Thursday, May 14, 2009

Yesterday

Yesterday, it all hit me like a ton of bricks: I need two major surgeries, the rest of my year is pretty much shot. I didn't feel like being a g-d grownup about it. I felt like crap, my ankle was throbbing. I was weepy. I wanted my mommy.

Moments like that don't happen to me very often, because I never had a mom. I know there are people in the world who do--sometimes it feels like everyone does, but I know better than that. In reality, hardly anyone has that kind of mommy. But that doesn't mean I can't have a human moment and wish I was one of the lucky ones, even at the age of forty. Because I am fiercely independent and just handle myself--even if I feel barely taped together--I don't think most people I know remember that I'm not just a Kryptonite self-cleaning oven of an individual, even some of the people that are closest to me in the world. It has always been expected of me to be that way.

I tried to tell a close friend of mine how I felt yesterday, and she said, "You'll get through it" and changed the subject. She wasn't having a great day herself, and we talked it through, but I initially felt like I'd been punched in the stomach--it was really hard for me to even confide these feelings in anyone. I would rather die than ask people for help, and have a hard time accepting help when it is offered, so it's partially my own fault.

Mr. Salted is incredibly supportive. He will take every bit of time off work given his choice, but he's the sole breadwinner right now and what savings we have is hemorrhaging to pay medical bills. We are barely squeaking by. All our credit cards are maxed out. I had never been unemployed longer than six weeks in my life before this past year, and it is making me *completely* nuts. I don't mind not working, I mind depending completely on someone else. Seriously--it's my idea of hell, probably because it's never been a viable option for me. Even when I was alone and had my hysterectomy five years ago and had to be home for six weeks, I had a good job and paid leave. I feel incredibly guilty about putting all of this pressure on Mr. Salted, and he is a mensch. "If the roles were reversed, what would you do?" he asked me yesterday.

"Take care of you," I answered. "Without even thinking about it."

He said, "I know that. I love you, and that's what I'm doing. We'll get through this. You are not a burden, you're the best thing that's ever happened to me." Of course, he made me feel a lot better; he is fabulous, I could not ask for a better husband, and I love him so, so, SO much. I am just concerned about actual logistical conflicts--there is no way the man can take a month off work and just hover while I can't walk. (And I hate anyone hovering. Ugh.) I'm worried this place will catch fire and I'll have to scoot out of it on my butt. I'm worried that I'll set fire to it myself after a scorching combination of not enough Demerol and one too many episodes of "Divorce Court".

I'm worried about the fact I can't cook and have to learn how to make all this soup stock and weird food for post-op--can't I just eat baby food? Seriously, I'm going to ask my nutritionist. I'll put some protein powder in it or whatever. Mr. Salted is willing to fend for himself. The post-WLS mantra, after all, is: food is fuel, food is fuel, food is fuel. I'm just so over this food crap. It just isn't worth letting it have all this power over me. None of it tastes THAT good.

Tuesday, May 12, 2009

Guess who needs reconstructive ankle surgery?

So here's the deal: I had this horrible left ankle fracture when I was 16. The bone was snapped in half and had to be screwed back together. (They removed the screws later.) It's always hurt when it rained and that kind of thing, which I figured was par for the course. Lately, as I've documented here, it has been giving out more and more frequently. I can just be walking along, minding my own business, and it goes over to the side without a warning. Working out on it or a moderate amount of walking causes pain and swelling. Everything hurts it, even just walking around the grocery store. It is one of the reasons I've pursued bariatric surgery with the degree of purpose I have in the past few months.

Back in 1985, when this bone was broken, the orthopedic surgeon just repaired the bones involved--that's what they did back then. They didn't have the technology then to see ligaments or even consider them a problem. I was really young and they probably thought I'd heal up just fine. My ligaments--the ones that provide necessary stability--have long since been shredded. The doctor could tell just by moving my ankle around with his hands that the ligaments there were basically gone and done for; the right ankle, on the other hand, felt just as it should. The difference was obvious in the movement and feeling, especially once it was pointed out and demonstrated to me this way. He said when the bad ankle just gives out now, it's just tearing at existing scar tissue, and the reason I can (thus far) still limp away on my own afterward is because of that scar tissue, but it will still need to be stabilized in a more permanent fashion. Future stabilization = not optional.

Reviewing x-rays taken today, the doctor said, "See now, your bones look gorgeous." (Not a sentence I ever expected to hear...)He could see on the film where the break had been with his practiced eye--right in the ball on the outside.

He said I will have to get this ankle repaired. Not necessarily today, but as soon as I can. It isn't going to get any better on its own, no matter what kind of strength training or exercises I do, and I'm "young" (ha!) and have a long way to go. "You had to know this was coming," he said. Well, yeah, I was afraid it was, but am still "young" (ha HA!) and stupid enough to think that maybe it would fix itself with my eventual weight loss, et. al. Pfffft. What they do is take part of my tendon and reconstruct the stability-providing ligament. I can't walk on it for at least three weeks, but I am allowed to drive an automatic. It's in and out of hospital the same day, no stay. After about a year's time, there is usually a lot of progress that has been made.

So--he said this, and I freaking knew it--walking is no good for me. The ankle can go over at any time--gravel road, crack in the sidewalk, step in a puddle, on a rock, off a curb. The elliptical is no good because you push off from your heel and that can also exacerbate things. Same with the Stairmaster. Since you are usually watching TV or listening to music to provide distraction from the exercise, you're all that much more likely to forget exactly how to compensate for the instability and go boom. I knew this too. Despite the crappy news that I do need surgery, it certainly felt fantastic to be validated. A doctor who listens! We talked about my pending bariatric surgery; he knows my surgeon. He encouraged me to "take care of me first", get stabilized from the GBP, and come in, maybe this fall, and get this taken care of, giving him about a month's leeway. He will write the necessary letters for me and fax his findings from today to my exercise physiologist and bariatric surgeon.

He also said these magic words: "Your weight has nothing to do with this. It is neither here nor there." I wanted to give him a big old hug, kind of like I want to hug the occasional (myopic) cashier who cards me when I buy Mr. Salted's beer at the grocery store. Oh hell, I wanted to kiss him on the mouth, just like a big old grateful hound. Why, thank you, universe! You have dealt me a doctor with a clue!

The bad news is: this puts me out of commission for longer, and I don't know how we will afford it. We'll manage somehow, I'm sure. I don't see what good waiting any longer to fix the ankle would do--it would just mean I had to take time off from a new job (should I be able to find one), and in the meantime, the ankle can still go out whenever it wants to. And it means no school, at least not this year, but I had pretty much given up on that, at least for this year. Maybe the economy will rebound a little by fall 2010.

Monday, May 11, 2009

Chapter 6 Exercises from "Anatomy of a Food Addiction" by Anne Katherine, MA

Chapter 6 is called "How Healing Happens". It discusses dealing with both chemical functioning and feelings, and goes into quite some detail. Again, I recommend anyone who thinks this book can help them to pick it up. This is the assignment for tomorrow's group, and it's a doozy:

6.2 Disease Inventory: Part III (p. 102)

Starting from your earliest memory of bingeing and/or starving, dieting, and/or purging, chronicle your relationship with food.

The Progression of Powerless Eating

1. When did you first turn to food?

2. Gradually, over the years, your relationship—your intimacy—with food progressed. Chronicle this progression.

3. Include, if relevant, the progression of addiction to sugar and/or alcohol.

4. What impact has the addiction and compulsion had on all parts of your life in the last five years?

5. Be very specific and honest about your present pattern of bingeing and/or purging and/or starving. How much and how often do you binge? What is your volume of food? How frequently do you purge? How often do you starve yourself?

Control Efforts

1. List attempts to control eating—starving, dieting, purging, laxatives, diet pills, prescription drugs, coffee, smoking.

2. Mark the control efforts that failed.

Unmanageability

1. Unmanageability is a part of this disease. Anyone with an addiction finds that her life gets frayed around the edges. What evidence of unmanageability exists in your life?

2. List evidence of unmanageability in:
(a) Emotional state—mood swings, depression, self-esteem
(b) Relationships, social life, sexual relationships
(c) Work. Have you been late or missed work due to a sugar low or due to drinking? Have you attacked coworkers because of sugar anger? Have you sabotaged your own success by not having a clear head when needed or by eating rather than studying or reading or learning?

Adverse Physical Consequences

1. Have you ever risked your life or the lives of others by eating or not eating?
2. Have you damaged your body as a result of your addiction?
3. Include food blackouts. How many times have you found yourself with an empty bowl or bag in your lap and no clear memory of a decision to eat? How many times have you stood in front of the open refrigerator without knowing you were going to walk there? When did you first start having food blackouts? Have these progressed?

Adverse Social Consequences

1. What harm has been done to your relationships?
2. How has your disease affected others? How have the people around you had to adapt because of your disease? In what ways have you abused others because of the influence of this disease?

Adverse Financial Consequences

1. Include adverse financial consequences. How has the addiction kept you poor? How has it deprived you of having money for other things you want to do? Include crazy thinking about money so you could spend it on food.

Adverse Moral Consequences

1. Has the disease made you violate your values? (stealing, concealing) How is your self-respect doing? Have you lost any as a result of this disease?
2. Have you manipulated others so you could satisfy a craving?
3. Include confused priorities—how is food the center of your life? Has it been the center of any of your relationships? What evidence is there that eating has been more important than relating?

Adverse Spiritual Consequences
1. Include evidence of how eating has been more important than your spiritual development, more important than your relationships, more important than your health, more important than your peace of mind.
2. How has this disease affected your choices, your decisions, the opportunities you’ve missed or aborted?

What NOT to do if your kid is fat

a) Don't lock the cupboards or fridge. The food will become like crack and they will find a way to get it, even if they have to steal. Frankly, this is basically not only encouraging, but begging them to steal, in my opinion.

b) Don't eat in front of them/make fun of them. They *will* learn to hate you, even if they love you--trust me on this one. However, they will also be hurt, and ultimately hate themselves even more.

c) Don't berate them about exercising or force them to exercise while you watch. Exercise WITH them. Do active things as a family. Teach them that they have the right to enjoy their body's movement without ridicule, no matter what shape, size, or athletic ability it is. Focus on the body's health, NOT its appearance.

d) Teach them that beauty is more than the size on the waistband of their jeans, and that fat does NOT mean ugly. They don't have to hide or be sorry they are who they are, just be the best them they can be. Don't compare them to their skinnier sister/neighbor/acquaintance/friend. Don't treat them like a freak. Different people are different sizes and no body shape is morally superior to another. I implore you to get some !@#$$%^& therapy if you don't believe this yourself.

e) Deal with your own food issues and prejudices openly and honestly. If your kid sees you being actively bulimic, berating yourself because of your weight, etc., and not actively working to change those negative patterns, it will negatively affect them as well. Showing them your own struggle and humanity would be a gift beyond imagining. If you practice "those who can't do, teach", it is just crazymaking and not good for anyone. And for God's sake, don't make fun of fat people. It isn't any more okay to make fun of fat people than it is people of color, disabled people, gay people or whatever. You should have learned this in grade school or before, but if you're a fat bigot, get over yourself. If YOU have some internalized self-hatred because you're fat, GET SOME HELP and quit poisoning your poor kid so s/he has a chance!

f) Teach them about nutrition. Learn about it together if you need to. It isn't enough to learn about it--buy and eat the nutritious food, too. If you have a house full of Hostess cakes and Doritos and sugared soda and you have a fat kid, what do you expect?

Chapter 5 exercises from "Anatomy of a Food Addiction"

Chapter 5 in "Anatomy of a Food Addiction" is called "Nature's Telegrams" and deals with messages from the body and brain. It talks a lot about feelings, the origin of feelings, and makes a compelling argument for articulating the experience of feelings (through drawing, writing, sculpting, some kind of visceral expression) vs. just thinking about them, arguing that "the symbols [of a/produced by a feeling] are too fleeting for meaning to emerge" if one talks about them, ie, getting feelings out of the mind and experiencing them more clearly.

(I really hope that anyone reading this blog who thinks this book can help them goes out and picks it up. My synopses here do not fully do it justice, but I include them as part of the process I'm going through prior to surgery and lifestyle change so that I can track my assignments and such. There is a lot of detail and great insight in the actual book that is definitely lost in translation!)

In talking about following a feeling all the way through, the example author Anne Katherine gives is that of grieving the death of her close friend. She not only misses her friend and the unique friendship between the two of them--she misses what her friend taught her about life simply by being who she was. By dealing with the full spectrum of losses involved in her friend's death, she was able to articulate her feelings and grieve more completely, surrendering to the grieving process and healing more completely. (As time goes on, the pain became more manageable, but the only way out is through--that was the message I got from it.)

The author shares her personal process in tracing the origin of her feelings. The assignment for my group was to flesh out our "portfolio of beliefs" that are discussed on page 88--the ones that we have held from a very early age, the ones that are probably not working for us now. These are beliefs about ourselves and the world that we have held so long and seen reinforced so often that we believe they are true.

What might be in a portfolio of beliefs? Well, I can tell you what was in mine:

1) There is no such thing as a safe person or place, so I will have to define safety for myself and take whatever measures I deem necessary to keep myself safe, even if they are only in my mind, because no one is ever going to protect me.

(2) The less I need, the less I will be hurt.

(3)People are never nice unless they want something.

(4)I can take care of myself later. My needs can wait.

(5)Know everything you can so you cannot be caught off guard. Be ready to run or fight physically if you have to.


(6) Feeling too much is a sign of weakness, and besides, my feelings don't really matter.

(7)It doesn’t matter who I really am, because no one is watching or listening.

(8)I am ugly.

(9)I have to hurt myself (put myself down) before anyone else can hurt me.

(10)Anger saved my life.

Some of these things are partially true. Some of them are not true at all. Taken at face value in black and white, not one of them is healthy.

Anne Katherine talks about four things that have to happen for a belief to be changed (p. 89): (a) we have to be conscious that we hold the belief; (b) we must see what the real truth is; (c) we must experience the full range of feelings about the causes and consequences of the belief, allowing ourselves to grieve the losses we've suffered as a result of the belief as well as the loss of the belief itself; and (d) we must receive care for the pain we've suffered.

On page 92, she lists some of the things that promote recovery: taking care of unfinished business as it comes up; expose your basic beliefs and fears about yourself and the rules you developed to survive; stop blaming yourself 100% for those beliefs and fears and take a look at everyone who participated in their implementation; protect yourself from people who continue to reinforce those beliefs; expose yourself to people who believe in you and want the best for you; identify which feelings it wasn't safe for you to have; take care of yourself by not allowing any further experiences of deprivation, abuse, or abandonment; hang around healthy people; learn coping and relationship skills; find safe places to start breaking your old, worn-out survival rules.

She also emphasizes how important it is to build a support system if you do not already have one in place. If it helps, make a list of who's safe and who isn't, and keep it in mind when you choose who to spend valuable time and energy with.

Pugmania!





Mr. Salted and I went to Pugmania, a benefit event for Seattle Pug Rescue, last Saturday. It was a lot of fun. I am all for anything that benefits animal rescue, and pugs are great dogs. I don't believe any of them have ever met a stranger. I took a lot of pictures, especially of their costume contest, and made friends with one pug and her person. There are more photos on my Flickr site (it can be linked from my profile here).

Mother's Day

Mother's Day is hard for me; I tend to go underground. Like most major holidays in this country, the greeting-card industry beats it to a pulp. I'm not saying moms don't deserve to be celebrated--the good ones deserve that and more--but I find it to be yet another "family holiday" that doesn't have a lot of room for people without families that look at least a little traditional.

My actual mother died in a car accident when I was two years old. This is a loss I am still trying to fully comprehend and grapple with at the age of forty. I think I have missed her more often and more deeply since I was thirty than any time of my life before that. I knew a lot of cool mothers growing up--a lot of my friends have great moms, and I credit a few of them with helping me survive my childhood. I stay in touch with most of them to this day. There are also wonderful women, such as my former mother-in-law, who have been the closest thing to mothers I've experienced in my life. I always try to remember, thank, and celebrate them as well.

I was not medically able to be a mother myself, and I really wanted to for a huge part of my life--in an ideal world, I wanted to have one child and adopt one child. Over the last ten years, I have resigned myself to the fact I don't really have the stamina anymore, my second husband has never really wanted kids, and I'm past wanting to raise a child now; I have accepted that my journey on the planet is a different one. However, since I did try to have a child for years and lost actual pregnancies, a part of me still and always mourns those losses. There is no one more pro-choice than myself on planet Earth that I've ever met, but when I was actively trying, the pregnancies I lost were real to me. Questions that went around my head and heart (things like this are not logical, they just are) included, Am I a mom? Was I ever a mom? If there is a heaven, are my kids there, will I be a mom there? One of my dear friends, one of two or three people I can even I can even mention these feelings to, told me yes, you were; yes, you are; yes, you will. Can I believe these things and still be pro-choice? I think so. It's not a black and white issue, and it gets a lot more gray when you fall into my category (whatever that is) and live a few decades.

Not getting to either have a mother or be a mother, at times I feel shut out of a huge part of not only life, but being female. A woman's life is far from pointless without children, and I am finding out just how NOT pointless it really can be. Society beats that whole issue to a pulp as well, and not just around Mother's Day. I love kids, I love moms, and I love women, but Mother's Day isn't a wonderful celebratory day in everyone's year.

About Me

My photo
Seattle, WA, United States
This blog focuses largely on a personal journey to and through weight-loss surgery. It's also about reading, writing, animals, photography, love, humor, music, thinking out loud, and memes. In other words...life.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.