or more steeped in diet culture than the general public. And as the daughter of doctors, I can confirm this is true.

Virginia Sole-Smith

Yup, it's happening.

Laura

I have a lot of firsthand experience of this and I know a lot of our listeners are pregnant or they have really young babies and the weight talk is kind of endless in those stages, right? You experience a lot of weight talk from your OBs or your pediatricians. So I was wondering if you had any advice about how parents can navigate a medical system that's so obsessed with weight?

Virginia Sole-Smith

Yeah. Oh, it's brutal during pregnancy. It really is. I mean, it's brutal at a lot of stages, but that's a particularly extra brutal place, particularly if you're starting out in a fat body, right? I mean, there's research showing like there's all these assumptions that doctors make when they're supporting a fat person through their pregnancy that they don't make when they're supporting a thin person through their pregnancy. And so it just feels like the stack is stacked against you. I mean a couple of things that can be useful regardless of your body size is be very upfront with your OB to the degree it feels safe and possible. about how triggering weight talk is for you. Be very upfront about the fact that you are really focused on having a healthy pregnancy, and for you a healthy pregnancy means not spiraling and obsessing about what you eat.

It means trusting your body to do this thing that it obviously knows how to do and not you know, not focus on what the scale says or on how many calories you're eating a day or anything like that. And that may also mean asking to have a thing in your file that you either are weighed less frequently, which is an option. They don't have to weigh you at every single prenatal appointment unless you are very high risk and they're monitoring fluids, you know, in a much more micro level. So asking to be weighed less often or at least insisting that you be weighed with your back turned to the scale and nobody needs to tell you the number. I always caveat this advice with two things.

One is for fat folks, this doesn't always feel possible nor does it always help because if you are visibly fat, your doctor will still make judgments about your body probably regardless of whether they have the number in front of them. So there's that piece. And number two, for thin folks doing this, it's an important self-care strategy. And I want you to avail yourself of it, but also realize that it means you are reinforcing the idea that higher body weight numbers are scary and can't be seen and can't be talked about. And so that's just something to have. Look, you're pregnant, you're navigating a lot. I'm not saying you have to work through that one right now, but it's something to have in the back of your mind.

And maybe if it feels possible with your relationship with your provider, you can say something like, I'm asking to do blind weights, not because I think it's wrong to be in a bigger body, but because I want to minimize the role weight plays in my health care experience. And I think that's really beneficial for our health. So you can talk about why you're making this choice. That can be great. Again, these are options. Nobody has to feel like they're failing if they don't do all of this. Pregnancy is a hard time. You can't take it all on. The other thing to really be aware of is the research on high body weight and worse pregnancy outcomes is not as clear cut as the doctor may tell you it is. There are studies showing that people in bigger bodies have slightly higher rates of complications or stillbirths and scary things. And that's terrifying, but it's not a causal relationship.

It's a correlation, which means we don't know that it's actually the high body weight that causes any of the problems. And we also have a lot of research showing that often the complications that arise may be a factor or a strong contributing factor, maybe the fact that people in bigger bodies get worse healthcare, right? So ultrasounds, anesthesia, all of these things, doctors will say it's harder to do well in bigger bodies. That's not your body's fault. That's a medical system that's refusing to adequately treat every patient. That's not meeting patients in the bodies they have. And so if you're getting a lot of pushback about weight from your doctor, I would say to your doctor, If you don't feel like you can provide safe prenatal care for me in this body, I need to find a provider who can. Because this is a them problem. It's not a you problem. You are there as the patient.

You are pregnant. You deserve the best possible care for that experience. And if they cannot do it because they can't see past the number on the scale or they're saying things to you like we don't have the right ultrasound equipment or whatever, other doctors have that. That exists. You deserve that. So really putting it on them to solve this problem instead of viewing your body is the problem to solve.

Shanna

Right. Right. So important. And what about navigating the medical system with your children? People have the option to opt out of weighing their children or talking to their doctors about weight in front of their children. What would you say to that?

Virginia Sole-Smith

So this one just got a lot more complicated because in January the American Academy of Pediatrics issued a set of clinical practice guidelines for the treatment of childhood obesity which explicitly instruct doctors to do things like if a child has a high BMI starting at the age of two to refer them for intensive lifestyle and behavior treatment programs which are otherwise known as diets for toddlers. And then starting at age 12 to consider prescribing weight loss drugs and 13 to refer for bariatric surgery. So if you are parenting a kid in a bigger body, this is a really scary and stressful landscape right now. And you still have to give informed consent for any of that to happen and you don't have to give it. So that's the really important thing for parents to hold on to is that you still have the absolute right to say, no, we're not going to do that. That doesn't feel safe.

It's not evidence-based. There's tons of reporting on my newsletter that gets more into the weeds on why it's not evidence-based. Um, you can shut that down. It's going to be hard because I think a lot and a lot of pediatricians are saying to me, we don't like these guidelines either, but they kind of put us, they force their hand a little bit, right? Cause if you're not following guidelines, you're, you know, like there's all these expectations. You have to do that. So it's complicated right now, but I think one of the best strategies that parents of kids in all body sizes can use. is right when you get to the appointment or email ahead, if that's an option in your healthcare system, hand over a post-it note and ask the nurse to put it right on the top of the file saying, please do not discuss weight or BMI or weight loss in front of my child.

I am available to have that conversation privately with you. And that way you're just setting a really clear boundary that you don't want your kid being exposed to any of this and so that can also mean when they get on the scale you say oh they're gonna stand backwards and they don't need to know the number. You know have your kid have a blind way totally make sense. And then if the doctor overrides you, which can happen, right? And this stuff comes up anyway. The final thing to kind of hold in your back pocket is to remember that what matters most for your kid in that experience is do they see you advocate for them. So if the doctor brings up weight anyway, if you can say something like, you know what, I'm not really worried about that right now. I really trust his body. I know he's growing well. This doesn't feel like a problem for us.

That's what your kid's gonna take away from the appointment. Not that the doctor was like, oh, he's getting a little chubby or whatever. So if you can stay focused on how to you advocate for your kid and just reinforce and follow up with your kid later depending how old they are and how much you think they heard. Like how did that feel? Do you have questions? We never see your body as a problem to solve. This is not something you need to be worrying about. And then they know that they have you in their corner and that goes a long way towards mitigating harm.

Shanna

Oh, absolutely. That's such good advice. Thank you.

Laura

OK, so this is the point where it was midway through our interview, and I realized it was getting very long. And so we are actually going to insert a break here, right, Shanna?

Shanna

Yes, yes, I think we should.

Laura

And we're going to turn this into a two-episode interview because Virginia has so much amazing stuff to say, and we just don't want to shortchange her and shortchange you on all the amazing stuff she's talking about. So we're going to take a break here, do our BFPs and BFNs, and then you can hear the rest of this interview on the next episode.

Shanna

But before we move on, I want to make sure Virginia has a chance to tell you all where you can find her.

Virginia Sole-Smith

Yes. So the book is coming out April 25th. And everywhere you get books, so you can pre-order it from Amazon, from your independent bookstore, all of the places. The audiobook is available for pre-order at Audible and Libro FM and all of the audiobook places. You can also follow Burt Toast the newsletter at virginiasoulsmith.substack.com and get the Burt Toast podcast anywhere you get your podcasts. And I am on Instagram, Twitter, and be grudgingly TikTok at the underscore soul Smith. So find me all those places.

Shanna

Fantastic. And again, the title of your new book is Fat Talk, Parenting in the Age of Diet Culture. Listeners, pre-order this book. Laura and I have both read it. It is fantastic.

Virginia Sole-Smith

Thank you so much.

Laura

Okay, we are back and we close every episode with a Big Fat Positive or a big fat negative of the week. So, Shanna, got to know, do you have a BFP or a BFN?

Shanna

I have a BFP. Oh, good. So as you know, Elle has been playing basketball for the last couple of months, and she didn't have a game this Saturday, and the coach was like, hey, I have an idea. Instead of our game, does anybody want to go watch a UCLA women's basketball game? And I was like, yes, that sounds really fun. I love going to sporting events. It's not something I do at all anymore, but I love it. It's nostalgic to me for my childhood of going to sporting events and getting concessions. I just love it. So I was really excited about this. And it was cool because it was the girls first time on a college campus. So we went to UCLA, which is beautiful. I just love that campus so much. It was raining and it was just like a fun adventure to and walk through the campus and find the stadium and find our seats. And we went with our friends.

I think like maybe three other girls from the team came with their families. We all sat together in a section and watched the women play. And it was just an awesome, fun, different thing to do. And the girls really, really enjoyed it. We got on the Jumbotron twice.

Laura

That's super fun. Oh my God.

Shanna

Um, CECE and I were dancing and we got up there and then, uh, Elle and her friends were dancing around at one point and they got up there. So we were like, oh my God, like freaking out. So excited about it. Elle and her little basketball friends got to go down where the basketball players like exit their locker room and run onto the court. They got to go down there and like high five them as they came, you know, back out from halftime. So they got, High fives from the women. They got autographs from a couple of them afterwards. I don't know. It was just like super fun. I don't know what else to say about it. It was just a really, really great time.

Laura

And Steve went with you guys too? Yeah. Mm-hmm. That is just like a fun family outing. That's just like classic family outing. It's so funny you mentioned that it's like nostalgic from your childhood. I think I went to a single professional sporting or even like college sporting event until I was an adult. Really? It was just not what we did in my family.

Shanna

Yeah, you didn't have a sporty family. I would say sports was like one of the most important things in my family up until I discovered theater as like a teenager.

Laura

Yeah, yeah. But so like for me, it makes me think of like my pre-kid days when Corey like split Lakers season passes with a couple people, you know, they did a ticket share or whatever. So we would go a lot and like I love it, but it doesn't have like that kind of nostalgia like for my kids. But it does make me want to bring at least Augie to some kind of sports event.

Shanna

Mm-hmm.

Laura

We actually went to a sports event this week, too. On Sunday, we went to the LAFC, the Los Angeles football club soccer game.

Shanna

A little soccer up in here.

Laura

Yeah. One of my mom friends is a season pass holder and they had extra tickets and they were like, you want to come with us? And so we got a babysitter.

Shanna

Oh, smart.

Laura

I asked her, I was like, could the kids come? And she's like, well, our kids come sometimes. But if you want to enjoy yourself, you might want to bring them.

And man, that was wild. That was a first for me. Have you been to an LAFC game?

Shanna

No, I don't think I've ever been to a professional soccer game ever.

Laura

So I had low expectations because I'm not a huge soccer fan. And, you know, it's fine. Like I watched Ted Lasso, you know, but like, you know, they score goals here and there. And I was just like, it'll be fun to hang out with my friend and drink beer or whatever. But what I didn't know is that at least in this stadium, there is like a whole section, like a quarter of the stadium that's like the supporter section. And they literally chant and sing and play drums the entire match. Wow. It's intense. But it makes it so fun because it's like, oh my gosh, these people are into it, you know, and like you can't feel bored just with their energy.

Shanna

Yeah. That's really cool. The highlight of the basketball game, at least for the girls, were the snacks. I mean, they had their popcorn. They had their little dibs. Is that what they're called? Or nibs? I don't know. Like ice cream nuggets. And they had a great time. And CeCe enjoyed it too. I was really worried about her being engaged with it. In looking through the information on the team, on the website before we left, I noticed that one of the players has the same nickname as CeCe does in real life. It sounds like, oh my gosh, this player has the same name as you. And she's number one, which is CeCe's number in softball. CeCe just got into this a big time. Like she was so excited. The whole game she was cheering for this player. We were like really keeping an eye on her and Elle was getting into it. And she's a really good player. She's like one of the highest scores on the team.

And so just like having more of a personal connection to what was going on in the not field court, what was going on in the court was very exciting for all of us.

Laura

Well, this is inspiring me to try to take Augie to some kind of sporting event because I actually think he'd love it.

Shanna

The nice thing about going to a college sporting event is it's not as just busy and wild as like a professional game. You know, it was not all that crowded and you know, it was general mission. We all kind of got to sit together and be pretty close and everything. So I thought that was a nice entry way into going to live sports for us.

Laura

Yeah, absolutely. Like I wonder if like high school sports, you know, would be a good way to do it too.

Shanna

Oh yeah, definitely. We have a huge high school near us. Going to a football game or something would be really fun. Yeah. So yeah, that was our fun little event for the week. What about you? Do you have a BFP or a BFN? I have a BFP. Okay. What is it?

Laura

Okay. My BFP is something I did for myself. I decided to take my own advice and do some self-care. So after Augie's doctor's appointment on Wednesday, I dropped him off at school a little bit late. His appointment was like 8.40 and then his school starts at 8.30. So like I dropped him off late and then I was about to drive home and just start working. But I realized I had like all this stress in my body because you know he was really upset and nervous about the shots and just trying to get to the appointment on time and all that stuff, right? That I was like, you know what? I need to do something for me. And as I was driving away from Augie's school, I looked up and I saw that the rain clouds had cleared and the mountains outside of Los Angeles were just still totally covered in snow. We talked about this on the last episode, but it was just absolutely gorgeous. Even more snow, right?

And I was like, you know what? I want to get a good view of this. Where should I drive to get a good view of this? And I was like, wait, Discanso Gardens. I go to Discanso and walk around. and try to get up high and see a good view. So I looked up when In-N-Out opened, and it turned out it opened at 10.30 AM.

Shanna

I'm sorry, did you say In-N-Out? Yes. I like how you just slipped that in there. Like, I'm going to Discanso, but there's In-N-Out.

Laura

Yeah, I should mention that In-N-Out is on the way, and it was like 10.25, and I was like, ooh, I need to eat something, though. What am I going to do? And I was like, oh, In-N-Out's right there. They opened at 10.30, so I literally went and sat in their parking lot until 10.29, and then pulled through their drive-through. Got myself a double double and well done fries and then drove up to Discanso eat my burger in the car. And then went on like an impromptu hike by myself through the gardens. Oh, nice.

Shanna

And so great.

Laura

I'm always there with a kid and usually with a big like wagon stroller. And I realized I'd never been there like without a stroller basically. And it freed me up to go to all these like little areas I had never been, including being able to hike all the way up this back hill, which had all these little like narrow hiking trails I of course never saw because I always had a stroller. And I was able to hike all the way up to the top. And I got the most beautiful view of the mountains and the snow. There was a bench I sat on and I just like literally sat there quietly for 10 minutes just staring off the mountains and the snow and just like taking And on my way back down, it started actually not snowing, not hailing, but groppling. Do you know about groppling?

Shanna

I remember that. Yeah, I was watching that outside the window of my office.

Laura

Yeah. So I got to, like, experience gropple at Descanso, and it was just, like, magical, like, in a way. And I cannot recommend it more. I just have to say that I was really skeptical about what I was doing and kind of feeling like, oh, I'm wasting time. I have all this stuff to do. But I was like, no, do something for yourself. And I did it and I have zero regrets and I'm so happy I did. I know I sent you a photo when I was there, though. Yes, beautiful. because of course, like I had to share. But we'll post a picture to the website. It was just like so gorgeous. So if you need a sign that you should do something to take some time for yourself, this is it friends. Even if it's just like playing hooky and running off. And I was only there. I think it was like an hour, you know, and it could have been less time if I had less time. So yeah, but self care, man, it does things to you.

Did you feel better for the rest of the day? Oh, yeah. I felt like I was walking on air the rest of the day. And I just, I don't know. It's hard to explain and describe. You know what it reminded me of when we used to go to those soundbats? And the first time I did it, we kind of, I remember we did it as a challenge from our storytelling class. Do you remember that? Oh, is that why we did it?

Shanna

No recollection. I mean, it sounds familiar now that you say it.

Laura

It was your challenge. You were supposed to go do something that was like a little bit outside of your comfort zone and you're like, well, I better bring Laura with me. So we went to the sound bath and we were both super skeptical. And then like we left and we were just like, oh my God, that was amazing. Amazing. And I started going more like regularly at the time and I remember like I used to walk to them and I would walk back and I'd feel like I was like floating, walking back. So yeah, it did feel better. Thank you for asking.

Shanna

Awesome. I'm so glad that you did that. Gosh, spontaneously taking care of yourself. I just love it. I'm inspired. I'm going to do something in honor of you and what you did for yourself.

Laura

Good, you should.

Shanna

And it'll probably involve Taco Bell or anything.

Whatever's open.

Shanna

Yeah, I mean you don't have to go through a drive-thru to do it, but I do recommend It does add to the experience Absolutely All right Well, I think that wraps up our episode Listeners be sure to tune in next week to hear the rest of our interview with the amazing Virginia soul Smith and reminder her new book fat talk comes out on April 25th So be sure to pre-order that now But before we sign off, I do have a new five-star review to read. This is from LWSC on Apple Podcasts. The title of the review is Absolutely Adore This Podcast, Five Stars. I absolutely adore Shanna, Laura, and this podcast. I can't tell you how many times I've been rolling on the floor laughing as I listened. Laura and Shanna are so relatable, and I feel like they're right alongside me on my pregnancy journey. They encourage me, lift me up, keep it real, and make me laugh cry.

So thankful for the two of you and for this podcast. Thank you so much for sharing your experience with the world. Oh, you are so welcome. And thank you so much for leaving this amazing review. We love it. We love it. We love it. Love it, love it, love it. Listeners, if you haven't had a chance yet to leave us a five star review, could you please do us a favor and head on over to Apple Podcast, drop us those five stars and say a few things you love about the show and we might read it on an upcoming episode. If you have anything you want to share with us, you know we love hearing from you. Laura, where can everyone reach us?

Laura

We are on Facebook, Instagram, and TikTok at BFPpodcast. We have a website, bigfatpositivepodcast.com. You can always send us an email and throw a voice memo in there if you want to contact at bigfatpositivepodcast.com. And finally, if you want to join the coolest group of people on the internet, just search Facebook for Big Fat Positive Community. It's a private group, so you have to request a join, answer the two membership questions, and then you'll get sent straight through to all the really wonderful and insightful conversations we're having in there.

Shanna

Our show is produced by Laura Birek, Shanna Micko, and Steve Yager. Thanks so much for listening, everyone. Have a big, fat, positive week. Bye. Bye.