Part 1: Forty Five Years of Dieting

On October 22, 2019, I had a sleeve gastrectomy. I went into this process knowing that this would forever change my relationship to food and my body. This is part of a series of posts covering my history with food, weight loss, and my body. All opinions expressed in these posts are my own, and reflect my own lived experience. Nothing said here should be generalized, or taken as a suggestion for others. If you’re considering weight loss surgery, your first step is to reach out to your doctor.

Did I start out fat?

I have a brother and two sisters. All of us, at one time or another, went through a period of weighing more than we should, and when I reach back into my childhood memories, the thing that’s really clear is that weighing more than you should made you a Bad Person.

My mother has always been stocky, and has been on a diet for the entirety of my life. Rather than recount it all, I invite you to read this article I wrote about food and how it has affected my relationship with my mother. My older brother is built more like my mother – on the short side, and stocky. In fact, even though he’s an ultra-marathoner who runs like a million miles a week, he still has kind of a dad bod. My two sisters favored my father more – dad was a string bean as a kid, and as an adult, was the sort of person who, whenever he thought he was putting on weight, he’d skip lunch and it would be gone.

Sadly, both my mother’s constant dieting and my father’s utter disdain for fat had the same effect: to make me hate myself. I’ve seen pictures of myself as a child, and I don’t look particularly fat. I know that in first grade I weighed 40 pounds (the average weight for a first grader is 46 pounds). And I don’t recall being mocked for being fat in school – like, not ever. Whatever I looked like out in the world was just fine with everyone. It was only at home that I was unforgivable.

I was on my first diet at 9 or 10, my second big diet at 13, all through high school I took over the counter diet pills and would exist for weeks at a time on the pickles off my friends’ hamburgers and diet Coke while swimming for hours every day. In college, my father paid for me to go on one of those medically supervised diets where you drink shakes that add up to (and this is no exaggeration) 400 calories a day. After I had my first daughter, I joined OA and for years followed their very restrictive Gray Sheet diet.

When I was dieting, my family would praise me for making “good” choices, even when those choices were horribly unhealthy – the medically supervised diet made my blood pressure so low that I would faint and my vision would black out. But how I felt wasn’t important. When I lost weight, everyone was quick to tell me how attractive I was, but when I was heavier, I wasn’t unattractive. I was invisible.

It’s Not Just the Food

What compounded the issue was the fact that I am an extreme introvert. I love being around people, but I burn out quickly, and once I’m burnt out, being around other people is a nightmare. My father comes from a family of 7 kids, and all of them had a bunch of kids of their own, and all of those kids went on to marry and have more kids. That side of my family numbers in the hundreds at this point. And I would always rather stay home and read a book than go on family outings (which invariably included some kind of athletic activity). For a long time, both of my extrovert parents took my reluctance to leave the house personally. As though I were purposely trying to spoil their good time. And they decided that I wanted to stay home, not because leaving the house felt horrible, but because I was just too lazy to get my shit together to go out.

It meant that the reason I was fat was because I am lazy. To this day, my entire personality is built around proving to the entire world that I am not lazy. It’s the reason why I feel inadequate if I’m not doing as much as all my friends. I don’t mean doing as much as any one of my individual friends – I mean doing as much as all of them put together. Saying it out loud sounds crazy, but in my head, it’s the only logic I hear sometimes.

Both my parents, whether they admit it or not, equate excess weight with personal failure. I would go so far as to speculate that my mother’s weight was a factor in their splitting up when I was a toddler. My mother longingly recounts times in her life when she was thin the way other people might recount being briefly famous or wildly rich. Those were the highlights of her life, and the memories she falls back on when she feels inadequate. My father isn’t shy about making fun of fat people, despite the fact that much of his family is overweight. He thinks it’s hilarious, like we’re performing monkeys. And it doesn’t matter if those performing monkeys have feelings, or lives, or accomplishments of which they are justly proud – nobody cares what the monkey thinks.

What Happens When You’re Only Important If You’re Thin

The fallout of growing up with this kind of self-hatred was the inescapable idea that I’m not worthy. I don’t deserve happiness, or pleasure, or success because I haven’t “earned” it by being attractive. When my siblings were given things I was denied (which happened more than most of my family will admit), I couldn’t complain, because after all, I didn’t really deserve them. When I experienced successes out in the world and looked to my parents for validation, I was more often compared to other people who were more successful, as though my own personal success wasn’t meaningful. Because it really doesn’t matter what you do when you’re fat. It doesn’t count.

Next time, I’ll talk about the impact of being fat on my dating life. 

The Flavor of Anti-Vaxx

I got this email at 4:30pm yesterday from the mother of the boy we drive to school in the mornings:

Hi Monkey,
So yeah, Carpooligan has been tested positive for whooping cough. Just thought you should know. Even the vaccine isn’t protecting kids at Gryffindor, so if the Goddess gets a mild cold and cough, I’d think about getting her tested.
Carpooligan was partially vaccinated, by the way, but did not have the booster. I chose not to get it because I didn’t think it was effective against the strain that goes around…
He’ll be back at functions Saturday and school on Monday, so no carpool buddy the next few days.
Hope you’re all well!

 

The tone of this email infuriates me. “This isn’t a big deal! He was ‘sort of’ vaccinated, so it’s not my fault. Even the vaccine isn’t 100% effective.”

 

I want to break this down just to figure out why it makes me want to sue this woman for everything she’s got, then burn it all, and her along with it.

 

  1. “Carpooligan has been tested positive for whooping cough.” Two weeks ago, she could have sent me an email that said “Carpooligan has been exposed to whooping cough and he’s not vaccinated.” A week ago, she could have said “I think that cough Carpooligan has might be whooping cough.” But she waited until after he tested positive to say anything to anyone. The lack of concern for anyone else is staggering.
  2. “Even the vaccine isn’t protecting kids at Gryffindor…” As I said, there is a small population of parents who opted out of the vaccine, but no vaccine is 100% effective. The pertussis vaccine is more effective in children than in adults, but is still not at 100%.  So, of the ~150 children at my kid’s school, roughly 5% aren’t vaccinated at all (so, about 8 kids), and another 3-6 will get it even if they were vaccinated. That’s 11-14 out of about 150. But that’s just the kids. Every one of those kids has parents, and many of them have siblings. Those people have jobs and friends and come into contact with thousands of people, so it’s not just about my kid having to miss school if she gets sick. It’s about spreading the disease along vectors you never thought about.
  3. “Carpooligan was partially vaccinated, by the way, but did not have the booster.” If he didn’t get the booster, he’s not protected. I don’t know what comfort she’s trying to offer with “partially vaccinated,” but maybe she’s just trying to tell me that she’s not a crazy antivaxxer. But if she’s not opting out on the grounds that vaccines are dangerous or against God’s will, why aren’t her kids vaccinated?
  4. “I chose not to get it because I didn’t think it was effective against the strain that goes around…” Aaaah! With her housewife medical degree, she decided two years ago (when her kid was in seventh grade and legally required to either have his vaccinations updated or provide an opt-out form) that the vaccine against pertussis, which has been shown to protect 98% of children who receive all their boosters, wasn’t the right one for the strain of pertussis that is currently being passed around. So, not only a medical hobbyist, but also a prognosticator. How about this: you chose not to get it because you have four children with four different schedules and signing an opt-out form is WAY easier than making an appointment and taking your kid to the doctor to get his shots updated? Because, having known this woman for 6 years now, I’d bet good money that her logic went “Taking my kid to the doctor is expensive and inconvenient, but signing a form is easy. I’ll do that!” It makes me wonder just how many of these opt-outs are really parents who can’t be bothered to just take their kid to the doctor. It makes me feel that schools should require more than just an easy signature on a form. They should require parents who choose to opt out to either provide a doctor’s note signed within the last week stating that their child has a medical condition that precludes vaccinations, or pay $10 and attend an hour-long lecture about vaccines and why they’re important. Something that would take about as long and cost about as much as just going to the doctor for the shot.
  5. “Hope you’re all well!” Fuck you. We’ve got whooping cough.

Disestablishmentarianism

Three weeks or so ago, my right hip went out. It hurts to walk. It hurts to bend over. It’s not so much that the motion itself hurts, although it does. The worst part is that whatever muscle lifts the leg forward is weak. My right leg has about a quarter the range of motion as my left leg. It means that I limp even when I’m not in pain, and that my balance is shot.

But for three weeks, I’ve been putting off going to the doctor. At first, I told myself that I had pulled something running. It’s true, the problem showed itself the day after I had done my first 3-mile run in a couple of weeks. I took hot baths, put compresses on it, took ibuprofen. The hip would feel a little better, then a little worse.

Then I realized that it wasn’t just my hip. It was also my knee. This is the same knee that I had injured tripping over the mountain of crap in my daughter’s room. But did the knee problem cause the hip problem, or the other way around?

I’m telling myself these things in an effort to diagnose myself so that I don’t have to go to the doctor.

And then I realized why I don’t want to see the doctor. The last time I went to a doctor for my knee, he said that I needed an MRI.

“I can’t have an MRI.”
“Why not?”
“Because I have a magnet in my hand, and once it’s ripped out of my hand in the MRI thing, there’s no telling where it might go.”
“Why do you have a magnet in your hand?”
“Because I had someone put it there.” (I didn’t want to give this guy the entire long story of what led me to getting it, and it wasn’t relevant.)
“Can it be removed?”
“No.”

He ended up telling me that he couldn’t find anything wrong. Which was his shorthand for “since you decided you don’t want an MRI, I decided I don’t want to treat you.”

I’m not excited about going through that exercise again. I’m in pain, and I’m worried that I’m going to need something like a knee replacement or a hip replacement because the damage is getting worse and worse, but obviously I’m not so worried that I’m willing to actually go to the doctor.

A lifetime of not being taken seriously and being told that all the problems I’ve ever had have been due to my weight, is it any wonder that I’m not keen on the medical establishment?

See Me, Feel Me, Touch Me, Heal Me

“Don’t see me!”

My 6-year-old nephew holds his hands over his face. He’s angry because I teased him, and his punishment is to withhold himself from me. “Don’t see me.”

I admire my nephew for being able to be angry. For being able to look at someone who’s an authority figure over him and say that he’s angry and that they deserve punishment. I admire him because he can do something I can’t. When I’m confronted with authority, I can’t express anger. In fact, I can’t even feel it.

I used to work for a large company. My boss was very social and the two of us split the work of our department up between us – she schmoozed her superiors and made PowerPoint presentations, I did the actual tasks. She regularly told me that if I didn’t like working there, I could quit.  That I, a glorified marcomm dork in a job that paid over $100k a year and came with great benefits, could just waltz out of that office and find another job. In tech writing. During a recession.

I had frequent discussions with my boss about the source of our disconnect, but she never saw it as a disconnect. She saw our inability to work together as something I did on purpose, as though I was a different person outside of work – one who loved social gatherings, cats, and knitting – and just chose to be introverted, sarcastic and OCD at work to piss her off.

In these confrontations, she would tell me that my task execution was fine, but she hated everything else about me. I didn’t come to work early enough – she got up at 5 so she could be at work by 7. I didn’t stay at work long enough – she never left before 5:30. I didn’t interact enough with people from other departments – she scheduled meetings and lunches and get-togethers with other departments. I didn’t act happy enough – she acted like every day was a birthday party. Every word she spoke had the same meaning: Why can’t you be more like me?

She’s not the only person in my life who has excoriated me for being the person I am. My parents, my teachers, every authority figure in my life took me to task at some point for not being more social, for not being more cheerful, for not being more extroverted.

There was never a way to express my frustration with adults. As a child, I didn’t know words like “introvert” or “circumspect,” so I didn’t have any way to defend myself. I couldn’t explain that I hated big crowds. That being dragged to parties with people I didn’t know made me anxious and exhausted. That my bad moods weren’t just me being willful, but because I was overstimulated and unable to escape. And without a defense for my bad behavior, I was guilty as charged.

When you’re little, it’s easy to feel hopeless and sad because the adults around you don’t understand you. It’s commonly thought that the reason children in the “terrible twos” are so cranky all the time is that their reasoning ability outstrips their ability to communicate, leading to frustration. What happens when that inability follows you throughout your whole life? What happens when it’s not your ability to communicate that’s lacking, but the willingness of those around you to listen?

It takes a sense of power to feel angry. To express anger, a person has to start with the belief that they’ll be understood by the person they’re talking to. But when you’ve been misunderstood your whole life, you don’t have that. Anger gives you courage; to take away anger is to dis-courage.

I moved away from my family and quit that job, but I still struggle when it comes to feeling that I have the right to be the person that I am without explanation or justification. I struggle with the feeling that I could pour out a sea of words, and they would never be enough, because what I need isn’t for people to listen to me.

What I need is for them to see me.

Jesus Christ, It’s 1973

Every year at Easter, I force my little family to sit through yet another screening of Jesus Christ Superstar. I don’t cook a ham, I don’t color eggs, I don’t force anyone to attend church. This is my whole observance of the holiday – contemplation of an early 1970s take on the days leading up to the crucifixion.

Every year, the movie sparks a lot of discussion – what’s up with the people dressed in rags? They’re lepers. Why doesn’t Jesus like swap meets? They’re having their swap meet at the temple, and Christ thinks its inappropriate to have people turning His church into a marketplace. In Phoenix, we had our heads on straight. Our swap meet was the the parking lot of the place that had greyhound racing during the week. Why did people live in the middle of a crappy desert? Most of Israel isn’t a crappy desert. I hear it’s really nice. Is Pontius Pilate the same guy that invented the yoga? Yes.

The thing that came up this year was the fact that Jesus Christ Superstar came out in 1973, a year marked in my mind by the kind of soul-crushing shame that makes me want to dig a pit, fall into it and collapse in on myself as my body digests itself with the acid of horror.

I was 8 years old in 1973. Aware enough to know that I was surrounded by a culture that people would look on for decades as the nadir of human civilization.

New Seekers’ song “I’d Like to Teach the World to Sing” was not only still on the radio, it had been made into a commercial for Coke so we could hear it that much more often. The song “One Tin Soldier,” which had been used in the film Billy Jack (which I have never seen and about which I have no opinion) was still battering the airwaves with its antiwar bludgeon. The Rolling Stones’ “Angie,” while not a peacenik antiwar protest was nonetheless another giant bummer you couldn’t dance to. They get lost with other agonizing, horrible songs like “Wildfire” and “Run, Joey, Run” that came out while I was still cringing.

The clothes of 1973 were a combination of chunky, greasy, scratchy lumpy miracle fabrics and loud colors that looked good on the idealized anorexic frame of models, but looked horrible on actual parents. Kids were all stuck dressing like Holly Hobbie, a fad so popular that it spawned the “Little House on the Prairie” television series the following year.

In 1973, my mother had a lot of friends who did a lot of drugs and often had nowhere else to go but our house. I can’t count how many times someone at our house broke something, and then went limp with hysterical laughter at the mess they had caused. Or how they would, in their inebriated haze, try to have serious conversations with my siblings and me. They failed to make the slightest bit of sense, although it was apparent that in their minds, they were relating to us at some very deep and spiritual level because they grokked us as human beings. These people are why I never got involved with drugs in any significant way.

But the blind self-absorption wasn’t just my mother’s friends. All over America there was a fascination with the 1920s, especially The Great Gatsby and its cast of characters who spent all their time contemplating themselves and each other. Everyone played backgammon, spending tons of money on little suitcases full of tiny poker chips over which they could pose with drinks and pretend to be intellectual for the benefit of equally drunken pseudointellectual onlookers. And the 1970s was when the adults all decided that sex should be moved out of the dark bedroom and into the living room, dining room or front yard, where we could all see it.

How can you be 8 years old and not be scarred by the skin-peeling embarrassment of it all?

But Jesus Christ Superstar somehow escaped all of it.

As an opera, it’s a story told entirely in song, but no one song tries to contain the whole narrative, so we avoid the whole weepy story ballad agony. The clothes are mainly the kind of clothes that dancers still wear today – close-fitting pants and tops that allow freedom of movement. And the story itself isn’t one that will go out of fashion anytime soon.

So that’s my real celebration of Easter. That Jesus Christ was crucified and died for the sins of 1973, redeeming what would have otherwise been the worst year of all time.

Was, Is, Shall Ever Be

There’s a part of Jonathan Strange & Mr. Norrell that rings very true for anyone who’s ever struggled with mental illness. Jonathan Strange has just drunk a tincture intended to make him insane, and wonders if he’ll know when it has taken effect.

After a few minutes he looked out of the window and into the Campo Santa Maria Zobenigo. People were walking up and down. The backs of their heads were hollowed out; their faces were nothing but thin masks at the front. Within each hollow a candle was burning. This was so plain to him now, that he wondered he had never noticed it before. 

Mental illness mocks time, making it impossible to remember what things were like before, or understand how to make things different in the future. Mental illness can feel like epiphany – like you’re only just figuring out the truth. It’s worse when it feels like a truth that everyone else has known all along. “Why didn’t I notice this before? How could I have missed this?”

I’m at the beginning of another depressive episode, and I can tell, not because I’m sad, but because I just don’t care about anything. But the worst part is that I can’t remember why certain things should be important, or what it felt like when they were important. And yet, I know that’s a bad sign. One of those things I’m supposed to look out for. The kind of thinking that, unaddressed, could lead to much, much worse down the road.

My newest doctor asked me why, with my history of illness, I didn’t get help long before. The question surprised me, because it seems so obvious. When you’re depressed, you can barely summon the energy to get out of bed, shower and get dressed – how would you possibly gather the strength to research a doctor, make an appointment and then go? And when you’re not depressed…well, there’s nothing to cure, is there?

Time will tell how this new doctor chooses to tackle the challenges that my last doctor wasn’t exactly up to. Funny, it’s hard to remember how things were when I was seeing that other doctor.

Travel Day

I’m en route today from my mountain lair to another mountain lair – Salt Lake City, thence to Park City, Utah. The Pirate and I are heading to Sundance.

The thing I hate most about travel is that it never goes the way I think it will. I always think that I’ll be able to sit down on the plane and concentrate on getting some work done, but that never happens. I can’t concentrate with other people around me, and I always end up feeling self conscious, as though people are looking at me and thinking “Look at that woman, pretending to work.”

This is where introversion most bites me in the ass. Being an introvert means that I live inside my own head, and in my own head, I’m freaked out all the time about everything I ever do, say or think. Will I be able to make this left turn? Will my credit card be accepted? Will I be able to find a parking spot? Will I get into a grizzly accident? These are fair concerns, but I am always able to make the left turn, my credit card is always accepted, I always find parking, and I’ve never been in a grizzly accident. I have no basis for the worry, but worry I do.

So, I will get on the plane and worry that there will not be enough space to stow my stuff. Then I will worry that the person in front of me will put their seat back. It’s stupid worrying about that, because one should only worry if something is a possibility, not if that thing is a certainty. Then I’ll worry that, while I’m engaged in reading something that requires my close attention, my husband will hear or read something amusing that he’ll want to share with me. Then I’ll worry that the flight attendant will want to know what I want to drink, whether I want a mylar bag containing the battered remains of three tiny pretzels or whether I wish to give up my trash to her. Tomato juice, no, and please take it. Maybe I’ll make a sign and stick it in my ear where she’ll be able to read it.

It’s occurring to me that perhaps what I need to be a better traveler is gin. And that 9am in California is 5pm in London – a lovely time for gin.