ASDAH Response and Petition to guidelines that harm children

Quote from the ASDAH Statement in respond to the new AAP guidelines

The AAP’s Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Ob*sity reflect the historical commitment of western and white-centric healthcare to kill all deemed ‘other.’ We call for the AAP to rescind these guidelines in light of the reality that they violate the primary directive of healthcare providers to first do no harm. Our children and adolescents deserve better.

Association for Size Diversity and Health Statement

A re-post and link to Regan Chastain’s work

Chosen excerpt and reaction:

Some days the weight loss and healthcare industries seem to work extra hard to make it clear to me that they want me thin at any cost, and they are happy kill me in the process, all while co-opting the language that my community has created to protect ourselves in order to profit from our harm. On those days it can be really difficult to wade through their muck and break down the harm they do piece by piece. 


Put succinctly, WOD is a day that:

1. Encourages stigma against higher weight people

2. Recommends methods for manipulating body size that have been shown to be ineffective for decades

3. Insists that its worth risking fat people’s lives and quality of life in attempts to make them thin (again, hardly an anti-stigma position)

4. Suggests that the solution to weight-based oppression (which, remember, they are actively perpetuating) is for fat people to change themselves to suit their oppressors.

Yes. The medical establishment insisted that my husband risk his life to make them thin rather than investigate what he was concerned about. They risked his life over and over, and then his life was lost. After only 45 years of life. Congratulations, diet industry. You eradicated a fat person.

*pause to calm*

Regan Chastain’s post has links included and you should read it there and support her work directly.

I am a paid subscriber to her Substack newsletter, because it takes a lot of mental and emotional toil, which she describes here.

I have a lot I also want to say about my husband’s “case study” in particular and the emotional toll of using studies that pathologies him in order to glean the data to prove why they shouldn’t have is probably going to give me an ulcer and a broken hand from punching through a wall. So I deeply honor the literal work that Regan does to make this newsletter. The work of finding and paying for the journal articles, of summarizing them in a non-stigmatizing way being careful to not parrot diet culture language, and for calming and grounding herself in the face of both the things she has to read aiming to destroy her and then defensive or reactive critics trying to destroy her.

Honor her by reading her newsletters. Go back and read the other entries. Follow the links.

Honor her by subscribing. My latte every day costs $7.50 with the tip I include and a subscription can be less than that and they are both nourishing.

Honor her and the community by sharing and signal boosting wildly.

Thanks for reading this much.


A rough draft poem about practicing medicine

When I first stepped foot into the hallowed halls

Of the school teaching me medicine, they quickly said to us Day One

From now until you’re licensed,

you can never ever say

“You should drink some water”

Or “get more sleep” off hand

Because –did you know– that’s medical advice now, as you’re a medical student and


You have power and knowledge but you also have responsibility

Because you’re Practicing Medicine

Is that person your patient?

Have they consented to your care and do they know what it entails? Do they know what you do? Do they know why they’re there with you? Do they want your advice? Do they feel they can say no?

Have you taken a good history?

And done physical exams and labs?

For example, how are their kidneys? And what about their heart?

If they were to drink water, would it cause their organs to fail?

Or what if they have an eating disorder

And they drink it to feel full?

Have you just added to their malnourishment to the point that their heart stops?

And why do they not drink water? Why would they need you to recommend it?

Are they taking a medicine that makes them dry, that makes them thirsty but not quenched? How about one where they forget to drink? Or one that pees it out?

And do they have access to clean water? Can they get enough to drink?

What if soda is really safer because of toxic lead and benzene?

What is your medical assessment of why they need more water?

Is it chapped lips that you’re treating? Or heat stroke from exposure instead?

And when you give that treatment plan of drinking extra water

What is your follow up? What will the effects be?

Give a good PARQ conference:

Plan, Alternatives, Risks, Questions answered

For example, is tea good too? Should they be starting with IV fluids, or can chewing ice suffice?

When will they feel the difference? How much water is too much?

What are the risks of drinking water? What are the risks of not?

And if drinking water doesn’t help, what’s your plan for what comes next?

What differential diagnoses would cause this thirst to be?

Will drinking that water just disguise a deeper wrong that’s underneath?

What have you missed by saying that? What care are you delaying?

Do they need to see a specialist? Do they need some social work?

Do they need an act of Congress, to make sure the water is there?

From now until you’re licensed, and even after that, you can’t tell a person to just drink water

Or get sleep

Or try that OTC drug

Because you are Practicing Medicine and there are steps required

Unless they’re fat

Then you don’t have to practice medicine

You tell them to go away and lose weight.


Happy Birthday, Roy

45 years and 30 minutes ago, the love of my life emerged into the world. He was a glorious kind and loving emergent consciousness embodying a big and strong complex system, amidst and sometimes the hub of a beautiful web of other Earth inhabitants. The dynamic “order” spun by his life force had resiliently resisted Entropy, appearing as accidents and societal harms and the delicate balance of the big medicine of our coping mechanisms having costs for using them, for decades and decades more, but Entropy had its way with him in the end, as it does with us all. This world has been forever and ever changed by his presence in it. He is at ease to phase back into Undifferentiated Oneness with the Everything.

Photo: his older brother Colin holds baby Roy


Mourning the death of my husband.

This is notice that Bridge to Becoming, LLC will not be re-opening for some months (possibly middle of 2022). I am mourning the death of my husband, and reconsidering my life path.  However, my calling is absolutely with acupuncture and healthcare, so please watch this space for the manner in which I transform this practice.

Roy and Electra at Columbia Gorge near Hood River Ore
My Beloved Roy Huggins and I, Columbia Gorge, September 2021

Bret “Roy” Huggins was born December 12, 1976 in Palo Alto, California and died November 19, 2021 in Portland, Oregon. He was honored to be named after his grandfather, Roy Huggins, a Hollywood screenwriter. 

Roy grew up largely in Hermosa Beach, California, after his family moved from Santa Rosa, California. Roy attended both Redondo Beach High School and Chadwick High School and shared the joy of playing football and singing in choir with his brother Colin before going on to study music at Grinnell College, graduating in 1999.

At Grinnell his instrument of focus was his voice, and he proudly performed “Broken Ground” (composed by Jonathan L. Chenette) as a Bass/Baritone in Grinnell Singers in May 1996 to celebrate the State of Iowa and Grinnell College’s Sesquicentennial in Carnegie Hall, New York City; his other favorite to perform was Rachmaninoff’s Vespers. He maintained his love of singing through Booth Karaoke ever after. He founded and led a Dagorhir-affiliated sword-fighting group which persisted decades after his graduation. He stayed in Grinnell, Iowa for two more years to co-found and operate with friends one of the small town’s first web development firms. It would be the first in a series of successful businesses. In 2001 he transitioned with other friends to Portland, Oregon. Shortly thereafter he met Electra Allenton (née Allen-Tonar) by inviting her to his newly-formed Portland sword-fighting group held on Reed College campus. Their love escalated quickly, and his example inspired her to attend Grinnell College as well for the duration of their three year engagement.

In Portland, he continued a successful solo career in web development until he realized he was so successful not because of coding but because of how he could coach and guide his clients. He changed careers and obtained his Masters of Science Education: Counseling from Portland State University, class of 2007. After graduating and marrying the love of his life, he and his wife moved to Portland’s sister city Sapporo, Hokkaido, Japan, for three years, finding many friends and chosen family on both sides of the Pacific. So many that he’s even officiated at least four weddings!

Upon return to Portland, Roy was invited back to his alma mater PSU to teach Ethics and Intro to Psychological Diagnosis yearly until his death. He also served as a member of his professional licensure board’s rules advisory committee for several years, guiding policy on technology use and internet security in the field of mental health. He provided expert testimony for civil and criminal cases regarding counseling technology, and authored several textbook chapters.

However, teaching was a side hustle. His life’s work and deep purpose was found in two realms. First, in his multinational bilingual counseling practice, with focus in Internal Family Systems therapy and in Emotion Focused Couples therapy. Second, in building a thriving and nationally respected consulting company, Person Centered Tech, which assists single providers and small group practices reach HIPAA compliance. At the beginning of the pandemic, mental health providers found them integral as a trusted resource for securely transitioning to tele-mental health. Through Person Centered Tech he is beloved by hundreds if not thousands of members of the counseling, social work, psychology, and related professions across North America for his kindness and ability to make complex topics like ethics, infosec, and the Internet understandable and applicable. Here again, his big, strong, kind leadership created a chosen family of business partners and treasured employees.

He is survived by his wife, Electra L. Allenton, ND, MSOM, LAc and their two cats. He is also survived by his beloved older brother Colin B. Huggins, his newly reconnected older sister Anna Morris, his nephews and niece, his wife’s extended family who adored and welcomed him, and his business partners Brian K. Smith and Liathana Dalton, his fellow Grinnell alumni, his ALT buddies, his counseling cohort, and the rest of his immense and diverse community of colleagues and friends, too many to list. 

He died at home, his death was confirmed at Oregon Health and Science University hospital, and his remains have been cared for by Threadgill Memorial. His Celebration of Life will be held in January 2022. Learn more of how to be involved here: Please sing aloud to any song in remembrance of his joy, and hug the people and pets you love.