Healthy Living

Tuesday, October 7, 2008

Body of Work: Weight-loss surgery is the easy way out

This is not what I meant to write about. What I was thinking about writing, when I sat down and sipped my coffee and opened up my laptop and all the way up to the point where I fired up a Word document and flexed my fingers, maestro-like, above the keyboard: my skin, and the way my body is shaped, and how I can't figure out if I am getting used to looking slightly crêpe-y and elephantine in the belly-ular area, or if my skin really is tightening up and that's the reason I am thinking it doesn't look so bad and hey, cute little boobs and maybe I will just say bite me, plastic surgery, you are expensive and scary.

I started off planning to write that post. I started to actually write that post, but it swerved off almost immediately when I started a sentence with a familiar lament and emerged at the end of that sentence with a tiny little epiphany that maybe won't startle you, but which startled the heck out of me.

It goes against everything the fat acceptance movement believes in, which makes me sad--because what they have to say is so, so important. But the thing is, what I have to tell you, and I am sorry, fat acceptance activists, I honestly am--but I like having lost the weight. I like being a smaller person, less remarkable. I like having a wider range of clothes to cry about in the dressing room, I like being able to fold over and touch my nose to my knees, I like fitting in chairs, and I really like not feeling like I have to apologize for my self, my size, for being a blight on the landscape. I hate that I ever had to feel that way, and don't think any one should. I wish I didn't have to have lost so much weight in order to finally feel a little more okay in my body. You're right, when you say no one should, that it is an evil.

When people talk about weight-loss surgery being the easy way out, what they're talking about is a very pro-skinny, yay losing weight! kind of mindset, in which people who have gotten surgery didn't have to do all the hard work of exercise or change the way they eat or become active or have to be strong-willed all the time, right? I will tell you, because I have to keep saying this: in every way, that idea is completely untrue and continues to make me mad because it sure as heck hasn't felt easy to me. I still have to exercise! I had to change my entire lifestyle and eating patterns! It was not easy! My daily struggle with what I eat, getting enough exercise, taking my vitamins, keeping up my protein and my water, it remains anything but easy, okay? I might be a little sensitive about this topic.

But here's the thing. I will admit this to you, this revelation that I've had--in one very real sense, it is absolutely the easy way out. Here's a showdown: between learning to love yourself and your body in the face of a world not built for larger people, which is frustrating and morale-destroying in so many tiny ways and the number of assholes who seem personally offended by fat, versus becoming thin. In this showdown, becoming thin will always win out as the easy way out of all the complicated, difficult work of breaking yourself of the habits of self-hate, buying into the cultural paradigm, struggling to find plus-size role models and positive messages and remaining positive in the face of a lot of crap that is thrown at us, day after day.

I took the easy way out, after all. It was too hard to love myself at 300 pounds. I wasn't healthy, sure, and I needed to be lighter for my knees, my heart, my blood sugar--but I also bought into everything that told me I was ugly, unpleasant to look at, not good enough. It's still frequently difficult to love myself at 140 pounds, to tell you the truth--nobody is immune to self-esteem issues, to insecurity and doubt, and it's not fair to suggest that a thin person is not allowed to feel as uncomfortable in her body as a fat person. They're just as subject to the pictures of flawless, Photoshopped bodies and taut thighs and sculpted abs maybe they'll never have. But it is entirely fair to suggest that they sure have it easier, in a million tiny ways.

I am glad I have it easier. I hate so very, very much that I had to--or felt like I had to. I hate the idea that I might be a rotten example, I hate having given up on myself--but finally, in the end, at the very heart of it all, it is true that I took the easy way out, and I am glad.

Related Links from Elastic Waist and SELF:

Syndication:

From the Community…

Comments 1-10 of 16
  • J's Avatar
    Posted by J Wed May 21, 2008 6:55am PDT

    hi,

    I had weight loss surgery and let me tell you think twice before you do it. I have lost a great deal of weight but if you are not ready for the life change this does then you will be not a happy person. I mean you can't wolf down that hamburger and fries not unless you want to spend the next half hour in the bathroom puking it up.I am glad I had it done very glad. It saved my life i have diabetes no it didn't cure it, it helped it not so much insulin it help my blood pressure it make me a better and more healthier person.It's a BIG lifestyle change and I mean BIG.smaller portions when you eat. Heck even a kids meal frustrates the ----- out of me.Like I said most people don't realize how this surgery will change your life that way anyone wanting this surgery needs to talk with someone that has had it and then think very serious about it.If anyone who's thinking about this needs advice they can email me and I will answer any question you have.

    have a great day, Judy

    Report Abuse
  • Brett Blumenthal - Sheer Balance's Avatar
    Posted by Brett Blumenthal - Sheer Balance Wed May 21, 2008 12:34pm PDT

    The problem with surgery as a solution is that it doesn't deal with the mental issues of obesity...it only deals with the physical issues. And as 'Judy' states, if you can't get into the mindset of changing your lifestyle, you are putting yourself in great danger.

    Additionally, it is surgery...regardless...and surgery is dangerous...regardless. So, the risks that come with surgery can be very large.

    Weight loss isn't easy for anyone...it takes work...with or without the surgery. The natural way of losing weight through proper diet and exercise seems to be the safest way to do so.

    Report Abuse
  • SJ's Avatar
    Posted by SJ Wed May 21, 2008 1:17pm PDT

    I have lost 100lbs by diet an exercise over the last 2 years-i also have three friends who did the surgery and they have lost 150 to 180 lbs and I have to say it did make me angry that i still am working hard to shed another 25lbs and they lost theirs within months. I have another friend who is just starting the procedure to have the surgery-i think too many people think it is the magic bullet. every weight loss to be successful is a change in mind set and lifestyle change

    Report Abuse
  • M@R!@'s Avatar
    Posted by M@R!@ Wed May 21, 2008 5:08pm PDT

    I really think that soon gastric bypass will come with strings attached: mandatory therapy afterwards.

    Obese people have an addiction to food. When you take away the food, other addictions will take its place. I've seen people suddenly pick up smoking and drinking in their 40's after surgery.

    Addiction is about filling a void in one's life. It can take the form of food, sex, alcohol, drugs, cigarettes, gambling, etc.

    Addiction is addiction... if you take away the source without therapy of some sort, the addiction is still there. It WILL come back, one form or another.

    Report Abuse
  • Sarah B's Avatar
    Posted by Sarah B Thu May 22, 2008 8:57am PDT

    My Dad is having Gastric Bypass surgery in a couple of months. I am so incredibly happy about it. I am thrilled that he will finally have a chance to fit into a regular car, be able to sit in a booth at a restaurant, walk from the living room to the bathroom with out sounding like he just ran a marathon. I do not understand how anyone could think this is an easy way out! He has to completely change what and how he eats BEFORE they will do the surgery. He has to have therapy (which he thinks is silly, but I am glad about) to make sure he understands this process and is doing it for the right reasons (He says "I'm doing it so I don't die of being 500 pounds before I am 55 years old"). He's never going to be thin or beautiful, but he might live long enough to see grandchildren, and without this surgery, there is no way that would ever happen. Yeah, diet and exercise changes work, he's tried them loads of times. He loses 100 pounds and 2 years later it's back with friends. Surgery is not an easy process and it was not an easy decision and there is no way it will be easy for him to adapt to his new life, but I am so proud of him for chosing surgery, and the posability of life over the easy alternative of eating himself to death.

    Report Abuse
  • Rowdygirl's Avatar
    Posted by Rowdygirl Thu May 22, 2008 10:23am PDT

    I had surgery in Sept 2003 and EVERY day is still a struggle. Thinking about food and trying to make the right choices. It's not easy by any stretch of the imagination.. but I am healthier, no longer diabetic and I feel normal (almost). I'm still not skinny, but I can blend into a group of people for the first time in my life and no longer get "the look". Overweight people know what look I'm talking about. The "Oh my gosh.. why are you even allowed to live" look for daring to be overweight in a world that sees skinny as acceptable. So, yes, I'm a little bitter too and may always be that way. but anyone who thinks that surgery is the easy way out is uninformed. This is a forever change and you have to maintain constant vigilance, lest you return to your former self. I refuse to be that woman again and the only way to avoid it is the same as everyone else avoiding the weight. No tricks here.. just hard work.

    Report Abuse
  • mskill95354's Avatar
    Posted by mskill95354 Fri May 23, 2008 3:47pm PDT

    I had the bypass done last October. It was a hard choice to make. But I was fat my whole life and something had to break that cycle. It was not easy to go through the process. My insurance company mad me go to nutrition classes counceling and I had to speak to a personal life coach for 6 months prior to the surgery. Anyone who thinks that this is a instant cure or the easy way out is outr of their minds! You still have to change your outlook on life how you eat activity level life in general. I have had a great result im down from 410lbs to 208lbs. I now love to exercise and am very active. I got to the gym everyday after work. I feel better than I have in 25 years. Just be sure you are ready to make a life change not just do it on a whim!

    Report Abuse
  • jingenbrandt's Avatar
    Posted by jingenbrandt Fri May 23, 2008 4:07pm PDT

    I am [almost] a 5-year veteran [surgery date was October 27, 2003] of RNY Gastric Bypass surgery. After spending a very angsty adolescence riddled with everything from the divorce of my parents to my grandmother having a heart attack and dying in my arms in a shopping center parking lot, I was heavily medicated, to say the least.

    By the time I was 18 years old, I weighed almost 300 pounds. I had spent most of my teenage years asleep or in the kitchen. I did gain some of that weight from the anti-depressant drugs I was on, but it was mostly an addiction to food. I needed to fill the void with SOMETHING. I would yo-yo up and down on diets, my blood pressure couldn't stabilize, and I had early symptoms of diabetes. Not to mention that heart disease AND Cancer exist on both sides of my family. I was in a slow downward spiral and NOTHING I was doing could stop the progression.

    In 2003, at age 20, I finally had enough. I was simply sick of struggling to control what had obviously slipped away from me. I began to put the wheels in motion, was approved for the surgery through my health insurance, and within ten months post-surgery, the excess weight was gone. ALL 161 pounds of it.

    As stated above by Anne Fitzgerald, it has not been an easy road, contrary to what a lot of people whom have never been through it themselves may think. It is a daily struggle to make wise choices for about 99.9% of people who have had the procedure done. For me, honestly, I adapted quite well to the whole situation, and I am proud to say that I am a true success story. Small meals, vitamins, and workouts are now my reality and I wholly embrace them.

    I am now 25 years old, 5 feet 10 inches tall, and I weigh 168 pounds. I have not regained a POUND [except during that time of the month when I bloat up to 171]. What a lot of people who fail at this procedure don't realize is that WLS is a TOOL, not a miracle cure. You MUST work at it and be vigilant. You MUST exercise. You MUST monitor your protein intake, your vitamins, and your calories. You simply cannot assume that once you're sewn back up that the situation will take care of itself. I think it's the lazy ones who give WLS in general a bad rap.

    I know everyone is entitled to their opinon, and this surgery is not for everyone, but for me personally it has saved my life. I am healthier today than I have ever been, and I am extremely proud of what I have accomplished. Failure is an option, but not for me. I won't allow it.

    Report Abuse
  • Gypsywoman's Avatar
    Posted by Gypsywoman Fri May 23, 2008 4:26pm PDT

    Hi,

    This comment is dedicated to all those who struggle on a daily basis with their weight and self-esteem. I used to be one of them. I had the stomach lap band procedure in January 2007 and have lost 80 lbs. but need to lose another 25 lbs. I will never ever regret having this weight loss procedure and recommend it to all who are at least 80 lbs. overweight and suffer from high blood pressure, high bad cholesterol, diabetes, and low self-esteem. Yes, you do have to change the way you eat but with the band, you are not able to eat more than a fistful-size portion of food at each meal. You get full with about 5 ounces of food and do not want more. You are instructed by the doctor to not drink any liquids with your meals and wait for 30 minutes after you eat, to drink anything. I have lost 3 dress sizes and can now look down and see my feet for the first time in a long, long time. My blood pressure is now normal and I no longer need to take cholesterol lowering medication. My blood sugar is back to normal so I am now no longer a borderline diabetic! Men now whistle and wink at me as I walk by. I can exercise without feeling like I'm going to pass out or suffer a heart attack. I highly recommend this procedure to anyone who is at least 80 lbs. overweight and has tried and failed over and over to lose their excess weight. This lap band procedure is not a dangerous one. Your stomach is not cut. A band is placed around the top part of your stomach giving you the stomach of a 2 year old which prevents you from overeating. Life is too short! Why be depressed about weight issues when you can be happy? Happy is now my middle name. Talk to your doctor to see if you qualify. You don't have to be 100 lbs. overweight to qualify for this procedure. If you suffer from poor health and aches and pains because of obesity, then you qualify. Talk to your doctor. You won't regret it! I surely do not.

    Report Abuse
  • lclayton71's Avatar
    Posted by lclayton71 Fri May 23, 2008 4:45pm PDT

    I so wish I could afford the surgery. I weigh 240 lbs and Im 5ft 5in.

    I am miserable and depressed. I hate the way I look and feel. Im a single mom and stay to myself due too fear of rejection. Girl more power to you. Feel proud and love it. Any suggestions of diets that actually work were the food doesnt have to be expensive or diferent than what i feed my kids??

    Report Abuse
Comments 1-10 of 16

leave your comment

You must sign in to post a comment

Sign In for personalized information

New User? Sign Up

Health Byte

Does the election have you all worked up? Take a break from the hype and instead, take some deep breaths.