Healthy Living

Tuesday, December 8, 2009

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.

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Comments 11-16 of 16
  • 's Avatar
    Posted by Fri May 23, 2008 6:03pm PDT

    Hi! I have a whole lot of questions for all of you. I am 45 and have been diagnosed as obese since I was 3 - yes, 3 years old was when my doctor put me on my first diet - wasn't really overweight, mind you, just a slightly round little girl. I have strong personal opinions against gastric bypass, but admire and respect the journey that those who have taken that road have endured. So, I have questions for those who have lost naturally and those who have had gastric bypass. Please feel free to e-mail if the story needs to be told, but feels too personal for a public forum. I want to know what has happened to your body - your skin, your hair, and your shape. For instance, I have lost 50 lbs on a journey that will lead me to an additional hundred, I hope. One side of my belly protrudes to the side - I went through a bout of depression after my parents passed and I layed on my right side on a sofa for two years, and it shows. So, tell me if the body can recover from all the damage of weight. I can't find anything that tells me what to expect. What are your stories and thoughts? Thank you

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  • 's Avatar
    Posted by Fri May 23, 2008 6:17pm PDT

    By the way - to the person who is 240, 5ft 5inches - keep it simple and don't ever EVER diet again. Eat 5 - 6 times a day - each meal is a protein and a carb with lots of veggies!! So, I balance it three times a day with larger meals - egg white omelet and 1/2 cup oatmeal for breakfast - 3 oz can of tuna and an apple for a snack - chicken breast, sweet potato and brocoli (eat tons of brocoli) - orange and two eggs for a snack - salad and chicken breast for dinner - and protein shake at night - I don't always get it all in, although I try - the food is basic and cheap and you should be feeding your kids healthy food just as well as yourself so they don't go through this as adults - because as, I mentioned before - from the age of 3 it has been a not good life to lead - and I fight battle with food every day - I don't always win, but the weight will come off. DONT DIET - eat healthy - strive to eat healthy - and don't think of it as going off or being on your "diet". The reason this works is because it keeps a steady blood sugar instead of bringing you up and crashing you down. Think of it as this meal I ate healthy - the next meal will be healthy - you will lose the depression, because sugar FEEDS the depression - it brings us up and crashes us down. YOU can DO this. Work to LOVE each moment of the day - and the future will work itself out!! I promise you that this works. You will love yourself - your children - and life so much more. I know, I don't know the specifics as to why you feel this way - I let depression - from grief - tear me into shreds and destroy everything that I had - but you know what? I'm still here and when I eat well, I am happy, even when the worst hits me. In the last six months, I've been in the hospital, I've gone broke, and I just had to sell my car to pay my bills - I loved that car - a volkswagon convertible beetle - but you know what? I'm okay because my body isn't swamped in sugar. 6 meals - balance a carb and a protein - and no carbs after 6pm. You CAN.

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  • Connie P's Avatar
    Posted by Connie P Fri May 23, 2008 6:48pm PDT

    I have to admit, as time goes on, gastric bypass is becoming more and more popular. Some see it as the "easy way out" and others see it as a tool in changing your life. I had RNY Gastric Bypass in August 2006. I started at 316 lbs and am now at a healthy 156. By NO MEANS has this been "easy!!!" Not only is it a huge physical change, its a mental change as well! You have to relearn your entire lifestyle. You still have to exercise everyday, you still have to count everything that goes in your mouth, and you still have to deal with the emotional factors that come along with being obese! No matter what size you are, once you've been a size 26-28, you NEVER forget what it feels like to have the stares in disgust, the criticism, and just the nasty feeling of being fat! Im a size 9 now and I still feel like im overweight. I still work my butt off and write down every bite I take. Just because you have the surgery doesnt mean that you're forever "skinny." You can gain the weight back in a heartbeat! Not to mention the extra skin thats come with the rapid weight loss. Anyone who thinks that weight loss surgery is the "easy way out" is sadly mistaken. On a better note though, this tool has not only enabled me to make a change for the healthier, its helped me to change my family's eating habits as well. No more fried fatty foods and just junk! Healthy eating and daily exercise has helped my little family tremendously! Although my daughter's only 12 months, she doesnt like sweets! And Im so thankful for that! Hopefully she wont battle obesity like I did my entire life... NOT IF I CAN HELP IT!

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  • StinaxCarrie's Avatar
    Posted by StinaxCarrie Fri May 23, 2008 6:51pm PDT

    First of all i need to say that not all obese people have an addiction with food, some have medical problems such as theroid disfunction that makes them obese and also certain medecines like lithium, respidal,ect will make you gain weight. And now what I got that out of the way I feel like weight loss surgery should be the last option. I did a paper about the lap band for school and 1 out of every 1,000 die from it, now think about if 1 out of 1,000 planes crashed, would you still fly? I feel as though the surgery should only be done if it is your last possible choose. Like if you are 500IB and have 1 out of 500 chance og having a heart attack then the 1 out of 1,000 chance of dying from the surgery becomes worth it, the odds are in your favor. But if you are 250Ib and generally ahve average health and just cant fit into your jeans or your favorite clothing store then it may be time to reconsider. There are alot less drastic things you can do to lose weight, there and medicines your doctor can perscribed, nutritionist that can figure out exactlly what needs to go into your mouth and stay out of your mouth in order for you to reach your goal. I think any surgery should be the last resort espically one with such a high risk.

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  • misfitfan's Avatar
    Posted by misfitfan Fri May 23, 2008 8:34pm PDT

    I had the surgery and do not regret it for one moment.I needed something that took self control out of my hands because I knew I had none.Now there is built in punishment for overindulgence.When I first returned to work after it there were a few new hires who had not met me yet.I was honest as to my surgery and it was known where I was.I had some complications and could do little more than drink fluids and eat yogurt for almost 6 months.At that point I could only eat a few spoons.One of them looked at me and said," I heard you took the easy way out".I got angry.Maybe in some ways it seems to be but I can tell you,that vomiting and feeling weak and all the other things that go with the recovery it was not easy.I held my spoon with a tiny bit of yogurt on it and said "Does this look easy to you? Do you think vomiting to feel healthier,avoid rude comments,laughter from people you dont know,assumptions from people and living this way to avoid discrimination is easy?Do you think giving yourself Heparin shots in the stomach 3 times a day for 3 weeks after surgery is an easy way out?" Lets just say she shut up and said little else to me until she quit.I know it is a popular way to go but I think most think its easy.It is a hard way to live too.You go from eating anything to having to account for everything.Even after if you eat badly you do gain weight.It may help with the beginning to lose and be 'normal' but you end up just like everyone else.If you dont follow the program you end up the way you were.And I dont know many of us who had it and have 30 lbs of skin left had any dreams they would look like a model or have a perfect life.I know I didnt and thank god for that.I knew it would only help lose weight and not solve my problems.It did and I dont regret it.It may be an easy way out but who cares how you get there as long as you can walk again,exercise,look normal,not get laughed at,feel healthy and have hope.

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  • kim's Avatar
    Posted by kim Sat May 24, 2008 8:24am PDT

    I had a RNY in October of 2006 and I will tell you it defintely wasn't the "easy way out". However, it was by far the best way for me to shed the needed weight once and for all. I was fortunate to have found a medical program through my insurance that treated your mind and body and I did have to come to terms with how I ended up at 312lbs. All of that mental work has paid off tremendously and to this day, it helps me everyday to stay on track. Was it hard to come to terms with the why's and how's? You bet it was. There was lots of crying and blaming at first but then came the acceptance and the overwhelming desire to stop the terrible cycle and to improve my quality of life. I didn't want to die young like so many of the women in my family have. If you work the program and find a great doctor with a comprehensive program, this surgery can definitely be a life saver. It's by far the best gift I have ever given myself.

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